Webinar – Vaginal Infections during Pregnancy
Sr Talia discusses different vaginal infections that you can experience during pregnancy
August 11, 2023
Expert Advice from Bonitas Medical Fund
Webinar – Baby Milestones
Sr Ingrid Groenewald explains the milestones that you can experience in your baby’s first year.
August 2, 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
Putting together your birth plan
As you enter your third trimester you’ll have probably done a fair bit of research on the birth process (if this is your first) and may have a good idea of what you want before, during and after delivery. There are many options and opinions, from whether or not you want pain medication to how many people you would like supporting you. However, trying to keep track of your choices during labour may be tricky, which is why you’d put together a birth plan. So what exactly is it and how do you put one together? Why should I put together a birth plan? Your birth plan is your choices or preferences before, during and after labour and delivery. While things may not always go according to plan, having your preferences written down and communicated means you, your midwives and doctor have a more mutual understanding. However, if your pregnancy doesn’t go accordingly, you need to be prepared to make adjustments on the day. What should be in my birth plan? Your birth plan is how you’d like everything would go in the best-case scenario. Your birth plan will also have to take into consideration what is available at the hospital or place where you are giving birth. Some birth plans are very basic, just outlining a simple overview, whereas others may be far more detailed and in-depth. The choice is yours. Typically a birth plan will include before, during and after labour and birth preferences. Such as who you want to assist you during birth, whether or not you want any pain medication, you birthing positions, and requests for newborn care, such as skin-to-skin time. How can I learn more about the birth process? If you feel like you need to top up your birthing knowledge before putting together a plan they are a few ways you can go about this. Joining antenatal classes are a good way to learn more and to meet other women in your position. Chatting to friends or family who has been through the birthing process themselves is another good way to see what would work best for you. If you and your partner are having a baby together, keep them in the loop as well. Find out what they expect during labour and you can chat about what you want, and what role you see them playing in the process.
July 17, 2023
Webinar – Post Birth Care for Moms
In today’s webinar, Sr Ingrid reminds Mom’s that’s it’s important to look after yourself post birth. What you can experience post birth and how to deal with the body changes, bleeding and uterus contractions.
July 14, 2023
Advice from the experts
Finding Purpose in the Pain
Axial Spondyloarthritis affects around 60 million people worldwide. We estimate around 160 000 people in South Africa may have it. If you are younger 45 years, and you have back pain that lasts for more than 3 months that is not mechanical, and feels better with excercize, you could have AxSpA and you do not even know it. Ankylosing spondylitis, now frequently referred to as spondyloarthritis (SpA), is a chronic inflammatory disease causing axial arthritis and inflammatory lower back pain resulting in the eventual impairment of spinal mobility. Moreover, its systemic complications include stiffness and inflexibility, restriction of lung capacity and function, eye inflammation, compression spinal fractures, and heart problems. Hence, early diagnosis and intervention play a key role in preventing acute complications and improving the quality of life. It’s a painful, progressive form of inflammatory arthritis. It mainly affects the spine but can also affect other joints, tendons and ligaments. Other areas such as the eyes and bowel can also sometimes be involved. Inflammation occurs at the site where ligaments or tendons attach to the bone. This is known as enthesis The inflammation is followed by some wearing away of the bone at the site of the attachment. This is known as enthesopathy As the inflammation reduces, healing takes place and new bone develops. Movement becomes restricted when bone replaces the elastic tissue of ligaments or tendons Repetition of this inflammatory process leads to further bone formation and the individual bones which make up your backbone (vertebrae) can fuse together AxSpa places a huge physical impact and psychological stress on patients which can disrupt every aspect of their life and its quality including mobility, sleep, work and relationships. It is a poorly understood disease that causes patients to worry for their future. Here is Matthew’s story Mathew Fah was just seven years old when he developed persistent pain in his ankle. And the pain never went away. After