Rehabilitation of silicosis victims of district Karauli, Rajasthan, India.

Background: This study was carried out to assess the reach of medico-social and economic programs to the silicosis victims in Karauli. The district is infamous for large-scale unregulated sandstone mining, a pulmonary hazard, causing silicosis, a debilitating occupational disease compensable under I...

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Published in:Indian Journal of Community Medicine Vol. 44; no. 4; pp. 347 - 352
Main Author: Mohammad, Shamim
Format: pictorial research tables/charts Journal Article
Published: Wolters Kluwer India Pvt Ltd Oct2019
Online Access:View this record in EBSCOhost
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      dt: Oct2019
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Rehabilitation of silicosis victims of district Karauli, Rajasthan, India.
      aug:
        au: Mohammad, Shamim
        affil: Department of Health Education and Health Promotion, Faculty of Public Health and Health Informatics, Umm Al Qura University, Makkah
      sug:
        subj:
          Pneumoconiosis Rehabilitation
          Victims
          Human
          India
          Interviews
          Mining
          Home Environment
          Public Assistance
          Tuberculosis Therapy
          Tuberculosis Diagnosis
          Pneumoconiosis Diagnosis
          Pneumoconiosis Therapy
          Diagnostic Errors
          Treatment Errors
          Help Seeking Behavior
      ab: Background: This study was carried out to assess the reach of medico-social and economic programs to the silicosis victims in Karauli. The district is infamous for large-scale unregulated sandstone mining, a pulmonary hazard, causing silicosis, a debilitating occupational disease compensable under Indian laws. Methodology: A sample of 250 silicosis cases from 38 villages were randomly recruited and interviewed from four different sites. Results: The study reports that 99% of sandstone miners came from marginalized poor communities, had large families, and lived in mud houses. Victims' linkage to their entitlements and welfare programs was poor (51%). Victims (43%) continue to work as casual laborers including in mining sector due to economic compulsions. Greater than 68% of the laborers were wrongly treated for tuberculosis (TB) prior to their diagnosis, >50% go out of the state or cities for better treatment, and 60% of cases had not received their compensation from the government. Among those who received compensation, only 4% spent money for productive purposes and 44% victims were not in a position to work due to health difficulties. Conclusions: Silicosis has affected the poorest of the poor; victims are wrongly diagnosed and treated for TB. The district is not equipped to deal with the health problems of the victims, forcing them to seek treatment in other states and cities. In conclusion, the impact of rehabilitation programs in the district is ineffective and inadequate and has limited reach. Findings of the study will have far-reaching implications for informed policymaking on the rehabilitation of silicosis victims in the state.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
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    language: English
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