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Multicenter Study
. 2023 Dec 16;8(12):e012991.
doi: 10.1136/bmjgh-2023-012991.

Social determinants of health among people working on informal gold mines in French Guiana: a multicentre cross-sectional survey

Maylis Douine  1 , Yann Lambert  2 , Lorraine Plessis  2 , Irène Jimeno  2 , Muriel Galindo  2 , Teddy Bardon  2 , François-Michel Le Tourneau  3 , Perrine Molinié  2 , Alexandre Vié  2 , Antoine Adenis  2 , Mathieu Nacher  2 , Amanda Figueira da Silva  4 , Stephen Vreden  5 , Martha Cécilia Suarez-Mutis  6 , Alice Sanna  2
Affiliations
Multicenter Study

Social determinants of health among people working on informal gold mines in French Guiana: a multicentre cross-sectional survey

Maylis Douine et al. BMJ Glob Health. .

Abstract

Introduction: Social determinants of health, such as living and working conditions, economical and environmental context and access to care, combine to impact the health of individuals and communities. In French Guiana (FG), the persons working in informal artisanal and small-scale gold mining in the rainforest are a particularly vulnerable population which lives in precarious conditions and far from the health system. Previous studies have demonstrated their high morbidity due to infectious diseases. This study aims to describe the social determinants of health in this specific population.

Methods: This international multicentre cross-sectional survey included people working on the informal FG gold mines at the crossing points located at both borders with Suriname and Brazil. After collecting written informed consent, a structured questionnaire was administered.

Results: From September to December 2022, 539 gold miners were included. These poorly educated migrants, mainly from Brazil (99.1%) did not have access to drinkable water (95.4%), lived in close contact with wild fauna by hunting, eating bushmeat or being bitten and were exposed to mercury by inhalation (58.8%) or ingestion (80.5%). They report frequent accidents (13.5%) and chronic treatment interruptions (26.6% of the 11.9% reporting chronic treatment). Half of them considered themselves in good health (56.4%).

Conclusion: This study shows a singular combination of adverse exposures of gold miners working in FG such as zoonoses, heavy metal poisoning, aggression of wild fauna. For ethical as well as public health reasons, actions towards health equity must be considered at different levels: individual, community, environmental, systemic and global level. As end users of minerals, we must assume our responsibilities for the well-being of the extractors by including health in political decisions to engage together in global health.

Trial registration number: NCT05540470.

Keywords: cross-sectional survey; environmental health; infections, diseases, disorders, injuries; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Animal species hunted/butchered/cooked or eaten on gold mines in French Guiana (n=539).
Figure 2
Figure 2
Number of participants declaring having a chronic treatment and those who have followed this treatment in the past week (n=539).
Figure 3
Figure 3
The gold miner, his environment, his community and local populations in French Guiana: individual and collective health issues in 2022.
Figure 4
Figure 4
Health determinants of gold miners at individual, community, environmental, systemic and global level in French Guiana in 2022. STI, sexually transmitted infection.
See this image and copyright information in PMC

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References

    1. World Health Organization . Determinants of health. n.d. Available: https://www.who.int/news-room/questions-and-answers/item/determinants-of...
    1. Stuckler D, Steele S, Lurie M, et al. . Introduction: 'dying for gold': the effects of mineral Miningon HIV, tuberculosis, silicosis, and occupational diseases in Southern Africa. Int J Health Serv 2013;43:639–49. 10.2190/HS.43.4.c - DOI - PMC - PubMed
    1. Cossa H, Scheidegger R, Leuenberger A, et al. . Health studies in the context of Artisanal and small-scale mining: A Scoping review. Int J Environ Res Public Health 2021;18:1555. 10.3390/ijerph18041555 - DOI - PMC - PubMed
    1. Kyaw WT, Sakakibara M. Transdisciplinary communities of practice to resolve health problems in Southeast Asian Artisanal and small-scale gold mining communities. Int J Environ Res Public Health 2022;19:5422. 10.3390/ijerph19095422 - DOI - PMC - PubMed
    1. Basu N, Clarke E, Green A, et al. . Integrated assessment of artisanal and small-scale gold mining in Ghana--part 1: human health review. Int J Environ Res Public Health 2015;12:5143–76. 10.3390/ijerph120505143 - DOI - PMC - PubMed

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