Coal Ash Basics
The Kingston Spill
Health and Environmental Risks
Public Health and Regulation
Stakeholders and Solutions
100

What are the byproducts of burning coal called?

What is coal ash?

100

In which state did the Kingston coal ash spill occur?

What is Tennessee?

100

Name one route of exposure to coal ash.

What is inhalation (or ingestion/dermal contact)?

100

Which Essential Public Health Service is highlighted by efforts to regulate coal ash?

What is EPHS #6: Utilize legal and regulatory actions to improve public health?

100

Name one key stakeholder in coal ash regulation.

Who is the EPA (or power plant operators, local communities)?

200

Name one of the primary components found in coal ash that poses health risks.

What is arsenic (or lead/mercury)?

200

In what year did the Kingston coal ash spill take place?

What is 2008?

200

Which populations are most vulnerable to coal ash exposure?

Who are children, elderly, and people with pre-existing conditions?

200

What type of public health strategy involves creating policies to prevent environmental disasters?

What is regulatory action or prevention policy?

200

Why are community members considered key stakeholders?

What is because they experience the direct health impacts of coal ash spills?

300

True or False: Coal ash is considered a hazardous waste under federal regulations.

What is False?

300

How many homes were damaged or destroyed due to the Kingston coal ash spill?

What is more than 20 homes?

300

What health issue can result from long-term exposure to heavy metals in coal ash?

What is cancer (or respiratory diseases)?

300

How does the 2015 EPA rule address coal ash disposal?

What is requiring regular groundwater assessment near disposal sites?

300

Which stakeholder group is responsible for funding coal ash cleanup efforts?

Who are power plant operators (or the Tennessee Valley Authority in Kingston)?

400

Which agency is responsible for regulating coal ash in the United States?

What is the Environmental Protection Agency (EPA)?

400

How many gallons of coal ash sludge were released in the Kingston spill?

What is 1.1 billion gallons?

400

Why is groundwater contamination a concern with coal ash disposal sites?

What is because toxic metals can leach into drinking water sources?

400

Which framework helps mitigate environmental health risks in coal ash spills?

What is the three-step framework (assessment, management, communication)?

400

How can public health officials help mitigate coal ash risks?

What is by educating the public, monitoring exposure, and advocating for regulations?

500

What are the two primary methods of coal ash disposal?

What are landfills and surface impoundments?

500

What was a major environmental impact of the Kingston spill?

What is contamination of the Emory and Clinch rivers?

500

What is the difference between exposure and dose?

What is exposure is the contact with a substance, while dose is the amount absorbed by the body?

500

How does addressing coal ash as a public health issue promote health equity?

What is by ensuring all communities have equal protection from toxic exposure?

500

Why is balancing stakeholder interests important in regulatory decision-making?

What is to ensure policies are fair and effective for both public health and industry?