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By W. N. Cathey

Many materials including carbides, silicides, phosphides, borides, nitrides, oxides, and metals were studied by the Bureau of Mines as potential fuel cell catalysts for electroreduction of oxygen in a 1[N]H2S04 electrolyte. The objective of this study was to assess the potential of abundant, low-cost materials as substitutes for platinum or to increase the catalytic efficiency of platinum. Several compounds were rejected because of their reaction in the corrosive environment of the oxygen electrode. However, some of the remaining were the most active catalysts. Activity of carbides such as tungsten carbide could be improved by doping with platinum-group metals, by varying stoichiometry, or by sputtering on a layer of platinum. While no catalysts were found with activity as high as platinum, some compounds were shown to be deserving of further investigation.

Jan 1, 1979

By E. J. Murphy

The Bureau of Mines developed a fast, reliable modification of the Griess-Ilosvay procedure suitable for field analysis for NO2 in the fumes from explosives. Known concentrations of NO2-air mixtures were analyzed for the nitrous acid or nitrite formed in the reaction with three Griess-Ilosvay-type reagents by diazotizing and coupling. Comparison was made of the Rider-Mellon, Saltzman, and Patty-Petty procedures; the three procedures are in agreement if sufficient time of contact between NO2 and the reagents is allowed. In experiments to obtain an accurate factor for converting NO2 to nitrite, overnight contact was allowed in order to be sure conversion was complete. The factor was found to be 75 percent with a standard deviation of ±3.2. Low and erratic results were found using either the Saltzman or Patty-Petty reagents as absorbing liquids unless several hours' contact was allowed. If dilute NaOH solution was used as the absorbing liquid instead of a Griess-Ilosvay-type reagent, 92 percent of the overnight conversion factor was found after a 3-minute shaking time and a la-minute standby time. The Saltzman reagent was preferable for fieldwork with the dilute NaOH solution as the absorbent because of its easy application, rapid reaction, and intense color even at low NOB concentrations.

Jan 1, 1967

By Donald W. Mitchell, John Nagy, Edwin M. Murphy

Information is presented on remote sealing of a mine passageway through a borehole by five methods : PPnneeuummaattiicc injection of mineral wool and sand, ureaformaldehyde foam , balloons , urethane foam, and caving by blasting . An adaptation of the method using pneumatically conveyed mineral wool was tried in an operating mine . Further research is needed to simplify and to improve the techniques involved , as well as to explore the possibilities of other methods and combinations .

Jan 1, 1964

By Murali M. Gadde, John A. Rusnak

Rock mass classification systems are extremely useful for site characterization and have been employed by the rock mechanics community for several decades. While empirical in nature, the classification systems provide a viable means to quantify the nature of rock mass, which is necessary for stability analyses. In U.S. coal mines, the Coal Mine Roof Rating (CMRR) is the most widely used classification system for several purposes, including sup-port selection, chain pillar design, assessing the stability of extended face cuts, etc. The Analysis of Roof Bolt Systems (ARBS) is an empirical method developed from the CMRR to guide selection of roof bolts as the primary support system in U.S. coal mines. In this paper, the experience of Peabody Energy in applying ARBS to sup-port design is discussed. In general, data from the Peabody mines show that ARBS predictions match well with field conditions. Peabody, however, does not use ARBS as the stand-alone methodology for support selection. Peabody uses a two-pronged approach in which the support requirement is initially estimated from the classification method, and then numerical modeling is used to select the proper reinforcement system. Such an integrated approach is necessary, as ARBS suggests only the “amount of steel” that may be used to support the roof and does not specify which type of roof bolt to use. A case study is used to demonstrate the usefulness of ARBS and Peabody’s integrated approach to support design. Also, the application of ARBS at several Peabody mines showed a very good correlation with support cost. The correlation indicated a direct relation between bolting cost and the ARBS value.

Jan 5, 2007

By Donald W. Mitchell, John Nagy, Edwin M. Murphy

To increase safety and productivity in mining , the potential uses and hazards of rigid foam were investigated by the Bureau of Mines Experimental Coal Mine . This research resulted in the development of chemical formulations , spraying equipment , and application procedures that permit safe and effective use of urethane foams for improving mine ventilation , for reducing weathering of mine rock and steel , for constructing seals in fire areas , and for thermal insulation .

