Deadly dust afflicting young Appalachian miners as federal protections lag

By Hannah Northey | 05/13/2026 01:18 PM EDT

As clinics see a rising number of black lung cases, the Trump administration has paused a 2024 regulation that limits dust levels.

Gary Hairston, president of the Fayette County Black Lung Association and the National Black Lung Association, talks in his home.

Gary Hairston, president of the Fayette County Black Lung Association and the National Black Lung Association, talks in his home Sept. 24, 2025, in Beckley, West Virginia. Hairston is a former coal miner and has black lung disease. Carolyn Kaster/AP

Gary Hairston, a retired coal miner stricken with black lung, has spent almost a decade calling for stricter federal limits on the toxic silica dust that sickened him.

The 72-year-old from West Virginia has testified before Congress, protested at the headquarters of the Labor Department and urged the Trump administration to enforce a health rule finalized in 2024.

Yet today, airborne silica — crystals that can reach deeply into the lungs — continues to pose a threat to miners across the U.S. A Biden administration rule to impose stronger safeguards has been delayed and is now frozen under President Donald Trump, with the White House mulling a rewrite of the regulation.

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The decades-long saga over how to protect miners is dragging on as clinics see a rising number of black lung cases in younger miners. At the same time, Trump is trying to revive the nation’s coal sector, from mining to burning it in plants across the U.S.

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