Breastfeeding Webinar – How to know if baby is full
Sr Ingrid Groenewald explains more about breastfeeding and how to know if baby is full or still hungry.
August 18, 2023
Expert Advice from Bonitas Medical Fund
Webinar – Vaginal Infections during Pregnancy
Sr Talia discusses different vaginal infections that you can experience during pregnancy
August 11, 2023
Webinar – Baby Milestones
Sr Ingrid Groenewald explains the milestones that you can experience in your baby’s first year.
August 2, 2023
THE FIRST SIGNS OF LABOUR
If you’re expecting your first baby you’ve probably read up a little (or a lot) on pregnancy and birth process. Labour is something you’ve probably wondered about and seeing as every pregnancy is different, many moms experience different labour signs. However, there are a few tell-tale signs to look out for that you are about to meet your new baby soon. What to look (or feel) out for You may be worried that you won’t distinguish normal late pregnancy signs from the fact that you’ve started labour. Luckily your due date should give you an indication of when you could expect your baby to arrive, but this won’t always be the case. Here are some indicators that your baby is on the way. One of the more obvious signs of labour beginning is regular contractions. This will be different to the Braxton Hicks contractions you may have been experiencing leading up to this point. Labour contractions are longer, stronger and more frequent – when they come every 5 minutes you should call your doctor or midwife. Another sign your baby is on her way is your cervix dilating or beginning to open. This can start happening in the days or weeks before you deliver. Your baby will also move down into your pelvis during this time – which is known as your baby dropping. When your labour begins, the mucus plug which seals your cervix opening comes away. This jelly-like pink mucus is known as a show, and you may notice it when it passes out your vagina. Lower back pain, diarrhoea and looser feeling joints are all other signs that your labour may be starting. Another sign is your water breaking, this can happen in a gush but a trickle is more likely, most moms-to-be go into labour within 24 hours of their water breaking. Be sure to keep your birth partner in the loop about how you are feeling mentally and physically around the time of your birth. If you are at all worried about your baby or experience anything abnormal be sure to let your doctor know as soon as possible.
August 1, 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
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
Advice from the experts
How Does Foetal Alcohol Syndrome Affect Babies?
According to Affinity Health, a leading provider of high-quality health cover, South Africa has the highest prevalence of foetal alcohol spectrum disorder (FASD) globally. What is Foetal Alcohol Syndrome? FASD is a collection of physical, behavioural, and learning disorders that can arise in individuals exposed to alcohol during pregnancy. According to research, there is no safe amount of alcohol and no safe period to consume during pregnancy that will not result in FASD. Therefore, drinking any amount of alcohol during pregnancy poses a risk to the foetus. Globally, 1 in 13 births exposed to alcohol during pregnancy result in FASD, with a reported frequency of eight per 1 000 children and adolescents in the general population in 2017. The nationwide prevalence of FASD in South Africa ranges from 29 to 290 per 1 000 live births, the highest rate in the world. A recently published study assessed the frequency in the Western Cape Province to be between 196 and 276 children per 1 000, the highest prevalence among South African provinces. How Does Alcohol Consumption During Pregnancy Affect a Growing Baby? When alcohol enters the circulation of a pregnant woman, it is transported straight to the developing tissues of the foetus via the placental tissue that separates the mother’s and baby’s blood systems. That implies that when a pregnant woman consumes alcohol, so does the foetus. The alcohol is completely absorbed by the foetus and causes irreparable brain damage. This brain injury eventually leads to severe behavioural abnormalities. The adverse effects of alcohol can cause harm to the foetus at any time of pregnancy; they are not limited to a single stage. Learn More: The Importance of Early Monitoring During Pregnancy Signs and Symptoms of FASD in Babies Some children experience the symptoms of FASD to a far greater degree than others. The signs and symptoms of foetal alcohol syndrome may include any combination of physical deformities, intellectual or cognitive impairments, and difficulties with daily functioning and coping. Babies born with FASD may present with the following symptoms: Distinctive facial characteristics, including small eyes, an unusually thin upper lip, a short, upturned nose, and a smooth skin surface between the nose and the top lip Disfigurements of the joints, limbs, and fingers Low body weight Short height Sleep and sucking difficulties Small head size Vision or hearing problems Disorders of the heart, kidneys, and bones As a baby with FASD grows, they may exhibit the following symptoms: Poor coordination Hyperactive conduct Attentional difficulties Poor memory Academic challenges (especially with math) Learning disabilities Language and speech delays Mental retardation or a low IQ Poor reasoning and judgement skills If you suspect that your baby has FASD, consult your doctor immediately. Learning difficulties and behavioural disorders may be alleviated by early diagnosis. “Because early detection may lower the risk of long-term complications for children with foetal alcohol syndrome, inform your child’s doctor if you consumed alcohol during pregnancy. Do not wait until problems occur before getting assistance,” says Murray Hewlett, CEO of Affinity Health. Murray launched Affinity Health in 2011. His vision is to make South Africans healthier and enhance the quality of their lives. “If you have adopted or fostered a child, you may not know if the biological mother drank alcohol during pregnancy, and it may not occur to you that your child may have foetal alcohol syndrome. However, if your child has learning and behaviour issues, consult with their physician to determine the underlying cause.” Where to get help If you suspect your child may have FASD, speak to your family health care provider, who may refer your child to a specialist knowledgeable about FASDs, such as a developmental paediatrician, child psychologist, or clinical geneticist. There are clinics in some places whose personnel are specially trained to diagnose and treat children with FASDs. If you’re pregnant and battling sobriety, remember that recovery is in reach with the proper treatment and support. If you or someone you know needs assistance with alcoholism, speak with your healthcare physician for a list of experts within your area that can assist, or contact the following organisations for help: Alcoholics Anonymous: 021 418 0908 Al-Anon: 021 595 4517 SANCA: 021 945 4080 FASFacts: 023 342 7000 Narcotics Anonymous SA: 083 900 6962 Learn More: The Dangers of Binge Drinking
October 21, 2022
TOP 10 HEATH CONDITIONS AFFECTING MILLENNIALS
Affinity Health is a leading provider of high-quality health cover. Here are their views on the top 10 health conditions affecting millennials. Did you know that 44% of older millennials born between 1981 and 1988 have at least one chronic condition? According to Murray Hewlett, CEO of Affinity Health, there is no doubt that growing research indicates many millennials are less healthy than anticipated. What are the Top 10 Conditions Affecting Millennials? “Hypertension, diabetes, and obesity are major contributors,” Hewlett explains. Obesity may cause rising rates of some of the most common diseases among millennials: Hypertension Diabetes Cancer. Migraine headaches. Major depression. Asthma. Neurodevelopmental disorders. Eating disorders. Inflammatory bowel disease. High cholesterol A quarter of the global population comprises of millennials. Gen Z is progressively seizing the spotlight and will exceed the millennial population. But the millennial moment is not yet over. “The top 10 disorders afflicting millennials are not particularly surprising. The prevalence rates for these conditions among millennials compared to prior generations are frightening,” adds Hewlett. In 2017, millennials aged 34 to 36 were 11% unhealthier than Gen Xers aged 34 to 36 in 2014. Also, diagnosis rates for eight of the top 10 health disorders increased by double digits. Hewlett explains, “because millennials are experiencing substantial health difficulties earlier than prior generations, we must address these issues immediately.” Learn More: Millennials and Affordable Healthcare Mental Health Disorders are Most Prevalent Among Millennials Compared to previous generations, millennials live with more behavioural disorders. The most alarming of these include severe depression and hyperactivity. “We may be observing a moderate impact of diagnosis across all generations for once stigmatised mental health illnesses. But millennials are experiencing a greater prevalence than either Generation X or baby boomers,” adds Hewlett. Among the most prevalent health issues among millennials are: Depression Substance abuse. Alcoholism. The best thing millennials can do for their health, according to Hewlett, is seek preventive care. They may receive a correct diagnosis and treatment before a condition worsens. “Studies have found that one-third of millennials do not have a primary care provider. The majority do not receive regular preventative care. Also, most millennials only visit the doctor when unwell or injured. They do not attend recommended health check-ups,” says Hewlett. “By not seeking preventive care, millennials negatively affect their long-term health. If they do not already have one, Affinity Health advises all millennials to prioritise primary healthcare. Primary Healthcare Screening refers to healthcare services like preventative tests. These detect and prevent potential health risks or diseases. Many illnesses can be treated more effectively and at a lower cost if brought to the attention of a physician early on,” concludes Hewlett. How Affinity Health Can Help Affinity Health aims to make affordable healthcare available to all South Africans with healthcare plans designed to suit your health and financial needs. We are passionate about quality healthcare. For more information on Affinity Health, click here.
October 19, 2022
Bonitas Medical Fund: 2023 Product Launch round up
At a glance: 340 119 Principal members 709 881 Total beneficiaries 190 000 new members over the past 36 months Average age of beneficiary: 33.9 Average age of new members is 15 years younger than existing members R7.4 billion in reserves 36.5% solvency ratio AA Credit rating Plans Bonitas offers a wide range of plans that are simple and easy to understand. There are 15 options in five categories: Savings, traditional, hospital, Edge (virtual) and income-based. Increases A three-month price freeze will apply in 2023: From January to March contributions remain the same as 2022 The average increase, across all plans, is 5.9%. However, factoring in the three-month price freeze, the average increase drops to 4.8% Plan increases range from 0% to 9.4% BonStart has a 0% increase By applying very low contribution increases since December 2020, the Scheme has effectively passed R1.4 billion in savings back to members Nine plans are priced under R3 000 per main member’s monthly contribution The most popular plans, with newer members, include Primary, Primary Select, BonFit, BonEssential, BonEssential Select, BonStart and BonStart Plus Note: Contributions from April 2023 What’s new? Bonitas has introduced a mental health app – in partnership with Panda. It’s a free to download mental health and wellness mobile app that uses scientifically validated assessment tools and appropriate treatment to provide the right care at the right time. Panda will be available from October 2022 The Hospital-at-Home initiative has been successful and the offering is being extended to include: A programme for re-admissions Screening and disease prevention Alternative to stepdown facilities Kidney dialysis at home An improved programme for chronic kidney disease Restructured benefits are unlimited for PMB cancers across all plans. With a set Rand amount where non-PMB cancer cover is available. Once the Rand limit is exhausted, a 20% co-payment will apply Cover for two doses of the vaccine Human Papillomavirus (HPV) for girls aged between 9 -14 years, on BonComprehensive, BonClassic, BonComplete, Standard and Standard Select Introduction of one booster vaccine for Pertussis or whooping cough, per beneficiary aged between 7 and 64 years on Standard, Standard Select, BonComplete, BonClassic and BonComprehensive. The savings component across the savings plans have been increased from between 5% to 9.4% and amended rules allow members to use their savings as they deem fit for the new year The Benefit Booster – introduced in 2022 which unlocked R446million in additional benefits – has been adjusted according to utilisation Footprint and networks Our footprint extends across all 9 provinces, with our membership concentrated in Gauteng, KwaZulu Natal, the Western Cape and the Eastern Cape. A GP network of over 4 400 An extensive Pharmacy network, with around 2 500 practices located in all nine provinces to dispense chronic, acute and over-the-counter medicine through Scriptpharm Dental network, through DENIS, provide access to around 3 000 practices across SA Optical network through PPN gives members access to over 2 300 practices
October 19, 2022
New Salome M-Pause to help manage hot flushes for 73% of women who don’t treat their Menopause
According to a recent State of Menopause* international study, a staggering 73% of women who have menopause are not treating their condition and symptoms. To address this alarming statistic, in mid-March 2022 3Sixty Biomedicine introduced a new product within their women’s reproductive health product range that will address symptoms of menopause such as hot flushes, profuse sweating and low mood associated to the condition. The new Salome M-Pause contains a combination of herbal extracts for the relief of menopausal symptoms which draws on the natural ingredients of Hypericum Perforatum (also known as St John’s Wort) and Cimicifuga Racemosa (black cohosh rhizome). The US-based State of Menopause* study conducted in July 2021 on 1039 women aged between 40 to 65, found that nearly one-third (29%) of women never sought information about menopause before they experienced it; while nearly half (45%) didn’t know the difference between perimenopause and menopause. A further one-fifth (20%) of women experienced symptoms for a year or more before being assessed by a healthcare provider and 34% had never been formally assessed or diagnosed as menopausal. “Sadly, even though almost all women experience menopause symptoms as part of their natural female journey, it is still something that is considered pretty taboo to talk openly about. This leads to women suffering from uncomfortable and often debilitating symptoms linked to menopause without asking for or receiving the necessary advice on treatment options to alleviate their suffering. We believe that every woman’s reproductive health journey matters. No matter what stage of womanhood you find yourself in, you should never be ashamed to speak openly about what you are experiencing in order to understand what is considered ‘normal’ and how you can minimise discomfort to improve your quality of life through getting the necessary treatment information, “says 3Sixty Biomedicine CEO, Boitumelo Sebambo. According to Sebambo, the newest addition to their popular over the counter Salome range that is based on herbal extracts – looks to complete the range’s ability to assist women throughout their reproductive health journey. The Salome range, produced by 3Sixty Biomedicine, is known for advocating for more awareness around common conditions that impact women’s reproductive health and encouraging lifestyle choices and products that will ultimately help ensure a better quality of life. Each product within the Salome range contains herbal extracts that have minimal to no side effects but maximum efficacy due to the research and development done on particular natural ingredients that have been clinically proven to assist in managing common women’s reproductive health conditions like menopause, premenstrual syndrome (PMS) heavy menstrual bleeding, menstrual pain and Polycystic Ovary Syndrome (PCOS). According to Dr Shavit Sachs, Naturopathic Practitioner and secretary for the South African Naturopath Association, the herbal extracts used within the new Salome M-Pause have been used internationally to tackle a wide range of women’s health issues, including climacteric symptoms. “Cimicífuga racemosa contained in Salome M-Pause is known to improve some of the symptoms associated with menopause such as hot flushes, and profuse sweating as well as insomnia”, explains Sachs. Another herbal extract included in the product is Hypericum perforatum that has previously been used orally to manage light to moderate depression, anxiety, perimenopause, seasonal psychic disturbances, restlessness, and viral infections. For more information about the Salome range and to be part of the World Menopause Month conversation this October, visit www.salome-range.co.za. The full Salome range of products are available to the public from pharmacies nationwide or online at Takealot.com and Salome’s website and can be reimbursed from medical aid savings. Facebook: Salome Range Twitter: @SalomeRange Instagram: SalomeRange References: https://hellobonafide.com/pages/state-of-menopause Salome M-Pause patient information leaflet
October 18, 2022
PUTTING YOUR KIDS ON A PATH TO GOOD NUTRITION
For many parents, nothing is as stressful as getting your kids to eat all the food on their plate, especially when it comes to veggies. Eating a variety of healthy foods is essential for your children’s wellbeing. Here are some tips on how to get your kids to eat better.