Jan 1, 1964

Objective The Roof Monitoring Safety System (RMSS) introduced in late 1997 has been modified to improve durability and simplify the measurement of roof or rib movement. Greater knowledge about the stability of roof and rib rock is expected to result in safer conditions for the mine worker. Developing safety tools and methods is part of NIOSH’s mission to prevent work-related injuries and deaths. A mining operation with a proactive approach to control ground conditions is in a better position to make essential decisions related to mine development and take remedial actions in the event of roof or rib falls. Background Falls of roof and rib rock are responsible for a high number of mining injuries and fatalities. Visual inspections and the sound of breaking or cracking rock are often relied upon to indicate unstable roof conditions. In some mines, roof bolt holes are checked for separations or gaps with a scratch tool; this provides further information about the stability of the roof. Monitors such as the RMSS can confirm roof movement that was surmised only by eye or ear, or potentially detect movement that was missed by these means. An added safety feature of the RMSS is the capability of locating the measurement station at a distance from where the monitor is placed in the roof. Stone and other industrial minerals are the basic raw materials used in construction. Continuing economic growth and highway building in particular have resulted in record demand for stone. This high demand, coupled with increasing constraints on surface mining, have caused many new .stone mines to be developed underground. These new mines in many cases will be employing new and inexperienced miners who may not have the ability to recognize unstable ground conditions using just sight and sound. From the initial introduction of the RMSS, it was anticipated that improvements and modifications would occur. We correctly assumed that, once miners and operators were exposed to the monitor. suggestions would evolve. In one case, the RMSS was used to determine if an impact hammer used on a mechanical scaler was causing or increasing instability of roof rock. The test showed little or no movement resulted from this method of scaling under the particular conditions at this mine. In another instance, an operator needed to monitor the stability of a haulageway in a benched area that had very high ceilings. The RMSS requires a 2-in-diam hole for installation; however, only roof bolt holes of a smaller diameter were available, and it was impossible to drill new holes at that height. The operator attached a 2-in collar at the roof line and was able to install the RMSS. These examples illustrate the potential for further enhancements of this tool. NIOSH continues to seek additional candidate sites for use of the RMSS. As usage increases, we anticipate further refinements and additional applications. How It Works The new RMSS, cable, and read-out box are shown in figure l. The read-out box has a green light that stays lit until battery replacement is needed. The red light is set to conic on to indicate movement. The red light can he adjusted for increments of movement as low as .010 inches. The RMSS red light should not be considered as a primary or only means of determining the stability of roof or rib. It is intended to serve as a supplement to existing methods or procedures for determining stability. An overview of the RMSS components is shown in figure 2. Movement of rock layers within the mine roof is measured relative to a fixed-point calibration at the monitor housing. The housing contains a potentiometer, roller switch, plastic rack, and spur gear. Movements are detected by the transfer of electromotive forces

Jun 1, 2000

By J. G. Kirby, F. S. LOTT

The mmber of petroleum refineries in the United States decreased during 1949 from 375 to 367 while the total crude-oil charging capacity of refineries continued to increase. A gain in the through-put capacity of 257,305 barrels daily raised the total to a new high level 6,696,300 as of January 1, 1950. The capacity of the average refinery to process crude-oil increased during 1949 from 17,171 barrels daily to 18,246. The four coastal refinery districts accounted for 178,900 barrels or 70 percent of the total capacity increase and the Illinois-Indiana- Kentucky district 57,950 barrels, or 23 percent. Slight declines in capacity were reported in the Texas Inland and the Arkansas-Louisiana Inland districts. The capacity building on January 1, 1950, 145,600 barrels daily, was less than half the amount under construction a year earlier. Most of the new construction involved enlargement of existing refineries and was confined to the East Coast and Indiana-Illinois-Kentucky districts. Two new refineries, however, were under construction, one in Oklahoma and the other in Texas. The shut-down capacity increased for the first time since 1946, and the 473,302 barrels daily reported on January 1, 1950, was the largest recorded since January 1, 1938. The only refining district showing a decline in the shut-down capacity was the Appalachian No. 2 district. The largest increases were reported in the Texas Gulf, Indiana-Illinois- Kentucky, California, and East Coast districts. The operating ratio of the petroleum refining industry, as indicated by dividing the January 1950 runs to stills of 5,483,000 barrels daily by the total installed capacity January 1, 1950, was 81.9 percent, compared with a ratio of 87.8 percent at the beginning of 1949.

