Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Bonitas Medical Fund / The Gift of the Givers Foundation Audiology Project

Q & A The Bonitas/Gift of the Givers Audiology Project has allowed the audiology team to identify and assist even more learners with possible hearing problems. Number of learners tested to date: 1 225 learners at four schools during term 1 of 2023, many of whom received treatment where necessary. (Since the start of the audiology project in 2019 a total of 13 727 learners have been tested) Number of learners identified with a hearing loss/ear pathology: 19 (180 in total) Number of wax removals done: 334 (1 807 in total) Follow up steps have been taken with both these groups of learners Part of The Gift of the Giver’s audiology intervention includes a follow up with parents and learners to ensure that they have received the necessary treatment. Each learner is given a referral form which they give to their parent/caregiver. The referral form has recommendations that the parent will need to follow through. Based on the learner’s diagnosis the recommendations will require them to either visit a GP/ENT specialist/Audiologist for further assessment and management. In some cases, we will also refer to a Speech Therapist or Occupational Therapist. The families are required to visit the recommended professionals at their nearest hospital or clinic. The Gift of the Givers Audiology team then make telephonic follow ups with the families in the following 2-3 weeks, to see if the recommendations have been followed through with. How prevalent is hearing loss in South African school children? Hearing loss is more common than we think, up to 19% of South African school children suffer from varying degrees of hearing difficulties. Learners are meant to be screened from birth to 3 months with intervention taking place by 6 months of age (JCIH, 2019). However, in the South African context this does not take place due to the lack of resources as well as the lack of awareness regarding hearing loss signs and symptoms, leaving many children undiagnosed, or their hearing loss going unnoticed. Hence the Gift of the Givers audiology programme allows us to bridge this gap by allowing for early detection, identification, referrals and management of children with hearing loss or ear pathologies. The number of primary school children globally who have some form of hearing impairment as a comparison. Over 5% of the world’s population – or 430 million people – require rehabilitation to address their disabling hearing loss (432 million adults and 34 million children). It is estimated that by 2050 over 700 million people – or 1 in every 10 people – will have disabling hearing loss. ‘Disabling’ hearing loss refers to hearing loss greater than 35 decibels (dB) in the better hearing ear. Nearly 80% of people with disabling hearing loss live in low- and middle-income countries. The prevalence of hearing loss increases with age, among those older than 60 years, over 25% are affected by disabling hearing loss. In South Africa, it is estimated nationally that the prevalence of hearing impairment is four to six in every 1 000 live births in the public health care sector (Swanepoel, Storbeck & Friedland, 2009). (See reference links below) According to the South African National Deaf Association (SANDA), children should have their hearing tested several times throughout their schooling: When they enter school, at ages 6, 8 and 10 and at least once during Grades 8 or 9 and Grades 10 and 12. Why is this necessary, what changes could happen between these tests and what causes it? According to the Health Professionals Council of South Africa (HPCSA) Minimum Standards for School Hearing Screening Policy (developed by the Professional Board for Speech, Language and Hearing Professions) : All school aged learners should be afforded access to hearing screening services once during each of the four educational phases (Foundation phase – Gr R-3; Intermediate phase – Gr 4-6; Senior phase – Gr 7-9; and Further Education and Training – Gr 10-12) (ISHP, 2012). Screening should also be offered to learners (HPCSA, 2018) At risk for academic failure or who are repeating a grade Parent/teacher concerns regarding hearing, speech, language or learning ability Previous or ongoing ear pathology WHO request hearing screening (self-referral). The importance of screening learners at these different stages is to account for any unaddressed hearing problems that could have occurred during the child’s schooling career. Some hearing losses may be acquired, for example: A child may have experienced an injury/trauma to their ear which may have affected their hearing. A learner may have developed recurrent ear infections, which if left untreated could result in a hearing loss. A learner may also have a delayed onset of hearing loss. Some illnesses can result in hearing loss e.g TB, meningitis. In some cases, learners are lost to follow ups ie. Learners who are previously identified, the families may not have gone through with the follow up process. The Gift of the Givers Audiology Programme therefore takes this into account and assesses learners at both primary and secondary school level (Grade R till Grade 12). Are there any case studies or short explanation of success stories directly as a result the Gift of the Givers audiology project? Yes, many learners who were identified with hearing loss, whose parents/guardians followed through with the recommendations, were seen for further assessment and management at their hospitals and are now fitted with hearing aids. Learners who also presented with ear infections were seen by the GP/ENT to assist with treatment and management. A recent case from the previous high school, there was a learner who was lost to the follow up process/mismanagement of her case. She was previously diagnosed at a hospital with a hearing loss when she was younger and her family was told that she needed hearing aids. The family was not informed when to come in for the hearing aids and no further follow ups were done over the years. When we assessed the learner, we also found she had a problem with the mobility of her jaw and mouth which was affecting

March 28, 2023

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.

