A joint university/industry health promotion program for coal miners was discussed. The program was established 4 years ago as a cooperative arrangement between Cyprus Minerals, a Denver based mining corporation with coal mines in eastern Kentucky, and the Department of Preventive Medicine and Environmental Health, College of Medicine, University of Kentucky at Lexington. Approximately 1000 employees of Cyprus Minerals in Kentucky were under surveillance by a medical team from the university. The program included a preemployment physical which focuses on the pulmonary system. Annual interim examinations were offered to all at risk employees, defined as those who spend significant or regular time at a mining site. These examinations focused on pulmonary function, hearing, and visual acuity and include a general health evaluation. In addition to the yearly interim examinations a program of periodic examinations for all employees, cycled by birth month, has been established. Medical care was also provided for injury evaluations, nonoccupational illness evaluations, and followup of short and long term disabled employees. The university medical staff also participates in health education and medically related matters for the miners. The prevalence of mining related diseases in the program participants was discussed. The prevalence rate of coal workers' pneumoconiosis (CWP) was found to be small. Most CWP cases occurred in older miners, most of whom were still working. Radiographic evidence of silicosis was seen in drillers, driller helpers, and other workers who worked mostly in surface operations and who were rarely exposed to coal dust. Radiographic evidence of old histoplasmosis, a common finding in Kentucky, and old tuberculosis infections was frequently seen. Problems encountered in establishing the program and solutions were discussed.