Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Pregnancy, your body and your baby – week 13 of your pregnancy

At week 13 of your pregnancy you are now in your second trimester. This trimester is often nicknamed the honeymoon period, as your pregnancy symptoms should have started easing up, and your baby is still small enough that you don’t feel uncomfortable. Your body at week 13 At week 13 your energy levels should start increasing, but if your nausea and fatigue don’t disappear just yet – don’t despair, some moms experience these for longer than others. This increase in energy won’t stick around forever, so make the most of this time while you can and tick important to-dos off your list. Your blood flow will also increase during this time, and because of this you may see blue streaks under your skin from your veins and experience an increase in libido. Your baby at week 13 Your baby is now the size of a lemon and her body proportion is slowly starting to change, although the head is still the biggest part of the body. Your baby is growing rapidly, and during this time, her intestines are moving from the umbilical cord into the stomach. Her eyelids are shut to protect the eyes as they develop and her vocal cords are also developing, so that when your baby is born she’ll be able to cry and laugh and eventually say her first word. Things to remember in this week Around this time is when some people choose to tell family, friends and employers that they’re expecting. You should pick when you feel most comfortable to tell everyone, however, this time is often chosen, as your risk of miscarriage will have decreased and you’ll have had your first pregnancy ultrasound, which should confirm that your baby is healthy.

April 8, 2024

Pregnancy, your body and your baby – week 12 of your pregnancy

This is now the last week of your first trimester, which is week 1 to 12. Your clothes are probably starting to feel a little tighter than they used to, but the good news is that some of the first-trimester pregnancy symptoms, such as morning sickness and fatigue should be easing up soon. During the first trimester, your baby will have grown from an egg to a fully formed baby (with lots of growing to do) and you’ll have had your first check-up and ultrasound. Your body at week 12 At week 12 you’ll probably notice that your morning sickness may start to subside. This is because the hCG hormone is starting to level off. However, not all moms are this lucky, as some experience nausea in their second trimester as well, or even throughout their whole pregnancy. Stomach pain, cramping and constipation are also pregnancy symptoms you may be experiencing. Not all women experience constipation, however, it is fairly common thanks to pregnancy hormones. If you experience sharp or severe pain, it’s important to seek medical help as quickly as possible. Things to keep in mind Throughout your pregnancy both your mental and physical wellbeing is important. Many articles on pregnancy neglect to explain the mental challenges that expecting moms can struggle with during this time. Pregnancy hormones, the added stresses of a new life growing inside you and previous or current depression and/or anxiety can mean that you may also struggle with antenatal depression and anxiety. Tell-tale signs of antenatal depression are feeling sad or anxious all the time, and lack of interest in things that used to. If you do feel that you’re struggling it’s important that you reach out to a health care provider and rely on family and friends for support. Joining a support group of moms, or moms-to-be in a similar position can also help you feel more at ease. Where is your baby at in week 12 Your growing baby is now roughly the size of a lime or a plum. At this point all your baby’s important features, body parts and organs are in place, they just have lots of growing and maturing to do. Your baby’s tiny developing bone marrow is starting to make white blood cells and their muscles and nervous system are maturing.

April 1, 2024

Pregnancy, your body and your baby – week 11 of your pregnancy

You are now almost at the end of trimester one, which is good news as the second trimester is often seen as easier than the first. Both you and your baby will have undergone many changes during these first 11 weeks, and you’ll have gone from a hoping-to-be-mom to an expecting one. Pregnancy has its ups and downs, so it’s important that you look after yourself (and by default your growing baby) at this time. How you’ll be feeling at week 11 At week 11 your baby bump may be beginning to show, but don’t worry if your baby bump isn’t showing yet, as this varies from pregnancy to pregnancy. It’s likely that if this is your first pregnancy and you don’t have multi babies inside you, you won’t start showing as quickly. If your morning sickness if beginning to ease you may notice that you’re feeling hungrier than normal. If this is the case, make sure that you fuel up on healthy snacks that are nutritious to both you and your growing baby. You may find that your cravings are completely different from what you’d normally eat, and your old favourite food is one you that makes you feel queasy. Hormones, senses that are heightened and a need for comfort food are all reasons behind these strange (but normal) pregnancy cravings and aversions. Your baby at week 11 Your baby is now the size of a lime or a fig, and their body is slowly starting to straighten out. At this point, your baby’s hands and feet, as well as their ears, nose and mouth are becoming more developed. Hair follicles are beginning to form, as well as nail beds and their reproductive organs are developing, however, you won’t be able to tell gender via ultrasound just yet.