October 17, 2022
LONG-TERM EFFECTS OF POLIO
Affinity Health, a leading provider of high-quality health cover, says that while the polio vaccine has drastically curtailed the spread of this deadly disease, many who contracted polio at a young age may acquire post-polio syndrome later in life. What Is Polio? Polio (also known as poliomyelitis) is a dangerous and highly contagious disease caused by infection with one of three poliovirus types. The virus spreadsthrough person-to-person contact. It lives in an infected person’s throat and intestines. What Are The Signs And Symptoms Of Polio? From mild flu-like symptoms to life-threatening paralysis, the symptoms of polio range in severity. According to the World Health Organization, polio causes lifelong paralysis of the limbs, legs, or respiratory muscles in less than 1% of cases and is fatal in between 5 and 10% of cases. How Polio Propagates A person may acquire symptoms between three and 21 days after exposure to the virus and will be most contagious seven to ten days before and after the onset of symptoms. People are contagious as long as the virus is excreted in their faeces, which can last up to six weeks. The virus typically lingers in the throat for one to two weeks. What Is Post-Polio Syndrome? Post-polio syndrome is a collection of potentially incapacitating signs and symptoms that manifest decades after the initial polio infection. These signs and symptoms typically manifest 30 to 40 years after polio infection.4 Symptoms Of Post-Polio Syndrome Common post-polio syndrome signs and symptoms include: Muscle and joint pain and weakness that worsens over time Fatigue Loss of muscular tissue (atrophy) Problems breathing or swallowing Sleep apnea Risk Factors The following factors can raise your risk of acquiring post-polio syndrome: Initial polio infection severity: The severity of the initial infection correlates with the likelihood of developing post-polio syndrome. Age at the commencement of the first illness: If you contracted polio as an adolescent or adult, your likelihood of getting post-polio syndrome is higher than those who contracted the disease in early childhood. Recovery: Ironically, the quicker your recovery from acute polio, the greater the likelihood that you may develop post-polio syndrome. This may be because a greater rate of recovery increases the strain on motor neurons. Extreme physical exertion: You may raise your risk for post-polio syndrome if you frequently exercise to the point of extreme lethargy. Complications Of Post-Polio Syndrome Post-polio syndrome is infrequently fatal, but significant muscle weakness can result in complications: Falls: Leg muscle weakness makes it more likely that you will lose your balance and fall. You may then shatter a bone, such as your hip, resulting in additional difficulties. Fatigue: Post-polio syndrome patients frequently experience fatigue. The tiredness may be incapacitating even after minimal effort. It may also cause focus and memory difficulties. Pain: Musculoskeletal disorders and muscular weakness can contribute to persistent discomfort. Malnutrition: People who have experienced bulbar polio, which affects the nerves that lead to the muscles involved in chewing and swallowing, frequently struggle with eating and may develop malnutrition. Chronic respiratory failure: Weak diaphragm and chest muscles make it more difficult to take deep breaths and cough, which can lead to fluid and mucus accumulation in the lungs. Osteoporosis: Loss of bone density and osteoporosis are frequently associated with prolonged inactivity and immobility in both men and women. If you have post-polio syndrome, discuss bone density screening with your doctor. Sleep problems: Post-polio syndrome is often accompanied by sleep apnea and restless legs syndrome. Untreated, these sleep disturbances may exacerbate insomnia and exhaustion. Immunisation Against Polio Immunisation is the most effective means of preventing polio. The Centers for Disease Control and Prevention urges parents to immunise all infants and young children. Children should receive the polio vaccine at two, four, and six months of age. At age four, all children should receive a booster dose of diphtheria, tetanus, whooping cough, and polio vaccines (4-in-1 vaccine) Catch-up immunisation using combination vaccinations is offered for children up to and including nine years of age. Immunisation Against Polio For Adults It is suggested that all adults ensure they have received the polio vaccine. The polio immunisation for adults consists of three injections administered four weeks apart. “In South Africa, the last case of polio was reported in 1989. However, as long as there are occurrences of polio anywhere in the world, this dangerous virus can be easily imported and spread within a polio-free country. It’s crucial that parents ensure their children are up to date with all the necessary vaccinations and have themselves been vaccinated. Consult with your health care provider If you have not had at least three doses of polio vaccination, or if your child needs catch-up doses,” concludes Murray Hewlett, CEO of Affinity Health.
October 13, 2022
THE PILATES DIFFERENCE STUDIO AND INSTAGRAM PHENOMENON
Introducing @thepilatesdifference. An authentic, home grown South African Instagram phenomenon that grew to 120K followers in eight months flat! With all the noise out there on social media, especially Instagram, how does a fitness brand manage to stand out? By being themselves and embracing an honest, real and fun approach to movement and fitness. This proudly South African brand has managed to grow their Instagram following to almost 120K followers through a simple and consistent message; just move your body and do it to feel good. The Pilates Difference is a brand that is making waves on social media, and they hail from the beautiful little town of Plettenberg Bay. Here they have their physical studio space which is buzzing all year round with both locals and visitors to this famous beach destination town. It is not the trendy location of their studio and popularity of their classes that has gotten everyone’s attention, but rather their hilarious, quirky and honest approach to fitness and movement in general. When asked what the ethos behind the brand is, Owner Colleen Tomlinson explains that people put too much pressure on themselves to always have a perfect exercise ritual or schedule. When in fact it is really just about moving your body – in any way, place or form. Whether it is trail running, yoga, walking or dancing – the most important element or result is that it makes you feel good. Exercise or physical fitness is not and should never be about punishment, and only about endorphins. Having a scroll through their Instagram feed (@thepilatesdifference) this entertaining duo used reels to grow their account exponentially in 8 months through funny and inspiring clips that they hope encourage people to get up and move their bodies, and sometimes laugh at themselves. They specialise in Barre and Pilates and while they may look sweet and fun – they will give you some great workout tips, plank challenges, and sets that will certainly have you sweating…and smiling. The Pilates Suspension Method – Brand new and just arrived on South African shores The new kid on the block when it comes to Pilates apparatus is the suspension trainer. While traditional Pilates equipment such as Reformers, Cadillacs and Towers are wonderful to work on and train with – they cost a small fortune to purchase. During lockdown the access to this type of Pilates became limited and the Pilates Suspension Method – developed in The United States by Rebecca Beckler – became so popular it is now a worldwide phenomenon. So what is all the fuss about? As a Stott®Pilates Instructor trainer, Rebecca developed the method that takes many exercises from traditional and contemporary Pilates equipment and matwork and created over 500 different exercises that can be performed using a suspension trainer, that are both safe and effective for all levels and abilities. A piece of equipment you can hang up over the door at home and affordable enough to purchase for gyms and studios. Colleen Tomlinson from The Pilates Difference, the instructor trainer in South Africa and Africa for the PSM, says that the difference she has seen in the strength, posture and athletic ability of her clients who regularly attend the classes (both online and in studio) is notable. The Pilates Difference is the service provider in South Africa and Africa that is rolling out these Instructor Training Courses in South Africa. Both from their beautiful studio in Plettenberg Bay as well as in major centres like Cape Town and Johannesburg. They are open not only to Pilates Instructors (although it is Pilates focused) but to all mindful movement practitioners and fitness professionals. Check their website, www.thepilatesdifference.co.za for more information on upcoming courses, retreats and workshops. ABOUT THE PILATES DIFFERENCE STUDIO IN PLETTENBERG BAY The Pilates Difference Studio is a Pilates and Barre Studio in Plettenberg Bay. We are a Stott Pilates® trained studio with additional schools of training contributing to our offerings; including internationally acclaimed bootybarre®. We offer Group classes on the Mat and Barre as well as various equipment sessions to smaller groups, duos and privates. We have Cadillacs, Reformers, Ladder Barrels, Stability Chairs and Suspension Trainers. The Studio was opened in January 2017 by Colleen Tomlinson. Her vision for The Pilates Studio was to provide a Pilates and Barre Studio that celebrates the true essence of Pilates and all that the discipline stands for. To teach people Pilates in order to empower them to become stronger, healthier, more mobile, more connected and more balanced. To make people aware that Pilates is not just an exercise routine, but rather a way of life and a commitment to ones well-being. At The Pilates Difference our focus is on the client and their experience with us. We put a lot of energy into creating a space that is warm and filled with positive energy, which leaves all our clients feeling energised, invigorated and often sweaty! Our bright, spacious studio is positioned in the centre of town in the elegant Yellowoods Centre. We are conveniently located next to a variety of eateries, coffee shops and stores. Situated alongside a quieter street which allows for more parking, we have a view of the endless Keurbooms beach and Bay. Open to both locals and plett visitors all year round. Can’t get to Plett, do one of their online workouts. There is something for everyone. For daily inspiration and workout challenges, follow @thepilatesdifference on Instagram.