a host of blood tests, X-rays and doctors’ visits, the little boy whose knee was also painful, was finally diagnosed with Juvenile Rheumatoid Arthritis (JRA). The prognosis couldn’t have been worse. His parents were told that their son would be wheelchair-bound by the time he turned 16. “Being so young, I did not really understand this, but it was a huge stress for my parents.” Matthew’s diagnosis meant that he couldn’t participate in many sports, play with his friends or live a normal life. “I had to take a handful of pills every day, the worst of course, Cortisone.” His diet also changed drastically. Fast forward a few years. While the pain and flares began to decrease, they didn’t go away entirely. During his high school years, the pain flares had decreased to about once a year. But his constant was persistent back and neck pain. “Going to the doctors was now second nature, but my back and neck pain was never linked to any auto immune condition.” Regular visits to the physiotherapist helped. He was 16 years old when his GP told him the wonderful news that he was in remission. A delighted Matthew was able to join his friends and play the sports he loved. As the years advanced, he learned to live with back pain, but then he began to experience pain in his hips and ribs. “The pain was so bad that I was unable to walk or breathe. I feared each time I had to sneeze, cough or do any sudden movements.” After many tears and sleepless nights, Matthew feared that it was something related to his diagnosis as a child, but he was too scared to do anything about it. “The thought of living my life like I had done as a child persuaded me to not seek any medical help.” Cortisone injections for pain became his normal, as did visits to the physiotherapist and chiropractor. It was on Christmas morning in 2013. when he woke up with a burning pain in my big toe. “Initially, I thought I had been bitten by a spider. It was red, swollen, and sore to the touch.” His girlfriend insisted that he see a doctor. At the age of 27, he was diagnosed with gout. He searched for remedies on Google, but the pain never subsided.” So it was back to the doctor again. “My GP had treated me all my life. He knew my history with JRA and had diagnosed me with Rheumatoid Arthritis. I was just not happy with this diagnosis.” Matthew decided to get a second opinion. While his blood tests didn’t show any rheumatoid factor, the Gout diagnosis was confirmed despite normal uric acid levels. The pain became steadily worse. It moved from his toe into the arch of his foot, heel, knee, hands and fingers. “I could hardly walk or hold anything in my hands. Not so great for a Personal Trainer.” At this point, he was diagnosed with Sero-negative Rheumatoid Arthritis: All the symptoms of Rheumatoid Arthritis, but just no blood markers. Then a good friend of mine recommended that he consult with a Rheumatologist. It took Matthew a month to get an appointment. The Rheumatologist took the time to listen, perform her assessments and study Matthew’s extensive medical history. “Then she sat me down. With certainty, she said she was almost 100% sure that I had Ankylosing Spondylitis.” Matthew went for all the previous blood tests, but this time, the test included the HLA-B27 gene. X-rays on his back, neck and hips followed which showed no fusion of his neck or back, but there was some fusing in his Sacroiliac joints. The HLA-B27 came back positive. Diagnosis: Ankylosing Spondylitis. “The nice thing about my Rheumatologist is that she is very careful with her prescription of medication. She did not want to rush straight to biologicals, but rather start with methotrexate and NSAIDS.” It took Matthew a couple of months to find the right dose, as well as an NSAID that worked. He was put on Salazapyrin at a later stage. “Medication is
November 15, 2022
Intermittent fasting and pregnancy, is it dangerous?
Your baby’s health during your pregnancy solely depends on you – what and when you consume is important to both of you. Intermittent fasting is a diet that many turn to to lose weight and improve health. This is a time restricted form of fasting and you may wonder if it’s healthy to keep up this kind of eating while trying to get pregnant or when you are pregnant. Is it safe to fast while I am pregnant? Fasting during your pregnancy is not recommended. While there is research that shows this may be a good way to help with weight loss and potentially reduce the risk of type 2 diabetes, this is not ideal when your body needs more calories than normal. While pregnant your nutritional focus should be to make sure that your baby is getting all the right vitamins and minerals. While in the initial stages of pregnancy you might not need more calories than normal, as your pregnancy progresses you will need to eat more – making fasting a less viable option. However, if you are struggling with morning sickness (most prevalent in the first trimester), you’ll