People working around coal get black lung not just underground miners. In 2013 CWP resulted in 25,000 deaths down from 29,000 deaths in 1990. https://en.wikipedia.org/wiki/Coalworker's_pneumoconiosis#ci...

Considering the total number of people globally working with coal it's still a significant issue.

PS: Spraying it with water can help with transportation, but you can't do that right before burning.