Analysis: SAHPRA decision on ivermectin shifts heavy responsibility to doctors

Analysis: SAHPRA decision on ivermectin shifts heavy responsibility to doctors

In allowing section 21 applications as part of a controlled compassionate access programme, SAHPRA has essentially shifted the responsibility for deciding whether the anti-parasitic ivermectin is safe and effective enough to be used in the treatment of COVID-19 to doctors. This places an enormous responsibility on doctors, writes Adele Baleta.

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COVID-19: ‘Truth offensive’ needed to counter vaccine misinformation, says expert

COVID-19: ‘Truth offensive’ needed to counter vaccine misinformation, says expert

From paintings by artists like Xolani Sivunda to communication campaigns launched by provincial health departments, the fight against COVID-19-related misinformation is being fought on many fronts. Siyabonga Kamnqa surveyed some of these efforts and asked health and behaviour experts what does and does not work.

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400 people in SA with highly drug-resistant TB to get new three-drug regimen

400 people in SA with highly drug-resistant TB to get new three-drug regimen

Treating highly drug-resistant forms of tuberculosis can take anything from nine to 24 months and patients have to contend with various unpleasant, and sometimes dangerous, side effects. A new six-month regimen made up of just three drugs that will be offered to 400 patients in South Africa might offer a better solution for some. Tiyese Jeranji reports.

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COVID-19: The evolving science behind long-COVID

COVID-19: The evolving science behind long-COVID

A study published in the Lancet medical journal confirms that the health effects of COVID-19 can linger months after someone has ‘recovered’. Kathryn Cleary asked local experts about the underlying science and whether the South African public healthcare system is ready for so-called long-COVID.

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Health in 2021: Spotlight’s top 12 questions

Health in 2021: Spotlight’s top 12 questions

While COVID-19 will continue to make headlines for some time, 2021 will also be a critical year for healthcare reforms in South Africa and for various aspects of the country’s HIV and TB response. These are Spotlight’s top 12 healthcare questions for the year.

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Sub-clinical TB: Fascinating SA research helps push frontiers of TB science

Sub-clinical TB: Fascinating SA research helps push frontiers of TB science

While likely millions of people in South Africa have latent tuberculosis (TB) infection, only between three and 10% of these people ever fall ill with TB. Cutting-edge research conducted in South Africa has now taken us a significant step closer to a test that can predict who will and who will not fall ill with TB. Such a test, if simple and affordable, could potentially revolutionise TB prevention efforts.

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X-rays and AI could transform TB detection in SA, but red tape might delay things

X-rays and AI could transform TB detection in SA, but red tape might delay things

New World Health Organization guidance released this week endorses the wider use of chest X-rays and artificial intelligence for tuberculosis detection. Before these technologies can be fully utilised in South Africa, some regulatory and other issues will first have to be sorted out. Catherine Tomlinson reports.

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COVID-19: Millions of injection devices will be needed for vaccines

COVID-19: Millions of injection devices will be needed for vaccines

The delivery of a safe and effective COVID-19 vaccine once it becomes available in South Africa will be a complex and costly logistical exercise. Acquiring enough injection devices is part of crucial logistical planning to ensure rapid, equitable access to COVID-19 vaccines. Adele Baleta reports.

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HIV in Umkhanyakude: Impressive numbers, but living with HIV difficult amid socio-economic hardship

HIV in Umkhanyakude: Impressive numbers, but living with HIV difficult amid socio-economic hardship

Premier of KwaZulu-Natal, Sihle Zikhalala praised the Umkhanyakude District recently on its ‘exceptional’ figures in meeting the UNAIDS 90-90-90 targets. Yet, when Spotlight recently visited the Jozini area, we were confronted with a less rosy picture. Some people stopped their HIV treatment because they do not have food to eat, and activists now warn that the progress with the targets can be derailed if poverty, hunger and other social determinants of health are not urgently and comprehensively addressed. Nomfundo Xolo reports.

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Reimagining health in the Eastern Cape: As budgets shrink, it is more important than ever to strengthen primary healthcare

Reimagining health in the Eastern Cape: As budgets shrink, it is more important than ever to strengthen primary healthcare

As the final negotiations in the 2021 budget process unfold, the government of the Eastern Cape and the department of health in particular are being asked to do more with less. It is now more urgent than ever to strengthen public primary health care, argue Ektaa Deochand and Russell Rensburg.

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