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Dear all,
Attached is an important read from the International Journal of Health
Services on the reduction of TB in the mines in South Africa and elsewhere.


  Tuberculosis notification rates among South African miners range from
4,000 to 7,000 per 100,000 people. These rates far exceed national
tuberculosis notification rates for the general population. Tuberculosis
mortality also surpasses deaths caused by mining accidents. These
extraordinarily high rates of disease are unambiguously linked to a series
of contributing factors, including exposure to silica dust, HIV infection,
and poor working and living conditions. We argue that the only way to stop
the transmission of this airborne disease is to treat the mine and its
living quarters as one should any other congregate setting with individuals
who have high rates of infection with drug-susceptible and drug-resistant
strains of tuberculosis. This means implementing interventions that have
been demonstrated to stop the spread of tuberculosis over the last 60
years: immediate treatment of active tuberculosis, concurrent treatment of
latent tuberculosis disease to reduce the burden of active cases, and
appropriate management of patients infected with HIV. Because tuberculosis
is also a social disease, biomedical interventions must be coupled with
improved living and working conditions. Achieving zero deaths from
tuberculosis in the mines is possible if a clear commitment is made to a
strategy that recognizes and ameliorates the biological and social
antecedents to this epidemic.

Sophie Beauvais
Replied at 11:05 AM, 28 Oct 2013

Hi Everyone,

Unfortunately this article is closed-access but you can find the abstract here for those who have a subscription:

As a reminder, GHDonline does not accept file attachments via email so make sure to have links to the articles you mention.

Best, Sophie

LLeni Pach Miller
Replied at 11:19 AM, 28 Oct 2013

Would it make sense to copy and paste the article so the non-subscribers
can read it?

Sophie Beauvais
Replied at 11:28 AM, 28 Oct 2013

Hi Lleni, not really - copyrights - I just asked the authors if they could share their version. Some publishers allow that. Also if anyone has read the article would be nice to hear takeaways.

Sophie Beauvais
Replied at 1:36 PM, 28 Oct 2013

Just heard from one of the authors and we can publish the article! Here attached in PDF. Please note that it was first published in the International Journal of Health Services. Looking forward to people's thoughts.

Best, Sophie

Attached resource:

LLeni Pach Miller
Replied at 1:42 PM, 28 Oct 2013


Sandeep Ahuja
Replied at 2:50 PM, 28 Oct 2013

The need of the hour is community empowerment and rigorous monitoring to ensure complete treatment.

Alexandru Buga
Replied at 5:17 PM, 28 Oct 2013

Dear Sophie,
Thank you for sharing the article.

Replied at 2:19 AM, 13 Nov 2013

To you Ericca Lessem my dearest,
Your strategy approach is so fundamental but than the feasibilities in such
South Africa, the politic one side and the governance the other side might
not be conducive for the implementation. Among other good strategy needed
for such community is TB community based programmes where a CHW should
visit and attend not only the sick one by the whole households to detect
all the suspect
Hope we can reach there one day
Keep me update for strategies and implementation

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