Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Pregnancy, your body and your baby – week 9 of your pregnancy

At week 9 of your pregnancy, you’re probably more aware than ever of your growing baby inside of you, as the first two months of pregnancy are now behind you. You may be dealing with a variety of different pregnancy symptoms as your baby slowly grows bigger. Your baby at week 9 At 9 weeks in, your baby is looking more human, with mini arms and legs developing, and the tail which was initially present is slowly disappearing. Your baby is now the size of a grape or a cherry and her facial features are also becoming more prominent. At week nine your baby is also becoming more active and beginning to move around. However, you won’t be able to see or feel this just yet – but it’ll be visible on ultrasound. If you’re struggling with painful breasts, a maternity or sports bra can offer you more support and help alleviate some of your uncomfortableness. When your body becomes more used to your pregnancy hormones, it’s likely that some of your pain may ease, but throughout your pregnancy, it’s a good idea to find clothes that you feel comfortable in. How you’re feeling at 9 weeks At nine weeks you may be feeling a variety of emotions, alongside the many other pregnancy symptoms, such as morning sickness, which peaks at around week 9. Your symptoms may be particularly difficult to deal with if you’re still keeping your pregnancy quiet from your colleges and friends, but if you are struggling emotionally open up to your partner or health care provider. Things to keep in mind At this point, it may be a good idea to chat to your doctor about possibly restructuring your exercise routine. It could be a good time to start incorporating prenatal yoga or pilates as these activities help you get ready for labour and childbirth. Staying active is also a great way to keep healthy during your pregnancy, but depending on what activities you did before getting pregnant, you may need to think about adjusting your training program.

March 8, 2024

World Hearing Day

World Hearing Day is an annual event organised by the World Health Organization (WHO). Held on 3 March, it’s a global campaign to raise awareness around the prevention of hearing loss and the importance of hearing health and ear care. To help create more awareness, Bonitas Medical Fund is offering free online hearing screening for all South Africans, over the age of 18. Hearing loss is an under-diagnosed medical condition that significantly impacts the physical and mental health of those who have any degree of hearing difficulty. Disabling hearing loss is often called the ‘invisible epidemic.’ It affects more than three million South Africans and over 1.5 billion people globally. With the theme ‘Changing mindsets: Let’s make ear and hearing care a reality for all!’ World Hearing Day emphasises the significance of early identification and interventions in preventing hearing loss. Hearing is vital in that it connects individuals to their surroundings, enabling communication, learning and social interaction. Yet millions of people, worldwide, face hearing challenges which can impact their quality of life. Free online hearing test ‘Last year we partnered with hearConnect and introduced a free online hearing screener for members on our website,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund. ‘Through this partnership we have extended this functionality and made it available to all South Africans.’ How it works The online, validated, speech-in-noise hearing test, uses the latest in audiological technology combined with the highest standards of clinical expertise. Go to https://www.bonitas.co.za/hearing-screening and, in just two minutes, you can test your hearing status. All you need is access to a computer or your mobile, headphones or earphones, a quiet area and then you’re all set to take the test. Post the test If the screening test indicates you are experiencing hearing loss, hearConnect is available to guide you through the next steps. Alternatively, make an appointment with an audiologist, consult your GP and/or visit the nearest clinic. What causes hearing loss? Hearing loss can come about as you age or as a result of loud noises, illnesses and disease, genetics and trauma (contact sport). Other factors, such as too much earwax, also reduce your ability to hear. Hearing loss repercussions One of the biggest concerns associated with hearing loss, when it is not treated properly, is the long-term impact it has on the quality of life. Prevention and early detection are important, after all, hearing is the foundation for speech and language development, as well as learning and communication. There are many challenges associated with hearing loss. These include language development that impacts our ability to read, write, spell and concentrate. It affects social skills resulting in isolation, depression, loneliness, cognitive impairment, unemployment and an increased risk of dementia. World Hearing Day underscores the need for accessible and affordable hearing care services and encourages everyone to prioritise their hearing health. ‘As a medical scheme we know that patients with untreated hearing loss experience more inpatient stays compared to those without hearing loss,’ says Callakoppen. ‘There is a 17% increased risk of emergency department visits, readmissions and rate of hospitalisation as well as longer hospital stays. ‘Our partnership with hearConnect includes a full audiology benefit management programme on selected plans for our members to ensure they maintain ear health. This includes a follow up with ongoing treatment steps if hearing loss is detected.’

March 1, 2024

Pregnancy, your body and your baby – week 8 of your pregnancy

It’s week 8 of your pregnancy and your baby is beginning to look more like a little human. You’ll probably be feeling many of the first-trimester pregnancy symptoms but you shouldn’t be showing just yet, so enjoy your flat figure while it lasts! Your body at week 8 Even if you don’t outwardly look pregnant, you’re definitely feeling it. Your first trimester brings morning sickness (not just in the morning!), tender breasts, fatigue, pregnancy cramps and a heightened sense of smell. Dealing with morning sickness and fatigue its important that you remember to stick to a healthy lifestyle. Eating well, exercising often and trying to make sure you get enough sleep. It’s important that you take prenatal vitamins during this time as well. Where your baby is at Your baby is now roughly the size of a bean or a raspberry. They are becoming more distinctly human, developing arms and legs. Their digestive system also develops around this time. If you get an ultrasound you may notice that your baby has a disproportionate body, with a large head – this is because the upper body develops faster than the lower. However, in 32 weeks time, your baby will be a normal-sized little-human. Things to remember Your first prenatal check-up around this time, where you may have blood tests and an early ultrasound to check your baby’s growth and heart rate. If you have lots of questions for your doctor it is a good idea to write them down, so you don’t forget when you arrive – especially if this is your first pregnancy. During the first trimester, you are at higher risk for a miscarriage. It is estimated that 1 in 8 women experience miscarriages, often before they realise they are pregnant. Signs of a miscarriage are cramping and pain in the lower back and abdomen, as well as light spotting to heavy bleeding. If you suspect miscarriage, it is important that you contact your doctor so that they can help you during this time.

March 1, 2024

Key facts about Cholera

South Africa had recorded at least 46 suspected cholera cases in the first month of 2024. According to the Minister of Health, three of these cases were due to cross-border travel. With these outbreaks making headline news, Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund has put together eight key facts about cholera. Researchers have estimated that each year there are around 1.3 to 4.0 million reported cases of cholera, resulting in between 21 000 to 143 000 deaths. However, general consensus is that this is under-estimated because of low reporting and limited laboratory services. What is Cholera? Cholera is an acute diarrhoea disease caused by the bacterium Vibrio cholerae. It can either be mild or without symptoms or severe and life-threatening if left untreated. Who is at risk? The highest at-risk populations are more often in underdeveloped countries where poor sanitation and inadequate hygiene practices contribute to its spread, especially in areas with limited access to clean water and proper sanitation facilities. Cholera can be endemic or epidemic. A cholera-endemic area is where confirmed cholera cases were detected but not brought in from somewhere else. A cholera outbreak/epidemic can occur in both endemic countries and in countries where cholera does not regularly occur. How is it spread? It is primarily spread through contaminated water and food. Ingesting water or food contaminated with faeces containing the bacterium can lead to infection. It is not likely that cholera is spread directly from one person to another. What are the symptoms? The symptoms of cholera typically include profuse watery diarrhoea, vomiting, and dehydration. In severe cases, rapid fluid loss can lead to electrolyte imbalances, muscle cramps and shock. Without prompt treatment, severe dehydration can be fatal within hours. How long before you show symptoms? It takes between 12 hours and 5 days for a person to show symptoms – which could include acute watery diarrhoea with severe dehydration. How serious is it? According to the World Health Organization (WHO) only around 25% of infected persons become symptomatic. Of these, 10 – 20% experience severe disease. How do you treat Cholera? Cholera can be effectively treated with rehydration therapy, which involves replacing lost fluids and electrolytes. This can be orally – in non-severe cases – or via intravenous fluids for more severe cases. Antibiotics may also be prescribed to shorten the duration of illness and reduce the severity of symptoms. Immediate treatment in an outbreak is essential which is not always the case in poverty -stricken areas. Can you prevent Cholera? Yes, you can, it involves improving sanitation and hygiene practices, ensuring access to clean water, and promoting proper food handling and preparation. Measures such as boiling, filtering or treating water with chlorine tablets can help reduce the risk of contamination. Additionally, practising good hand hygiene, especially before eating or preparing food, can help prevent the spread of the disease. A global strategy on cholera control was launched in 2017: ‘Ending cholera: a global roadmap to 2030’, had a target to reduce cholera deaths by 90% as well as timely access to healthcare services during outbreaks. Remember, your GP should be your first port of call for all your healthcare needs. Bonitas believes there needs to be coordination of care and encourages you to see your GP who can refer you to a specialist or auxiliary provider as and if the need arises.

February 28, 2024

Talking about HPV and cervical cancer

The theme for 2024 Cervical Cancer Awareness is, ‘Learn. Prevent. Screen.’ South Africa has a high rate of cervical cancer which has been attributed to the fact that not enough women are screened regularly. Screening can detect early changes in the cervix, which can be treated and may save your life. Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, gives the low down on cervical cancer – caused by persistent infection with the Human Papillomavirus (HPV), why it is essential to screen for the virus and the development of a vaccine to help prevent it. Why a vaccine against HPV? HPV infects the cells of the cervix and, in some cases, the virus can persist – leading to abnormal changes in the cells that may eventually become cancerous. Over 99% of all cervical cancers are caused by persistent infection of high-risk types of HPV, including HPV-16 and HPV-18. ‘For this reason, we have expanded our preventative care benefits to include the HPV vaccine across all plans, to help prevent cervical cancers,’ says Dr Hadebe. ‘As recommended by The World Health Organization (WHO), this is 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years per lifetime’. Screening for HPV and cervical cancer Screening is also essential to mitigate the risk of developing cervical cancer. Screening aims to identify cervical cell changes and detect early cervical cancers before they cause symptoms. Two screening tests help with detection: Pap test (Pap Smear) Cervical cancer is usually a slow-growing cancer that may not have immediate symptoms but can be found with regular pap smear tests (a procedure in which cells are scraped from the cervix and looked at under a microscope). The test looks for cell changes (pre-cancers) in the cervix that may progress to cancer if not treated. HPV test Looks for the virus, particularly HPV-16 and HPV-18 that cause 90% of cervical cancers. It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test can be done every 5 years. Signs and symptoms The symptoms of the HPV virus can include: Lesions on the genital area as well as darker lesions on other parts of the body, to painful bumps on your upper limbs and skin growths on the balls of the feet and heels. Staging of cervical cancer Just like other cancers, cervical cancer is graded according to the severity. From in situ, which means it hasn’t spread to nearby tissue, through stage one: It’s still in the original organ and is small. If it progresses it spreads to the surrounding lymph nodes and, in the most severe form, the cancer has metastasized to surrounding tissues and other lymph nodes. As cervical cancer develops, the following may occur: Abnormal bleeding, for example bleeding after sex Pelvic pain unrelated to the menstrual cycle Heavy or unusual discharge Increased urinary frequency Pain during urination ‘Cervical cancer is the most prevalent cancer among women after breast cancer,’ says Dr Hadebe. ‘Yet it has a good chance of being cured, if diagnosed at an early stage and treated promptly. Which is why, it’s important to have regular pap smears to detect any changes in the cervix and to vaccinate young girls to protect them against possible HPV infection.’

