There has been a deadly resurgence of black lung disease, particularly in central Appalachia. The disease has a long and contentious history in the United States. During the 1960s, coal miners and their supporters successfully mobilized for recognition and treatment of the disease when it was largely eradicated. We draw from literature on environmental health movements and contested environmental illness to analyze black lung advocacy and continued obstruction from the coal industry. Our data come from a case study that includes in‐depth interviews, participant observation, and document analysis. Results indicate that the black lung movement is now being spearheaded by professionals, such as medical and legal advocates, who partner with retired miners and their supporters. Unlike previous organizing efforts around black lung, active miners are largely absent from current advocacy efforts. Our findings also reveal four major obstruction tactics utilized by the industry, including: (1) industry denial, (2) falsifying records, (3) fear and intimidation, and (4) contestation of new regulations.

中文翻译：

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环境卫生倡导与产业障碍：以黑肺病为例

黑肺病已经致命地复活，特别是在阿巴拉契亚中部。该病在美国有悠久的历史。在1960年代，煤矿工人和他们的支持者成功地动员了该病，并在很大程度上消除了该病。我们从有关环境健康运动的文献和有争议的环境疾病中进行了分析，以分析黑肺的拥护和煤炭行业的持续阻碍。我们的数据来自一个案例研究，其中包括深度访谈，参与者观察和文档分析。结果表明，黑肺运动现在由与退休矿工及其支持者合作的专业人员（例如医学和法律倡导者）带头。与之前围绕黑肺的组织工作不同，当前的倡导工作在很大程度上没有活跃的矿工。我们的发现还揭示了该行业采用的四种主要阻碍策略，包括：（1）拒绝行业，（2）伪造记录，（3）恐惧和恐吓以及（4）反对新法规。