October 12, 2022
‘A DOSE OF CARE’ CAMPAIGN LAUNCHED
Panado®, the nation’s trusted pain reliever, is proud to announce the launch of the ‘A Dose Of Care’ campaign in collaboration with popular lifestyle show Afternoon Express. The campaign celebrates true community heroes across South Africa who serve others by providing a dose of care to those who really need it – so they can pass on a dose of care to their loved ones. As love is universal, no one can be left out! Think back over the past year. No doubt, you’ll be able to conjure up countless examples of selflessness and heroism within your community that have inspired you. If these examples tell us anything, it’s that perhaps it’s time we re-evaluate what we mean by ‘hero’. In the world that we live in, heroes don’t wear capes. Heroes are the everyday people who go out of their way to support those around them. From the early morning lift clubbers and even earlier morning rock-em-back-to-sleepers to the mother and daughter team who make sandwiches for hungry tummies. From the retired teacher who collects school shoes for disadvantaged learners to the Gogo who gives exceptional care to parentless children. We are touched by these stories of hope, kindness, compassion and community. Caring for the ones we love is truly a labour of love – it’s an opportunity for us to put love into action. Panado®, a flagship brand of Adcock Ingram, understands that one can’t give to others if your cup is running empty. Caring isn’t always hugs and smiles, giggles and laughter. Caring entails sacrifices and commitment. At times, it can feel overwhelming, scary, and thankless. South Africa is full of carers facing adversity, challenged with little support or financial resources. Yet, many of these exceptional carers still care above and beyond. Panado® sees you – and would like to help make your care a little easier. Speaking about ‘A Dose Of Care’ campaign, Gail Pretorius, Panado® Marketing Manager, says the campaign aims to help carers across Mzansi, who are inspired by the spirit of ubuntu and dedicated to incredible acts of human kindness and generosity. The campaign offers participants the chance to win ‘A Dose Of Care’ from Panado®, and the winners are then afforded the opportunity to “pay it forward” by donating an additional ‘A Dose Of Care’ to others giving back to their communities. “Panado® has been around for decades. You’ve seen it in your cupboards growing up, and so have our grandparents. It is a generational brand that delivers a dose of care through every dose administered to all, from tiny tots to grandparents. We also acknowledge and recognise that caring isn’t always as easy as it sounds. Sometimes taking care of ourselves, as well as friends and community members, is difficult,” says Pretorius. “That is why we at Panado® want to share a dose of care with those who really need it and enable them to share a dose of care with their loved ones. It’s fantastic to have Afternoon Express behind this kindness initiative, hopefully encouraging an onward domino effect of doing good deeds.” Panado® and Afternoon Express will share the work of do-gooders lifting others and helping alleviate the poverty crisis gripping parts of the country through ‘A Dose Of Care’ journey. Individuals and charities who have benefitted from ‘A Dose Of Care’ campaign thus far include the Kasi Hero Foundation and Thušanang Community Development NPO and there are many more to follow. The Kasi Hero Foundation was started in 2020 during Level 5 Covid-19 lockdown. What began as a small group of young volunteers running a weekly soup kitchen for the needy in Pimville, Soweto, has evolved into a recognised public benefits organisation providing daily meals, school uniforms, wheelchairs, and food parcels to vulnerable families. The Kasi Hero Foundation was gifted ‘A Dose Of Care’ and assistance with meals for the soup kitchen. When asked to nominate someone of their choice to receive a dose of care, they elected fellow hero, Mpho Mmasechaba, who runs a weekly soup kitchen, feeding hundreds of children daily. Panado® gifted another dose of care to Beatrice Leng, chairperson of Thušanang Community Development NPO in the Western Cape. Affectionately nicknamed The mayor of Tafelsig, Beatrice is known for her courage, genuine love and heart for the community, helping women and children who are survivors of abuse. Beatrice has spread care and hope across Tafelsig and surrounding areas for over 35 years. Beatrice in turn nominated Carolyn Meyer as her nominee of choice. Whether it’s an opportunity to feed a hungry tummy or create a safe haven for children, Carolyn is the definition of a dose of care. As South Africans, we are going through so much. It’s time we focus on the positive. There are so many people out there who do so much without asking for anything in return – and that’s exactly what ‘A Dose Of Care’ campaign is all about. To these heroes and heroes everywhere, Panado® says, “thank you for the work you do”! Can you think of someone in your community who deserves more recognition for all they do for others? Panado® would like to encourage South Africans to go out and nominate other South Africans within their families and communities who really show care for others and please share their stories. Tell us who they are, what they do for the community, and why they should receive a dose of care. Remember to use the hashtags #ADoseOfCare and #PanadoSA in your answer, and your chosen nominee could stand a chance to receive ‘A Dose Of Care’ from Panado®. To enter, or for more information, follow Afternoon Express Facebook page and Afternoon Express Twitter page. The campaign competition runs until 8 November 2022. T’s and C’s can be found on https://afternoonexpress.co.za/. References : 1. IRI Data for MAT August 2021. 2. Panado® Tablets approved professional information, June 2005. 3. Panado® Capsules approved package insert, August 1984. 4. Panado® Effervescent (Tablet) approved professional information, July 1992. 5. Panado® Paediatric Strawberry Approved package insert March 2002. 6. Panado® Paediatric Syrup Alcohol and Sugar-Free & Panado® Paediatric Syrup package insert. April 2010. 7. Panado® Infant Drops (Drops) approved professional information, August 1990. 8. Wilcock A, Twycross R. Therapeutic
October 12, 2022
Don’t misjudge generics
Even though generic drugs have been around for more than half a century, many patients in South Africa are unreasonably suspicious of what is. In essence it’s a ‘carbon copy’ of the original brand of drug or medicine. Bonitas Medical Fund believe it may be because consumers think that if they are cheaper they must be inferior. This lack of understanding costs consumers and medical aids millions of Rands each year.
October 10, 2022
Mental health post pandemic
The Covid-19 pandemic and the resultant lockdowns affected people across the world – mentally, emotionally and physically. These included feelings of isolation, work stress, frustration at rules and regulations, fear for close family and friends and a loss of control over your life. So, it is not surprising that we have seen an increase in mental health related issues. 1 in 6 South Africans suffer from anxiety, depression or substance use disorder. Over the last two years the prevalence of anxiety and depression disorders has increased by 36.4% and 38.7% respectively. 970 million people worldwide have a mental health or substance abuse disorder. A study by the Global Happiness Council (GHC) shows that mental illness is the main ailment among people of working age. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund says, ‘This has a massive effect on employers as they try to cope with keeping their businesses going, preventing job losses and maintaining a happy and motivated workforce. The economic uncertainty, political instability and poor socio-economic conditions in South Africa have also added to the burden of mental health issues in South Africa.’ To make matters worse, according to South Africa’s National Mental Health Policy Framework, ‘up to 80% of South Africans who need mental health support are unable to easily access it’. In addition to a comprehensive mental health programme, Bonitas is the first medical aid to offer Panda to its members. It’s a free to download mental health and wellness mobile app that provides scientifically validated assessment tools to enable users to objectively measure their mental wellbeing. A gamified tracking tool allows you to document and monitor the progress you’re making on your personal mental health journey. This includes: Engaging in interactive, audio-only sessions with peers and mental health experts in the ‘Bamboo Forest’ Learning new skills through assignments and videos to help you live a more fulfilled life Tracking your mental health progress to measure how you are feeling Getting text-based chat support from an accredited wellness counsellor Booking 1:1 virtual consultations with accredited and registered counsellors, social workers, psychologists and other mental health professionals ‘The level of support depends on the degree to which you need help,’ says Dr Mkhatshwa. ‘This ranges from level one, where there is an easy access point to community, information and support, through to level 5 where Panda will notify you to contact emergency services. We know how tough it can be to go through difficult times all by yourself, but with Panda, you will be able to find the support and resources that you need. In a nutshell: The right care at the right time for a healthy mind, using your phone.’ What is mental illness? Mental illness is defined as ‘any behavioural or mental pattern that causes significant distress or impairs normal functioning’. It can occur as a once off, be persistent or recur. The common denominator being the debilitating nature of the condition. It is a medical condition A mental illness affects the way a person experiences and behaves in the world around them. It is a recognised medical condition in the same way as chronic diseases, such as diabetes and high blood pressure and can affect anyone, regardless of race, religion, income or age. It is not a sign of weakness or madness and is nothing to be ashamed of. The good news is, it’s a condition that that can be managed and treated successfully. Anxiety disorders and depression are the most common mental health problems but others include eating disorders, Post-Traumatic Stress Disorder (PTSD), obsessive compulsive disorder (OCD), bipolar mood disorder as well as psychotic disorders such as schizophrenia and personality disorders. Substance abuse, such as drugs and alcohol, is also classified under mental illness. Battling the stigma The Mental Health Society acknowledges, ‘The social stigma attached to mental ill-health and discrimination exacerbates patients’ condition. It often prevents people from seeking treatment. And, if they do, makes it harder to recover.’ Dr Mkhatshwa says, ‘Fortunately, increasingly well-known and influential people who are suffering from or have overcome mental illness, are being more open about it. This will go a long way to debunk myths, negativity, discrimination and judgement’. Recognising the signs These can vary but, in general, these include: Being frequently sad, depressed and gloomy for long periods and feeling overwhelmed by life’s problems Major changes in eating habits, resulting in weight loss or gain Struggling to concentrate and make decisions Loss of energy and lack of motivation Constant stress and anxiety over work, finances, life, friends and family Emotionally distant Frequently tearful Having difficulty sleeping or sleeping more than usual Loss of interest in activities Easily irritated and more aggressive than usual Having thoughts of death or suicide Drug or alcohol abuse may also be a sign of underlying mental illness Help is at hand There are specialised mental health programmes in place through most medical aids and most mental illnesses can be effectively treated by health professionals and community-based services or NGOs. This may include access to medication, therapy and counselling. The Mental Health Programme (MHP) from Bonitas, which forms part its Managed Care initiatives, is aimed at improving quality of life and empowering people with mental health issues to manage their condition. It is education driven and offers support for loved ones too. ‘The introduction of Panda will dovetail neatly with our MHP,’ says Dr Mkhatshwa. ‘Mental illness cannot be wished away,’ says Dr Mkhatshwa. ‘We can’t expect someone to ‘pull themselves together’, they simply can’t. But with the right support and help, symptoms will be relieved and the recovery rate is encouraging with patients getting back to being happier, more productive members of society.’
October 7, 2022
WHAT FEVER MAY SIGNAL
According to Affinity Health, a leading provider of high-quality health cover, while fevers themselves generally aren’t dangerous they often signal infection or illness that could require treatment. Fever is a natural response to infection. A fever is usually a sign that your body is working extra hard to fight infection. Body temperatures are different for everyone. But they lie within the range of 36°C to 37°C. A temperature of 38°C or higher is considered a fever. Often, a fever does not signal an alarm. But it is best to contact your nearest healthcare provider if the following happens: If the fever does not subside within a few days If the fever does not respond to over-the-counter medication What are the Indications of a Fever? The principal signs of a fever are: Temperatures above 38°C Chills, shivering and trembling Headaches and body aches Fatigue (tiredness) Irritability Loss of appetite Headache Sweating Reddened complexion or warm skin Learn More: When to Worry About Your Baby’s Temperature Why Does a Fever Occur? Fever has many causes and can be a sign of any disease. Among the most prevalent are: Colds or influenza Earaches Bronchitis Oral thrush Urogenital tract infections Mononucleosis Sunburn COVID-19 Heat exhaustion Vaccines and immunisations Hormone disorders (hyperthyroidism) Autoimmune conditions Teething (in babies) “Do not assume something is wrong if you have a higher-than-normal body temperature. Look for other signs of sickness. Body temperature fluctuates throughout the day,” says Murray Hewlett, Affinity Health CEO. Body temperature can change in response to any of the following human processes: Stress Excitement Heavy clothing Food Specific drugs Menstruation Exercise Additionally, children have a somewhat higher average body temperature than adults. How to Measure Body Temperature The best ways to measure body temperature is to insert a thermometer: Orally Rectally Axillary (under the arm) Or by placing a monitoring tool into the ear Can You Treat a Fever at Home? If your temperature is modest (less than 38°C), you do not need medical care. Ensure that you consume a lot of fluids (but no alcohol) and get a lot of rest. There are several effective strategies to bring down a fever to a higher degree. Medications like aspirin, acetaminophen, and ibuprofen are the most prevalent treatment option. If a youngster under 17 has a fever, DO NOT provide aspirin. Aspirin may be fatal for children. A lukewarm bath may also assist in lowering the temperature. When does a fever warrant concern? Immediately contact a physician if you experience any of the following: A high temperature accompanied by neck stiffness, disorientation, or irritation A fever that persists above 39.5°C for over two hours following home treatment A fever that lasts for more than two days A rash Photophobia (irritated by light) Dehydration Seizures If your child is running a high fever and is under two years old, it is best to get them checked by a doctor. Remember! Not all fever medicine is safe for babies. Medication can temporarily bring a temperature down. But it will not treat the underlying cause.
October 6, 2022
The Fermented Food Frenzy
40 trillion: the number of bacteria that make our gut a home. Every day, we live in harmony with these beneficial bacteria, collectively known as gut microbiota, which help to digest the food we eat, produce vitamins like vitamin K and the B-vitamins, protect against invading harmful bacteria, and help support our immune system. With such an important role to play, how do we keep our gut microbes happy and healthy? Simple – fermented foods, the rising stars on our grocery shelves. Fermented foods and beverages are made using different combinations of bacteria, such as lactic acid bacteria, and other microbes like moulds and yeasts. In fact, fermentation is thought to be the oldest and most economical method of producing and preserving food, with over 3 500 fermented foods making up one-third of our human diet. A Focus on Fermentation During fermentation, unique and beneficial changes take place to a food or beverage. The process of fermentation increases the shelf-life to improve preservation, vitally important in food security and food safety. Registered dietitian, Monique Piderit says: “Fermented foods also add to the nutritional value of our diet. This is because these foods can contribute towards making some vitamins and other healthy bioactive compounds more available to the body. We also know that fermented foods can help remove and reduce toxins (like mycotoxins) and anti-nutrients (like tannins and phytic acid) from our diets, as well as help with the digestion of parts of the food that sometimes cause trouble in our guts (like how the lactose in fermented dairy is pre-digested for easier absorption).” Go for the Gut Likely the most well-known benefit of eating fermented foods are the great gut-enhancing benefits. Poor diets, stress, medication like antibiotics and anaesthesia, as well as other factors can substantially effect the beneficial bacteria in the gut microbiota. Made with these healthy microbes, fermented foods are a source of live and active cultures. Regularly enjoying fermented foods in our diets can then help to restore the balance of gut bacteria because of the live cultures that exist naturally in these foods. And what’s more, studies have shown that if we regularly eat fermented foods and beverages, the live cultures can potentially increase the microbes in our gut by 10 000 times. Now while fancy fermented foods like kefir and kombucha are all the rage, there are two everyday foods that top this list: yoghurt and maas. Fermented dairy is so proudly part of our South African heritage and a supplementary staple food, with great cultural importance. These dairy-based South African favourites are convenient, easy-to-access, storage friendly. and cost-effective examples of fermented foods. Choosing these foods regularly also supports the recommendation of our food-based dietary guidelines to “Have milk, maas and yoghurt every day.” Here’s how to get with the fermented food frenzy, the South African way: Yoghurt, whether plain or flavoured, full cream or fat free, will support a healthy gut and also supplies naturally occurring vitamins, minerals, proteins, and carbohydrates essential for good health. Yoghurt makes for an easy lunchbox filler for children and adults alike. Not a breakfast fan? Blend with fresh fruit for an on-the-go smoothie or serve as a healthy dessert dusted with cinnamon. Maas can be enjoyed as an anytime drink, either on its own or with some added flavour like honey or cocoa powder for a twist. Keep it simple and pour over pap for a quick start to your morning or serve with fruit as you would with yoghurt. Stir into soups or sauces for a creamy taste or use as a recovery drink after exercise. Go to www.rediscoverdairy.co.za for more recipes and ideas on how to include yoghurt and maas as part of a healthy and balanced diet.
