* make sure to select the landscape orientation in your printer settings

Data Sources: Extent of Mountaintop Mining in Appalachia – 2009 combined with most recent active surface mine mine permits approved since the study was completed (acreage impacted), Institute for Health Metrics and Evaluation (life expectancy), Center for Disease Control (cancer and chronic cardiovascular disease death rates), The 2010 US Census (poverty, population, county acreage)