February 26, 2024

Pregnancy, your body and your baby – week seven of your pregnancy

By now you probably know that you’re pregnant, but some moms only find out during this week or later. Even if you haven’t started looking outwardly pregnant, there is a good chance you’re definitely feeling it, with the likes of fatigue and morning sickness. Your baby is going rapidly day-to-day, with continued brain and body development for the next 33 weeks. Where your body is at This week you’ll likely be feeling some or all of the symptoms generally experienced during the first trimester of pregnancy. It’s important throughout your pregnancy that you maintain a healthy lifestyle, even if doing so feels tough at times. Eating the correct foods and taking prenatal vitamins will ensure that your baby gets the correct nutrients from you. It is important to remember that during pregnancy your needs will change, so you should keep this in mind when tailoring your diet. Miscarriage and ectopic pregnancies are both serious complications that can happen during early pregnancy. Miscarriage is the spontaneous loss of the foetus before week 20, unfortunately, this is not reversible and is usually due to abnormal development. Ectopic pregnancy often shows around 7 weeks and is when the fertilised egg implants outside of the uterus. Unfortunately, neither complication can be reversed, and losing a baby early in pregnancy is likely to be very traumatic for the mom-to-be and family. It’s important that you seek medical and psychological support if you are struggling post ectopic pregnancy or miscarriage. What your baby is doing Your baby is now the size of a blueberry but is shaped more like a tadpole than a human, however, their tail is getting smaller and will soon disappear. At this point, your baby has continued to develop limbs, facial features, spinal cord and lungs, heart and kidney.

February 19, 2024

Advice from the experts

Webinar – Gestational Diabetes

In this antenatal class, Sr Talia explains what Gestational Diabetes is, what the symptoms are and how to manage it.

July 28, 2023

One bowl suppers for hungry toddlers

These one bowl meals will be gobbled up by your toddler and are packed full of natural goodness. As busy parents we don’t always have time to prepare an elaborate meal at the end of a non-stop day, but we do want to make sure that our little ones are getting all the goodness they need to grow big and strong. These one bowl meals are a simple solution and freeze well, so you can make ahead and freeze in portion sizes for grab-and-heat meals. Serve with a box of Squish 100% Pressed Fruit Juice – they are preservative free and have no added sugar – and that’s it, supper sorted! BUTTERNUT AND CARROT MASHED POTATO This is hearty enough as a meal all on its own, but if you have leftover chicken or tuna in the fridge you can add it into the mix for added flavour and protein. Ingredients 1 cup mashed potato 1 x 110 ml Squish 100% Butternut + Carrot Puree Optional: Steamed tenderstem broccoli for dipping Method Heat mash in microwave and stir through Squish Puree. Steam broccoli and serve alongside mash as dippers. CHICKEN AND SWEET POTATO RISOTTO This tasty risotto includes Squish 100% Pear + Sweet Potato Puree. Sweet potato contains beta carotene and vitamin C which helps keep the immune system strong. Squish 100% Fruit and Veg Purees are a smart choice for your growing child – they are made with fresh fruit and vegetables and are free of nasties like colourants, flavourants and preservatives, and have no added sugar. This recipe makes 4-6 portions which means you can freeze the leftovers for super-easy suppers when time is short. Ingredients 2.5 ml (½ tsp) butter 65 ml (¼ cup) risotto rice 375 ml (1½ cup) vegetable stock, warmed 1 chicken breast, steamed and shredded 1 x 110 ml pouch Squish 100% Pear + Sweet Potato Puree Method Melt butter in a small saucepan. Add the risotto rice and stir to coat all the grains. Add 65 ml (¼ cup) of stock and stir gently until the liquid is absorbed by the rice. Continue cooking and stirring, adding one measure of stock at a time until the rice is tender. Stir in the shredded chicken and Squish Puree then remove from heat. Veggie Mac and Cheese Everyone loves mac and cheese! We’ve sneaked in a healthy dose of veg making it even more delicious and packed full of natural goodness. This recipe includes Squish 100% Butternut + Carrot Puree, but you can switch it up by trying a different flavour like Mixed Vegetable or Apple, Sweet Potato + Sweetcorn. Ingredients 1 x 110 ml Squish 100% Butternut + Carrot Puree 250 ml (1 cup) milk Salt and freshly cracked black pepper 250 ml (1 cup) cooked macaroni pasta, drained 125 ml (½ cup) cheddar cheese 65 ml (¼ cup) cream cheese 1 ml (¼ tsp) ground nutmeg 65 ml (¼ cup) breadcrumbs 15 ml (1 Tbsp) butter Method Cook the pasta according to the package instructions. Mix the Squish Puree and milk together, then add the drained pasta. Add the cheddar and cream cheeses and stir well to combine. Season to taste with salt, pepper and nutmeg. Spoon into ramekins, top with breadcrumbs and a dot of butter. Bake in an oven pre-heated to 180°C for 20 minutes or until lightly golden and crisp. Allow to cool slightly before serving.

July 27, 2023

10 WAYS TO BEAT LONELINESS

As a leading provider of high-quality healthcare, Affinity Health understands the importance of mental health and the impact that loneliness can have on overall well-being. However, by trying new things, connecting with others, and caring for yourself, you can beat loneliness and improve your overall well-being. What Is Loneliness? Loneliness is generally considered an emotion, although it can also be described as a “state of mind” or a “subjective experience”. Emotions are complex psychological responses to external or internal stimuli, and they often involve changes in feelings, thoughts, and physiological responses. While there is limited data on the prevalence of loneliness in South Africa, studies have suggested that it is a shared experience. According to the 2021 South African Depression and Anxiety Group (SADAG) survey, around 70% of respondents reported feeling lonely, with women more likely to report loneliness than men. What Causes Loneliness? Various factors, including the following, can cause loneliness. Social isolation: When people lack social connections or are physically isolated from others, they may experience loneliness. The COVID-19 pandemic and associated lockdowns (including remote work environments) contributed to increased feelings of loneliness and isolation. Loss: The loss of a loved one or a significant change in a person’s life, such as a divorce or a move to a new place, can trigger feelings of loneliness. Mental health conditions: Mental health conditions such as depression, anxiety, or Post-Traumatic Stress Disorder can cause a person to feel disconnected from others and isolated. Lack of meaningful relationships: When people feel that their relationships lack depth or meaning, they may experience loneliness. Stigma: Social stigma or discrimination can make it difficult for a person to connect with others and may cause them to feel isolated and alone. Personality traits: Some people may be more prone to loneliness due to personality traits, such as introversion or shyness. “Loneliness is a common experience that can affect anyone, regardless of age or background. However, it’s important to know that there are effective ways to beat loneliness and improve mental health,” says Murray Hewlett, CEO of Affinity Health. 10 Practical Ways to Beat Loneliness #1 Join A Club or Organisation Joining a club or organisation that aligns with your interests is a great way to meet new people and make friends. It could be a book club, sports team, or volunteer group. Participating in group activities can help you feel connected and engaged, reducing feelings of loneliness. #2 Try New Things Trying new things can be scary, but it can also be rewarding. When you try something new, you challenge yourself to step out of your comfort zone and learn something new. You could try a new hobby, travel to a new place, or even take a new class. #3 Connect with Others: Social media and online communities can be a great way to connect with people with similar interests. You could join an online forum or group, connect with old friends on social media, or even start a blog to share your experiences. #4 Get a Pet Pets can be great companions and help reduce feelings of loneliness. They offer unconditional love and can be a great source of comfort. Consider volunteering at a local animal shelter if you cannot have a pet. #5 Attend Social Events Attend social events such as parties, gatherings, or community events. It could be a concert, art exhibit, or cooking class. Social events can help you meet new people and expand your social circle. #6 Exercise Exercise is not only good for your physical health, but it can also be good for your mental health. Physical activity releases endorphins, which can help improve your mood and reduce feelings of loneliness. #7 Reach Out to Friends and Family Don’t be afraid to reach out to friends and family for support. Even if they are not physically close, you can still connect with them through phone calls, video chats, or text messages. #8 Volunteer Volunteering is a great way to give back to your community and meet new people. You could volunteer at a local shelter, hospital, or charity. #9 Seek Professional Help If you are struggling with feelings of loneliness or depression, consider seeking professional help. A therapist or counsellor can help you work through your feelings and develop coping strategies. #10 Practice Self-care Taking care of yourself is essential for mental and physical well-being. Ensure you get enough sleep, eat well, and engage in activities you enjoy. Practising self-care can help you feel more confident and fulfilled, reducing feelings of loneliness. “Loneliness can be a challenging emotion to face, but it’s important to remember that it’s a universal experience,” adds Hewlett. “It’s okay to feel lonely occasionally, and it doesn’t mean you’re alone forever. In fact, loneliness can be a catalyst for personal growth and self-discovery. It can inspire you to try new things, connect with new people, and ultimately lead you to a more fulfilling life.” About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters. We strive to give our clients peace of mind and the highest standard of service. Follow us on Facebook, Twitter, and Instagram.

July 25, 2023

Webinar – Caesarean Birth and Recovery

In this webinar, Sr Ingrid Groenewald explains the process of a Caesarean Birth and the recovery process thereafter.

July 21, 2023

Meal prep for busy families

Who knew that being a mom or dad meant you would have to come up with delicious meals every day for the rest of your days? Dinner time can be very stressful, yet it can be super easy if you are prepared and organised. What do we know about children’s nutrition? A balanced diet consisting of fruit, vegetables, protein, and grains is the best way. That means that if planned right, you never have to feel guilty by pulling out a pizza from the freezer because your child eats healthy food most nights and days. Here are the steps to weekly meal preparation: Plan a menu It is important to choose things that your family likes. For example, if Spaghetti Bolognaise is a hit, make a batch enough for 3-4 meals. Planning the menu will also ensure that you can shop for the right ingredients so that you don’t have to stop at the shop every couple of days and save money in the long run. Ensure that you have enough containers This is a once-off purchase that you can use time and time again—choosing containers that are freezer friendly. Portion out your meals Make sure that you can take out your meals, and they feed your family with just enough. You will only be able to reheat food that has yet to be reheated. Variety Children love variety, though they don’t mind having the same or similar foods on a specific day. For example, Mondays could be beef day, Tuesdays could be chicken days, and Fridays could be pizza day. While they love variety, they also love predictability. Get the children to help. Children love to assist in the kitchen. They can do age-appropriate chores like mashing potatoes or mixing ingredients. This is a great way to teach your child about healthy eating habits and allow them some bonding time with you. Remember to have fun! Dinner times can often be a time of stress and anxiety, let’s choose to create great memories for our children.

