Expert Advice from Bonitas Medical Fund
Bonitas – innovation, life stages and quality care

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

Week 6 of your pregnancy At week 6 of your pregnancy you’ll most likely know that you’re pregnant now, although some mom’s realise as quickly as 3 weeks or as late as 12. Every week your body is changing to accommodate for your growing little one. Your body at 6 weeks 6 weeks in and you may be experiencing a range of pregnancy hormones. One of the most common and challenging first trimester pregnancy symptoms is morning sickness, although these waves of nausea can strike at any time. It is important to eat bland foods little and often. Even though this nausea may be uncomfortable to deal with, it’s nothing to worry about unless you can’t keep any food down throughout the day. Fatigue is another unpleasant aspect of pregnancy that you may have started experiencing in your first trimester. Napping often, letting others take over some of your chores and work, as well as keeping hydrated are ways in which you can help yourself. Your pregnancy fatigue may be worse during your first and third trimesters. Exercise and a healthy diet are also important (at this point and throughout your pregnancy) and you’ll probably be able to do most of the exercise you’re used to – just stay away from anything heated (such as heated yoga) or high risk. Your baby at 6 weeks Your baby is now the size of a pea, still tiny enough that you won’t be able to spot a tell-tale pregnancy bump. Your uterus has begun expanding to accommodate your new baby, and may have started pressing down on your bladder (que the frequent urge to use the bathroom). Inside you, your baby is starting to look more like a little human, and her eyes, nose, ears as well as limbs have started slowly forming. Liver, kidneys and lungs are also starting to take shape.

Bonitas – innovation, life stages and quality care

10 ways to manage your medical expenses

‘As you begin 2024 with a clean slate in terms of medical aid benefits, it’s a good time to look at ways to manage medical expenses,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund. Here are 10 tips to empower yourself in managing medical expenses.   Designated Service Providers (DSPs) and networks  Healthcare costs in South Africa are generally unregulated which means providers are free to charge any tariff.   ‘Using DSPs and hospital networks means that favourable tariffs for members have been negotiated,’ explains Callakoppen. ‘Using networks also means you can reduce or eliminate co-payments.’ Tariffs and rates of payments The Scheme Rate is the amount a scheme will pay for specific treatments and procedures. However, 100% of the scheme rate doesn’t necessarily mean 100% of the account will be paid.  Ask for a quote from your practitioner and/or hospital ahead of any procedure. If there is a major discrepancy, try and negotiate an adjusted fee.  The value-add benefits  Make use of the free wellness screening and testing offered by your medical aid. There has been an intensified drive to detect, prevent or manage various chronic conditions as well as vaccinate against potential diseases and conditions. ‘After completing an online wellness questionnaire or a wellness screening, you are able to access the ‘Benefit Booster’ providing access of up to R5 000 in additional funds to use for out-of-hospital expenses.’ The Bonitas ‘Be Better Benefit’ includes an annual wellness screening, per beneficiary, to check blood pressure, blood glucose, BMI and cholesterol. It’s about being on the right path to good health and wellness. Other benefits include Flu vaccines, HIV tests, lipograms, mammograms, prostate screening, pap smears, pneumococcal vaccines, whooping cough boosters, HPV vaccines, stool tests for colon cancer, dental fissure sealants, online hearing screenings and contraceptives. Ask your pharmacists  Ask your pharmacists for over-the-counter medications for less serious illnesses. Pharmacists are able to provide sound medical advice about problems like rashes, colds or illnesses that are not severe. Also use generic medications where possible. A generic’s active ingredient or drug content is identical but is between 30% and 80% cheaper.  Managed Care The prevalence of Non-Communicable Diseases (NCDs) has been increasing year-on-year, so have mental health issues, which is a risk factor for NCDs and vice versa. For this reason, it is important to make full use the Care programmes your medical aid offers.   ‘At Bonitas we offer support for NCDs through a range of Care programmes including Audiology, HIV/AIDS, cancer, diabetes, mental health, back and neck, hip and knee replacements as well as hospital-at-home.’ Remember to pre-authorise Pre-authorisation is required for all hospital admissions, out-of-hospital screenings and procedures. Always ask if there are any co-payments or sub-limits that will apply and how to avoid these. For planned procedures, make sure you use a DSP or check whether the procedure can be in the doctor’s rooms or a day clinic. Be aware of consulting after hours Be careful about using after-hours consultations or emergency rooms unless it’s absolutely necessary. In a bona fide medical emergency, one has no choice and this usually results in admission to hospital. Manage your chronic medicine correctly The golden rule for chronic illness benefits is to try to use the medication on the scheme’s formulary and to obtain this from a specified pharmacy, either on the network or a DSP. PMBs Make sure you understand what is covered under Prescribed Minimum Benefits (PMBs) and to use a DSP to ensure that claims are paid from risk, not from your medical savings account. Gap Cover Gap Cover is designed to cover the difference or part of the difference between what the medical scheme pays and the service provider charges for in-hospital procedures/treatment and specified outpatient procedures. Ensuring you ‘work smarter’ with the benefits and medical expenses during the year, is a win-win situation for your health and pocket. 

Bonitas – innovation, life stages and quality care

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

Week five of your pregnancy is the week that many women find out that they are pregnant. You’ll notice the skipped period and your pregnancy test will come out positive, you’ll also start to notice some pregnancy symptoms if you hadn’t already. Your body at 5 weeks pregnant This week you’ll notice pregnancy symptoms, and this is just the beginning of a huge number of changes you’ll feel taking place in your body. At this point your pregnancy hormones will probably be affecting you, making you feel nauseous, your breasts tender. You could also be experiencing spotting and cramping, as well as frequent urination and cravings. The pregnancy hormone, human chorionic gonadotropin (hCG), is responsible for many of these changes, and this hormone is why your test shows up positive. Not only will your body physically change, but you’ll probably be dealing with mental changes as well. No only can your changing hormones cause your moods to fluctuate, but finding out you’re pregnant can also be an emotional experience. Remember any emotions are valid, even if you’re feeling overwhelmed and confused, as opposed to excited. If you’re struggling it’s important to reach out to those around you or seek professional help.  Your baby at 5 weeks pregnant   Your baby is now roughly the size of orange or apple seed and her tiny face is already starting to form, even though she looks more like a tadpole than a human. During this time your baby’s neural tube is developing – this will become their spine and brain – which is why folic acid is so important at this point. Folic acid taken daily reduces the risk of spinal tube defects. By 5 weeks your little one’s heart will have also started beating. If your pregnancy is healthy, you won’t be having an ultrasound before 8 or 9 weeks of pregnancy, so it’ll be a few more weeks before you get to see your baby.

Bonitas – innovation, life stages and quality care

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

This may be the week that you realise that you’re pregnant. Many women don’t notice so early-on, but if you’ve been trying for a while you may  take a pregnancy test before when your next period was due. Your body at 4 weeks Although your body is changing, chances are you may not have noticed just yet – at the end of this week you’ll probably notice (or maybe earlier or later – depending on your menstrual cycle) that you’ve missed your period. This is one of the more obvious pregnancy signs, but your body is changing in other ways as well. When your fertilised egg implanted into your uterus you may have noticed some cramping and spotting. You may write -off other early pregnancy signs as pre-menstrual changes, however, there are some symptoms that are unique to having a baby. Such as nausea, spotting and cramping, and a raised body temperature. If you haven’t already, now is the time to quit any unhealthy habits, such as drinking alcohol and caffeine, and smoking. It’s also a good idea to take prenatal supplements if you haven’t started yet. If you’re feeling healthy and your pregnancy symptoms are all normal, you’ll only need to schedule an ultrasound at week 8. Your baby at 4 weeks Your baby is a tiny mass of cell inside you, roughly the size of a poppy seed, but just because it’s so small doesn’t mean lots isn’t happening. In the next few weeks, this tiny ball of cells will form the neural tube, which is the beginning of the brain and spine. At this point, the cells that are your baby are dividing up, becoming more defined. Three layers are developing – the ectoderm, the mesoderm, and the endoderm – and these will later develop to become your baby’s organs and tissues.

Parenting Hub

Radiology’s pivotal role in the detection of lifestyle diseases

Data from the World Health Organization (WHO) indicates a notable increase in Non-Communicable Diseases (NCDs) such as cardiovascular and respiratory diseases, diabetes and cancers. These diseases are major contributors to global morbidity and mortality. In fact, three years ago, the Human Sciences Research Council (HSRC) and the Medical Council described the increase in NCDs as an ‘emerging epidemic’ and the ‘biggest threat to South Africa’s health’.   NCDs, known as chronic or lifestyle diseases, are medical conditions that are not infectious and cannot be transmitted directly from person to person. They progress slowly, often lasting for a long duration. The main categories include cardiovascular diseases (such as heart disease and stroke), cancer and chronic respiratory diseases and diabetes. Other examples include obesity, mental health disorders and musculoskeletal conditions. Lifestyle diseases were more prevalent in higher income brackets but currently, they are wreaking havoc amongst all South Africans. The good news is that the damage resulting from unhealthy lifestyles can be stemmed. Dr Jean de Villiers from SCP Radiology says medical imaging techniques play a crucial role in the early diagnosis, management and monitoring of lifestyle diseases. ‘The rapid evolution of high-quality imaging techniques, using reduced radiation dose, has positioned radiology ideally for this role. This contributes significantly to the understanding and treatment of these conditions.’  Why ‘lifestyle’ disease’? The conditions are called lifestyle diseases because they result from long-term, habitual behaviours and lifestyle choices.  The terminology implies that their prevention, control, and management are often a result of an individual’s actions, such as:  Poor diet: Diets high in processed foods, saturated fats, trans fats, salt and sugar Physical inactivity: Lack of regular physical activity Tobacco use: This is a major contributor to cardiovascular diseases, respiratory diseases and certain types of cancer Environmental factors: Including air pollution, water pollution and other environmental toxins can contribute to the development of respiratory diseases and other health problems Occupational hazards: Certain workplace exposures to chemicals and other hazards can increase the risk of specific NCDs Genetics: A family history may result in a genetic predisposition to certain NCDs Age and gender: The risk of developing NCDs tends to increase with age. Some conditions, like osteoporosis and certain cancers, may be more prevalent in specific age groups or genders Metabolic factors Obesity, high blood pressure and high cholesterol levels can increase the risk of developing cardiovascular diseases and diabetes Psychosocial factors: Chronic stress can contribute to the development or exacerbation of various NCDs Mental Health Perhaps surprisingly, mental health can also result in chronic diseases. According to Harvard Medical School, poor mental health can negatively impact on physical health, leading to an increased risk of some conditions. Depression has been linked to a 67% increased risk of death from heart disease and a 50% increase in risk of death from cancer. Mainly because people with mental health conditions are less likely to receive the physical healthcare. Preventing NCDs usually involves lifestyle modifications: Adopting a healthy diet, engaging in regular physical activity, avoiding tobacco and excessive alcohol consumption and managing stress. Early detection, through regular health check-ups and screenings, is also crucial for effective management and prevention of associated complications.   The role played by radiology Diagnostic imaging: Helps in the early detection and diagnosis of lifestyle diseases.  ‘For most of these conditions, early identification and diagnosis are crucial. X-rays, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), mammography, and ultrasound are ideally suited to visualise relevant internal anatomical structures and identify relevant abnormalities early,’ says Dr de Villiers. Monitoring disease progression: Radiological techniques can monitor the progression of lifestyle diseases over time. This is important for diseases like diabetes, where complications can affect the kidneys, eyes and blood vessels. Treatment planning: Aids in treatment planning by providing detailed anatomical information. For example, before certain surgeries or interventional procedures, imaging guides the medical team to target the affected area and minimising damage to surrounding healthy tissue. Screening programs: These are essential for the early detection of certain lifestyle-related conditions. For instance, routine mammography and colonoscopy for the early detection of breast cancer and colorectal cancer, respectively. Similarly, there are currently National pilot projects running to detect early lung cancer in high-risk individuals using low-dose CT scans of the chest. Research and clinical trials: Radiology plays a key role in research studies and clinical trials aimed at understanding the mechanisms of lifestyle diseases. Advanced imaging techniques can be used to investigate the effects of lifestyle interventions and assess the effectiveness of treatment. Patient education: Radiological images can be used to educate patients about the nature and progression of their conditions. Being able to see the affected areas can help patients understand the importance of lifestyle modifications and treatment adherence. In summary, radiology is an integral component of the multidisciplinary approach to the detection and management of lifestyle diseases. It facilitates early detection, accurate diagnosis and effective management, ultimately contributing to improved patient outcomes and quality of life.

