1. Presented By: Ms Duduzile Lekoba Director Occupational Medicine
Trends in Occupational Lung Diseases (OLD) in the SAMI MMPA Occupational Lung Diseases Symposium 21st April 2018
Presented By:
Ms Duduzile Lekoba
Director Occupational Medicine

2. OUTLINE
1. Occupational Lung Diseases (OLD) reported on AMRs by commodity:
2 Other OLD reported on AMRs by commodity:
2.1 Gold mines :
2.2 Platinum mines:
2.3 Coal mines:
2.4 Diamond mines:
2.5 Chrome mines:
2.6 Iron ore mines:
2.7 Manganese mines:
2.8 All other mines:
3. Challenges
4. Conclusion

3. OLD reported from AMRs by commodity: 2014 - 2016
Sil
PTB
Sil+TB
CWP
Asb
Total
2014
2015
2016
Gold
837
619
543
1697
1666
1436
107 67 30 2
2643
2354
2009
Platinum
178
171 68
1134
1597
778 1
1313
1768
847
Coal 8 26 3
279
213
182 4 94 53 58 7
388
295
248
Diamond 17 20 34 18 37
Copper
Chrome 76 60 86 71
Manganese 36 21
Iron Ore 70 16
All Other 39 10 15
333 95 5
379
127 77
TOTAL
1063
835
635
3460
3773
2580
109 87 38 14
4741
4762
3328

4. Other OLD reported from Gold mines AMRs: 2014-2016

5. Other OLD reported from Platinum mines AMRs: 2014-2016

6. Other OLD reported from Coal mines AMRs: 2014-2016

7. Other OLD reported from Diamond mines AMRs: 2014-2016

8. Other OLD reported from Chrome mines AMRs: 2014-2016

9. Other OLD reported from Iron ore mines AMRs: 2014-2016

10. Other OLD reported from Manganese mines AMRs: 2014-2016

11. Other OLD reported from All other mines AMRs: 2014-2016

12. Fatalities due to OLD: 2016 AMRs

13. Challenges
Late, inconsistent and non-submission of AMRs, in particular.
Cases reported on HIRs and AMRs for the same calendar year do not tally.
OMPs generally do not provide a brief elaboration on occupational disease trends as required.
Cases reported generally as pneumoconiosis and not specified.
Non-submission of diagnosed PTB cases, some OMPs citing the DoH guidelines for non-submission at the time of diagnosis.
Majority of TB cases reported as non-occupational diseases not reported on the DMR 164 form.
Medical incapacity…majority of employees reported on the grounds of temporary incapacity.

14. Conclusion
Medical surveillance of employees exposed to chromium and manganese on a mine should also include a Questionnaire for Biological Effect Monitoring.
The issue of linkage with hygiene measurement results is critical
Investigation and reporting on health incident reports (DMR 231 form) an annual medical reports (DMR 165 form).
Occupational health issues to be prioritised, e.g. OHS training, RTFs, green area talks, one-on-one during medical surveillance, etc