find that eating bland foods little and often can help ease the nausea, which isn’t compatible with fasting for hours at a time. Not only will snacking help keep the nausea at bay, but it’ll also keep your blood sugar stable. While there aren’t studies that look at intermittent fasting throughout pregnancy, it has been found that moms-to-be with lower glucose levels had lower fetal movement, which can be a warning sign of potential issues during your pregnancy. Can I start intermittent fasting straight after birth? If you’ve decided to eat regularly during your pregnancy, you may wonder if you can return to your old lifestyle after having your baby. However, while you are breastfeeding it’s best to stick to a regular eating schedule. Even after birth your body will be needing extra calories for breastfeeding – restricting these can lead to reduced milk supply
November 9, 2022
Introducing the Top 3 African Superfoods to Boost Gut Health & Everyday Vitality – Baobab / Moringa / Hibiscus
Baobab fruit powder is an astonishingly nutrient-rich super food providing vitamins, minerals, antioxidants, and dietary fibre and is traditionally eaten throughout Africa to boost a range of health benefits. Baobab powder is a nutrient-dense pulp that is extracted from baobab fruit. When the fruit are ripe the pulp inside the fruit dries out naturally, concentrating all the nutrients into a naturally formed powder. One of baobab’s greatest gifts is that it is one of the richest plant-based sources of calcium known, containing almost four times the amount of calcium in milk, making it an excellent source of calcium for everyone, but especially children, vegans, pregnant and post-menopausal women. Did you know? It can take a baobab tree up to 200 years before it produces its first hard, green-brown velvety pod-shaped fruit? Baobab powder, extracted from the dried fruit pulp contains: 1# Six times as much potassium as a banana which assists in regulating blood pH, blood pressure, and conducting nerve impulse. 2# The highest vitamin C content of any fruit, offering four times more than an orange. It also has one of the highest antioxidant ratings. 3# Is an excellent source of magnesium containing twice as much magnesium as dark leafy greens. 4# Is an exceptionally rich source of bioavailable iron. ENERGY & VITALITY BaoActive Super blend Baobab Moringa 80g pouch R72.00 / 300g R198 High in vitamins C, E, K, B3 & B6, potassium, calcium and magnesium, protein, and soluble dietary fibres. Baobab powder is combined with Moringa powder in a 75:25 ratio to provide strong immunity-building functions to protect the body from the toxic effects of stress and provides important level of vitamin C as an antioxidant boost against infections. This powerful combination of vitamins and minerals works to: 1# combat tiredness and fatigue 2# promotes muscle growth and strong bones 3# memory enhancement and cognitive health 4# keeping you energised, sharp and focused Its dietary fibre provides roughage and stimulates the growth of intestinal microflora, as well as calcium which supports the function of digestive enzymes. By reducing acidity in the gastric environment, the Baobab Moringa Super blend acts as an anti-ulcer agent. Pale, creamy green in colour and with a refreshing sweet-sour and green-leaf flavour, Baobab Moringa is a super food you can add to smoothies, power shots, lattes and yoghurt and combine with other delicious ingredients like coconut water, almonds and frozen banana, for a creamy delicious boost to your day in minutes. TRY THIS RECIPE: Green Moringa Smoothie POWERFUL ANTIOXIDANT BaoActive 100% PURE Hibiscus Powder 80g R98.00 High in vitamins B3 and B6 Polyphenols and flavonoids and antioxidants. This Hibiscus Superfood is made from the trumpet-shaped flowers of the Hibiscus Sabdariffa plant and is known to: 1# reduce hypertension 2# lower cholesterol 3# prevent fat accumulation 4# lower blood pressure. With a deep pink, fuchsia colour and a refreshing, tangy raspberry flavour, mix a teaspoon to water, hot and cold teas with honey to taste, smoothies, yoghurts, ice-cream, desserts, and other healthy recipes, such as the unique TRY THIS RECIPE: Quinoa & Hibiscus Soup perfectly soothing and satisfying at the end of a long day. IMMUNITY & GUT HEALTH BaoActive 100% PURE Baobab capsules (120) R164.00 are a daily supplement high in vitamin C and are excellent source of plant-based calcium. Each capsule contains magnesium, potassium, and iron as well as elevated levels of dietary fibre providing a prebiotic effect helping to: 1# stabilize blood sugar levels 2# boost satiety and weight loss 3# boost natural vitality BaoActive products are naturally gluten free, Vegan friendly and made for raw and plant-based diets with each ingredient certified organic, Halaal and Kosher. Available for online purchase at BaoActive and Wellness Warehouse.
November 7, 2022
Can You Drink Alcohol When You Have High Cholesterol?