Aug 1, 1950

By Joseph P. Flick, Kathleen M. Kowalski, Lynn L. Rethi, Roberta A. Calhoun

Many miners are involved in tasks at the mine site that are similar to those sub-tasks performed in general construction, maintenance and repair (CMR) type work activities. As a result, many of the injuries in the mining industry today can be traced to employees performing these CMR type work activities. Indeed, a recent analysis of a major aggregate company revealed that 65% of all injuries documented originated from performing such CMR activities. It is hypothesized that the number of injuries to miners performing construction, maintenance and repair (CMR) work activities on mine property may be reduced through improved training that focuses on better hazard recognition using the numerous visual and other cues that are available for evaluating workplace health and safety hazards. To this end, researchers at NIOSH’s Pittsburgh Research Laboratory have merged two proven methods of training miners to recognize hazards, stereoscopic (3-D) slides and the concept of degraded images, into this training program. Stereoscopic (3-D) slides have been shown in earlier NIOSH and U.S. Bureau of Mines research to be an effective training aid for improving the ability of miners to recognize various geologic and mining-induced irregularities that can cause groundfalls.3 They realistically portray the natural mine environment, and thus are an excellent training aid for teaching miners to recognize such visual cues. The degraded image concept, originally developed by the military and used for target detection training, describes scenes where the target is partially hidden by cloud cover, dust, rain, natural barriers, buildings, or other obstructions that can camouflage or confuse the target. Research had shown that flight observers who were trained with less than ideal (or degraded) pictures were more successful in subsequent identification of targets than those trained using ideal (or highlighted) pictures of targets. In order to investigate this concept for training miners to recognize hazards, NIOSH researchers developed a prototype hazard recognition training program using such mining scenes. A control program based on traditional highlighted mining scenes was also developed. Both programs were applied to subjects in a field experiment. Results indicated that miners trained with the degraded images did significantly better on a follow-up test of hazard recognition.4 This hazard recognition program teaches trainees to look for hazards in a more realistic manner than that of the control program. This specific training program for CMR activities involves using the degraded image concept and 3-D slides. The module is designed to educate workers on hazard identification techniques and safe work practices. It focuses on teaching miners techniques for recognizing visual (sight) cues, and then uses these cues to evaluate mining conditions. It should be stressed that other senses, such as sound can also play an important role in hazard detection.

Jan 1, 1999

By S. P. Howell

The Bureau of lines as repeatedly called attention to dangerous practices in the transportation and opening of kogs of black blasting powder. In 1914 Diwin Higgins (Prevention of Accidents from Explosives in Metal inos, Miners' Circular 19, Bureau of Mines, p. 15) stated "canisters should always be opened by removing the bung. To use a pick or other sharp tool for cutting a hole in the canister is dangerous. After the necessary amount of powder has boon taken out, the canister should be kept closed. The powdor should always be handled at a safe distance from an open light." In 1919, Geo. S. Rice (onthly Statement of Coal line Fatalities for June, 1919, Bureau of Mines, pp. 16 to 18) calls attention to the dangers that arise in underground transportation and handling of explosives, and calls special attmtion to the danger of hauling explosives in motor trips; the unnecessary risk involved in hauling men on the trip at the same time, and the necessity of keeping open lights away from black blasting powder. In 1919 the writer (Sensitiveness of Explosives to Frictional Impact, Tech. Paper 234, Bureau of Mines, pp. 13, 15) called attention to the fact that black blasting powder is not as sensitive to frictional impact as the nitro-glycerin dynamites and the gelatin dynamites. Black powder may be ignited by direct impact and the writer believes that this may occur without presupposing a preliminary spark. It is well known, however, that black blasting powder is very sensitive to ignition by spark flame, or heated materials, and these may be produced by an electric current, by an open light, by incandescent particles from a pipe, cigar, or cigarette, by the tearing of metal sheets or scraping of metal against metal, and possibly, by other means. -- The above discussion will serve to introduce a newly recognized hazard the ignition of black blasting powder by the forcible opening of kegs with wodden tools. The details of three accidents in which kegs of black blasting powder ex- ploded instantly when a wooden tool was driven forcibly through the top of the kegs are as follows: 1. In 1915, a powder man employed by a coal mining company stated that he was opening a 25-pound log of black blasting powder by driving a hole in the top with a wooden sprag when the powder in the leg ho was opening ignitod. This caused the ignition of fifty-two additional 25-pound logs of the powder, and the fatal burning of this and another powder man. The ono making this statement lived five hours after the explosion.

