Tens of thousands of people with TB in SA not diagnosed, survey

Over 150 000 people who had TB in South Africa in 2018 were not diagnosed, according to findings from South Africa’s long-awaited National Tuberculosis Prevalence Survey. One reason for this is that an unexpectedly high number of people do not show the typical TB symptoms and are never x-rayed. Amy Green reports.

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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

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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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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In-depth: Getting Gauteng’s HIV and TB response back on track

From March to July this year, the Gauteng Department of Health recorded 57 848 TB tests – a decrease of about 30 000 tests compared to the same period last year. The province performed better with HIV testing, although the HIV response has faltered in other areas. Melissa Javan makes sense of the province’s numbers and speaks to activists and community health workers about the impact of lockdown on their services and plans to get things back on track.  

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From the frontlines: 20 years of fighting HIV in Khayelitsha

Two decades since Doctors without Borders (MSF) started its HIV programme in Khayelitsha, the organisation will start wrapping up its operations. Siyabonga Kamnqa spoke to some people living with HIV who benefitted from this programme and who now work as activists about developments over the last 20 years.

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