Bonitas – innovation, life stages and quality care

Bursaries and boreholes – helping in the healthcare space

The partnership between Gift of the Givers and Bonitas Medical Fund has, and will continue, to have a positive impact in a quintet of interventions in the field of healthcare. The partnership, which began in 2018 continues into 2024, with an additional investment of R3.3 million. This includes bursaries to final year medical students at the University of KwaZulu Natal and the provision of boreholes at various health facilities across the country.   Lee Callakoppen, Principal Officer of Bonitas says, ‘the association with Gift of the Givers goes back a few years, when we supported various projects on an ad hoc basis.  The partnership is aimed at identifying health related projects being undertaken by the Gift of the Givers to which Bonitas can add value. ‘In 2022, we aligned our CSI initiatives to our mantra: ‘A Medical Aid for South Africa’. The purpose: To provide relief to the most vulnerable and marginalised communities, specifically in the field of healthcare interventions. We wanted to assist in the social upliftment of South Africans, particularly in the healthcare space. And who better to partner with than this leading philanthropic organisation in the country.’   ‘Gift of the Givers continues to go beyond the call of duty to bring humanitarian aid where needed. It has built its reputation on the principles we, as a corporate citizen, also value: Respect, care, professionalism and dedication. We are proud to be partnering with them once again.’  Bursaries for 6th year medical students Eight medical students in their 6th and final year of study at the University of KwaZulu Natal, will receive bursaries. The bursaries cover outstanding and current fees, enabling them to complete their final year of medicine and graduate as a doctor at the end of 2024. The students were selected based on their academic results and financial needs and were vetted by the University as promising students in need. They are also diverse in terms of the background and locations, with a strong desire to enhance the healthcare landscape in South Africa. Boreholes at healthcare facilities Water is the gift of life and no more so than in a healthcare setting. It is essential to run a medical facility – whether it’s a hospital or clinic or the communities around them. Critical shortages of water are hindering the provision of quality healthcare in a number of public healthcare facilities. Six hospitals and clinics have been identified, by Gift of the Givers in partnership with Bonitas, as being in urgent need of water interventions.  They are located in the Eastern Cape, Gauteng, KZN and Free State and the healthcare facilities include a psychiatric hospital, general hospitals, clinics and an orphanage. The due date for completion on these projects is April 2024.  Dr Imtiaz Sooliman says, ‘All the projects we have partnered with Bonitas on have been a great success and we look forward to continuing working with them. In fact, soon after our staff became members of Bonitas in 2019, we knew there was synergy in our ethos, that a collaboration in the healthcare space with the Fund would be a success.  ‘We are in the fortunate position of having the relationships in place to actively execute the necessary healthcare interventions, together with Bonitas. We are thrilled at the success of this continued partnership.’  An overview of the most recent projects Celebrating our nurses In collaboration with Gift of the Givers, Bonitas honoured 470 nurses at the Mahatma Gandhi Memorial Hospital in KZN in recognition of International Nurse’s Day. Nurses remain the backbone of the healthcare system and this gesture was to show appreciation for their exceptional service, especially in very trying times, such as the Covid-19 pandemic – when the entire healthcare environment was under enormous pressure.  After the floods in KZN Bonitas responded to the disaster relief calls for assistance after the floods in KZN and donated R500k to Gift of the Givers to assist in rebuilding damaged healthcare facilities in the region.  The gift of hearing This year Bonitas sponsored an Audiology Programme, in KZN which looked at testing the hearing of over 15 860 learners, at various schools during the year.  ‘Children’s learning is substantially compromised with hearing difficulties, reducing the possibility for progress and achievement,’ said Dr Imtiaz Sooliman. ‘Appropriate, early intervention is critical to make a meaningful impact on the academic development of the learner.’ Disaster relief conference Bonitas was a key sponsor in the disaster relief conference held in Cape Town earlier this year. The conference, the largest of its kind in the world, was attended by various stakeholders responsible for community upliftment and healthcare delivery.  Callakoppen says, ‘They say the best partnerships aren’t dependent on a mere common goal but on a shared path of equality, desire and no small amount of passion. Both Gift of the Givers and Bonitas have the drive to help others. And, in terms of the Fund, moving a step closer to providing quality healthcare for all South Africans.’

Advice from the experts
Parenting Hub

FIVE WAYS TO MAINTAIN A HEALTHY RELATIONSHIP DESPITE CHRONIC ILLNESS

According to Affinity Health, a leading provider of high-quality healthcare, maintaining a healthy relationship can be challenging for anyone, but for those living with chronic illness, it can be especially difficult. What Is a Chronic Illness? A chronic illness is a long-term medical condition that affects a person’s daily life. These illnesses can be physical (such as cancer, HIV/AIDS, multiple sclerosis, lupus, respiratory diseases, diabetes, and cystic fibrosis) or they can be mental (such as depression or anxiety). These conditions are managed and often require ongoing treatment to reduce symptoms and improve your overall quality of life. How Many People in South Africa Suffer From Chronic Illnesses? According to a 2017 study by the South African Medical Research Council, approximately 80% of deaths in South Africa are due to non-communicable diseases (NCDs), which include chronic illnesses. Furthermore, it’s estimated that around 7.5 million people in South Africa live with diabetes, and around 17.5% of the population suffers from hypertension. The Impact of Living with A Chronic Illness Living with a chronic illness has a significant impact on a person’s life and relationships. The constant management and treatment of symptoms is physically and emotionally taxing. It also affects a person’s ability to work, socialise, and participate in activities they enjoy. Chronic illness can also place a strain on relationships as loved ones may not fully understand the daily challenges and limitations that come with the condition. However, with extra effort and understanding, it is possible to maintain a healthy and fulfilling relationship despite chronic illness. Five Ways to Maintain a Healthy Relationship Despite Chronic Illness Communicate openly and honestly with your partner It is important to keep your partner informed about your condition and how it affects your day-to-day life. This can help your partner understand your needs and how they can support you. Set realistic expectations Chronic illness can affect energy levels and your ability to participate in certain activities. It is important to set realistic expectations for yourself and your partner, and to be understanding and flexible when plans change. Practice self-care Taking care of your physical and emotional health is important to maintain a healthy relationship. Make sure you are getting enough rest, eating well, and engaging in activities that bring you joy and relaxation. Seek out support Whether it is through therapy, support groups, or talking with friends and family, having a support structure helps you manage the emotional and mental toll of your chronic illness. Make time for intimacy Chronic illness impacts sexual health and desire, but it is important to make time for intimacy and physical touch with your partner. Open and honest communication helps you navigate any difficulties and find ways to maintain a fulfilling physical relationship. How Affinity Health Can Help Affinity Health covers certain pre-approved Chronic conditions, subject to the selected plan type. The cover includes medical examinations and recommended treatment if necessary. The Chronic Medication Benefit covers approved medicine listed on the Formulary for 24 Specific Chronic Conditions.   Chronic Disease Conditions covered by the Chronic Medication Benefit include Addison’s Disease, Asthma, Bronchiectasis Cardiac Failure, Cardiomyopathy, Chronic Renal Failure, Chronic Obstructive Pulmonary Disorder, Coronary Artery Disease, Crohn’s Disease, Diabetes, Diabetes, Epilepsy, Glaucoma, HIV, Hyperlipidemia, Hypertension, Hypothyroidism, Multiple Sclerosis, Parkinson’s Disease, Rheumatoid Arthritis, Systemic Lupus Erythematosus, and Ulcerative Colitis.

Vital Baby

Your Choice: Alternative Birthing Methods for Expecting Mums

As a parent the experience of birth will be the most poignant, memorable, and empowering event in your life as you step into the role of custodian in bringing new life into the world.   As the primary creator of that experience, you will want to be prepared and plan it in detail, with all the essential information at your fingertips, so you can response appropriately when the birthing process begins with those first twinges of labour.  Deciding on the right birth plan for the arrival of your baby is up to you, your partner and your extended support team of family and friends. One thing is certain, you will have plenty of advice and anecdotes from mothers who have experienced the birthing process before you.   Remember, as a unique creation of the universe yourself, you are the one in charge of your body and only you will know the best option for you when it comes to birthing your baby.   There is a wonderful adage: When in doubt go with your gut. Let your inner wisdom and the advice of your doctor help you to design the delivery of you and your partner’s choice so there are no regrets later.  Your childbirth delivery options include:   Natural, unassisted birth at home.  Assisted childbirth at home or in a private birth center.  Natural or assisted birth, including Cesarean surgery at a public or private hospital.  Before settling on your personal preference of birth plan options, it is important to understand that it will depend on three key factors: The overall health of you, of your fetus and your finances.  Hospital Births  Getting the right health insurance coverage for your baby’s birth is important as it may require many visits to the doctor. The costs of giving birth at a public or private hospital can be seen as reaching anywhere upwards from R10 000 to R50 000   Why does it cost so much? Healthcare insurance means you and your baby are covered by the best cutting-edge medical care and support available. With this type of support network, you gain access to antenatal classes, pregnancy and gestation monitoring and ultrasound scans by your gynecologist. Hospital care includes being seen by an obstetrician – known as a pregnancy specialist should high-risk vaginal births occur, or an elective or non-elective caesarean section take place, a midwife, which is a nurse who specializes in childbirth and an epidural anesthetist for emergency monitoring and after birth pain relief. Birth care after birth includes episiotomy care, which is a more common occurrence with hospital births. Your baby is also treated with the same top-notch care with all the available equipment and expertise should your baby be premature or require medical attention.  A hospital birth may mean you don’t enjoy much privacy as you are often placed in a general ward with other patients during one of the most personal events of your life and this may be a suitable time to use your medical coverage to book a private room. Unfortunately, only one person is usually allowed into the birth room.    Alternate Birthing Options  If you don’t have medical aid, or you do not like hospitals, or you have chosen to save up for your own choice in birth experiences, you will need to first consider if it is the best option for your baby and for you. For many women who choose a natural home birth, they find it is not possible due to health risks.  If you have a low-risk pregnancy, using a midwife can be a major cost saver and a more natural and relaxed birthing experience for the whole family.  Natural childbirth emphasizes an unrushed, supported process, with minimal interference and less invasive monitoring. Until about 80 years ago, natural childbirth at home was the usual and only childbirth delivery option and mothers only went to hospital if there was an urgent health emergency.  Attending Antenatal classes will help you and your partner to understand and formulate your own birth plan and prepare you for what to expect, as well as teach you about the different pain management and relaxation techniques to prepare you for labour and the birthing process   Professional Support at Home  Start early on finding a suitable midwife, doula (a modern-day birthing coach) or birthing specialist so you can find connection and trust with them and discuss your needs. A midwife or doula will first check the health of you and your baby and give you useful information to help you have a healthy pregnancy, including advice about eating and exercise. Most importantly, they will be available to discuss your options and choices available for your care, labour and birth, and the health of your baby once delivered.    Even if you elect to have a home birth you will need a checkup by an obstetrician at 28 weeks, 35 weeks, and 37 weeks of pregnancy where they will do scans to monitor the growth and general wellness of your baby; as well as be on call during labor in case of a home birthing emergency.   For many, the support and care of a private midwife and doula is the best solution and outcome for baby and you. They provide a solid base of emotional support and care without the rush associated with hospitals and doctors’ waiting rooms. A midwife is on standby 24/7 for home births or may use private hospital birthing unit or even run their own private birthing center that looks like a luxury guest house over that of the clinical and business-like bustle of a hospital.   Home Birth  A home birth will be a more personal birthing experience but without the support of medication. Instead, you are supported with natural pain relief such as water, massage, reflexology, and aromatherapy and you may choose your own, most comfortable position to give birth using breathing techniques, such as the Lamaze method. Hypnobirthing is another technique which helps new moms to relax and prepare for labour and helps to reduce feelings of

Bonitas – innovation, life stages and quality care

All you need to know about asthma

South Africa is ranked 25th worldwide for asthma prevalence and is ranked fifth for asthma mortality. The lack of appropriate diagnosis, treatment or access to care may be important considerations in tackling asthma morbidity and mortality in South Africa.

Parenting Hub

SCHOOL ANXIETY IN CHILDREN: TIPS TO HELP THEM COPE

According to Affinity Health, a leading provider of high-quality healthcare, school anxiety is a common concern among children and their parents. School anxiety can manifest in various ways, such as difficulty sleeping, stomach aches, and avoidance of school. Left unchecked, school anxiety can lead to poor academic performance, social isolation, and even physical illness. According to the National Institute of Mental Health, school anxiety is caused by a combination of genetic, environmental, and developmental factors. Children with a family history of anxiety or who have experienced trauma may be more prone to developing school anxiety. Here are 10 tips from Affinity Health to help children cope with school anxiety: Talk to your child about their concerns and validate their feelings Creating an open and supportive environment where your child feels comfortable discussing their worries and fears is essential. Listen actively and try to understand their perspective. Validate their feelings by acknowledging that their emotions are real and understandable.  Create a consistent and predictable daily routine Having a regular schedule can help reduce uncertainty and provide a sense of structure and stability. Set a consistent bedtime, establish a morning routine, and have a designated time for homework and other after-school activities. Encourage physical activity and a healthy diet Exercise and proper nutrition can have a positive impact on mental health and can help reduce stress and anxiety. Encourage your child to participate in physical activities that they enjoy, and ensure that they are eating a balanced diet with plenty of fruits, vegetables, and other nutritious foods.  Establish a calm and organised environment at home A cluttered and chaotic environment can add to feelings of stress and anxiety. Help your child create a calm and organised space to work and study, and try to minimise distractions in the home. Encourage your child to express their feelings through art or writing Artistic expressions, such as drawing, painting, or writing, can be a helpful outlet for children to process their emotions and express themselves. Let your child use these creative outlets to express their feelings and thoughts about school. Set small and achievable goals for your child Breaking down larger goals into smaller, more manageable tasks can help your child feel a sense of accomplishment and progress. Encourage your child to set small, achievable goals and celebrate their successes along the way. Help your child develop relaxation techniques, such as deep breathing or progressive muscle relaxation Teaching your child relaxation techniques can help them healthily manage stress and anxiety. Some techniques include deep breathing, progressive muscle relaxation, and visualisation. Motivate your child to participate in enjoyable activities outside of school It’s important for children to have a well-rounded and fulfilling life outside of school. Motivate your child to participate in extracurricular activities that they enjoy, such as sports, music, or clubs. Consider seeking support from a mental health professional, such as a therapist or counsellor If your child’s anxiety persists or significantly impacts their daily life, it may be helpful to seek the support of a mental health professional. A therapist or counsellor can work with your child to identify the root causes of their anxiety and develop coping strategies. Work with your child’s school to create a supportive and understanding learning environment Communicate with your child’s teacher and school administration to ensure they know your child’s anxiety and can provide appropriate support. Together, you can create a positive and understanding learning environment that helps your child feel safe and supported.   “It’s important to address school anxiety as soon as possible to prevent it from escalating and harming your child’s overall well-being,” says Murray Hewlett (CEO of Affinity Health. “The good news is that with the right support and the implementation of coping strategies, children can learn to manage their anxiety and succeed in school.”

