Safety and Health at Work Vol. 13 Supplement 2022
Tuberculosis and silicosis burden in artisanal and small-scale gold miners in a large occupational health outreach programme in Zimbabwe
Dublin Core
Title
Safety and Health at Work Vol. 13 Supplement 2022
Tuberculosis and silicosis burden in artisanal and small-scale gold miners in a large occupational health outreach programme in Zimbabwe
Tuberculosis and silicosis burden in artisanal and small-scale gold miners in a large occupational health outreach programme in Zimbabwe
Subject
Tuberculosis,silicosis, burden,artisanal and small-scale, gold miners, large occupational health, outreach programme, Zimbabwe
Description
Introduction: Artisanal and small-scale miners (ASMs) labor under archaic working conditions and are exposed to high levels of silica dust. Exposure to silica dust has been associated with an increased risk of tuberculosis and silicosis. ASMs are highly mobile and operate in remote areas with near absent access to health services. The main purpose of the study was to evaluate the prevalence of tuberculosis, silicosis and silico-tuberculosis among ASMs.
Method: We conducted a cross-sectional retrospective review of 514 occupational health records of ASMs who were screened for TB and silicosis in the Midlands and Matabeleland South provinces.
Results: The mean age was 37 years and almost all ASMs were exposed to silica dust (95%), and just above a quarter (27%) had a duration of employment of at least 10 years. Fifty-two (11.2%) of the 464 miners were diagnosed with silicosis while 17(4%) of the 422 ASMs were diagnosed with TB. Of the 383 ASMs who were tested for HIV, 90 (23.5%) were HIV positive. HIV infection was associated with a diagnosis of silicosis.
Conclusion: The prevalence of TB and silicosis is very high in Zimbabwe. Targeted screening for silicosis and TB in ASMs and reduction of silica dust exposures are urgently needed.
Method: We conducted a cross-sectional retrospective review of 514 occupational health records of ASMs who were screened for TB and silicosis in the Midlands and Matabeleland South provinces.
Results: The mean age was 37 years and almost all ASMs were exposed to silica dust (95%), and just above a quarter (27%) had a duration of employment of at least 10 years. Fifty-two (11.2%) of the 464 miners were diagnosed with silicosis while 17(4%) of the 422 ASMs were diagnosed with TB. Of the 383 ASMs who were tested for HIV, 90 (23.5%) were HIV positive. HIV infection was associated with a diagnosis of silicosis.
Conclusion: The prevalence of TB and silicosis is very high in Zimbabwe. Targeted screening for silicosis and TB in ASMs and reduction of silica dust exposures are urgently needed.
Creator
Dingani Moyo, Philip Landrigan, Johanna Elbel, Gunnar Nordberg, Roberto Lucchini, Casey Bartrem, Philippe Grandjean, Donna Mergler, Dingani Moyo, Benoit Nemery, Margrit von Braun and Dennis Nowak, and the Collegium Ramazzini
Publisher
Elsevier Korea LLC
Date
January 2022
Contributor
Sri Wahyuni
Format
PDF
Language
English
Type
Text
Coverage
Safety and Health at Work Vol. 13 Supplement 2022
Files
Citation
Dingani Moyo, Philip Landrigan, Johanna Elbel, Gunnar Nordberg, Roberto Lucchini, Casey Bartrem, Philippe Grandjean, Donna Mergler, Dingani Moyo, Benoit Nemery, Margrit von Braun and Dennis Nowak, and the Collegium Ramazzini , “Safety and Health at Work Vol. 13 Supplement 2022
Tuberculosis and silicosis burden in artisanal and small-scale gold miners in a large occupational health outreach programme in Zimbabwe,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2562.
Tuberculosis and silicosis burden in artisanal and small-scale gold miners in a large occupational health outreach programme in Zimbabwe,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2562.