text: South Africa The linkages between the mining industry and the negative impacts it has on community and individual health has been studied and well-documented by a number of organizations worldwide. Health implications of living in proximity to mining operations include effects such as pregnancy complications, mental health issues, various forms of cancer, and many more. During the Apartheid period in South Africa, the mining industry grew quite rapidly as a result of the lack of environmental regulation. Communities in which mining corporations operate are usually those with high rates of poverty and unemployment. Further, within these communities, there is typically a divide among the citizens on the issue of whether the pros of mining in terms of economic opportunity outweigh the cons in terms of the health of the people in the community. Mining companies often try to use these disagreements to their advantage by magnifying this conflict. Additionally, mining companies in South Africa have close ties with the national government, skewing the balance of power in their favor while simultaneously excluding local people from many decision-making processes. This legacy of exclusion has had lasting effects in the form of impoverished South Africans bearing the brunt of ecological impacts resulting from the actions of, for example, mining companies. Some argue that to effectively fight environmental racism and achieve some semblance of justice, there must also be a reckoning with the factors that form situations of environmental racism such as rooted and institutionalized mechanisms of power, social relations, and cultural elements.