For over two decades, the National Institute for Occupational Safety and Health (NIOSH) has been working to safeguard the health of America’s coal miners through a vital program of free, confidential health screenings. These screenings are a critical step in the early detection of black lung disease, a preventable but serious condition resulting from prolonged exposure to coal mine dust. In 2026, NIOSH will continue this important work with its annual mobile health screening tour, bringing essential medical evaluations directly to mining communities.
The screenings, which will grab place from March through May, will be offered in communities across West Virginia, Virginia, Alabama, Kentucky, Ohio, and Indiana. This proactive approach to healthcare is particularly important given the ongoing risks faced by those working in the coal industry. Black lung, or coal workers’ pneumoconiosis, is a debilitating and potentially fatal disease, and early detection is key to managing its progression and improving patient outcomes.
“America’s coal miners work hard and sacrifice to keep our nation running,” said Dr. John Howard, Director of CDC’s NIOSH. “These confidential, free screenings are an important way we can protect their health and reduce their risk of lung disease. If black lung is caught early, we can assist prevent serious health outcomes, which is why it is so important that we bring these services directly to the communities that demand them through our state-of-the-art mobile unit.”
The comprehensive screenings, offered in a mobile testing unit, take approximately 30 minutes to complete and are legally confidential. Participants will undergo a work history and respiratory questionnaire, a chest X-ray, blood pressure screening, and a breathing test known as spirometry. These tests provide a thorough assessment of respiratory health and can identify early indicators of lung disease. All coal miners – current, former, underground, surface, and those working under contract – are eligible and encouraged to participate.
What to Expect During a Screening
The screenings are designed to be convenient and accessible. Appointments are recommended to minimize wait times, but walk-ins are also welcome. Miners who participate will receive their individual results within approximately 12 weeks. The program emphasizes confidentiality, ensuring that personal health information remains protected. Detailed information regarding screening locations, dates, and times is regularly updated and available on the Coal Workers’ Health Surveillance Program (CWHSP) webpage, as well as on Facebook and X/Twitter.
The Importance of Early Detection
Black lung disease develops over time with repeated exposure to coal dust. Symptoms can be subtle in the early stages, making regular screenings crucial for identifying the condition before it progresses to more severe forms. The availability of free screenings removes a significant barrier to healthcare access for many miners and their families.
NIOSH plays a critical role in occupational safety and health research. As the federal institute responsible for conducting research and providing recommendations to prevent work-related injuries, illnesses, and deaths, NIOSH’s work extends far beyond these screenings. More information about NIOSH’s broader mission and research initiatives can be found at www.cdc.gov/niosh.
Looking Ahead
The continuation of the annual mobile health screening program underscores the ongoing commitment to protecting the health and well-being of coal miners. As NIOSH continues to refine its screening methods and expand its outreach efforts, the program is poised to play an even greater role in preventing black lung disease and improving the quality of life for those who work in the coal industry. The 2026 tour represents another step in this long-term effort.
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Disclaimer: This article provides informational content and should not be considered medical advice. Please consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