October 4, 2022
Do I Need to Take a Multivitamin?
Affinity Health, a leading provider of high-quality health cover, explores the benefits of multivitamins. Multivitamins and minerals are the most consumed dietary supplements worldwide. Many believe that multivitamins can do the following: Improve health Compensate for bad dietary habits Lower the chance of chronic disease But is this belief fact or fiction? What are Multivitamins? Multivitamins are dietary supplements containing many vitamins and minerals. That is often besides other components. There is no universal definition of a multivitamin. But the nutrient makeup of these supplements differs by brand and product. Multivitamins come in many forms, including tablets, capsules, chewable gummies, powders, and liquids. Thirteen vitamins and about fifteen minerals are necessary for good health. Many multivitamins contain variable concentrations of these vitamins and minerals. Additionally, they might contain herbs, amino acids, and fatty acids. The Food and Drug Administration does not see dietary supplements as prescription pharmaceuticals. So, some multivitamins may contain higher or lower levels of certain nutrients. Multivitamins Supplements and Cardiovascular Disease Heart disease is one of the worldwide causes of death. Some feel that taking multivitamins can help avoid heart disease. But data does not appear to support this claim. Multivitamin Supplements and Cancer Inconsistent evidence exists on multivitamin use and cancer risk. Some studies find no correlation between multivitamin consumption and cancer risk. But others do see a correlation. Do Multivitamins Offer any Other Health Benefits? Some studies have discovered that multivitamins may aid in memory and mood enhancement. Moreover, antioxidant vitamins and minerals may help reduce blindness. Are There Health Risks Associated With Taking Multivitamins? Some people may tolerate large quantities of some vitamins and minerals. But excessive amounts can be dangerous. Solubility can affect the dosage of a multivitamin as follows: Water-soluble: Your body eliminates excess quantities of these vitamins through urine. Fat-soluble: Since your body cannot release them, vitamins may build in your liver. Good to Know Pregnant women must be especially mindful of their vitamin A consumption. Excessive intake may cause congenital abnormalities. Certain minerals, such as iron, in excessive amounts, can cause: Stomach distress Constipation Vomiting Fainting Inhibited absorption of zinc Men should be especially aware of their iron intake. They tend to store more of it than women and those with hemochromatosis. Should You Take Multivitamins? In reality, evidence that multivitamins are healthy is inconclusive. In certain instances, they may even be harmful. “Multivitamins contain many nutrients, most of which you may not need. Fresh, whole foods are better overall,” says Murray Hewlett, CEO of Affinity Health. “But if you need a specific nutrient, it may be preferable to supplement with that nutrient. For your benefit, it is best to consult your healthcare provider,” concludes Hewlett. Learn More: The Importance of Good Nutrition in Early Childhood
October 4, 2022
Bonitas 2022 contributions continued for 2023!
Bonitas Medical Fund, one of the leading medical schemes in South Africa, announced its 2023 product line up today. Lee Callakoppen, Principal Officer of Bonitas says, ‘Our average increases for the year would have been 5.9% – well below the current inflation rate of 7.6%. The good news is that we’ve put a price freeze on contributions for the first quarter of 2023, to offer our members some respite. This effectively means an increase of 4.8% over the 12 months. We have also shared exactly what members can expect to pay from 1 April 2023, so that they can make informed decisions. Bonitas celebrated its 40th anniversary this year and has evolved and expanded its capabilities over the past four decades in response to the needs of a growing membership base. ‘It’s always a delicate balancing act between keeping increases as low as possible while maintaining the stability of the Scheme,’ says Callakoppen. ‘The guidelines, set out by the Council for Medical Schemes (CMS) in Circular 44 of 2022, requested medical schemes to keep contribution increases for 2023 below CPI. However, over the past decade medical scheme contribution increases have outpaced inflation by around 4%. We are delighted to have kept these well below CPI itself. In fact, by applying very low contribution increases since December 2020, the Scheme has effectively passed R1.4 billion in savings back to members. And, with the challenges we’ve seen recently in the healthcare industry, we know that promoting sustainability is key. So, we’re happy to boast excellent financial indicators from high solvency ratios, strong reserves and a high claims-paying ability. Not only is the Scheme financially sound with over R7.4 billion in reserves but, over the last 36 months we have signed up 190 000 new members. This figure is significantly higher than the size of most schemes in the industry. Even better for sustainability is that the average age of our new members is around 15 years younger than the current membership. It reinforces the fact that we are succeeding in attracting a younger, healthier profile, which is coveted across the industry. The future of healthcare is anchored on primary and preventative care as well as sustaining well-being, as opposed to responding to illness. One of the key healthcare trends is the rise in non-communicable or lifestyle diseases, such as diabetes, high blood pressure and cancer. 80% of these conditions are caused by lifestyle risk factors which is why we offer a range of Managed Care programmes aimed at assisting members understand and manage their conditions. Cancer care Cancer prevalence is one of the key concerns facing South Africans and is increasing year on year. Last year, we announced our partnership with the South African Oncology Consortium – the largest network of oncologists in the country to enhance the offerings of our cancer programme including screening for early detection, treatment and palliative care. For 2023 we have restructured benefits to be unlimited for PMB cancers, on all options. Diabetes The latest data from the South African Health Quality Assessment, shows that Bonitas has an effective disease management programme and better outcomes than the industry standard for diabetic members, with improved metrics for Hb1Ac, statins and cholesterol. But, as we always look for ways to improve, we are proud to introduce a benefit of R51 000 per family per year for an insulin pump or continuous glucose monitor for type 1 diabetics over 18 years. Mental health We are pleased to announce that we’ve introduced an innovative new digital solution, called Panda, to support our members in managing their mental wellness. Panda, a free to download app, offers everything from audio sessions with peers and mental health experts to one-on-one virtual consultations with mental health professionals. We encourage our members to complete a mental health questionnaire in the Bonitas Member App to assess their mental health status. Panda will be available from October 2022. Benefit Booster Launched last year, the Benefit Booster was one of the most innovative changes to hit the medical schemes industry and aimed at supporting our preventative care strategy. It unlocked R446 million in additional benefits for members to extend their day-to-day benefits. For 2023, we’ve opted to adjust the benefits limits in line with utilisation with enhancements seen on several plans. Designated Service Provider (DSP) We implement networks to negotiate the most favourable tariffs for our members so they can avoid out-of-pocket expenses and get more value. These networks are carefully selected to maintain high levels of healthcare, aligned with our brand promise of providing quality healthcare. We have restructured our options to include a wider hospital network component. In 2023, 85% of our members will be within a 30km radius of a network hospital – with a presence across all nine provinces in line with the footprint of our member base. This includes a GP network of over 4 400 of the most efficient practices in the country, an extensive pharmacy network, with around 2 500 practices to dispense chronic, acute and over-the-counter medicine through Scriptpharm. Our dental network, through DENIS, is one of the largest on the continent – providing access to around 3 000 practices while our optical network through PPN gives members access to over 2 300 practices. Medicine formulary We have aligned our medicines formulary to the WHO’s Essential Medicines List (EDL) to promote affordability and accessibility to clinically approved medicines, in support of Universal Health Care and promotion of medicine adherence for our members. Hospital-at-home The technology-enabled Hospital-at-Home service brings all the essential elements of in-hospital care to a patient’s home, without moving away from evidence-based clinical protocols and state-of-the-art 24hr vital sign monitoring. 1 200 members have used the offering to date – equating to around 6 000 days in hospital. We are extending the offering to include: A programme for re-admissions, screening and disease prevention, alternative to stepdown facilities and kidney dialysis at home. Savings We’ve amended our rules to allow members to use their savings as they deem fit for
September 30, 2022
Easy-to-make Yoghurt Granola Bars
We are into the last quarter of the school year and fast running out of fresh ideas for lunchboxes. Yoghurt-based granola bars are the perfect solution for a snack that works in both school and work lunchboxes! They tick all the boxes: Easy to make The ingredients are versatile More cost effective than store-bought granola bars Can be made over the weekend for the week ahead Contributes to daily dairy intake It’s easy to control the portion, because you can determine the size of the bars, based on kid vs teen vs adult lunchbox Can also be used as a post sport or in-between meals snack The Rediscover Dairy ‘Yoghurt Berry Granola Bars’, created by Reabetjoe Mokoko, the Cooking Dietitian, are made with fresh blue berries, but these can be substituted with other seasonal fruit, like apples, peaches, pears or nectarines. You can even add crushed nuts and raisins. Below is the recipe or you can download the recipe care here: https://www.rediscoverdairy.co.za/recipe/yoghurt-berry-granola-bars/ Ingredients Granola bars 100 ml full-cream plain yoghurt 2 cups oats uncooked ½ cup berries fresh and mashed ½ cup honey Yoghurt drizzle 50 ml Yoghurt ½ cup (125 ml) Icing sugar Instructions Preheat oven to 180°C. In a bowl mix the ingredients for the granola bars, yoghurt, oats, berries and honey. Line a 25×30 cm baking dish with baking paper Pour the granola bar mixture into the lined baking tray and press it down with a wooden spoon till it is flat and even. Bake in the preheated oven for 20-25 min or until golden brown. Once baked and golden in colour remove from the oven and leave the mixture to cool down. Cut into equal bars and drizzle with the yogurt icing.
September 23, 2022
HIV Symptoms – Children Born With HIV
Affinity Health is a leading provider of high-quality healthcare cover. Here is their take on HIV infection in children as a growing public health concern. In 2002, 800,000 children under 15 contracted HIV. The majority of cases live in Sub-Saharan Africa. Mother-to-child transmission accounts for over 90% of all HIV infections in children. Most of these children are younger than the age of 15. The chances of a pregnant mother transmitting HIV to her unborn child are 5-10%. 10-20% of transmissions occur during labour and delivery and 5-20% during nursing. “Preventing the transmission of HIV from mothers to children is important. It is crucial for the global HIV/AIDS control strategy,” says Murray Hewlett, Affinity Health CEO. How is HIV Transmitted to Children? Mother-to-child transmission is the most common way infants and young children contract HIV. It is important to remember that not all HIV-infected mothers pass the virus to their babies. Two-thirds of babies born to HIV-infected women do not become infected with the virus. A baby can become infected between early pregnancy and the end of breastfeeding. Still, more research must show if other nutritional deficiencies play a role. Learn More: The Importance of Nutrition and Diet in HIV/AIDS Other factors to consider include: The length of labour after the waters have broken. Delivery method. Neonatal practices. All women are at risk of acquiring HIV infection from: Having unprotected penetrative vaginal or anal sex without using a condom. Receiving an unsafe blood transfusion. Using unsterilised needles and syringes. Surgical or cutting instruments contaminated with someone else’s blood. Some cultural practices may increase women’s infection risk. For example, abstaining from sex during pregnancy or breastfeeding could cause conflict. The conflict may encourage men to have sex with other partners. That increases the risk of HIV infection. In turn, men may infect women and unborn children. The Importance of Antiretroviral Therapy Antiretroviral treatment (ARVs) and combination therapy do the following: They increase the CD4 count They reduce the impact of HIV on the body They lower the chances of mother-to-child transmission. In most developing countries, antiretroviral drugs (ARVs) are not easy to access. That places many pregnant women in danger. A Word on Unsafe Blood Transfusions A transfusion increases the risk of infection if the blood has HIV. Screening blood before transfusion is vital. All women lose some blood during delivery. Women’s bodies can compensate for blood loss during delivery. But recovery measures need to happen after birth. A mother may need a blood transfusion. Blood transfusions are routinely given to women to replace blood loss. A transfusion increases the risks of infection if the blood has HIV. And if she becomes infected, she may relay the virus to her baby during breastfeeding. “An HIV-positive mother can relay HIV to their baby at any time. That includes during pregnancy, childbirth, or breastfeeding. But that doesn’t mean that you can’t have children. Preventative treatment and HIV management are key. That can control risks of transmission to your baby,” concludes Hewlett. Mothers should never hesitate to speak to healthcare providers if they classify as follows: HIV-positive and intending to fall pregnant. Or are already pregnant. Learn More: Should You Get HIV Tested?
