The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe
Artisanal and small-scale mining is characterized by an excessive exposure to silica-containing dust, overcrowding, poor living conditions and limited access to primary health services. This poses a risk to tuberculosis, HIV infection and silicosis. The main purpose of the study is to evaluate the b...
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2022
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| author | Dingani Moyo Ronald Ncube Fungai Kavenga Lilian Chikwava Tawanda Mapuranga Nathan Chiboyiwa Chipo Chimunhu Frank Mudzingwa Orippa Muzvidziwa Petronella Ncube Tariro Christwish Mando Florence Moyo Blessings Chigaraza Hellen Masvingo Collins Timire |
| author2 | Faculty of Medicine and Health Sciences, Midlands State University, P Bag 9005, Gweru 054, Zimbabwe.Baines Occupational Health Services, Harare 024, ZimbabweOccupational Health Division, School of Public Health, University of the Witwatersrand, Johannesburg 2000, South Africa.Faculty of Medicine and Health Sciences, The National University of Science and Technology, Bulawayo 029, Zimbabwe |
| author_facet | Faculty of Medicine and Health Sciences, Midlands State University, P Bag 9005, Gweru 054, Zimbabwe.Baines Occupational Health Services, Harare 024, ZimbabweOccupational Health Division, School of Public Health, University of the Witwatersrand, Johannesburg 2000, South Africa.Faculty of Medicine and Health Sciences, The National University of Science and Technology, Bulawayo 029, Zimbabwe Dingani Moyo Ronald Ncube Fungai Kavenga Lilian Chikwava Tawanda Mapuranga Nathan Chiboyiwa Chipo Chimunhu Frank Mudzingwa Orippa Muzvidziwa Petronella Ncube Tariro Christwish Mando Florence Moyo Blessings Chigaraza Hellen Masvingo Collins Timire |
| author_sort | Dingani Moyo |
| collection | DSpace |
| description | Artisanal and small-scale mining is characterized by an excessive exposure to silica-containing dust, overcrowding, poor living conditions and limited access to primary health services. This poses a risk to tuberculosis, HIV infection and silicosis. The main purpose of the study is to evaluate the burden of tuberculosis, HIV and silicosis among artisanal and small-scale miners. We conducted a cross sectional study on 3821 artisanal and small-scale miners. We found a high burden of silicosis (19%), tuberculosis (6.8%) and HIV (18%) in a relatively young population, with the mean age of 35.5 years. Men were 1.8 times more likely to be diagnosed with silicosis compared to women, adjusted prevalence ratio [aPR = 1.75 (95% CI: 1.02-2.74)]. Artisanal and small-scale miners who were living with HIV were 1.25 times more likely to be diagnosed with silicosis compared to those who were negative, [aPR = 1.25 (1.00-1.57)]. The risk of silicosis increased with both duration as a miner and severity of exposure to silica dust. The risk of tuberculosis increased with the duration as a miner. Zimbabwe is currently experiencing a high burden of TB, silicosis and HIV among artisanal and small-scale miners. Multi-sectoral and innovative interventions are required to stem this triple epidemic in Zimbabwe. |
| format | research article |
| id | ir-11408-5292 |
| institution | My University |
| language | English |
| publishDate | 2022 |
| publisher | PMCID |
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| spelling | ir-11408-52922022-12-16T09:50:07Z The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe Dingani Moyo Ronald Ncube Fungai Kavenga Lilian Chikwava Tawanda Mapuranga Nathan Chiboyiwa Chipo Chimunhu Frank Mudzingwa Orippa Muzvidziwa Petronella Ncube Tariro Christwish Mando Florence Moyo Blessings Chigaraza Hellen Masvingo Collins Timire Faculty of Medicine and Health Sciences, Midlands State University, P Bag 9005, Gweru 054, Zimbabwe.Baines Occupational Health Services, Harare 024, ZimbabweOccupational Health Division, School of Public Health, University of the