Affinity Health is a leading provider of high-quality health cover. Here are their views on binge drinking for people living with high cholesterol. A glass or two of red wine daily can lessen the chance of developing heart disease. Alcohol has some heart-healthy properties. But before you raise a glass and toast to your heart, you should be aware of the dangers of alcohol. Can Alcohol Raise Cholesterol Levels? First, the good news! Moderate drinkers have lower incidences of cardiovascular disease. They may even live longer than abstainers. Additionally, alcohol may reduce the risks of blood clots. Alcohol can also reduce inflammation. Red wine may be beneficial for reducing the risk of heart disease and death. It includes higher levels of natural plant compounds, such as resveratrol. This is a compound with antioxidant characteristics and may protect artery walls. What Are The Dangers Of Consuming Too Much Alcohol? Now, the bad news! Light to moderate alcohol intake may be beneficial to your heart health. But excessive alcohol consumption increases the risk of: Heart disease and stroke. Blood pressure. Obesity. Triglyceride levels in the blood. Additionally, excessive alcohol consumption can result in: Cardiac muscle damage (cardiomyopathy). Irregular heart rhythm (arrhythmia). Stroke. Heavy alcohol consumption may render the heart too weak to pump effectively. That is a condition known as congestive heart failure. Learn More: The Effects of Alcohol on the Brain All You Need To Know About Cholesterol You may know that cholesterol is dangerous to your health. But your body needs cholesterol to execute essential functions. Examples include producing hormones and constructing cells. Cholesterol circulates through the blood on two lipoproteins: HDL high-density lipoproteins That is the good cholesterol that can reduce the risk of heart disease and stroke. LDL low-density lipoproteins That is the bad cholesterol that can increase the risk of heart disease and stroke. Excessive LDL cholesterol can accumulate in your blood vessel walls. That accumulation is known as plaque. As your blood vessels accumulate plaque over time, their interiors become constricted. That constriction can eventually obstruct blood flow to and from vital organs. Blood flow obstruction may cause angina or a heart attack. “Your body requires cholesterol for proper functioning. But too much cholesterol can lead to health problems. That includes an increased risk of heart disease. So, maintaining a healthy cholesterol level is essential,” says Murray Hewlett, CEO of Affinity Health. Affinity Health does not recommend that you start drinking alcohol to lower your cholesterol or improve circulation due to the dangers of alcohol consumption. Instead, Affinity Health recommends: Controlling your weight. Consuming a balanced diet. Exercising regularly to maintain appropriate cholesterol levels. “If you do plan to drink, consult with your doctor first. Drink in moderation (one glass of wine or beer a day for women, two for men),” adds Hewlett. Does It Matter How Often And How Much You Drink? Many variables influence the effects of alcohol on health, including cholesterol levels. It is important to remember that alcohol affects individuals differently. For instance, women are more vulnerable to the effects of alcohol. That is because they have lower quantities of the alcohol-degrading enzyme dehydrogenase. So, women cannot metabolise alcohol at the same pace as men. They absorb more alcohol into their bloodstream. That is why alcohol consumption recommendations vary by gender. Current recommendations for moderate alcohol consumption are one drink or fewer per day for women and two drinks or less per day for men. When Should You Consult A Physician? A healthcare expert can analyse your cholesterol levels and potential heart disease risk factors. They can determine whether they are within a healthy range. “Light to moderate alcohol consumption is unlikely to worsen cholesterol levels. But heavy alcohol consumption is dangerous. If you are concerned that your drinking is negatively impacting your health, you should visit a medical expert,” concludes Hewlett. Learn More: What is Alcohol Use Disorder?
