In this study, residents in counties with mountaintop removal coal mining reported an average of 18 more unhealthy days (poor physical, mental, and activity limitation) per year as compared to other counties: “…approximately 1,404 days, or almost four years, of an average American lifetime.” The authors state that these results contribute to the evidence base in support of the EPA’s April 2010 decision to make new mountaintop removal coal mining permits more difficult to obtain.
Zullig, KJ. and M. Hendryx.(2011) “Health-Related Quality of Life Among Central Appalachian Residents in Mountaintop Mining Counties.” American Journal of Public Health. 101, 5 (2011): 848-53.