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Monitoring of Selected Health Indicators in Children Living in a Copper Mine Development Area in Northwestern Zambia

Author

Listed:
  • Astrid M. Knoblauch

    (Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel, Switzerland
    University of Basel, P.O. Box, CH-4003 Basel, Switzerland)

  • Mark J. Divall

    (SHAPE Consulting Ltd., GY1 2 St Peter Port, P.O. Box 602, Channel Islands)

  • Milka Owuor

    (SHAPE Consulting Ltd., GY1 2 St Peter Port, P.O. Box 602, Channel Islands)

  • Colleen Archer

    (University of Kwa Zulu Natal, Durban 4041, South Africa)

  • Kennedy Nduna

    (Solwezi District Health Management Team, Solwezi 40100, Zambia)

  • Harrison Ng’uni

    (Solwezi District Health Management Team, Solwezi 40100, Zambia)

  • Gertrude Musunka

    (First Quantum Minerals Limited, Lusaka 10100, Zambia)

  • Anna Pascall

    (First Quantum Minerals Limited, Lusaka 10100, Zambia)

  • Jürg Utzinger

    (Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel, Switzerland
    University of Basel, P.O. Box, CH-4003 Basel, Switzerland)

  • Mirko S. Winkler

    (Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel, Switzerland
    University of Basel, P.O. Box, CH-4003 Basel, Switzerland)

Abstract

The epidemiology of malaria, anaemia and malnutrition in children is potentially altered in mining development areas. In a copper extraction project in northwestern Zambia, a health impact assessment (HIA) was commissioned to predict, manage and monitor health impacts. Two cross-sectional surveys were conducted: at baseline prior to project development (2011) and at four years into development (2015). Prevalence of Plasmodium falciparum , anaemia and stunting were assessed in under-five-year-old children, while hookworm infection was assessed in children aged 9–14 years in communities impacted and comparison communities not impacted by the project. P . falciparum prevalence was significantly higher in 2015 compared to 2011 in both impacted and comparison communities (odds ratio (OR) = 2.51 and OR = 6.97, respectively). Stunting was significantly lower in 2015 in impacted communities only (OR = 0.63). Anaemia was slightly lower in 2015 compared to baseline in both impacted and comparison communities. Resettlement due to the project and migration background (i.e., moving into the area within the past five years) were generally associated with better health outcomes in 2015. We conclude that repeated cross-sectional surveys to monitor health in communities impacted by projects should become an integral part of HIA to deepen the understanding of changing patterns of health and support implementation of setting-specific public health measures.

Suggested Citation

  • Astrid M. Knoblauch & Mark J. Divall & Milka Owuor & Colleen Archer & Kennedy Nduna & Harrison Ng’uni & Gertrude Musunka & Anna Pascall & Jürg Utzinger & Mirko S. Winkler, 2017. "Monitoring of Selected Health Indicators in Children Living in a Copper Mine Development Area in Northwestern Zambia," IJERPH, MDPI, vol. 14(3), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:3:p:315-:d:93480
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    References listed on IDEAS

    as
    1. Corsi, Daniel J. & Mejía-Guevara, Iván & Subramanian, S.V., 2016. "Risk factors for chronic undernutrition among children in India: Estimating relative importance, population attributable risk and fractions," Social Science & Medicine, Elsevier, vol. 157(C), pages 165-185.
    2. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    3. Astrid M. Knoblauch & Mary H. Hodges & Mohamed S. Bah & Habib I. Kamara & Anita Kargbo & Jusufu Paye & Hamid Turay & Emmanuel D. Nyorkor & Mark J. Divall & Yaobi Zhang & Jürg Utzinger & Mirko S. Winkl, 2014. "Changing Patterns of Health in Communities Impacted by a Bioenergy Project in Northern Sierra Leone," IJERPH, MDPI, vol. 11(12), pages 1-20, December.
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    Citations

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    Cited by:

    1. Andrea Leuenberger & Olga Cambaco & Hyacinthe R. Zabré & Isaac Lyatuu & Jürg Utzinger & Khátia Munguambe & Sonja Merten & Mirko S. Winkler, 2021. "“It Is Like We Are Living in a Different World” : Health Inequity in Communities Surrounding Industrial Mining Sites in Burkina Faso, Mozambique, and Tanzania," IJERPH, MDPI, vol. 18(21), pages 1-22, October.
    2. Astrid M. Knoblauch & Andrea Farnham & Hyacinthe R. Zabré & Milka Owuor & Colleen Archer & Kennedy Nduna & Marcus Chisanga & Leonard Zulu & Gertrude Musunka & Jürg Utzinger & Mark J. Divall & Günther , 2020. "Community Health Impacts of the Trident Copper Mine Project in Northwestern Zambia: Results from Repeated Cross-Sectional Surveys," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
    3. Elisa M. Maffioli, 2023. "The local health impacts of natural resource booms," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 462-500, February.
    4. Meelan Thondoo & Daniel H. De Vries & David Rojas-Rueda & Yashila D. Ramkalam & Ersilia Verlinghieri & Joyeeta Gupta & Mark J. Nieuwenhuijsen, 2020. "Framework for Participatory Quantitative Health Impact Assessment in Low- and Middle-Income Countries," IJERPH, MDPI, vol. 17(20), pages 1-20, October.
    5. Dominik Dietler & Ruth Lewinski & Sophie Azevedo & Rebecca Engebretsen & Fritz Brugger & Jürg Utzinger & Mirko S. Winkler, 2020. "Inclusion of Health in Impact Assessment: A Review of Current Practice in Sub-Saharan Africa," IJERPH, MDPI, vol. 17(11), pages 1-20, June.

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