The burden of silicosis, pulmonary tuberculosis and COPD among former Basotho goldminers.
BACKGROUND
The burden of silicosis, pulmonary tuberculosis and COPD is described in 624 South African gold miners 18 months after cessation of work.


METHODS
This was a prevalence study. Questionnaires were administered, and spirometry, chest radiography, tuberculosis investigations, and urine HIV antibody assays were performed.


RESULTS
Attendance was 80.1% (624/779), mean age 49.4 years, and mean employment duration 25.6 years. Most subjects had had medium (26.5%) or high (65.4%) dust-exposure jobs. Current smoking rate was 35%, with ever smoking 61%. HIV antibodies were detected in the urine in 22.3%. Prevalences were: silicosis 24.6%, past tuberculosis 26%, current tuberculosis 6.2%, airflow obstruction 13.4%, and chronic productive cough 17.7%. Almost 50% of these miners had at least one of these respiratory conditions.


CONCLUSIONS
A heavy burden of silicosis, tuberculosis and COPD was present in this group of former goldminers. Intensification of work place dust control measures and TB and HIV prevention activities are needed on South African gold mines. In labor sending communities investment is needed in silicosis and tuberculosis surveillance as well as HIV treatment and care.
School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa. hsct@icon.co.za
Brendan V
BV
Girdler-Brown
Neil W
NW
White
Rodney I
RI
Ehrlich
Gavin J
GJ
Churchyard
D000328:Adult; D003430:Cross-Sectional Studies; D004391:Dust; D006046:Gold / Q000009:adverse effects; D015483:HIV Antibodies / Q000652:urine; D006801:Humans; D008297:Male; D008875:Middle Aged; D008906:Mining; D016273:Occupational Exposure; D015995:Prevalence; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D012829:Silicosis / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D013019:South Africa / Q000453:epidemiology; D013147:Spirometry; D011795:Surveys and Questionnaires; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology
D004391:Dust; D015483:HIV Antibodies; D006046:Gold