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Project REBIRTH
 YGHCC Team #13

 Cynthia Chan        Bernice Qi
 Tammie Kwong        Sisi Wang
 Joshua Lyons

 November 10, 2012

                                  Confidential Presentation
Introduction
                                                                                                   Final Presentation


                                              Introduction
                                Business      Human         Health      Timeline &
 Introduction      R&D                                                                Conclusion   Appendix
                                 Policy       Rights       Education      Budget



 Our goals:
        Provide the South African government with a set of innovative, effective, and feasible
         recommendations for reforming and developing the mining industry

        Understand the demands of competing stakeholders, including:

          – Government

          – Private sector

          – Mine employees

          – Non-governmental organizations

 Client goals:
        Appropriately respond to recent crisis in the mining sector

        Implement reforms designed to promote long-term business growth

        Strive to improve the health, freedom, and economic security of South Africa’s citizens
Executive Summary
                                                                                      Final Presentation


                                    Key Problem Areas
                         Business      Human     Health     Timeline &
 Introduction   R&D                                                      Conclusion   Appendix
                          Policy       Rights   Education     Budget




        Inadequate protection of human rights



        High rates of Disease



        Insufficient economic incentives



        Weak support for education and research
Executive Summary
                                                                                            Final Presentation


                             Key Recommendations: REBIRTH
                               Business      Human     Health     Timeline &
     Introduction   R&D                                                        Conclusion   Appendix
                                Policy       Rights   Education     Budget




 Revitalizing Education & Business, Improving Rights, Targeting Health

1.     Research & Development – Bernice Qi

2.     Business Policies – Joshua Lyons

3.     Human Rights – Cynthia Chan

4.     Health Education – Sisi Wang & Tammie Kwong
Revitalizing              Improving   Targeting
               Business
Education                   Rights     Health
Research & Development
                                                                                    Final Presentation


                                  Current Challenges
                       Business      Human     Health     Timeline &
 Introduction   R&D                                                    Conclusion   Appendix
                        Policy       Rights   Education     Budget




 Low productivity due to:
        Lack of innovative techniques for efficient mining
        Lack of skilled workers and researchers
 Health and safety hazards
 Competition with other countries
Research and Development
                                                                                 Final Presentation


                  Benefits from Improved Research Capacity
                       Business   Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                        Policy    Rights   Education     Budget




 Increased productivity
        Better technology: discovery of new mines
        More skilled practitioners
 Expansion of manufacturing sector
 Improved strategies to ensure safety and health for mine
  workers
Research & Development
                                                                                          Final Presentation


                                    Proposed Solution
                         Business      Human         Health     Timeline &
 Introduction   R&D                                                          Conclusion   Appendix
                          Policy       Rights       Education     Budget




                                                Increase funding
                                                for research and
                                                  education in
                                                      mining




                                Expand
                                                                    Attract more
                               education
                                                                    researchers
                               programs




                                                                      Increase
                                         Postgraduate:
                 Undergraduate                                     research funds
                                        research grants
                                                                    and contracts
Research & Development
                                                                                      Final Presentation


                                       Beneficiaries
                            Business   Human     Health     Timeline &
 Introduction    R&D                                                     Conclusion   Appendix
                             Policy    Rights   Education     Budget




 Research institutions and programs

        The Council for Scientific and Industrial Research (CSIR) Natural Resource
         and Environment

          – CoalTech, PlatMine

        Mine Health and Safety Council

        The Mining Industry Growth Development and Employment Task Team
         (MIGDETT)

 Educational institutes

        University of the Witwatersrand

        University of Pretoria
Revitalizing              Improving   Targeting
               Business
Education                   Rights     Health
Business Policy
                                                                                Final Presentation


                                  Key Areas
                      Business   Human     Health     Timeline &
 Introduction   R&D                                                Conclusion   Appendix
                       Policy    Rights   Education     Budget




 Wage growth
 Employment growth
 Investment growth
Business Policy
                                                                                             Final Presentation


                                         Wage Growth
                             Business     Human       Health     Timeline &
 Introduction    R&D                                                          Conclusion     Appendix
                              Policy      Rights     Education     Budget



 Policy recommendation:

        For each $1 year-on-year increase in average miner wage above the increase in
         South Africa’s CPI, offer a $0.18 tax credit against mineral royalties per worker
         employed (restricted to citizens of South Africa)

 Effects:

        Stimulate wage growth beyond rate of inflation

        Flexible and non-disruptive policy to improve wages (alternative to minimum
         wage)
Business Policy
                                                                                            Final Presentation


                                          Employment Growth
                               Business      Human     Health     Timeline &
 Introduction       R&D                                                        Conclusion   Appendix
                                Policy       Rights   Education     Budget



 Policy recommendations:

        Offer an employee retention credit: $500 for miners each year that have been
         retained as employees for at least one year (restricted to citizens of South Africa)

        Develop the rare earth mineral sector:

          – Offer a 5-year waver of royalties on rare earth mineral investment projects
                that commit to minimum cleanup and human rights standards

          – Offer a new hire credit: $500 for new miners hired and retained for at least 3
                months

          – Offer an employee retention credit: $500 for miners each year that have been
                retained as employees for at least one year
Business Policy
                                                                                                                                                                                       Final Presentation


                                                                              Employment Growth
                                                               Business                    Human                     Health                    Timeline &
      Introduction                    R&D                                                                                                                                 Conclusion   Appendix
                                                                Policy                     Rights                   Education                    Budget



     Effects:

                 Induce new miner hiring within existing industries (estimated 10,000)1

                 Create approximately 1,000 to 2,000 new jobs in the rare earth mineral sector2

                 Promote fair treatment and continued employment of miners by incentivizing longer-
                  term work arrangements (at least one year)




1 Calculated based on a similar hiring credit employed in the U.S. (approximately same value/per capita GDP, yielded 2% employment growth)
2 Extrapolating from the Steenkampskraal project, estimated to create 100 jobs, to additional possible investment projects, and job growth due to processing/export business
3 Based on the turnover rate at AngloGold Ashanti in 2011
4,5 Calculated by multiplying credit value by projected job creation
Business Policy
                                                                                             Final Presentation


                                          Investment Growth
                               Business      Human     Health      Timeline &
 Introduction       R&D                                                         Conclusion   Appendix
                                Policy       Rights   Education      Budget



 Policy recommendations:

        Adjust royalty policy to bias towards extraction of locally-refined minerals

          – Refined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 12.5)] x 100

          – Unrefined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 9)] x 100

          – We suggest changing the divisor multiples from 12.5 and 9 to 13.5 and 7

        Adjust royalty collection formula to use EBT as a measure of profitability instead of
         EBIT

          – EBIT artificially raises the measure of profitability and raises the royalty rate for
                those companies which invest in new production (by ignoring interest payments)
Business Policy
                                                                                                                                                                          Final Presentation


                                                                                  Investment Growth
                                                                 Business                    Human                    Health                    Timeline &
         Introduction                   R&D                                                                                                                  Conclusion   Appendix
                                                                  Policy                     Rights                  Education                    Budget



     Effects:

                   Increase prevalence of mineral extraction that favors creation of refinement
                    and processing jobs

                   Improve fairness of royalty collection by eliminating the investment penalty

                   Encourage investment by including interest payments in profitability
                    calculation




1   South African mineral industry, analyst research
2   Based on proxy measurement for firms in the mining sector, calculated by finding average interest expense, determining impact on average royalty rate
Revitalizing              Improving   Targeting
               Business
Education                   Rights     Health
Human Rights Policy
                                                                                      Final Presentation


