Journal of Community Health

, Volume 40, Issue 2, pp 357–363 | Cite as

Community Views About the Health and Exposure of Children Living Near a Coal Ash Storage Site

  • Kristina M. ZieroldEmail author
  • Clara G. Sears
Original Paper


Coal ash, a waste product generated from burning coal, is composed of small particles comprised of highly toxic elements. Coal ash particles contain heavy metals such as arsenic, lead, and mercury, as well as polyaromatic hydrocarbons and radioactive elements. Most coal ash is stored in landfills and ponds, often located in close proximity to low income communities. Currently, there are no federal regulations governing the storage and transport of coal ash; however the Environmental Protection Agency proposed a coal ash rule in 2010, which could designate coal ash as a hazardous waste. This is the first article to assess community impact from coal ash storage, by exploring parents’ perceptions of their children’s health and its relationship to chronic exposure to coal ash. This was a community-based study involving four neighborhoods adjacent to a large coal ash storage facility. Focus groups were conducted with community members and the transcripts were analyzed to identify themes regarding children’s health, children’s exposure to coal ash, and behaviors done to protect children from exposure. The majority of parents (85 %) reported that their children suffered from health conditions; specifically respiratory and emotional and behavioral disorders. Parents highlighted ways in which their children were exposed to coal ash, although many felt they were constantly exposed just by living in the area. Parents felt strongly that exposure to coal ash from the landfill is affecting the health and well-being of their children. Some parents attempted protective behaviors, but most parents felt helpless in reducing children’s exposure.