Sep 1, 1920

By George S. Rice, C. W. Owings

"Brattice cloth is an important material in coal-mine ventilation practically all coal mines use some brattice cloth, gassy mines a large amount. It is employed in three ways:Crosscut brattices.Curtains in haulageways.Line brattices in gassy mines.In each case brattice cloth is used to deflect part or all of a split of the mine ventilating current into or toward the face of a working place. As a general rule, its use in a particular location is temporary.A crosscut brattice should be employed only until a permanent stopping has been erected. Such a brattice is subject to little wear when in actual service, the chief damage occurring when it is taken down and put up again.When used for curtains on haulageways or haulage crosscuts to deflect the air current up into rooms or headings, the wear on brattice cloth is considerable, as mine cars, machines, and personnel constantly pass under the curtains which last only a few days or a few weeks in an active part of the mine. For such purposes tightly woven smooth cloth is desirable, so that it will not be easily torn. Curtains should not be used back from the working places, as they sometimes are, to deflect the main. split, as the leakage of air is too great. Doors should be used in such places."

May 1, 1928

By A. T. Coumbe, I. F. Avery

The Bureau of Mines has completed a survey of petroleum pipe - lines by direct correspondence with the oil companies and the use of the records of the Interstate Commerce Commission in order to cover both interstate and intrastate systems . The review shows that crude petroleum and product pipe -lines in the United States had a total length of 152,814 miles on January 1 , 1950 , an increase of 25,463 miles since May 1 , 1941 , the time of the last previous survey . The expansion in pipe -line systems was due largely to new trunk-line construction , as the mileage built to carry refined products increased by 11,880 miles , and those intended for crude -oil transportation gained 6,193 miles . Trunk lines represented 60 percent of all pipe -line mileage on January 1 , 1950 , compared with 58 percent in 1941 . The average diameter of trunk -lines for crude oil , as calculated on the various sizes and weighted according to their respective lengths , increased to 9.8 inches on January 1 , 1950 , compared with 8.4 inches on May 1 , 1941. The mileage for lines up to 8 inches used in crude trunklines has decreased since the 1941 survey , while those of larger sizes have increased . The extensive use of large- diameter oil pipe -lines has developed since the construction of two major lines from Texas to the East Coast at government expense as a World War II emergency measure . The successful operation of these lines proved their economic advantages over smallerdiameter lines as well as their effectiveness in moving unprecedented volumes of oil during the period when tanker movements were restricted by submarine action in the Atlantic Ocean . The 24-inch diameter " Big Inch " line carries over 300,000 barrels daily of crude oil , and the 20 -inch " Little Big Inch " carried over 230,000 barrels daily of gasoline and light fuel oils to destinations where they were urgently needed . Hence , Although these lines were sold and converted to natural -gas service in December 1946 , after fulfilling their wartime mission , their record proved to the industry that significantly lower operating and investment costs per barrel -mile of oil moved could be achieved than were possible with the comparatively small lines in general use up to that time . the several major oil pipe -line projects that have been constructed since the late war are of large diameter pipe . To assure supplies and market outlets of sufficient magnitude to support such lines and provide adequate flexibility , ownership is often shared by several large companies whose transport needs are served in common . The principal recent expansion in facilities has been from supply points in Southwestern States toward markets in the North and East and to Gulf tidewater .

Dec 1, 1950

Increase the safety of underground mine workers by minimizing hazards associated with rerailing mine cars after derailment. Background and Approach A serious operational problem in underground mines is the task of rerailing mine cars. Current rerailing practices are not only hazardous but are inefficient as well. Most methods involve pulling the derailed car back onto the track with a locomotive. This causes damage to the road bed and is not effective on curves or in situations where the car's wheels are too far from the rails. Jacks, wooden props, and pry bars are also used to raise or lower cars back onto their tracks but methods involving these tools require much strenous manual effort by mine workers, thus posing possible serious injuries. The problem is further compounded by the cramped, narrow confines of the underground mine environment which allows no space to permit use of cranes or other surface railroad rerailing techniques. The Bureau of Mines, aware of these problems, investigated improvements in current underground rerailing methods. Through a cooperative effort with Hoesch MFD, a system was designed and modified that can be easily carried into the mine by workers and quickly assembled at the derailment site. The system is hydraulically and pneumatically powered rather than reliant upon manual operation.