September 21, 2022
National Oral Health Month: Here’s how to get your brightest smile yet
September is National Oral Health Month – a month dedicated to encouraging healthy dental habits and oral hygiene. Did you know that dental cavities and gum disease are two of the world’s most common health problems? It is estimated that up to 90% of South Africans will experience gum disease at some point in their lives. Caused by plaque on the teeth and under the gum line, gum disease can lead to the loosening of teeth, movement of teeth, bad breath, receding gums and inflammation. It’s even been linked to diabetes and heart disease. While poor dental hygiene can lead to health problems, it can also put a damper on your smile. If you don’t look after your teeth and gums, it could lead to discolouration, stains and even erosion of the teeth’s enamel, which can affect one’s confidence and make smiling with confidence, difficult. We smile when we’re happy, but the act of smiling also has the ability to make us happy – and that’s a fact. When we smile, our brains release dopamine and serotonin, two of the hormones that are responsible for making us feel good. And the same thing happens when someone smiles at us: being smiled at can trigger the brain to release feel-good hormones. Smiling is also linked to lower blood pressure, stress relief and a reduction in pain. The bottom line? Smile as often as you can! It’s good for your mental and physical health, as well as the health of those around you. Not everyone is blessed with a so-called perfect smile, but modern oral care products make is easy to maintain healthy teeth and gums, increase the brightness of your smile and treat and prevent discolouration. While there is no substitute for regular check-ups at the dentist and professional teeth cleaning at the oral hygienist, it is absolutely essential to practice good oral care habits at home if you want to keep maintain the health of your teeth and the beauty of your smile. Daily maintenance A healthy oral care routine starts with mastering the basics: brushing twice a day and using a good quality mouthwash. O7 Active® Whitening Toothpaste (R129) contains active oxygen to effectively kill bacteria, remove plaque, maintain healthy teeth and gums and keep teeth beautifully white. It removes superficial stains but is mild on the enamel and does not contain any aggressive bleaches or abrasives. O7 Active® Rinse (R169) can be used twice a day after brushing. This active oxygen mouthwash kills bacteria and helps prevent gum disease, improving your overall oral health by just rinsing for 30 seconds, twice a day. Available on www.takealot.com. Flossing is for everyone Brushing your teeth twice a day is not enough to remove food and plaque – especially in hard-to-reach places like between the teeth and below the gum line. Flossing is the best way to remove food particles and impurities. But before you cringe at the thought of manually flossing with string every night, have you considered water flossing? Water flossing for one minute before brushing easily removes bacteria and debris from hard-to-reach areas deep between teeth and below the gum line. Quick and easy to use, Waterpik® Water Flossers utilise a unique combination of water pressure and patented pulsations to massage and stimulate gums as well as clean deep between teeth and below the gum line. They are clinically proven to be more effective than traditional dental floss for reducing plaque, gingivitis, and gum disease. Waterpik® Water Flossers are clinically proven to remove up to 99.9% of plaque from treated areas. The unique combination of water pressure and pulsations is up to 50% more effective for improving gum health than ordinary string floss. Try: Waterpik® WF-02 Cordless Express Water Flosser (R999.00). Ideal for braces and other dental work, it requires only 3x AA batteries to operate, making it great for travel. Using this flosser for just one minute a day prior to brushing ensures a cleaner, fresher and healthier mouth. The unit comes with two unique Classic Jet tips for general use. Waterpik® WP-450 Cordless Plus Water Flosser (R1 399.00). The WP-450 Cordless Plus water flosser takes up less space on the countertop and includes four unique tips: Classic Jet tip (for general use), Plaque Seeker tip (best for implants, crowns, veneers and bridges and removes plaque in hard-to-reach areas), Orthodontic tip (ideal for braces and is 3x as effective as floss for removing plaque around orthodontic appliances) and the Tongue cleaner (removes bacteria from the tongue to freshen breath). Waterpik® WP-100 Ultra Water Flosser (R1 499.00). The WP-100 Ultra Water Flosser is the ultimate in water flossing performance. It features 10 pressure settings for optimum control. The contemporary design is compact with a covered reservoir to keep out dust and debris. Six unique tips are stored in the unique undercover compartment in the lid of the reservoir. To view and shop Waterpik® products, visit www.waterpikflosser.co.za. Also available at selected dentists, Dis-Chem stores and Takealot. Professional whitening White teeth look healthier and more attractive, plus they go a long way in promoting a more youthful appearance. If you’re looking to brighten your smile or improve the appearance of stained or discoloured teeth, professional teeth whitening is the way to go. Performed by a qualified oral health practitioner, professional teeth whitening is safe and effective, and as it’s done by a professional, it does not carry the risks that a lot of home whitening systems do. The leading choice in teeth whitening, Zoom Professional Teeth Whitening is a fast, safe bleaching process that takes place under the care of your dentist to lighten the discoloration of your enamel and dentin. You don’t have to pay a Hollywood price for your new movie star smile either; Zoom Professional Teeth Whitening is both convenient and affordable in delivering you with the smile you have always wanted. The entire in-office bleaching procedure takes just over an hour. Using the Zoom Whitespeed LED advanced technology, your teeth can be bleached up to eight shades whiter. All of the Zoom bleaching gels have a pH booster, meaning it is completely
September 20, 2022
What Parents Need To Know About Measles
Leading healthcare cover in South Africa, Affinity Health, explains how parents should keep an eye on measles. When most people hear the term measles, they envision flu-like symptoms. Symptoms tend to lead to a rash a few days later. But measles holds the potential to be life-threatening. Measles can cause dangerous complications. Complications include any of the following: Pneumonia Visual impairment Encephalitis Hepatitis (inflammation of the liver) Measle complications tend to occur in children younger than five years old. Adults older than 20 years old are also prone to infection. What is Measles? Measles is a highly contagious illness. It is an after-effect of the rubeola virus. The virus spreads through direct contact with an infected individual or airborne droplets. Over 140 000 individuals died from measles complications in 2018. Most of the fatalities were under five years old. Due to efficient immunisation campaigns, this number is now 73% lower than in 2000. Symptoms of Measles Measle symptoms tend to emerge 7–14 days after exposure. But they can take up to 23 days to be visible. Examples of symptoms include: High fever (up to 40°C) A hacking cough A runny nose Sneezing Watery eyes Body aches Rash: Tiny white spots occur in the mouth before a red rash emerges on the body. How Do Symptoms Arise? The virus enters the body via the mouth, nose, and eyes. From there, it circulates throughout the body to these various organs: Liver Skin Central nervous system Spleen The measles virus produces inflammation in the capillaries of the skin. That results in the characteristic rash of measles. Anyone who has never had measles, or measles immunisations, can become unwell. Falling ill can happen once they inhale contaminated droplets. You can also get sick via close physical contact with an infected person. Did You Know? Measles Can Lead to Liver Complications If the measles virus spreads to the liver, it can result in hepatitis. While heavy alcohol consumption can cause hepatitis, other factors can cause illness. Hepatitis can occur due to any of the following lifestyle choices: Some drugs Pollutants Certain medical problems Viruses Viral hepatitis is a chronic infection. It is a silent and neglected cause of morbidity and mortality in South Africa. In 1960, experts published the first case report of acute liver failure in patients with measles. Later, they discovered that more than 50% of hospitalised people with measles showed diminished liver function. “Measles make our bodies build up specialised immune cells. That teaches the body to produce antibodies that target a specific pathogen component. But measles can destroy these cells. It may take up to five years for the immune system to recover,” says Murray Hewlett, Affinity Health CEO. Measles prevention is the best way to guard against immune system damage. What Treatment Options are Available? There is no known antiviral therapy for the measles virus. But there is a way to prevent measle outbreaks. Vaccination is the most effective means of protection against measles. Vaccination against measles is usually for children in South Africa. Children receive the vaccination in two doses. They take the first dose between 12 and 15 months of age. Then they receive the second dose between four and six years of age. Learn More: Should You Vaccinate Your Infant?
September 16, 2022
Give The Gift Of Life By Registering As An Organ Donor
Affinity Health, a leading provider of high-quality healthcare, talks to kidney donor recipient, 38-year-old Cristina Dos Santos-Walters on her life-changing organ transplant journey. At any moment in South Africa, about 4,300 people are waiting for organ donations. Typically, these individuals require new livers, kidneys, lungs, or hearts. However, organ donors are in scarce supply. This is not a South African phenomenon. Many nations worldwide are unable to meet the demand for organ donors. Twenty-two years ago, Cristina was diagnosed with Post-Streptococcal Glomerulonephritis (PSGN), a rare kidney disease that can develop after group A strep infections. “In my case, I had had an upper respiratory infection a few weeks before my kidneys failed; the doctors believe that was the cause of my sudden kidney failure at the age of 13,” says Cristina. “My main symptom was sudden blurred eye vision. A visit to the optometrist showed nothing wrong with my eyes, and I was then referred to my family doctor for further investigation. Tests revealed my blood pressure was slightly elevated and my creatinine was nearly double the normal range. She advised we run more blood tests the following morning after fasting. Again, they remained elevated. I was prescribed medication to stabilise the levels, but a couple of days later, I had an excruciating headache, and my blurred vision worsened. A trip to casualty revealed my blood pressure was dangerously high. The doctors were surprised I wasn’t in a coma, let alone walking around.” Cristina was hospitalised, and many more tests were done, with blood pressure checks every 15 minutes. Things did not improve. A few days later, Cristina’s kidneys had completely shut down, and the toxins in her blood were alarming, so the only way forward was to commence haemodialysis. She was put on the kidney donor list, and, 20 months later, a match was found. “I had my kidney transplant on 5 December 1999. The donor was a 21-year-old man who had died in a motorcycle accident. His family had noted on the system that they did not want to be contacted by any of their son’s organ donor recipients. There isn’t a day where I am not grateful for the greatest gift he has given me, a second chance at life,” says Cristina. Cristina adds that her transplant differed from other kidney transplants as it did not come from a living donor. Initially, her mother tried to see if she could give Cristina one of her kidneys. It involved a lot of testing that spanned over six weeks, and unfortunately, the tests revealed she was not a compatible match. The potential kidney transplant recipient’s information is stored in a database with a cadaver donor. Three factors determine if a transplant will be successful: blood typing, tissue typing and cross-matching. When I got my call that a donor match had been found, I immediately went to the hospital. Blood tests were done to ensure I was in good health, and a pre-transplant haemodialysis session was done to ensure my blood was as toxin-free as possible for the surgery to succeed,” says Cristina. “My first few days after the transplant were challenging due to my kidney not working immediately. I resembled something like a bloated hippo with fluid retention and unable to pass urine. They performed a biopsy on the new kidney, and all tests showed that the kidney was alive; it just needed to ‘wake up’ and start working. To not fully overload the new kidney, the doctors had me do a few more haemodialysis sessions.” Unfortunately, the kidney did not start working immediately. “Rule of thumb is that a kidney can only be on ice for 48 hours before it becomes ineffective. I received mine in the last remaining hours of that period. It took 20 days to start working. But it was the best Christmas present I have ever received,” she says. What lifestyle changes did Cristina have to make following the kidney transplant? “After the transplant, I was immunocompromised, so I had to learn to avoid sick people, maintain a healthy diet, exercise, go for regular check-ups and, most importantly, learn to listen to my body,” says Cristina. “To ensure that my body didn’t reject the transplant, one of the most fundamental things I had to do was to remember and acknowledge that this disease is with me for life. A kidney transplant is not a cure; it’s a treatment. Nonetheless, there are some measures a recipient can try to maintain to ensure the transplant’s longevity. Never miss taking the chronic medication. Trust your team; they are there to guide and support you. Regular blood testing and check-ups with your nephrologist are crucial in determining how the transplanted kidney is coping.” Cristina says she has suffered a few health scares since the transplant. A common cold would turn into bronchitis and even pneumonia within a day of initial symptoms. Stomach bugs or food poisoning required immediate visits to hospitals. Antibiotics had to be administered intravenously to ensure quick and effective treatment was put into action to prevent any damage to the kidney. Stress is something that takes its toll on a body that is immunocompromised, so Cristina says it’s essential to keep your stress levels in check and seek help when things get a bit daunting. “To anyone thinking of becoming an organ donor, I, for one, thank you. It is the most selfless, life-changing gift you can give a fellow human being. Be it to someone you know if you are to become a living donor, or to a stranger upon your death. What a gift! I have now had my gift for over two decades, and my kidney is strong and healthy. I got a second chance to live. I got to enjoy my teenage years, complete my studies, travel, become a mother to a beautiful 12-year-old daughter, and all because a young man and his family believed that someone’s life could be improved by donating his organs. I’d like to believe I have and am doing his memory
September 15, 2022
Air pollution, infertility and heart health: A must-read for women
Loadshedding. It’s our very own South African swear word. Whether it’s level 2 or stage 4, or possible, or definite, or possibly definite, loadshedding causes stress. Extra hours spent in traffic; dodgy connectivity; and, for the parents among us, also the challenges of getting kiddies homework-ed, bathed, fed and into bed, all with no power. Unfortunately, the loadshedding stress isn’t going anywhere any time soon. And, there’s another serious health hazard connected with our country’s coal-fired electrical supply, which we don’t talk about enough: Air pollution. Here’s some geography: The coal fields between eMalahleni and the Highveld are responsible for around 84% of South Africa’s production, and are the second-worst sulphur dioxide pollution hotspot in the world. Read that again. In. The. World. As background, here’s some science from Greenpeace: The burning of coal puts harmful toxins into the air, such as fine particulate matter, nitrogen dioxide, sulphur dioxide, lead, mercury, and other heavy metals. Coal combustion emits microscopic sulphate particles that are small enough to enter the bloodstream and have been linked to a slew of health issues, including respiratory system inflammation resulting in coughing, throat irritation and breathing difficulties. They can impair lung function, worsen asthma attacks, and exacerbate pre-existing heart disease. Bianca Leonard, Marketing Manager of air treatment specialists, Solenco, says that if you think you’re protected from such air pollution because you spend most of your time indoors, you’re wrong. “If particles are small enough to enter your bloodstream, you can be sure that they’re being carried in the air, in your car, in your home – in fact, wherever you are.” And, says Leonard, while air pollution affects everyone, women are especially vulnerable. Here are the two most significant ways that dirty air affects women’s health: 1. Heart health Worldwide, heart disease is the number one cause of death for women. Post-menopausal women are at even higher risk as they often have higher blood pressure and cholesterol, and lower hormonal levels. At the same time, the most common diseases caused by air pollution include heart disease and stroke, especially if there’s a predisposition to these conditions. 2. Infertility A recent analysis of 18,000 couples in China found that those living with moderately higher levels of small-particle pollution have a 20% greater risk of infertility (not falling pregnant within a year of trying). The study design didn’t enable the scientists to determine how air pollution might reduce fertility, but pollution particles are known to cause inflammation in the body, which could damage egg and sperm production. Another recent study of 600 women attending a US infertility clinic found that increased exposure to air pollution is associated with a lower number of maturing eggs in the ovaries. Unfortunately, in South Africa at least, ‘clean’ electricity constitutes only about 14% of the national power grid and, while there are plans to expand this, the solution is (light!) years away. In the meantime, says Leonard, women can protect themselves by investing in an air purifier to ensure clear air in their homes. Not all air purifiers are created equal though, she cautions: “When looking at a home air purifying system, it’s important that you look for one that carries the Allergy Foundation of South Africa’s (AFSA) stamp of approval.” Leonard says that when it comes to filtration systems in various air purifiers, they don’t all function the same way and you should be looking out for a product that contains both a H13 Medical Grade HEPA filter and an Activated Charcoal or Carbon Filter. An Activated Charcoal or Carbon Filter captures harmful airborne chemicals and gasses such as SO2 (Sulfur Dioxide) and Carbon Monoxide. HEPA stands for high-efficiency particulate air and works by forcing air through a fine mesh. There are various classes of HEPA filters, namely True HEPA and H13. With H13 being the best in class, it captures particles 3 times smaller than True HEPA filters, which makes all the difference when you consider the smallest particles that arise from asbestos, insecticide, tobacco smoke and virus carriers. H13 HEPA filters trap 99.9% of harmful particles including toxins, chemicals and metals generated by the coal industry, as well as pollen, pet dander and dust mites as small as 0.1 microns in size – smaller than the eye can see – and definitely small enough to pose serious health issues.”
