West Virginia continues to win the game of exposing human beings to extremely hazardous conditions in exchange for working-class pay, then telling them to deal with it when they get sick. The latest example of this behavior doesn't even have to do with coal, but with Monsanto and Agent Orange.
For 30 years, the Monsanto plant in a town called Nitro (named after the chemicals produced there! For real!) produced a defoliant ingredient that would later be used in Agent Orange. But the herbicides made in Nitro were contaminated with dioxin, which meant that Nitro residents were exposed to the toxic chemical beginning in the late 1940s.