                 Right to Life and Compensation - Current Challenges
                           Business   Human      Health     Timeline &
  Introduction     R&D                                                   Conclusion   Appendix
                            Policy    Rights    Education     Budget




 1. Right to Life                              2. Right to Compensation
         Unsafe working                            The two main existing
          conditions  lower                         statutes complicate the
          health and productivity,                   application process 
          increase in death and                      unrreliable
          injury rate (e.g., 277
          mining deaths 2008-
          2009)

(these challenges  frustrated workers  violence and strikes)
Human Rights Policy
                                                                                    Final Presentation


                                    1. Right to Life
                         Business    Human     Health     Timeline &
 Introduction   R&D                                                    Conclusion   Appendix
                          Policy     Rights   Education     Budget



 Background
        Existing Millionaire's Award awards one million fatality-free shifts
        Exchange rate: 1 USD = 8.7 South African Rand
 Goal
        Increase incentive for longer term workplace safety
 Method: Millionaire’s Club (MC)
        Increasing rewards for consecutive achievements
        Publicize the members list
        Award immediate towns $50k for public projects
        Use saved funds for new team, development, and publicity
Human Rights Policy
                                                                                Final Presentation


                          2. Right to Compensation
                      Business   Human     Health     Timeline &
 Introduction   R&D                                                Conclusion   Appendix
                       Policy    Rights   Education     Budget




 Background
        ODMWA under DOH; COIDA under DOL
 Goals
        Maximize efficiency and funds
        Minimize waste, overhead, overlap
 Method: Consolidate
        Equalize compensation ranges
        Increase employer contribution for funding
Revitalizing              Improving   Targeting
               Business
Education                   Rights     Health
Health Education
                                                                                                      Final Presentation


                                          Current Challenges
                               Business      Human     Health           Timeline &
 Introduction     R&D                                                                    Conclusion   Appendix
                                Policy       Rights   Education           Budget



HIV                                                     TB
 •    Rates of HIV infection among miners                •        Crowded living conditions
      range from 22 to 30%
                                                         •        Exposure to silica dust
 •    Low status of women
                                                         •        Put families at risk
 •    Low levels of condom use
                                                         •        Lack of access to basic health and
 •    Low levels of male circumcision                             social services

 •    Multiple sexual relationships                      •        Lack of surveillance and post-
                                                                  employment follow-up
 •    High mobility and worker migration

 •    People living with HIV are 20-30
      times more likely to develop TB
Health Education
                                                                                            Final Presentation


                                  Peer Education Program
                             Business      Human       Health     Timeline &
 Introduction     R&D                                                          Conclusion   Appendix
                              Policy       Rights     Education     Budget



Who?
 •   Motivated sex workers and miners

How many?
 •   A ratio of 1:20

What approaches?
 •   ICE Approach: Information, Counselling and Education

What are the impacts?
 •   Reduce mortality, morbidity and health costs

 •   Set example for future HIV/TB programs

 •   Generate research hypothesis and values
Health Education
                                                                                                Final Presentation


                                       3 Pillar Strategy
                          Business        Human         Health      Timeline &
 Introduction     R&D                                                             Conclusion    Appendix
                           Policy         Rights       Education      Budget



                        Peer Information              Peer Education             Peer Counselling

Target Population       Disease-free                  High-risk                  Diseased

Objectives              Awareness, information,       Self-esteem, behavior-     Coping skills, psycho-
                        and attitude to change        change communication,      social support, problem-
                                                      and prevention skills      solving, and referral to
                                                                                 clinicians for treatment


Confidentiality         None                          Important                  Essential

Example of activities   Material distribution (i.e.   Repeated structured        Clinic-based counselling
                        Condom)                       workshops
Health Education
                                                                                  Final Presentation


                                 Group Assignment
                      Business     Human     Health     Timeline &
 Introduction   R&D                                                  Conclusion   Appendix
                       Policy      Rights   Education     Budget
Budget
                                                                                                                   Final Presentation


                                                           Budget
                                     Business          Human          Health         Timeline &
   Introduction       R&D                                                                         Conclusion       Appendix
                                      Policy           Rights        Education         Budget



                                2012-2014           2014-2016       2016-2018        2018-2020        2020-2022

Research and
Development
Research                    $1.4 billion        $1.4 billion    $1,4 billion     $1.4 billion     $1.4 billion

Business Policy
Employment Policy           $230 million        $230 million    $230 million     $230 million     $230 million
Investment Policy           $40 million         $40 million     $40 million      $40 million      $40 million

Human Rights
Millionaire’s Club          -                   -               -                -                -
Mining Project Fund

Health Education
Training & Supplies         $140 million        $120 million    $90 million      $90 million      $80 million
Screening                   $350 million        $275 million    $275 million     $225 million     $200 million
Incentives & other          $3 million          $3 million      $3 million       $3 million       $3 million

Total Costs:                $2.163 billion      $2.068          $2.038           $1.9678          $1.953 billion      $10.19
                                                billion         billion          billion                              Billion
Limitations
                                                                                       Final Presentation


                                        Limitations
                             Business   Human     Health     Timeline &
 Introduction       R&D                                                   Conclusion   Appendix
                              Policy    Rights   Education     Budget




   Lack of cross-border referral system for foreign mine workers

   Financial and time constraints:

               Limited capability to address treatment-related issues

               Impact of expanded education system not immediately
                observable
Conclusion
                                                                                Final Presentation


                                 Conclusion
                      Business   Human     Health     Timeline &
 Introduction   R&D                                                Conclusion   Appendix
                       Policy    Rights   Education     Budget




 Through Revitalizing Education and Business,
         Improving Rights, and Targeting Health,
 REBIRTH will be able to promote safety, increase
 accountability, spread healthy practices, promote
          economic growth and improve the general
                 condition and caliber of mining.
Thank you!
                                                                                Final Presentation


                                 Thank you!
                      Business   Human     Health     Timeline &
 Introduction   R&D                                                Conclusion   Appendix
                       Policy    Rights   Education     Budget




                      Questions?
Appendix: Table of Contents
                                                                                         Final Presentation


                                        Supporting data
                             Business     Human     Health     Timeline &
  Introduction   R&D                                                        Conclusion   Appendix
                              Policy      Rights   Education     Budget



 A: South African Mineral Resource                   P: HIV Financial Burden
B: Lifetime of Selected Minerals                     Q: Condom Use
C. Fatality Data on South African Mines              R: Timeline- Pillar 1 Peer Information
D: R & D Expenditures                                S: Timeline- Pillar 2 Peer Education
E: Number of Students in Mining                      T: Timeline- Pillar 3 Peer Counseling
F: Facts on Research and Development                 U: Impact of HIV
G: Safety in Mines (1-2)                             V: TB Education Curriculum
H: Main Contributors of Fatalities                   W: HIV Education Curriculum
I: Mine Health and Safety Council Award ‘00          X: TB-HIB Co-Infection
J: Mine Health and Safety Council Award ‘09          Y: Recruitment Process
K: Mine Health and Safety Council Award ‘10          Z: Incentives
L: Mine Safety Achievements                          AA: Status of Women in South Africa
M: Compensation                                      BB: Male Circumcision
N: Demographics of Miners                            CC: Silicosis
O: TB Financial Burden                               DD: Projected Health Education Program Costs
                                                     EE: Economic Data
                                                     FF: Human Rights Policy Timeline
                                                     GG: References (1-3)
Appendix A: South African Mineral Resource
                                                                                               Final Presentation