Parenting Hub

ABOUT TEEN PREGNANCY

Affinity Health, a leading provider of high-quality healthcare, highlights ways to prevent and address teen pregnancy. Teen Pregnancy Rates in South Africa Teen pregnancy is a significant issue in South Africa, with rates of teen pregnancy remaining high. According to data from the World Health Organization (WHO), South Africa has one of the highest rates of teenage pregnancy globally, with nearly one in four girls becoming pregnant before age 20. Various factors such as lack of access to sexual education and contraception, cultural and societal attitudes towards sex, poverty, and lack of access to healthcare increase teenage pregnancy rates. “The latest adolescent pregnancy data from Statistics South Africa shows that 90 037 girls aged 10 to 19 years gave birth from March 2021 to April 2022 across all provinces,” says Murray Hewlett, CEO of Affinity Health. “Addressing teen pregnancy in South Africa will require a multifaceted approach that addresses these underlying issues and supports pregnant and parenting teens.” By implementing these ten strategies suggested by Affinity Health, we can all work towards reducing teen pregnancy rates and improving outcomes for teens and their children. Provide Comprehensive Sex Education in Schools Studies have shown that comprehensive sex education can help reduce teen pregnancy rates. According to a review of sex education programmes by the Centers for Disease Control and Prevention (CDC), programmes that include information on both contraception and abstinence can help reduce rates of teen pregnancy and sexually transmitted infections (STIs) among teens. Improve Access to Contraception Improved access to contraception can help reduce teen pregnancy rates. This can include increasing funding for family planning clinics and ensuring that teens have access to affordable and effective methods of contraception. Increase Awareness of The Risks of STIs According to the CDC, teens are at increased risk of STIs, including HIV. By raising awareness of the dangers of STIs, teens may be more likely to use contraception to reduce their risk of infection. Address Poverty and Lack of Access to Healthcare Teens who live in poverty or lack access to healthcare are at increased risk of unintended pregnancy. By addressing these socioeconomic concerns, we can help reduce teen pregnancy rates. Promote Healthy Relationships and Communication Teenagers with healthy relationships and good communication skills are less likely to become pregnant. Essentially, we can help reduce rates of teen pregnancy when we improve healthy relationships and communication amongst teens. Support Parenting Teens Teens who become parents are at increased risk of poor outcomes, including dropping out of school and living in poverty. By supporting parenting teens, we can help improve outcomes for both teens and their children. Encourage Father Involvement Father involvement can positively impact both the child and the mother. When we encourage father involvement, we improve future outcomes for both teens and their children. Address Societal Attitudes and Stereotypes Societal attitudes and stereotypes about teen pregnancy can contribute to the problem. By addressing these attitudes and stereotypes, we can help reduce teen pregnancy rates. Provide Support for Pregnant and Parenting Teens Pregnant and parenting teens need support, such as access to healthcare, education, and other services. Encourage Community Involvement Community involvement can be an effective way to prevent teen pregnancy. By encouraging community involvement, we can help reduce rates of teen pregnancy.  

Parenting Hub

The worrying effect of loadshedding on our children

Imagine you have an empty glass. With every stressful or challenging moment you encounter throughout the day you add some water to your glass, the amount depending on the level of anger or anxiety that moment caused you. “Now,” says Natasha Freemantle, children’s mental health specialist, “I want you to think about your average day and how many stress triggers we as parents encounter throughout the day; caused by the current state of the country.” These are, to name a few: Traffic jam on the way to and from work caused by loadshedding. Inability to do your work properly and meet deadlines due to loadshedding. Your standard grocery shop bill has gone up again. The interest rate goes up again and so do your loan repayments. You worry about how to stretch your budget to the end of the month. You rush home in traffic, rush to make dinner before loadshedding hits, plus it’s suicide hour and there’s no water in the taps for bath time. Early evenings are a time when children generally act out. They are tired, they haven’t seen their parents all day and they’ll do anything for some of your attention. However, your tolerance cup is almost full so for you this challenging behaviour tips you over the edge and you ‘flip your lid’ spilling emotions everywhere, all over your child. We all have times when we aren’t proud of our parenting. We are only human and sometimes our emotions get the better of us. The current state of things has us operating on a high level of anxiety and stress all day, every day. We don’t get a break from it. “This means that our emotions are likely to be getting the better of us more often and our children are getting the worst of our behaviour more regularly.” Freemantle adds that repeated displays of anger from a parent that are more severe than the expected consequence for the  challenging behaviour of a child, means that our child may come to view us as a threat or may make us a source for their own anxiety as they cannot predict our responses to their actions. Prolonged over time this may start to take away from their secure attachment and this is something no child deserves or should have to experience. Attachment theory has shown that the impact of an insecure attachment is lifelong and presents many challenges in future relationships. The challenges we are experiencing aren’t going away anytime soon so we need to be extra mindful of how we handle the emotions we project onto our children while dealing with a storm on the inside. Freemantle explains the following ways we can do this: In moments of extreme stress, walk away, take a deep breath, and remind yourself they are only children and often their behaviour is age appropriate. Return and set boundaries in a calm manner. Practice gratitude. It removes some of the water from your cup so that there is more room for other new stressors. Gratitude has been scientifically proven to improve your frame of mind. Take time for self-care. It is not selfish to choose a small part of your day to exercise, practice a hobby or just be quiet. You will be able to give your children and your partner a better version of yourself. Many of our current stressors are predictable, for e.g.  loadshedding and traffic. Do what you can to make them less difficult to endure. Play soothing sounds in the car and use it as a time to be mindful. Plan easy-cook, budget-friendly meals for the evenings. “We are all doing the best we can, but we must be mindful of the impact these continuous, stressful times are having on our kids and our relationship with them. Be kind to yourself and know that you won’t always get it right, and when you don’t take a moment to repair it, apologise for your outburst, shower them with love and move forward together.” For more information visit Natasha Freemantle’s website

Bonitas – innovation, life stages and quality care

Ten tricky terms – Know your medical aid speak

Medical aid terms can be as difficult to decipher as your doctor’s handwriting. That’s why knowing medical aid speak is essential if you are going to understand your medical cover says Gerhard Van Emmenis, Principal Officer of Bonitas Medical Fund. 1. Medical schemes Medical schemes are not-for-profit and owned by the members of the scheme. In turn the scheme appoints a Board of Trustees to manage the affairs of the scheme to ensure that they are in the member’s best interests. This may also be known as medical aids or funds. 2. Medical scheme administrators Medical scheme administrators are separate entities to the actual medical scheme and operate on a for-profit basis. The medical scheme may go out to tender for an administrator but an existing contract with the administrator may also exist for a certain number of years. The administrator is responsible for managed the administration of the scheme such as processing claims. 3. Medical scheme plans There are usually a number of plans from which to choose. In general, more comprehensive plans are usually more expensive. The cover you need will vary according to your age, family size, dependents and income. It is important to look at your benefits holistically to ensure they offer you real value for money. Plans that offer more benefits in addition to your savings or benefits from risk generally offer more value. 4. Waiting periods when joining a medical aid scheme If you have not been on a medical aid scheme or a hospital plan, there may be a waiting period, which means you will continue to pay premiums but are not covered for a period that is outlined by the scheme. The Medical Schemes Act outlines that medical aid schemes are entitled to impose waiting periods: These vary from a 3-month general waiting period or a condition-specific of up to 12 months. 5. What is a late-joiner penalty? In South Africa, schemes can impose late-joiner penalties on individuals who join after the age of 35, who have never been medical aid members, or those who have not belonged to a medical aid for a specified period of time since April 2001. The reasoning for this is to ensure fairness (whereby members who have been part of a scheme for years are not subsidising newer members who have not contributed to the scheme).  6. Generics These are ‘cost effective copycats’ of the original drug. The pharmaceutical company that develops the original drug spends millions on research and development and so take out a patent to protect themselves for a period of time. After the patent has expired other drug companies can make the generic equivalent without the initial clinical research costs. They have exactly the same dosage, intended use, effects, side effects, route of administration, risks, safety and strength as the original drug.  7. Gap cover At times there may be a shortfall between what the medical scheme pays and what the hospital or specialist charges. As a member you are responsible for paying the difference. Even if you are on a top range medical aid plan, it doesn’t mean there will not be ‘gaps’ between the tariffs your scheme is prepared to pay and the amount your specialist charges. There is an insurance policy called Gap Cover which you can take out to pay for this shortfall.  8. Prescribed Minimum Benefits (PMBs)  PMBs are a mandatory set of defined benefits that medical schemes must provide cover for all medical scheme members. These ensure members have access to a certain minimum level of health services, regardless of the benefit option chosen. It currently covers medical emergencies, 25 chronic and 270 medical conditions. PMBs are being reviewed by the Council of Medical Schemes (CMS) with a view to aligning them with the proposed National Health Insurance. 9. Designated Service Providers (DSP) A DSP is a healthcare provider (doctor, pharmacist, hospital etc) that is the medical schemes’ choice for members to use. If you don’t use the DSP you may have to pay a portion of the bill as a co-payment. You can avoid co-payments and get more value for money by using preferred suppliers and DSPs. 10. Tariffs and rates of payment  Each Medical Schemes has a Rate of Payment ie the amount the medical scheme will pay for that service. Providers charge different rates known as the Scheme Tariff. Members often misunderstand that 100% of the Scheme tariff/rate doesn’t necessarily mean 100% of the account or what you will be charged.  However, as a patient you can negotiate the best possible rate with your healthcare provider. ‘Too often members do not understand what their medical aid option offers and are not familiar with the terminology,’ says Van Emmenis. ‘The best advice I can offer is to be informed. Take the time to read all the information supplied, including the fine print, and compare plans. If you are unsure phone the scheme and ask questions, or check with your broker. Your health and that of your family is important so it is vital that you are comfortable with the choice you make and are confident your healthcare needs will be taken care of.’

Parenting Hub

KIDS AND GROWING PAINS

Are your child’s aching legs keeping them awake at night? According to Affinity Health, a leading provider of high-quality healthcare, they may be experiencing growing pains. Growing pains are cramping and achy muscle pains in both legs that some preschoolers and preteens experience. The pain is most common in the late afternoons or evenings. Growing pains usually begin in early childhood, around the age of 3 or 4. They typically strike again in children aged 8 to 12 and subside by the time your child reaches the age of adolescence. What Do Growing Pains Feel Like? Growing pains are experienced differently by each child. The level of pain can range from mild to severe. Some children experience growing pains for a few minutes, while others experience them for several hours. Growing pains can be episodic, with pain-free intervals ranging from days to months. In some children, the pain is constant. Growing Pains and Their Causes Despite the name, there is no conclusive evidence that growing pains are associated with growth spurts. Growing pains may instead be muscle aches caused by intense childhood activities that can wear out your child’s muscles. Running, jumping, and climbing are examples of these activities. Growing pains appear to be more common after a child has had a particularly demanding sports day. Growing Pains Symptoms Growing pains are typically felt in both legs, particularly in the front of the thighs, back of the legs (calves), or behind the knees. According to research, children who experience growing pains are more likely to experience headaches and abdominal pain. “Growing pains should seldom be felt in the joint,” says Murray Hewlett, CEO of Affinity Health. “If your child complains of joint pain, or the joint is red, swollen, or warm to the touch, it could be due to juvenile idiopathic arthritis and not growing pains.” How Are Growing Pains Identified? There are no tests available to identify growing pains. Your child’s healthcare provider may perform a physical examination and ask you questions about your child’s symptoms. They will inquire about the location of your child’s pain, when it began, and what your child was doing on the day the pain started. Treatment The good news is that growing pains do not cause other problems and have no effect on your child’s growth and development. Growing pains usually go away on their own after a year or two. Meanwhile, self-care measures can help alleviate your child’s discomfort. Certain home remedies may provide relief: Rub your child’s legs: Children frequently respond positively to a gentle massage. Others benefit from being held or cuddled. Make use of a heating pad: Heat can help relieve muscle pain. Use a low-temperature heating pad before bedtime or whenever your child complains of leg pain. Once your child has fallen asleep, remove the heating pad. A warm bath before bedtime may also be beneficial. Consider giving your child a pain reliever: Give your child ibuprofen or acetaminophen. Remember never to give children aspirin, which has been linked with Reye’s syndrome. Encourage your child to stretch before exercising: Ensuring that your child stretches the muscles in their legs during the day may help prevent nighttime pain. Consult your doctor about stretches that may be beneficial to your child.  