July 18, 2023

HOW TO RECOGNISE AN ANXIETY ATTACK

According to Affinity Health, a leading provider of high-quality healthcare, anxiety is a standard and sometimes even beneficial emotion that helps us deal with stress and danger. However, when anxiety becomes excessive or irrational, it can become a debilitating condition affecting a person’s daily life. According to the World Health Organization (WHO), anxiety disorders are the most common mental health condition globally, affecting approximately 275 million people. Anxiety attacks, a condition characterised by recurrent and unexpected panic attacks, affect an estimated 2-3% of the global population. However, due to cultural and language differences, mental health stigma, and inadequate mental health resources, anxiety disorders and anxiety attacks (otherwise known as panic attacks) are often underreported and undertreated worldwide. “Anxiety attacks are sudden and intense episodes of fear and panic that can last from a few minutes to several hours,” says Murray Hewlett, CEO of Affinity Health. “During an anxiety attack, a person may experience physical, emotional, and cognitive symptoms that can be overwhelming and frightening. The symptoms of an anxiety attack can vary from person to person, but some common signs can help you recognise an anxiety attack.” Physical Symptoms of an Anxiety Attack Physical symptoms are among the most common signs of an anxiety attack. These symptoms can include the following. Rapid heartbeat or palpitations Chest pain or discomfort Shortness of breath or hyperventilation Sweating or chills Nausea or abdominal distress Dizziness or light-headedness Trembling or shaking Tingling or numbness in the hands or feet Muscle tension or aches These physical symptoms can be so severe that people may think they are having a heart attack, which can further increase their anxiety and panic. Emotional Symptoms of an Anxiety Attack Emotional symptoms are another common sign of an anxiety attack. These symptoms can include the following. Intense fear or terror Feelings of impending doom or danger Extreme nervousness or apprehension Restlessness or agitation Irritability or anger A sense of being disconnected from reality Feeling like you’re losing control or going crazy A solid urge to escape or flee the situation These emotional symptoms can be distressing. They may lead to further anxiety and panic. Cognitive Symptoms of an Anxiety Attack Cognitive symptoms are the third most common sign of an anxiety attack. These symptoms can include: Racing or intrusive thoughts Obsessive or compulsive behaviour Difficulty concentrating or focusing Memory problems or forgetfulness Confusion or disorientation A distorted sense of time or space Negative self-talk or self-doubt Catastrophic thinking or overestimating the severity of the situation These cognitive symptoms can make it difficult to function and may lead to a sense of hopelessness or despair. Anxiety Attack Triggers Anxiety attacks can occur suddenly and without warning, but specific situations or events can also trigger them. Common triggers include: Social problems, such as public speaking or meeting new people Specific phobias, such as flying or heights Traumatic events, such as accidents or violence Stressful life events, such as divorce or job loss Health problems, such as chronic pain or illness Substance abuse or withdrawal Hormonal changes, such as during menstruation or menopause Identifying the triggers of an anxiety attack can help you avoid or prepare for future episodes. Duration and Intensity of an Anxiety Attack Anxiety attacks can last from a few minutes to several hours, and their intensity can vary from mild to severe. Mild anxiety attacks may cause only a few physical or emotional symptoms, while severe anxiety attacks can cause intense and debilitating symptoms that may require medical attention. The duration and intensity of an anxiety attack can also vary from person to person and can depend on the individual’s overall health, stress level, and coping skills. Recurrence of an Anxiety Attack Anxiety attacks can be a one-time event or a recurring problem. People who experience recurring anxiety attacks may have an anxiety disorder, such as panic disorder or generalised anxiety disorder. These disorders can cause significant distress and may require professional treatment. The Aftermath of an Anxiety Attack People may experience various feelings and behaviours after an anxiety attack. Some common aftermath symptoms include the following. Exhaustion or fatigue Headaches or migraines Aches and pains Gastrointestinal problems, such as diarrhoea or constipation Increased sensitivity to stress or anxiety triggers Avoidance behaviours, such as avoiding places or situations that may trigger anxiety attacks Changes in sleep patterns, such as insomnia or excessive sleeping Difficulty concentrating or focusing Feelings of shame, embarrassment, or guilt These aftermath symptoms can be distressing and may increase the risk of future anxiety attacks. “Anxiety attacks can be a frightening and overwhelming experience. However, recognising the signs and symptoms of an anxiety attack can help you take steps to manage your anxiety and prevent future episodes,” adds Hewlett. “If you experience anxiety attacks, seeking professional help from a mental health provider who can offer you effective treatment and support is important. Remember that anxiety is a treatable condition, and with the right treatment and support, you can overcome your anxiety and lead a fulfilling life.” About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

July 18, 2023

DOES DAYCARE BUILD YOUR BABY’S IMMUNE SYSTEM?

You’ve probably heard that children who attend daycare get sick more frequently, but according to Affinity Health, a leading provider of high-quality healthcare, there is a silver lining to sniffles and colds. “Exposing your child to more children at a young age helps your child develop better immunity,” says Murray Hewlett, CEO of Affinity Health. “A baby’s immune system is immature at birth. Your baby does have some natural immunity, thanks to antibodies they were exposed to in utero. Breastfed babies benefit from antibodies in their mother’s milk as well. However, when a baby is exposed to bacteria and viruses in the environment, its immune system begins to strengthen. Yes, these pathogens can sometimes make your baby sick, but they also stimulate the production of natural antibodies, allowing them to fight off infections more effectively in the future. That means that children exposed to more germs at a young age will have stronger immune systems by the time they start school.” What Research Suggests The idea that children in daycare get sick more frequently when they’re young but benefit from improved immunity later in life isn’t just a theory; there’s plenty of research to back it up. For example, a Canadian study published in JAMA Pediatrics found that children who began group child care before the age of two and a half had fewer respiratory and ear infections between the ages of five and eight than those who had not been in daycare. According to University of Arizona College of Medicine researchers, the protection may last even longer. Children who had attended daycare as toddlers had fewer colds up to the age of 13 in their study. According to a study published in the Journal of Allergy and Clinical Immunology, daycare may also reduce a child’s risk of developing asthma. Researchers discovered that children predisposed to the condition due to their mothers’ asthma or allergies had lower IgE antibodies (an indicator of allergic sensitivity) when they attended daycare. Interestingly, there is also a link between group care and a lower risk of leukaemia, although the reason for this is unclear. Good to know: Despite these benefits, parents may want to wait until their child is three months old before enrolling in daycare. Contagious infections that are normally minor in adults can be much more serious in newborns, and your child may need to be hospitalised if they develop a fever of above 38 degrees Celcius or higher before the age of three months. How To Naturally Boost Your Child’s Immune System While research supports the hypothesis that immunity acquired in daycare protects a child from colds later in life, no parent wants their child to be sick. As such, Affinity Health offers these top tips to boost your child’s immune system: Probiotics Probiotics aid in immune system regulation by balancing the good bacteria (flora) in the stomach. These “beneficial” microorganisms may help to reduce the risk of diarrhoea and respiratory infections. Serve your child live-cultured products like organic yoghurt and Gouda or cottage cheese. Nutrition A healthy immune system is built on a nutritious diet. Ensure your child eats a healthy diet and avoid serving processed foods containing chemicals and toxins that compromise their ability to fight illness and stay healthy. If your child has food allergies or requires a special diet, consult a nutritionist or paediatrician. Increase Their Uptake Of Vitamin C Almost all citrus fruits are high in vitamin C, and with so many options, adding more Vitamin C into your child’s diet is simple. Good sources of Vitamin C that most children enjoy include oranges, strawberries, blackcurrants, kiwifruit, potatoes, green peas, and tomatoes. Encourage Your Child To Exercise Physical activity may aid in the removal of bacteria from the lungs and airways. This may lower your child’s chances of contracting a cold, flu, or other airborne illness. Ensure Your Child Gets Adequate Sleep If your child is 12 or younger and gets less than 10 hours of sleep per night, or if your tween or teen gets less than eight and a half hours, they are at risk of having a weakened immune system. Make good sleeping habits a priority in your household. Allow Your Children To Be Kids, Get Dirty Outside, And Play With Friends Not all germs and bacteria are harmful to your child’s health. Exposing children to the everyday microbes found outside in nature – including dirt – can help a child develop a strong, healthy immune system.

July 17, 2023

Putting together your birth plan

As you enter your third trimester you’ll have probably done a fair bit of research on the birth process (if this is your first) and may have a good idea of what you want before, during and after delivery. There are many options and opinions, from whether or not you want pain medication to how many people you would like supporting you. However, trying to keep track of your choices during labour may be tricky, which is why you’d put together a birth plan. So what exactly is it and how do you put one together? Why should I put together a birth plan? Your birth plan is your choices or preferences before, during and after labour and delivery. While things may not always go according to plan, having your preferences written down and communicated means you, your midwives and doctor have a more mutual understanding. However, if your pregnancy doesn’t go accordingly, you need to be prepared to make adjustments on the day. What should be in my birth plan? Your birth plan is how you’d like everything would go in the best-case scenario. Your birth plan will also have to take into consideration what is available at the hospital or place where you are giving birth. Some birth plans are very basic, just outlining a simple overview, whereas others may be far more detailed and in-depth. The choice is yours. Typically a birth plan will include before, during and after labour and birth preferences. Such as who you want to assist you during birth, whether or not you want any pain medication, you birthing positions, and requests for newborn care, such as skin-to-skin time. How can I learn more about the birth process? If you feel like you need to top up your birthing knowledge before putting together a plan they are a few ways you can go about this. Joining antenatal classes are a good way to learn more and to meet other women in your position. Chatting to friends or family who has been through the birthing process themselves is another good way to see what would work best for you. If you and your partner are having a baby together, keep them in the loop as well. Find out what they expect during labour and you can chat about what you want, and what role you see them playing in the process.

July 17, 2023

Webinar – Post Birth Care for Moms

In today’s webinar, Sr Ingrid reminds Mom’s that’s it’s important to look after yourself post birth. What you can experience post birth and how to deal with the body changes, bleeding and uterus contractions.

July 14, 2023

#SundayLunchSorted A perfect pie and a good lager too!!

Mushroom Leek and Lager Pie for the perfect Sunday family Lunch! Mushroom, Leek & Lager Beef Pie Recipe and image credit: The South African Mushroom Farmers’ Association Serves 6 Ingredients: 1 kg beef chuck, cut into 2.5 cm chunks 4 leeks, washed very well and sliced 2 stalks celery, finely sliced 2 carrots, finely sliced 4 garlic cloves, minced ⅓ cup flour 300ml lager 2 cups / 500ml beef stock Handful fresh thyme sprigs 2 bay leaves 500g thickly sliced Button or Portabellini mushrooms 1 – 2 sheets puff pastry (enough to cover pie) 1 egg, beaten Salt and pepper, to taste Olive oil Method: Season beef with salt and pepper. Heat a drizzle of oil in a large heavy based pot. Add the beef and brown all over. Cook in batches to avoid the beef sweating. Set aside. Turn heat down to medium and add a fresh drizzle of olive oil. Add leeks, celery, carrots and garlic. Cook until softened and sweet. Add flour and stir through coating all the vegetables. Add beer, beef stock, thyme and bay leaves and stir to mix well. Bring to simmer and then cover. Reduce heat to low and allow to cook for 2 hours until the beef if tender. Remove the lid and allow sauce to reduce until thickened. Add mushrooms and mix them in to evenly distribute. Taste and adjust seasoning. Preheat oven to 200˚C. Pour pie filling into a pie/ baking dish. (Roughly 25 x 20 x 4.5 cm) Top with puff pastry. Cut out a few steam holes. Brush with egg wash and bake for 30-40 minutes until the pastry is deeply golden brown and cooked through.