September 14, 2022
Clever ways to make the most of your leftovers
Leftovers are an important part of every busy household – and for good reason. They’re a great way to save food from going to waste, plus they’re an excellent option if you’re looking to save a little time and money. But reheating food can be a dangerous game to play. And, if done incorrectly, it can lead to wasted taste and nasty side-effects. The good news, however, is that there are safe ways to reheat and revive your leftovers that will give your food a tasty second chance. Here’s what you need to know about reviving leftovers. Store food properly The first step to great leftovers is proper storage. Sealing leftovers is a must, as this will prevent bacterial growth and thwart cold air from drying out your food. It’ll also stop leftovers living in the fridge picking up scents and tastes from other groceries. Of course, some leftovers can be stored outside of the fridge, and most baked goods will be fine in a sealed container in a cool, dry spot. When it comes to prepared food though, you’ll want to keep leftovers in the fridge. Prepared food usually starts entering the danger zone for bacterial growth when kept at room temperature for longer than two hours. So, if you’re cooking a big batch of Saffron Rice for instance, you’ll want to get that into an airtight storage container and into the fridge as soon as possible after it has cooled. And that could become your rice component for the next time you cook your famous Chicken Curry. For a longer storage solution, the freezer is your best bet. Once again, keep the two-hour rule in mind and ensure that items are properly sealed. Know when to say goodbye You may be tempted to hang on to leftovers for days, thinking that they’re safe and sound in the fridge. Generally, however, already cooked food should only be stored for three to four days tops. Fridge storage should be reserved for cooked foods that you plan to finish soon. If you want to sustain something for longer, or if it’s just too much to consume in a few days, turn to the freezer. When it comes to items like cold foods or cooked vegetables, safe storage time may differ. Cold foods like deli meats or chicken need to stay cold. If these foods have been left out for over two hours, it’s best to toss them. However, they’ll keep for seven to ten days in the fridge. With cooked vegetables, only hang on to leftovers for a maximum of three days. Revive them in the right appliance Knowing which appliance to turn to when reheating food can make or break the taste factor. Microwaves are great for convenience but can change the texture of leftovers – sauces can separate, and pizza loses its crisp base. Rather stick to reheating rice, couscous, soups, and stews in the microwave. Ovens are a great option if you want to revive the crunchiness and taste of things like potatoes the next day. However, they take time to reach the desired temperature, making your next-day meal slightly more time consuming. Air fryers are a convenient alternative here. They heat up faster than an oven and don’t leave your dishes soggy afterwards. The most convenient option of all is something that combines all the best elements of a microwave, oven, and air fryer into one versatile appliance. With multiple heating and cooking settings, the LG NeoChef Convection acts as an air fryer, microwave, convection oven, and more. It cooks quickly, heats evenly, and uses Smart Inverter technology to precisely control the temperature. This means you can pick the perfect setting, no matter what your leftovers are. It’s easy to use and sure to be a firm favourite in your kitchen. For the perfect leftovers, be sure to store your food properly, use it on time, and reheat it under the right setting. For ultimate convenience, invest in an appliance that can meet all your reheating needs with the simple push of a button.
September 13, 2022
Best finger food recipes for babies
Once your baby is accustomed to purees you can start introducing finger foods, usually at around 6 to 8 months. Finger foods are an important part of your child’s food journey, helping them develop biting and chewing skills and developing their coordination and motor skills. Try these recipes. CREAM CHEESE DIP Little ones love dipping! This dip is super versatile – use Squish 100% Fruit Puree if you’ll be serving it with fruit slices, or add Squish 100% Veg Puree if you’re opting for savoury. Make this dip using any already open Squish 100% Fruit or Veg pouches you have in the fridge – feel free to mix and match flavours. Squish 100% Fruit and Veg Puree pouches come with a resealable lid, which cuts back on food waste when you are introducing new tastes and textures to your baby, and just want to try a small amount at a time. Ingredients ½ cup plain cream cheese ½ pouch of Squish 100% Fruit or Veg Puree Lightly steamed vegetable batons or slices of apple or pear Method Place cream cheese in a bowl and add your child’s favourite Squish 100% Fruit or Vegetable Puree. Stir well to blended. Finger food tip: Cutting food into wedges or batons is best. Make them around 7cm long so that your baby can hold in their fist. It is essential to steam or roast crunchy vegetables so that they can’t break into large chunks and become a choking hazard. SWEET POTATO PANCAKES Sweet potatoes are packed with beta-carotene and vitamin C and their natural sweetness makes them an excellent choice as your baby gets used to new flavours. These pancakes are made using a pouch of Squish 100% Sweet Potato, Apple and Cinnamon Puree. They freeze well, so you can have them easily on hand when you need a tasty meal for your little one. Squish 100% Fruit and Veg Purees are made using quality fresh fruit and veg and are free from nasties like preservatives, flavourants and colourants. Ingredients: 160 g (1 cup) cake flour 5 g (1 tsp) baking powder 2 eggs 125 ml (½ cup) milk (you can switch this out for breastmilk or formula) 1 x 110 ml Squish 100% Sweet Potato, Apple and Cinnamon Puree 15 ml (1 Tbsp) oil for frying Method: Sift together flour and baking powder. Whisk together eggs, milk and Squish Puree. Whisk the Squish mixture into the dry ingredients and beat to a smooth, thick batter. Heat the oil over a very low heat in a non-stick frying pan. Add spoons of the batter and shape into circles. Cook until bubbles form on the surface of the pancake, then flip over and cook on the other side until the pancake is firm to the touch. Repeat with remaining batter. Finger food tip: Sometimes little ones can ‘store’ food in their mouths. At the end of mealtimes give their mouth a quick check to see they have swallowed all of their food. VEGGIE-LOADED SCRAMBLED EGG From around six months it is safe to introduce eggs into your child’s diet. Although you might not think of scrambled eggs as finger food, your little one with love picking up the bits of egg and eating it. Just make sure when you’re scrambling that you don’t break the egg up into pieces that are too small. This scrambled egg has Squish 100% Veg Puree added to it – we used Squish 100% Mixed Veg Puree, but you could try different flavours too, including Butternut + Carrot or Pear + Sweet Potato. Serve with toast cut into fingers. Ingredients 2 eggs 50 ml (½ pouch) Squish 100% Mixed Vegetable Puree (or any flavour you please) 45 ml (3 Tbsp) cheddar cheese, grated Method Crack the eggs into a bowl and whisk. Add Squish Puree and mix well. Melt a blob of butter in a non-stick pan over medium heat. Add the egg and puree mix and cook, stirring, until just cooked. Stir in the cheese. Finger food tip: When your baby first starts on finger foods you need to ensure the food is soft. Your baby should be able to squash the food between their fingers.
September 12, 2022
Hospitals may be held liable for refusing to admit women in labour
South African hospitals have made the news on multiple occasions for refusing to admit or treat patients needing emergency care including women in labour. Hospitals can face potential liability when this happens. This is according to Kirstie Haslam, partner at DSC Attorneys, who says that there are circumstances where hospitals can be held liable when refusing to admit women in labour. Examples of South African hospitals to treat women in labour Unfortunately, there are many examples of South African hospitals turning away women in labour. Haslam cites some incidents from recent years. Woman gives birth in hospital car park In 2021, a young woman in premature labour was allegedly by staff at Helderberg Hospital in Somerset West. Despite multiple requests from a woman who was transporting the pregnant woman in her car, staff didn’t leave the hospital to assist them. The woman was forced to give birth in the car park and the baby died. Woman in labour turned away for being “too old” In 2019, a 45-year-old pregnant woman was turned away from the Stanza Bopape Clinic in Mamelodi, Tshwane. The woman was allegedly told that she couldn’t give birth at the clinic because she was too old and considered high risk. The delay meant the woman’s waters broke and she gave birth outside the clinic gate. It was only then that the staff realised that the situation was serious and came to assist her. Woman forced to give birth outside clinic In 2019, a 29-year-old pregnant woman was allegedly turned away twice by security guards at the Marulaneng Clinic because she’d forgotten her clinic card despite being in pain. She was forced to walk home to collect it and she started to bleed. When she returned to the clinic with her mother, she was told no-one was on duty to help her. While they waited, the woman gave birth outside in the rain. The security guards then called the nurses to assist but it was too late. The baby was pronounced dead. Woman gives birth at a station after being turned away by three hospitals In 2017, a Congolese woman was forced to give birth at Park Station in Johannesburg. She was allegedly turned away from three hospitals because she’s an asylum seeker. The woman and her husband spent hours waiting and travelling by train while she was in labour to try to get medical care. Two hospitals turned her away. Even after she gave birth on the station floor, a third hospital refused her care. The Constitution ensures asylum seekers have the right to the same emergency medical care as South African citizens, including maternity care. What the law says about emergency medical treatment Haslam says that the South African law is clear about a person’s right to emergency medical treatment, including how it pertains to women in labour. “With regard to the right to basic emergency treatment under Section 27(3) of the South African Constitution, no-one in South Africa may be refused emergency medical treatment,” she explains. “A medical emergency is defined as an acute injury, illness or medical situation that requires immediate medical care because the life or long-term health of the patient is in danger. This includes emergency care for women in labour.” Under the Constitution, Haslam says that this right applies to South African citizens and asylum seekers, regardless of whether they have medical aid. Haslam says that exceptions to the above do exist but under very specific circumstances including: When the patient has no insurance, and the situation is not a medical emergency If the hospital is under-resourced (overcrowded, no beds, inadequate staff) When the hospital believes the patient would receive better treatment elsewhere If the hospital doesn’t have the correct equipment to treat the patient properly. Factors that help determine liability Medical malpractice cases are rarely straight forward. If a patient is denied care, certain factors help determine liability. Haslam says that if a person arrives in critical condition and failure to treat the patient results in death or severe injury, a hospital or medical practitioner is liable. “Hospitals can never turn a patient away for discriminatory purposes, such as race, sex, gender, sexual orientation or nationality. In these circumstances, the hospital would be held liable.” “How serious the case was and whether it could have been managed without emergency care must be investigated,” she adds. “Whether the hospital was adequately resourced to respond to the emergency is also a factor.” She says that all these factors need to be considered to determine if a medical malpractice claim is valid. Liability of hospitals for refusing to admit women in labour If a hospital’s refusal to admit a woman in labour leads directly to a mother or her baby being harmed and the accepted standards of care are violated, Haslam says that a personal injury claim can be made against the hospital or individual health practitioners. “In the case of a government medical facility, a personal injury claim can be made against the State, usually the Department of Health.” Get an attorney to assist with claim Medical malpractice is a highly specialised area of the law. Haslam says that claims against hospitals for refusing to admit women in labour require comprehensive knowledge of the law and experience in medical malpractice cases. “It is therefore advisable for claimants to seek the assistance of an attorney that has extensive experience in medical malpractice claims,” she concludes. For more information visit: www.dsclaw.co.za
September 9, 2022
4 budget-friendly tips for mealtimes
The rising cost of living means we are all feeling the pinch when it comes to putting healthy and delicious meals on the table for our families. These smart budget-friendly tips for meals for your little one will help keep your grocery bills in check, without compromising on quality and natural goodness. 1. Plan ahead and shop wisely Before you head to the shops, do a quick audit of your grocery cupboard, fridge and freezer so you only buy what you need. Compare prices at various supermarkets to make sure you make the most of any specials – the easiest way to do price comparisons is to log onto their online shopping apps. And don’t be afraid to try cheaper cuts of meat – if they’re cooked long and slow you can produce a delicious meal. 2. Stock up on staples A good supply of basics in your grocery cupboard is a real cost-saver – it means you can quickly and easily create a meal or snack without heading to the store (or being tempted to get takeaways). Got a tin of butter beans in your pantry? Quickly whip up this Bean Dip and serve with mini pitas or veggie sticks. And remember, having a selection of Squish 100% Fruit and Veg Puree pouches in your pantry means you’ll always have a meal on hand for your little one. They are designed to be the perfect portion size and fit easily into your handbag or nappy bag if you’re heading out with your baby or toddler. Squish Purees are filled with quality ingredients and are free of nasties like preservatives, colourants and flavourants – plus they have no added cane sugar. 3. Cook batches of food and freeze The freezer really is your friend when it comes to saving money – and time! Next time you’re cooking a mince or chicken dish, double the recipe and freeze half. Freezing also means you can cut back on waste. Instead of throwing out veg that are past their prime, use them to make a soup or stew and freeze in meal-size batches. This Easy Veggie Sauce is a real winner too. It’s made with Squish 100% Mixed Veg Puree and can turn rice, mashed potato or pasta into a goodness packed meal in a jiffy. Cook up a batch and freeze in smaller portions for extra convenience. 4. Maximise leftovers With a little imagination and a few pantry basics, leftovers can be transformed into a delicious meal for your toddler. Stir Squish 100% Veg Puree through leftover pasta, rice or mash, add shredded chicken or tuna and pop in the microwave to heat through. Squish Puree pouches all come with a resealable screw-on lid, which means you never need to waste a drop. Use what you need, then pop in the fridge to use later. They’re available in a variety of flavours, including Squish 100% Butternut + Carrot; Sweet Potato, Apple + Cinnamon; Apple, Beetroot + Guava; and Pear + Sweet Potato.