March 22, 2024

TB – Serious but Curable

Tuberculosis (TB) is a serious public health issue in South Africa. 280 000 people fell ill with TB during 2022 and, of these, an estimated 54 200 died from the disease. South Africa is one of the 30 high burden TB countries, contributing 87% of the estimated cases worldwide. According to the Department of Health, the main driver of TB infection is HIV, with around 48% of TB patients living with HIV. As a member of the United Nations, South Africa has committed to reducing new TB cases by 80% by 2030, compared with 2015 levels. Clinical data presented by the World Health Organization (WHO) indicates that our country is meeting some of its targets but there are still too many people falling ill and dying. ‘It is important to remember that TB is curable’, says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘However, we all need to be more aware of how contagious it is, the symptoms, the impact of the disease, the importance of getting medical attention and adhering to the treatment regimen.’ ‘TB also has a big impact on the economy, not only in terms of healthcare expenses but lost productivity – due to absenteeism and the direct and indirect costs to business. ‘We know that not everyone has access to private medical care but public healthcare facilities offer free testing and treatment. If you test positive for TB, the Department of Health will provide the necessary medication. Crucial to overcoming this disease is to follow and complete the treatment regimen as advised by your healthcare giver.’ Some TB facts: What is TB? It’s a disease that mainly affects the lungs but can also be found in any other body organ. It is caused by an organism (germ) called Mycobacterium Tuberculosis which is found in the sputum (a mixture of salvia and mucus) coughed up by someone with TB of the lungs. The organism (germ) usually destroys the soft tissue of the lungs resulting in difficulty breathing and blood can be coughed up in severe cases. If untreated, TB can cause death. How is TB contracted? The disease is passed on from one person to another. The germs spread into the air via microscopic droplets if an infected person sneezes, coughs or releases saliva. The incubation period is 6 weeks. TB Symptoms If you are concerned about your health or having been exposed, you must get tested urgently. Symptoms of the TB include: Excessive coughing – a cough that has been present for more than two weeks and is productive, (a cough that has phlegm) Chest pains Loss of appetite and weight Low grade fever Night sweats Chills Coughing up blood In children the symptoms may present as a cough for 2 weeks or more, loss of energy and appetite and quite often a mild fever. Who is most at risk of contracting TB? People living with HIV/AIDS Living in the same house as someone who has had or has TB Anyone who has had active TB in the last two years Those with diabetes Residents of informal settlements Children under five The undernourished Alcoholics and smokers Mineworkers Prisoners Pregnant women Can you have TB and not be sick? TB can be ‘latent’, in other words it’s in your body but not active and therefore you not capable of spreading it. However, if your immune system becomes weak, the TB can become active and you become ill. Having HIV/AIDS is a key factor in the TB epidemic which is why it is so important that the people living with HIV are screened and treated. How is TB diagnosed? Diagnosis of TB is quite complex since many symptoms can be quite similar to those of other common lung diseases. South Africa has moved towards more intensive and active methods of identifying cases, for example by screening all those attending primary health clinics. TB testing and treatment is free. The Mantoux Tuberculin Skin Test (TST) and blood tests do not differentiate between latent and active TB which means a sputum sample needs to be taken or a chest X-ray. Treating TB TB is definitely treatable. However, medication must be started as soon as possible, and it must be taken regularly – as per the instructions. Also important is to finish the course of medication. It takes six months for TB to be cured completely but, within 2 weeks of starting treatment, the person will no longer spread the disease. Treatment must be completed. If treatment is missed, the risk of a drug resistant strain of TB is possible, which is difficult to treat and requires a longer treatment period. How can TB be prevented? People on TB medication must complete their treatment, this prevents the spread of TB Cover your mouth and nose when coughing or sneezing Wash hands with soap and water Immunise of all babies at a clinic within 1 year of birth Keep your body healthy by eating balanced meals and exercising Stop smoking Keep your windows open in your home if living with someone with TB – fresh air blows the TB germs away and sunshine kills the TB germs. TB in the workplace If any employees display TB symptoms, they should stay home and limit contact with others as much as possible until the results from a TB test are known. Once a person has been on TB treatment for 2 weeks, they are no longer infectious and can continue to work.

March 20, 2024

Pregnancy, your body and your baby – week 10 of your pregnancy

At week ten, you are officially a quarter of the way through your 40-week pregnancy with only a few more weeks left of trimester one. In your first trimester, you won’t look it but your body will have gone through many changes to accommodate your growing baby. This trimester its particularly important to keep taking prenatal vitamins containing folic acid as your babies spinal tube and organs develop. Your baby at week 10 Your little baby is now the size of a strawberry and is now referred to as a fetus and not an embryo. She is growing rapidly inside you and is slowly started forming bones and ligaments, their little arms and legs are slowly becoming more functional and your baby’s jawbone is also started developing. Nerves are starting to form in their spine and her kidneys are starting to function. Your body at week 10 At week ten your baby bump may be starting to show, but it may be a few weeks before your family and friends notice or you decide to tell anyone. Because of your slowly growing baby belly, it may be a good idea to invest in your first few items of maternity wear, as pants that are too tight around your waist is an added discomfort that you shouldn’t have to deal with. You’ll still be managing a variety of pregnancy symptoms, from morning sickness to frequent urination. You may still be struggling with fatigue, but thankfully this pregnancy symptom should lessen in your second trimester. Things to keep in mind Week ten (between week 10 and 12) is roughly the time that you would choose to have your baby genetically tested. Genetic testing isn’t required but it is a good option to consider so that parents-to-be are alerted to potential genetic disorders before birth. A genetic test is particularly important if you have hereditary genetic problems in your family, or if you and your partners are carriers for a particular disorder.

