dr thuthula balfour-kaipa health adviser chamber of mines
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Dr Thuthula Balfour-Kaipa Health Adviser Chamber of Mines. Mining and TB: Turning the Tide on the Southern African TB/HIV Epidemic- Lessons from the Mining Industry. GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010. Background information on mining industry. - PowerPoint PPT PresentationTRANSCRIPT
Dr Thuthula Balfour-KaipaHealth Adviser
Chamber of Mines
Mining and TB: Turning the Tide on the Southern African TB/HIVEpidemic- Lessons from the Mining Industry
GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Variable3 Total mining industry (2009)
Chamber of Mines (2009)
Number of Mines
>1000 248
Employees
Platinum 183 914 (2008)149 869
Gold 160 102 143 268
Coal 70 703 57 343
Others 77 203 (2008) 27 580
Total 419 922 (2008) 389 068
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Chamber members represent: < 20% of mines
- 85% of employees- 80% of production
Large variation in health service provision determined by history, locality and legal requirements.
Gold companies likely to consolidate services as ore body diminishes.
Future of mine health services uncertain in light of NHI and drive for medical aid coverage.
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Variable Risk SourceAge 3.3 Kolappan et al, 2007
Gender 2.5 Kolappan et al, 2007
Smoking 2.1 Kolappan et al, 2007
Silicosis 1.4 -2.5 Corbett et al, 2000
HIV 4.9 Corbett et al, 2000
Silicosis and HIV 16.1 Corbett et al, 2000
Migrancy 2.4 Lurie et al, 2002
High Susceptibil
ity
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Strong HIV and AIDS programmes Coordinated response to TB and HIV and
AIDS Strengthening implementation of DMR
TB Guidance Note Audits of TB programmes with TB Review
Tool. Data collection
Pilot on case finding and treatment outcome data, through Chamber
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
Availability of reliable data Monitoring of programmes and outcomes Low profile of TB in mining
No formal tripartite forum for TB Stigma and union fears around HIV and
AIDS Migrancy
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010
THANK YOU
REALEBOGA
ENKOSI
DANKIE
NGIYABONGA
Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010