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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In-depth: The human cost of surgical delays

Elective surgery is often performed on injuries or for conditions considered less life-threatening and some patients can wait up to two years for their procedure, which will often be scheduled and then cancelled when someone with a more serious medical emergency takes their spot on the list. This takes a huge emotional and financial toll on these patients and their families. Alicestine October reports.

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Are oral swabs the future of TB testing?

The World Health Organization estimates that every year 40% of people who fall ill with TB globally are not diagnosed. There is thus an urgent need for faster, safe, and more convenient TB tests. The current gold standard for testing still requires people to cough up sputum, something that some people and children, in particular, struggle with. Tiyese Jeranji looks at the potential of a new experimental oral swab TB test.

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In-depth: Is pain management in SA up to scratch?

Many people in South Africa unnecessarily suffer from chronic pain due to system failures, poor access to expensive medicines, and lack of sufficient medical education on pain management. What’s worse is that even though morphine is cheap and easy to administer – those who do need palliative care often don’t receive it. Elsabé Brits takes an in-depth look at how we deal with pain in South Africa.

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Profile: Keertan Dheda – reflections on a career finding ways to fight TB

Professor Keertan Dheda has come a long way from growing up as one of three siblings in a one-bedroom apartment in a high-rise in central Durban. Biénne Huisman chatted to Dheda, now the head of the University of Cape Town’s Division of Pulmonology, and a Professor in Mycobacteriology and Global Health at the London School of Hygiene and Tropical Medicine, about work-life balance, problem-solving that excites him, and a career dedicated to the fight against tuberculosis.

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In-depth: Surgery catch-up hamstrung by shortage of ICU nurses

Hospitals in South Africa have been put under immense strain over the past two years as beds were filled with COVID-19 patients and elective surgeries had to be put on hold. To make things worse, pre-existing shortages of intensive care trained nurses and other critical staff were exacerbated by healthcare workers themselves contracting SARS-CoV-2 and falling ill or having to isolate themselves. Tiyese Jeranji explores how Gauteng and the Western Cape are catching up on elective surgeries and asks what is being done about the underlying problem of staff shortages.

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Mental Health: Grief, loss – we are all traumatised, says psychiatrist on the COVID-19 frontlines

Working with Groote Schuur Hospital’s frontline COVID team, Psychiatry Professor Jackie Hoare help manage the mental health of patients admitted with severe COVID pneumonia and also the mental health needs of fellow healthcare workers. Bienne Huisman caught up with her to talk about providing counselling at the bedside of COVID patients and how we deal with the complexities of grief in a time of COVID-19.

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COVID-19: How to respond to vaccine hesitancy

Initially hamstrung by low and uncertain supplies of COVID-19 vaccines, government is arguably now in a better position to campaign actively to accelerate vaccine demand, albeit in the midst of an often-harmful viral “infodemic”. Chris Bateman asks what can be done to boost demand for the jab.

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