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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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