July 14, 2023

Bonitas 2022: Annual results show steady growth and industry-leading financials

Bonitas Medical Fund, in its 42nd year, announced its 2022 financial results today. The medical aid for South Africa, achieved a net surplus supported by positive membership growth, boosted reserves, an increased solvency ratio and a strong investment performance. ‘We know affordability pressures facing South Africans are overwhelming, which is why we strive to find the right balance between value for our members and long-term sustainability,’ says Luke Woodhouse, Chief Financial Officer. ‘To this end, we are pleased to report a record high R8,8 billion in member reserves at year end 2022. We are also thrilled to confirm that we have exceeded industry benchmarks, particularly for value creation, achieving a R1.78 return for each R1.00 spent on administration and managed care – 12% higher than the industry average of R1.59. ‘Bonitas outperformed all expectations in 2022, in terms of all key indicators and we are poised to continue on this positive trajectory. This performance speaks to the strategy we’ve put in place as well as the Scheme’s overarching aim to make quality healthcare more affordable and more accessible.’ Increases One of the key cost drivers in medical aid contributions is healthcare inflation, typically around 4% higher than CPI. Rising consumer price inflation (which impacts healthcare inflation) has exacerbated the ongoing challenge of medical schemes to remain affordable. We addressed healthcare inflation through two pillars of our strategy: Strategic purchasing and integration of the value chain. We were able to restrict the average increase in membership contributions for 2023 to 4.8%, compared to CPI of 7.2% as of December 2022. To demonstrate our commitment, we introduced our first contribution increase freeze, with increases only applied from April 1, 2023, to create some financial respite for our members. The number of principal members has exceeded 353 763, with 727 041 beneficiaries at an average age of 35.5. In a time when it is a challenge for schemes to acquire new members, Bonitas had a net membership growth of 4% with 47 446 gross membership acquisitions. This excludes the 14 585 acquired from the Nedgroup Medical Aid Scheme (NMAS) amalgamation – highlighting the attractiveness of the Bonitas offering and product range for corporates. We pride ourselves in providing one-on-one assistance to members and their beneficiaries, as well as access to care of the highest quality. To do so, we have partnered with best-in-class service providers. Testimony to this is being awarded a Titanium Award from the Board of Healthcare Funders (BHF) for ‘Operational Performance’ in May 2023 for the second year running. The award benchmarks industry excellence and rewards medical schemes, administrators and managed care organisations which provide best value and service to their members. Earlier this year, Bonitas was also named ‘Medical Scheme of the Year’ at the News24 Business inaugural awards. The Scheme was also voted South Africa’s number 1 medical aid in the Ask Afrika 2021/2022 Orange Index. Investment We achieved a 7.2% return on investment for member’s funds during a year which was marked by high volatility and uncertainty in the markets, both domestically and abroad. The investment portfolio value for 2022 reached R9.97 billion. As a medical scheme we don’t have shareholders or investors who receive dividends, we exist and spend our funds purely for the benefit of our members. Cost-saving initiatives The Scheme’s approach to realigning Managed Care initiatives, with a particular focus on hospital negotiations, resulted in a projected negotiated savings of R260 million. Strategic purchasing yielded a value of at least R441 million for our members. Optimising and aligning networks is a key strategy to managing costs. We regularly evaluate the quality of all service providers to ensure there is a reduced healthcare risk for Bonitas (and for our members). Amalgamations Our Board managed the successful amalgamation with NMAS which required close scrutiny of our governance and compliance. Fraud, Waste and Abuse (FWA) In 2022, Bonitas spent R49 million on its FWA programme with Medscheme and, for the first time we banked recoveries in excess of R55 million. Banked recoveries represent a small portion of the actual savings emanating from successful FWA detection and preventions, as service providers who engage in FWA are likely to continue doing so if they are not held to account. We estimate a saving of R1.1 billion from changed behaviour since the commencement of our FWA programme in 2016. Solvency levels Our solvency levels reached an all-time high of 41.3% – 16% above the legislated 25%. Our objective is to sustain solvency levels above 30% and to use our bolstered reserves to benefit our members. Hospital costs Hospital costs again dominated claims, reaching R6.9 billion (2021: R6.45 billion). Managed Care Active Disease Risk Management (ADRM) focusses on improving clinical outcomes, reducing admissions, readmissions and improving medicine adherence. The estimated value realisation of these interventions achieved savings in excess of R14 million. Value for money above industry average Deloitte conducted a Transactional and Relational Governance Review of years 2020 and 2021 with the results received in November 2022. The Review found that Bonitas obtained significant value for money from its primary contracted service providers. For every R1.00 spent on administration and Managed Care, Bonitas derived R1.78 for 2021, an increase of 19%, demonstrating substantial improvement year on year. Outlook for 2023 Our agile approach to the execution of our strategy is likely to stand us in good stead in 2023, as we expect further volatility in local and international markets and an increase in disease burden such as mental health. For our members, affordability and quality remains top of mind. Private medical aid shifted from being a grudge purchase to a necessary monthly budget item during COVID-19. However, Bonitas remains committed to deliver benefit enrichment for members, which we can do through our value-added offerings, healthy reserves and high solvency level. In terms of the NHI draft Bill, we have done extensive scenario planning to consider both best- and worst-case scenarios for Bonitas. We remain unequivocally in support of the principle of universal healthcare but believe that a collaborative and cohesive approach, between the

July 13, 2023

WHEN AND WHY PREGNANCY ULTRASOUNDS ARE DONE

According to Affinity Health, a leading provider of high-quality healthcare, pregnancy ultrasounds are an essential part of prenatal care that can provide valuable information about the health and development of the foetus. What is a Pregnancy Ultrasound? From the first glimpse of a tiny heartbeat to the detailed images of a fully-formed little human, ultrasound technology offers a window into pregnancy’s mysterious and wondrous world. Each ultrasound provides expectant parents a unique opportunity to connect with their babies, see their features taking shape, and witness the incredible miracle of life unfolding. How Do Pregnancy Ultrasounds Work? A pregnancy ultrasound is a non-invasive diagnostic test that uses high-frequency sound waves to create images of the developing foetus in the uterus. It allows healthcare professionals to monitor your unborn baby’s growth and development, assess the pregnancy’s health, and detect potential risks or abnormalities. When are Pregnancy Ultrasounds Done? Pregnancy ultrasounds are typically done at different points throughout the pregnancy, depending on the mother’s and the foetus’ medical needs. The most common times for ultrasounds are the following. First Trimester A first-trimester ultrasound is usually done between 6-12 weeks to confirm the pregnancy, determine whether you have more than one baby growing inside you, and assess the foetus’s gestational age. This ultrasound can also detect any abnormalities or potential risks to the pregnancy, such as ectopic pregnancy or miscarriage. Second Trimester A second-trimester ultrasound is usually done between 18-22 weeks of pregnancy to check the development of the foetus, including its size, weight, and organ development, and detect structural abnormalities, such as heart defects or cleft lip/palate. Third Trimester A third-trimester ultrasound is usually done between 28-32 weeks of pregnancy to check the position of the foetus, which is essential for planning delivery, as well as access the placenta and the amount of amniotic fluid surrounding the foetus. In some cases, doctors may do additional ultrasounds in the case of a high-risk pregnancy. Benefits of Pregnancy Ultrasounds Pregnancy ultrasounds offer several benefits for both the mother and the baby, including: Early detection of potential problems Improved prenatal care Increased peace of mind Facilitating communication between the doctor and the expectant parents Detecting multiple pregnancies Providing a record of the pregnancy Good to know: To minimise the risks associated with pregnancy ultrasounds, it is crucial only to have ultrasounds when a healthcare provider recommends and to use qualified healthcare professionals who are trained in ultrasound techniques. Maternity Benefits from Affinity Affinity Health’s Maternity Benefits cover the costs of bringing new life into the world, ensuring that members can enjoy the most precious time without worrying about money. Members can access comprehensive maternity and postpartum benefits, including scans, blood tests, health advice, and guidance via Affinity’s Telehealth Call Centre (simply call 0861 11 00 33). The benefits are subject to policy types and Affinity Health rules, including coverage for hospitalisation, antenatal consultations, growth sonars, and pathology tests. Affinity Health also offers an all-inclusive birthing plan that provides members with access to gynaecologists, sonographers, social workers, psychologists, dieticians, and antenatal classes. With Affinity Health, new parents can rest easy knowing they have access to affordable and accessible healthcare products that protect them when it matters most. For more information on Affinity Health’s Maternity Benefits, click here. About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters. We strive to give our clients peace of mind and the highest standard of service. Follow us on Facebook, Twitter, and Instagram.

July 13, 2023

Load shedding – healthcare and chronic meds

Load shedding in South Africa has significant effects on both private and public healthcare. These are far-reaching and can have severe consequences for patients, medical facilities and healthcare professionals. So just what is the impact of load shedding on healthcare in South Africa? In the realm of healthcare, load shedding exacerbates the existing challenges faced by hospitals and clinics. Load shedding further strains infrastructure and compounds existing shortages, compromising patient care. New regulations allow larger public hospitals exemption from load shedding however, Eskom has warned that it would be technically impossible to isolate and exclude most healthcare facilities from load shedding. Dr Morgan Mkhatshwa, Clinical Executive of Bonitas Medical Fund says, ‘prolonged or frequent loss of basic services, including the lack of electricity, has been shown to have financial, psychological and physical implications.’ The importance of private healthcare was highlighted during the Covid-19 pandemic. ‘Medical aid changed from being a grudge purchase to an absolute necessity and, once again, this is being reinforced by the electricity crisis and load shedding,’ says Dr Mkhatshwa. ‘Apart from having access to private hospitals, which are predominately well equipped with generator banks and/or inverters, medical aids take every precaution to ensure other services are available at optimum levels and the highest quality.’ He says, ‘To ensure the delivery of cost-effective healthcare, we have a network of hospitals and clinicians with whom we have negotiated favourable rates to minimise co-payments for our members. All of these hospitals and clinician practices have put effective contingency plans in place to ensure they are able to generate sufficient back-up power for uninterrupted patient care.’ Provision of pharmaceuticals These include vaccines, insulin and certain antibiotics, which are sensitive to temperature fluctuations and require refrigeration/strict maintenance of the cold chain. During power outages, the lack of electricity can compromise the integrity and efficacy of these medications, rendering them ineffective or potentially harmful. This does not only pose a risk to patient health but also leads to financial losses as medications and vaccines may need to be discarded, due to compromised storage conditions. He says the provision of chronic medications is essential to ensure members are able to adhere to their medicine regime. The Fund ensures their Designated Service Providers are proactive in developing contingency plans to ensure an uninterrupted medicine supply to its members. This includes having generators and backups, double dispensing of medication to ensure chronic medication deliveries are doubled up and developing communication tools to inform and educate members about medication supply. ‘More than 80% of South Africans are reliant on public healthcare services at the approximately 420 state-run hospitals and more than 3 000 state-run clinics. While private facilities, secondary- and tertiary-level public hospitals appear to be well equipped with generator banks, smaller healthcare facilities including primary healthcare clinics, are often left in the dark,’ says Dr Mkhatshwa. ‘The cost of alternative sources of power can be substantial, with a private hospital group recently reporting an average monthly expenditure of R800k to run its generators. ‘The situation is not only unsustainable but is also putting the healthcare of our citizens at risk and, once again, it is the most vulnerable who are compromised the most.’ The original study by the University of the Witwatersrand’s Department of Emergency Medicine, Faculty of Health Sciences in 2019. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742019001200003

July 12, 2023

Beat thrush with probiotics: A secret weapon for optimal vaginal health

Thrush is a common vaginal infection caused by an overgrowth of yeast (a type of fungus).1a It can be uncomfortable and frustrating to deal with, but certain specific probiotics can be a secret weapon for optimal vaginal health. Signs and symptoms Symptoms of thrush include itching, soreness, and abnormal discharge. You might also experience pain during sexual intercourse or when urinating.1b Anyone can get thrush, but those who have weakened immune systems, are pregnant, or have uncontrolled diabetes may be more susceptible.1c Reuterina femme is a probiotic supplement that contains Lactobacillus reuteri RC-14 and Lactobacillus rhamnoses GR-1. Reuterina femme has clinical evidence that: Is proven to work effectively in vaginal infections.3 Shows reduction in the incidences of recurring vaginal thrush infections.2 Reduces growth of infection causing bacteria and yeasts.3 Can be used with antibiotics to increase theireffectiveness.4 Incorporating Reuterina® femme into your daily routine can help you beat thrush and maintain a healthy vaginal microbiome. The Reuterina® family of probiotics are available from pharmacies nationwide. For more information, visit: https://reuterina.co.za/ and join the conversations on Instagram and Facebook. References and product legals available on request. S0 Reuterina (chew tablet). Each tablet contains a minimum of 100 million ( 1 x 10 8) live, freeze-dried colony forming units (CFU) Limosilactobacillus reuteri RC-14 and Limosilatobacillus rhamnosus GR-1. Applicant: Austell Pharmaceuticals (Pty) Ltd, 1 Sherborne Road, Parktown, Johannesburg, 2193, South Africa. Tel: 0860287835. www.austell.co.za . PMX: 1597_06/2023

July 11, 2023

HOW LONG DOES A COLD LAST?