September 7, 2022
Cooking with Dairy – Less waste and more goodness
Milk, maas, cheese and yoghurt are frequently essential components of our family meals, adding not just flavour and texture but high nutritional value. Dairy offers us a nutrient-dense option packing a punch with high-quality protein well-balanced with carbohydrate and fat, as well as important nutrients such as calcium, phosphorus, potassium and vitamins. From young to old, dairy offers benefits to every family member. When it comes to planning meals and managing the monthly food budget, dairy products also offer incredible flexibility and versatility. Dairy can literally feature in any meal of the day – from yoghurt and fruit at breakfast, the cheese in a lunchbox sandwich to the heart-warming lasagne for family dinner. Dairy can be used to enhance the nutritional value of a meal or snack, as well as improve the flavour and texture of a dish. Getting more from dairy, while avoiding food waste It helps to keep track of the ‘use-by’ dates on dairy products. Many dairy products such as milk, yoghurt and hard cheeses freeze well, so, if it looks like there is going to be a surplus, divide into portions and freeze beforehand. In these tough economic times, when we are trying hard to make the budget stretch, it helps to have some tips for making good use of leftover milk and other dairy, for instance: To save costs substitute milk for cream in soups and sauces. Add leftover or slightly soured milk to other soup and sauce recipes, as well as to your stock for risotto for a creamier result. Use any surplus of milk to bake bread, muffins, pancakes or cake. It can also be used for dessert in a custard sauce or sago pudding or treating the kids to a cup of warm milk before bed. Turn a cup of leftover milk into a buttermilk substitute by adding it to a teaspoon of white vinegar and lemon juice. Stir gently and let it stand before use. When it comes to leftover hard cheeses such as cheddar and gouda, cut off any mould that has developed, about one centimetre deep, and still use the remainder. Don’t discard the rinds of hard cheeses such as parmesan and pecorino. Instead add them to soups and stocks while they cook. They add a delicious umami flavour and slightly thicken soups and sauces. Remove the remaining rinds before serving. Smart hacks for cooking with dairy Dairy such as yoghurt, cream, milk, crème fraiche and full-fat cream cheese should be added to sauces, soups and other dishes over a low heat and gently stirred in. Dairy-based sauces such as a bechamel, cheese or custard should similarly be prepared over low to moderate heat, and boiling should be avoided. Yogurt, milk, cream and sour cream can benefit from a touch of flour during cooking to ensure that it doesn’t separate into curds and whey. Maas, buttermilk and yoghurt can all be used to tenderise meat and chicken. Lactic acid in dairy helps to soften inexpensive cuts of meat giving you a more succulent result. Marinate meat and chicken with dairy overnight or for a couple of hours in a covered dish kept in the fridge. Dairy-marinated chicken is excellent for braaing, potjies, frying and oven-baking. Yoghurt is an excellent addition to soups, stews, sauces and curries. Fold it into the dish gently over a low heat to maintain its rich and creamy consistency. Swop buttermilk or maas for milk in recipes for omelettes, flapjacks and pancakes for a fluffier result. To prevent your veggie quiche from turning out too watery, sprinkle a little flour over the veggies and then replace all or half the milk with cream, maas or double-cream yoghurt. Use yoghurt as a substitute for oil or mayonnaise in dips, salad dressings and sauces. Yoghurt is ideal for freezing and makes excellent frozen lollies for kids and yoghurt bars for the whole family. Swop buttermilk or maas for coconut milk in curry recipes for a creamier, flavourful result. Here are some Rediscover Dairy recipes that are perfect for cooking with maas, using left over milk, using dairy in salad dressings and baking with dairy: Amasi Pot Bread Buttermilk Ranch Dressing Citrus Baked Sago Pudding Creamy Amasi Baby Marrow Soup For more dairy ideas join the Rediscover Dairy Facebook page: www.facebook.com/RediscoverDAIRY
August 30, 2022
Pregnancy And Obesity: Understand The Dangers
Affinity Health, a leading provider of high-quality healthcare, highlights the benefits of weight loss when you’re pregnant and obese. Did you know? A high body mass index (BMI) during pregnancy is dangerous for you and your unborn baby? Obesity is diagnosed as a BMI of 30 or above. How to Calculate Your BMI? To calculate your BMI, divide your weight in kilograms by your height in metres squared. If you are 1.65m tall and weigh 85kg: weight / height squared = 85 / 1.65 x 1.65 = 85 / 2.72 = 31.25. Then your BMI would be 31.25. According to CDC, BMI weight status is as follows: Could a High BMI Hinder My Ability To Become Pregnant? In short, yes. A high BMI can impair fertility by interfering with normal ovulation. The greater the BMI, even in women who ovulate regularly, the longer it may take to conceive. Additionally, some data shows that a greater BMI relates to an increased chance of in vitro fertilisation failure (IVF). How Can My BMI Impact My Pregnancy? A high BMI during pregnancy raises the risk of a variety of pregnancy problems, such as: Stillbirth, miscarriage, and repeated miscarriage Gestational diabetes Preeclampsia (a pregnancy complication marked by elevated blood pressure and symptoms of organ system impairment, most commonly the liver and kidneys) Heart difficulties Sleep apnoea The necessity for a C-section How Can My Weight Affect The Health Of My Unborn Baby? A high BMI during pregnancy has been associated with an increased risk of a variety of health issues for unborn babies, including: Congenital diseases Being much bigger at birth than typical (foetal macrosomia) Growth issues Paediatric asthma Paediatric obesity Cognitive difficulties and developmental delay How Much Weight Gain Is Recommended During Pregnancy? When deciding how much weight you need to gain during pregnancy, it is vital to consider your pre-pregnancy weight and BMI. If you have a BMI of 30 or above and are carrying one child, you should gain about 5 to 9 kilograms. If your BMI is at least 30 and you are pregnant with twins or multiples, the recommended weight increase range is about 11 to 19 kilograms. “Instead of suggesting that you acquire a set amount of weight during pregnancy, your healthcare professional may advise you to avoid gaining too much weight,” says Murray Hewlett, CEO of Affinity Health. Will I Require Specialist Treatment During My Pregnancy? If your BMI is 30 or higher, your health care practitioner will follow your pregnancy regularly. Your service provider may suggest: 1. Prenatal screenings for gestational diabetes Between 24 and 28 weeks of pregnancy, a screening test known as the glucose challenge test is often administered to women at average risk for gestational diabetes. If your glucose levels are within the normal range, you will have a second screening test between weeks 24 and 28 of pregnancy. If the results indicate that your blood glucose levels are high, more testing will be required. 2. Changes to your ultrasound of the foetus To check a baby’s anatomy, routine foetal ultrasound is often performed between weeks 18 and 20 of pregnancy. However, ultrasound waves have difficulty penetrating belly fat tissue. This can compromise the efficacy of foetal ultrasonography. 3. Diagnostic testing for obstructive sleep apnoea Sleep apnoea is a potentially dangerous sleep disease characterised by recurrent pauses in breathing during sleep. Pregnant women with obstructive sleep apnoea are more likely to develop preeclampsia and other problems. If obstructive sleep apnoea is suspected, your health care physician may send you to a sleep medicine expert for examination and potential treatment. What Measures Can I Take To Ensure That My Pregnancy Is Healthy? You can reduce the effects of a high BMI on your health and the health of your baby. For instance: Schedule a doctor’s appointment before conception Your provider may prescribe a daily prenatal vitamin and refer you to other health care professionals, such as a qualified dietitian, who can assist you in achieving a healthy weight before conception. Seek frequent prenatal care Prenatal appointments allow your physician to monitor you and your unborn baby’s health and manage any medical issues, such as diabetes, high blood pressure, or sleep apnoea. Consume a nutritious diet Work with your doctor or a qualified nutritionist to maintain a balanced diet and prevent excessive weight gain. Remember that you will need extra folic acid, protein, calcium, iron, and other critical nutrients during pregnancy. Perform physical activity Consult your doctor about safe methods to be physically active throughout pregnancy, such as walking, swimming, and low-impact aerobics. Avoid dangerous chemicals If you smoke, consult your health care practitioner for assistance quitting. It’s also important to avoid alcohol and illegal substances. “While a BMI of 30 or over during pregnancy can raise the risk of problems for both mother and child, there are ways in which you can manage your risks and promote a healthy pregnancy. Never hesitate to speak to your health care provider should you have any questions or concerns,” concludes Hewlett.
August 26, 2022
Do Women Burn Fat After Menopause?
According to Affinity Health, a leading provider of high-quality healthcare, hormonal changes of menopause can cause weight gain in women. Here is how to keep the weight off. What Causes Weight Gain During Menopause? The hormonal fluctuations of menopause may increase the likelihood of weight gain, especially around the tummy area. However, hormonal changes alone may not always induce weight gain during menopause. In most cases, the weight increase may be due to ageing, lifestyle, and hereditary factors. Typically, muscle mass decreases with ageing, whereas fat increases. Loss of muscle mass slows down your metabolism. That might make maintaining a healthy weight more difficult. If your current eating habits and levels of physical activity do not improve, you will gain weight. There may also be a genetic component to menopausal weight gain. If your parents or other close relatives carry excess abdominal fat, you are also prone to gain weight. Other factors, such as a lack of exercise, bad food, and insufficient sleep, may also increase weight during menopause. People who are sleep deprived tend to nibble more and eat more calories. How Dangerous Is Weight Gain Following Menopause? Menopause-related weight gain can have severe health consequences. Excess weight, particularly around the waist, raises your risk for the following health problems: Breathing difficulties Cardiovascular and vascular disease Type 2 diabetes In addition to increasing your risk for breast, colon, and endometrial cancers, obesity also raises your risk for other forms of cancer. What Is The Greatest Way To Avoid Gaining Weight After Menopause? No secret technique exists to prevent or reverse menopausal weight gain. It is as simple as sticking to these weight control fundamentals: Exercise more Physical activity, such as aerobic exercise and strength training, can aid in weight loss and maintaining a healthy weight. As you grow muscle, your body burns calories more effectively, making it simpler to maintain a healthy weight. “Experts recommend moderate aerobic activity, such as brisk walking, for at least 150 minutes per week or strenuous aerobic activity, such as running, for at least 75 minutes per week for most healthy individuals,” says Murray Hewlett, CEO of Affinity Health. “Additionally, weight training should happen at least twice each week. Depending on your fitness goals, you may need to exercise more.” Eat less To maintain your current weight or remove extra kilograms, you may require around 200 fewer calories per day in your 50s. That may be less compared to your 30s and 40s. “To cut calories without sacrificing nutrients, be mindful of what you eat and drink. Select more fruits, veggies, and whole grains, especially those that are little processed and high in fibre,” adds Hewlett. A plant-based diet is often healthier than other alternatives. Good options include legumes, nuts, soy, salmon, and low-fat dairy products. Eat red meat and poultry in moderation. Replace butter, margarine sticks, and shortening with olive or vegetable oil. Learn More: Vegetable Protein Cuts Risk of an Early Menopause Limit alcohol Alcoholic beverages add extra calories to the diet and increase the chance of weight gain. Alcohol may contribute to weight gain in several ways: It prevents your body from burning fat. It is high in kilojoules. It can make you feel hungry. It can induce you to make bad eating choices. Whether or not you gain weight from alcohol depends on what you drink, how much you drink, how often you drink and what you eat while drinking. In addition to the possibility of weight gain, excessive alcohol use poses severe health hazards, including high blood pressure, high triglycerides, insulin resistance, heart disease, stroke, liver disease, and some malignancies. Seek help Surround yourself with friends and family supporting your efforts to improve your nutrition and physical exercise. Even better, make the lifestyle modifications as a group. “Remember that effective weight loss at any age needs persistent dietary and activity modifications. Commit to lifestyle modifications to prevent menopausal weight gain,” concludes Hewlett.