November 3, 2022
NutriPure Vitamin Gummies – A chewy and tasty vitamin for everyone
Fruits and vegetables are powerhouses of concentrated micronutrients. Most people today are familiar with the fact that professionals recommend consuming at least five servings of vegetables or fruits per day. It is important that we recognize that dietary supplements cannot replace any balanced diet but can support and help maintain good health and general well-being. Today, more people need food supplements to support their diets and to keep their bodies in good working order. Nutripure has recognised the fact that many people don’t enjoy taking pills, so NutriPure has created delicious gummies for individuals to bridge the gap in nutrition. With NutriPure chewable gummies for adults and kids, your whole family can now enjoy taking vitamins conveniently with no pain associated with swallowing tablets or capsules. NutriPure gummies are specially formulated for adults and kids with natural pectin. NutriPure gummies help to unlock energy, support immunity, maintain overall health, and enable you to enjoy the goodness your body requires to thrive – all with just one gummy vitamin per day. NutriPure contains no added preservatives, no artificial flavours or colourants, is free of dairy, wheat, nuts, and eggs, and has no sugar coating. Kids variants are suggested for 3+ years. NutriPure for Adults NutriPure Vitamin D3 (From R 134.95) helps maintain strong bones and teeth plus is excellent for the immune system and is known to aid in the fight against viruses. Vitamin D contributes to: The normal function of the immune system The maintenance of normal bones and teeth The maintenance of normal muscle function Normal absorption/utilization of calcium and phosphorus NutriPure Apple Cider Vinegar (From R159.95) gummies contain apple cider vinegar, enriched with Vitamin C and B6. Vitamin B6 contributes to normal energy-yielding metabolism and the reduction of tiredness and fatigue. Vitamin C and B6 contribute to the normal function of the immune system. Nutritional highlights: With 500mg of Apple Cider Vinegar per serving for immune support and metabolism Vitamin C for immune health Vitamin B6 for energy-yielding metabolism Vitamin C & B6 to reduce tiredness & fatigue NutriPure Immune Support (From R134.95) has been carefully formulated with 6 essential vitamins and minerals: Vitamin C, Vitamin D, Vitamin B6, Vitamin B12, Zinc, and Selenium which all contribute to the maintenance of good health. Each NutriPure Multivitamin (From R134.95) contains a balanced dosage of 12 essential vitamins and minerals: Vitamin D, B6, B12, C, biotin, pantothenic acid, and niacin help to metabolize carbohydrates, fats, and proteins and are factors in the maintenance of good health. NutriPure for Kids NutriPure Vitamin C 60s/120s (From R 109.95) contributes to the immune system by helping to boost immunity. Vitamin C also contributes to the normal functioning of the nervous system and can reduce fatigue and exhaustion. Nutripure gummies contain 80mg of vitamin C. At any age, a balanced gut is highly important in keeping the body in healthy working order. NutriPure Probiotics (From R 164,95) is formulated with Bifidobacterium infantis & Lactobacillus rhamnosus, two scientifically tested bacteria strains. Each Nutripure gummy contains 1 billion live cultures to help your child boost their daily culture intake. Ideal to use everyday Important to take when children are on antibiotics NutriPure Immune Support + (From R 109.95) contains a unique blend of 6 essential vitamins and minerals that all contribute to the normal function of the immune system. Vitamin C, B6, and B12 help to metabolize carbohydrates, fats, and proteins and are factors in the maintenance of good health. NutriPure Vitamin D (From R109.95) helps maintain strong bones and teeth plus is excellent for the immune system and is known to aid in the fight against viruses. Vitamin D contributes to: The normal function of the immune system The maintenance of normal bones and teeth The maintenance of normal muscle function Normal absorption/utilization of calcium and phosphorus NutriPure Multivitamin (From R109.95) contributes to the function of children’s immune systems and the function of many other systems in the body. Each NutriPure Multivitamin complete contains 11 essential vitamins & minerals: vitamin D, B6, B12, C, biotin, pantothenic acid, and niacin help to metabolize carbohydrates, fats, and proteins and are factors in the maintenance of good health. Nutripure can be found at Dis-Chem, Clicks, Takealot, and other major retailers. For more information go to http://nutripure.co.za/
November 2, 2022
What is the Link Between Smoking and Heart Disease?
