Presented by Dr. Susan Moore, Sr. Scientist, NIOSH. Given the recent increase in dust induced lung disease among U.S. coal miners and the respiratory hazards encountered across the U.S. mining industry, it is important to enhance an understanding of lung disease trends and the organizational contexts that precede these events. This presentation will be geared towards a mining stakeholder audience and will provide an overview of study findings which were published in Risk Analysis. The findings suggest that mines that followed a relevant subset of MSHA's health regulations were less likely to report a lung disease over time. The findings will be discussed from a lung disease prevention strategy perspective.