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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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657277/ https://www.ncbi.nlm.nih.gov/pubmed/36360701 http://dx.doi.org/10.3390/ijerph192113822 |
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author | Moyo, Dingani Ncube, Ronald Kavenga, Fungai Chikwava, Lilian Mapuranga, Tawanda Chiboyiwa, Nathan Chimunhu, Chipo Mudzingwa, Frank Muzvidziwa, Orippa Ncube, Petronella Mando, Tariro Christwish Moyo, Florence Chigaraza, Blessings Masvingo, Hellen Timire, Collins |
author_facet | Moyo, Dingani Ncube, Ronald Kavenga, Fungai Chikwava, Lilian Mapuranga, Tawanda Chiboyiwa, Nathan Chimunhu, Chipo Mudzingwa, Frank Muzvidziwa, Orippa Ncube, Petronella Mando, Tariro Christwish Moyo, Florence Chigaraza, Blessings Masvingo, Hellen Timire, Collins |
author_sort | Moyo, Dingani |
collection | PubMed |
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 | Online Article Text |
id | pubmed-9657277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96572772022-11-15 The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe Moyo, Dingani Ncube, Ronald Kavenga, Fungai Chikwava, Lilian Mapuranga, Tawanda Chiboyiwa, Nathan Chimunhu, Chipo Mudzingwa, Frank Muzvidziwa, Orippa Ncube, Petronella Mando, Tariro Christwish Moyo, Florence Chigaraza, Blessings Masvingo, Hellen Timire, Collins Int J Environ Res Public Health Article 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. MDPI 2022-10-24 /pmc/articles/PMC9657277/ /pubmed/36360701 http://dx.doi.org/10.3390/ijerph192113822 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Moyo, Dingani Ncube, Ronald Kavenga, Fungai Chikwava, Lilian Mapuranga, Tawanda Chiboyiwa, Nathan Chimunhu, Chipo Mudzingwa, Frank Muzvidziwa, Orippa Ncube, Petronella Mando, Tariro Christwish Moyo, Florence Chigaraza, Blessings Masvingo, Hellen Timire, Collins 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 | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657277/ https://www.ncbi.nlm.nih.gov/pubmed/36360701 http://dx.doi.org/10.3390/ijerph192113822 |
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