Diabetes rates in South Africa are anticipated to keep rising in the coming years as the country’s health burden slowly shifts away from infectious diseases such as HIV and tuberculosis toward non-communicable diseases. The relevant government strategy sets three key diabetes targets. Elri Voigt spoke to several local experts about these targets and South Africa’s prospects of meeting them.
During the COVID-19 pandemic, we saw the remarkable power of genomics in helping us keep track of new viral variants. Several scientists argue that Africa should continue to invest in genomics to support disease control and public health. Sue Segar asks what this means in practice and why it is considered so critically important.
In 1984, the then-head of Brooklyn Chest TB Hospital, Dr David Jenkin lamented inadequate services for TB patients, writing that “it is unflattering to realize that only war and pestilence appear able to bring more beds for TB sufferers”. Almost 40 years later, despite major scientific advances, TB hospitals like Brooklyn Chest remain important for treating complicated forms of the disease, where specialised healthcare staff can monitor medication interactions and side-effects. Biénne Huisman takes a look back at the hospital’s 151-year history and the difference it is making in the lives of children with TB today.
Every year, tens of thousands of people who fall ill with tuberculosis in South Africa are not diagnosed. Because of this, there has been much focus on testing people earlier rather than waiting for them to show up at clinics when they are already sick. One potential solution, explored in a trial called XACT 2, is community-based testing using a point-of-care molecular test. Tiyese Jeranji spoke to experts involved with XACT 2 and unpacks the study’s findings that were recently published in Nature Medicine.
A landmark global observational study found that many neonates get life-threatening bloodstream infections, or sepsis, and are dying because the antibiotics used to treat them are not effective. Sepsis affects up to 3 million babies a year globally and the study authors estimate that 214 000 newborns die every year from sepsis that has become antibiotic resistant – mainly in low- to middle-income countries. Adele Baleta reports.
It is almost three months since – partly through the efforts of SECTION27 and Cancer Alliance – money was made available to the Gauteng Health Department to outsource radiation oncology services and address surgical backlogs in the province. It is deeply worrying that despite being provided with resources for this outsourcing project, very little has been done to date to ensure that patients get the long overdue care that they need, writes Khanyisa Mapipa.
So far this year the National Institute for Communicable Diseases has issued reports on three different outbreaks of vaccine-preventable diseases – measles, mumps, and diphtheria. Elri Voigt spoke to local experts about these outbreaks and what it tells us about the country’s immunisation programme and the potential for future outbreaks.
Professor Soraya Seedat is a distinguished professor and head of Stellenbosch University’s psychiatry department. She has penned several hundreds of peer-reviewed journal articles and book chapters on psychiatric disorders, with a focus on PTSD and anxiety, particularly among children and in resource-constrained settings. Biénne Huisman sat down with her to talk about her work, what drives her, and maintaining a work-life equilibrium.
Nurse shortages and issues with the training of nurses have been making headlines in recent weeks, with some referring to a ‘nursing crisis’ in South Africa. After attending a recent conference hosted by the South African Nursing Council, Thabo Molelekwa dug deeper in search of clarity on where the bottlenecks are and what can be done about them.
People in South Africa who fall ill with tuberculosis (TB) often also have other health issues. HIV, which drives much of the TB epidemic in South Africa, is the most obvious co-infection, but people who fall ill with TB are also more likely to have diabetes and mental health problems than the general public. Tiyese Jeranji spoke to local experts about the interesting links between TB and liver problems.
South Africa is currently observing Child Protection Week to shine a spotlight on the rights of children, as enshrined in the Constitution and the Children’s Act. The campaign aims to ensure the rights, safety, and well-being of children – aiming to foster a safer environment. To foster a safe environment, however, children must not only feel physically safe but also emotionally safe. Yet teenagers often do not have a safe space to speak to trusted people about the confusion they face around their gender, writes Kholofelo Mphahlele.
According to recently published estimates from Thembisa, the leading mathematical model of HIV in South Africa, around 7.8 million people, or 13.2% of the population, were living with HIV in South Africa in 2022. Marcus Low looked at the numbers and what they tell us about the state of HIV in South Africa.