March 8, 2023

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.’

March 1, 2023

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.

February 3, 2023

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.

January 23, 2023

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

January 16, 2023

Advice from the experts

Vaccinations proving to be the best defence

As the fourth wave of Covid spreads, South Africa is seeing a considerable increase in positive cases. Just as the Delta variant became part of our daily vocabulary, the Omicron or BI.I.529 strain has too. Omicron has more than 30 mutations (double those carried by Delta) that may have an impact on how it behaves. This includes how easily it spreads and the severity of the illness it causes. The Omicron variant was found in 74% of the 249 Covid-19 samples that were gene-sequenced in November in SA. It appears with more than double the mutations carried by Delta, Omicron is virulent enough to take over from Delta. Current international data shows that there are far more positive cases, meaning that Omicron appears to be highly transmissible. However, although more people are testing positive, they are presenting with mild symptoms with fewer hospital admissions. Medical professionals believe this is a direct result of the immunity acquired through vaccinations. The first wave of Covid-19 took the world by surprise but globally everyone is better prepared for this new wave. This includes a sustained effort to vaccinate as many people as possible. What the World Health Organization (WHO), the National Institute for Communicable Diseases (NICD) and most people involved in the healthcare sector agree on unanimously, is that the best form of protection from serious disease is vaccination. Lee Callakoppen, Principal Officer, Bonitas Medical Fund says, “We have been proactive in urging our members and the public to be vaccinated. Our statistics show that, of our members over 60, there are 90% fewer admissions to hospital after full vaccination and 56% fewer after one vaccination. Research across the public healthcare environment has shown the same results. With this information freely available it is disturbing that only 16 944 413 people living in SA have been vaccinated. This is only 35.5% of adults and 23.7% of the total population. ‘The cost of hospital admissions too, especially ICU, are very high. Our figures show that up to November 22, the Bonitas Covid-19 costs totalled R1.75 billion. 80% of this (R1 399 181 922) was hospital costs, while only 4.9% (R85 669 068) was for vaccinations. ‘The average cost of admission to ICU, per patient, was R533 969. There is no doubt that vaccinations not only save lives but also reduce the burden on the public healthcare system, as well as save the country billions in costs related to treating Covid. Vaccinations are a fraction of the cost of treating Covid.’ Both in the public and private sector, the unvaccinated are filling our hospitals. Dr Waasila Jassat, from NICD, announced at the end of November that ‘unvaccinated patients suffered more severe symptoms than vaccinated ones and were most likely to face hospitalisation if infected by the new Covid-19 variant.’ She said that 90% of patients admitted to hospital in Pretoria (one of the current hotspots) are unvaccinated. ‘Not only is there a higher incidence of hospital admissions but also that the chances of death amongst unvaccinated are considerably higher.’ Callakoppen says there is enough clinical evidence to show that the vaccination reduces the severity of Covid and he encourages everyone to be vaccinated. He urges those who have been vaccinated to encourage others to do the same. However, this doesn’t mean you can forgo following the Covid protocols: Wearing a mask; sanitising your hands, maintaining social distancing; staying in well ventilated spaces; coughing or sneezing into your elbow or a tissue. Bonitas has reported the following Covid related figures for 2021 as of 22 November. Total lives older than 18 estimated to have received at least 1 jab 66.4% Total tests performed: 441 929 Total Covid-19 hospital admissions: 20 376. (12 264 during 2021) Bonitas lives currently in hospital: 0.3% Admission rate: 25% ICU Admission Rate: 22% Total Covid deaths: 3 515 (2 292 in 2021) Total Bonitas membership vaccinated: 70% Highest number of people vaccinated is in the 35-49 age group followed by the over 60s ‘I must reiterate that our best defence against Covid-19 is to be vaccinated,’ says Callakoppen. ‘It won’t necessarily stop you from getting the coronavirus but it will reduce the severity of the disease. I contracted Covid in September but thankfully because I was fully vaccinated, my symptoms were mild which meant I was able to heal and recover at home. My experience is not unique.’ Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund answers some common questions around Omicron What is it? It’s a new, heavily mutated Covid variant known as BI.I.529. When was Omicron first detected? The earliest sample was detected on 11 November in Botswana. Is it more transmissible? Circumstantial evidence indicates it is. Within two weeks of its detection, it has outpaced Delta to become the main strain in Gauteng. Will vaccines work against it? Yes, most likely. A crucial objective remains to increase vaccination rates. Current vaccines remain critical to reducing severe disease, hospitalisation and death. Should updated vaccines be developed, they will be rolled out globally and used as guided by WHO. Will prior infection provide me with immunity? Preliminary evidence suggests there may be an increased risk of reinfection with Omicron but information is limited. More information on this will become available in the coming days and weeks. What about treatment? Currently Oxygen and Dexamethasone have been saving lives. There is however very exciting data coming from two antivirals. What about the current tests? The widely used PCR tests continue to be the global standard to detect infection including Omicron. Studies are ongoing to determine whether there is any impact on other types of tests including rapid antigen tests.

