{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T10:17:42Z","timestamp":1778753862418,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2009,10,28]],"date-time":"2009-10-28T00:00:00Z","timestamp":1256688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pulmonary tuberculosis and HIV incidence, mortality, and the progression of silicosis and lung function impairment are described over a 1\u2010year period in migrant ex\u2010gold miners from Lesotho.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seven hundred seventy\u2010nine Basotho miners were followed for 1 year starting 18 months after lay\u2010off from a South African gold mine in 1998. At baseline and follow\u2010up, they underwent a respiratory symptom interview, physical examination, HIV test, chest radiograph, and spirometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred thirteen of 779 (65.9%) participants attended both baseline and follow\u2010up visits. HIV incidence was 5.4\/100 person\u2010years (95% CI: 3.4\u20138.2). Prevalence of silicosis (ILO score \u22651\/1) was 26.6% at baseline and 27.0% at follow\u2010up. Active tuberculosis diagnosed at baseline was a strong predictor of radiological progression of silicosis. Lung function as measured by FEV<jats:sub>1<\/jats:sub> declined an average of 91\u2009ml between visits (95% CI: 67\u2013116\u2009ml). Calculated minimum incidence of tuberculosis was 3,085\/100,000\/years (95% CI: 1,797\u20134,940) at follow\u2010up. Of those seen at baseline, 18 died before their scheduled follow\u2010up visit (mean age: 51 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>High rates of mortality and of HIV infection and pulmonary tuberculosis were found in this cohort after leaving the South African goldmines. Continuing lung function loss was also apparent. A partnership between the South African mining industry and governments in labor\u2010sending areas of Southern Africa is needed to provide continuity of care and access to HIV and tuberculosis treatment and prevention services. Active silicosis surveillance and an improved statutory compensation system are also needed. These findings can serve as a baseline against which the impact of such interventions can be assessed. Am. J. Ind. Med. 52:901\u2013908, 2009. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.20767","type":"journal-article","created":{"date-parts":[[2009,10,31]],"date-time":"2009-10-31T14:26:43Z","timestamp":1256999203000},"page":"901-908","source":"Crossref","is-referenced-by-count":48,"title":["Incidence of tuberculosis and HIV and progression of silicosis and lung function impairment among former basotho gold miners"],"prefix":"10.1002","volume":"52","author":[{"given":"Harriet H.","family":"Park","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan V.","family":"Girdler\u2010Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin J.","family":"Churchyard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil W.","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodney I.","family":"Ehrlich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,29]]},"reference":[{"key":"e_1_2_1_2_1","unstructured":"AIDS and Rights Alliance for Southern Africa.2008.The Mining sector tuberculosis and migrant labour in Southern Africa: Policy and programmatic interventions for the control of tuberculosis between Lesotho and South Africa focusing on miners ex\u2010miners and their families Windhoek Namibia. 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