• Am. J. Ind. Med. · Apr 2010

    Oscillating migration and the epidemics of silicosis, tuberculosis, and HIV infection in South African gold miners.

    • David Rees, Jill Murray, Gill Nelson, and Pam Sonnenberg.
    • Occupational Medicine Division, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg, South Africa.
    • Am. J. Ind. Med. 2010 Apr 1;53(4):398-404.

    BackgroundHundreds of thousands of men from rural areas of South Africa and neighboring countries have come to seek work in the gold mines. They are not immigrants in the usual sense as they work for periods in the mines, go home, and then return. This is termed oscillating or circular migration. Today we have serious interrelated epidemics of silicosis, tuberculosis, and HIV infection in the gold mining industry.MethodsThis article discusses the role of oscillating migration in fuelling these epidemics, by examining the historical, political, social, and economic contexts of these diseases.ResultsThe impact of silicosis, tuberculosis, and HIV infection extends beyond individual miners to their families and communities.ConclusionFailure to control dust and tuberculosis has resulted in serious consequences decades later. The economic and political migrant labor system provided the foundations for the epidemics seen in southern Africa today.(c) 2009 Wiley-Liss, Inc.

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