March 15, 2024

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

Advice from the experts

How to Sleep Deeply & More Naturally

Sleep can be elusive and stressful simultaneously; those who know will agree that nothing is more frustrating than lying awake in the dead of night worrying about not being able to fall asleep, yet as many as 1 in 3 adults worldwide suffer from insomnia symptoms. There is good reason to worry about not getting enough sleep. Sleeplessness is linked to Impaired memory, concentration, decision-making skills, reduced immune system function, mood swings, irritability, low self-esteem and many other chronic health problems, including heart and kidney disease, high blood pressure, diabetes, stroke, obesity, and depression. If you suffer from insomnia or disruptions to your usual sleep-wake cycle caused by jet lag, shift work, or irregular sleep habits, you don’t need to resort to elaborate or pricey solutions, such as prescription drugs, sleeping pills or expensive gadgets which don’t address the problem of stress, anxiety, pain or inflammation. Happily, medically approved Biomedcan CBD Sleep, derived from the hemp plant, can help you to sleep better naturally. Not only is CBD natural and safe to use, but it is also a proven way to consistently improve your sleep quality and quantity into the future without any concern about side effects. Rather, it works to reduce anxiety, relax muscle tension, ease pain, and promote more restful and restorative sleep when you need it most. How does it work? CBD interacts with your endocannabinoid system, which makes up your immune and nervous system, and regulates your mood, emotions, and stress response, helping to calm your mind and body and easing the worry and fears that may keep you up. It also supports you by regulating your sleep patterns and calming your circadian rhythm, which is your natural sleep-wake cycle, to promote more balanced and consistent sleep models. Entourage Effect Unlike other sleeping aids, CBD does not produce any psychoactive effects, addictions or dependencies, meaning it does not make you high or impair your mind. You also do not need to increase your dose over time for it to continue working, rather the Entourage Effect of CBD (with zero THC included) maximises the active ingredients the longer you take them, thereby working to help you sleep faster and better, naturally. Clinically approved and recommended by pharmacists, Biomedcan CBD sleeping pills combines active ingredients (herbs and minerals) and 20mg CBD isolate per daily dose of 1 capsule with water at least 30 minutes before sleep. The CBD benefits of this highly concentrated health food supplement are recommended in combination with a varied, balanced diet and a healthy lifestyle. Chocolate Dreams For the inner chocoholic in you, Biomedcan has designed an alternative option to taking a pill. The Biomedcan CBD Healthy Dark and Milk Chocolate bars is handcrafted by Von Geusau Chocolates South Africa to deliver the same natural CBD effect. Nibble on your choice of delectable non-addictive dark or milk CBD chocolate from Biomedcan and slip into sweet dreams for a deep, brain-nourishing sleep with zero hallucinogenic effect or hangover. Support Your Loving Self with Good Habits AVOID: In addition to introducing a natural sleep support such as Biomedcan Sleep into your bedtime routine, you can further support your sleep recovery by avoiding caffeine, alcohol, nicotine, and other stimulants, which keep you awake or disrupt your sleep patterns. A study by Journal of Clinical Sleep Medicine found that 400 mg of caffeine taken at 0, 3, or even 6 hours prior to bedtime significantly disrupts sleep. Even at 6 hours, caffeine reduced sleep by more than 1 hour. This degree of sleep loss, if experienced over multiple nights, may have detrimental effects on your daytime function. PREP: When preparing for sleep, limit your exposure to light, avoid using electronic devices, such as phones, computers, or TVs, before bed or in the bedroom, draw curtains and blinds to block out any external light sources, and make sure your bedroom is quiet, cool, dark, inviting and cosy. Avoiding bright light two hours before bedtime will make it easier to fall asleep. Sleeping with a light on interferes with sleep cycles and causes more fragmented sleep, and these downsides may be greatest in the few hours before waking up according to the Sleep Foundation. PAY OFF: It pays off in sleep hours to follow a bedtime routine. Scientists agree that every hour of sleep before midnight is worth two after midnight, so plan to be in bed by between 9 and 10pm latest. Take a Biomedcan CBD sleep capsule and do something calming and enjoyable in bed, such as reading a book, listening to a podcast, meditating, or relaxing in a warm bath. It’s important to avoid stressful or stimulating activities, such as work, homework, or video games. According to one Biomedcan CBD Sleep review, “I have been using it for two weeks now, and I can honestly say that I have never slept better in my life. I wake up feeling refreshed and energized. No more tossing, turning, or waking up in the middle of the night.” MOVE: Regular exercise during the day can also help you to reduce stress, improve your mood and help you to relax in the evening. EXPLORE: You can also explore the range of Biomedcan products that assist in a multitude of benefits, such as Improvement of memory and focus, increased pleasure and skin repair by hydrating, repairing and restoring the balance of your skin. All Biomedcan products are locally produced in a SAHPRA and FDA-approved facility. If you have any questions about Biomedcan products or certifications, feel free to email [email protected]. View the full range of Biomedcan products on www.biomedcan.co.za and on sale at the following retail outlets: Wellness Warehouse, Takealot, Faithful to Nature, CBD store, Vintage & Vogue, Organic Living and certain Dischem stores.

August 16, 2023

A Focus on Food Allergies

Did you know that if one parent has an allergy, there is a 30 – 50% increased risk of a baby also being allergic? And, if both parents are allergic, there is a 60 – 80% increased risk. Yet actual food allergy rates are quite low with just 3 in 100 South African children allergic to peanuts, egg, milk or fish according to a local study. So, if this is actually the case, what is the best way to approach food allergies with our children? Understanding Allergies When we have an allergic reaction, the body’s immune system overreacts thinking that the food is harmful. To protect itself from this suspected invader, the immune system goes on attack and makes antibodies against that food (the soldiers that defend the immune system). The next time the food is eaten, these antibodies are ready for action and make histamine. It is these chemicals that cause allergy symptoms that make us so miserable. Usually an allergic reaction will show up within a couple of hours of eating the food that causes the allergy. Signs and symptoms can range from mild, like watery eyes, a blocked nose, skin rashes, itchiness, or tummy upsets, to more serious issues like breathing troubles. In theory, any food can cause an allergy, but foods like egg, peanuts, tree nuts, wheat, cow’s milk, soy, fish, shellfish, and sulphites are the most common culprits. In some countries other foods are also considered allergens, such as sesame seeds, lupin, mustard, and celery. Rates of food allergies vary for each food though. For example, a cow’s milk allergy (also called a cow’s milk protein allergy or CMPA) affects between 2 – 6 % of children and an egg allergy up to 17%. Don’t Delay, Allergen Away Registered dietitian, Monique Piderit says: “Many parents worry about introducing allergens to their little ones. Yet did you know that waiting too long can increase the risk of developing an allergic reaction? Many studies support that there is no benefit in delaying the introduction of potential allergens. And what’s more, many of the potential allergenic foods provide great nutritional benefits for our children. Milk, for example, has muscle-strengthening protein, bone-building calcium, magnesium and phosphorus, and other important nutrients like vitamin A, zinc, potassium, and the vitamins B2 and B12. Milk is also used to make other foods much-loved by babies, children and adults alike, like yoghurt, maas and cheese.” This is why healthcare professionals suggest that the benefit of including these foods in a healthy and balanced diet is far greater than the very small, potential risk of a reaction. Out With The Old (Allergy), In With The New Great news – it is entirely possible for babies and children to outgrow a food allergy. This is because allergies to foods like cow’s milk is highest in the first year of life, with most children outgrowing the allergy by age 3 – 5. So go ahead and offer up the allergens to your babies and children. Stir maas into the morning porridge, offer up yoghurt as a convenient and tasty snack, and let your little one practice their pincer grasp with finger foods like grated cheese. To find out more about the difference between milk allergy and lactose intolerance visit the Rediscover Dairy website: https://www.rediscoverdairy.co.za/kb/what-is-the-difference-between-milk-allergy-and-lactose-intolerance-2/

August 15, 2023

UNDERSTANDING POST TRAUMATIC STRESS DISORDER (PTSD)

