When the wind blows hard from the wrong direction, coal ash from the Reid Gardner Generating Station blows directly onto the Moapa reservation, home to about 150 tribal members.    Moapa Band of Paiutes Environmental Department

Sisters Aaliya, Ayona, and Zayda Hernandez near their home on the Moapa Band of Paiutes Reservation, about an hour north of Las Vegas. Since 1965, coal ash from the nearby Reid Gardner Generating station has been dumped into uncovered ''ponds'' …    Ami Vitale / Panos Pictures

Surita Hernandez at home; she and four of her five children have asthma.    Ami Vitale / Panos Pictures

Respiratory-relief supplies at the Hernandez home.    Ami Vitale / Panos Pictures

Jennifer Samson pays a hospital visit to her cousin Russell Samson, who died less than two weeks later. In a television interview shortly before he was hospitalized, Russell said that the power plant emissions made him sick: "This got inside …    Ami Vitale / Panos Pictures

Moapa Paiute tribal member Vernon Lee at the cemetery. "There aren't very many elders left, because people don't grow old anymore," he said.    Ami Vitale / Panos Pictures

"The coal business is archaic," said Lee. "It was good for the past, but it doesn't fit with the future. It's polluting, and it's polluting some more, and it's polluting some more beyond that. And unfortunately, this tribe is in …    Ami Vitale / Panos Pictures

Trainloads of coal in Williamson, W.Va.    Ami Vitale / Panos Pictures

Mountaintop-removal mines in Appalachia have demolished an estimated 1.4 million acres of forested hills, buried an estimated 2,000 miles of streams, poisoned drinking water, and wiped whole towns from the map. Mining firms must maintain a 100-foot protective zone around …    Ami Vitale / Panos Pictures

Tori Wong of Virginia traveled with friends to the West Virginia State Capitol in Charleston to participate in the Memorial Day protest against mountaintop-removal mining.    Ami Vitale / Panos Pictures

Donna and Charlie Branham at their Lenore, W.Va., home. "It's a hard decision to take your hair off," Donna said. "But it's not as hard as watching them destroy my land, watching them destroy my children's future."    Ami Vitale / Panos Pictures

For generations, people in River Rouge, Mich., have lived within sniffing distance of a coal-fired power plant, an oil refinery, a sewage-treatment plant, a steel mill, and other industrial polluters. In front of her River Rouge home, Siobhan Washington hugs …    Ami Vitale / Panos Pictures

La'Miyah Hildreth, 5, wears a nebulizer in the kitchen of her grandmother Siobhan Washington.    Ami Vitale / Panos Pictures

Marianna Hildreth, 7, holds her cousin Mariyah McGhee, 1, who has asthma, in their grandmother's kitchen in River Rouge, Mich.    Ami Vitale / Panos Pictures

Sondra Cartwright and her granddaughter, who has asthma, outside Cartwright's home in Ecorse, Mich.: "If I could talk to one of the people who run these companies, the first thing I'd want to know is, do you have children? How …    Ami Vitale / Panos Pictures