According to Affinity Health, a leading provider of high-quality healthcare, the common cold, a prevalent respiratory illness, affects millions worldwide each year. “The common cold can be a disruptive and uncomfortable illness, but it’s crucial to remember that it is usually a self-limiting condition,” says Murray Hewlett, CEO of Affinity Health. “By practising good hygiene, getting adequate rest, and using appropriate symptom-relieving measures, individuals can help minimise the impact of the cold on their daily lives.” What is a Cold? A cold, also referred to as an upper respiratory tract infection, is an illness caused by several different viruses. The most common type of virus responsible for colds is rhinovirus. However, other viruses, such as coronavirus and adenovirus, can also contribute to cold symptoms. When a person contracts a cold virus, it primarily affects the nose and throat, causing inflammation and irritation. The typical cold symptoms include a runny or stuffy nose, sneezing, sore throat, cough, mild headache, and sometimes low-grade fever. These symptoms usually develop one to three days after exposure to the virus and can last for about a week. Colds are highly contagious and can quickly spread from person to person. The virus is transmitted through respiratory droplets released when an infected individual coughs, sneezes or talks. These droplets can be inhaled by people nearby, leading to infection. Additionally, the virus can spread indirectly by touching surfaces or objects contaminated with the virus and then touching the face, mouth, or nose. “It’s important to note that the common cold is different from the flu, which is caused by the influenza virus and typically presents with more severe symptoms,” adds Hewlett. “If you have concerns about your symptoms or if they worsen, it’s advisable to consult a healthcare professional for proper evaluation and guidance.” Prevalence in South Africa and Worldwide The common cold is a global health concern, and South Africa is no exception. The prevalence of colds in South Africa mirrors that of other countries, with a significant number of cases reported annually. According to the World Health Organization (WHO), adults can expect to experience two to four colds annually, while children may experience even more. These figures highlight the widespread nature of the common cold and its impact on individuals of all ages. Duration Although cold symptoms can vary from person to person, they typically resolve within seven to 10 days. However, it is essential to note that certain factors, such as a weakened immune system or underlying health conditions, can prolong the duration of the illness. Treatment Options Unfortunately, there is no cure for the common cold, as viral infections cause it. Antibiotics are ineffective against viral infections and should not be used to treat colds unless a secondary bacterial infection is present. However, several management strategies can help alleviate symptoms and promote recovery. These include: Rest: Getting plenty of rest allows the body to divert energy towards fighting the infection. Hydration: Staying well-hydrated helps thin mucus secretions and prevents dehydration. Over-the-counter medications: Non-prescription cold remedies, such as decongestants and pain relievers, can temporarily relieve symptoms like congestion and sore throat. It is necessary to carefully follow the instructions and consult a healthcare professional if in doubt. Saline nasal rinses: Nasal saline rinses can help clear nasal passages and alleviate congestion. Warm fluids: Drinking warm liquids, such as herbal teas or broths, can soothe a sore throat and provide comfort. Steam inhalation: Inhaling steam from a bowl of hot water can help relieve congestion and ease breathing. About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our range of healthcare products is designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

July 11, 2023

MAKING SENSE OF OVER-THE-COUNTER COLD AND FLU MEDICATION

More people are choosing to self-medicate colds and flu than ever before, but with literally hundreds of over-the-counter (OTC) remedies available inside a pharmacy, how do you know which one(s) to buy? Marli Botha, OTC Product Manager at Pharma Dynamics, says there are more than 200 different colds and flu medicine brands available today, which can make choosing the right treatment onerous. “While self-medicating can save you time and money, few consumers are familiar with the active ingredients in medicines and how they could potentially interact with one another. For example, taking a nasal decongestant when you have high blood pressure may cause an unwanted reaction. If you do you have an underlying condition and/or are on chronic medication, then it’s always best to check with the pharmacist or your doctor regarding the risk of a drug interaction – even when it comes to natural or herbal treatments.” She says when you’re suffering from a cough and/or runny nose, it’s important to know whether you have a cold or flu as they often require different treatment. “A cold usually comes on gradually, over the course of a day or two. Symptoms typically include tiredness, sneezing, a runny or stuffy nose and coughing. You might not have a fever, but when you do, it’s likely to only be slightly higher than normal. Colds usually last three to four days, but can linger for up to two weeks. “In contrast, the flu, comes on suddenly and hits hard. You will feel weak and tired, and could run a fever as high as 40°C. You’ll experience aching muscles and are likely to feel cold the one minute and hot the next. The flu is often accompanied by a pounding headache and sore throat. A fever may last three to five days, but you could feel weak and tired for two to three weeks.” While most people will recover from a cold relatively quickly, the flu can lead to serious complications in those with suppressed immune systems, such as the elderly, children or those suffering from a chronic condition, which is why these populations should consult a doctor if symptoms persist after one week. She says if you have a runny nose and sore throat, medications that include an ingredient to control coughs should be avoided. “Consumers need to make sure they choose medication that treat only the symptoms they have and that they are not taking medications they don’t need. The best way to make sure that you choose the appropriate OTC medication to treat a cold or flu is to understand the different active ingredients and the symptoms they treat.” There are six major active ingredient categories related to colds and flu symptom relief. These are: Analgesics relieve pain and discomfort. Decongestants provide short-term relief for a blocked or stuffy nose. They work by reducing the swelling of the blood vessels in your nose, which helps to open up the airways. This relieves the feeling of pressure and allows you to breathe more easily through your nose. Cough suppressants will help control a persistent, dry cough by acting on the body’s cough reflex. The cough reflex is the body’s way of getting rid of secretions in the airways and lungs. However, in some cases, coughing can be excessive and exacerbate symptoms. Mucoactive agents work best if you have a wet cough and will help clear mucus or sputum from the upper and lower airways, including the lungs, bronchi and trachea. Mucoactives include expectorants, mucolytics, mucoregulators and mucokinetics. Bronchodilators relieve coughs by widening the air passages, increasing the airflow. Antihistamines block histamine and is commonly used to treat allergy symptoms. “Medications that treat more than one symptom, often referred to as combination medicines, can also be taken to relieve symptoms. “For a sore throat try sucking lozenges – most of them are pleasantly flavoured and contain glycerine to lubricate the throat, while others are medicated. Another option would be throat sprays containing local anaesthetics and anti-inflammatory ingredients. “To relieve mild or moderate pain, such as headaches or to reduce fevers take paracetamol. “When you’re down with a cold or flu, your body needs plenty of rest and regular fluid intake. Keep in mind that viruses cause colds and flu, therefore antibiotics won’t work. Taking unnecessary antibiotics promotes antibiotic resistance, which makes bacterial infections harder to treat than those caused by non-resistant bacteria.” Botha says having a basic understanding of the types of ingredients contained in colds and flu medications can help consumers make more informed choices, but she cautions, when in doubt, ask your pharmacist or doctor for advice.

July 7, 2023

When It Comes To Pain And Fever Care With Your Infant This Winter, Accurate Dosage Is Key

When caring for your infant’s health, accuracy is crucial. This is particularly true when it comes to administering medication for pain and fever relief. Parents want to be confident this Winter, that they are providing their little ones with the proper amount of medication, without the risk of under or over-dosing.1 That’s where the easy dosage control dropper that comes with Panado® Infant Drops2 can be a great help and convenience. The dropper that accompanies the Panado® Infant Drops is specially designed to make dosing easy and accurate. It’s marked with precise measurements that help parents to ensure that they are providing the correct amount of medication, based on the weight and age of their child. This is especially important when treating infants, as their bodies are much smaller and more delicate than those of older children and adults. The medication is specifically designed to be administered in small doses, making it easier to get the dosage just right. The dropper that comes with the medication is also designed to be easy to use and accurate, making sure that you can give your baby the correct amount of medication every time. Panado® provides trusted5 pain and fever relief, making this Winter so much easier to navigate. Other Panado® Products Suitable For Your Child In addition to Panado® Infant Drops 20 ml, Panado’s range for children includes Panado® Paediatric Syrup, Strawberry (50 ml | 100 ml),3 Panado® Paediatric Syrup, Peppermint Alcohol and Sugar-Free (50 ml | 100 ml),4 and Panado® Paediatric Syrup, Peppermint 5 ml Sachets. Make pain and fever care easy by shopping for Panado® products from independent pharmacies and selected Clicks, Dis-Chem, and Pick ‘n Pay stores. For more information, visit https://panado.co.za/ and join the conversations on Facebook. 2023050910278212 References: Kids Health. Medicines: Using Them Safely. Last accessed 27 March 2023. Available from: https://kidshealth.org/en/parents/medication-safety.html Panado® Infant Drops (Drops). Approved package insert, August 1990. Panado® Paediatric Syrup Strawberry. Approved package insert, March 2002. Panado® Paediatric Syrup Syrup. Approved package insert, April 2010. IRI Data for MAT August 2021.

