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Abstract Introduction The African continent has a long history of mining and is a major producer of many minerals and metals such as gold, diamond, cobalt, bauxite, iron ore, coal, and copper, among others. Mining as an occupation is very high risk and there is significant morbidity and mortality from occupational diseases and injuries in the sector. Notable diseases are asbestosis, silicosis and mercury poisoning. Occupational health and safety services are not well developed in Africa, leaving workers exposed to significant risks. Methods This is a narrative of Africa's journey in occupational health. Africa’s journey in mining started with the building of the pyramids millennia ago, to formal mining in the 19th century and is now evolving rapidly as formal and artisanal mining with new deposits being discovered. Results Research done through the World Bank in southern Africa showed that the availability of occupational health services and skilled occupational health professionals in the region was limited. The structuring of occupational health services is different across countries with most large companies providing occupational health services for their employees. Smaller mining companies rely on the public health sector that has limited occupational health services. Discussion Mining offers a great opportunity for economic development in Africa but this requires that occupational health and safety policies, standards and practices are strengthened at the same time to ensure optimal health of employees. Conclusion The journey has been protracted but progressive over the century. Best practices from Africa will be presented and these can be adopted by other countries.
Thuthula Balfour (Mon,) studied this question.
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