title: Prevalence of occupational lung disease in a random sample of former mineworkers, Libode District, Eastern Cape Province, South Africa.
abstract: BACKGROUND
  Gold mineworkers in South Africa are exposed to high levels of silica dust as a result of which they are at risk of developing silicosis, which is a compensable disease. The incidence of tuberculosis is also high.
  
  
  METHODS
  To determine the prevalence of occupational lung disease and the previous compensation history in former migrant mineworkers, a study was undertaken in a random sample of men living in Libode, a rural district of Eastern Cape Province, South Africa. Two hundred thirty-eight ex-mineworkers were examined according to a protocol that included chest radiography and spirometry. Chest radiographs were read into the International Labour Organisation (ILO) classification for pneumoconioses by two readers.
  
  
  RESULTS
  The mean age was 52.8 years, and the mean length of service was 12.15 years. The prevalence of pneumoconiosis (> or = ILO 1/0) was 22% and 36% (variation by reader). For both readers, a significant association between length of service and pneumoconiosis and between pneumoconiosis and reduction in FVC and FEV was found. Twenty-four percent of study subjects were eligible for compensation.
  
  
  CONCLUSIONS
  There is a high prevalence of previously undiagnosed, uncompensated pneumoconiosis in the study group. As a result of the failure to diagnose and compensate occupational lung disease, the social and economic burden of such disease is being borne by individuals, households, and the migrant labor-sending communities as a whole.
authors.affiliation: Epidemiology Research Unit, Johannesburg, South Africa. anna@eru.wn.apc.org.za
authors.forename: A S
authors.initials: AS
authors.lastname: Trapido
authors.forename: N P
authors.initials: NP
authors.lastname: Mqoqi
authors.forename: B G
authors.initials: BG
authors.lastname: Williams
authors.forename: N W
authors.initials: NW
authors.lastname: White
authors.forename: A
authors.initials: A
authors.lastname: Solomon
authors.forename: R H
authors.initials: RH
authors.lastname: Goode
authors.forename: C M
authors.initials: CM
authors.lastname: Macheke
authors.forename: A J
authors.initials: AJ
authors.lastname: Davies
authors.forename: C
authors.initials: C
authors.lastname: Panter
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D003937:Diagnosis, Differential; D004784:Environmental Monitoring / Q000379:methods; D062665:Epidemiological Monitoring; D006046:Gold; D006801:Humans; D007587:Job Description; D008297:Male; D008875:Middle Aged; D008906:Mining; D015999:Multivariate Analysis; D011009:Pneumoconiosis / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D011859:Radiography; D011897:Random Allocation; D012307:Risk Factors; D012424:Rural Population; D013019:South Africa / Q000453:epidemiology; D013147:Spirometry; D015996:Survival Rate; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging
chemical_list: D006046:Gold