Affinity Health, a leading provider of high-quality health cover, highlights the importance of understanding Post-Traumatic Stress Disorder (PTSD) and offers effective interventions for those grappling with this complex and often debilitating mental health condition. “PTSD affects approximately eight per cent of the global population at some point in their lives, making it a significant public health concern,” says Murray Hewlett, CEO of Affinity Health. “South Africa, in particular, has a high prevalence of PTSD among the population. By raising awareness and offering education, we can work towards creating a society that prioritises mental health and offers appropriate resources for individuals living with PTSD.” Common Causes and Risk Factors for PTSD A variety of traumatic experiences can cause PTSD. These can range from combat exposure and physical assault to accidents, natural disasters, or childhood abuse. Factors that may increase the risk of developing PTSD include a history of mental health disorders, a lack of social support, genetic predisposition, and the intensity and duration of the traumatic event. The Neurobiology of PTSD PTSD has a profound impact on the brain and its functioning. The condition alters the neural pathways associated with memory, emotions, and fear responses. Brain imaging studies have shown differences in brain structure and activity among individuals with PTSD, providing insights into the biological basis of the disorder. The Impact of PTSD on Individuals and Society PTSD can have far-reaching consequences on both individuals and society. Those affected by PTSD may experience significant impairment in various aspects of their lives, including relationships, work, and overall quality of life. The societal impact includes increased healthcare costs, reduced productivity, and the burden of caregiving. Recognising Symptoms PTSD is characterised by various symptoms that can significantly impact daily functioning. Common symptoms include intrusive thoughts or memories of the traumatic event, nightmares, flashbacks, avoidance of reminders, hypervigilance, emotional numbing, and difficulties with sleep and concentration. Individuals with PTSD may also experience comorbidities like depression, anxiety disorders, substance abuse, and physical health problems. The Importance of Early Detection and Intervention Early detection and intervention play a crucial role in mitigating the long-term effects of PTSD. Timely identification of symptoms and appropriate support can help individuals receive necessary treatment, improve their overall well-being, and prevent worsening symptoms. Diagnosis and Assessment Diagnosing PTSD involves evaluating the presence and severity of specific symptoms. Healthcare professionals, such as psychiatrists and psychologists, play a vital role in conducting comprehensive assessments to determine if an individual meets the diagnostic criteria for PTSD. Various assessment tools and techniques, including interviews and self-report measures, are used to aid in the diagnosis. Treatment and Management Effective treatments for PTSD are available and can significantly improve the lives of those affected. Evidence-based therapies, such as cognitive-behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR), have successfully reduced symptoms and promoted recovery. Medication options, including selective serotonin reuptake inhibitors (SSRIs), may also be prescribed. Complementary and alternative treatments, such as yoga, meditation, and acupuncture, can be adjuncts to traditional therapies. Self-help strategies and coping mechanisms, such as exercise, relaxation techniques, and support groups, can also aid in managing symptoms. Supporting Individuals with PTSD Trauma can profoundly impact relationships, and it is crucial to understand and address these challenges. Providing emotional support, actively listening, and creating a safe and non-judgmental environment is essential for supporting individuals with PTSD. Educating oneself about the condition and its effects is essential, fostering empathy and understanding. Resources such as therapy, support groups, and online communities can provide valuable guidance and connection for caregivers, families, and friends. Building a supportive community that encourages open dialogue and reduces stigma is instrumental in creating an environment conducive to healing and recovery. PTSD in Specific Populations PTSD can affect specific populations differently, requiring tailored approaches to treatment and support: PTSD Among Veterans and Active-Duty Military Personnel: Military service members often face unique and intense traumatic experiences. Addressing the specific needs of veterans and active-duty personnel requires specialised care, including veteran-centred support programmes, access to mental health services, and promoting a mental health culture within the military. PTSD in Children and Adolescents: Traumatic experiences during childhood can have long-lasting effects on mental health. Early identification, trauma-focused therapy, and support from caregivers, teachers, and mental health professionals are crucial in helping children and adolescents recover from PTSD. PTSD in Survivors of Sexual Assault and Domestic Violence: Survivors of sexual assault and domestic violence are at a heightened risk of developing PTSD. Comprehensive support services, including crisis intervention, counselling, and legal advocacy, are essential in helping survivors heal from their trauma and rebuild their lives. PTSD in Healthcare Workers and First Responders: Healthcare workers and first responders often face traumatic events as part of their professional duties. Specialised support systems, including mental health resources, debriefing sessions, and proactive organisational policies, are necessary to address the unique challenges faced by these individuals and mitigate the impact of trauma on their well-being. About Affinity Health Affinity Health is South Africa’s leading health cover provider, 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, 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.

August 15, 2023

Webinar – Vaginal Infections during Pregnancy

Sr Talia discusses different vaginal infections that you can experience during pregnancy

August 11, 2023

Yummy fruit and veggie-based party treats

Planning a birthday party for your little one is special – it’s a chance to gather family and friends to celebrate their important milestone. Add these fruit and veggie filled snacks to the birthday spread – your little guests will love them. APPLE, GUAVA AND YOGHURT POPS These refreshing treats are perfect for a summer party. All you need is Squish 100% Pressed Fruit Juice and Squish 100% Fruit Puree. Squish juices are pressed from 100% fruit and veg, and are preservative free, making them the smart choice for your little one – and their friends! Ingredients 65 ml (¼ C) Squish 100% Pressed Apple Juice 110 ml Squish 100% Apple, Guava + Yoghurt Puree Method Mix together the juice and puree until well blended. Pour the mixture into popsicle moulds. Freeze until firm. TIP: For variety, try this combo – Squish 100% Pressed Summer Berries Juice and Squish 100% Banana + Strawberry Puree CHEESY VEG BALLS These moreish snacks are packed with veg – make sure you double the recipe, because the grownups will love them too. You can use any Squish 100% Veg Puree in the recipe – or make up the amount mixing the various Squish purees you have left in the fridge. Squish 100% Fruit and Veg Purees are free from nasties like preservatives, colourants and flavourants – plus they have no added sugar – making them the smart choice for parents. Ingredients 1 cup cheese 1 Squish 100% Veg Puree of choice, the Mixed Veg one works really well ¼ small onion, finely grated 2 cups breadcrumbs (simply put several slices of bread into your processor and blitz) ½ cup wholewheat flour 2-3 large courgettes, finely grated 2 large carrots, finely grated ½ clove garlic, grated 2 tablespoons olive or coconut oil 1 teaspoon dried herbs Method Combine all the ingredients and leave to rest for 20 minutes. Roll into small balls. Place on a baking tray lined with baking paper and bake in a preheated oven at 180 °C for 20-25 minutes. You can make a quick dip by combining smooth cottage cheese and Squish 100% Veg Puree. TIP: These can be cooked in an air-fryer – they’ll need 8 minutes. SQUISH CHOCOLATE BROWNIES Here’s a fun idea for an easy birthday ‘cake’: create a tower of brownies, dust with icing sugar and edible glitter, then pop a candle on top! Ingredients ½ cup melted coconut oil ¾ cup wholewheat flour ½ teaspoon baking powder ½ cup of granulated sugar (You could also use honey or maple syrup) 2 large eggs ¾ cup of cocoa powder 1 Squish 100% Fruit Puree of your choice 2 large courgettes, finely grated chocolate chips Method Mix the eggs, vanilla essence and puree. Add the melted oil (at room temp) then mix in your sugar or honey. Add the grated courgettes. Give the mixture a good stir before adding the flour, cocoa and baking powder. Mix well then spread into a baking pan lined with baking paper. Sprinkle with choc chips before placing into a preheated oven. Bake for 12-15 minutes at 180 °C. Less is usually best! TIP: No courgettes? Use grated carrot instead. For more party snack recipes packed full of goodness, visit squish.co.za.