Parenting Hub

Grilled Mushroom, Chicken & Papaya Salad

Serves 4 Ingredients: 400g portabello mushrooms, sliced thickly  2 small chicken breasts, cooked & shredded 1 small cucumber, thinly sliced  ½ cup fresh coriander leaves ½ cup fresh mint leaves 1 small papaya, peeled, deseeded and sliced  4 Tbsp roasted peanuts, salted, chopped 1 small red chilli, sliced  Dressing: 1-2 red chillies (depending on how hot you like it), finely chopped 1 small garlic clove, finely grated  1 tsp fresh ginger, finely grated  1 Tbsp fish sauce 1 tsp soy sauce 2 Tbsp rice wine vinegar 1 tsp brown sugar or palm sugar Zest and juice of 2 limes 2 Tbsp olive oil Olive oil, for cooking Salt and pepper, to taste    Method:  For the dressing: In a small bowl combine all the dressing ingredients.  Whisk to mix well.  Taste to adjust seasoning and set aside.  Heat a large griddle pan on high heat.  Toss the mushrooms with a drizzle of olive oil and then place on the griddle pan.  Press them down with a metal spatula to get nice grill marks.  Cook until just tender and retain some bite.  In a large serving bowl combine the chicken, cucumber, coriander, mint and papaya.  Add the grilled mushrooms.  Drizzle everything with a little dressing and toss gently to combine.  Scatter with the roasted peanuts and sliced chilli. Serve with extra dressing on the side and enjoy!

Parenting Hub

TOP 11 CHRONIC DISEASES IN SOUTH AFRICA

Affinity Health, a leading provider of high-quality healthcare, investigates the top 11 chronic diseases in South Africa. Did you know chronic diseases – otherwise known as noncommunicable diseases, are the leading cause of death and disability worldwide, accounting for nearly 60% of all deaths and 43% of the global disease burden? According to the World Health Organization, chronic disease is expected to account for 73% of all deaths by 2020. “Chronic diseases are long-term illnesses caused by a combination of genetic, physiological, environmental, and behavioural factors,” says Murray Hewlett, CEO of Affinity Health. “Although chronic diseases are frequently associated with older age groups, evidence suggests that thousands of South Africans are dying of chronic diseases before the age of 70.” Affinity Health discusses the top 10 chronic diseases South African should be mindful of. STROKE AND HEART DISEASE The sheer number of heart disease or stroke fatalities is a growing concern in SA. According to the Heart & Stroke Foundation, 215 people die from heart disease or strokes daily. Every hour, five people have heart attacks, and 10 have strokes. Because there is a lack of awareness about cardiovascular disease, many people go undiagnosed and untreated until it is too late. DIABETES One in every three adults (13 million) in South Africa has impaired fasting glucose (IFG), putting them at high risk of developing type 2 diabetes. Diabetes is the country’s second deadliest disease, according to Statistics South Africa‘s 2021 report on mortality and causes of death. It has claimed more lives than HIV, hypertension, and other forms of heart disease combined. It is a leading cause of blindness, kidney failure, heart attacks, stroke, and amputation of lower limbs. ARTHRITIS Osteoarthritis is the most common type of arthritis in South Africa, with a prevalence rate of 55.1% in urban areas and between 29.5% and 82.7% in adults over 65 years of age in rural areas. As many patients are unsure how to manage their symptoms, arthritis coexists with other chronic conditions. This disease is surprisingly common among children, affecting one to four out of every 1000. CANCER Cancer care is expected to cost $240 billion (R4160 billion) by 2030, according to the most recent Centers for Disease Control and Prevention (CDC) and National Cancer Institute estimates, due to healthcare inflation over the previous decades. Despite declining cancer rates, the CDC predicts that cancer will remain one of the leading causes of death in South Africa. It is estimated that nearly 110,000 new cancer cases will be diagnosed in South Africa by 2020, with over 56,000 cancer-related deaths accounting for one-quarter of all premature noncommunicable disease-related mortality. The most effective cancer prevention measures continue to be early screenings, raising awareness about preventative techniques, and developing strategic partnerships. OBESITY Obesity statistics in South Africa are concerning, with approximately 31% of men and 68% of women obese. Obesity and being overweight can lead to various lifestyle diseases, including diabetes and heart disease. Obesity is a major issue in adults and children, with more than 13% of South African children aged 6-14 years classified as overweight or obese. Education, promoting access to healthier foods, and providing preventive care to paediatric patients can help maintain a healthy weight. ALZHEIMER’S DISEASE According to the most recent World Alzheimer’s Report, South Africa has 4.4 million people over the age of 60 living with the disease. Around 187,000 of these people have dementia. Alzheimer’s disease is not a normal part of ageing. Although most people with Alzheimer’s are 65 and older, people younger than 65 can also develop the disease. It is the most common cause of dementia that worsens over time. In most cases, the symptoms develop gradually and become severe enough to interfere with daily activities. EPILEPSY More than 500 000 people in South Africa have epilepsy. Seizures caused by epilepsy can sometimes result in death. People with epilepsy may also have poor mental health or other impairments that are difficult to detect. ASTHMA Asthma affects more than 20% of children and 10-15% of adults in South Africa. It is not uncommon for those suffering from the illness to be hospitalised during an attack, which can significantly reduce their quality of life. HYPERTENSION/HIGH BLOOD PRESSURE High blood pressure, also known as hypertension, affects more than one in every three adults in South Africa. Because there are rarely any symptoms or visible signs that blood pressure is high, it is referred to as a “silent killer”. As a result, more than half of people with high blood pressure are unaware of their condition. Symptoms such as headaches, visual disturbances, nose bleeds, nausea, vomiting, facial flushing, and sleepiness may sometimes occur, typically with extremely high blood pressure. It would be best if you did not wait for symptoms to appear. High blood pressure becomes more common with age, but anyone, regardless of age, gender, fitness level, or lifestyle, can develop it. HIV AND AIDS In South Africa, the overall HIV prevalence rate is estimated to be around 13.7%. In 2021, the total number of people living with HIV was expected to be approximately 8.2 million. HIV infection affects an estimated 19.5% of adults aged 15 to 49 years. TUBERCULOSIS In South Africa, tuberculosis is a significant public health concern. Every year, approximately 450,000 people contract the disease, with 270,000 also infected with HIV. TB is the leading cause of death in South Africa. It kills approximately 89,000 people per year, or 10 people every hour. Effective treatments are available, and the country has made significant progress in combating the disease, but much more is required to bring it under control.

Parenting Hub

Reuterina® unveils complete packaging design change – new look, same trusted formulation!

In an exciting move, Reuterina has unveiled a modernised packaging design that will be used across all of Reuterina®’s full range of products for all ages: Reuterina® drops1, Reuterina® Vit D2, Reuterina® junior3, Reuterina® daily4, Reuterina® acute5, and Reuterina® femme6. The packaging refresh features a new endorsement, the introduction of fun mascot characters, and a probiotic species rename. The endorsement, ‘POWERED BY BIOGAIA,’ serves to acknowledge BioGaia as the company responsible for the research and development of the Reuterina® formulations7, accompanied by a graphic representing the healthy growth and proliferation of intestinal flora. Child and baby products now carry friendly yellow mascot characters that bring to life the ‘good bacteria’ that a healthy young gut needs7. In addition to the package redesign, Lactobacillus reuteri, the probiotic species of Reuterina®, was renamed Limosilactobacillus reuteri. The name change was undertaken by a global group of scientists who have collaborated to divide this genus into groups of closely related species – which share certain physiological and metabolic properties – under new genus names.8 The Reuterina® product line’s efficacy and safety remain unchanged.  Over 200 clinical trials have been conducted to validate Reuterina®.9 Reuterina® Range Of Products Reuterina® offers a wide range of products for people of all ages. Reuterina® drops Reuterina® drops1 are a convenient liquid drop designed specifically for infants under the age of two years. Reuterina® drops have been clinically validated in babies and children and have been shown to benefit a variety of health conditions, including: Colic10 Constipation11 Regurgitation12 Acute gastroenteritis12 Antibiotic-associated diarrhoea13 Reuterina® Vit D  These drops are specifically formulated with 400IU Vitamin D3, which acts to enhance the absorption of calcium and phosphate in the body. These drops can be used daily to assist with immune modulation2. Reuterina® junior Reuterina junior® strawberry flavoured chew tablets are appropriate for children over the age of two who can chew a tablet3. These strawberry tablets are indicated for3: Reduction in diarrhoea Reduction in childhood constipation Reduction in frequency and pain in children suffering from Functional Abdominal Pain (FAP) Immune modulation Reuterina® daily  Probiotics are used to help treat and prevent conditions caused by an imbalance in the gut flora.4 Reuterina® daily can be used to help treat and prevent diarrhoea and constipation by restoring and maintaining a healthy balance of flora in the stomach and intestines (gut).4 Reuterina® acute  Reuterina® acute aids in the restoration and maintenance of a healthy balance of gut flora during and after an antibiotic course.5 Reuterina® acute has been clinically validated in trials where it was demonstrated that taking Reuterina® during the antibiotic course resulted in fewer diarrhoeal side effects.14 Reuterina® femme  Reuterina® femme is indicated to maintain and restore healthy flora.6 When ingested daily, Reuterina® femme helps to maintain a healthy vaginal flora and prevent vaginal infections.6 The Reuterina® family of probiotics are available from selected Dis-Chem and Clicks stores and independent pharmacies nationwide. For more information, visit: https://reuterina.co.za/ and join the conversations on Instagram and Facebook.   References and legals are available on request

Parenting Hub

Greek Mushroom & Potato Salad

Serves 4 Ingredients: 400g baby potatoes, sliced in half  1 tsp dried oregano  250g white button mushrooms, sliced in half  ½ red onion, thinly sliced 200g cherry tomatoes, sliced in half ½ large cucumber, deseeded and roughly chopped 100g feta cheese, roughly broken into chunks 100g black olives, preferably Kalamata small handful fresh oregano leaves 1 tsp dried oregano Olive oil, for cooking and dressing Juice of 1 lemon, for dressing  Salt and pepper, to taste  Method: Gently boil the potatoes in salted water until tender.  Drain and leave to steam dry and cool.  When cool, place in a bowl and season with salt and pepper.  Drizzle with olive oil, lemon juice and dried oregano. Toss to coat well.  Heat a large frying pan over medium high heat.  Add a drizzle of olive oil.  Cook the white buttons until lightly golden brown. Season well.  Put the onion, tomatoes and cucumber in a bowl and season to taste. Add the mushrooms and potatoes and mix.  Scatter the top of the salad with feta, olives and oregano leaves. Sprinkle over the dried oregano and drizzle everything with a little olive oil and lemon juice and serve. 

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BACK-TO-SCHOOL: TIPS TO BUILD YOUR CHILD’S IMMUNITY

How can you protect your child from back-to-school germs? Some healthy habits can serve as an immune booster for kids, helping them fight off pathogens more effectively and recover faster.   Here are four healthy habits to help boost your child’s immune system. Encourage a healthy diet: Children should consume a variety of foods daily from the five major food groups: vegetables, fruits, starchy carbohydrates, protein, and dairy.1 Ensure they get plenty of ZZZs: A good night’s rest not only improves academic performance, memory, and behaviour but also boosts immunity.2 Keep them active: Physical activity contributes to children’s overall health, which may support their immune system functions.3 Reap the health benefits of probiotics: Taking care of your child’s stomach is the first step toward a healthy lifestyle, as the majority of the immune system is located in the gut.4Reuterina junior® 5, coupled with Reuterina® Vit D6 drops, can play an important role in how the gut functions including boosting the immune system.7 The Reuterina® family of probiotics are available from Dis-Chem and Clicks stores and independent pharmacies nationwide.  For more information, visit: https://reuterina.co.za/ and join the conversations on Instagram and Facebook.             References: Mayo Clinic. Nutrition for kids: Guidelines for a healthy diet. Available from: https://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/nutrition-for-kids/art-20049335. Last accessed November 2022. Sleep Foundation. How Sleep Affects Immunity. Available from: https://www.sleepfoundation.org/physical-health/how-sleep-affects-immunity. Last accessed November 2022. da Silveira MP, da Silva Fagundes KK, Bizuti MR, Starck É, Rossi RC, de Resende E Silva DT. Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature. Clin Exp Med. 2021 Feb;21(1):15-28. doi: 10.1007/s10238-020-00650-3. Epub 2020 Jul 29. PMID: 32728975; PMCID: PMC7387807. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387807/. Last accessed November 2022. Vighi G, Marcucci F, Sensi L, Di Cara G, Frati F. Allergy and the gastrointestinal system. Clin Exp Immunol. 2008 Sep;153 Suppl 1(Suppl 1):3-6. doi: 10.1111/j.1365-2249.2008.03713.x. PMID: 18721321; PMCID: PMC2515351. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2515351/. Last accessed November 2022. Reuterina® Junior Approved Package Insert, July 2010. Reuterina® Vit D (drops) Approved Package Insert, August 2013. Indrio F, et al. The effects of probiotics on feeding tolerance, bowel habits, and gastrointestinal motility in preterm newborns. J Pediatr 2008;152:801-806. Available from: https://pubmed.ncbi.nlm.nih.gov/18492520/. Last accessed November 2022.     Ascendis Pharma (Pty) Ltd. Co Reg No. 2002/001567/07 | Customer Care: +27 11 036 9600 | 004 ZA Reut 012023

