ArticleBMC public health2016
The risk of pulmonary tuberculosis in underground copper miners in Zambia exposed to respirable silica: a cross-sectional study.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 34 citations in OpenAlex.
- Workplace physical environmental factors associated with pulmonary tuberculosis among workers: a scoping review.IJID regions · 2026Review
- Profiling health for equitable benefit-sharing in the global critical mineral value-chain: a lens from East and Southern Africa.Globalization and health · 2026Article
- Improving TB care services among coal mine workers and their associated communities in Pakistan.Public health action · 2025Article
- Whole-genome sequencing for analyzing the transmission characteristics of drug-resistant Mycobacterium tuberculosis in Ganzhou, China.BMC infectious diseases · 2025Article
- Silicosis in Zambian ex-copper miners: A cross-sectional study.African journal of thoracic and critical care medicine · 2025Article
- Knowledge, attitude, and practices regarding TB among senior management officials of companies with increased silica dust exposure in Lusaka and Southern provinces of Zambia.Frontiers in epidemiology · 2025Article
- Silicosis disease burden in Zambian ex-copper miners continues to persist: Need for policy and programmatic reform to address ongoing challenges.African journal of thoracic and critical care medicine · 2025Article
- Burden of tuberculosis among vulnerable populations worldwide: an overview of systematic reviews.The Lancet. Infectious diseases · 2023Review
- Knowledge, Attitude, Behavior Practices and Compliance of Workers Exposed to Respirable Dust in a Zambian Copper Mine.International journal of environmental research and public health · 2023Article
- Prevalence and factors associated with tuberculosis among the mining communities in Mererani, Tanzania.PloS one · 2023Article
- Zambia Assessment of Tuberculosis (TB) and HIV in the Mines (ZATHIM): implications for programs and policies.BMC public health · 2022Article
- Prevalence and associated risk factors for tuberculosis among people living with HIV in Nepal.PloS one · 2022Article
- Factors associated with self-rated health among mineworkers in Zambia: a cross-sectional study.Tropical medicine and health · 2021Article
- Article
- The prevalence of pulmonary tuberculosis among miners from the Karonga, Rumphi, Kasungu and Lilongwe Districts of Malawi in 2019.Malawi medical journal : the journal of Medical Association of Malawi · 2020Article
- Mining is bad for health: a voyage of discovery.Environmental geochemistry and health · 2020Article
- Relationship between Occupational Exposure to Respirable Crystalline Silica and Serum Copper Level as an Indicator of Silicosis: A Systematic Review and Meta-analysis.Indian journal of occupational and environmental medicineReview
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPulmonary tuberculosis (PTB) among underground miners exposed to silica remains a global problem. Although well described in gold and coal mining, risk in other mining entities are not as well documented. This study aims to determine dust-related dose response risk for PTB among underground miners exposed to silica dust in Zambia's copper mines.
methodsA cross sectional study of in-service miners (n = 357) was conducted at Occupational Health and Safety Institute (OHSI), Zambia. A systematic review of medical data over a 5-year period from assessments conducted by doctors at OHSI and statutory silica exposure data (n = 16678) from the Mine Safety Department (MSD) were analysed. Lifetime cumulative exposure metrics were calculated. Multivariate logistic regression analysis was used to determine the association between PTB and lifetime exposure to silica, while adjusting for various confounders.
resultsThe median respirable silica dust level was 0.3 mg/m(3) (range 0.1-1.3). The overall prevalence of PTB was 9.5 % (n = 34). High cumulative respirable silica dust category showed a statistically significant association with PTB (OR = 6.4 (95 % CI 1. 8-23)) and a significant trend of increasing disease prevalence with increasing cumulative respirable silica dust categories was observed (ptrend < 0.01). Smoking showed a statistically significant association with PTB with OR = 4.3 (95 % CI 1.9-9.9).
conclusionsOur results demonstrate the association of increased risk for certified active TB with cumulative respirable dust in a dose related manner among this sample of copper miners. There is need to intensify dust control measures and incorporate anti-smoking interventions into TB prevention and control programmes in the mines.
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