Food insecurity leads to increased incidence of tuberculosis in Zimbabwe

February 5, 2014
This photo shows University of Toronto professor Michael Silverman with school boys in Africa. Credit: Michael Silverman

The rise of tuberculosis (TB) in Zimbabwe during the socio-economic crisis of 2008-9 has been linked to widespread food shortage, according to a new study led by Canadian researchers from the University of Toronto Dalla Lana School of Public Health published in PLOS ONE.

"This was the first study to detect the recent TB outbreak in Zimbabwe, and the first anywhere to suggest an association between rising TB incidence and national economic decline in the absence of armed conflict," said Michael Silverman, assistant professor at the Dalla Lana School of Public Health and senior author of the study. Although the same phenomenon may occur with other infectious diseases, the study focused on TB – one of the largest causes of morbidity and mortality in Zimbabwe, especially among people living with HIV.

"Zimbabwe may have been predisposed to this TB outbreak due to the presence of a large HIV-positive population who were particularly vulnerable to the effects of shortages which led to malnutrition and further damage to already weakened immune systems," said Silverman.

Many developing countries have large HIV positive populations and thus socioeconomic instability could lead to a similar problem elsewhere. "This finding emphasizes the importance of adequate food availability in controlling TB incidence, particularly in areas with high HIV prevalence," said Silverman.

The study also demonstrated that TB incidence appears to be seasonal, with a larger number of cases when food is scarce in the dry season and lower numbers of cases post-harvest when food is more plentiful. Research data also suggests that TB incidence fell back to pre-crisis levels when the economy of the country and food security improved after 2009.

"Political instability can lead to , and this can lead to a health crisis with the most vulnerable people in society the most likely to be harmed," said Silverman. "It is important for political leaders to be aware that in addition to economic costs, political conflict can potentially have very serious implications for vulnerable communities."

Explore further: Major South African trial did not improve tuberculosis control in gold mines

Related Stories

Still long delays in diagnosing TB and HIV

May 31, 2013

It still takes a long time for TB and HIV patients in Uganda to be properly diagnosed. As a result, many patients are infectious without knowing it themselves. These diagnostic delays, and also adherence to therapy, can be ...

Recommended for you

Zika virus infection alters human and viral RNA

October 20, 2016

Researchers at University of California San Diego School of Medicine have discovered that Zika virus infection leads to modifications of both viral and human genetic material. These modifications—chemical tags known as ...

Food-poisoning bacteria may be behind Crohn's disease

October 19, 2016

People who retain a particular bacterium in their gut after a bout of food poisoning may be at an increased risk of developing Crohn's disease later in life, according to a new study led by researchers at McMaster University.

Neurodevelopmental model of Zika may provide rapid answers

October 19, 2016

A newly published study from researchers working in collaboration with the Regenerative Bioscience Center at the University of Georgia demonstrates fetal death and brain damage in early chick embryos similar to microcephaly—a ...

Scientists uncover new facets of Zika-related birth defects

October 17, 2016

In a study that could one day help eliminate the tragic birth defects caused by Zika virus, scientists from the Florida campus of The Scripps Research Institute (TSRI) have elucidated how the virus attacks the brains of newborns, ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.