PRESENTATION ON MASOYISE iTB KZN Regional Tripartite Forum 10 May 2018

Content Background Progress as at Year End 2017 Recommendations 9 and 10 May 2018

INTRODUCTION The Masoyise iTB Project is in its third year of existence since its conception in 2015. Implementation over a three-year period i.e. 2016 till 2018, using 2015 as a baseline. Primary aim to strengthen TB/HIV Programmes within the South African Mining Industry remains. Special focus on strengthening policy framework and programmatic interventions (HIV Counselling and TB Screening, throughout the cascades to treatment outcomes and contact tracing). The Project membership reflects multisectoral constituencies active in the fight against the two epidemics, with the Chamber of Mines providing a secretariat function. Discussions are underway to have a memorandum of understanding with the Mine Health and Safety Council as a Tripartite Structure to lead the project beyond 2018

Background The Masoyise Project has its origins in the announcement on 24 March 2015 by the then Deputy President of South Africa, Mr Cyril Ramaphosa, that South Africa intended to increase TB screening and HIV Counselling and Testing among Key and Vulnerable populations. The mining industry embraced the sentiments and took on the challenge to ensure maximum TB screening and HIV Counselling and Testing of employees in the sector. Through this project, the sector committed to screen for TB and offer HIV Counselling and Testing to all employees including contractors in the sector over the three-year period. The project adopted the Department of Health TB questionnaire and HCT guidelines to help standardize approach for the sector. This surveillance system includes all employees, from CEO to entry level workers.

CONTEXT FOR MASOYISE iTB Masoyise iTB recognises international goals and targets set by the WHO in its End TB Strategy which calls for a 50% reduction of TB incidence by 2025, compared to 2015. Masoyise iTB further recognises the UNAIDS Fast Track Strategy launched in 2014 that aims to end the HIV epidemic by 2030. The strategy sets targets for prevention, treatment and human rights which are 90:90:90 (90% of people living with HIV know their HIV status, 90% of all people living with HIV receive antiretroviral therapy and 90% of those receiving antiretroviral treatment have viral suppression). Nationally, Masoyise iTB is informed by the DOH’s draft National Strategic Plan for HIV, STIs and TB: 2017 -2022.. The objectives of Masoyise iTB dovetail with the mining industry health and safety milestones set through the MHSC in November 2014. The milestones are: 100% of employees should be offered HIV counselling and testing and be linked to an antiretroviral therapy programme. to reduce TB incidence in the mining sector to at or below the South African rate.

Masoyise In 2017, 33 companies representing 431 622 employees Industry 464 667 (est) CoM 54 462 313 (est) Respondents CoMRS Respondents  33 431 622 as % of Industry - 92.9% as % of CoM 93.4% In 2017, 33 companies representing 431 622 employees (92.9 % of industry and 93.4 % of CoM) submitted year-end data. The analysis presented is based on year-end finalised Masoyise data captured on the CoMRS system as at 30 April 2018 (the 2017 close-off). The analysis excludes 21 companies representing 6.6% of employees, who had not finalised 2017 data as at close-off.

Companies who submitted Data (> 10 000 employees) Employee Count Employees Contractors Ad hoc Contractors Total   Sibanye Gold Limited 44586 Impala Platinum 34096 10215 44311 Anglo Platinum South Africa 24220 12368 36588 Lonmin 24795 7743 32538 Harmony Gold 26848 4473 31321 AngloGold Ashanti 29392 Anglo Coal South Africa 8023 7717 9423 25163 Sibanye Rustenburg Platinum 24931 African Rainbow Minerals 11585 6887 1387 19859 Kumba Iron Ore 6091 7347 2887 16325 Glencore Coal South Africa 4665 10651 15316 Sasol Mining (Pty)Ltd 7917 5781 13698 South32 SA Coal Holdings (Pty) Ltd 6394 7026 13420 Royal Bafokeng Platinum 4153 7392 11545 Glencore Ferro Alloys South Africa 5463 5016 10479 DRD Gold Limited 4619 5578 10197

Companies who submitted Data ( < 10 000 employees) Employee Count Employees Contractors Ad hoc Contractors Total   Petra Diamonds 4538 4449 1 8988 Northam Platinum Limited 6279 2591 8870 Gold Fields Limited 3983 2425 6408 Exxaro 2657 2651 5308 Richards Bay Minerals 1960 2799 4759 De Beers Consolidated Mines (Pty) Ltd 1851 2858 4709 ATLATSA Resources 2176 1433 3609 Platinum Group Metals (Pty) Ltd 1949 Universal Coal Pty Ltd 240 1160 1400 Wesizwe Platinum 1289 Mbuyelo Coal 135 1073 1208 Kuyasa Mining (Pty) Ltd 427 532 959 Trans Hex Operations 404 345 749 Canyon Coal 89 459 548 Evraz Vametco 450 50 500 Shiva Coal 288 98 386 West Coast Resources 147 167 314

Number of Workers Counselled for HIV (Workers Counselled = workers counselled + workers on treatment)

Percentage of Workers Counselled for HIV % CoM Workers Counselled (Data as per CoM Reporting System 2015 – 2017)

Workers Counselled and Tested - larger commodities

Number of Workers Screened for TB CoM Workers Screened for TB (Data as per CoM Reporting System 2015 – 2017)

Percentage of Workers Screened for TB

Workers Screened for TB - larger commodities

TB Incidence - Industry vs CoM CoM TB Incidence (per 100 000) (Data as per CoM Reporting System 2015 – 2017)

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