August 11, 2023

HOW DOES SUGAR AFFECT YOUR TEETH?

Affinity Health, a leading provider of high-quality healthcare, explores the many ways sugar affects your teeth and unveils the secrets to safeguarding them for a lifetime of healthy smiles. Sugar is a sweet enemy to your teeth, leading to tooth decay and cavities. But it’s not just the amount of sugar you consume that’s the problem; it’s also how often you consume it. The more frequently you eat sugary foods and drinks, the greater your risk for tooth decay. Why Sugar Is Bad for Teeth When sugar encounters the bacteria in your mouth, it produces acid. This acid attacks the enamel, the hard, protective surface of your teeth. Over time, the acid can erode the enamel, creating tiny holes in the surface of your teeth, known as cavities. Tooth decay is a progressive disease. It starts with forming a small cavity on the tooth’s surface. If the hole is not addressed, it will grow more significant and more profound, eventually reaching the nerves and blood vessels inside the tooth, causing toothaches, infection, and possibly tooth loss. Sugar also sticks to the surface of your teeth, providing a perfect breeding ground for bacteria. As the bacteria feed on the sugar, they make additional acid, which damages your teeth even more. But it’s not just the sugar that’s harmful to your teeth. Many sugary foods and drinks also contain high levels of acid. For example, citrus fruits, sports drinks, and even diet soda can be highly acidic. According to a Journal of Conservative Dentistry study, consuming acidic foods and drinks can erode tooth enamel, making your teeth more susceptible to decay. Frequent snacking on sugary foods and drinks is especially harmful to your teeth because it keeps the acid attack on your teeth all day long. According to the American Dental Association, snacking on sugary foods and drinks throughout the day can cause a continual acid attack on your teeth, increasing your risk of dental decay. The good news is that you can take steps to protect your teeth from the damaging effects of sugar. Here are a Few Tips from Affinity Health: Brush and floss: Brushing and flossing your teeth twice daily can help remove plaque and bacteria from your teeth and gums, lowering your risk of tooth decay and gum disease. Use an antiseptic mouthwash: An antiseptic mouthwash can help kill bacteria and freshen your breath. Limit sugar intake: Consuming too much sugar can lead to tooth decay, so limiting your sugar intake is essential. This includes sweets, cakes, biscuits, and chocolate and sugary drinks such as soda and sports drinks. Drink water: Drinking water can help rinse away sugar and bacteria in your mouth, and it also helps keep your mouth and teeth hydrated. Chew sugar-free gum: Chewing sugar-free gum after meals can help stimulate saliva production and neutralise the acid in your mouth. Visit the dentist regularly: Regular dental check-ups and six-month cleanings can help remove plaque and tartar buildup and detect and treat any dental issues early on. Use fluoride toothpaste: Fluoride is a mineral that can help strengthen tooth enamel and prevent tooth decay. Eat more fruits, vegetables, and nuts: Eating various fruits and crunchy vegetables can help provide your body with the vitamins and minerals it needs for strong teeth and gums. Nuts also promote healthy teeth and gums, Almonds, for example, are low in sugar, high in fibre, and include minerals such as calcium, while Brazil nuts and cashews help to fight bacteria that lead to tooth decay. Be mindful of snacking: If you’re in the habit of snacking throughout the day, try to limit your snacking to mealtimes. This way, your mouth can neutralise the acid produced by the bacteria in your mouth before you snack again. Remember to clean your tongue: Your tongue can be a breeding ground for bacteria, so remember to clean it daily. This can be done using a tongue scraper or your toothbrush. Eat calcium-rich foods: Another way to protect your teeth from the effects of sugar is to increase your intake of calcium-rich foods, such as milk, sardines and canned salmon, beans and lentils, whey protein, tofu, seeds, cheese, and yoghurt. Calcium can help to strengthen tooth enamel and make it more resistant to acid attack. How Can Affinity Health Help Protect Your Teeth and Gums? Affinity Dental is an advanced dental plan offering intermediary-level dentistry care at an affordable rate. Save on premium dental care through negotiated rates and terms of service with an extensive network of dentists. Silver Plan: The Silver Plan covers your essential dentistry needs for a minimal premium. Gold Plan: In addition to the Silver Plan benefits, the Gold Plan covers Root Canals and Crowns. It also has an increased Specialist Dentistry Benefit. Platinum Plan: The Platinum Plan is our top dental care package, offering the most advanced care with increased benefits. For more information on Affinity Dental, click here. 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 always 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.