                                        Supporting data
                             Business      Human        Health      Timeline &
  Introduction   R&D                                                             Conclusion    Appendix
                              Policy       Rights      Education      Budget




Major South African mineral resources and production as a percentage of global resources and production.
The commodities are ranked by share of global known mineral resource (Chamber of Mines, 2009).
Appendix B: Lifetime of Selected Minerals
                                                                                          Final Presentation


                                       Supporting data
                            Business     Human       Health     Timeline &
  Introduction   R&D                                                         Conclusion   Appendix
                             Policy      Rights     Education     Budget




The lifetime of selected South African mineral resources based on 2008 production figures and
resource estimates (data from Chamber of Mines, 2009).
Appendix C: Fatality Data
                                                                                            Final Presentation


                                       Supporting data
                            Business     Human        Health      Timeline &
  Introduction   R&D                                                           Conclusion   Appendix
                             Policy      Rights      Education      Budget




The recent fatality record on South African mines compared to the 2003 summit target rate. (Vogt el
al., 2011)
Appendix D: R & D Expenditures
                                                                                    Final Presentation


                                  Supporting data
                       Business    Human     Health      Timeline &
  Introduction   R&D                                                  Conclusion    Appendix
                        Policy     Rights   Education      Budget




                                            South
Parameters                                              Australia Canada           Brazil
                                            Africa
Population (million)                         48.2         20.5         32.6         19.7
GDP (US$ billion)                            255          780          1426         1366
GDP/capita (US$)                            10401        31794        33375        10200
R&D spend (US$ billion)                       4           11.4         28.1          14
Expenditure on R&D as % of GDP               0.9          1.8           2            1.1
Full-time equivalent (FTE) R&D personnel
                                             377         4053         3922         696
per million inhabitants



Source: World Bank
Appendix E: Number of Students in Mining
                                                                                              Final Presentation


                                         Supporting data
                             Business      Human        Health      Timeline &
  Introduction   R&D                                                             Conclusion   Appendix
                              Policy       Rights      Education      Budget




                                    University of the                  University of
                                    Witwatersrand                      Pretoria
Undergraduate                       360*                               210*
Coursework                          290                                17
Postgraduate
Research                            38                                 6
Postgraduate

*50-60% can graduate with a degree and out of the graduates, 15% remain in the employ of mining
companies as long-term career.
Appendix F: Facts on Research & Development
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget




 • Funding from Mine Health and Safety Council: $8 million in
 1996 vs $2 million in 2010
 • 500 mining engineers currently with an estimated shortage of
 15%
 • Number of students need to be trained = 1.5 X number of
 engineers required
 • It requires 15 years to train a student from undergraduate level
 to reach substantive managerial capacity
 • Mining researchers: 800 in 1980s versus < 80 now
Appendix G: Safety in Mines (1)
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix G: Safety in Mines (2)
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix H: Main Contributors of Fatalities
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix I: Mine Health and Safety Council Award ‘00
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix J: Mine Health and Safety Council Award ‘09
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix K: Mine Health and Safety Council Award ‘10
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix L: Mine Safety Achievements
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget



8 Million Fatality Free Shifts: Modikwa Platinum Mine
4 Million Fatality Free Shifts: Impala Platinum 1 Shaft and 7A Shaft
2 Million Fatality Free Shifts: Impala Platinum 12# Mine, Marula Platinum
Mine, Karee Platinum Mine, Western Platinum Mine, Grootegeluk Colliery
12 Million FOG Fatality Free Shifts: Rowland Mine
1 Million Fatality Free Shifts: Cullinan Diamond Mine, Assmang
Manganese Mine, Doornkop Gold Mine, Barberton Gold Mines, Tao Tona
Gold Mine, Blyvooruitzicht Gold Mine, Impale Platinum 7, 16, 17, 20 Shafts,
Bafokeng Rasimone Platinum Mine, Bokoni Platinum Mine
12 Thousand Fatality Free Shifts: Tselentis Colliery, Forzando Colliery
North
9 Thousand Fatality Free Shifts: Graspan Colliery
8 Thousand Fatality Free Shifts: Sedibeng Diamonds
Appendix M: Compensation
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix N: Demographics of Miners
                                                                                        Final Presentation


                                     Supporting data
                          Business    Human     Health     Timeline &
  Introduction      R&D                                                  Conclusion     Appendix
                           Policy     Rights   Education     Budget



To date, most mine
workers are in between
the ages of 15-48




                                                            To date, the average age of
                                                                 sex workers is 25-30
                                                                 years old
Appendix O: TB Financial Burden
                                                                                                     Final Presentation


                                          Supporting data
                               Business      Human         Health         Timeline &
  Introduction    R&D                                                                  Conclusion    Appendix
                                Policy       Rights       Education         Budget


 Annual Financial Burden of TB

     -Annual cost of the TB epidemic in the South African mining sector                       $886 million
     -Annual cost of implementing best- practice interventions                                $570 million
     -Annual savings as a result of implementing best-practice interventions                  $316 million
     -Annual productivity increase from implementing interventions                            $467 million
                                                                  Total annual benefit:
                                                                                              $783million
Appendix P: HIV Financial Burden
                                                                                                        Final Presentation


                                            Supporting data
                                Business       Human         Health         Timeline &
    Introduction   R&D                                                                     Conclusion   Appendix
                                 Policy        Rights       Education         Budget



                                                                        Financial Burden (2010 USD)

                                                                        Total cost (millions)                         $282

                                                                        Total annual cost (millions)                   $14

                                                                        Mean annual cost per                    $11,792
                                                                           HIV-positive employee




Impact of HIV/AIDS on Mining
- 20% of coal miners and 30% of gold miners are HIV+ (these prevalence rates are 16% higher than base
     population)
-    Total productivity loss of 20%
-    Attacks 25-45 year olds who subsidize benefits of retirees
-    Savings used to treat illness, reducing retirement of benefits
Appendix Q: Condom use
                                                                                                          Final Presentation


                                            Supporting data
                                 Business      Human         Health       Timeline &
     Introduction   R&D                                                                   Conclusion       Appendix
                                  Policy       Rights       Education       Budget



     Condom use and relationship characteristics with most recent partner in past 12 months (in 2001)
      and individual characteristics (in 1999) by sex, Black South African Transitions sample

    Condom Use in 2001                      Overall           Male                Female               P-value
    % Did not use condom at last sex        40.6%             33.6%               47.1%                0.002

    Condom Use Consistency

                               % Always     42.5%             55.1%               30.9%

                           % Intermittent   34.9%             26.0%               43.2%                <0.001

                                % Never     22.5%             18.9%               25.9%                <0.001

    % Somewhat/ Not confident in            54.7%             36.9%               71.1%                <0.001
    Knowledge of Condom Use
    % Believe Using condoms Means           32.7%             32.2%               33.2%                <0.803
    Not Trusting Partner
Appendix R: Timeline - Pillar 1 Peer Information
                                                                                                          Final Presentation


                                            Supporting data
                               Business       Human            Health         Timeline &
   Introduction   R&D                                                                       Conclusion     Appendix
                                Policy        Rights          Education         Budget



Priority Reform                         Goals                                   Monitorable Outcomes
      Area                            (Year 1-10)

Provide awareness,   Risk reduction, including condom                     Increased condom-use
information, and     distribution
attitude to change
                     Identify current high risk populations               Formation of disease-free, but at risk
                                                                          clusters
                     Develop peer health support groups for
                     both sex workers and miners

