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TB in the SA mining industry: Overview

TB in the SA mining industry: Overview. Turning The Tide On The Southern African TB/HIV Epidemic: Lessons From The Mining Industry 12 th October 2010 Prof Gavin J. Churchyard. Overview. History Epidemiology Back to basics Innovation Call to action. History.

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TB in the SA mining industry: Overview

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  1. TB in the SA mining industry: Overview Turning The Tide On The Southern African TB/HIV Epidemic: Lessons From The Mining Industry 12th October 2010 Prof Gavin J. Churchyard

  2. Overview • History • Epidemiology • Back to basics • Innovation • Call to action

  3. History • TB has been a health hazard since the start of the mining industry in the early 1900’s • Migrant labour recruited from the SA region • Milestones • 1912: Tuberculosis Commission • 1960’s: Epidemiology studies • 1995: Leon Commission • 2010: Department of Mineral & Resources. TB/HIV summit

  4. 6000 HIV Pos HIV Neg 5000 4000 3000 2000 1000 00 91 95 98 99 01 90 92 97 93 94 96 Year TB rate / 100,000 pop TB in the mining industry • TB control is failing South African mining industry HIV & silicosis substantially increase risk of TB Failure of “standard” control measures - well implemented DOTS - active case finding (RSP) - targeted IPT

  5. Back to basics • Requires strengthening health systems • Governance • Financing • HR capacity • Laboratory services • Information systems • Protection of HCWs TB suspects TB cases Treated Cured

  6. Back to basics • Requires strengthening health systems • Governance • Financing • HR capacity • Laboratory services • Information systems • Protection of HCWs There is a strong business case TB suspects TB cases Treated Cured

  7. InnovationThibela TB Standard TB control Standard TB control plus Community wide IPT

  8. 3,000 2,000 1,000 1954 1960 1966 1972 InnovationThibela TB Standard TB control Standard TB control plus Community wide IPT

  9. Call to action • Leadership, commitment & accountability • Do it right! It saves lives & money • FIND • TREAT • PREVENT • Research (4Is) • Information • Indices • Implementation • Innovation

  10. Resources • Handbook of Occupational Health Practice in the South African mining industry (MHSC) • TB/HIV tool kit for South African businesses. Global Health Initiative 2008 • Good Practice Guidance on HIV/AIDS, Tuberculosis and Malaria. International Chamber of Mines and Minerals 2007 • Isoniazidpreventive therapy for patients with silicosis 2007. www.wahsa.net. • Medical surveillance of silicosis and silica-related diseases. Expert Group Meeting. 2008

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