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Mine Health and Safety Act, 1996 (Act No. 29 of 1996)

Notices

Guidance Note for a Management and Control Programme for Tuberculosis in the South African Mining Industry

Part A : The Guideline

4. Definitions and acronyms

 

"AIDS"

means Acquired Immunodeficiency Syndrome.

 

"AMR"

means Annual Medical Report.

 

"ART"

means Antiretroviral Therapy.

 

"Case of tuberculosis"

means either a definite case (as defined below) or a patient that has been diagnosed with TB by a health worker based on clinical picture, x-rays or other tests, and who has started on a full course of TB treatment.

 

"Close contact"

means a person who shared the same enclosed living or working space for at least eight continuous hours with the index case during the 3 months before commencement of the current treatment episode.

 

"COIDA"

means Compensation for Occupational Injuries and Disease Act, Act No. 130 of 1993.

 

"Contact"

means a person who has been sharing the same environment with a person who has confirmed infectious TB disease (index case).

 

"DMR"

means Department of Mineral Resources.

 

"DST"

means Drug Susceptibility Testing.

 

"Health worker"

means all people primarily engaged to enhance health by providing preventative, curative, promotional or rehabilitative health care services.

 

"HIV"

means Human Immunodeficiency Virus.

 

"MBOD"

means Medical Bureau for Occupational Diseases.

 

"MDR-TB"

means Multidrug-Resistant Tuberculosis, which has the following categories:

(a) "New case of MDR-TB" means a patient who has received no anti tuberculosis treatment for TB, MDR—TB or Extensively Drug Resistant Tuberculosis (XDR-TB) or received less than 4 weeks anti-TB drugs.
(b) "Previously treated with first-line drugs only" means a patient who has been treated for 4 weeks or more with first line drugs.

 

"MHSA"

means Mine Health and Safety Act, 1996 (Act 29 of 1996) as amended.

 

"MHSC"

means Mine Health and Safety Council.

 

"NAT"

means Nuclear Amplification Test.

 

"New case of TB"

means in cases of TB, other than MDR-TB, a patient who has never had treatment for TB or who has taken anti-tuberculosis drugs for less than 4 weeks and possibly having smear positive/ negative PTB or Extra Pulmonary TB (EPTB);

 

"NDOH"

means National Department of Health.

 

"NIOH"

means National Institute for Occupational Health.

 

"NTBMG"

means National Tuberculosis Management Guideline issued by NDOH.

 

"ODMWA"

means Occupational Diseases in Mines and Works Act, Act No.78 of 1973 (as amended).

 

"PTB"

means Pulmonary TB.

 

"Relapse"

means a pulmonary TB patient who received treatment and was declared cured or treatment completed at the end of the treatment period and has now developed sputum smear or culture positive pulmonary TB again.

 

"TB"

means tuberculosis.

 

NOTE: Patients who remain smear/culture positive at the end of the second or subsequent treatment period are no longer defined as chronic they should be classified by the outcome of their most recent treatment course i.e. failed, defaulted or relapsed.