The Fukushima nuclear accident in March 2011 generated deep public anxiety and uncertainty about the future of nuclear energy. However, differently to fossil fuel plants, nuclear plants produce virtually no greenhouse gas emissions or air pollutants during power generation. Here we show the effect on air pollution and infant health in the context of the temporary closure of nuclear plants by the Tennessee Valley Authority (TVA) in the 1980s. After the Three Mile Island accident in 1979, the US Nuclear Regulatory Commission intensified inspections throughout the nation, leading to the shutdown of two large nuclear power plants in the TVA area. In response to that shutdown, electricity generation shifted one to one to coal-fired power plants within TVA, increasing particle pollution in counties where they were located. Consequently, infant health may have deteriorated in the most affected places, indicating deleterious effects to public health.