August 10, 2023

PREPARING YOUR BREAST MILK FOR YOUR PREM BABY

Breast milk is important for your baby at any age but especially for your premature infant’s special needs. Both you and your new-born prem can benefit from your expressed milk until baby has developed enough to feed from your breast. Expressing your milk can feel daunting at first, but within a matter of hours you will have learnt a new skill to benefit both baby and you for months to come. EXPRESSING Expressing simply means releasing milk from the breast which is then stored and fed to your baby as and when required. Expressing your breast milk, starting within the first six hours after giving birth, gives your prem baby the best chance for growth. MATCHLESS MILK Mothers of prem babies produce breast milk higher in protein and minerals which delivers several types of fat that your baby can absorb and more easily digest. Small amounts of Colostrum appear in the first two or three days, containing high concentrations of antibodies which help your baby fight infections, followed by the ‘coming in’ of your breast milk to nourish and develop your baby’s brain and neurologic tissues. Human milk is easier for prem babies to absorb than formula and prevents the risk of your prem baby developing intestinal infections from cow’s milk proteins. PREPARATION Even if your prem baby cannot breastfeed yet, expressing breast milk from birth will ensure that your milk supply is maintained until your baby is able to nurse. Establish a routine of expressing milk 8 to 10 times in a 24-hour period. You will need to store your breast milk until your prem is able to feed. At first, you will express only small amounts of colostrum, a few drops to a few mls, until your flow changes to more mature milk, increasing to around 50 to 70 mls each time by day five. Remember however that every prem baby and Mom is unique and volumes will vary. It is essential that fresh breast milk is stored hygienically, and we recommend the easy-pour designed Breast Milk Storage Bags from vital baby® with its leak proof secure seal and a wide neck and freestanding base making it easy to stand. With 30 x 250ml bags in each box, you will always have breast milk stored on hand when you need it. BONDING Expressing your breast milk is especially handy when you have to be away from your prem baby for periods of time. Your baby can still smell and taste your milk and benefit from its nourishment while your breasts are prevented from becoming engorged and uncomfortable and will be less likely to leak. It helps to be rested and relaxed while expressing your milk; try to express immediately after holding your prem baby skin-to-skin. If this is not possible, look at a photograph of your baby to help release your flow. Once you begin breast feeding, your baby may find it difficult to latch, and for mom’s with sensitive skin, your nipples can become raw and painful. Silicone Nipple Shields from Vital Baby® NURTURE™ are ultra-thin silicone caps with a soft, natural skin feel which improve latching and provide easier feeding, especially with flat or inverted nipples, and will help your sore nipples to heal without disrupting your breastfeeding routine. PUMP SUPPORT Expressing milk for prem babies requires the support of an electric breast pump which helps new moms to establish and maintain an adequate breast milk supply. An electric pump such as the Vital Baby® NURTURE™ helps you to efficiently express your milk at regular intervals, supporting you to tailor your feeding experience to approximately the times when your baby would usually feed. Prepare to pump your breast milk at least 6 to 8 times a day; this provides nipple stimulation and encourages milk production. The Vital Baby® electric pump is discreet, quiet, lightweight, and portable for total convenience, giving you ultimate control while at home and away.

August 9, 2023

Bring your health to the next level with probiotics: The superheroes of the gut

Probiotics are the superheroes of the gut! They are live microorganisms,1a such as bacteria and yeasts, that are beneficial to our health, particularly for our digestive system. When consumed in adequate amounts, probiotics can help improve the balance of good bacteria in our gut, aid in digestion of food and nutrient absorption, eliminate harmful cells, generate vitamins, and support our immune system.1b Certain specific strains such as Lactobacillus reuteri DSM 17938 have been clinically proven to help prevent and alleviate certain digestive disorders, including prevention of antibiotic-associated diarrhoea (as recommended in international guidelines).1c Reuterina® Daily2 is a probiotic that can help you achieve optimal gut health. It contains Lactobacillus reuteri DSM17938, a strain of bacteria that has been shown to improve the symptoms of gastrointestinal disorders, such as bloating and constipation. Incorporating Reuterina® Daily into your daily routine can help you feel better and bring your health to the next level. 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 DSM17938. Applicant: Austell Pharmaceuticals (Pty) Ltd, 1 Sherborne Road, Parktown, Johannesburg, 2193, South Africa. Tel: 0860287835. www.austell.co.za . PMX: 1598_06/2023

August 9, 2023

GLOBALLY TEEN DEPRESSION REACHES AN ALL-TIME HIGH

Depression has become the leading cause of illness and disability among adolescents worldwide, which in most cases go undetected and untreated, increasing the risk of suicide. Abdurahman Kenny, Mental Health Portfolio Manager for Pharma Dynamics says while teen mental health was already declining prior to COVID-19, the pandemic created conditions that exacerbated feelings of sadness and hopelessness. “Disruptions to routines, missed milestones, extended school disruptions, prolonged social isolation, fear and anxiety over health and finances have without doubt taken a cumulative toll on the mental well-being of youth. Extraordinary stress and disruption as experienced during the pandemic can be very damaging for a child’s psyche that typically thrives on routine and predictability.” The study found older children to be impacted more severely than younger ones, likely because of puberty, hormonal changes, and lack of social interaction. Girls were more prone to depression and anxiety than boys, which align with studies from before the pandemic. Kenny explains that depression, anxiety and behavioural disorders are among the most common mental health concerns in youth. “Depressive symptoms, such as sadness, loss of interest in activities that used to bring joy, disturbed sleep, changes in appetite, lack in concentration, irritability, low energy or little motivation to do anything, risky or harmful behaviour, substance abuse and feeling hopeless for weeks on end can lead to suicide ideation if not properly addressed.” In South Africa, where we have limited mental health resources, it’s important for parents to become more aware of behavioural changes in their children in order to provide them with the right support. Here’s what you can do as a parent: 1. Be there for your child. Show empathy and understanding – even if they don’t want to talk to you or do much of anything. Depression makes even doing the smallest of tasks difficult. Validate their emotions, but not their unhealthy behaviour. Ask questions about their mood in a non-threatening way. Don’t be judgemental or try to solve their problems, just listen to what they are saying and let them know that you are there for them, while showing compassion for what they’re going through. 2. Focus on the positive. Compliment them on the positive things they do – even if it’s just going to school, setting the dinner table or helping with the dishes. Try not to belabour their negative points, but rather acknowledge that they’re trying. They don’t want to feel this way. If they could snap out of it, they would, but depression doesn’t work that way. Showing love and appreciation for the little things they do well, will strengthen your relationship. 3. Encourage self-care. While it may be difficult for your teen to look after themselves while they’re feeling depressed, it’s vitally important. Getting regular exercise, eating healthy meals, sleeping enough, participating in sports and wholesome hobbies that make them feel good about themselves, limiting screen time and social media use, practising gratitude by keeping a journal, encouraging social interaction, setting achievable goals are all things they can do that will improve their mood and self-esteem. 4. Set boundaries. Healthy boundaries are essential for youth to form positive relationships with others. Setting these limits create physical and emotional safety for your teen, so they know what is acceptable and what is not. Even when they are depressed, rules should be respected. 5. Get them the help they need. Discuss going to a therapist if their mood doesn’t improve. If they don’t want to go, ask in what way you can help. If they tell you to back off, don’t retaliate with anger. It might just be their way of telling you they need space. Accept their response and give them some more time to think about it. If they don’t come back to you, ask your GP to recommend a few therapists. Then put the suggested therapists to your teen and ask them to make a choice. It’s important to make them feel involved in the process, which sets the stage for effective therapy. Kenny says there are several kinds of therapy that might be helpful. “These include interpersonal therapy, cognitive behavioural therapy and dialectical behavioural therapy, which all play a role in the recovery process. However, a thorough assessment should be done by a psychiatrist in order to recommend the most appropriate treatment for your child. “Teenagers with depression may also benefit from medication, such as anti-depressants, but the best results are usually obtained when combining medicine with psychotherapy (talking with a therapist). That said, your teen has to be committed to therapy, therefore finding the right therapist that your child can connect with is key.” He says while challenging behaviour tends to be the norm for teenagers, parents should be on the lookout for signs of depression as early detection and treatment are crucial. For more info on how to manage depression, visit mydynamics.co.za or contact Pharma Dynamics’ toll-free helpline on 0800 205 026, which is manned by trained counsellors who are on call from 8am to 8pm, seven days a week.