Jan 1, 1986

By Richard J. Mainiero, Sapko, Marcia L. Harris

Since 1988, there have been thirteen documented incidents in the United States and Canada in which carbon monoxide (CO) is suspected to have migrated through near surface strata into structures or other enclosed spaces as a result of nearby trench blasting or surface mine blasting. From these incidents, there are thirty suspected or medically verified CO poisonings and one fatality associated with these incidents. To better understand the variables contributing to this hazard, the National Institute for Occupational Safety and Health (NIOSH) carried out a small-scale field study to identify key factors that may contribute to the migration of CO through the ground. NIOSH conducted single-hole heavily confined experimental test shots to measure the radial pressure pulse as it propagated through surrounding monitoring holes to determine if a relationship existed between the pressure pulse and resulting CO measurements afterwards. NIOSH also monitored blasts at an airport construction site. Following the detonations, the concentrations of CO, nitric oxide (NO), and nitrogen dioxide (NO2) were monitored for several days in the surrounding satellite holes. The peak CO measurements relative to distances from the shots were compared. Pressure histories and peak particle velocities (PPV) were measured at monitoring boreholes. It was found that the differential pressures recorded within the boreholes give some indication as to the likelihood of CO appearing, whereas the PPV measurements do not seem to be as good an indicator for potential CO migration. In this limited study, changes in barometric pressure had very little influence on removing the trapped detonation products, whereas applying a vacuum to the monitoring holes was effective in reducing the entrapped CO concentration.

By Paul S. Lewis

The Bureau of Mines hydrogenated coals of different rank that had been irradiated with either x-rays or gamma rays. Lignite, high-volatile A and C bituminous, and low-volatile bituminous coals were exposed to l billion roent¬gens of gamma-ray radiation; specimens of high-volatile A and C bituminous coals from other sources received 6 million roentgens of X-ray radiation. Irradiated and unirradiated control specimens of those coals were hydrogenated in autoclave experiments at (6,000-p.s.i. final pressure and 400° C. with retention times of 15, 30, or 60 minutes depending on the coal rank and catalytic treatment. Comparison of results from irradiated specimens with those from the control experiments showed that the radiation had no beneficial effect on the coal. High-volatile C bituminous coal may have been affected by radiation more than the other coals. One billion roentgens appeared to reduce the amount of coal converted to liquids and gases by about 10 pct., and 6 million roentgens reduced it by about 6 pct. then catalyzed with tin. In all other cases, the conversion of irradiated coal was either reduced by as much as 4 pct. or was essentially the sank as that obtained with unirradiated coal. Irradiation during hydrogenation nay be effective for increasing the reactivity of coal and should be investigated; further work with coals irradiated prier to hydrogenation is not recommended.

Jan 1, 1962

Reduce injury to people or damage to equipment when a scheduled production blast is detonated. Approach The essential elements of an effective blast area security system were identified through case studies of five mining operations where the blast area guarding practices were considered to be superior to those generally found in the industry. These elements were used in making recommendations for improved blast area safeguarding practices. Background The blast area security system is a means by which the mine operator prevents injury to people or damage to equipment when blasting is performed. Analysis of blasting accidents showed that most blasting accidents occur during scheduled blasting and are due to inadequate blast-site security. Factors contributing to the system's breakdown are failure to clear the blast zone, inadequate guarding. and failure of personnel to follow instructions, retreat to a safe location, and/or take adequate cover. Mine personnel, visitors and even trespassers can inadvertently wander into a blasting zone unless proper procedures exist to ensure that all personnel are cleared from the blast zone and kept safely away until after blasting IS completed. Statistics show that the blaster is the miner most frequently injured In these accidents.

Jan 1, 1986

By Floyd G. Anderson

Owing to the rapid growth of the perlite industry in recent years, the Bureau of Mines has received numerous requests for information relative to the possible harmful effects of breathing dust resulting from the processing and use of perlite. As published information on the composition of perlite is rather meager, consisting chiefly of conventional chemical analyses, samples of crude and expanded perlite from 9 deposits in 6 Western States were studied. Crude perlite ores were examined petrographically and analyzed by chemical, spectrographic, and X-ray-diffraction methods. Sized crude and expanded perlites were analyzed chemically for total free and combined silica content.

Jan 1, 1956

Provide an inexpensive, remote actuated, stench-gas system which reduces fire warning time to underground work locations. Approach A mine's pager phone hard-wire network is used to release stench gas from pressurized canisters located near working areas. The release is initiated by placing a coded message into a control phone at some central location. How It Works Currently, in most mines, the decision to release a warning stench gas is made by mine management after communication from the mine of a fire or similar potentially dangerous situation. Stench gas is then released into the ventilation air and/or compressed air lines for dissemination throughout the mine. This can result in significant delays in warning time. Often, surface personnel must travel to distant shafts, or other release points, wasting valuable time. Also, the time for ventilation air to circulate from the surface to working locations can be long and the effectiveness of compressed air as a stench transport agent depends on whether the compressed air is being used at the face. The Bureau of Mines, through a contract with MSA Research Corporation, has designed and tested a warning system which avoids these problems. The system consists of multiple, pressurized stench-gas canisters located under-ground in the mine-ventilation network so as to provide quick dissemination of the released stench gas to working areas. Each stench-gas canister is hard-wire connected to a nearby pager phone and from there to a control phone at the surface or at a central in-mine site. In the event of a mine emergency, the canisters are activitated to release stench gas by placing a coded message into the control phone. A low amperage Signal sent from the control phone to the receiver phone closes a relay, which activates a release mechanism on the canister.

