1 The Business Case for Extractive Industry involvement in the fight against AIDS and TB Dr Brian A Brink Chief Medical Officer Monday, 21 st July 2014

Why invest in fighting AIDS and TB? It is the right thing to do! It makes economic sense o Reduced absenteeism o Reduced benefit payments o Reduced recruitment and training costs o Reduced medical costs o Protection of labour skills, improved labour relations It reduces the burden of disease o Workforce o Supply chain o Customer base It is a lasting contribution to sustainable development o Many extractive industries are based in developing countries o Improved health in the community can be a direct benefit of industry presence o Business systems and success shared with partners – NGOs and Governments 2

HIV/AIDS Key indicators: SA Number of employees81,45066,66173,12977,07570,72068,884 Best estimate of HIV prevalence18% 16.5%16.7%16.8%16.3% Estimated number of HIV positive employees14,44412,05712,06612,86411,88411,243 Number of employees participating in VCT63,81754,66268,74170,90957,84751,594 Number of contractors participating in VCT32,17638,65937,39740,814 Percentage employee VCT uptake78%82%94%92%82%75% New HIV infections Crude HIV incidence1.17%0.75%0.77% Number of HIV positive employees enrolled in HIV wellness programmes 7,3616,1167,1057,8468,3618,407 % HIV Wellness programme enrolment51% 60%61%70%75% Number of employees taking ART3,0723,2113,9714,7305,3325,237 % of HIV positive employees taking ART21%27%33%37%45%47%

TUBERCULOSIS INDICATORS: SA Employees66,66173,12977,07570,72068,884 Pulmonary TB Extra-Pulmonary TB Total new TB cases TB Incidence per 100,000 population 1, , ,066 MDR TB Cases TB Deaths

ANGLO AMERICAN COAL SOUTH AFRICA: HIV and TB DASHBOARD as at 30 June 2014 Target progress: VCT 98% On ART 58% VL undetectable 64%

6 CD4 Count Versus VL Advice Early diagnosis Start ART early Adhere to ART Protect self and partner from resistant strains Protect against TB Immunisations against influenza, hepatitis B, etc. Do not smoke tobacco Reduce alcohol Do not do drugs Keep BMI in check Eat a balanced diet VL < 50 CD4 > 500 ANGLO AMERICAN COAL SOUTH AFRICA: Risk based approach to managing HIV/TB

7 ANGLO AMERICAN COAL SOUTH AFRICA: HIV KEY PERFORMANCE INDICATORS

8 ANGLO AMERICAN COAL SOUTH AFRICA: STATISTICS YTD Forecast for 2014 as at July

The importance of Health Information Systems 9 ONE PERSON, ONE RECORD, FOR LIFE An Integrated Electronic Health Record Solution the “theHealthSource” designed by Dr Jan Pienaar

Main features of “theHealthSource” (tHS) Secure confidential access via the internet Population based, district health model approach Direct data capture by healthcare providers whilst they work, reducing if not eliminating the need for data capturers after the event Bottom up approach focused on primary healthcare providers Transactional system which is diagnosis driven and task flow based Guided healthcare process leads to standardization of activity System ensures accuracy of all critical data tHS eliminates manual reporting and substitutes automated electronic reporting, through real time capture of all healthcare transactions Real time reporting of Key Performance Indicators – “Health Dashboard” Data can be easily uploaded to collateral data reporting systems 10