                     Train health workers

                     Incorporate annual screening into                    Increase detection rate
                     workplace

                     Reduce stigma and discrimination of
                     people living with and affeced by HIV and            Heightened acceptance of peer health
                     key populations                                      education programs
Appendix S: Timeline - Pillar 2 Peer Education
                                                                                                     Final Presentation


                                            Supporting data
                              Business        Human        Health       Timeline &
  Introduction   R&D                                                                  Conclusion      Appendix
                               Policy         Rights      Education       Budget




Priority Reform                            Goals                            Monitorable Outcomes
      Area                               (Year 2-8)
Provide information   Establish supportive environments and           Greater sense of wellness and
on self- esteem,      promote sense of community within mining        connection within community
behavior-change       communities and sex workers respectively
communication
and prevention        Further reducing vulnerability and
skills                expanding choices regarding health              Continued increase in condom use,
                                                                      along with greater awareness to health
                                                                      options
                      Create and maintain a new pool of health
                      educators to ensure sustainability of peer      Increased participation of local miners
                      health education program                        and sex workers
Appendix T: Timeline - Pillar 3 Peer Counseling
                                                                                                     Final Presentation


                                             Supporting data
                    Human         Health       Business                   Timeline &
    Introduction                                              R&D                      Conclusion    Appendix
                    Rights       Education      Policy                      Budget




Priority Reform                            Goals                              Monitorable Outcomes
      Area                               (Year 1-10)
Provide coping          Identify diseased individuals and reduce       Higher rates of treatment of HIV and
skills, psycho-social   personal stigma on illness                     awareness of health options
support, problem-
solving and referral    Alleviate anxiety and stress associated with
to clinicians for
treatment               Educate early stages of TB and HIV cases       Lower rates of MDR-TB with effective
                        with treatment options                         primary intervention

                        Refer all TB and HIV cases to NGO's for
                        treatment
Appendix U: Impact of HIV
                                                                                 Final Presentation


                                     Supporting data
                Human     Health      Business         Timeline &
 Introduction                                    R&D                Conclusion   Appendix
                Rights   Education     Policy            Budget
Appendix V: TB Education Curriculum
                                                                                                     Final Presentation


                                          Supporting data
                               Business      Human         Health       Timeline &
  Introduction    R&D                                                                   Conclusion   Appendix
                                Policy       Rights       Education       Budget



Part 1
- Identifying what TB, symptoms, and treatment plans
- Transmission of TB
- Prevention of TB Transmission
- STIs and TB, specifically relationship between HIV+ and TB
- How to assess personal risk and formulate behavior change plans;
Part 2
- TB testing facilities and processes
- The rights of infected and affected employees (including rights to confidentiality)
- How to treat a co-worker with TB
- Treatment, care and support for infected employees
- Infection control in the workplace
Part 3
- TB, as part of broad-based wellness programs
- The workplace TB policy and current programs
- Non-discrimination and equality (in terms of benefits etc)
- Referral sources and services
Appendix W: HIV Education Curriculum
                                                                                                     Final Presentation


                                          Supporting data
                               Business      Human         Health       Timeline &
  Introduction    R&D                                                                   Conclusion   Appendix
                                Policy       Rights       Education       Budget



Part 1
- Transmission of HIV
- Prevention of HIV Transmission
- STIs and TB
- How to assess personal risk and formulate behavior change plans;
- Safer sex and condom use
Part 2
- HIV testing facilities and processes
- The rights of infected and affected employees (including rights to confidentiality)
- How to treat a co-worker with HIV/AIDS
- Treatment, care and support for infected employees
- Infection control in the workplace
Part 3
- HIV/AIDS, as part of broad-based wellness programes
- The workplace HIV/AIDS policy and current programes
- Non-discrimination and equality (in terms of benefits etc)
- Referral sources and services
Appendix X: TB- HIV Co-Infection
                                                                                                   Final Presentation


                                         Supporting data
                             Business       Human         Health      Timeline &
 Introduction   R&D                                                                 Conclusion     Appendix
                              Policy        Rights       Education      Budget




   Most cases of TB in HIV-Positive patients are not caused by drug-resistant strain of TB (this
   means that early detection and prompt treatment with 'first line' antibiotics)
Appendix Y: Recruitment Process
                                                                                          Final Presentation


                                          Supporting data
                               Business    Human     Health     Timeline &
 Introduction        R&D                                                     Conclusion   Appendix
                                Policy     Rights   Education     Budget



 •   Identify selection criteria
       o        Educational background, experience, commitment, communication skill,
                willingness to learn, leadership qualities
 •   Pre-selection workshop
       o        Provide general information about programme, information on training
                process, roles and responsibilities, and time commitment required
 •   Written contracts
       o        With statement on minimum time commitment, roles and responsibilities
       o        Sign by staff of NGOs, peer educators, and workplace manager
 •   Establish feedback mechanism
 •   Determine incentives
Appendix Z: Incentives
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget



Professional incentives: locally-agreed accreditation system, with
  opportunities for increasing involvement and responsibility offered
  -e.g. peer educators can develop to become peer trainers


Social incentives: friendship and team building
  -e.g. provision of social and recreational opportunities; linkages
  established with other similar organizations for experience exchange
  (and travel) opportunities.
Appendix AA: The Status of Women in South Africa
                                                                                  Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion    Appendix
                       Policy     Rights   Education     Budget




                                           Predicted Probability of not using a condom at last
                                           sex by gender confidence in condom use knowledge
Appendix BB: Male Circumcision
                                                                                                                           Final Presentation


                                                                           Supporting data
                                                          Business          Human     Health     Timeline &
      Introduction                 R&D                                                                        Conclusion   Appendix
                                                           Policy           Rights   Education     Budget




      44.7% of adult males are circumcised, with significant
            regional variation
      Scaling up male circumcision to reach 80% can:
                   Avert more than 1.2 million adult HIV infections 16
                    years
                   Yield total net savings of $6.5 billion in 16 years



http://www.malecircumcision.org/programs/documents/South_Africa11209.pdf
Appendix CC: Silicosis
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget




  The prevalence ranges from 31% in Botswana, 24 to
     36% in the Transkei, and 24% in laid-off, older, longer-
     service Basotho men.
Appendix DD: Projected Program Costs
                                                                                                           Final Presentation


                                          Supporting data
                               Business         Human        Health          Timeline &
  Introduction   R&D                                                                         Conclusion     Appendix
                                Policy          Rights      Education          Budget




                 2012-2014         2014-2016         2016-2018          2018-2020         2020-2022

Training Costs   $60 million       $40 million       $20 million        $20 million       $20 million

Materials        $80 million       $80 million       $70 million        $70 million       $60 million
Safe Sex
Supplies

Incentives*      $1 million        $1 million        $1 million         $1 million        $1 million

Screening
HIV              $150 million      $125 million      $125 million       $100 million      $100 million
TB               $200 million      $150 million      $150 million       $125 million      $100 million


Misc             $2 million        $2 million        $2 million         $2 million        $2 million


Total Costs:     $493 million      $398 million      $368 million       $318 million      $283 million    $1.86
                                                                                                          Billion
Appendix EE: Economic Data
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix EE: Economic Data
                                                                                 Final Presentation


                                 Supporting data
                      Business    Human     Health     Timeline &
 Introduction   R&D                                                 Conclusion   Appendix
                       Policy     Rights   Education     Budget
Appendix FF: Human Rights Policy
                                                                                                                                Final Presentation