Affinity Health, a leading provider of high-quality health cover, discusses how smoking affects circulation this Heart Awareness Month. Cardiovascular disease (CVD) includes heart disease and strokes. It is the primary cause of disability and death worldwide. It accounts for 31% of all deaths, or 17 million deaths annually. Previously, more than half of deaths due to CVD occur before age 65. By 2030, premature deaths due to CVD among adults of working age (35-64 years) may increase by 41%. The statistics supplied by The Heart And Stroke Foundation for SA are also grim. CVD kills more South Africans than all the cancers combined. It causes about one in six deaths in South Africa (17.3%). Every day, 215 individuals die from heart disease or strokes. “The risk of CVD increases with the number of cigarettes smoked. Even if the duration of smoking is minimal, smoking less than five cigarettes per day may cause early signs of CVD,” says Murray Hewlett, CEO of Affinity Health. Murray, who obtained his MBA from Charles Sturt University in 2008, encourages healthy living. He continues to say that cigarettes with less tar or nicotine don’t lessen the risk of CVD. But non-smokers exposed to second-hand smoke are at a higher risk of developing CVD. How Smoking Harms the Cardiovascular System When you breathe, your lungs absorb oxygen and transport it to your heart. Your heart pumps oxygen-rich blood throughout your body’s arteries. But when you inhale smoke, the blood transported throughout the body becomes tainted. It carries the toxins from the smoke. At this stage, your blood has more than 7 000 chemical compounds in cigarette smoke. That can interfere with vital processes that maintain normal function. That blocks your heart and blood vessels, leading to CVD. Smoking is also a known cause of abdominal aorta damage, which may cause a life-threatening aneurysm. Quitting Smoking Cuts CVD Risks Even though we do not know which smokers will develop CVD due to smoking, quitting is best for their hearts. Quitters instantly begin to enhance heart health and minimise the risk for CVD. Within one day of quitting smoking, the following occurs: Your heart rate slows down. Your blood pressure stabilises. Carbon monoxide levels decrease. Oxygen can reach your heart and other organs faster. Within two to three months, this is what happens in the body: Your senses of smell and taste improve. Your lungs start to regain the capacity to clean themselves. You can cough up mucus, which keeps your airways clean. Blood flow to your hands and feet improves. Within one year: Your lungs are healthier. You can breathe easier. Within two to six years: Your heart attack or stroke risk drops. Severe health risks continue to decrease over time. Learn More: Can Quitting Smoking Reverse Diabetes? Where to Get Help Around 20% of South Africa’s adult population (age 15+) smokes cigarettes. And a 2012 survey found that about 5% of the adult population used other tobacco products. While quitting smoking is difficult, it is achievable. The most effective way to stop smoking is with a combination of: Support (from your GP, pharmacist, family and friends). Stop-smoking medicines such as nicotine replacement therapy. “Speak to your healthcare provider about nicotine replacement therapy (NRT). It may be safer for quitting smoking by supplying regulated doses of nicotine without the harmful compounds found in cigarette smoke,” concludes Murray. Learn More: Can You Afford the Health Risks of Smoking?
October 31, 2022
WHAT IS THE BIGGEST CAUSE OF CERVICAL CANCER?
“Long-lasting human papillomavirus (HPV) may lead to cervical cancer,” says Affinity Health. Cervical cancer affects the cells of the cervix. The lower part of the uterus links to the vagina. Human papillomavirus (HPV) is a sexually transmitted infection. It contributes to most cervical cancer cases. Cancer of the cervix starts when healthy cells in the cervix undergo DNA alterations. The mutations cause the cells to grow out of control and increase without dying. The aberrant cells accumulate to form a bulk (tumour). Cancer cells can invade neighbouring tissues. They break off from a tumour to metastasise (spread) to other body parts. “It is unclear what causes cervical cancer. But HPV is a factor,” says Murray Hewlett, CEO of Affinity Health. “Often, when exposed to HPV, the immune system stops the virus from causing harm. But in a tiny number of individuals, the virus lives for years. It contributes to the transformation of some cervical cells into cancerous cells. It’s important to note that not all women infected with HPV get cervical cancer. That means that lifestyle factors may influence if you will get cervical cancer.” What are the Symptoms of Cervical Cancer? Often, early-stage cervical cancer generates no symptoms. Included among the signs and symptoms of advanced cervical cancer are: Bleeding after sexual activity, between cycles, or after menopause. Bloody, watery vaginal discharge that may be thick and odorous. Pelvic pain or pain during sexual activity. Make an appointment with your doctor if you experience any concerns. Variations of Cervical Cancer The type of cervical cancer determines your prognosis and course of therapy. Principal kinds of cervical cancer include: Squamous cell carcinoma: This cancer begins in the thin, flat cells that border the cervix. They can expand into the vagina. Most cervical malignancies are squamous cell carcinomas. Adenocarcinoma: This cervical cancer develops in the glands lining the cervical canal. Both types of cells are sometimes involved in cervical cancer. Rarely, cancer may occur in other cervix cells. What Increases the Risk of Cervical Cancer? Among the risk factors for cervical cancer are: Many sexual partners: The more sexual partners you have, the higher your likelihood of contracting HPV. Early sexual activity: Early sexual activity raises the chance of contracting HPV. Other sexually transmitted diseases (STIs): Other sexually transmitted infections increase the chances of HPV. These include: Chlamydia Gonorrhoea Syphilis HIV/AIDS A compromised immune system: If another condition impairs your immune system and you have HPV, your risk of developing cervical cancer may be increased. Smoking: Cigarette smoking is linked to squamous cell cervical cancer. How to Minimise your Cervical Cancer Risk Consult your physician about the HPV vaccine: Vaccination against HPV infection may lessen the risk of cervical cancer and other malignancies. Ask your physician if an HPV vaccine is suitable for you. Perform regular Pap testing: Pap tests can reveal precancerous cervix disorders. That can be monitored or treated to prevent cervical cancer. Most medical organisations recommend initiating Pap tests at age 21, to be repeated every few years. Learn More: 9 Essential Health Screenings for All Women Practice safe sex: Reduce your chance of developing cervical cancer by using a condom every time you engage in sexual activity. Also, limit the number of sexual partners you have. Don’t smoke: If you are a smoker, consult your physician about quitting methods. How Does Early Detection of Cervical Cancer Increase the Chances of Successful Treatment? Early detection is key to a positive outcome in cervical cancer cases. Learn More: Why It Is Important to Detect Cervical Cancer Early? Affinity Health members have access to: 24/7 Telehealth Consultations with a Nurse, Doctor or Mental health Practitioner. Qualified Primary Healthcare Professionals at the Medical Society Centres. Preventative screening, lifestyle advice and more! For more information, click here.