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Advocates call for policy changes to prevent SA childhood obesity

Approximately 13% of South Africa’s children under five years are overweight – more than double the global average.1 Being overweight and developing obesity in early childhood increases the risk for adult obesity, as well as associated conditions like high cholesterol, diabetes and high blood pressure. All of these conditions are increasingly prevalent in South Africa.1 Childhood obesity is a serious medical condition that affects children and teens.2 It’s particularly troubling because the extra kilos often start children on the path to lifelong health problems.2 Childhood obesity can also lead to poor self-esteem and depression.2 The main cause of overweight and obesity among children is the consumption of high-calorie diets — those that are rich in salt, sugar and fats.1 This is also influenced by other factors such as household poverty coupled with the high cost of healthy foods.1 South African children’s fast-food consumption rates are high.3 In a 17-country study completed in 2014, researchers found that fast-food consumption among South African children and adolescents was more frequent than in high-income countries such as Japan and Belgium.3 “Highly processed and unhealthy foods have become increasingly accessible and affordable over the last three decades, leading to a global increase in weight issues and obesity, especially in the poorest and most vulnerable communities and households,” says Nzama Mbalati, Programmes Manager at the Healthy Living Alliance (HEALA). One of the major factors associated with obesity is sugar consumption. South Africans are estimated to consume up to 24 teaspoons of sugar per day – double the daily WHO recommendation.4 South Africa passed a Health Promotion Levy (HPL) on sugary beverages in 2018.5 Commonly known as “the sugar tax”, it has led to considerable reductions in the purchase and consumption of taxable drinks, proving that legislation can support consumers to reduce intake of unhealthy foods and beverages.5 “Currently, at least 85 countries have sugar-sweetened beverages (SSB) taxation,” says Mbalati. “Data from countries like the UK and Mexico indicates that SSB taxes successfully reduce sugar consumption. In South Africa, people are buying 28% fewer sugary drinks since the government implemented the HPL in 2018. In addition, the levy has slashed the South African beverage sector’s use of sugar by a third. The combination of the two has cut sugar intake in the country by nearly a third. It is now time for the sugar tax on drinks – currently at 10% of the cost per litre – to be doubled and this needs to happen soon.” Mbalati stresses that this is critical to address the country’s raging diabetes epidemic and the high rates of obesity that fuel it. “South Africans are addicted to sugar. With more than a quarter of the population living with obesity, we are among the top 20% of the most obese nations in the world. More than 4,5 million people are diabetic, with diabetes being the second-largest cause of death after tuberculosis,” says Mbalati. Mbalati adds that sugary drinks should be drastically reduced in children’s diets. “Even 100% fruit juice with no added sugar contains a lot of sugar with none of the fibre you would find in a piece of fruit to help fill you up. Encourage kids to drink mostly water and plain milk. Get them to eat whole fruit, like an apple, instead of drinking apple juice,” says Mbalati. Visit https://whatsinourfood.org.za/lsml/ for more information. Instagram: https://www.instagram.com/betterlabels_za/?igshid=Y2ZmNzg0YzQ%3D Facebook: https://www.facebook.com/betterlabelsza   References: Statistics on children in South Africa: Overnutrition in children, Sambu, W. Children’s Institute. University of Cape Town. [Nov 2019]. Available from: http://childrencount.uct.ac.za/indicator.php?domain=4&indicator=96 Childhood obesity. Mayo Foundation for Medical Education and Research (MFMER). [Dec 2022]. Available from: https://www.mayoclinic.org/diseases-conditions/childhood-obesity/symptoms-causes/syc-20354827 South African Child Gauge 2020: Food and nutrition security. May, J.; Witten, C.; Lake L. Children’s Institute. University of Cape Town. [2020]. Available from:http://www.ci.uct.ac.za/sites/default/files/image_tool/images/367/Child_Gauge/South_African_Child_Gauge_2020/ChildGauge_2020_screen_final.pdf McCreedy, N.; Shung-King, M.; Weimann, A.; Tatah, L.; Mapa-Tassou, C.; Muzenda, T.; Govia, I.; Were, V.; Oni, T. Reducing Sugar Intake in South Africa: Learnings from A Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention. Int. J. Environ. Res. Public Health 2022, 19, 11828. Available from: https://doi.org/10.3390/ijerph191811828 Stacey, N; Edoka, I; Hofman, K; Swart, EC; Popkin, B; Shu Wen, N. Changes in beverage purchases following the announcement and implementation of South Africa’s Health Promotion Levy: an observational study. The Lancet. 5, 4, E200-E208. [Apr 2021]. Available from:https://www.thelancet.com/action/showPdf?pii=S2542-5196%2820%2930304-1

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BEGINNERS GUIDE TO EATING HEALTHY

Affinity Health, a leading provider of high-quality healthcare, cuts through the clutter to explain what healthy eating entails and how you can make it work. The term “healthy eating” can mean different things to different people. Everyone appears to have an opinion on the healthiest way to eat. Adding to the confusion, nutrition articles you read online can be downright perplexing with contradictory and frequently unfounded suggestions and rules. This makes it challenging to eat in a healthy way that works for you. “The truth is that eating healthy does not have to be difficult. It is possible to nourish your body while also enjoying your favourite foods,” says Murray Hewlett, CEO of Affinity Health. “After all, food should be enjoyed rather than feared, counted, weighed, and tracked.” Why Is Eating Healthy Important? Before we understand what healthy eating entails, it’s critical to know why it matters. First and foremost, food fuels you and provides your body with the calories and nutrients required to function. Your health may suffer if your diet lacks calories or one or more nutrients. Similarly, if you consume too many calories, you may gain weight. Obese people are at a much higher risk of developing type 2 diabetes, obstructive sleep apnea, and heart, liver, and kidney disease. Furthermore, the quality of your diet influences disease risk, longevity, and mental health. While ultra-processed foods are associated with increased mortality and a higher risk of conditions such as cancer and heart disease, diets rich in whole, nutrient-dense foods are associated with increased longevity and disease protection. Are Specific Diets Necessary? Certainly not! Although some people need – or choose – to avoid certain foods or follow diets for health reasons, most people do not need to follow any specific diet to feel their best. That’s not to say that certain eating habits can’t be beneficial. Some people think the healthiest when they follow a low-carb diet, while others thrive on high-carb diets. Eating healthy generally has nothing to do with following diets or specific dietary rules. “Healthy eating” means putting your health first by feeding your body nutritious foods. The specifics will differ depending on your location, financial situation, culture and society, and personal taste preferences. How to Make Eating Healthy Work for You Food may be one of the many puzzle pieces that comprise your daily life but making nutrition a priority is the first step toward eating a healthier diet. This doesn’t mean you have to spend hours grocery shopping or meal prepping, but it does require a little thought and effort, especially if you live a busy lifestyle. Stock up on the following items when you go grocery shopping: Fresh fruits and vegetables Protein sources such as chicken, eggs, fish, and tofu, as well as bulk carb sources such as canned beans and whole grains Healthy fat sources such as avocados and olive oil Starchy vegetables, including white potatoes, sweet potatoes, and butternut squash Nuts, seeds, nut butter, hummus, and olives Real-world Suggestions For Healthy Eating Affinity Health provides some practical tips to help you get started with healthy eating. Make plant-based foods a priority: Plant foods such as vegetables, fruits, beans, and nuts should comprise most of your diet. Try including these foods, particularly vegetables and fruits, at every meal and snack. Ditch takeouts: Cooking at home allows you to diversify your diet. If you’re used to ordering takeout or eating out, start by cooking just one or two meals per week. Regular grocery shopping: If you keep healthy foods in your kitchen, you’re more likely to prepare healthy meals and snacks. Make one or two grocery runs per week to keep nutritious ingredients on hand. Recognise your diet will only sometimes be perfect: Progress, not perfection, is essential. Meet yourself exactly where you are. Cooking one homemade, veggie-packed meal once a week is significant progress if you eat out every night. Avoid sugar-sweetened beverages: Limit your intake of sugary beverages such as soda, energy drinks, and sweetened coffees as much as possible. Regularly consuming sugary beverages may be harmful to your health. Choose foods that are filling: When you’re hungry, your goal should be to eat nutritious foods rather than consume the fewest calories possible. Choose protein- and fibre-rich meals and snacks that will keep you full. Consume whole foods: A healthy diet should include whole foods like vegetables, fruits, beans, nuts, seeds, whole grains, and protein sources like eggs and fish. Drink water: Water is the best way to stay hydrated, an essential part of healthy eating. If you’re not used to drinking water, get a reusable water bottle and flavour it with fruit slices or lemon juice. “These suggestions can assist you in making the transition to a healthier diet,” adds Hewlett. “You can also consult with a registered dietitian if unsure how to improve your diet. A dietitian can assist you in developing a long-term, nutritious eating plan that fits your needs and schedule.”  

Parenting Hub

Portabello Onigirazu

Serves 4 / makes 4 sushi sandwiches  Ingredients: For the rice: 400g sushi rice 500ml water  2 tsp salt 2 Tbsp sugar 160ml rice vinegar  For the filling: 1 Tbsp sesame oil  4 large portabello mushrooms, thickly sliced 1 Tbsp soy sauce 8 sheets nori 1 large avocado, quartered and sliced  1 large carrot, peeled and sliced into fine matchsticks ½ small cucumber, sliced  1 handful baby spinach leaves  4 Tbsp pickled ginger  Black sesame seeds, for serving  Soy sauce, for dipping Method:  For the rice: Rinse the sushi rice in a sieve, extremely well, until the water runs clear.  Pour the rinsed rice into a pot with the 500ml water. Place a lid on the pot.  Allow to sit for 30 minutes.  Place rice onto the heat and bring to a boil.  Once rice reaches a boil turn the heat down to the lowest setting.  Cook for 10 minutes.  Switch the heat off and leave the rice, lid on, for a further 15 minutes.  In a small saucepan, combine the salt, sugar and rice vinegar over low heat.  Once dissolved, pour evenly over the rice and fold very gently with a wooden spoon or silicone spatula.  Spread rice out onto a clean tray and allow to cool.  For the filling: Heat a large frying pan on high heat. 

Bonitas – innovation, life stages and quality care

8 Vital health checks for men

Essential health checks or screenings are tests that are carried out by a medical doctor to check for diseases and health conditions, even before you may have any symptoms. By detecting diseases early on they are often easier to treat. Dr Morgan Mkhatshwa, Clinical Executive at Bonitas Medical Fund, talks about the most important check-ups for men. Colorectal Cancer Screening These tests look for cancer in the colon or rectum by checking for tissue growths, called polyps. If you have an elevated risk for cancer (such as a family history), then you should start having these tests from the age of 45. A colonoscopy, where the doctor looks at your entire colon, should be done every 3-10 years depending on what is found during your exam. A Faecal Immunochemical Test (FIT) which also screens for colon cancer by looking for hidden blood in the stool, should be annual. Prostate cancer Prostate cancer is one of the most common types of cancer in men.  It occurs in the small walnut-shaped gland that produces the seminal fluid that nourishes and transports sperm.   The growth is normally slow and it is the one type of cancer from which you have the best chances of recovery. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly. Most men with prostate cancer are older than 65 years and do not die from the disease. If prostate cancer is detected early — when it’s still confined to the prostate gland— there’s an excellent chance of successful treatment. Men, from the age of 50 (40 – 45 for those at high risk, with a family history of prostate cancer) should have an annual prostate examination.  How do you get checked for prostate cancer? Your doctor will recommend a blood test to check the levels of Prostate Specific Antigen (PSA) in your blood. PSA is a substance made by the prostate and can be elevated in men who have prostate cancer.  This must be supported by a rectal examination. Weight and BMI The Body Mass Indicator (BMI) is used to check if you are a healthy weight. To calculate your BMI: Divide your weight in kilograms (kg) by your height in metres (m)  Then divide the answer by your height again  Good to know Underweight <than 18.5 Normal weight 18.5 to 24.9 Overweight 25 to 29.9 Obese 30> Blood glucose With over 4.6 million people in South Africa living with diabetes, it’s important to check your blood glucose. There are two main types of diabetes: Type 1 and Type 2. They are different conditions but are both serious and need to be treated and managed properly. One of the biggest problems with diabetes is when it remains undiagnosed. This can lead to blindness, heart attackstroke, kidney failure, impotence and amputation so it’s vital to be checked. Blood pressure Hypertension (high blood pressure) is when blood pressure stays elevated over time. It is often referred to as the ‘silent killer’ since nearly 33% of people who have it, don’t know it.  If your blood pressure is too high, it puts extra strain on your arteries (and your heart) and if it’s not treated, hypertension can cause kidney failure, eye problems and heart disease. Skin checks Skin cancer is caused by the abnormal growth of skin cells – usually on the skin that has been exposed to the sun but not always. There are three major types of skin cancer: Basal cell carcinoma, squamous cell carcinoma and melanoma. Examine your skin carefully at least once a month and, if you are prone to getting lots of moles, go to a dermatologist and have the mole ‘mapped.’  If skin cancers are found and treated early, they are almost always curable.   If you have a history of skin cancer in your family have your skin checked regularly by a doctor.  Cholesterol levels Cholesterol is in every cell in your body. You need cholesterol to help your brain, skin and other organs do their jobs. But eating too much fat and cholesterol is not good for you and it can start to build up in childhood. Cholesterol is produced by your liver, it’s carried in your blood and can get into the walls of the blood vessels. This can cause the blood vessels to get stiffer, narrower or clogged. If the clogging worsens over the years, it can cause a heart attack or stroke in adults. Doctors can find out what your cholesterol level is by taking some of your blood and testing it. The two main types of cholesterol are: Low Density Lipoprotein (LDL) is bad cholesterol – a plaque builder and High Density Lipoprotein (HDL) is good cholesterol – which removes bad cholesterol from the body.  Testicular cancer Symptoms of testicular cancer include a lump, hardness, enlargement, pain or any other change in one or both of their testicles. It is a good idea for men between the ages of 15 and 55 to do a self-examination. This is best done after a warm shower and will help find the cancer at an early stage, when it is more likely to be successfully treated. If you present with any symptoms, visit your doctor immediate. The first step is usually an ultrasound but a blood test can also be done to detect the proteins which are produced by the testicular cancer cells. Remember early detection of any of diseases or health conditions can save your life. That’s why it’s important to go to your doctor for regular check-ups.  