July 5, 2023

FIVE TIPS TO KEEP YOUR CHILDREN HEALTHY DURING THE CHILLY SEASON

As the winter season approaches, Affinity Health, a leading provider of high-quality healthcare, reminds parents and caregivers of the importance of maintaining their children’s health and well-being. Colds and flu are quite common among children, especially during winter. The colder weather and increased time spent indoors close to others can contribute to the spreading of respiratory infections. Children, particularly those in school or day-care settings, are more susceptible to these infections due to their developing immune systems and frequent exposure to other children. The close contact and sharing of objects among children provide ample opportunities for viruses to spread. Additionally, the influenza virus circulates more widely during the colder months, increasing flu cases during winter. “It’s important to note that with the COVID-19 pandemic, there have been changes in transmission patterns and public health measures that may impact the occurrence of respiratory illnesses in children,” says Murray Hewlett, CEO of Affinity Health. “It’s always recommended to follow local health guidelines and take appropriate preventive measures.” As much as we’d love to protect our little superheroes from every sneaky cold and flu villain, they can still catch a case of the sniffles. However, there are ways we can help our children ward off troublesome winter illnesses. Read on for Affinity Health’s five essential tips to keep children healthy in winter. Encourage Proper Hand Hygiene Regular handwashing is one of the most effective ways to prevent the spread of germs. You must encourage your children to wash their hands frequently with soap and warm water, especially before meals, after using the restroom, and after coughing or sneezing. If soap and water are unavailable, alcohol-based hand sanitisers can be an alternative. By instilling good hand hygiene habits, you can help reduce the risk of infections. Ensure Adequate Nutrition A well-balanced diet plays a crucial role in maintaining a robust immune system. Include a variety of fruits, vegetables, whole grains, and lean proteins in your children’s meals. These foods provide essential vitamins, minerals, and antioxidants that can bolster their immune response. Additionally, consider incorporating immune-boosting foods such as citrus fruits, berries, yoghurt, and green leafy vegetables into their diet. Promote Regular Physical Activity Encourage your children to engage in regular physical activity, even during winter. Whether indoor activities like dancing, yoga, active games, or outdoor activities such as playing in the garden, jogging, or walking, keeping them active helps boost their immunity and overall well-being. Remember to dress your kids appropriately for the weather to ensure comfort and safety. Ensure Sufficient Sleep Adequate sleep is essential for children’s overall health and immune function. Establish and maintain a consistent sleep schedule, ensuring your children get the recommended amount of sleep for their age group. A well-rested body is better equipped to fight off infections and support their overall well-being. Practice Respiratory Etiquette Teach your children proper respiratory etiquette to prevent the spread of respiratory infections. It would help if you encouraged them to cover their mouth and nose with a tissue or elbow when coughing or sneezing. Remind them to dispose of used tissues properly and wash their hands afterwards. By practising respiratory etiquette, you help reduce the transmission of germs and protect their health. Signs And Symptoms of Colds and Flu In Children While cold and flu symptoms can overlap, some distinguishing features can help differentiate between the two. Common Cold: Runny or stuffy nose Sneezing Sore throat Mild headache Cough, usually dry and hacking Mild fatigue or tiredness Mild body aches Watery eyes Low-grade fever, if present, is generally mild Influenza (Flu): Sudden onset of symptoms High fever (often above 38°C) Severe headache Fatigue and extreme tiredness Muscle or body aches, which can be severe Chills and shivering Dry, persistent cough Sore throat Runny or stuffy nose, although less common in flu than in colds Nausea, vomiting, and sometimes diarrhoea more common in children than in adults Did You Know? On average, children can experience anywhere between 6 to 10 colds per year, especially during their first few years of life, while, according to the Centers for Disease Control and Prevention (CDC), during typical flu seasons, flu illnesses can affect around 8% to 20% of children. About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

July 4, 2023

Due soon? What to include in your hospital bag

With your due date fast approaching, this is a very exciting, yet stressful time for most moms to be. Here is a great list of what to pack for the big day! Ideally, you should have your bag ready to go by 36 to 37weeks, apart from the last minute grabs such as your tooth brush and phone charger. Please see our extensive list of the essential items and also items to make you feel more comfortable for mom and baby (and dad, of course!) Baby Car seat – Many hospitals won’t let you leave without one. Please make sure you know how to strap baby properly into the seat and the seat is secure in the car. Safety first! A going home outfit: It’s important to keep baby skin to skin (this means no clothes on baby; only a nappy) for as long as possible, as this promotes growth, bonding and a calming period for you and your baby. When it’s time to go home, pack different outfits in different sizes as you don’t know how big or small baby will be. Aim for an outfit in Newborn sizes, and 0-3 months. Don’t forget a beanie or socks if the weather is cold. Blankets or Muslin wrap to keep baby nice and cosy. Bottles – If you are going into the hospital knowing you are going to bottle feed, take your bottles with. The hospital usually supplies the formula, but if you have a preferred brand, take some along. If breastfeeding doesn’t work for you, don’t stress! The nurses will provide the bottles and formula. Nappies and wipes to keep baby clean and dry. The nurses in the hospital will show you how to change baby if you are a first time mom. Mom Your medical aid information, your pre authorization/ doctors forms, your ID card and all other important documents you may need. Keep this safely in a folder all together to avoid any stress. A robe or dressing gown – This is such a handy item to have to cover up and make you feel comfortable Pyjama’s that button down at the front – If you are breastfeeding it’s a lot easier to undo the buttons than lift your top continuously. Comfortable, soft and loose pants such as lights weight shorts, stretchy leggings or sleep pants are ideal. Maternity pads and disposable breast pads. Nursing bras are also wonderful and offers great support for breastfeeding moms. Slippers or slip in shoes. Your feet may be a little swollen after delivery, so don’t feel bad leaving the hospital in the snuggest and easiest pair of shoes you can slip into. Slipper socks also work great. Cotton underwear, preferably in a dark or black colour. One that fits you well but rises above the uterus. This is good for moms who have a caesarean section and natural birth as it offers support and doesn’t cause pain along the wound site. Nipple cream – If you’re planning on breastfeeding, your nipples will be happy you are being so proactive. Toiletries – You will want to brush your hair and have a shower after baby has arrived. Take your shampoo, face cream, lotion and body wash, as well as your toothbrush and toothpaste. Deodorant, lip balm and extra hair ties are also a great items to have on hand. Cell phone charger – Because your phone will be full of photos of your new addition to your family. Water bottle and snacks. Take a reusable water bottle as its very important to keep hydrated during and post-delivery. Snack on dried fruit and wine gums to keep your sugar up and to give you energy (with permission from your midwife or doctor of course) A magazine or book, your laptop or some music. Labour may sometimes become a little long. It’s good to keep busy. Most hospitals and birthing clinics supply towels, pillows and blankets. If you have a favourite, take yours along to the hospital. A set of clothes to go home in. Your make up bag and straightener or curling iron. While you won’t be focused on looking great during labour, you may want to take some photos after the birth of your little one. Get someone to help you and make you feel good about yourself (and the great work you’ve just done!) Dad/Birthing partner Camera – Take photos! Lots of them. This is a great job for dad to do during birth. It will make them feel a lot more involved. Snacks: Another great job for dad. Full his bag with plenty of snacks and treats that you can both enjoy during your stay. Comfortable clothes – As he may be sitting with you for quite some time, let him pack some tracksuit pants, t shirts, slippers and hoodies. Extra underwear is also a winner if he is staying overnight. Chargers – For phones, laptops and cameras. The longer the wire, the better, as most plug outlets are likely to be far from you. Toiletries – He may want to freshen up during the course of your stay. Many private hospitals offer you a baby bag when you are admitted for delivery. This is a great item and will contain most, if not all baby’s toiletries such as soap and creams. If you forget something, it’s not the end of the world. The nurses may be able to help or someone can go to the shop for you. All baby ideally needs is a clean nappy, milk, and most importantly, you.

July 3, 2023

WHAT ARE THE COMMON SYMPTOMS OF MULTIPLE SCLEROSIS?

As we mark International Multiple Sclerosis (MS) Month, Affinity Health, a leading provider of high-quality healthcare, raises awareness and understanding about this debilitating and complex disease. What is MS? MS is a chronic autoimmune condition that affects the central nervous system (CNS). It is estimated that over 6,000 people in South Africa are living with MS, and around 2.5 million worldwide. MS occurs when the immune system mistakenly attacks the protective coating (myelin) that surrounds nerve fibres in the CNS. This can cause a range of symptoms, depending on which nerves are affected. The cause of MS is not yet fully understood, but it is believed to be a combination of genetic and environmental factors. Signs And Symptoms The signs and symptoms of MS can vary greatly from person to person, depending on which part of the CNS is affected. Some of the most common symptoms include: Fatigue: MS-related fatigue is often described as an overwhelming sense of exhaustion that does not improve with rest. It can be debilitating and affect daily life. Muscle weakness or spasticity: MS can cause muscle weakness, stiffness, or spasms, which can affect movement and coordination. Vision problems, such as blurred or double vision: MS can damage the nerves that control eye movement, leading to vision problems. Sensory symptoms, such as numbness or tingling in the limbs: MS can affect the way nerves transmit signals, leading to altered sensations such as numbness, tingling, or burning. Difficulty with coordination and balance: MS can affect the cerebellum, which is responsible for coordination and balance, leading to problems with walking or standing. Problems with speech or swallowing: MS can affect the nerves that control speech and swallowing, leading to slurred speech or difficulty swallowing. Cognitive difficulties, such as memory problems or difficulty with concentration and attention: MS can affect the parts of the brain responsible for cognition, leading to problems with memory, attention, and information processing. Treatment Options While there is currently no cure for MS, there are treatments available that can help manage the symptoms and slow down the progression of the disease. These include medication, physical therapy, and lifestyle changes such as a healthy diet and regular exercise. According to Murray Hewlett, CEO of Affinity Health, “Early diagnosis and treatment are key to managing MS. It is important to seek medical attention if you experience any of the symptoms associated with MS, as early intervention can help prevent long-term disability and improve quality of life.” MS can have a significant impact on a person’s quality of life, and it is important to provide support and care for those living with the disease. This includes access to healthcare, rehabilitation services, and community support. “By increasing awareness, we can help reduce the stigma associated with MS and improve support for those living with the disease,” concludes Hewlett. About Affinity Health Affinity Health is South Africa’s leading provider of health insurance, offering you a range of options at affordable rates including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, your budget, and your lifestyle. Our range of healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service at all times. For more information, follow us on Facebook, Twitter, and Instagram.

June 30, 2023

COULD THIS BE ADHD?

With home-schooling becoming the new norm, many parents are now faced with seeing their children in a different role as a student, and they have been forced into becoming the, often ill-equipped, teacher. Some parents are finding this incredibly difficult, and especially those whose children are not getting on with the schoolwork with as much ease as they’d expect.

June 28, 2023

All You Need to Know About Speech Therapists

Speech therapists, speech and language therapists and speech pathologists all refer to the same scope of practice. In South Africa, we study a 4 year Bachelor of Science degree at university followed by 1 year of community service at a government hospital or health care facility. It is a requirement that we register with the Health Professionals Council of South Africa (HPCSA). Thereafter, we can work in the public or private sector.

June 23, 2023

Playful ways to express emotions

“Emotions are important and can determine the kind of behaviour your child displays,” advises play therapist and Clamber Club Expert Anna Rodrigues. “A young child does not have the language to tell what he is feeling so his feelings come out in his behavior,” she adds. A child who feels angry for example could be defiant; a child who feels sad may cry continuously and a happy, content child may smile often and be compliant. A child who knows that there are many different emotions can name them and has a greater ability to be in control of those emotions. How can you help your child show his emotions? Start by looking at ways to help your child recognize his different emotions. “The first four emotions your child should recognise as a toddler is the happy face, the sad face, the angry face and the scared face,” says Anna. As you page through a magazine with your child or read him a story at night, point out the emotions the characters may be experiencing. As your child becomes familiar with those emotions highlight other emotions such as the excited teddy, the frustrated little boy or the nervous horse. Secondly, allow your child to experience these emotions through play. Children love to pretend and to fantasize. So, let your child pretend to be a mad dinosaur or a scared bird. Notice the expression on your child’s face as he plays out these emotions. There are also many negative emotions that your child may feel, he may feel annoyed, upset, confused, scared, angry or disillusioned. “These are all normal to experience, but when he starts to act out and misbehave or internalise these hard feelings it is important to help him to release these emotions in a playful manner,” advises Rodrigues. How high is your PQ when it comes to your child? There is so much importance placed on the child’s IQ and EQ, however we should add PQ – playful quotation, to this group. Here are our top playful activities to do with your child to help him release negative energy or negative feelings:

June 22, 2023

What is HELLP?

