OPINION: We need more dedicated investment to address TB in children

OPINION: We need more dedicated investment to address TB in children

Despite advances in paediatric TB care, substantial challenges remain. If we are to heed the call for this year’s World TB Day – ‘Yes! We can end TB’ – we will need to significantly ramp up dedicated investment for an integrated approach to addressing TB in children, argues Dr Sipho Nyathi.

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Face to face: Prof Muki Shey on his journey from Cameroon to doing cutting-edge TB research

Face to face: Prof Muki Shey on his journey from Cameroon to doing cutting-edge TB research

On 9 March, Professor Muki Shey received a silver award from the South African Medical Research Council for his “outstanding contribution to health research”. Shey is spearheading research into TB in healthcare workers from around Cape Town, scanning for those who over at least five years of high exposure to the disease at hospitals or clinics have never been infected. Biénne Huisman spoke to him about his journey from the North West of Cameroon to a lab at UCT and the value of ploughing back to help develop the next generation.

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Opinion: Making good on the promise of SA’s TB Recovery Plan

Opinion: Making good on the promise of SA’s TB Recovery Plan

The South African TB Recovery Plan was developed to try and reverse the negative effects of the COVID-19 pandemic on the country’s TB response. On World TB Day, authors from TB Proof (a leading TB activist group) assess how the recovery is going and identify four key areas where further intervention is needed.

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Opinion: Yes! We can end TB in South Africa

Opinion: Yes! We can end TB in South Africa

While there is a long way to go, there has been important progress in South Africa’s response to tuberculosis (TB) and 2023 is set up to be a watershed year for the fight against the disease both globally and in South Africa. As we commemorate World TB Day, let us all pledge to make this year’s theme a reality – “Yes! You and I can end TB”, write Gaurang Tanna and Yogan Pillay.

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Supply issues delaying wider rollout of shorter TB preventive therapy

Supply issues delaying wider rollout of shorter TB preventive therapy

South Africa’s recently published guidelines for the treatment of tuberculosis (TB) infection have been welcomed by several experts. Among others, the guidelines endorse the use of a three-month course of TB preventive therapy as opposed to the old six-month course. But, while the intention is to roll out the three-month course quite widely, supply constraints may delay things. Tiyese Jeranji reports.

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Editorial: New guidelines are a step forward for SA’s TB response

Editorial: New guidelines are a step forward for SA’s TB response

New tuberculosis infection guidelines released ahead of World TB Day are another important step in the right direction for South Africa’s TB response, argues Spotlight editor Marcus Low, while also warning of the substantial implementation challenges that remain.

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Opinion: Urgent course correction needed on NHI, climate change, and economic policy  

Opinion: Urgent course correction needed on NHI, climate change, and economic policy  

Unless we get ahead of both the climate crisis and the current levels of pervasive injustice, we will never be able to catch up – even if the National Health Insurance Project achieves what it originally intended, argues Professor Louis Reynolds.

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In-depth: The state of SA’s HPV vaccination programme in 2023

In-depth: The state of SA’s HPV vaccination programme in 2023

South Africa’s HPV vaccination programme has by all accounts been a resounding success over the last decade, likely helping to prevent many cases of cervical cancer. But the programme has suffered major setbacks due to COVID-19-related disruptions and in addition to getting it back on track, some argue vaccine eligibility should be expanded to include boys as well as older girls and women newly infected with HIV. Amy Green takes stock of the country’s HPV vaccination efforts.

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Spotlight on Nehawu strike: Dispatches from the frontlines

Spotlight on Nehawu strike: Dispatches from the frontlines

Following a Labour Appeal Court judgement on Monday, health minister Dr Joe Phaahla during a media briefing on Monday night said the department has given essential health workers until Tuesday morning to report for work. Should they fail to do this, “they will be making themselves liable to charges of misconduct”. Spotlight reporters have been visiting healthcare facilities to assess the situation.

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Community care model improves uptake of TB preventive therapy, KZN study finds

Community care model improves uptake of TB preventive therapy, KZN study finds

The uptake and continuation of tuberculosis preventive therapy were much higher when it was provided through a community-based model compared to the standard clinic-based model, a study conducted in KwaZulu-Natal found. Elri Voigt unpacks the study findings, which were recently presented at the Conference for Retroviruses and Opportunistic Infections in Seattle, USA.

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Opinion: Patients to benefit from new funding and decision to let private sector help with Gauteng’s oncology backlog

Opinion: Patients to benefit from new funding and decision to let private sector help with Gauteng’s oncology backlog

On 8 March 2023, the Gauteng MEC for Finance delivered his budget speech in which he indicated that an amount of R784 million has been set aside for the provincial health department to “address backlogs in surgical and radiation oncology services” in Gauteng. Khanyisa Mapipa and Salomé Meyer reflect on the work done to get to this point.

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No place for corrupt officials in Free State, says new premier

No place for corrupt officials in Free State, says new premier

In his first state of the province address, the new Free State Premier Mxolisi Dukwana said the province will no longer be used as the breeding ground for corruption. Refilwe Mochoari asked him about this and the fate of the head of the provincial health department, who is charged with contravening the Public Finance Management Act.

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