Limits...
The production of consumption: addressing the impact of mineral mining on tuberculosis in southern Africa.

Basu S, Stuckler D, Gonsalves G, Lurie M - Global Health (2009)

Bottom Line: Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and transmission of tuberculosis bacilli in close quarters.Reports from Lesotho and South Africa suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated, particularly with drug-resistant forms of tuberculosis.A number of immediately-available measures to improve continuity of care for miners, change recruitment and compensation practices, and reduce the primary risk of infection may critically mitigate the negative association between mineral mining and tuberculosis.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, University of California San Francisco, CA, USA. sanjay.basu@ucsf.edu

ABSTRACT

Background: Miners in southern Africa experience incident rates of tuberculosis up to ten times greater than the general population. Migration to and from mines may be amplifying tuberculosis epidemics in the general population.

Discussion: Migration to and from mineral mines contributes to HIV risks and associated tuberculosis incidence. Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and transmission of tuberculosis bacilli in close quarters. In the context of migration, current tuberculosis prevention and treatment strategies often fail to provide sufficient continuity of care to ensure appropriate tuberculosis detection and treatment. Reports from Lesotho and South Africa suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated, particularly with drug-resistant forms of tuberculosis. Reducing risky exposures on the mines, enhancing the continuity of primary care services, and improving the enforcement of occupational health codes may mitigate the harmful association between mineral mining activities and tuberculosis incidence among affected communities.

Summary: Tuberculosis incidence appears to be amplified by mineral mining operations in southern Africa. A number of immediately-available measures to improve continuity of care for miners, change recruitment and compensation practices, and reduce the primary risk of infection may critically mitigate the negative association between mineral mining and tuberculosis.

No MeSH data available.


Related in: MedlinePlus

The relationship of tuberculosis in the general population to the number of mines in the population among southern African nations (r = 0.41, p < 0.01).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2770998&req=5

Figure 1: The relationship of tuberculosis in the general population to the number of mines in the population among southern African nations (r = 0.41, p < 0.01).

Mentions: Reports from communities affected by extensively drug-resistant tuberculosis suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated [21]. The wave of new tuberculosis infections related to HIV is also being accompanied by significant secondary transmission of tuberculosis to HIV-uninfected persons [22]. Indeed, the number of mines in a population correlate strongly to the overall population's tuberculosis incidence (Fig. 1); while this suggests correlation and not causation, the finding indicates that the implications of mining for community-wide tuberculosis control requires further investigation.


The production of consumption: addressing the impact of mineral mining on tuberculosis in southern Africa.

Basu S, Stuckler D, Gonsalves G, Lurie M - Global Health (2009)

The relationship of tuberculosis in the general population to the number of mines in the population among southern African nations (r = 0.41, p < 0.01).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2770998&req=5

Figure 1: The relationship of tuberculosis in the general population to the number of mines in the population among southern African nations (r = 0.41, p < 0.01).
Mentions: Reports from communities affected by extensively drug-resistant tuberculosis suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated [21]. The wave of new tuberculosis infections related to HIV is also being accompanied by significant secondary transmission of tuberculosis to HIV-uninfected persons [22]. Indeed, the number of mines in a population correlate strongly to the overall population's tuberculosis incidence (Fig. 1); while this suggests correlation and not causation, the finding indicates that the implications of mining for community-wide tuberculosis control requires further investigation.

Bottom Line: Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and transmission of tuberculosis bacilli in close quarters.Reports from Lesotho and South Africa suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated, particularly with drug-resistant forms of tuberculosis.A number of immediately-available measures to improve continuity of care for miners, change recruitment and compensation practices, and reduce the primary risk of infection may critically mitigate the negative association between mineral mining and tuberculosis.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, University of California San Francisco, CA, USA. sanjay.basu@ucsf.edu

ABSTRACT

Background: Miners in southern Africa experience incident rates of tuberculosis up to ten times greater than the general population. Migration to and from mines may be amplifying tuberculosis epidemics in the general population.

Discussion: Migration to and from mineral mines contributes to HIV risks and associated tuberculosis incidence. Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and transmission of tuberculosis bacilli in close quarters. In the context of migration, current tuberculosis prevention and treatment strategies often fail to provide sufficient continuity of care to ensure appropriate tuberculosis detection and treatment. Reports from Lesotho and South Africa suggest that miners pose transmission risks to other household or community members as they travel home undetected or inadequately treated, particularly with drug-resistant forms of tuberculosis. Reducing risky exposures on the mines, enhancing the continuity of primary care services, and improving the enforcement of occupational health codes may mitigate the harmful association between mineral mining activities and tuberculosis incidence among affected communities.

Summary: Tuberculosis incidence appears to be amplified by mineral mining operations in southern Africa. A number of immediately-available measures to improve continuity of care for miners, change recruitment and compensation practices, and reduce the primary risk of infection may critically mitigate the negative association between mineral mining and tuberculosis.

No MeSH data available.


Related in: MedlinePlus