Pregnancy and the arrival of a new baby is a time of great excitement and joy for expectant parents. However, occasionally there can be complications, which is why pregnant moms should have regular health checks and be aware of any unusual symptoms that may develop. Over the past few years, there has been discussion around a condition known as HELLP Syndrome. It’s a life-threatening complication in pregnancy that can be difficult to diagnose. We reached out to Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund and his clinical team, to get some answers and advice about HELLP. What is HELLP Syndrome? HELLP (Haemolysis, Elevated Liver enzymes, Low Platelet count) Syndrome usually develops before the 37th week of pregnancy but can occur shortly after delivery. It’s a serious complication that affects the blood and liver. H = Haemolysis is the breakdown of red blood cells that carry oxygen from lungs to the rest of the body. EL= Elevated liver enzymes. High levels of these chemicals in the blood can be a sign of liver problems. LP = Low platelet count. Platelets are little fragments of blood cells that help with blood clotting. A low platelet count can lead to serious bleeding. What causes HELLP? ‘We don’t know what causes HELLP syndrome,’ says Dr Mkhatshwa, ‘however, you are at risk if you have pre-eclampsia or eclampsia.’ About 1 to 2 in 10 pregnant women (10 to 20 percent) with pre-eclampsia or eclampsia develop HELLP. Pre-eclampsia is caused by high blood pressure. It usually starts after the 20th week of pregnancy or giving birth. Eclampsia is when pre-eclampsia is uncontrolled and causes seizures. Many women are diagnosed with pre-eclampsia before they have HELLP which is a more severe form of pre-eclampsia. What are the symptoms / signs of HELLP? You may feel tired, have pain in the upper right part of the belly, bad headaches and nausea or vomiting. You may also experience swelling, especially of the face and hands and blurry vision. Some women develop HELLP suddenly, without having any signs or symptoms. If you have any signs of HELLP Syndrome, call your medical practitioner, emergency services or go to a hospital emergency room for medical care right away. How is HELLP diagnosed? To find out if you have HELLP Syndrome, your healthcare provider will do a physical exam to check for: Belly pain or soreness, especially in the upper right side An enlarged liver High blood pressure Swelling in your legs Other tests could include: Blood tests to check your liver enzyme levels, lactate dehydrogenase and full blood and platelet count with a peripheral smear Urinalysis to check for protein in the urine A CT scan to see if there’s bleeding in your liver Non-stress test or ultrasound to check your baby’s health. A non-stress test checks your baby’s heart rate, in the womb, to see how the heart rate changes when your baby moves. This test is to make sure your baby’s getting enough oxygen. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb Is HELLP painful? Symptoms of HELLP include serious pain just below the ribs, or the upper right side of the chest area (where the liver is), shoulder pain or pain when breathing. How is HELLP treated? You may be given medication to control your blood pressure and prevent seizures or you may require a blood transfusion to treat anaemia and low platelet levels. Early birth may be necessary because HELLP complications can get worse and harm both you and your baby – either through an induced labour or by C-Section depending on the health assessment results of the baby. How does it impact the baby? Infants born to mothers with HELLP Syndrome may have a variety of birth injuries: Intrauterine growth restriction (IUGR) or severe respiratory distress. Are there long term effects of HELLP? A history of HELLP Syndrome means you are at increased risk for recurrent pre-eclampsia and HELLP Syndrome as well as increased long-term morbidities, particularly depression and chronic hypertension. Can HELLP develop after childbirth? Yes, up to 30% of all patients who develop HELLP Syndrome do so after giving birth, typically within 48 hours. Can I have another baby after HELLP syndrome? If you had HELLP in a previous pregnancy, regardless of the time of onset, you have a greater risk for developing it in future pregnancies. ‘The condition is serious but rare’, stresses Dr Mkhatshwa. ‘Throughout your pregnancy it’s important to understand the changes your body is going through and to discuss any unusual pain or symptoms with your medical practitioner. This will ensure you receive the right help especially if you develop a complication and make the pregnancy and birth the joyous event it should be!’

June 22, 2023

IS MY CHILD IGNORING ME, OR IS IT “SELECTIVE” HEARING?

Does this sound familiar? “Joshua, it’s time for dinner…” No answer. Is he ignoring me? Or maybe he didn’t hear me…? Maybe I should get those ears checked… When is it worthwhile taking your child for a hearing test? Perhaps you recall your child had a hearing test at birth. Or perhaps there was so much going on that it seems like a distant memory. Most children do have their hearing screened at birth by an audiologist, but it depends on the hospital protocol. The test that is done at birth is a screening test to exclude significant hearing loss, but it is certainly worthwhile to repeat the hearing test several times as your child ages. Ideally, your child should have their hearing tested at birth, at one year, at three years and at five years of age. This should be done by an audiologist, as doctors cannot test your child’s hearing. Why is it so important to test my child’s hearing so frequently? At Birth –This is normally a screening done in the hospital at birth, within the first few days of life. Hearing is tested using a small probe which measures echo responses from the cochlea (inner ear). It is recommended that every child has a hearing screening test at birth. At 1 year – At this age your child should start producing one word utterances. Hearing is tested using the same test as at birth, but this time a diagnostic version is used, which tests a broader range of tones, and two different types of echoes can be measured. Your child can sit quietly and does not need to respond. We also look at their behavioural responses to soft speech in a sound proof booth, with rewarding stimuli like a Barney DVD which is played when they respond appropriately. Lastly, their middle ear health is tested using tympanometry, as many children have middle ear fluid which parents are not aware of. At 3 years – Your child should now be stringing short sentences together, which should be largely intelligible to both family and strangers. By age 3 and a half, your child can start responding more accurately to behavioural hearing tests. A combination of the testing described above, as well as play audiometry is generally used at this age to test your child’s hearing. Middle ear pressure tests and objective testing may be repeated if behavioural responses do not give enough information. At 5 years – By five years of age your child can attend for longer and give responses that are accurate. A full diagnostic hearing test is normally carried out. Results tend to be more specific to the pitch and intensities of your child’s hearing threshold. It is important that your child’s hearing is tested before they start school to ensure they can hear normally, which will allow your child the optimum learning capacity. Warning signs for potential hearing loss to look out for: Requests for the TV to be a little louder Ignoring or not responding when spoken to, especially from a distance (this can be inconsistent) Asking for repetition (saying ‘what?’ ‘huh?’) Difficulty learning new words Delayed speech or language development You feel concerned as a parent Teachers raise concerns Academic difficulties Attention or behaviour problems Complaints about sore ears, or frequent tugging of the ears Difficulty hearing on the phone with one or both ears If in doubt, rather have your child’s hearing tested routinely. Hearing loss can occur within the first few years of life, and children are at risk for middle ear infections, which are not always detectable by parents. To find an audiologist in your area, visit Audiology SA

June 21, 2023

The Great Eye-Hand Link; The Importance of Eye-Hand Coordination for Children

Eye-hand coordination, also known as hand-eye coordination, refers to the smooth, controlled and coordinated movements of the hand and eye together in order to reach a specific goal. While this may appear to be a fairly simple process to an observer, it is in fact an immensely complicated process that is dependent on your eyes ability to see, your brains ability to process, interpret and understand what is being seen by the eye and then based on that information plan and execute a smooth, coordinated, appropriate motor response. In the case of eye-hand coordination, the motor response relates to the use of the hands in order to achieve a particular objective. Fine motor control refers to the ability of small groups of muscles found in the hands, fingers and eyes working together in a coordinated manner. Good fine motor skills develop from good gross motor skills in children. This means that providing a young child with opportunities to move the large muscle groups in their bodies through engaging in activities such as climbing, jumping, running and crawling develops body awareness. This in turn enables the child to better understand where their bodies are in relation to their environment and other objects. This understanding of their bodies in terms of large movements will then also translate in to an understanding of their bodies in terms of small movements or fine motor skills should the child be provided with sufficient gross motor input. Kelly Westerman, Clamber Club franchisee and Occupational Therapist says, “It is very important to understand that our child’s eye-hand coordination is intimately linked to their fine motor control and both the importance of the eyes and the hands must be understood and acknowledged as being key role players in eye-hand coordination.” The role of the eyes is to see, follow moving objects, focus near and far, judge distances, observe details of objects and importantly, navigate the movement of the hands. The role of the hands is to feel textures, shapes, temperatures and weight. The hand will hold and manipulate objects, push and pull, catch and throw, clap, rub, grip, squeeze and point. All of which might be meaningless without the guidance of the eyes; thereby creating the eye-hand coordination. “If we consider how many of the things we do on a daily basis require the use of our eyes and hands, we realise how important it is that this process works effectively and efficiently,” adds Westerman. Fine motor skills and eye-hand coordination begin to develop from the time a child is born. An infant tracking a moving object with their eyes and then attempting to swipe at it, reaching for objects and moving those objects to their mouths as well as grasping and releasing objects are all the early activities that develop these skills. As the child gets older good eye-hand coordination and fine motor skills contributes to a child’s ability to learn essential self-care skills such as dressing and undressing, brushing their teeth and feeding themselves. In the school-going child, proficiency in these skills results in improved classroom performance as these skills are involved with a learner’s ability to write, cut, copy work from a board and read. “In light of the importance of eye-hand coordination, parents should ensure that they create opportunities for their children to learn and master these skills form as early as possible,” comments Occupational Therapist and founder of Clamber Club, Liz Senior. “We aim to provide children with comprehensive eye-hand coordination experiences in our classes, using equipment that is beneficial, and at the same time fun, while promoting the skills required to get their hands, fingers and eyes working together in a coordinated manner.” Clamber Club has put together these top activities and games that can help your baby develop their eye-hand coordination: Encourage your baby to follow moving objects or person with their eyes Provide opportunities for your little one to reach and grasp at objects Give your baby a variety of objects to hold so that they can practice difference grips and grasps. Watch as your little one transfers objects from one hand to another. This is a very important skill that they learn, so parents should watch out for it! Your baby will also play with their hands. This is a wonderful way for them to learn more about their hands, so make sure that there are times when their hands are free of objects and they can explore with their hands at their midlines Do not discourage your little one from bringing objects to their mouths; this is an important skill and by mouthing objects your little one learns about certain features of that object Provide opportunities for your little one to explore objects with their eyes. This can be done through suspending objects from frames that your baby lies under

June 20, 2023

DO LAXATIVES HELP WITH WEIGHT LOSS?

