Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis

dc.contributor.authorEhrlich, Rodney
dc.contributor.authorMontgomery, Alex
dc.contributor.authorAkugizibwe, Paula
dc.contributor.authorGonsalves, Gregg
dc.date.accessioned2017-09-05T14:39:39Z
dc.date.available2017-09-05T14:39:39Z
dc.date.issued2017-08-03
dc.date.updated2017-08-06T03:32:51Z
dc.description.abstractBackground: The triple epidemic of silicosis, tuberculosis and HIV infection among migrant miners from South Africa and neighbouring countries who have worked in the South African mining industry is currently the target of regional and international control efforts. These initiatives are hampered by a lack of information on this population. Methods: This study analysed the major South African mining recruitment database for the period 1973 to 2012 by calendar intervals and demographic and occupational characteristics. Changes in area of recruitment were mapped using a geographic information system. Results: The database contained over 10 million contracts, reducible to 1.64 million individuals. Major trends relevant to health projection were a decline in gold mining employment, the major source of silicosis; increasing recruitment of female miners; and shifts in recruitment from foreign to South African miners, from the Eastern to the Northwestern parts of South Africa, and from company employees to contractors. Conclusions: These changes portend further externalisation of the burden of mining lung disease to home communities, as miners, particularly from the gold sector, leave the industry. The implications for health, surveillance and health services of the growing number of miners hired as contractors need further research, as does the health experience of female miners. Overall, the information in this report can be used for projection of disease burden and direction of compensation, screening and treatment services for the ex-miner population throughout Southern Africa.
dc.identifier.apacitationEhrlich, R., Montgomery, A., Akugizibwe, P., & Gonsalves, G. (2017). Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis. <i>BMC Public Health</i>, http://hdl.handle.net/11427/25042en_ZA
dc.identifier.chicagocitationEhrlich, Rodney, Alex Montgomery, Paula Akugizibwe, and Gregg Gonsalves "Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis." <i>BMC Public Health</i> (2017) http://hdl.handle.net/11427/25042en_ZA
dc.identifier.citationBMC Public Health. 2017 Aug 03;18(1):93
dc.identifier.ris TY - Journal Article AU - Ehrlich, Rodney AU - Montgomery, Alex AU - Akugizibwe, Paula AU - Gonsalves, Gregg AB - Background: The triple epidemic of silicosis, tuberculosis and HIV infection among migrant miners from South Africa and neighbouring countries who have worked in the South African mining industry is currently the target of regional and international control efforts. These initiatives are hampered by a lack of information on this population. Methods: This study analysed the major South African mining recruitment database for the period 1973 to 2012 by calendar intervals and demographic and occupational characteristics. Changes in area of recruitment were mapped using a geographic information system. Results: The database contained over 10 million contracts, reducible to 1.64 million individuals. Major trends relevant to health projection were a decline in gold mining employment, the major source of silicosis; increasing recruitment of female miners; and shifts in recruitment from foreign to South African miners, from the Eastern to the Northwestern parts of South Africa, and from company employees to contractors. Conclusions: These changes portend further externalisation of the burden of mining lung disease to home communities, as miners, particularly from the gold sector, leave the industry. The implications for health, surveillance and health services of the growing number of miners hired as contractors need further research, as does the health experience of female miners. Overall, the information in this report can be used for projection of disease burden and direction of compensation, screening and treatment services for the ex-miner population throughout Southern Africa. DA - 2017-08-03 DB - OpenUCT DO - 10.1186/s12889-017-4640-x DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis TI - Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis UR - http://hdl.handle.net/11427/25042 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12889-017-4640-x
dc.identifier.urihttp://hdl.handle.net/11427/25042
dc.identifier.vancouvercitationEhrlich R, Montgomery A, Akugizibwe P, Gonsalves G. Public health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis. BMC Public Health. 2017; http://hdl.handle.net/11427/25042.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Public Health
dc.source.urihttps://bmcpublichealth.biomedcentral.com/
dc.subject.otherMining
dc.subject.otherMigrant labour
dc.subject.otherGold
dc.subject.otherTuberculosis
dc.subject.otherSilicosis
dc.subject.otherSouthern Africa
dc.titlePublic health implications of changing patterns of recruitment into the South African mining industry, 1973–2012: a database analysis
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
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