December 7, 2021

Juicy Summer Salads for all Occasions

Summer is here which means more family time spent outdoors braaiing. Eating good food is high on everyone’s agenda, so why not make sure you have a juicy repertoire of salads on the menu to wow the whole family. Whether it’s as a side, a main, or accompanied by a juicy salad dressing, savour the goodness of summer days with these six delicious salad recipes using convenient Rhodes Quality beans, corn, chickpeas, gherkins, beetroot and more. Perfect at home, at work or just kicking back in the sun with your loved ones. Go with Goodness this summer, go with the right food choices for your family, go with Rhodes Quality. Add this grape juice salad dressing to any leafy salad for a sweet and juicy twist. Ingredients: 250 ml (1 cup) Rhodes Quality 100% Red Grape Juice 65 ml red wine vinegar 65 ml honey 65 ml olive oil salt and freshly cracked black pepper Method: In a small bowl, whisk together Rhodes Quality 100% Red Grape Juice, vinegar, honey, and olive oil. Whisk well. Season to taste. Stir before serving. Broccoli and bacon salad with curried mango dressing: a crunchy summer salad with a flavourful dressing. Ingredients: Serves 4 250 ml (1 cup) Rhodes Quality Mango & Orange 100% Fruit Juice 5 ml (1 tsp) Pakco Medium Curry Powder 10 ml (2tsp) Rhodes Quality Apricot Jam 15 ml (1 Tbsp) Dijon Mustard 30 ml (2 Tbsp) apple cider vinegar 15 ml (1 Tbsp) olive oil 15 ml (1 Tbsp) water 1 garlic clove, crushed salt and freshly cracked black pepper Salad 300 g broccoli, washed and chopped 125 ml (½ cup) red onion, finely chopped 125 g (1 packet) streaky bacon, crispy fried and chopped 1 x avocado, seeded and peeled and chopped Method: Place the Rhodes Quality Mango & Orange juice, Pakco Medium Curry Powder and Rhodes Quality Apricot Jam into a blender along with the remaining dressing ingredients. Process until smooth and well blended. Season to taste. Mix all the salad ingredients in a large bowl. Pour over the desired amount of dressing. Toss lightly to mix. Chill until serving. Mixed bean salad with tangy dressing: you can prepare this simple mixed bean salad in just a few minutes. Enjoy as a great braai side or as a nutritious protein-rich lunch. Ingredients: 1 x 400 g can Rhodes Quality Three Bean Mix 1 x 410 g Rhodes Quality Green Beans 30 ml (2 T) lemon juice 5 ml (1 t) Dijon Mustard 80 ml olive oil 1 clove garlic, finely crushed 5 ml (1 t) sugar salt and freshly ground pepper Method: Whisk all the dressing ingredients together until well blended. Season the dressing to taste with the salt and freshly ground black pepper and set aside. Pour the Rhodes Quality Three Bean Mix and the Rhodes Quality Green Beans into a large bowl. Add the red onion, red pepper and chopped coriander, and toss to mix. Pour the dressing over the bean salad and stir gently to coat. Crumble the feta cheese into the salad and stir to combine. Season to taste with salt and black pepper. Serve well chilled. Mexican salad with black beans and pepper: A colourful and crunchy Mexican-style braai salad. Give the dressing a chilli kick or leave it plain – it’s completely up to you. Ingredients: 2 x 400 g cans of Rhodes Quality Black Beans 1 red pepper, cut into small dice 1 yellow pepper, cut into small dice red onion, cut into small dice Method: Pour the Rhodes Quality Black Beans out into a colander. Rinse well with cold water until the water runs clear. Leave to stand until the beans are well drained. In a large bowl, gently combine the beans, chopped peppers and onion. To make the dressing, measure out all the ingredients into a medium bowl. Whisk until well blended. Season the dressing to taste. Add enough of the dressing to coat the beans. Season to taste. Stir in the chopped coriander leaves and refrigerate until serving. Beetroot salad with yoghurt dressing: Simple to prepare yoghurt dressing over Rhodes Quality Beetroot slices, a tangy braai salad. Ingredients: 1 x 780 g jar Rhodes Quality Sliced Beetroot 125 ml (½ cup) plain thick yogurt 1 garlic clove, crushed 65 ml (¼ cup) flat-leaf parsley, chopped 65 ml (¼ cup) fresh dill, chopped salt and freshly cracked black pepper Method: Drain the Rhodes Quality Sliced Beetroot, rinse and drain well in a colander. Place the yoghurt, garlic and herbs into a bowl and stir to mix. Season to taste. Place the Beetroot into a bowl, add the dressing and toss to mix. Serve chilled. Black bean and corn Buddha bowl: Packed full of colour and fresh flavour, Buddha Bowls are filling, nutritious and quick to prepare. Ingredients: 1 x 400 g can Rhodes Quality Whole Kernel Corn, drained 1 x 400 g can Rhodes Quality Black Beans, drained and rinsed 1 red onion 2 whole tomatoes Salt and freshly cracked black pepper 30 ml (2 Tbsp.) chopped coriander leaves 500 ml (2 cups) cooked brown rice 1 avocado, peeled and chopped 375 ml (1 cups) grated cheddar cheese 3 spring onions, chopped To serve: Fresh coriander leaves, croutons and herb salad dressing Method: Finely chop the red onion and the tomatoes and mix. Season with salt and pepper and stir in 30 ml (2 Tbsp.) coriander and set aside. Create 4 Buddha Bowls by dividing the rice between four bowls. Add equal amounts of the Rhodes Quality Kernel Corn and Rhodes Quality Black Beans to each bowl. Divide the tomato salsa, chopped avocado between the bowls. Add the cheese. Sprinkle the bowls with the spring onions, coriander leaves and croutons. Serve with the herb salad dressing. For more inspiration packed with wholesome goodness and to find out how to win visit: www.rhodesquality.co.za or on Instagram and Facebook #GoWithG