                                                                       Timeline
                                    Business                        Human     Health     Timeline &
         Introduction      R&D                                                                                     Conclusion   Appendix
                                     Policy                         Rights   Education     Budget
Short term: Y1-2




                                               Medium term: Y3-5




                                                                                              Long term: Y6-10
                   Action Plan                                     Indicators                                    Indicators
                   • Amend MA                                      • 25 (1), 10 (1+)                             • 30 (1), 15 (1+)
                     policy, publicize
                     MC [$275k]
                   Indicators
                   • # of mines and
                     mining towns
                     expressing
                     interest (90%)
Appendix GG– References
                                                                                                                                                                    Final Presentation


                                                                              References
                                                     Business                Human                  Health                 Timeline &
    Introduction               R&D                                                                                                                Conclusion        Appendix
                                                      Policy                 Rights                Education                 Budget


South African National AIDS Council. (April 2011). South Africa: HIV Epidemic, Response and Policy Synthesis
http://www.hst.org.za/sites/default/files/South%20Africa%20national%20synthesis%20report%20rev1%20with%20covers.pdf

Joint United Nations Programme on HIV/AIDS (UNAIDS). (June 2012) A people-centered investment tool towards ending AIDS. Geneva Switzerland.
http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2012/JC2359_investing-for-results_en.pdf

Joint United Nations Programme on HIV/AIDS (UNAIDS). (2012). Meeting the Investments Challenge- Tipping the Dependency Balance. Geneva Switzerland
http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/20120718_investmentchallengesupplement_en.pdf

18Twenty8. (June 2009). The Status of Women in South Africa.
http://www.18twenty8.org/index.php?option=com_content&view=article&id=67&Itemid=71

Burgard, S. & Kusunoki Y. (July 2009). Gender and Condom Use among Black South African Young People
http://www.psc.isr.umich.edu/pubs/pdf/rr09-683.pdf

International Federation of Red Cross and Red Crescent Societies. (2009) Standards for HIV peer education programmes. Geneva Switzerland
http://www.ifrc.org/Global/Publications/Health/hiv_peer_education-en.pdf

International Finance Corporation- World Bank Group (2004). HIV/AIDS Guide for the Mining Sector- A resource for developing stakeholder competency and
compliance in mining communities in Southern Africa
http://www-
wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2005/02/03/000090341_20050203151830/Rendered/PDF/313740hiv0aids0mining0toolkit.pdf

Courtwright, A. (2010). Tuberculosis and Stigmatization: Pathways and Interventions.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882973/

USAID (September 2009). The Potential Cost and Impact of Expanding Male Circumcision in South Africa.
http://www.malecircumcision.org/programs/documents/South_Africa11209.pdf

The World Bank. (June 2010) AIDS & Mining.
http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTOGMC/0,,contentMDK:20220933~menuPK:509392~pagePK:148956~piPK:216618~theSitePK:33693
0~isCURL:Y,00.html

Myer-Rath, G., J. Pienaar, B. Brink, and A. van Zyi. (July 2012) Company-level ART provision to employees is cost saving: a modelled cost-benefit analysis of the
impact of HIV and antiretroviral treatment in a mining workforce in South Africa. United Kingdom
http://pag.aids2012.org/abstracts.aspx?aid=16160
Appendix GG– References (Page 2)
                                                                                                                                                                   Final Presentation




                                                      Business                  Human                  Health                 Timeline &
    Introduction                R&D                                                                                                                   Conclusion   Appendix
                                                       Policy                   Rights                Education                 Budget


Stop TB Partnership. A Challenge to a Key Southern African Economic Sector.
http://www.stoptb.org/assets/documents/news/TBMining2.pdf

Stop TB Partnership. (2009) South Africa Country Profile
http://www.stoptb.org/assets/documents/about/cb/meetings/17/2.09-12%20South%20Africa/2.09-
12.2%20South%20Africa%20WHO%20Country%20Profile%202009.pdf

Vogt, D., Durrheim, R., McGill, J. (2011) State Intervention in the Mining Industry. CSIR.

Kaplan, D. (2011) South African mining equipment and related services: Growth, constraints and policy. University of Cape Town.

Stacey, T.R., Hadjigeorgiou, J., Potvin, Y. (2009) Technical skills—a major strategic issue. Journal of the South African Institute of Mining and Metallurgy.

The World Bank
http://data.worldbank.org

The Council for Scientific and Industrial Research (CSIR) website
http://www.csir.co.za

Chamber of Mines of South Africa
http://www.bullion.org.za/content/?pagename=About&pid=122

Mine Health and Safety Council website
http://www.mhsc.org.za

South African Regional Poverty Network. (2011) Coventry Poverty Papers
http://www.sarpn.org/CountryPovertyPapers/SouthAfrica/taylor/report11.pdf

Millionaire’s Award: http://www.dmr.gov.za/mine-health-a-safety/mhsc-award-scheme.html

COIDA and ODMWA:
http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1995466, http://www.anglogold.com/subwebs/informationforinvestors/reporttosociety06/worker-
compensation.htm

MHSC Summit OHS Action Plan. ( 2011) Mine Health & Safety Council “Zero Harm Through Action”
http://option1.mhsc.co.za/images/stories/pledges/OHS-Action-Plan1.pdf
Authorities: Mine Health and Safety Act created the Mine Health and Safety Council and the Mine Health and Safety Inspectorate

