We need to vaccinate 90% of over-35s – Madhi

Government can avoid the overwhelming of health services and minimise death in an anticipated fourth COVID-19 wave in November/December by getting 90% of people in South Africa over 35 years old vaccinated before then. Life could then return to normal by Christmas, even with ongoing SARS-CoV-2 circulation, contends vaccinologist Professor Shabir Madhi.

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How well is SA’s chronic medicines distribution system working?

Having to collect one’s medicines at overcrowded public sector clinics with long queues can be time-consuming, disruptive, and, these days, may expose one to a risk of contracting SARS-CoV-2. Thabo Molelekwa takes stock of South Africa’s centralised chronic medicines dispensing and distribution programme, the Department of Health’s system for allowing more people to collect their chronic medicines closer to their homes or workplaces.

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Medicines stockouts once again reported in North West

Stockouts of essential medicines have been a problem in North West province for years. Now, a new community monitoring report suggests many people are still being turned away from public sector clinics without treatment or asked to come back a week later. Thabo Molelekwa spoke to the people behind the report and asked the North West Department of Health for their response to it.

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How to boost the COVID-19 vaccine rollout

A few weeks ago, South Africa’s COVID-19 vaccine rollout seemed well set. We were consistently administering over 200,000 doses on weekdays and well over a million a week. Government got a few things right, but there’s so much more it can still do.

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Healthcare workers in the third wave: “We are living in the shadows of death”

It’s been over a year since COVID-19 first hit South Africa. Since then, many people have been living in constant fear and many have lost loved ones. Frontline healthcare workers had no choice but to face their fears if they were to keep doing the life-saving work they were trained for. Amy Green and colleagues explore the emotional toll that South Africa’s third wave of COVID-19 is taking on healthcare workers.

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Medical intern burnout worsened by COVID-19

Even prior to the COVID-19 pandemic many medical interns in South Africa had a tough time, often working long hours and with little oversight or support. Chris Bateman spoke to interns and junior doctors in public hospitals and tag-on COVID-19 facilities, who are performing tasks of porters, auxiliary nurses, and liaising with anxious relatives, instead of getting the required hands-on, supervised learning.

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Spotlight on Women in Health

In 1947 the first black woman qualified as a doctor in South Africa. Her name was Mary Malahlela-Xakana. It took the country about 60 years after its first black male doctor started practicing for Malahlela-Xakana to don her stethoscope and practice medicine. Much, but not enough has changed since then, writes Alicestine October.

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Assessing Dr Zweli Mkhize’s two years as Health Minister

Last night President Cyril Ramaphosa announced that Dr Zweli Mkhize had resigned as South Africa’s Minister of Health after eight weeks on special leave. Although Mkhize will primarily be remembered for the Digital Vibes scandal that caused his downfall, a lot more happened over the last two years. Spotlight editor Marcus Low asks what we can learn from Mkhize’s time as health minister and tries to make sense of some of the contradictions.

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COVID-19 and HIV: What we can learn from a new WHO report

The risk of developing severe or fatal COVID-19 is 30% greater in people living with HIV compared to those who are HIV negative, according to a new report from the World Health Organization. Comprised of data from 37 countries, including South Africa, the report suggests people living with HIV should be prioritised for vaccination. Laura Owings reports.

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