Children Illness and disease Environment Coal ash Focus groups 


  1. 1.
    American Coal Ash Association. (2012). 2012 coal combustion product (CCP) production and use survey report. Retrieved from,
  2. 2.
    Hazardous and solid waste management system: Identification and listing of special wastes; disposal of coal combustion residuals from electric utilities: Propsed rule, 40 Federal Register 257, 261, 264, 265, 268, 271, 302 (21 June 2010), pp. 35128–35264.Google Scholar
  3. 3.
    Bednar, A. J., Averett, D. E., Seiter, J. M., et al. (2013). Characterization of metals released from coal fly ash during dredging at the Kingston ash recovery project. Chemosphere, 92(11), 1563–1570.CrossRefPubMedGoogle Scholar
  4. 4.
    Dutta, B. K., Khanra, S., & Mallick, D. (2009). Leaching of elements from coal fly ash: Assessment of its potential for use in filling abandoned coal mines. Fuel, 88(7), 1314–1323.CrossRefGoogle Scholar
  5. 5.
    Flues, M., Moraes, V., & Mazzilli, B. P. (2002). The influence of a coal-fired power plant operation on radionuclide concentrations in soil. Journal of Environmental Radioactivity, 63(3), 285–294.CrossRefPubMedGoogle Scholar
  6. 6.
    Hatori, Y., Matsuyama, S., Ishii, K., et al. (2010). PIXE analysis of individual particles in coal fly ash. International Journal of PIXE, 20, 57–62.CrossRefGoogle Scholar
  7. 7.
    LeGalley, E., & Krekeler, M. (2013). A mineralogical and geochemical investigation of street sediment near a coal-fired power plant in Hamilton, Ohio: An example of complex pollution and cause for community health concerns. Environmental Pollution, 176, 26–35.CrossRefPubMedGoogle Scholar
  8. 8.
    Liu, G., Niu, Z., Van Niekerk, D., Xue, J., & Zheng, L. (2008). Polycyclic aromatic hydrocarbons (PAHs) from coal combustion: emissions, analysis, and toxicology. Reviews of Environmental Contamination and Toxicology, 192, 1–28.PubMedGoogle Scholar
  9. 9.
    Patra, K. C., Rautray, T. R., Tripathy, B. B., & Nayak, P. (2012). Elemental analysis of coal and coal ash by PIXE technique. Applied Radiation and Isotopes, 70(4), 612–616.CrossRefPubMedGoogle Scholar
  10. 10.
    Research Triangle Institute. (2007). Human and ecological risk assessment of coal combustion wastes. Retrieved from,
  11. 11.
    Roper, A. R., Stabin, M. G., Delapp, R. C., & Kosson, D. S. (2013). Analysis of naturally-occurring radionuclides in coal combustion fly ash, gypsum, and scrubber residue samples. Health Physics, 104(3), 264–269.CrossRefPubMedGoogle Scholar
  12. 12.
    Žibret, G., Van Tonder, D., & Žibret, L. (2013). Metal content in street dust as a reflection of atmospheric dust emissions from coal power plants, metal smelters, and traffic. Environmental Science and Pollution Research International, 20(7), 4455–4468.CrossRefPubMedGoogle Scholar
  13. 13.
    Miller, S. F., & Schobert, H. H. (1993). Effect of mineral matter particle size on ash particle size distribution during pilot-scale combustion of pulverized coal and coal-water slurry fuels. Energy & Fuels, 7, 532–541.CrossRefGoogle Scholar
  14. 14.
    Roy, W. R., Thiery, R. G., Schuller, R. M., & Suloway, J. J. (1981). Coal fly ash: A review of the literature and proposed classification system with emphasis on environmental impacts. Retrieved from,
  15. 15.
    Spencer, L. L., & Drake, L. D. (1987). Hydrogeology of an alkaline fly ash landfill in Eastern Iowa. Ground Water, 25(5), 519–526.CrossRefGoogle Scholar
  16. 16.
    Environmental Protection Agency. (2010). Hazardous and solid waste management system; Identification and listing of special wastes; Disposal of coal combustion residuals from electric utilities; Proposed rule. Retrieved from,!documentDetail;D=EPA-HQ-RCRA-2009-0640-0352.
  17. 17.
    Environmental Protection Agency. (2010). Regulatory impact analysis for EPA’s proposed regulation of coal combustion wastes generated by the electric utility industry. Retrieved from,
  18. 18.
    Bencko, V., Symon, K., Stálnik, L., Bátora, J., Vanco, E., & Svandová, E. (1980). Rate of malignant tumor mortality among coal burning power plant workers occupationally exposed to arsenic. Journal of Hygiene, Epidemiology, Microbiology, and Immunology, 24(3), 278–284.PubMedGoogle Scholar
  19. 19.
    Bencko, V., Wagner, V., Wagnerová, M., & Bátora, J. (1988). Immunological profiles in workers of a power plant burning coal rich in arsenic content. Journal of Hygiene, Epidemiology, Microbiology, and Immunology, 32(2), 137–146.PubMedGoogle Scholar
  20. 20.
    Celik, M., Donbak, L., Unal, F., Yüzbasioglu, D., Aksoy, H., & Yilmaz, S. (2007). Cytogenetic damage in workers from a coal-fired power plant. Mutation Research, 627(2), 158–163.CrossRefPubMedGoogle Scholar
