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Actually, there are few things more harmful than coal ash, especially fly ash. Coal, as anything dug from deep underground, contains a lot of inorganic elements such as arsenic, barium, uranium etc. When burned, all that turns into particulate matter that is then inhaled and migrates from lungs to bloodstream. Then there's all volatile organic carcirogens such as benzopirenes...

/info/ornlreview/rev26-34/text/colmain.html