August 24, 2022
5 Facts Parents Should Know About Cleft Lip And Palate
Affinity Health, a leading provider of high-quality healthcare, highlights National Cleft and Craniofacial Awareness and Prevention Month. Fact 1: Cleft Lip And Cleft Palate Is More Common Than Many Realise Did you know that 1 in 700 births occur with cleft lip and palate? Cleft lip and palate are amongst the five most common birth defects reported in South Africa. Children with clefts may have delayed feeding and language development. They may also be at a higher risk for ear infections, hearing impairments and tooth problems. “Cleft lip and palate are birth abnormalities. They develop when the lips or mouth do not form correctly during pregnancy. These congenital deformities are orofacial clefts,” says Murray Hewlett, Affinity Health CEO. Fact 2: Cleft Lip And Palate Occurs During The First Few Weeks Of Pregnancy Your lips form between four and seven weeks of pregnancy. The palate forms between six and nine weeks of pregnancy. Cells increase and move when a baby grows during gestation. Specialised cells from either side of the head move forward and fuse in the centre to form the face. This tissue fusion creates face characteristics, such as the lips and mouth. A cleft lip occurs when the tissues that comprise the lip do not unite before birth. That results in the upper lip opening. The aperture in the lip may be a little slit or a large hole extending from the lip to the nose. A cleft lip can develop on one or both sides of the lip. But, although rarely, it may also form in the centre of the lip. Children with a cleft lip are also susceptible to having a cleft palate. Fact 3: There Is No One Cause Of Cleft Lip And Cleft Palate In the majority of cases, the reasons for orofacial clefts are unknown. Some children are born with a cleft lip or cleft palate due to alterations in their DNA. It is a common belief that cleft lip and palate comprise a mix of genes. Other circumstances may also contribute to cleft formations: Immediate surroundings. Food and drinks consumed during pregnancy. Specific drugs she takes during pregnancy. What Increase The Risks Of Having A Child With An Orofacial Cleft? Smoking: Smoking during pregnancy enhanced the likelihood of orofacial cleft development. Diabetes: Diabetic mothers may be more susceptible to having babies with a cleft lip or palate. Epilepsy Treatment: The following epilepsy medication may be unsafe during the first trimester: Topiramate Valproic acid Taking these medications may increase the dangers of cleft lip or palate in babies. Genetics: Parents with a family history of cleft lip or palate have a higher likelihood of having a child with a cleft. Obesity: Obesity during pregnancy may lead to an increased risk of cleft lip and palate in infants. Gender: Boys are more likely than girls to have a cleft lip with or without a cleft palate. Fact 4: An Ultrasound May Not Always See Cleft Lips and Cleft Palates. During pregnancy, a regular ultrasound can identify orofacial clefts. More specifically, cleft lip with or without cleft palate. Doctors may also see them only after birth, particularly cleft palates. Even so, cleft palates may be unidentifiable until later in life. That would include: Submucous cleft palate Bifid uvula Fact 5: Surgery Is Often The Best Course Of Treatment For Cleft Lip And Cleft Palate Services and treatment for children with orofacial clefts might range according to severity. Their age needs and medical history will determine the best course of action. Surgery to correct a cleft lip occurs within the first few months of life. Doctors might also prefer to resolve it within the first year. Cleft palates may need surgical repair within the first 18 months of life. As children age, they will often need more surgical treatments. Surgical correction can enhance facial appearance. It can also enhance breathing, hearing, and language development. Children born with orofacial clefts may need more treatments and services. Examples of treatment include speech therapy or orthodontic care. “Children with orofacial clefts can lead healthy lives. Therapy gives them the tools they need to recover,” says Murray Hewlett, CEO of Affinity Health. “Children with orofacial clefts may have self-esteem difficulties. They may be self-conscious about their visual differences from other youngsters. Families of infants with orofacial clefts may find support through parent-to-parent groups beneficial.” Cleft Friends is the only organisation in South Africa made up of parents of children with cleft lip and/or palate. Speaking from experience, they encourage new parents to celebrate their babies and seek help from the medical professionals available through Smile Foundation. For more information on Cleft Friends, click here.
August 23, 2022
Essential check-ups for women
Non-communicable diseases (NCDs), known as lifestyle diseases, pose some of the biggest threats to the health of South Africans. They are a result of the way we live, combined with genetic, physiological, environmental and behavioural factors. The most common are hypertension (or high blood pressure), diabetes and obesity. It is imperative to have regular or annual check-ups. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, offers advice about these tests and others specifically for women. Weight and BMI Almost 70% of women in South Africa are overweight or obese. The Body Mass Indicator (BMI) is used to check if you are a healthy weight. To calculate your BMI: Divide your weight in kilograms (kg) by your height in metres (m) Then divide the answer by your height again Good to know Underweight <than 18.5 Normal weight 18.5 to 24.9 Overweight 25 to 29.9 Obese 30> Diabetes With over 4.6 million people in South Africa living with diabetes, it’s important to check your blood glucose. There are two main types of diabetes: Type 1 and Type 2. They are different conditions but are both serious and need to be treated and managed properly. One of the biggest problems with diabetes is when it remains undiagnosed. This can lead to blindness, heart attackstroke, kidney failure, impotence and amputation so it’s vital to be checked. Blood pressure Hypertension (high blood pressure) is when blood pressure stays elevated over time. It is often referred to as the ‘silent killer’ since nearly 33% of people who have it, don’t know it. If your blood pressure is too high, it puts extra strain on your arteries (and your heart) and if it’s not treated, hypertension can cause kidney failure, eye problems and heart disease. Good to know Range Normal 120/80 to 129/84 Upper end of Normal 130/85 to 139/89 Mild hypertension 140/90 to 159/99 Moderate hypertension 160/100 to 179/109 Severe hypertension More than 180/110 Besides testing for these three main NCDs, Dr Mkhatshwa also advocates specific checks for women. A Mammogram From the age of 18 you should do regular self-examination of your breasts, if you see or feel any changes, consult your doctor immediately. Early detection increases the chance of survival and can save your life. Some doctors recommend having a mammogram, every two years from the age of 40, others believe you only need to start at 50 years of age. A mammogram is a low-dose X-ray which radiologists analyse to look for changes in breast tissue. Although the greatest risk for breast cancer is age, women can get breast cancer from a very early age. Cervical cancer South Africa has a high rate of cervical cancer, this has been attributed to the fact that not enough women are screened regularly. Screening can detect early changes in the cervix which can be treated and save your life. Screening includes: Pap test (pap smear) which looks for cell changes (pre-cancers) in the cervix that may progress to cancer if not treated. The Human Papillomavirus (HPV) test. Looks for the virus that causes most cervical cancers It is recommended that between the ages of 21and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test can be done every 5 years A vaccine has been developed to protect women from getting HPV. It is administered free of charge, annually, to girls between Grade 4 and 7 (9 to 12 years of age) in all government schools. The HPV vaccination can be a cost-effective strategy in lowering the cervical cancer risk among women in South Africa. Bone Density As you age, your bones become thinner and weaker. Over time this can lead to a condition called osteoporosis. If you’re aged 65 or older a bone density test is recommended. Called a DEXA scan, the frequency of this screening varies depending on your bone density and other risk factors. Your doctor may suggest you have this test earlier if you: Broke a bone in the past Have taken steroids for a long time Have rheumatoid arthritis Are underweight Have a parent who has broken a hip after a minor injury Treatment for osteoporosis is available – usually the first choice is Bisphosphonates. Colorectal Cancer Screening These tests look for cancer in the colon or rectum by checking for tissue growths, called polyps. If you don’t have an elevated risk for cancer, then you should start having these tests when you turn 45. A colonoscopy, where the doctor looks at your entire colon, should be done every 3-10 years depending on what is found during your exam. A Faecal Immunochemical Test (FIT) should happen annually. The FIT is also a screening test for colon cancer which tests for hidden blood in the stool, which can be an early sign of cancer. Skin Checks Skin cancer is caused by the abnormal growth of skin cells – usually on the skin that has been exposed to the sun but not always. There are three major types of skin cancer: Basal cell carcinoma, squamous cell carcinoma and melanoma. Examine your skin carefully at least once a month and, if you are prone to getting lots of moles, go to a dermatologist and have the mole ‘mapped.’ If skin cancers are found early and treated, they are almost always curable. If you have a history of skin cancer in your family have your skin checked regularly by a doctor. Remember early detection of any of these conditions can save your life, so remember to go for regular check-ups with your doctor.
August 19, 2022
Goodness-packed lunchbox fillers
A nutritious and delicious lunchbox is essential to see your little one through the day. These quick and easy prep-ahead snacks are packed with Squish goodness and will take the hassle out of filling your child’s lunchbox every morning. Add a Squish 100% Pressed Juice box to their lunch bag to help keep your toddler hydrated as they go about their busy day. SQUISH BAKED BREAKFAST BARSSQUISH BAKED BREAKFAST BARS These breakfast bars store really well in a sealed container, which means if you bake a batch on the weekend, they should see you through the week. We’ve used Summer Berries in this recipe, but it works just as well with any of the many Squish flavours. Try Pear + Prune; Pear, Butternut, Yoghurt + Mango with Cinnamon; Apple + Guava; or Fruit Salad. Squish 100% Fruit and Veg Purees are made used quality ingredients and are free from preservatives, flavourants and colourants. Ingredients 1 x 110 ml Squish 100% Summer Berries Puree 750 ml (3 C) quick oats 125 ml (½ C) sugar 2.5 ml (½ tsp) salt 5 ml (1 tsp) baking powder 5 ml (1 tsp) ground cinnamon 125 ml (½ C) butter, melted 2 eggs Method Place the dry ingredients into a large bowl. Mix together the puree, butter and eggs. Add the puree mixture to the dry ingredients and stir until well blended. Line a baking tray with baking paper and spoon in mixture. Flatten with the back of a spoon. Bake in an oven that has been preheated to 180°C for 25 minutes or until firm to the touch. Leave to cool slightly then cut into fingers. TIP: These breakfast bars are also delicious crumbled over some natural yoghurt and topped with Squish 100% Fruit Puree. SQUISH FRUIT AND SPICE LOAF This moist tea cake stores well in the fridge so you can simply slice off as you need. The loaf is packed with grated carrot too, which is high in fibre, Vitamin A and beta-carotene. Ingredients 1 x 110 ml Squish 100% Pear, Butternut, Yoghurt + Mango with Cinnamon Puree 125 ml (½ C) Squish 100% Apple Juice 440 ml (1¾ C) cake flour 250 ml (1 C) sugar 5 ml (1 tsp) cinnamon 2.5 ml (½ tsp) baking powder 5 ml (1 tsp) bicarbonate of soda 125 ml (½ C) grated carrot 2 eggs 125 ml (½ C) sunflower oil Method Sift the flour, sugar, cinnamon, baking powder and bicarbonate of soda into a large bowl. Add the grated carrot. Mix together the eggs, oil, juice and puree. Add to the dry ingredients and beat well to mix. Pour the batter into a loaf pan that has been sprayed with non-stick spray. Bake in an oven preheated to 180°C for 35 minutes or until the loaf is well risen and a wooden skewer inserted into the middle comes out clean. Turn out and leave to cool. TIP: Use a frozen Squish 100% Pressed Fruit Juice box as a lunchbox cooler. Your child can then enjoy it later in the day once it has melted. CHEESY VEG BALLS These tasty little balls are so moreish, and they’re packed full of healthy veg! They’re a great way to use up half-empty Squish 100% Veg Purees you might have in your fridge – just make the quantity up to 110ml. All Squish Puree pouches come with a resealable screw-on lid, helping you cut back on food waste. Just use what you need, then pop in the fridge for later. Ingredients 1 cup cheese 1 x 110ml Squish 100% Mixed Veg Puree (or any flavour you please) 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, finely grated 2 Tbsp olive oil/coconut oil 1 tsp dried herbs Method Combine all the ingredients then 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. For a dipping sauce, simply mix some full-cream plain yoghurt with Squish 100% Veg Puree. TIP: These can also be cooked in an air-fryer – 10 minutes tops. • Looking for more toddler-friendly lunchbox inspiration? Click here.
August 17, 2022