Squish

Goodness to go – back to school lunchbox inspiration

The summer holidays have come to an end and the back-to-school season has arrived. While you might be looking forward to the quiet mornings that come with an empty house, the start of the school year comes with other challenges like preparing wholesome lunches for your kids to get them through a long day of learning. Packing a delicious and wholesome lunch for your children every day doesn’t have to be a chore.  Get your kids excited for lunch times on busy school days by keeping their food fresh, colourful, and interesting. How? Rhodes Quality have come up with a few ideas…With these seven lunchbox recipe inspiration ideas you can lovingly prepare snacks and meals that even the fussiest kids will enjoy!  Tuna gherkin sandwich Packed full of protein and flavour pack up these sandwiches for your little one’s lunch boxes. Ingredients (serves 4) 2 cans of tuna, well drained 1 tomato, chopped ½ red onion, finely chopped 4- 6 Rhodes Quality Sweet & Sour Gherkins, drained and chopped 125 ml (½ cup) mayonnaise salt and freshly cracked black pepper 45 ml (3 Tbsp) flat-leaf parsley, chopped  for serving: 8 slices buttered bread Method Place the tuna, tomato and red onion in a bowl and toss to mix. Add the Rhodes Quality Sweet & Sour Gherkins. Add the mayonnaise and parsley and stir lightly to mix. Season to taste. Spoon the filling onto 4 slices of buttered bread, close with remaining slices and serve. Tomato, salami, and cheese calzones Pizza for lunch is always a good idea. Snack size calzones keep all the toppings tucked away and easy to eat. Ingredients (makes 8) For the pizza dough 600 g plain flour 10 ml (2 t) of salt 5 ml (1 t) sugar 1 x 10 g packet instant dry yeast 30 ml (2 T) olive oil ± 400 ml (1 ¾ C) lukewarm water For the filling 1 x 410 g can Rhodes Quality Tomato Italian Style 100 g salami, chopped 350 g mozzarella cheese, grated salt and freshly cracked black pepper dried oregano Method Sift the flour, salt, and sugar into a large bowl. Sprinkle the yeast over the top and add the olive oil. Add 250 ml (1 cup) of warm water to the flour and work the mixture together. Continue adding the remaining water, a little at a time, until the dough is soft yet firm and is kneadable without sticking. Knead the dough by hand for about ten minutes or until the dough is elastic and smooth. Form the dough into a ball and place in a floured bowl. Cover with a damp cloth and place in a warm spot to rise until it has doubled in size. Knock down and knead again and then divide into 2. Roll out one half of the dough to an evenly thick rectangle. Use a saucer to cut four circles out of the dough. Spread each circle with a generous layer of Rhodes Quality Tomato Italian Style. Top with the salami and the mozzarella cheese. Season with salt, pepper, and dried oregano. Fold each circle in half and press the edges together. Place the calzones on a lined baking tray in an oven preheated to 190° C for 15 minutes or until golden and crispy. Peanut butter and jam sandwich cookies A traditional twist on a PB and J, chewy and sweet lunch box treats. Ingredients (makes ±24) 160 ml (⅔ cup) butter, melted 140 ml (½ cup + 1 Tbsp) brown sugar 125 ml (½ cup) white sugar 250 ml (1 cup) creamy peanut butter 1 egg 5 ml (1 tsp) vanilla essence 330 ml (1⅓) cup cake flour 5 ml (1 tsp) baking powder 5 ml (1 tsp) salt To sandwich together: 65 ml (1 C) smooth peanut butter Rhodes Quality Strawberry Jam Method Beat together the butter, brown and white sugars, and peanut butter until smooth. Add the egg and the vanilla essence and beat well. Sift together the flour, baking powder, and salt.  Add the dry ingredients and mix until just combined but do not overmix. Roll the cookie dough into 24 even sized balls and place evenly spaced out on a lined baking tray. Flatten each cookie with a fork. Bake the cookies in an oven preheated to 180º for 12 minutes or until golden brown. Allow to cool. Spread the flat side of a cookie with Rhodes Quality Strawberry Jam. Spread the flat side of a second cookie with peanut butter and sandwich the second cookie to the first. Repeat with remaining cookies, peanut butter, and jam. Mini burgers with tomato relish Kiddie friendly mini burgers for a filling fun lunchbox. Ingredients (makes 8) 500g minced beef 1 egg yolk 5 ml (1 t) dried mixed herbs 5 ml (1 t) Worcestershire sauce salt and freshly ground black pepper 30 ml (2 T) sunflower oil To serve: 8 mini hamburger buns Soft butter for spreading 2 Rhodes Quality Sweet & Sour Whole Gherkins, sliced Rhodes Quality Tomato Braai Relish   Method Place the beef mince into a bowl. Add the egg yolk, mixed herbs and Worcestershire sauce. Season the mince with plenty of salt and pepper. Mix the ingredients together using a wooden spoon or by hand. Once the mixture is well blended, divide into 8 equal portions and shape into small slightly flattened patties. Brush the patties with the oil. Heat a non-stick frying pan and grill the patties. Turn the patties over so that they cook evenly on each side. Grill until cooked to your liking. To serve: Slice and butter the mini hamburger buns. Place a burger patty on the bottom half of each bun and top with slices of Rhodes Quality Sweet & Sour Whole Gherkins. Top with a generous spoonful or two of the Rhodes Quality Tomato Braai Relish. Close with the second half of the bun. Crunchy chicken and corn salad Kids always love crispy chicken and paired with a crunchy salad you can be sure

Parenting Hub

NAPPY RASH: TREATMENT TIPS

According to Affinity Health, a leading provider of high-quality healthcare, nappy rash is a common type of irritated skin (dermatitis) that appears as inflamed patches on your baby’s bottom. Wet or infrequently changed nappies, skin sensitivity, and chafing are all common causes of nappy rash.1  “Around one in four babies and toddlers not yet toilet trained will experience nappy rash at any given time,” says Murray Hewlett, CEO of Affinity Health. “While nappy rash can be frustrating for parents, it usually goes away with simple home remedies like air drying, more frequent nappy changes, and ointment.” Symptoms Of Nappy Rash Nappy rash signs and symptoms include:2 Red or inflamed skin on your baby’s buttocks, thighs, and genitals Pink or red patches in the nappy area (the folds of the groin will usually look normal) Skin that feels hot to the touch Spots, pimples, or blisters around the nappy area Discomfort, fussiness, or crying, especially when changing nappies Peeling, flaking, or scaly skin What Causes Nappy Rash? Nappy rash is often caused by leaving wet or soiled nappies on for too long, but other factors can also cause nappy rash. Rubbing or chafing Nappy rash can be caused by tight-fitting nappies or clothing that rubs against the skin. Using New Products Your baby’s skin may react to a new brand of baby wipes or nappies, as well as the detergent, bleach, or fabric softener used to wash cloth nappies. Lotions, powders, and oils may contain ingredients that exacerbate the problem. Bacteria Or Yeast Infection What starts out as a simple nappy rash on your baby’s bottom can quickly spread to the surrounding skin. Because the area covered by a nappy is warm and moist, it is an ideal breeding ground for bacteria and yeast. These rashes can be found in the skin’s creases. You may also notice red dots strewn about the creases. Food Allergies The composition of a baby’s stool changes as your tot begins to eat solid foods. This increases the chances of nappy rash. Changes in your baby’s diet can also cause more stools, which can cause nappy rash. Breastfed babies may develop nappy rash due to something the mother ate. Skin Issues Babies with atopic dermatitis (eczema) or seborrheic dermatitis are more likely to develop nappy rash. Antibiotics  Antibiotics can cause a rash by killing bacteria that control yeast growth. The use of antibiotics also increases the risk of diarrhoea. Breastfed babies whose mothers are taking antibiotics are also more likely to develop nappy rash. How To Prevent Nappy Rash   Keeping the nappy area clean and dry is the best way to avoid nappy rash. Affinity Health recommends these 10 simple steps to help reduce the chances of nappy rash developing on your baby’s skin. Change your baby’s nappies frequently and request the same from staff if your child is at daycare. Choose disposable nappies over cloth nappies. Disposable nappies have absorbent gel, which is effective because they draw moisture away from the skin. Rinse your baby’s bottom with warm water as part of each nappy change. Cleaning the skin can be aided by moist washcloths, cotton balls, and baby wipes. Use alcohol-free or fragrance-free wipes on your baby’s skin. Alternatively, use a gentle non-soap cleanser, paediatrician and dermatologist-approved, hypoallergenic, ph-balanced, and free from colourants and perfumes. Allow your baby’s skin to air dry, or gently pat it dry with a clean towel. You should not scrub your baby’s bottom. Use powders sparingly. Cornstarch-based baby powders may be problematic because their main ingredient may make a candida-caused nappy rash worse. Apply cream and ointment that contains time-tested ingredients such as petroleum jelly and zinc oxide. After changing your baby’s nappy, thoroughly wash your hands. Hand washing can help keep bacteria and yeast from spreading to other parts of your baby’s body, you, or other children. Nappies should be fastened securely but not too tightly. Nappy rashes can be avoided by using a nappy that allows for some airflow. Nappies that are too tight can irritate the skin. Avoid using plastic or tight-fitting nappy covers. Allow your baby’s bottom to go longer without a nappy whenever possible. Air-drying skin is a natural and gentle way to dry it. Try laying your bare-bottomed baby on a large towel and engaging in some playtime to avoid messy accidents. When Should You See A Doctor? If your baby’s skin does not improve after a few days of home treatment, consult with your family doctor or baby’s paediatrician. To treat nappy rash, you may need prescription medication, or the rash could be caused by something else, such as a zinc deficiency.

Parenting Hub

Cannellini Bean, Fennel, Apple & Roasted Mushroom Salad

Serves 4 Ingredients: 1 x 400g tin cannellini beans, rinsed and drained 1 bulb fennel, sliced very thinly 1 large stalk celery, sliced  400g medium portabello  mushrooms, quartered 1 tsp garlic powder 150g mixed baby lettuce leaves 2 green apples, sliced thinly 50g walnuts, toasted and roughly chopped Fennel fronds, for serving Olive oil, for dressing Sherry vinegar, for dressing Salt and pepper, to taste  Method: Place the cannellini beans, fennel and celery in a small bowl.  Drizzle with a little olive oil and sherry vinegar.  Season with salt and pepper. Toss to combine and set aside.  Preheat oven to 200˚C, fan on.  Place mushrooms on a baking tray.  Drizzle with olive oil and season with salt, pepper and garlic powder.  Roast for ± 7 minutes until tender and juicy, but retain some bite. Allow the mushrooms to rest.  Once the mushrooms have rested, assemble the salad.  Layer the baby leaves and apples on a serving platter.  Spoon over the marinated bean mixture.  Top with the roasted mushrooms.  Sprinkle with walnuts and fennel fronds. Season lightly. Drizzle everything with a little extra sherry vinegar and olive oil and serve! 