August 4, 2023

Webinar – Baby Milestones

Sr Ingrid Groenewald explains the milestones that you can experience in your baby’s first year.

August 2, 2023

ARE YOU GRINDING YOUR TEETH? HERE’S TO KNOW AND HOW TO STOP

Affinity Health, a leading provider of high-quality healthcare, discusses what tooth grinding is, how to recognise it, and what you can do to stop it. What Is Tooth Grinding? Tooth grinding, also known as bruxism, is the clenching and grinding of teeth, usually during sleep. It is a common condition that affects people of all ages. According to the American Sleep Association, about 10% of adults and 15% of children grind their teeth. Tooth grinding can occur in varying degrees of severity. Some people may grind their teeth occasionally or respond to specific triggers, while others may do so regularly or subconsciously, even while they sleep. The severity of tooth grinding can also depend on the individual’s age, stress levels, and overall health. Mild tooth-grinding cases may not cause noticeable symptoms, while moderate to severe cases can lead to oral and health complications. “When you grind your teeth, you put excessive pressure on them, which can cause several problems,” says Murray Hewlett, CEO of Affinity Health. “It can wear down the enamel, making the teeth more susceptible to cavities and decay. In severe cases, it can also cause the teeth to crack or fracture, which may require extensive dental work, such as crowns or root canals. Tooth grinding can also cause jaw pain and headaches, making it difficult to eat or speak. Over time, it can also lead to the development of temporomandibular joint (TMJ) disorder, which affects the joints that connect the jawbone to the skull.” It is important to note that tooth grinding can be a subconscious habit, and some people may not know they are doing it. Therefore, it is essential to visit a dental professional if you suspect that you may be grinding your teeth, regardless of the severity, to determine the appropriate course of treatment and prevent further damage. How To Recognise Tooth Grinding Some signs can indicate that you have bruxism. These include: Worn, chipped, or cracked teeth Tooth sensitivity Jaw pain or soreness Headaches Earaches Tired or tight jaw muscles in the morning A clicking or popping sound when opening or closing your mouth How To Stop Tooth Grinding There are various ways to prevent and treat bruxism. Here are some tips: Reduce stress: Stress and anxiety are often the leading causes of tooth grinding. Learning relaxation techniques such as yoga, meditation, or deep breathing exercises can help reduce stress levels and prevent bruxism. Get enough sleep: Lack of sleep can worsen tooth grinding. It is essential to get enough restful sleep every night. Wear a mouthguard: A mouthguard is a plastic device that covers your teeth, protecting them from grinding. It can be custom-made by your dentist or bought over the counter. Correct your bite: If an abnormal bite causes bruxism, orthodontic treatment may be necessary to correct it. Treat underlying medical conditions: In some cases, tooth grinding may be a symptom of an underlying medical condition, such as sleep apnea. Treating the underlying medical condition can often alleviate bruxism. 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.

August 2, 2023

HOW TO DISCARD OF EXPIRED OR UNUSED MEDICATIONS

I usually go through all my medications during National Pharmacy Month in September since that’s when I usually remember to do so. It’s also the month I make time to reorganise my drug cupboard. However, this year I have seen many of you start off the new year by decluttering your homes and doing a little bit of “spring cleaning”.

August 1, 2023

How much should you be feeding your toddler?

Nutrition is one of the most important things to get right when your child starts eating.