Jan 1, 1984

By G. W. Grove, O. V. SIMPSON

During the years 1945, 1946 , 1947 , and up to July 1, 1948, only one death was caused by mine fires in bituminous - coal mines of the United States . The one fatality occurred in an Illinois mine in December 1945, and , therefore, there had been a period of 2-1/2 years in which no deaths occurred as the result of mine fires . Moreover, 1946 was the first year since 1930 in which no deaths occurred from mine fires . This record is markedly better than that of 1944 , when 89 fatalities and great property damage were caused by mine fires in bituminous - coal mines and 16 additional men were killed by an explosion that occurred while they were attempting to seal a mine fire .

Apr 1, 1949

Identify abnormal low-frequency blast vibrations. Develop blast design procedures for such adverse vibration cases, including the selection of delay times based on ground conditions, vibration frequency, and structural response. The Problem Research by the Bureau of Mines and others has demonstrated how structural response and the potential for cracking and other damage depends on blast vibration frequency in addition to particle velocity amplitude. The Bureau has published recommended criteria for blasting near low-rise residential-type structures; criteria that specified frequency-dependent amplitudes. The typical vibration frequency from surface mine and quarry blasting is 20 hertz (Hz). Sites have been found, however, that regularly produce ground-roll-type waves with frequencies as low as 4 Hz. The most serious cases arc those where vibration frequencies fall in the natural frequency range for structures of 4 to 12 Hz. Such vibrations have a higher potential for causing, damage to residential structures, particularly at the low end of this frequency range, because of the resulting high strains these frequencies produce in structural materials.

Jan 1, 1990

By G. B. Goodman, W. H. Pailes, P. D. Kaplan, I. Stachura, V. Castronova

"The risk of developing silicosis in underground coal miners, tunnel workers and some foundry workers is well-known. These persons generally develop the classic form of the disease over a prolonged period of time. Workers involved in abrasive blasting of bridges and those polishing tombstones have been reported to develop an acute form of silicosis within a few years of commencing exposure. Not well-appreciated is the potential for development of acute silicosis among drillers at surface coal mines. We report the case of a 33-year--old man who worked primarily at surf ace drilling, developed acute silicosis within three years of beginning exposure, and who initially responded dramatically to corticosteroid therapy. CASE REPORTThe patient is a 33-year-old white man who worked as a rock driller at a quarry and also at surface coal mines in western Pennsylvania since 1975. Prior to 1983, much of his work was done with a wet process in which water was applied to reduce dust generation. After 1983 he worked primarily as a driller at a surface coal mine using a dry process. He never wore a respirator. He described the dust as being so dense that he ""couldn't see anything.- In August 1986, he presented to his local physician with a complaint of pleuritic chest pain and shortness of breath. A chest x-ray film was obtained showing only a few p and q opacities. He continued working and these symptoms subsided, but the patient noted the onset of progressive weight loss. By May 1987, he had lost approximately 50 lb. In addition, he suffered profound malaise, dyspnea, migratory chest pain and arthralgia, fevers and drenching night sweats.A course of erythromycin therapy given in the hospital resulted in only fleeting improvement. Studies for Legionella and Mycoplasma infections were negative, as was a tuberculin skin test. The patient was transferred to Allegheny General Hospital in Pittsburgh on June 4, 1987.There was no history of serious medical illness, including tuber¬culosis. The patient admitted to smoking between I and 1 1/2 packages of cigarettes daily for 2 1/2 years prior to May 1987 when he stopped smoking. He denied intravenous drug abuse, homosexual activity or receiving transfusions of blood or blood products.On physical examination the patient was a thin, febrile white man who appeared chronically ill. Bilateral axillary and cervical lymphadenopathy was present. Chest examination showed restricted expansion and bilateral crackles. Examination of the heart and abdomen disclosed no abnormalities."

Mar 1, 1992