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Peachy tips for easy, healthy lunchboxes

Getting back into the school routine doesn’t have to be painful.  With some basic planning and organising habits, you can beat the weekday morning blues and get the kids off to school with a smile and a wave.  If you do just one thing this year to make the kid’s school life easier on you, consider mastering the healthy lunchbox.  It’s easier than you think. Registered dietitian, Reabetjoe Mokoko aka Rea-TheCookingDietitian, says, “Lunchbox packing can be overwhelming, especially with the hectic weekday schedules most parents have.  However, school snacks and lunches are important as they help to fuel kids, giving them the energy they need to get through the school day.  Research shows that kids who are well-nourished can focus better and are able to perform at their peak academically and at sports. Packing healthy lunchboxes also contributes towards building healthy eating habits in kids.  Remember that fresh vegetables and fruit are your best friends when it comes to filling up a lunchbox with goodness. We’re lucky to start off the school year with delicious stone fruit in season, which can be added whole to the lunchbox.  Look out for yellow cling peaches and firm nectarines, as well as plums and apricots because these fruits will travel well, and they are always favourites with kids.” Rea points out that the key is to plan and prepare in advance as much as possible on the days that are less busy. She says, “Buy fruit and vegetables on a Sunday, then wash and chop them up in advance. Snacks such as nuts, popcorn and pretzels can also be pre-packed in advance. Pack lunchboxes the night before school so that you can lessen the morning rush of trying to get the kids ready on time while also preparing their breakfast.” With most families on tight monthly budgets due to the ongoing economic downturn, it’s important to focus on packing healthy lunchboxes that are affordable.  One cost-saving, time-saving hack is to cook a bit extra at suppertime so that you have tasty leftovers that can be used for school lunchboxes.  Rea says, “Portions of leftover pasta, lentil or rice dishes can easily be included in lunchboxes or extra chicken can be used to make a chicken salad sandwich. Many leftover dishes work well in a wrap or pita bread with a bit of fresh salad such as grated carrot and chopped tomato.  Instead of buying pre-packed small snacks such as nuts, peanuts, and pretzels, buy the cheaper bulk packs of the healthier snacks and portion them into smaller packets at home.  I also always advise to pack fresh fruit that is in season, not only are they more affordable but they also have a higher nutritional value.”   So, what does a healthy lunchbox include? Rea says, “Every day, choose a variety of easy to eat foods that your kids enjoy from all the different food groups. Include fresh fruit and vegetables, healthy proteins such as peanut butter and eggs, whole grain starches such as brown bread, and dairy such as low-fat yoghurt, cottage cheese and cheddar.  If you need to add fats in your preparation, use a healthy fat such as olive oil.” Rea’s Five Key Tips when it comes to lunch box packing: 1.     Involve your kids from the planning to the preparation. 2.     Keep it fresh and healthy, limiting highly processed foods. 3.     Always include a variety of fruit and vegetables. 4.     Limit unhealthy foods that offer no nutrition such as fried fatty foods and items high in sugar and salt such as sweets and crisps. 5.     Avoid packing fizzy drinks and opt for low calorie beverages such as milk and water. It helps to have a small repertoire of wholesome recipes that you can use to add healthy, homemade foods to your kids’ lunchboxes. Try these back-to-school lunchbox recipe ideas from Juicy Delicious: Nectarine and Smoked Chicken Lunch Box by Jenny Morris Quick and Easy Nectarine Cookies by Jenny Morris Porky Plum Balls by Jenny Morris Peachy Granola Bars by Lolene Krige Follow @juicydelicioussa on Instagram or visit www.juicydelicious.co.za  Choosing a lunchbox Choose an affordable, quality lunchbox and water bottle for each child, such as the Addis BPA free, On-The-Go food storage range and re-usable hydration bottles.  Addis is a proudly South African brand producing innovative, quality plastic products for over 100 years.  BPA, bisphenol A, is an industrial chemical commonly used in plastics that may have health impacts on children, so it’s important to go with BPA free options.

Bonitas – innovation, life stages and quality care

Caffeine and pregnancy – am I allowed?

You may be wondering if your morning cuppa is something to be avoided now that you’re pregnant. Generally, caffeine should be avoided during pregnancy, as it can harm your baby. However, you can consume caffeine in small amounts, so you won’t need to go cold turkey on your coffee habit. But how much is too much? And what caffeine high food and drink should you be avoiding? How does caffeine affect you and your baby?  Too much caffeine can have a negative impact on both you and your baby. If you’ve drunk a lot before getting pregnant you may find adjusting to only one cup a day (or the equivalent) pretty tough. As a stimulant, caffeine has the effect of making you feel more awake and alert, but too much (even before getting pregnant) isn’t good for you. Caffeine can increase your blood pressure and heart rate, and leave you feeling fatigued when the stimulant has left your system. Caffeine is also addictive, while it doesn’t cause addiction in the way that drugs do, drinking it often can increase your dependency on it. When you’re pregnant your body will metabolize caffeine at a slower rate. Some studies have linked increased caffeine intake to miscarriage (although there are conflicting studies on this) as well as low birth weight. Because the risks aren’t fully understood it is best to limit your intake.  How much is enough? When you find out you’re pregnant it’s best to limit your caffeine intake to 200mg per day. This is the equivalent of two cups of instant coffee (filter coffee has more) or 3 to 4 cups of brewed tea. Energy drinks, sodas and chocolate are other sources of caffeine which you should consider. Remember, caffeine isn’t the only thing in these foods and drinks, energy drinks and sodas have lots of processed sugar, and some energy drinks also contain ginseng, which should be avoided during pregnancy. What are alternatives to caffeine?  If you are planning on sticking to as little caffeine as possible per day you’re probably wondering what healthy alternatives there are. Luckily in South Africa, rooibos tea is very popular and perfectly safe to drink. You can swap out filter coffee and flat whites for rooibos tea and red cappuccinos. Decaf coffee is another alternative, but it’s best not to overdo this one as it still has trace amounts of caffeine.

Bonitas – innovation, life stages and quality care

Nutrition, Activity, and Exercise

Children and nutrition When preparing meals for your family, include a variety of foods from the five major food groups found on the food pyramid.Here’s some recommendations: Vegetables: 3-5 servings per day (Serving size examples: 1 cup of raw leafy vegetables, ¾ cup of vegetable juice or ½ cup of chopped or cooked vegetables) Fruits: 2-4 servings per day (Serving size examples: ½ cup sliced fruit, ¾ cup fruit juice or medium-sized whole fruit) Bread, cereal or pasta: 6-11 servings per day (Serving size examples: 1 slice of bread, ½ cup rice or pasta or 1 ounce of cereal) Protein: 2-3 servings per day (Serving size examples: 50 grams or 2 ounces of cooked lean meat/poultry/fish, ½ cup cooked beans, 1 egg or 2 tablespoons of peanut butter) Dairy: 2-3 servings per day (Serving size examples: 1 cup low-fat milk or yogurt, 25 grams or 1 ounces of cheese) Children and fitness Focus on finding fun activities rather than on exercise. Some ideas to get your children moving: Find activities your child finds fun Find activities that are age-appropriate Limit screen time (TV, mobile phones, laptops, tablets or game consoles) to no more than 1 to 2 combined hours a day; avoid TVs in children’s bedrooms Make time for play and activities; establishing a routine will make it easier to stick to Aim to do fun activities with your children 30 minutes 3 times a week Walk or bike wherever you can Do household chores as a family and make it fun; try dancing to music, picking up toys as fast as possible or having kids run and jump into a pile of raked leaves or snow Choosing healthy snacks Children are active and for most, occasional snacks can help them get their daily nutritional requirements.  Here’s some important things to keep in mind with snacks: Snacks should not affect regular meals; be careful not to give them too close to meals Children will reach for the easiest foods to reach; put healthy choices in easy to reach areas and avoid buying junk food Your food choices affect what your children eat; choose healthy snacks for yourself Involve children in cooking; teach them about healthy and less healthy foods What you teach your child now will last a lifetime; teach a life of healthy eating Healthy snack options Vegetables, with or without low fat dip Fruit Trail mix: low-sugar cereal, dried fruit, nuts and mini chocolate chips Crackers and peanut butter or hummus Low fat yogurt Whole-grain cereal with low-fat milk Crackers and cheese Low-fat microwave popcorn Low-fat cottage cheese Nuts Sandwiches made with whole-grain bread

Bonitas – innovation, life stages and quality care

Your child and headaches

Headaches aren’t just for adults, kids get them too. But if the sufferer is a child, the discomfort can put parents under enormous strain and anxiety. Knowing how to handle and treat a headache in a youngster can help you and your child feel better.

Bonitas – innovation, life stages and quality care

Drinking while pregnant – what are the consequences

Drinking during pregnancy is a huge NO, no matter what stage of pregnancy you are in. Alcohol causes harm to your unborn baby, and can cause them to have lifelong physical and mental problems. If you are planning on getting pregnant it is best to avoid alcohol.  But if you didn’t know for the first few weeks and have had a few drinks in this time, while this isn’t ideal it is somewhat common and shouldn’t cause you to panic. However, when you know you are pregnant, stop drinking. The consequences of drinking while pregnant  If you drink while pregnant, alcohol passes through your umbilical cord to your baby. According to Centres for Disease Control and Prevention, drinking can cause miscarriages and stillbirths, as well as a range of physical, behavioural and intellectual problems. These disabilities are known as fetal alcohol spectrum disorder (FASD). Fetal Alcohol syndrome (FAS) is the most severe among the range of FASDs.  Kids born with FASD can be born prematurely with birth defects such as a smaller head, low body weight, deformities in their facial features and problems with their joints and heart. Growing up they can have issues with coordination, memory retention, attention, vision and hearing as well as intellectual disabilities.  Some kids are born with problems that are only noticed when they go to school, when learning issues become apparent. There is no cure for FASD and FAS. Every pregnancy is different, some moms drink very little and their kids end up with severe health problems, whereas others report drinking more and have children with very few problems. If you are struggling to stop drinking it is best to seek professional help South Africa has the highest prevalence of FAS globally, 14 times higher than the global average. There are a number of local NGOs who focus their efforts on spreading awareness around the condition and programs which speak to pregnant mothers about drinking.

Parenting Hub

WHY TAKING 10,000 STEPS PER DAY IS GREAT FOR YOUR HEALTH

Affinity Health, a leading provider of high-quality healthcare, explores the benefits that 10,000 daily steps have on your health and well-being. You’ve probably heard the hype about walking 10,000 steps daily, but do you know why? The habit of tracking steps has grown in popularity over the last decade. People track to improve their fitness or compete with their friends or coworkers. The current advice is to walk 10,000 steps per day – but why? Interestingly, while this “recommendation” was not initially supported by science, science demonstrates compelling reasons why 10,000 steps per day is a good goal. What’s The Meaning Of A Number? The magical number 10,000 steps originated in a Japanese marketing campaign in 1965 when a Japanese health science professor invented a pedometer and believed that walking 10,000 steps per day would prevent obesity in the Japanese population. The pedometer was named Manpo-Kei, which translates to “10,000-step-metre”. Since then, the 10,000-step recommendation has stuck. How To Get 10,000 Steps Into Your Day If 10,000 steps seem daunting, we have good news: you can begin with fewer steps and reap significant benefits. Even minor efforts to move more throughout the day can have substantial benefits. Research shows that doing anything other than sitting for 30 minutes daily (walking, yoga, skipping, stretching, etc.) reduces the risk of premature death by 17%. Higher-intensity exercise reaps even more significant benefits, reducing the risk of early death by 35%. “Millions of South Africans have been working from home since COVID-19 began. That is why it is more important than ever to get out of the house and walk to improve your health,” says Murray Hewlett, CEO of Affinity Health. “Start by tracking your average steps for a week or two if you’re new to tracking steps. Then set a goal to go above and beyond your average step count. Trying to reach 10,000 steps is a great goal, but if you are getting discouraged, consider re-accessing your goal. Get out and move more than you did yesterday.” Health Advantages Of Walking 10,000 Steps Per Day Promotes Weight Loss Walking 10,000 steps per day equals about 8 kilometres. You could burn roughly 150 more calories daily if you added 30 minutes of brisk walking to your daily routine. Of course, the more calories you burn, the more you walk, and the faster you walk. It Helps Clear The Mind According to a Stanford University study, walking opens the mind and promotes the flow of ideas. It sparks creativity and aids in the improvement of concentration. Enhances Sleep Taking more steps during the day may be sufficient to improve our sleep. A new study published in the journal Sleep Health examined healthy adults who slept an average of 7 hours per night. Participants were divided into two groups: the Intervention group, instructed to increase their daily steps by at least 2,000, and the Control group, which was not. Fitbits were given to both groups to track their daily steps. The researchers compared the responses of the two groups to sleep questionnaires, including how long they slept and the quality of their sleep. Overall, the walking intervention resulted in significantly better sleep. Reduces Anxiety And Depression  Some studies say a quick 10-minute walk can help lift a depressed mood. Regular exercise can help with depression and anxiety by doing the following: Endorphins, natural brain chemicals (endogenous cannabinoids), and other natural brain chemicals that can improve your mood, taking your mind off your worries to break the cycle of negative thoughts that feed depression and anxiety. Lowers Blood Pressure A healthy heart can pump more blood while exerting less effort. Increasing your physical activity can reduce your systolic blood pressure by 4 to 9 points on average. Stabilises Blood Glucose  Walking causes the muscles to use more glucose, lowering blood sugar levels over time. This can make you more insulin sensitive. In fact, according to a study published in Diabetes Care, three short 15-minute walks per day are just as effective as one long 45-minute walk at the same pace in lowering blood sugar levels. According to the same study, taking a short walk after your evening meal helps regulates your blood sugar levels. Reduces The Likelihood Of Having A Heart Attack Numerous studies have shown that walking has health benefits related to cardiovascular disease. A sedentary lifestyle is one of the five major risk factors for cardiovascular disease (high blood pressure, abnormal blood lipid values, smoking, and obesity). Studies show that lowering these risk factors reduces the likelihood of having a heart attack or another cardiac event, such as a stroke, and the need for a coronary revascularisation procedure (bypass surgery or coronary angioplasty). Strengthens Your Lungs Everyday movement helps to strengthen your lungs and surrounding muscles. Your body’s ability to use oxygen efficiently increases as the rate and volume of oxygen you inhale (a measurement known as your “VO2 max“). The fitter you become, the higher your VO2 max. Strengthens Your Bones Physical activity (especially weight-bearing exercises) strengthens your bones, which improves their density and reduces your risk of osteoporosis later in life. Conclusion Keeping track of how many steps you take, how far you walk, and the time it takes can help you see where you started and what is possible. Consider how good it will feel to see how many steps you’ve walked each week, month, and year. Use an activity tracker, app, or pedometer to calculate steps and distance. Alternatively, keep track of these figures in a walking journal. “Walking – no matter the distance – can benefit both physical and mental health. Whatever method you use to incorporate walking into your daily routine, you will most likely notice some benefit that will accumulate over time,” concludes Hewlett.