  21. 21.
    Chen, H. L., Chen, I. J., & Chia, T. P. (2010). Occupational exposure and DNA strand breakage of workers in bottom ash recovery and fly ash treatment plants. Journal of Hazardous Materials, 174(1–3), 23–27.CrossRefPubMedGoogle Scholar
  22. 22.
    Leonard, A., Deknudt, G., Leonard, E. D., & Decat, G. (1984). Chromosome aberrations in employees from fossil-fueled and nuclear power plants. Mutation Research, 138(2–3), 205–212.CrossRefPubMedGoogle Scholar
  23. 23.
    Liang, F., Zhang, G., Tan, M., et al. (2010). Lead in children’s blood is mainly caused by coal-fired ash after phasing out of leaded gasoline in Shanghai. Environmental Science and Technology, 44(12), 4760–4765.CrossRefPubMedGoogle Scholar
  24. 24.
    Liu, H. H., Shih, T. S., Chen, I. J., & Chen, H. L. (2008). Lipid peroxidation and oxidative status compared in workers at a bottom ash recovery plant and fly ash treatment plants. Journal of Occupational Health, 50(6), 492–497.CrossRefPubMedGoogle Scholar
  25. 25.
    Tang, D., Li, T. Y., Liu, J. J., et al. (2008). Effects of prenatal exposure to coal-burning pollutants on children’s development in China. Environmental Health Perspectives, 116(5), 674–679.CrossRefPubMedCentralPubMedGoogle Scholar
  26. 26.
    Evans, L., Becher, M., & Lee, B. (2011). State of failure: How states fail to protect our health and drinking water from toxic coal ash. Retrieved from,
  27. 27.
    Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRefGoogle Scholar
  28. 28.
    Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Beverly Hills, CA: Sage.Google Scholar
  29. 29.
    Committee on Environmental Health. (2004). Ambient air pollution: Health hazards to children. Pediatrics, 114(6), 1699–1707.CrossRefGoogle Scholar
  30. 30.
    Wiley, J. A., Robinson, J. P., Cheng, Y. T., Piazza, T., Stork, L, & Pladsen, K. (1991). Study of children’s activity patterns. Final Report to the California Air Resources Board.Google Scholar
  31. 31.
    Etzel, R. (1996). Air pollution hazards to children. Otolaryngology—Head and Neck Surgery, 114(2), 265–266.CrossRefPubMedGoogle Scholar
  32. 32.
    Lipsett, M. (1995). The hazards of air pollution to children. In S. M. Brooks, M. Gochfeld, J. Herzstein, & M. Schenker (Eds.), Environmental medicine. St Louis, MO: Mosby.Google Scholar
  33. 33.
    Berhane, K., Zhang, Y., Salam, M. T., et al. (2014). Longitudinal effects of air pollution on exhaled nitric oxide: The Children’s Health Study. Occupational and Environmental Medicine, 71(7), 507–513.CrossRefPubMedCentralPubMedGoogle Scholar
  34. 34.
    Liu, M. M., Wang, D., Zhao, Y., et al. (2013). Effects of outdoor and indoor air pollution on respiratory health of Chinese children from 50 kindergartens. Journal of Epidemiology, 23(4), 280–287.CrossRefPubMedCentralPubMedGoogle Scholar
  35. 35.
    Pan, H. H., Chen, C. T., Sun, H. L., et al. (2014). Comparison of the effects of air pollution on outpatient and inpatient visits for asthma: A population-based study in Taiwan. PLoS ONE, 9(5), e96190.CrossRefPubMedCentralPubMedGoogle Scholar
  36. 36.
    Wendt, J. K., Symanski, E., Stock, T. H., Chan, W., & Du, X. L. (2014). Association of short-term increases in ambient air pollution and timing of initial asthma diagnosis among medicaid-enrolled children in a metropolitan area. Environmental Research, 19(131C), 50–58.CrossRefGoogle Scholar
  37. 37.
    Braun, J. M., Kahn, R. S., Froehlich, T., Auinger, P., & Lanphear, B. P. (2006). Exposures to environmental toxicants and attention deficit hyperactivity disorder in US children. Environmental Health Perspectives, 114(12), 1904–1909.PubMedCentralPubMedGoogle Scholar
  38. 38.
    Nigg, J. T., Nikolas, M., Mark Knottnerus, G., Cavanagh, K., & Friderici, K. (2010). Confirmation and extension of association of blood lead with attention-deficit/hyperactivity disorder (ADHD) and ADHD symptom domains at population-typical exposure levels. Journal of Child Psychology and Psychiatry, 51(1), 58–65.CrossRefPubMedCentralPubMedGoogle Scholar
  39. 39.
    Block, M. L., & Calderon-Garciduenas, L. (2009). Air pollution: Mechanisms of neuroinflammation and CNS disease. Trends in Neurosciences, 32(9), 506–516.CrossRefPubMedCentralPubMedGoogle Scholar
  40. 40.
    Calderon-Garciduenas, L., Franco-Lira, M., Torres-Jardon, R., et al. (2007). Pediatric respiratory and systemic effects of chronic air pollution exposure: Nose, lung, heart, and brain pathology. Toxicolic Pathology, 35(1), 154–162.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Epidemiology and Population Health, School of Public HealthUniversity of LouisvilleLouisvilleUSA

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