In the U.S. we have greatly reduced silicosis but, as with black lung disease, we have not eliminated the disease. We are engaged in a long-term, multifaceted effort to put an end to these diseases in the U.S. mining community. Among other steps, we are conducting an X-ray campaign to assess the status of lung disease prevention in our coal industry. Officials in several Latin American countries also are concerned about lung disease in their mining industries. We are all interested in exchanging the latest information and experience in this area.
Small mines present special concerns for both safety and health.
Multinational companies typically have formal safety and health programs. They employ mine design principles, provide personal protective equipment and often medical insurance or services. In many cases the same companies also operate in the U.S. and other nations. The international companies could provide more leadership in the area of safety and health. Small, privately owned mines often do not have similar resources.