title: Ubiquitous burden: the contribution of migration to AIDS and Tuberculosis mortality in rural South Africa.
abstract: The paper aims to estimate the extent to which migrants are contributing to AIDS or tuberculosis (TB) mortality among rural sub-district populations. The Agincourt (South Africa) health and socio-demographic surveillance system provided comprehensive data on vital and migration events between 1994 and 2006. AIDS and TB cause-deleted life expectancy, and crude death rates by gender, migration status and period were computed. The annualised crude death rate almost tripled from 5·39 [95% CI 5·13-5·65] to 15·10 [95% CI 14·62-15·59] per 1000 over the years 1994-2006. The contribution of AIDS and TB in returned migrants to the increase in crude death rate was 78·7% [95% CI 77·4-80·1] for males and 44·4% [95% CI 43·2-46·1] for females. So, in a typical South African setting dependent on labour migration for rural livelihoods, the contribution of returned migrants, many infected with AIDS and TB, to the burden of disease is high.
authors.affiliation: Université Catholique de Louvain, Louvain-la-Neuve, Belgium ; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
authors.forename: Philipe
authors.initials: P
authors.lastname: Bocquier
authors.affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa ; Centre for Global Health Research, Umeå University, Sweden ; INDEPTH Network, Accra, Ghana.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Collinson
authors.affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa ; INDEPTH Network, Accra, Ghana ; University of Washington, Seattle, USA ; Institute of Behavioral Science (IBS), University of Colorado at Boulder.
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Clark
authors.affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa ; INDEPTH Network, Accra, Ghana.
authors.forename: Annette A M
authors.initials: AA
authors.lastname: Gerritsen
authors.affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa ; Centre for Global Health Research, Umeå University, Sweden ; INDEPTH Network, Accra, Ghana.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Kahn
authors.affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa ; Centre for Global Health Research, Umeå University, Sweden ; INDEPTH Network, Accra, Ghana.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: TollMan
keywords: AIDS; HDSS; Migration; Mortality; Tuberculosis