Disarmament is the New War, Gold is the New Opium, and Ecohealth is the Historic Victim

Malaria in areas under mining activity in the Amazon: A review

Deforestation and high human mobility due to mining activities have been key to the increase in malaria cases in the Americas. Here, we review the epidemiological and control aspects of malaria in the Amazon mining areas. Epidemiological evidence shows: 1) a positive correlation between illegal mining activity and malaria incidence, mostly in the Amazon region; 2) most Brazilian miners are males aged 15-29 years who move between states and even countries; 3) miners do not fear the disease and rely on medical care, diagnosis, and medication when they become ill; 4) illegal mining has emerged as the most reported anthropogenic activity within indigenous lands and is identified as a major cause of malaria outbreaks among indigenous people in the Amazon; and 5) because mining is largely illegal, most areas are not covered by any healthcare facilities or activities, leading to little assistance in the diagnosis and treatment of malaria. Our review identified five strategies for reducing the malaria incidence in areas with mining activities: 1) reviewing legislation to control deforestation and mining expansion, particularly in indigenous lands; 2) strengthening malaria surveillance by expanding the network of community health agents to support rapid diagnosis and treatment; 3) reinforcing vector control strategies, such as the use of insecticide-treated nets; 4) integrating deforestation alerts into the national malaria control program; and 5) implementing multi-sectoral activities and providing prompt assistance to indigenous populations. With this roadmap, we can expect a decrease in malaria incidence in the Amazonian mining areas in the future.

A Review of Health Issues Related to Child Labor and Violence Within Artisanal and Small‐Scale Mining

This review examines health issues around human/social determinants of health within artisanal and small‐scale mining (ASM). The focus is on working children and violence. Within the area of violence, the collection of health risks is broad, ranging from self‐directed impacts such as suicide or neglect, to interpersonal impacts such as child or intimate partner abuse, and to collective violence such as trafficking, fighting for resources and ultimately war. Discussions on such impacts are less about accidents and illnesses and more about psychological issues. We review studies shedding light on health implications of ASM for children at sites in Suriname and Democratic Republic of Congo (DRC). These studies helped to dispel the perception that the long list of hazards and health risks commonly cited are present at every mining site. Although worker and community interviews provide useful information about accidents and other common ailments, they cannot replace formal medical screenings for serious health problems. There are likely health effects related to criminality and violence. Detailed interviews from Domaine Marial, DRC, with respect to violence to children and intimate women partners are sobering. Violence has also developed with takeovers by local gangs, domestic and transnational organized criminal groups, and insurgent and terrorist groups. Human health can be negatively impacted by worsened working conditions, collateral damage due to fighting among criminal groups and violence more generally, loss of employment or displacement. The negative impacts of ASM can be reduced through policy interventions based on an understanding of what is happening in various countries.

Artisanal and small‐scale mining (ASM) is a critically important enterprise with potential to alleviate poverty especially in Africa

Current narratives around health and ASM are based on generalized perceptions that are maintained by deficits in real medical information

Violence associated with ASM is pervasive and widespread, creating a spectrum of health impacts involving miners and their communities

A Review of the Scope of Artisanal and Small-Scale Mining Worldwide, Poverty, and the Associated Health Impacts

Some of the poorest people in the world's poorest countries eke out a living in artisanal and small-scale mining (ASM). Equipped with primitive tools like picks, shovels, buckets, and gold pans, they work mining valuable resources, like gold, diamonds, tin, lithium, rare earth elements, tantalum, and cobalt, and any other usable commodity, for example, sand, coal, or mica. The mining and refining processes are labor intensive and associated with a variety of health problems due to accidents, overheating, overexertion, dust inhalation, exposure to toxic chemicals and gases, violence, and illicit and prescription drug and alcohol addiction. Evident disadvantages with ASM are counterbalanced by the immense economic benefits. For many, the true scope and scale of ASM activities are unappreciated, along with the unknown health and societal impacts. Here, we set out to elucidate the scope of ASM beyond the recovery of familiar commodities, such as gold and diamonds. We adopt a holistic perspective toward health impacts of ASM, which includes unique occupational, environmental, and human/social drivers. A particular focus is poverty as a health risk with artisanal miners. They are commonly poverty-stricken people in poor countries, ensnared by a variety of poverty traps, which take a toll on the health and well-being of individuals and communities. ASM sometimes provides an opportunity to diversify income in the face of a decline in subsistence agriculture. However, ASM often trades one kind of generational poverty for another, coming along with serious health risks and turmoil associated with work in an informal "cash-rich" business.

Spatial fine-resolution model of malaria risk for the Colombian Pacific region

OBJECTIVE

To categorise and map, at high resolution, the risk of malaria incidence in the Pacific region, the main malaria-endemic region of Colombia.

METHODS

The relationship between the environmental variables Normalized Difference Vegetation Index Normalized Difference Water Index, Topographic Wetness Index, precipitation and temperature with the observed Annual Parasitic Index was evaluated using a generalised linear model. An incidence risk map at a resolution of 1 km² was constructed and projected to the entire endemic region. Associations of malaria risk categories with both presence records and co-occurrence of the three main malaria vectors were determined.

RESULTS

A significant correlation was found for the incidence of malaria with precipitation and Normalized Difference Vegetation Index (R²  = 0.98, P < 0.05), whereas there was no significant correlation with the remaining environmental and topographic variables. Moderate- to high-risk areas were located mainly in central Chocó Department along the San Juan and Atrato rivers and in areas west of the Cauca River and Pacific lowlands of the Andes Mountains. There was a statistically significant relationship for the presence of the two main vectors Anopheles darlingi and Anopheles nuneztovari with the high malaria risk category. Furthermore, malaria risk was directly proportional to the number of co-occurring vector species.

CONCLUSIONS

The map obtained provides useful information on the risk of malaria in particular places of the Colombian Pacific region. The data can be used by public entities to optimise the allocation of economic resources for vector control interventions and surveillance.

Malaria in Gold Miners in the Guianas and the Amazon: Current Knowledge and Challenges

Purpose of Review

Following Paraguay and Argentina, several countries from the Amazon region aim to eliminate malaria. To achieve this, all key affected and vulnerable populations by malaria, including people working on gold mining sites, must be considered. What is the situation of malaria in these particular settings and what are the challenges? This literature review aims to compile knowledge to answer these questions.

Recent Findings

The contexts in which gold miners operate are very heterogeneous: size and localization of mines, links with crime, administrative status of the mines and of the miners, mobility of the workers or national regulations. The number of malaria cases has been correlated with deforestation (Brazil, Colombia), gold production (Colombia), gold prices (Guyana), or location of the mining region (Peru, Colombia, Venezuela, Guyana). The burden of malaria in gold mines differs between territories: significant in Guyana, French Guiana, or Venezuela; lower in Brazil. Although Plasmodiumvivax causes 75% of malaria cases in the Americas, P. falciparum is predominant in several gold mining regions, especially in the Guiana Shield. Because of the remoteness from health facilities, self-medication with under-the-counter antimalarials is frequent. This constitutes a significant risk for the emergence of new P. falciparum parasites resistant to antimalarial drugs.

Summary

Because of the workers’ mobility, addressing malaria transmission in gold mines is essential, not only for miners, but also to prevent the (re-)emergence of malaria. Strategies among these populations should be tailored to the context because of the heterogeneity of situations in different territories. The transnational environment favoring malaria transmission also requires transborder and regional cooperation, where innovative solutions should be considered and evaluated.