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Mining and risk of tuberculosis in sub-saharan Africa

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  • Stuckler, D.
  • Basu, S.
  • McKee, M.
  • Lurie, M.

Abstract

Objectives. We estimated the relationship between mining and tuberculosis (TB) among countries in sub-Saharan Africa. Methods. We used multivariate regression to estimate the contribution of mining activity to TB incidence, prevalence, and mortality, as well as rates of TB among people living with HIV, with control for economic, health system, and population confounders. Results. Mining production was associated with higher population TB incidence rates (adjusted b=0.093; 95% confidence interval [CI]=0.067, 0.120; with an increase of mining production of 1 SD corresponding to about 33% higher TB incidence or 760000 more incident cases), after adjustment for economic and population controls. Similar results were observed for TB prevalence and mortality, as well as with alternative measures of mining activity. Independent of HIV, there were significant associations between mining production and TB incidence in countries with high HIV prevalence (≥4% antenatal HIV prevalence; HIV-adjusted B=0.066; 95% CI=0.050, 0.082) and between log gold mining production and TB incidence in all studied countries (HIV-adjusted B=0.053; 95% CI=0.032, 0.073). Conclusions. Mining is a significant determinant of countrywide variation in TB among sub-Saharan African nations. Comprehensive TB control strategies should explicitly address the role of mining activity and environments in the epidemic.

Suggested Citation

  • Stuckler, D. & Basu, S. & McKee, M. & Lurie, M., 2011. "Mining and risk of tuberculosis in sub-saharan Africa," American Journal of Public Health, American Public Health Association, vol. 101(3), pages 524-530.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.175646_4
    DOI: 10.2105/AJPH.2009.175646
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    1. de Soysa, Indra & Gizelis, Theodora-Ismene, 2013. "The natural resource curse and the spread of HIV/AIDS, 1990–2008," Social Science & Medicine, Elsevier, vol. 77(C), pages 90-96.
    2. Sveta MILUSHEVA & Elisabeth zu ERBACH-SCHOENBERG & Linus BENGTSSON & Erik WETTER & Andy TATEM, 2018. "Understanding the Relationship between Short and Long Term Mobility," Working Paper 3377c250-d046-4340-947c-1, Agence française de développement.
    3. Hermínio Cossa & Rahel Scheidegger & Andrea Leuenberger & Priska Ammann & Khátia Munguambe & Jürg Utzinger & Eusébio Macete & Mirko S. Winkler, 2021. "Health Studies in the Context of Artisanal and Small-Scale Mining: A Scoping Review," IJERPH, MDPI, vol. 18(4), pages 1-24, February.
    4. Rabia Abeid Khaji & Venance Muzuka Kabwebwe & Annasia Goodluck Mringo & Thomas Faustine Nkwabi & Jacob Bigio & Christina Mergenthaler & Nathaly Aguilera Vasquez & Tripti Pande & Md Toufiq Rahman & Fre, 2021. "Factors Affecting Motivation among Key Populations to Engage with Tuberculosis Screening and Testing Services in Northwest Tanzania: A Mixed-Methods Analysis," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    5. Wilson, Nicholas, 2012. "Economic booms and risky sexual behavior: Evidence from Zambian copper mining cities," Journal of Health Economics, Elsevier, vol. 31(6), pages 797-812.
    6. Kerry S. Wilson & Tahira Kootbodien & Nisha Naicker, 2020. "Excess Mortality Due to External Causes in Women in the South African Mining Industry: 2013–2015," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
    7. Richardson, Eugene T. & Morrow, Carl D. & Ho, Theodore & Fürst, Nicole & Cohelia, Rebekkah & Tram, Khai Hoan & Farmer, Paul E. & Wood, Robin, 2016. "Forced removals embodied as tuberculosis," Social Science & Medicine, Elsevier, vol. 161(C), pages 13-18.
    8. Milusheva, Sveta, 2020. "Managing the spread of disease with mobile phone data," Journal of Development Economics, Elsevier, vol. 147(C).

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