November 27, 2021

BIG NEWS FOR LITTLE ONES

UCOOK has teamed up with Kath Megaw, one of South Africa’s leading Paediatric Dieticians, to create a range of frozen kids’ meals. The new UCOOK Frozen Kids range launches with six meals and two pizza options with more to come, each boasting the promise of No-Nonsense Goodness to ensure that children get the required quantities of essential vitamins and minerals from a large quantity of hidden vegetables in every dish. The meals are suitable for children from the toddler to pre-teen years. South Africa’s favourite meal-kit delivery company moved into the frozen meals category in October 2020 with a range of UCOOK Craft Meals, aimed at offering convenience to time-pressed customers. With this new expansion into the frozen kids category, UCOOK plans to make their customers’ lives easier than ever before. Kath Megaw says that as the mother of an ex-fussy eater, she inherently understands the concerns that parents of picky or fussy eaters face. “Making sure that your child eats a balanced diet and consumes the required amount of fruits, vegetables, vitamins and minerals can be difficult and lead to stressful mealtimes,” says Megaw. “Now you can rest assured that your child is eating a healthy balanced meal, which means saving time on dinner-time battles and having to prepare a number of different options.” No-Nonsense Goodness is UCOOK’s promise to parents that their kids will get the benefits of nutritious ingredients crucial for development without compromising on the flavour they love. The UCOOK range has no added preservatives, sugars, sweeteners, artificial colourants or flavours and no added MSG. Each meal has a specially crafted blend of hidden vegetables, with some meals consisting of up to 74% fruits and vegetables. Each meal has an added bespoke Vitamin B pre-mix (B1, B2, B3, B6, B12 and Folic Acid) to boost the vitamin content. Sarah Hewitt, head of new product development at UCOOK, says that nutrition and immunity are directly related, and in a climate where both topics are particularly high on the consumer agenda, healthy eating is an imperative for all family members. “Following the launch of our range of baby foods, and then the UCOOK Frozen Craft Meals range, it occurred to us that to best serve the needs of our primary consumer, we needed to provide a solution for family members of all ages.” “We’re thrilled to work alongside Kath once again and bring these delicious meals to life as part of the UCOOK range of products,” says Hewitt. Megaw says that she’s often asked about the freezing process and how it affects meals. “Blast freezing preserves all the nutrients in the meal until such time as you choose to heat it up. Following the correct reheating instructions on the pack will ensure that there is no mineral loss or diminishing of the delicious flavours.” The new UCOOK Kids Frozen range launches with the following meals: UCOOK Kids Mac & Cheese UCOOK Kids Beef Lasagne UCOOK Kids Beef Rump Bites & Root Veg Mash UCOOK Kids Chicken & Broccoli Bake UCOOK Kids Mushroom Bites & Root Veggie Mash UCOOK Kids Spaghetti Bolognese UCOOK Kids Double Cheese Mini Pizzas UCOOK Kids Bacon and Cheese Mini Pizzas To explore the range and order your first taste, visit www.ucook.co.za.