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Team 13 presentation

  • 1. Project REBIRTH YGHCC Team #13 Cynthia Chan Bernice Qi Tammie Kwong Sisi Wang Joshua Lyons November 10, 2012 Confidential Presentation
  • 2. Introduction Final Presentation Introduction Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Our goals:  Provide the South African government with a set of innovative, effective, and feasible recommendations for reforming and developing the mining industry  Understand the demands of competing stakeholders, including: – Government – Private sector – Mine employees – Non-governmental organizations  Client goals:  Appropriately respond to recent crisis in the mining sector  Implement reforms designed to promote long-term business growth  Strive to improve the health, freedom, and economic security of South Africa’s citizens
  • 3. Executive Summary Final Presentation Key Problem Areas Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Inadequate protection of human rights High rates of Disease Insufficient economic incentives Weak support for education and research
  • 4. Executive Summary Final Presentation Key Recommendations: REBIRTH Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Revitalizing Education & Business, Improving Rights, Targeting Health 1. Research & Development – Bernice Qi 2. Business Policies – Joshua Lyons 3. Human Rights – Cynthia Chan 4. Health Education – Sisi Wang & Tammie Kwong
  • 5. Revitalizing Improving Targeting Business Education Rights Health
  • 6. Research & Development Final Presentation Current Challenges Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Low productivity due to:  Lack of innovative techniques for efficient mining  Lack of skilled workers and researchers  Health and safety hazards  Competition with other countries
  • 7. Research and Development Final Presentation Benefits from Improved Research Capacity Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Increased productivity  Better technology: discovery of new mines  More skilled practitioners  Expansion of manufacturing sector  Improved strategies to ensure safety and health for mine workers
  • 8. Research & Development Final Presentation Proposed Solution Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Increase funding for research and education in mining Expand Attract more education researchers programs Increase Postgraduate: Undergraduate research funds research grants and contracts
  • 9. Research & Development Final Presentation Beneficiaries Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Research institutions and programs  The Council for Scientific and Industrial Research (CSIR) Natural Resource and Environment – CoalTech, PlatMine  Mine Health and Safety Council  The Mining Industry Growth Development and Employment Task Team (MIGDETT)  Educational institutes  University of the Witwatersrand  University of Pretoria
  • 10. Revitalizing Improving Targeting Business Education Rights Health
  • 11. Business Policy Final Presentation Key Areas Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Wage growth  Employment growth  Investment growth
  • 12. Business Policy Final Presentation Wage Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Policy recommendation:  For each $1 year-on-year increase in average miner wage above the increase in South Africa’s CPI, offer a $0.18 tax credit against mineral royalties per worker employed (restricted to citizens of South Africa)  Effects:  Stimulate wage growth beyond rate of inflation  Flexible and non-disruptive policy to improve wages (alternative to minimum wage)
  • 13. Business Policy Final Presentation Employment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Policy recommendations:  Offer an employee retention credit: $500 for miners each year that have been retained as employees for at least one year (restricted to citizens of South Africa)  Develop the rare earth mineral sector: – Offer a 5-year waver of royalties on rare earth mineral investment projects that commit to minimum cleanup and human rights standards – Offer a new hire credit: $500 for new miners hired and retained for at least 3 months – Offer an employee retention credit: $500 for miners each year that have been retained as employees for at least one year
  • 14. Business Policy Final Presentation Employment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Effects:  Induce new miner hiring within existing industries (estimated 10,000)1  Create approximately 1,000 to 2,000 new jobs in the rare earth mineral sector2  Promote fair treatment and continued employment of miners by incentivizing longer- term work arrangements (at least one year) 1 Calculated based on a similar hiring credit employed in the U.S. (approximately same value/per capita GDP, yielded 2% employment growth) 2 Extrapolating from the Steenkampskraal project, estimated to create 100 jobs, to additional possible investment projects, and job growth due to processing/export business 3 Based on the turnover rate at AngloGold Ashanti in 2011 4,5 Calculated by multiplying credit value by projected job creation
  • 15. Business Policy Final Presentation Investment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Policy recommendations:  Adjust royalty policy to bias towards extraction of locally-refined minerals – Refined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 12.5)] x 100 – Unrefined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 9)] x 100 – We suggest changing the divisor multiples from 12.5 and 9 to 13.5 and 7  Adjust royalty collection formula to use EBT as a measure of profitability instead of EBIT – EBIT artificially raises the measure of profitability and raises the royalty rate for those companies which invest in new production (by ignoring interest payments)
  • 16. Business Policy Final Presentation Investment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Effects:  Increase prevalence of mineral extraction that favors creation of refinement and processing jobs  Improve fairness of royalty collection by eliminating the investment penalty  Encourage investment by including interest payments in profitability calculation 1 South African mineral industry, analyst research 2 Based on proxy measurement for firms in the mining sector, calculated by finding average interest expense, determining impact on average royalty rate
  • 17. Revitalizing Improving Targeting Business Education Rights Health
  • 18. Human Rights Policy Final Presentation Right to Life and Compensation - Current Challenges Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 1. Right to Life 2. Right to Compensation  Unsafe working  The two main existing conditions  lower statutes complicate the health and productivity, application process  increase in death and unrreliable injury rate (e.g., 277 mining deaths 2008- 2009) (these challenges  frustrated workers  violence and strikes)
  • 19. Human Rights Policy Final Presentation 1. Right to Life Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Background  Existing Millionaire's Award awards one million fatality-free shifts  Exchange rate: 1 USD = 8.7 South African Rand  Goal  Increase incentive for longer term workplace safety  Method: Millionaire’s Club (MC)  Increasing rewards for consecutive achievements  Publicize the members list  Award immediate towns $50k for public projects  Use saved funds for new team, development, and publicity
  • 20. Human Rights Policy Final Presentation 2. Right to Compensation Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Background  ODMWA under DOH; COIDA under DOL  Goals  Maximize efficiency and funds  Minimize waste, overhead, overlap  Method: Consolidate  Equalize compensation ranges  Increase employer contribution for funding
  • 21. Revitalizing Improving Targeting Business Education Rights Health
  • 22. Health Education Final Presentation Current Challenges Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget HIV TB • Rates of HIV infection among miners • Crowded living conditions range from 22 to 30% • Exposure to silica dust • Low status of women • Put families at risk • Low levels of condom use • Lack of access to basic health and • Low levels of male circumcision social services • Multiple sexual relationships • Lack of surveillance and post- employment follow-up • High mobility and worker migration • People living with HIV are 20-30 times more likely to develop TB
  • 23. Health Education Final Presentation Peer Education Program Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Who? • Motivated sex workers and miners How many? • A ratio of 1:20 What approaches? • ICE Approach: Information, Counselling and Education What are the impacts? • Reduce mortality, morbidity and health costs • Set example for future HIV/TB programs • Generate research hypothesis and values
  • 24. Health Education Final Presentation 3 Pillar Strategy Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Peer Information Peer Education Peer Counselling Target Population Disease-free High-risk Diseased Objectives Awareness, information, Self-esteem, behavior- Coping skills, psycho- and attitude to change change communication, social support, problem- and prevention skills solving, and referral to clinicians for treatment Confidentiality None Important Essential Example of activities Material distribution (i.e. Repeated structured Clinic-based counselling Condom) workshops