Parenting Hub

Kitchen Time During Festive Season: Cooking Together 

The holidays are a great time for caregivers and kids to cook together. Families can use this time, away from work and school, to reconnect with each other by cooking together and teaching their families valuable skills.  Skills such as how to prep family recipes, learn how meals/dishes are put together, and the nutritional value behind these foods. Caregivers who want to cook with their children are often faced with trying to figure out how to make it fun and engaging. Here are some ideas for easy kitchen activities that will make cooking together a fun experience: Start small and encourage play! Make kitchen time fun by encouraging play.  Getting comfortable in the kitchen goes beyond watching but also involves handling food and cooking utensils. We want our kids to feel like the kitchen is their space. Allowing kids to handle ingredients, wash produce, or even simply play with toys within the cooking area creates a connection. Set up a “sensory activity” like allowing kids to use measuring cups and spoons to practice scooping and levelling. You can take this a step further and let them measure the basic ingredients such as sugar and flour Make up songs for simple tasks and make it fun Humming a song, putting on your child’s favourite soundtrack, or creating your very own cooking jingle, can lighten the mood for both of you. This is effective fun when teaching kids skills that require patience like stirring slowly or taking turns. Children will learn to love cooking if you relax and have fun with them in the kitchen. Give the children an opportunity to experiment with your guidance and only step in when it’s necessary, otherwise let them enjoy and create. Embrace the mess Cooking is messy, there is no way to completely avoid it. Kids learn so much from exploring. Don’t mind the mess, let them be creative and have fun. Wiping down the counter or washing up dishes can be a dual exercise. Create food art and encourage their imagination Make healthy eating fun for kids by getting creative at mealtimes. Presenting food in the form of a picture or simple pattern, or decorating the rim of the plate, can make it more exciting and enticing for children. Animals and faces are always popular, and broccoli and cauliflower make excellent trees! Why not let kids cut carrots and cucumbers with cookie cutters, into interesting shapes like hearts, stars and diamonds. Encourage your kids to be imaginative in the kitchen. Give them free reign when decorating their cookies or challenge them to create a fruit-salad rainbow or vegetable animals. Turn it into a contest to see who can come up with the best design. But remember, everyone is a winner as they all get to enjoy a delicious prize. ROLL, ROLL, ROLL THE DOUGH  Get your pre-schoolers involved teaching them about the dough. Helping to roll out or need dough will give their muscles a good workout, and they’ll be amazed when they see the results of their labour. Children tend to eat more of the healthy food on their plates when they help prepare it. There are lots of tasks that your children can help with. Washing, grating, or mashing are all fun activities for kids. And don’t forget the washing up too! For fun recipes and more tips, visit the Nestlé for Healthier Kids site: www.nestle-esar.com/N4HK By Anne-Marie De Beer, Nutrition, Health and Wellness Manager, Nestlé East and Southern Africa

NutriPure

Back to school with NutriPure

Just as the holiday season had settled in, it’s time to prepare for the upcoming school year from shopping for new stationery supplies, thinking about healthy meal plans and more. Starting the year with optimum health is certainly one of the biggest things on the to-do list. It is vital for any parent to consider the absolute best options for their child’s physical and mental health and performance and how to maintain and boost sustainably. NutriPure understands the need of parents and the challenges their children may have to face going into the new year. Between new subjects, new schedules, and physical activities, it’s essential that parents support their children in the best possible way. Supplements like NutriPure Gummie Vitamins can help unlock energy, support immunity, and maintain overall health daily. NutriPure gummies are specially formulated with natural fruit pectins for adults and children. Say goodbye to morning delays as Nutripure Gummie Vitamins offers an easy and tasty way for kids and adults to take their daily vitamins with an all-natural sweet treat packed with best ingredients for you. NutriPure is vegan-friendly, has no sugar coating, and it is GMO-free. The NutriPure range is the perfect way to enhance your daily routine anytime, anywhere.  Nutripure has now made it even easier for you with their convenient travel-friendly pouches that contain 14 gummies each (R36,95). The pouches come in five different variants and are available at Dis-Chem. Three variants for kids: Immune Support+ Vitamin C Multivitamin Two variants for adults: Immune Support Multivitamin Nutripure can be found at Dis-Chem, Clicks, Takealot, and other major retailers.  For more information, go to http://nutripure.co.za/ Our back-to-school essential vitamin list: Children’s bodies are constantly challenged by rising toxin levels in the environment and dietary supplements cannot replace a healthy diet, but they can support these efforts. Multivitamins help ensure that basic nutritional needs are met. Try NutriPure Immune Support + (From R 109.95) to help protect your child’s immune system daily. NutriPure Immune Support Gummies have been carefully formulated with six essential vitamins and minerals: vitamin C, vitamin D, vitamin B6, vitamin B12, zinc, and selenium which all contribute to the maintenance of good health. Their body needs certain bacteria to stay healthy. Bacteria aids digestion, absorbs nutrients, and fights off other disease-causing bacteria. Try NutriPure Multivitamin for kids (From R109.95) which contributes to the function of the immune system and 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 increase energy levels and strengthen the immune system. A balanced gut is essential in keeping the body healthy at any age. Try NutriPure Probiotics for kids (From R 109,95) 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.  Vitamin C’s best-known function is its role in supporting the body’s immune system. Vitamin C is an antioxidant and is essential for maintaining overall health, and helps boost the immune system when your child catches a cold. Try NutriPure Vitamin C 60s/120s (From R 109.95) which 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. 

Parenting Hub

Air Purification Pal improves air quality to protect baby and toddler health

Designed with babies and toddlers in mind, the Air Purification Pal, by air treatment and lifestyle technology specialists Solenco, will improve the air quality in nurseries and baby rooms, which brings with it important health benefits – both immediate, like helping babies to sleep better, and long-term, like increased life expectancy and reduced chances of developing dementia and Alzheimer’s Disease later in life. Bianca Leonard, Marketing Manager at Solenco says that breathing cleaner air has a number of health benefits. “Ensuring that your baby breathes purified air gives him or her the best start in life. It will help to protect your baby’s health by reducing the chance of him or her catching colds and flu, and developing asthma, allergies and hay-fever.” The Air Purification Pal is approved by the South African Allergy Foundation and advances the foundation’s agenda of enhancing the quality of life and reducing the cost of healthcare for South Africans suffering from allergic disorders and primary immune deficiencies. Remaining steadfast in their mission to help improve overall health and enhance comfort in living spaces, Leonard says there was no reason why babies and toddlers shouldn’t be included too. She explains that even the cleanest home can have polluted air – cleaning materials, carpets and upholstered fabrics, pets and nearby traffic can all impact indoor air quality. “In fact, indoor air can be five times as polluted as outdoor air and, since indoor air is not circulated as much as outdoor air, many airborne pollutants thrive inside.” The Air Purification Pal’s triple filter system kills bacteria and viruses and traps up to 99.975% of particles, allergens, pollen, dust, smoke, mould spores and pet dander. It also reduces VOCs (volatile organic compounds, which can be 10 times more concentrated indoors compared to outdoors), toxic fumes and odours, ensuring that your babies have an increased chance of developing a healthy respiratory system. Health benefits aside, with its soft night light, cute interchangeable stickers and low noise output, the Air Purification Pal is perfect for toddlers. It’s also compact and lightweight, which makes it easy to move around the house, and its impact on a household’s electricity bill is minimal. Solenco sources international award-winning air treatment and lifestyle products to improve the health of South African families. These include a range of air purifiers, humidifiers and dehumidifiers to suit regional climates. “The Air Purification Pal fills a gap for health-conscious parents who want to give their babies every advantage,” said Leonard. The Air Purification Pal can be purchased via the website or Takealot.

The Bridge Assisted Learning School

HOW TO HELP YOUR NON-NEUROTYPICAL CHILD THRIVE

Parents of young children often fear whether their child will “fit in”, cope in a sporting environment or achieve academically if they are non-neurotypical. These concerns are based on a societal perception that children should at least be ‘average’, even if they are not top of their class.  However, an educational psychologist says this is the wrong approach to take for parents of non-neurotypical children, because it will always be possible for them to belong and fit in somewhere, even if this does not occur perfectly within society’s norms of what ‘fitting in’ means. Dr Greg Pienaar, Educational Psychologist and Principal at The Bridge Assisted Learning School, in Lonehill Sandton, notes that ‘average’ is literally defined as dividing a total by the number of quantities. “By that definition alone, no child will be average. Every child has strengths and weaknesses. That is the Neurodiverse approach, which acknowledges variations in the brain regarding learning, attention, and moods in a non-pathological sense. In other words, as Judy Singer noted, these differences are not deficits, they are variations. That does not however mean that we can’t support our children – with the help of their school, their teachers and potentially their therapists – to achieve and empower themselves to the best of their ability, says Dr Pienaar. “Most educational scientists or educational psychologists will tell you that everybody needs support somewhere. Some people less than others, some people more. Some children require assistance with academic areas. Some children require assistance with developmental deficits or with their “building blocks”. This could mean Speech or Occupational Therapy, for instance. Most professionals would agree that the earlier certain developmental issues are addressed, the better the chances are that issues may be either sorted out, or much improved.”  Dr Pienaar notes that at an Assisted Learning School such as The Bridge in Lonehill, support is provided as a team of the teacher, the therapists involved, and always the parents or guardians.  “It is therefore important to work together. Even if your child is receiving professional support, parents or guardians of the child have an important role to play at home. Very often (most of the time) it is vital that many of the concepts learnt during therapy are reinforced in the home environment. Regardless of the interventions and support required, by identifying what kind of support is needed, and by working together as a team, all children can rise to their potential,” Dr Pienaar says. The team of Therapists at the Bridge compiled the following helpful tips for parents:  SPEECH 1. Bath Time Language Modelling: Bath time is a great opportunity to model language as the options of bath toys and sensory-integrated water play is endless.  Quantity concepts: Water cups and toys are great to teach concepts of ‘more’ ‘less’ ‘heavy’ ‘light’ ‘the most’ ‘the least.’ Your child can fill up water cups with water from the bath to the desired quantity you specify to them. Remember that the modelling on the quantity is important so that they understand the concept before they are expected to demonstrate it.  Oral Motor Exercises: Blowing the bubbles in the bubble bath or using toys to collect the bubbles and blow them is a great way to stimulate the oral motor muscles required for the various articulation movements.  2. Transition Games: Transition games are activities that can be done as your child transitions between places or routines.  I-Spy Games: While driving to school in the morning, play a game of I-Spy with your child and ask them to name items starting with specific sounds. This targets an underlying early literacy skills or initial sound identification. Memory Games: As you walk through the grocery store with your child, play a memory game with them where they are required to recall items you put into your trolley, adding in a new item each time, and asking them to recall the list.  3. Bedtime Routine Games: Bedtime is the best time of day to include reading stimulation and book awareness. Use the method of paired reading, ask questions about the book, make predictions, point, and label items and colours, and make it fun.  OCCUPATIONAL THERAPY Foundational skills such as sensory processing, body awareness, eye movements, postural stability, and proximal stability (to name a few) form the building blocks of executive functioning skills such as performing gross/fine motor movements, writing, spatial reasoning, and so forth. These foundation skills can be supported and developed by: Providing deep pressure which improves body awareness and can assist with sensory regulation. Give lots of hugs Roll your child in their towel Let your child sleep with a heavy blanket Alternate seating improves postural and proximal stability. Let your child lie on his/her tummy while playing, watching TV, or working Let your child sit on a gym ball instead of a chair Work against a wall by sticking the work on the wall, instead of working on a table Activities of daily living can help in developing good planning and organisation skills, strength and stability, bilateral coordination, and other executive functioning skills. Wash a car with your child Allow your child to lay the table for meals Baking activities Allow your child to assist with wiping windows/mirrors Assist with putting clothes on the line “These are some of the few ways you can be involved in your child’s development, to allow for regular and consistent stimulation,” says Dr Pienaar. “While it is extremely important to facilitate your child’s development through structured tasks, children should also be encouraged as much as possible to play and to explore their environment. As our world becomes more technologically inclined, children are playing less and exploring less, which results in delayed development.  “If you identify areas of concern, it is important to approach a professional team as early as possible, to assist your child as soon as possible. Then, get involved in the professional support. By all role-players being involved in your child’s development, a supportive environment is created for your child to learn

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