Black Lung

Black Lung

Author: Alan Derickson

Publisher: Cornell University Press

Published: 2014-04-11

Total Pages: 305

ISBN-13: 0801471540

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In the definitive history of a twentieth-century public health disaster, Alan Derickson recounts how, for decades after methods of prevention were known, hundreds of thousands of American miners suffered and died from black lung, a respiratory illness caused by the inhalation of coal mine dust. The combined failure of government, medicine, and industry to halt the spread of this disease—and even to acknowledge its existence—resulted in a national tragedy, the effects of which are still being felt.The book begins in the late nineteenth century, when the disorders brought on by exposure to coal mine dust were first identified as components of a debilitating and distinctive illness. For several decades thereafter, coal miners' dust disease was accepted, in both lay and professional circles, as a major industrial disease. Derickson describes how after the turn of the century medical professionals and industry representatives worked to discredit and supplant knowledge about black lung, with such success that this disease ceased to be recognized. Many authorities maintained that breathing coal mine dust was actually beneficial to health.Derickson shows that activists ultimately forced society to overcome its complacency about this deadly and preventable disease. He chronicles the growth of an unprecedented movement—from the turn-of-the-century miners' union, to the social medicine activists in the mid-twentieth century, and the black lung insurgents of the late sixties—which eventually won landmark protections and compensation with the enactment of the Federal Coal Mine Health and Safety Act in 1969. An extraordinary work of scholarship, Black Lung exposes the enormous human cost of producing the energy source responsible for making the United States the world's preeminent industrial nation.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.