  • 25. Health Education Final Presentation Group Assignment Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 26. Budget Final Presentation Budget Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 2012-2014 2014-2016 2016-2018 2018-2020 2020-2022 Research and Development Research $1.4 billion $1.4 billion $1,4 billion $1.4 billion $1.4 billion Business Policy Employment Policy $230 million $230 million $230 million $230 million $230 million Investment Policy $40 million $40 million $40 million $40 million $40 million Human Rights Millionaire’s Club - - - - - Mining Project Fund Health Education Training & Supplies $140 million $120 million $90 million $90 million $80 million Screening $350 million $275 million $275 million $225 million $200 million Incentives & other $3 million $3 million $3 million $3 million $3 million Total Costs: $2.163 billion $2.068 $2.038 $1.9678 $1.953 billion $10.19 billion billion billion Billion
  • 27. Limitations Final Presentation Limitations Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Lack of cross-border referral system for foreign mine workers  Financial and time constraints:  Limited capability to address treatment-related issues  Impact of expanded education system not immediately observable
  • 28. Conclusion Final Presentation Conclusion Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Through Revitalizing Education and Business, Improving Rights, and Targeting Health, REBIRTH will be able to promote safety, increase accountability, spread healthy practices, promote economic growth and improve the general condition and caliber of mining.
  • 29. Thank you! Final Presentation Thank you! Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Questions?
  • 30. Appendix: Table of Contents Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget A: South African Mineral Resource P: HIV Financial Burden B: Lifetime of Selected Minerals Q: Condom Use C. Fatality Data on South African Mines R: Timeline- Pillar 1 Peer Information D: R & D Expenditures S: Timeline- Pillar 2 Peer Education E: Number of Students in Mining T: Timeline- Pillar 3 Peer Counseling F: Facts on Research and Development U: Impact of HIV G: Safety in Mines (1-2) V: TB Education Curriculum H: Main Contributors of Fatalities W: HIV Education Curriculum I: Mine Health and Safety Council Award ‘00 X: TB-HIB Co-Infection J: Mine Health and Safety Council Award ‘09 Y: Recruitment Process K: Mine Health and Safety Council Award ‘10 Z: Incentives L: Mine Safety Achievements AA: Status of Women in South Africa M: Compensation BB: Male Circumcision N: Demographics of Miners CC: Silicosis O: TB Financial Burden DD: Projected Health Education Program Costs EE: Economic Data FF: Human Rights Policy Timeline GG: References (1-3)
  • 31. Appendix A: South African Mineral Resource Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Major South African mineral resources and production as a percentage of global resources and production. The commodities are ranked by share of global known mineral resource (Chamber of Mines, 2009).
  • 32. Appendix B: Lifetime of Selected Minerals Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget The lifetime of selected South African mineral resources based on 2008 production figures and resource estimates (data from Chamber of Mines, 2009).
  • 33. Appendix C: Fatality Data Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget The recent fatality record on South African mines compared to the 2003 summit target rate. (Vogt el al., 2011)
  • 34. Appendix D: R & D Expenditures Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget South Parameters Australia Canada Brazil Africa Population (million) 48.2 20.5 32.6 19.7 GDP (US$ billion) 255 780 1426 1366 GDP/capita (US$) 10401 31794 33375 10200 R&D spend (US$ billion) 4 11.4 28.1 14 Expenditure on R&D as % of GDP 0.9 1.8 2 1.1 Full-time equivalent (FTE) R&D personnel 377 4053 3922 696 per million inhabitants Source: World Bank
  • 35. Appendix E: Number of Students in Mining Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget University of the University of Witwatersrand Pretoria Undergraduate 360* 210* Coursework 290 17 Postgraduate Research 38 6 Postgraduate *50-60% can graduate with a degree and out of the graduates, 15% remain in the employ of mining companies as long-term career.
  • 36. Appendix F: Facts on Research & Development Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget • Funding from Mine Health and Safety Council: $8 million in 1996 vs $2 million in 2010 • 500 mining engineers currently with an estimated shortage of 15% • Number of students need to be trained = 1.5 X number of engineers required • It requires 15 years to train a student from undergraduate level to reach substantive managerial capacity • Mining researchers: 800 in 1980s versus < 80 now
  • 37. Appendix G: Safety in Mines (1) Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 38. Appendix G: Safety in Mines (2) Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 39. Appendix H: Main Contributors of Fatalities Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 40. Appendix I: Mine Health and Safety Council Award ‘00 Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 41. Appendix J: Mine Health and Safety Council Award ‘09 Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 42. Appendix K: Mine Health and Safety Council Award ‘10 Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 43. Appendix L: Mine Safety Achievements Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 8 Million Fatality Free Shifts: Modikwa Platinum Mine 4 Million Fatality Free Shifts: Impala Platinum 1 Shaft and 7A Shaft 2 Million Fatality Free Shifts: Impala Platinum 12# Mine, Marula Platinum Mine, Karee Platinum Mine, Western Platinum Mine, Grootegeluk Colliery 12 Million FOG Fatality Free Shifts: Rowland Mine 1 Million Fatality Free Shifts: Cullinan Diamond Mine, Assmang Manganese Mine, Doornkop Gold Mine, Barberton Gold Mines, Tao Tona Gold Mine, Blyvooruitzicht Gold Mine, Impale Platinum 7, 16, 17, 20 Shafts, Bafokeng Rasimone Platinum Mine, Bokoni Platinum Mine 12 Thousand Fatality Free Shifts: Tselentis Colliery, Forzando Colliery North 9 Thousand Fatality Free Shifts: Graspan Colliery 8 Thousand Fatality Free Shifts: Sedibeng Diamonds
  • 44. Appendix M: Compensation Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 45. Appendix N: Demographics of Miners Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget To date, most mine workers are in between the ages of 15-48 To date, the average age of sex workers is 25-30 years old
  • 46. Appendix O: TB Financial Burden Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Annual Financial Burden of TB -Annual cost of the TB epidemic in the South African mining sector $886 million -Annual cost of implementing best- practice interventions $570 million -Annual savings as a result of implementing best-practice interventions $316 million -Annual productivity increase from implementing interventions $467 million Total annual benefit: $783million
  • 47. Appendix P: HIV Financial Burden Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Financial Burden (2010 USD) Total cost (millions) $282 Total annual cost (millions) $14 Mean annual cost per $11,792 HIV-positive employee Impact of HIV/AIDS on Mining - 20% of coal miners and 30% of gold miners are HIV+ (these prevalence rates are 16% higher than base population) - Total productivity loss of 20% - Attacks 25-45 year olds who subsidize benefits of retirees - Savings used to treat illness, reducing retirement of benefits
  • 48. Appendix Q: Condom use Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Condom use and relationship characteristics with most recent partner in past 12 months (in 2001) and individual characteristics (in 1999) by sex, Black South African Transitions sample Condom Use in 2001 Overall Male Female P-value % Did not use condom at last sex 40.6% 33.6% 47.1% 0.002 Condom Use Consistency % Always 42.5% 55.1% 30.9% % Intermittent 34.9% 26.0% 43.2% <0.001 % Never 22.5% 18.9% 25.9% <0.001 % Somewhat/ Not confident in 54.7% 36.9% 71.1% <0.001 Knowledge of Condom Use % Believe Using condoms Means 32.7% 32.2% 33.2% <0.803 Not Trusting Partner
  • 49. Appendix R: Timeline - Pillar 1 Peer Information Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Priority Reform Goals Monitorable Outcomes Area (Year 1-10) Provide awareness, Risk reduction, including condom Increased condom-use information, and distribution attitude to change Identify current high risk populations Formation of disease-free, but at risk clusters Develop peer health support groups for both sex workers and miners Train health workers Incorporate annual screening into Increase detection rate workplace Reduce stigma and discrimination of people living with and affeced by HIV and Heightened acceptance of peer health key populations education programs
  • 50. Appendix S: Timeline - Pillar 2 Peer Education Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Priority Reform Goals Monitorable Outcomes Area (Year 2-8) Provide information Establish supportive environments and Greater sense of wellness and on self- esteem, promote sense of community within mining connection within community behavior-change communities and sex workers respectively communication and prevention Further reducing vulnerability and skills expanding choices regarding health Continued increase in condom use, along with greater awareness to health options Create and maintain a new pool of health educators to ensure sustainability of peer Increased participation of local miners health education program and sex workers
  • 51. Appendix T: Timeline - Pillar 3 Peer Counseling Final Presentation Supporting data Human Health Business Timeline & Introduction R&D Conclusion Appendix Rights Education Policy Budget Priority Reform Goals Monitorable Outcomes Area (Year 1-10) Provide coping Identify diseased individuals and reduce Higher rates of treatment of HIV and skills, psycho-social personal stigma on illness awareness of health options support, problem- solving and referral Alleviate anxiety and stress associated with to clinicians for treatment Educate early stages of TB and HIV cases Lower rates of MDR-TB with effective with treatment options primary intervention Refer all TB and HIV cases to NGO's for treatment
