1. Location of Retired and Current Miners Potentially Eligible for Services under the Black Lung Clinic Program July 2009

2. I. LOCATION OF RETIRED MINERS Indicator Data: Black Lung Benefit recipients and applicants Reported cases of black lung disease Historic location of coal mines Historic coal mining employment Pension benefits Health benefits BLCP clinical services and outreach services provided to retired miners (limited to voluntary submissions)

3. A. Black Lung Benefit Program • 1. Federal Black Lung Program • DOL Approved and Denied Applicants • Data and Thematic Maps • Black Lung Applicants, 2001-Feb. 2009. • Black Lung Beneficiaries, Part B (prior to 2001) and Part C (2001-Feb 2009)

4. 2001- Feb. 2009 Applicants for the DOL Black Lung Program

5. 2001- Feb. 2009 Applicants for the DOL Black Lung Program (Cont.)

6. 2001- Feb. 2009 Applicants for the DOL Black Lung Program(Cont.)

7. DOL Black Lung (BL) Applicants2001 to Feb 2009

8. Cities with the Most Part C DOLBlack Lung Program Beneficiaries

9. BLCP Current Grantees

10. DOL Black Lung (BL) Approved Applicants

11. DOL Black Lung Benefits Program All Living Beneficiaries and Denied Applicants (under Part C) 2001- Feb 2009 Applicant Miners by Residential Zip Codes

12. Locations of BLCP Funded Sites Overlaid on Applicants to DOL Black Lung Program

13. Proximity of Applicant Residences to BLCP Clinics

25. Recently Closed Clinic

32. Appalachia: East Coast

33. Ohio, Indiana, Kentucky

34. Mississippi, Alabama

35. Florida

36. B. Coal Workers Pneumoconiosis (CWP) Cases of CWP/Black Lung Disease • 1. CDC Compressed Mortality Files • Cause of Death – ICD 9 500, ICD 10 J60 • Charts and Thematic Maps • Total Counts CWP as Cause of Death by State During 1999-2004, 1999-2005. • Highest Counties for CWP Mortality

37. Multiple Cause of Death, 1999-2004 CWP Mortality (J60) None

38. 1999-2005 CWP Mortality 2,002

39. Pennsylvania 2,002 West Virginia 1,033 Virginia 520 Kentucky 461 Ohio 178 Tennessee 110 Illinois 86 Florida 80 Mississippi 76 Indiana 62 Alabama 49 Colorado 47 North Carolina 46 Texas 40 Utah 40 Michigan 36 California 32 New York 30 Arkansas 26 New Mexico 25 Maryland 21 Arizona 18 Louisiana 18 Iowa 17 Georgia 15 New Jersey 15 Oklahoma 14 Missouri 12 Wyoming 11 South Carolina 8 Wisconsin 8 Washington 6 Connecticut 5 Kansas 4 Minnesota 4 Oregon 3 Montana 2 Nevada 2 New Hampshire 2 State CWP Mortality Counts 1999-2004

40. Highest CWP Mortality by County: 1999-2005

41. CWP Mortality by County: 1999-2005 (Continued)

42. CWP Mortality by County: 1999-2005 (Continued)

43. CWP (ICD 9  500) Nationwide Inpatient SampleTotal number of discharges: • 2005 • 2004 • 2003 • 2002 • 2001 • 10,084 • 8,819 • 12,387 • 14,067 • 10,865

44. C. Historic Location of Mines Indicator Data: MSHA Title 30 Code of Federal Regulations, Part 50 Mining Address/Employment Data Files Thematic Maps Coal Mine Sites, by County, 1983-2006 in Relation to BLCP Funding Mines 1983-2006 - East Coast Detail

45. Locations of Active (or Temporarily Closed) Coal Mines: 1983 – 2007

46. Location of Active Mines: 1983 – 2007 East Coast Detail

47. II. LOCATION OF CURRENT MINERS Indicator Data: Location of active coal mines Coal mining employment BLCP clinical services and outreach services provided to active miners

48. A. Location of Active Mines MSHA Title 30 Code of Federal Regulations, Part 50 Mining Address/Employment Data Files Thematic Maps Active Coal Mine Sites, by County, in 2007 in Relation to BLCP Funding

49. Location of Active Mines: Current and Historic Comparisons

50. Location of Active Mines: Current and Historic Comparisons