Witwatersrand, Johannesburg 2000, South Africa.Faculty of Medicine and Health Sciences, The National University of Science and Technology, Bulawayo 029, Zimbabwe The Union Zimbabwe Trust, Harare 024, Zimbabwe Ministry of Health and Child Care, Harare 024, Zimbabwe Baines Occupational Health Services, Harare 024, Zimbabwe The Union Zimbabwe Trust, Harare 024, Zimbabwe Ministry of Health and Child Care, Harare 024, Zimbabwe.Family Medicine, Global and Public Health Unit, Department of Primary Health Care Sciences Jointed Hands Welfare Organization, Gweru 054, Zimbabwe Hospice and Palliative Care Association of Zimbabwe, Harare 054, Zimbabwe Baines Occupational Health Services, Harare 024, Zimbabwe Baines Occupational Health Services, Harare 024, Zimbabwe Ministry of Health and Child Care, Harare 024, Zimbabwe.Family Medicine, Global and Public Health Unit, Department of Primary Health Care Sciences. Baines Occupational Health Services, Harare 024, Zimbabwe.Department of Health Sciences, Faculty of Sciences, Zimbabwe Open University, Harare 024, Zimbabwe Baines Occupational Health Services, Harare 024, Zimbabwe Baines Occupational Health Services, Harare 024, Zimbabwe Ministry of Health and Child Care, Harare 024, Zimbabwe HIV artisanal miners silica exposures silicosis silicotuberculosis Artisanal and small-scale mining is characterized by an excessive exposure to silica-containing dust, overcrowding, poor living conditions and limited access to primary health services. This poses a risk to tuberculosis, HIV infection and silicosis. The main purpose of the study is to evaluate the burden of tuberculosis, HIV and silicosis among artisanal and small-scale miners. We conducted a cross sectional study on 3821 artisanal and small-scale miners. We found a high burden of silicosis (19%), tuberculosis (6.8%) and HIV (18%) in a relatively young population, with the mean age of 35.5 years. Men were 1.8 times more likely to be diagnosed with silicosis compared to women, adjusted prevalence ratio [aPR = 1.75 (95% CI: 1.02-2.74)]. Artisanal and small-scale miners who were living with HIV were 1.25 times more likely to be diagnosed with silicosis compared to those who were negative, [aPR = 1.25 (1.00-1.57)]. The risk of silicosis increased with both duration as a miner and severity of exposure to silica dust. The risk of tuberculosis increased with the duration as a miner. Zimbabwe is currently experiencing a high burden of TB, silicosis and HIV among artisanal and small-scale miners. Multi-sectoral and innovative interventions are required to stem this triple epidemic in Zimbabwe. 19 21 2 14 2022-12-16T09:50:06Z 2022-12-16T09:50:06Z 2022-10-24 research article https://cris.library.msu.ac.zw//handle/11408/5292 doi: 10.3390/ijerph192113822. en International Journal of Environmental Research and Public Health open PMCID |
| spellingShingle | HIV artisanal miners silica exposures silicosis silicotuberculosis Dingani Moyo Ronald Ncube Fungai Kavenga Lilian Chikwava Tawanda Mapuranga Nathan Chiboyiwa Chipo Chimunhu Frank Mudzingwa Orippa Muzvidziwa Petronella Ncube Tariro Christwish Mando Florence Moyo Blessings Chigaraza Hellen Masvingo Collins Timire The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe |
| title | The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe |
| title_full | The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe |
| title_fullStr | The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe |
| title_full_unstemmed | The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe |
| title_short | The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe |
| title_sort | triple burden of tuberculosis, human immunodeficiency virus and silicosis among artisanal and small-scale miners in zimbabwe |
| topic | HIV artisanal miners silica exposures silicosis silicotuberculosis |
| url | https://cris.library.msu.ac.zw//handle/11408/5292 |
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