August 1, 2023

NAVIGATING THE ERA OF INTERNET HEALTH CARE

Affinity Health, a leading provider of high-quality healthcare, delves into the pros and cons of internet health care, explores the signs and symptoms of internet abuse and its impact on overall health, provides available treatments, and highlights the need for balanced Internet use. “The digital age has transformed many aspects of our lives, including healthcare. Internet health care, the provision of medical information and services through online platforms, offers convenience and accessibility,” says Murray Hewlett, CEO of Affinity Health. “However, it also presents potential challenges and risks. understanding the potential effects, individuals can make informed choices for their well-being in the digital realm.” Pros of Internet Health Care Accessibility: The internet enables individuals to access health information, resources, and telemedicine services from the comfort of their homes, bridging geographical barriers and promoting health equity. Convenience and Time-Saving: Internet health care provides convenient access to virtual doctor consultations, appointment scheduling, and prescription refills, saving time and reducing the need for physical visits to healthcare facilities. Health Education: Online platforms offer a wealth of health information, empowering individuals to learn about preventive measures, chronic condition management, and lifestyle modifications. Peer Support and Community: Internet health care connects individuals with similar health concerns through online communities, fostering support, empathy, and the exchange of experiences and coping strategies. Cons of Internet Health Care Misinformation and Inaccurate Advice: The vast amount of health information available online makes it challenging to discern reliable sources, leading to potential misinformation and incorrect self-diagnosis or treatment. Lack of Personalised Care: Virtual consultations may not provide the same level of personal interaction and physical examinations as in-person visits, potentially compromising accurate diagnosis and treatment plans. Privacy and Security Risks: Sharing personal health information online carries inherent privacy and security risks, raising concerns about data breaches and unauthorised access to sensitive medical data. Digital Divide: Not everyone has equal access to the internet and digital devices, which may exacerbate health inequalities and limit the benefits of internet health care for certain populations. Signs and Symptoms of Internet Abuse and Decline of Health Excessive reliance on the internet for health-related matters can lead to negative consequences. Signs and symptoms of internet abuse and its impact on health include: Cyberchondria: Excessive online health-related searches and hypervigilance about symptoms, leading to anxiety, self-diagnosis, and unnecessary medical investigations. Social Isolation: Excessive time spent online may result in neglecting real-life relationships and social interactions, leading to loneliness and isolation. Sedentary Lifestyle: Engaging in excessive screen time can contribute to a sedentary lifestyle, leading to weight gain, poor posture, and musculoskeletal problems. Poor Mental Health: Online harassment, cyberbullying, and exposure to triggering content can adversely affect mental well-being, contributing to stress, anxiety, and depression. Treatment and Management If internet abuse begins to impact an individual’s health, several steps can be taken: Digital Detox: Set boundaries and allocate dedicated time away from screens to engage in offline activities, socialise, and prioritise self-care. Healthy Internet Habits: Practice critical evaluation of online information, seek reputable sources, and engage in positive online communities that promote support and well-being. Professional Support: Seek help from mental health professionals if internet abuse leads to mental health concerns, such as anxiety, depression, or addiction. Worldwide Stats on Internet Usage and Health Internet usage and its impact on health are significant global concerns. According to the International Telecommunication Union (ITU), as of 2021, around 59% of the global population has access to the internet. However, the specific statistics on internet health care usage and its effects on health are still emerging and require further research and analysis. 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.

July 31, 2023

DRINKING COULD SEND YOU TO AN EARLY GRAVE

Affinity Health, a leading provider of high-quality healthcare, explores the devastating impact alcohol can have on your health. Alcohol consumption is responsible for nearly 3 million fatalities each year, according to the World Health Organisation (WHO). This figure accounts for 5.3% of all deaths worldwide. Focussing specifically on South Africa, research conducted in 2018 by the South African Depression and Anxiety Group (SADAG) revealed an estimated 5 to 6 million South Africans suffer from alcohol addiction or abuse. This accounts for 10% to 12% of the population. Aside from the immediate dangers of alcohol intake, such as impaired judgement and an increased chance of accidents, the long-term consequences of alcohol on the body are severe and can be lethal. Raise a Glass to Your Health? Here are just a few of the devastating consequences alcohol can have on your body: Liver Damage When you consume alcohol, it is absorbed into your bloodstream through the walls of your stomach and small intestine. From there, it travels to your liver, which works to break down the alcohol into less toxic substances and remove it from your body. As alcohol is metabolised in the liver, it produces a toxic substance called acetaldehyde, which can cause damage to the liver and lead to illnesses such as cirrhosis, a potentially fatal disease that can result in liver failure. Cancers Alcohol intake increases the risk of getting liver, breast, and colon cancers. Even moderate alcohol intake, according to the American Cancer Society, can raise a woman’s risk of developing breast cancer. Cardiovascular Illness Heavy alcohol use is also linked to a higher risk of cardiovascular disease. According to the American Heart Association, excessive alcohol intake can result in high blood pressure, heart failure, and stroke. Diabetes Alcohol intake might raise the risk of acquiring type 2 diabetes. This chronic illness can cause a variety of health concerns. Reduced Brain Activity Alcohol is also a central nervous system depressant. It can slow down brain activity and affect mood, thinking, and behaviour. Initially, alcohol can produce feelings of relaxation and euphoria. As you continue to drink, it can lead to impaired judgment, slurred speech, and difficulty with balance and coordination. Mental Well-being Heavy drinking can increase the likelihood of developing depression and anxiety and intensify symptoms in people with these problems. Alcohol intake is also frequently associated with domestic violence and interpersonal aggression. 5 Alcohol Addiction Symptoms Alcohol addiction, also known as alcoholism, is a complex disease that can develop over time and be difficult to recognise. Many people with alcohol addiction may try to hide or deny their symptoms. However, understanding the signs and symptoms of alcohol addiction is crucial for seeking help and beginning the road to recovery. Drinking despite negative consequences: If someone continues to drink even though they know that it is causing problems in their personal or professional life, such as relationship problems, work issues, or legal troubles, this can be a sign of alcohol addiction. Cravings and loss of control: A strong desire or urge to drink, or feeling like you cannot stop drinking once you start, can be a sign of alcohol addiction. This can lead to binge drinking or drinking to the point of blacking out. Withdrawal symptoms: When someone stops drinking or reduces their alcohol consumption, they may experience withdrawal symptoms such as shaking, sweating, nausea, or anxiety. This can be a sign of physical alcohol dependence. Tolerance: Over time, someone with an alcohol addiction may need to drink more alcohol to achieve the same effects as before. This can lead to an increased risk of health problems and more severe withdrawal symptoms. Loss of interest in other activities: Someone with alcohol addiction may begin to prioritise drinking over other activities that they used to enjoy, such as hobbies, socialising with friends, or spending time with family. This can signify a more significant problem and may indicate the need for professional help. How To Reduce Alcohol Consumption There are many strategies that individuals can use to reduce their alcohol consumption. These include setting limits on the amount of alcohol consumed, avoiding binge drinking, and seeking help if necessary. “Alcohol abuse and addiction are significant issues in South Africa, with several factors contributing to the problem. These include a high poverty level, high stress and trauma, and the easy availability of alcohol,” says Murray Hewlett, CEO of Affinity Health. “If you are struggling with alcohol addiction or abuse, it is important to seek professional help before alcohol negatively affects your health.” 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 31, 2023

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

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

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