Affinity Health, a leading provider of high-quality healthcare, warns that using laxatives for weight loss is ineffective and can also be dangerous. What Are Laxatives? Laxatives are substances that are designed to promote bowel movements and relieve constipation. While they are often used for medical purposes, such as treating digestive disorders or preparing for medical procedures, some people may also use laxatives to lose weight. However, the use of laxatives for weight loss is not only ineffective, but it can also be dangerous. Busting Laxative Myths The idea that laxatives can aid in weight loss is based on a common misconception about the role of bowel movements in the body. Some people may believe that if they can have more bowel movements, they will eliminate more waste and therefore lose weight. However, the amount of waste in the body is not directly correlated with body weight. In fact, most waste material comprises water, bacteria, and undigested food, which do not contribute to overall body mass. Furthermore, using laxatives for weight loss can have serious health consequences. 10 Dangers of Abusing Laxatives Laxative abuse is a growing problem, especially among those who struggle with eating disorders or body image issues. The dangers of laxative abuse include the following. Dehydration: Laxatives can cause the body to lose water, leading to dehydration if not enough fluids are consumed. Electrolyte imbalances: Laxative abuse can also cause electrolyte imbalances in the body, leading to serious health problems such as muscle weakness, irregular heartbeats, and seizures. Intestinal damage: Overusing laxatives can damage the intestinal lining, causing chronic inflammation, ulcers, and bleeding. Nutrient deficiencies: Chronic laxative abuse can lead to nutrient deficiencies, as the body may not be able to absorb essential vitamins and minerals. Gastrointestinal disorders: Laxative abuse can contribute to developing gastrointestinal conditions such as irritable bowel syndrome (IBS), chronic constipation, and even colon cancer. Dependence: Regular use of laxatives can lead to physical dependence on them, making it difficult for the body to have a bowel movement without their use. Weight gain: Laxatives do not help with long-term weight loss and can lead to weight gain as the body becomes dependent on them to have regular bowel movements. Kidney damage: Laxative abuse can damage the kidneys over time as they filter waste products from the body. Psychological effects: Laxative abuse can also have psychological effects, such as anxiety, depression, and a distorted body image. Death: In extreme cases, laxative abuse can lead to serious health complications that can be fatal, such as electrolyte imbalances, dehydration, and kidney failure. The Importance of Healthy Lifestyle Changes for Weight Loss Instead of relying on laxatives for weight loss, focusing on healthy, sustainable lifestyle changes is essential. This includes a balanced diet of fruits, vegetables, whole grains, lean protein, regular exercise, and adequate hydration. “In some cases, constipation and digestive issues can be a symptom of an underlying medical condition,” says Murray Hewlett, CEO of Affinity Health. “If you are experiencing chronic constipation or other digestive issues, it is important to talk to a healthcare professional to rule out any underlying conditions and develop an appropriate treatment plan.” About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters. We strive to give our clients peace of mind and the highest standard of service. Follow us on Facebook, Twitter, and Instagram.

June 20, 2023

IS EXERCISE MORE EFFECTIVE THAN MEDICATION FOR DEPRESSION AND ANXIETY?

While medication and therapy are often used to treat anxiety and depression, Affinity Health, a leading provider of high-quality healthcare, highlights growing evidence to suggest that exercise may also be an effective treatment option. According to the World Health Organization (WHO), depression is the leading cause of disability worldwide, affecting more than 264 million people. Anxiety disorders are also common, affecting an estimated 284 million people globally. “While depression and anxiety are distinct conditions with unique symptoms, they often occurB together and share many common underlying factors,” says Murray Hewlett. “Research has shown that genetics, life experiences, and brain chemistry can all contribute to the development of these disorders.” Signs And Symptoms of Depression and Anxiety Depression is a mood disorder characterised by persistent sadness, hopelessness, and a loss of interest in activities that were once enjoyable. Symptoms of depression may include: Feelings of sadness or hopelessness Loss of interest in activities Changes in appetite or weight Changes in sleep patterns Fatigue or lack of energy Difficulty concentrating or making decisions Feelings of worthlessness or guilt Thoughts of death or suicide Anxiety is a condition characterised by excessive worry, fear, or nervousness. Symptoms of anxiety may include: Excessive worry or fear Restlessness or irritability Difficulty concentrating or sleeping Muscle tension or headaches Fatigue or lack of energy Panic attacks Avoidance of certain situations or activities The Evidence for Exercise as a Treatment for Depression and Anxiety Research has consistently shown that exercise can positively impact mental health. A growing body of evidence suggests that exercise may be as effective as medication for treating depression and anxiety. “One meta-analysis published in the Journal of Psychiatric Research found that exercise was as effective as medication for treating depression in adults. The study analysed the results of 11 clinical trials involving 455 patients with major depressive disorder. The researchers found that exercise was just as effective as medication in reducing symptoms of depression,” adds Hewlett. “Another study published in the Journal of Sport and Exercise Psychology found that exercise was an effective treatment for anxiety in college students. The study involved 60 college students randomly assigned to either a control or exercise group. The group participated thrice weekly in a 30-minute aerobic exercise session for eight weeks. The researchers found that the exercise group experienced significantly reduced anxiety symptoms compared to the control group.” Hewlett continues to say a review of 25 studies published in the journal Clinical Psychology: Science and Practice found that exercise was an effective treatment for depression in older adults. The review included studies of various types of exercise, including aerobic exercise, resistance training, and tai chi. The researchers found that exercise was effective in reducing symptoms of depression in older adults, regardless of the type of exercise. Why Exercise May Be Effective There are several reasons why exercise may be an effective treatment for depression and anxiety. First, exercise has been shown to increase levels of certain neurotransmitters, such as serotonin and dopamine, which affect mood regulation. Exercise has also been shown to reduce inflammation, which is thought to contribute to depression. In addition to these physiological effects, exercise can also have psychological benefits. Exercise has increased self-esteem, improved mood, and reduced stress and anxiety. Is Exercise More Effective Than Medication? While exercise is an effective treatment for depression and anxiety, it is not necessarily more effective than medication. The effectiveness of exercise versus medication may depend on the individual and the severity of their symptoms. For some people, medication may be a necessary component of treatment for depression or anxiety. For others, exercise may be an effective alternative or complementary treatment for depression and anxiety. “While exercise may not be the best option for everyone, it can be a valuable tool for managing symptoms and improving mental health. Suppose you are struggling with depression or anxiety. In that case, it is important to speak with a healthcare provider or mental health professional to determine the best treatment for your needs, ” says Hewlett. About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

June 19, 2023

Baked Mushroom Bowls with Swiss Chard Mash

Serves 4 Ingredients: For the mash: 6 large baking potatoes 6 Tbsp butter 125ml / ½ cup full cream milk, kept warm 1 medium white onion, diced 1 bunch / 200g swiss chard, roughly chopped For the mushrooms: 500g mixed cultivated mushrooms 2 Tbsp butter, melted 1 Tbsp lemon juice 2 garlic cloves, grated ± 6 sprigs of fresh thyme ½ tsp chilli flakes Olive oil Salt and pepper, to taste Micro herbs or baby greens, for serving Method: For the mash: Peel potatoes and cut into large cubes. Transfer to a pot of cold water and rinse until the water runs clear. Cover potatoes with clean cold water and season generously with salt. Bring to a simmer. Cook until potatoes are completely tender. Drain in a colander and let steam dry for a minute. Use a potato ricer, food mill or hand held masher to mash the potatoes in their pot. Add the butter and fold in using a spatula. Pour in the hot milk and fold it into the potatoes. Season to taste. While the potatoes are cooking, prepare the swiss chard. Heat a drizzle of olive oil in a large frying pan and cook the onion until soft. Add the swiss chard and sauté until barely wilted. Season. Fold the swiss chard through the mashed potatoes and keep warm. For the mushrooms: Preheat oven to 200˚C, fan on. Place the mushrooms in a large bowl. It is great to use a mix of mushrooms but keep the sizes similar for cooking. Keep small portabellinis whole and slice large browns into quarters etc… Drizzle the mushrooms with the melted butter. Add the lemon juice, garlic, thyme and chilli. Toss to coat well. Transfer to a large rimmed baking sheet and spread into a single layer. Roast for 10-15 minutes or until mushrooms release liquid and are golden brown. Carefully pour off the excess mushroom liquid to keep them from going soggy. (You can keep this for a delicious broth or stock or drizzle over the dish as a sauce) Serve the roasted mushrooms on a bed of the swiss chard mash. Top with some fresh herbs or baby greens and serve!

June 19, 2023

Everyday vitamins and nutrients for you and the whole family

When looking after your and your family’s health, diet takes top priority. A healthy, balanced diet supports a stronger immune system, healthy blood pressure and cholesterol and a healthy heart. It’s important to include lots of fresh fruit and veggies, lean protein and fibre in your diet, and to minimise the amount of sugar, salt and processed foods consumed. Water is the number one healthiest drink to consume, followed by herbal teas, while sugary fizzy drinks and excess caffeine is best avoided. Even when we follow a balanced diet, it is still possible that our bodies are not getting all the nutrients we need to function at our best. This may be due to dietary restrictions (for example, a vegetarian or vegan might not always get enough iron) or the fact that some nutrients are not present in a big variety of foods. Then there’s also the factor of food quality. Because of modern farming practices, the foods we eat today do not have the same nutrient density as the foods our grandparents ate. This is where the importance of supplementation comes in. Good quality supplements support a healthy diet by filling in the gaps and ensuring you get all the vitamins and minerals your body needs, in the correct amounts. Supplements are not a “fix” for a bad diet – you can’t eat lots of unhealthy foods and take supplements to make up for it. Rather, they’re a complement to a balanced diet which may lack a few nutrients due to the various factors involved. When selecting supplementation products for you and your family it is important to choose products that don’t contain added sugar or unnecessary fillers. Choose a brand with a trusted reputation, that uses good quality raw ingredients and as many natural ingredients as possible. The type of nutrients you decide to supplement with is entirely up to each member of your family’s individual health concerns. Adults have a lot more health concerns than children do, and especially in older adults, it’s important to supplement according to individual health concerns. All adults will benefit from taking a multi-nutrient product (to build immunity and support general health) and a probiotic to ensure gut health and absorption of nutrients. NutriPure Multi-Vitamin Complete (R145.00) is packed with 12 essential vitamins and minerals: Vitamin D, B6, B12, C, Biotin, Pantothenic Acid and Niacin help to metabolise carbohydrates, fats, and proteins and are factors in the maintenance of good health. I If you struggle with stress and anxiety, a supplement filled with stress-fighting nutrients like JSHealth Mild Anxiety + Stress Tablets (R649.00), which contains a special combination of rejuvenating adaptogens, herbs, antioxidants, and vitamins, may help reduce your symptoms and support your immune system. If you have skin concerns, you could supplement with JSHealth Skin + Digestion Formula (R649.00) to help heal and prevent breakouts, or with JSHealth Vitality X + Collagen (R999.00) if you’re concerned about the visible signs of aging like loss of elasticity and skin sagging. Did you know that herbal teas can also be taken daily to help improve health conditions? Not only are they an excellent source of hydration (to replace sugary or caffeine-filled alternatives) but they contain natural ingredients with a variety of health benefits. SELA teas are filled with the very best in African Traditional Herbs that have been used for many generations to help boost health and relieve the symptoms of many illnesses. Sela products are suitable for everyone from the age of 12 years old and older. The range contains a natural, affordable and effective solution for everything from sleeplessness (SELA Sleep Tea, R49.99, has calming and relaxing properties to promote restful sleep), to healthy and strong immune system (SELA Health Tea, R49.99, is formulated to support a stronger immune system and general health) to sexual health (SELA Strong Man Tea, R84.99, supports healthy male sexual function). Because children are growing, they need a lot of vitamins and minerals to ensure healthy bone development. Children are also prone to getting sick, so it’s essential to strengthen their immunity. A multivitamin is the first place to start. This should cover all the major vitamin and mineral requirements that children need. NutriPure Kids Multi Vitamin (R120.00) is a complete health supplement containing 11 essential vitamins and minerals including, among others, vitamins B6, B12, C and D. Formulated into a soft and chewy treat, it is free from added sugar and is made from natural ingredients. In addition to a multivitamin, it’s also important to improve your child’s gut health with a good quality probiotic. NutriPure Kids Probiotics (R170.00) is formulated with Bifidobacterium infantis and Lactobacillus rhamnosus, two scientifically tested bacteria strains. Each NutriPure bear contains 1 billion live cultures to help your child boost their daily culture intake. Remember, you’ll get the most out of your supplements when they form part of a healthy lifestyle that includes a balanced diet, regular exercise, and enough sleep and rest.

June 15, 2023

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