October 28, 2022
What Are The Various Types Of Childhood Cancer?
According to Affinity Health, awareness of cancer in children is crucial. Between 800 and 1000 South African children are diagnosed with cancer each year. Sadly, childhood cancer survival rates in South Africa remain low. That is in comparison to international statistics. Many cases are detected too late when cancer has already reached an advanced stage. That reduces the likelihood of successful treatment. Did you know? September was International Childhood Cancer Awareness Month! In this light, Affinity Health is raising awareness about childhood cancers. What are the Childhood Cancer Survival Rates in SA? Many childhood cancers are treatable. High success rates range from 70% to 80% in countries with ample resources. In contrast, approximately 80% of children with cancer in Africa die. That is because they live without access to adequate care. Although South Africa has an established oncology healthcare service, the infrastructure is overburdened. Cancer knowledge in primary healthcare services is low. There are widespread service delivery issues. The overall South African survival rate for childhood cancer is 52.1%. Childhood Versus Adult Cancer Cancer can attack any body part and affects people of all ages. It begins with a genetic mutation in a single cell. That subsequently multiplies into a mass (or tumour) that spreads throughout the body. It is fatal if left untreated. In contrast to adult cancer, most malignancies in children have no identified cause. Many studies have attempted to determine the causes of juvenile cancer. But only minimal cases signal environmental or lifestyle issues. “There is a significant difference between paediatric malignancies and adult cancers. That is due to children being prone to growth spurts within a short period. Thus, cancer grows quicker and more aggressively. Treatment or guidance may be effective for adults. But it may not be effective for children,” says Murray Hewlett, CEO of Affinity Health. Hewlett is also a director of many for-profit and non-profit organisations. “Most childhood cancers occur in growing cells. That includes bone marrow, blood, kidneys, and nervous system.” The five most prevalent childhood malignancies in South Africa from 2009 to 2013 were: Acute Lymphoblastic Leukaemia Brain and spinal cord malignancies Nephroblastoma Wilms’ tumour Lymphoma Other types of childhood cancer are uncommon, but they occur occasionally. Children may rarely get cancers such as: Rhabdomyosarcoma Retinoblastoma Bone cancer (including osteosarcoma and Ewing sarcoma) What are the Top Five Cancers in Children? Leukaemia Leukaemia is a cancer of the blood and bone marrow and is the most prevalent type of childhood cancer. It accounts for around 28% of all childhood malignancies. Acute Lymphocytic Leukaemia (ALL) and Acute Myeloid Leukaemia (AML) are the most prevalent forms among children. Learn More: Why Children Get Leukaemia Symptoms associated with ALL and AML include: Bone and joint pain Fatigue Weakness Pale complexion Unexplainable bleeding or bruising Fever Rapid weight loss Both ALL and AML can progress rapidly. Thus, they must be treated (usually with chemotherapy) upon diagnosis. Brain and Spinal Cord Malignancies Brain and spinal cord tumours account for around 26% of all juvenile malignancies. That makes them the second most prevalent malignancy in children. There are many forms of brain and spinal cord tumours, and therapy and prognosis vary for each. The majority of childhood brain cancers begin in the cerebellum and brain stem. They may cause: Headaches Nausea Vomiting Blurred Double vision Vertigo Seizures Difficulty walking Tumours of the spinal cord are less prevalent than brain tumours in children and adults. Neuroblastoma Neuroblastoma begins in early types of nerve cells. These are in an embryo or foetus that is developing. Neuroblastomas constitute roughly 6% of childhood malignancies. This malignancy is in newborns and young children. It is uncommon in youngsters above the age of 10. The tumour can begin anywhere. But it typically starts in the abdomen, where it causes swelling. Additionally, it can cause symptoms such as bone pain and fever. Wilms’ Tumour Wilms’ tumour (also known as nephroblastoma) is a type of kidney cancer. It is most