Analysis: 21 months later, what progress has Wagner made in the Eastern Cape?

For years, the Eastern Cape Department of Health has made the headlines, often for the wrong reasons. From rat-infested hospitals to newborn babies dying in overcrowded and understaffed wards – such challenges have persisted for decades. Luvuyo Mehlwana looked at what has changed since Dr Rolene Wagner took office and asks if heading this department is a poisoned chalice regardless of who is at the helm.

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In-depth: ‘Access not excess’ key to reducing antibiotic resistance in SA

Antibiotics play a vital role in the management of bacterial infections, reducing illness, and preventing many deaths. A 2011 report from the UK estimated that they have increased life expectancy by 20 years. However, the extensive use of antibiotics has resulted in drug resistance that threatens to reverse their life-saving power and if the situation is not reversed, it has been estimated that by 2050 as many as 10 million people will die annually of drug-resistant infections. Tiyese Jeranji looks at how antimicrobial resistance plays out in South Africa and the role of pharmacists in the fight against it.

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COVID-19: What role for masks, sanitising, and ventilation in the new normal?

South Africa’s fifth wave of COVID-19 infections was comparatively small and is already abating. As with the fourth wave, infection was much less likely to result in hospitalisation or death than in the first three waves. In light of these changes in the pandemic, Aisha Abdool Karim asks what the “new normal” should look like when it comes to mask-wearing, ventilation, hand sanitising, and other preventive measures.

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In-depth: Dirty laundry at Eastern Cape hospitals and the plan to deal with it

Some staff members at Livingstone Hospital in the Eastern Cape say old laundry machines and staff shortages are creating backlogs in getting clean linen, towels, and hospital gowns to patients. Patients, in turn, say they have to sleep on bare and soiled mattresses often with no bedding or dirty linen. Luvuyo Mehlwana reports on the situation, its implications for infection control, and the province’s plans to deal with it.

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XACT III: A trial asking how to take TB tests to the people

Roughly two in five people newly ill with TB worldwide are never diagnosed. In South Africa, this amounts to about 120 000 to 160 000 people per year. A large new study called XACT III is testing ways in which more people can be diagnosed and started on TB treatment more quickly. Tiyese Jeranji reports.

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