Transcript Presentation

Mining and TB: Turning the Tide on the
Southern African TB/HIV
Epidemic- Lessons from the Mining
Industry
Dr Thuthula Balfour-Kaipa
Health Adviser
Chamber of Mines
GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Variable3
Number of
Mines
Employees
Total mining
industry (2009)
>1000
Chamber members
represent:
< 20% of mines
- 85% of employees
Platinum
183 914
- 80% of production
Chamber of Mines
(2009)
248
(2008)149 869
Gold
160 102
143 268
Coal
70 703
57 343
Others
77 203
(2008) 27 580
419 922
(2008) 389 068
Total
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
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Large variation in health service provision
determined by history, locality and legal
requirements.
Gold companies likely to consolidate services as
ore body diminishes.
Future of mine health services uncertain in light
of NHI and drive for medical aid coverage.
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Variable
Risk
Source
Age
3.3
Kolappan et al, 2007
Gender
2.5
Kolappan et al, 2007
Smoking
2.1
Kolappan et al, 2007
High
Susceptibility
Silicosis
1.4 -2.5
Corbett et al, 2000
HIV
4.9
Corbett et al, 2000
Silicosis and HIV
16.1
Corbett et al, 2000
Migrancy
2.4
Lurie et al, 2002
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
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Strong HIV and AIDS programmes
Coordinated response to TB and HIV and AIDS
Strengthening implementation of DMR TB
Guidance Note
Audits of TB programmes with TB Review
Tool.
Data collection
 Pilot on case finding and treatment outcome
data, through Chamber
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
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Availability of reliable data
Monitoring of programmes and outcomes
Low profile of TB in mining
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No formal tripartite forum for TB
Stigma and union fears around HIV and AIDS
Migrancy
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
DANKIE
THANK YOU
ENKOSI
REALEBOGA
NGIYABONGA
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010