  • 52. Appendix U: Impact of HIV Final Presentation Supporting data Human Health Business Timeline & Introduction R&D Conclusion Appendix Rights Education Policy Budget
  • 53. Appendix V: TB Education Curriculum Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Part 1 - Identifying what TB, symptoms, and treatment plans - Transmission of TB - Prevention of TB Transmission - STIs and TB, specifically relationship between HIV+ and TB - How to assess personal risk and formulate behavior change plans; Part 2 - TB testing facilities and processes - The rights of infected and affected employees (including rights to confidentiality) - How to treat a co-worker with TB - Treatment, care and support for infected employees - Infection control in the workplace Part 3 - TB, as part of broad-based wellness programs - The workplace TB policy and current programs - Non-discrimination and equality (in terms of benefits etc) - Referral sources and services
  • 54. Appendix W: HIV Education Curriculum Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Part 1 - Transmission of HIV - Prevention of HIV Transmission - STIs and TB - How to assess personal risk and formulate behavior change plans; - Safer sex and condom use Part 2 - HIV testing facilities and processes - The rights of infected and affected employees (including rights to confidentiality) - How to treat a co-worker with HIV/AIDS - Treatment, care and support for infected employees - Infection control in the workplace Part 3 - HIV/AIDS, as part of broad-based wellness programes - The workplace HIV/AIDS policy and current programes - Non-discrimination and equality (in terms of benefits etc) - Referral sources and services
  • 55. Appendix X: TB- HIV Co-Infection Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Most cases of TB in HIV-Positive patients are not caused by drug-resistant strain of TB (this means that early detection and prompt treatment with 'first line' antibiotics)
  • 56. Appendix Y: Recruitment Process Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget • Identify selection criteria o Educational background, experience, commitment, communication skill, willingness to learn, leadership qualities • Pre-selection workshop o Provide general information about programme, information on training process, roles and responsibilities, and time commitment required • Written contracts o With statement on minimum time commitment, roles and responsibilities o Sign by staff of NGOs, peer educators, and workplace manager • Establish feedback mechanism • Determine incentives
  • 57. Appendix Z: Incentives Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Professional incentives: locally-agreed accreditation system, with opportunities for increasing involvement and responsibility offered -e.g. peer educators can develop to become peer trainers Social incentives: friendship and team building -e.g. provision of social and recreational opportunities; linkages established with other similar organizations for experience exchange (and travel) opportunities.
  • 58. Appendix AA: The Status of Women in South Africa Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Predicted Probability of not using a condom at last sex by gender confidence in condom use knowledge
  • 59. Appendix BB: Male Circumcision Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  44.7% of adult males are circumcised, with significant regional variation  Scaling up male circumcision to reach 80% can:  Avert more than 1.2 million adult HIV infections 16 years  Yield total net savings of $6.5 billion in 16 years http://www.malecircumcision.org/programs/documents/South_Africa11209.pdf
  • 60. Appendix CC: Silicosis Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  The prevalence ranges from 31% in Botswana, 24 to 36% in the Transkei, and 24% in laid-off, older, longer- service Basotho men.
  • 61. Appendix DD: Projected Program Costs Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 2012-2014 2014-2016 2016-2018 2018-2020 2020-2022 Training Costs $60 million $40 million $20 million $20 million $20 million Materials $80 million $80 million $70 million $70 million $60 million Safe Sex Supplies Incentives* $1 million $1 million $1 million $1 million $1 million Screening HIV $150 million $125 million $125 million $100 million $100 million TB $200 million $150 million $150 million $125 million $100 million Misc $2 million $2 million $2 million $2 million $2 million Total Costs: $493 million $398 million $368 million $318 million $283 million $1.86 Billion
  • 62. Appendix EE: Economic Data Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 63. Appendix EE: Economic Data Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  • 64. Appendix FF: Human Rights Policy Final Presentation Timeline Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Short term: Y1-2 Medium term: Y3-5 Long term: Y6-10 Action Plan Indicators Indicators • Amend MA • 25 (1), 10 (1+) • 30 (1), 15 (1+) policy, publicize MC [$275k] Indicators • # of mines and mining towns expressing interest (90%)
  • 65. Appendix GG– References Final Presentation References Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget South African National AIDS Council. (April 2011). South Africa: HIV Epidemic, Response and Policy Synthesis http://www.hst.org.za/sites/default/files/South%20Africa%20national%20synthesis%20report%20rev1%20with%20covers.pdf Joint United Nations Programme on HIV/AIDS (UNAIDS). (June 2012) A people-centered investment tool towards ending AIDS. Geneva Switzerland. http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2012/JC2359_investing-for-results_en.pdf Joint United Nations Programme on HIV/AIDS (UNAIDS). (2012). Meeting the Investments Challenge- Tipping the Dependency Balance. Geneva Switzerland http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/20120718_investmentchallengesupplement_en.pdf 18Twenty8. (June 2009). The Status of Women in South Africa. http://www.18twenty8.org/index.php?option=com_content&view=article&id=67&Itemid=71 Burgard, S. & Kusunoki Y. (July 2009). Gender and Condom Use among Black South African Young People http://www.psc.isr.umich.edu/pubs/pdf/rr09-683.pdf International Federation of Red Cross and Red Crescent Societies. (2009) Standards for HIV peer education programmes. Geneva Switzerland http://www.ifrc.org/Global/Publications/Health/hiv_peer_education-en.pdf International Finance Corporation- World Bank Group (2004). HIV/AIDS Guide for the Mining Sector- A resource for developing stakeholder competency and compliance in mining communities in Southern Africa http://www- wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2005/02/03/000090341_20050203151830/Rendered/PDF/313740hiv0aids0mining0toolkit.pdf Courtwright, A. (2010). Tuberculosis and Stigmatization: Pathways and Interventions. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882973/ USAID (September 2009). The Potential Cost and Impact of Expanding Male Circumcision in South Africa. http://www.malecircumcision.org/programs/documents/South_Africa11209.pdf The World Bank. (June 2010) AIDS & Mining. http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTOGMC/0,,contentMDK:20220933~menuPK:509392~pagePK:148956~piPK:216618~theSitePK:33693 0~isCURL:Y,00.html Myer-Rath, G., J. Pienaar, B. Brink, and A. van Zyi. (July 2012) Company-level ART provision to employees is cost saving: a modelled cost-benefit analysis of the impact of HIV and antiretroviral treatment in a mining workforce in South Africa. United Kingdom http://pag.aids2012.org/abstracts.aspx?aid=16160
  • 66. Appendix GG– References (Page 2) Final Presentation Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Stop TB Partnership. A Challenge to a Key Southern African Economic Sector. http://www.stoptb.org/assets/documents/news/TBMining2.pdf Stop TB Partnership. (2009) South Africa Country Profile http://www.stoptb.org/assets/documents/about/cb/meetings/17/2.09-12%20South%20Africa/2.09- 12.2%20South%20Africa%20WHO%20Country%20Profile%202009.pdf Vogt, D., Durrheim, R., McGill, J. (2011) State Intervention in the Mining Industry. CSIR. Kaplan, D. (2011) South African mining equipment and related services: Growth, constraints and policy. University of Cape Town. Stacey, T.R., Hadjigeorgiou, J., Potvin, Y. (2009) Technical skills—a major strategic issue. Journal of the South African Institute of Mining and Metallurgy. The World Bank http://data.worldbank.org The Council for Scientific and Industrial Research (CSIR) website http://www.csir.co.za Chamber of Mines of South Africa http://www.bullion.org.za/content/?pagename=About&pid=122 Mine Health and Safety Council website http://www.mhsc.org.za South African Regional Poverty Network. (2011) Coventry Poverty Papers http://www.sarpn.org/CountryPovertyPapers/SouthAfrica/taylor/report11.pdf Millionaire’s Award: http://www.dmr.gov.za/mine-health-a-safety/mhsc-award-scheme.html COIDA and ODMWA: http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1995466, http://www.anglogold.com/subwebs/informationforinvestors/reporttosociety06/worker- compensation.htm MHSC Summit OHS Action Plan. ( 2011) Mine Health & Safety Council “Zero Harm Through Action” http://option1.mhsc.co.za/images/stories/pledges/OHS-Action-Plan1.pdf Authorities: Mine Health and Safety Act created the Mine Health and Safety Council and the Mine Health and Safety Inspectorate