prevalent in children between three and four years old. It is uncommon in older children and adults. It can manifest as a bulge or lump in the abdomen. Occasionally, a child may exhibit other symptoms, such as: Fever Discomfort Nausea Poor appetite Wilms’ tumour makes up around 5% of childhood malignancies. Lymphomas Lymphomas start in the following regions: Immune system cells called lymphocytes Lymph nodes Lymph tissues, such as the tonsils or thymus Bone marrow Other organs Depending on where cancer originates, symptoms may include: Weight loss Fever Night / Day sweats Exhaustion Lumps beneath the skin in the neck, armpit, or groin area Hodgkin lymphoma (also known as Hodgkin’s disease) and non-Hodgkin lymphoma are the two primary kinds of lymphoma. Both forms are in both children and adults. Hodgkin lymphoma represents around 3% of childhood malignancies. But it is more prevalent in early adulthood (often in the 20s) and late adulthood (after age 55). Hodgkin lymphoma is uncommon in children under five years old. Non-Hodgkin lymphoma accounts for around 6% of childhood malignancies. It is more common in children under the age of three. These tumours frequently progress rapidly in children and need intensive treatment. But they also tend to react better to treatment than most adult non-Hodgkin lymphomas. Introducing Affinity Junior Early cancer detection is critical, particularly in the case of childhood cancers. So, Affinity Junior provides affordable healthcare for your children with cost-effective health coverage. The unique feature of the Affinity Junior plan is that the policy covers only your children. For more information on Affinity Junior, click here. Learn More: Top 10 Cancer Myths Debunked
October 26, 2022
Handling Childhood Illness Effectively
Most parents know that during the course of raising a child you will have to deal with different bouts of illness. Here is some information, from Bonitas Medical Fund, which should help you to manage common early childhood illnesses successfully.
October 24, 2022
IT’S TIME FOR ICE CREAM!
I scream, you scream, we all scream ICE CREAM! As the whole country heads into summer, the timing is perfect to learn to make your own ice cream. It is super easy and the whole family can get involved. Try this “Amasi and Cookies Ice Cream” recipe created by Reabetjoe Mokoko, the Cooking Dietitian. She uses amasi, cream, and condensed milk. No churning or ice cream maker required. This recipe has cookie crumbles in it, but you can replace those with fresh fruit (think berries, peaches, apples) or even caramel crumbles. Did you know that amasi (also called maas) is indigenous to South Africa and traditionally served with pap or drunk straight. It is very popular as an ingredient in a variety of dishes including scones, marinades, soups and now ice cream. Below is the “Amasi and Cookies Ice Cream” recipe or you can download the recipe card here: https://www.rediscoverdairy.co.za/recipe/wprm-amasi-and-cookies-ice-cream/ Ingredients 500 ml 2 cups amasi 500 ml 2 cups cream 250 ml (1 cup) condensed milk 5 ml (1 tsp) vanilla essence 1 cup sandwich chocolate cookies crushed Instructions Line a loaf tin with cling wrap and place in the freezer to chill. In a bowl whisk the vanilla essence and condensed milk together. Beat the cream to soft peak stage using an electric mixer. Add the condensed milk with the vanilla essence and the amasi to the whipped cream and continue to mix till everything has been well incorporated. Once the ice-cream mixture is well mixed remove from the mixture and fold in the crushed biscuits. Pour the mixture into the chilled loaf tin and place in the freezer for 3 – 4 hours or until the ice-cream has set. When set, turn out, slice or serve as needed. And if you are out and about buying ice cream for your family, remember to check the label to ensure you are buying real dairy ice cream. The ingredients listing should start with milk
October 24, 2022
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
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
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
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
‘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
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
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