November 22, 2021

Medical aids can’t bear the brunt of hospital increases

Hospital admissions are one of the biggest cost drivers for any private medical scheme which is why the tariffs are under review and negotiated annually by Bonitas Medical Fund. If no agreement is reached, medical aid members will bear the brunt of high co-payments. According to Lee Callakoppen, Principal Officer of Bonitas Medical Fund, hospital admissions account for half of the Scheme’s annual claims cost. ‘Last year due to the pandemic, hospital admissions and the utilisation of other medical aid benefits fell to record lows. However, the 2021 claims’ experience has shown that a lot of services, particularly the day-to-day benefits and several hospital admission categories, are already close to 2019 levels. Since the start of the pandemic Bonitas has spent more than R2,7bn on COVID-19 related costs, of which R1,73bn pertain to 2021 year-to-date. More than 80% of these COVID-19 costs relate to hospitalisation. Non-COVID utilisation patterns are almost back to typical levels and, since June this year, overall claim ratios have returned to pre-COVID levels. Schemes are therefore not generating the same level of short-term surpluses in 2021 as was seen in 2020. ‘We anticipate that during 2022, utilisation is going to go back to where it was in 2019 or even higher. Which is why it is critical that schemes, such as Bonitas and hospital groups, through an annual negotiation process agree fair and equitable tariff charges, to ensure the lowest possible increases in the interest of members. This will not only help keep costs down but also ensure quality and affordable healthcare for current and future members, while maintaining the sustainability of schemes. We must acknowledge that over the last three years concerted efforts have been made by hospital groups to support and keep tariffs low. However, there are still significant opportunities to drive healthcare cost down. ‘We know that all sectors had been hard hit by the pandemic and the poor economic outlook in this country. Healthcare and medical schemes are no exception. However, we need to remain mindful that key to the survival of the private medical aid industry is its members. If hospital costs balloon above CPI, so will membership premiums, which will result in medical aid becoming unaffordable. We are appealing to all our service providers, including hospital groups, not to pass their costs on to schemes and, by extension, to members. The pandemic saw healthcare facilities and healthcare providers intensify their efforts to ensure that South Africans received the appropriate care for Covid-19 as far as possible. And while their efforts have been lauded, consumers have had to contend with tough conditions as well. Moving into 2022 There are major concerns about 2022 utilisation levels, notably due to the risk of an increased burden of disease due to gaps in care that may have arisen during the pandemic, which is no fault of any party. We anticipate an elective procedure claims catch-up after so many were cancelled in 2020 and 2021 during national lockdowns. Other areas of concern include the unknown impact of long-haul COVID as well as new or more expensive COVID-19 treatment costs, including booster vaccines, which may emerge, All stakeholders in the healthcare value chain need to be prudent in managing their costs of doing business. The intention of negotiated hospital tariffs is to reach an agreement that supports sustainability of the healthcare ecosystem and, ultimately, members. The issue comes when there is no agreement reached and members may have to pay in the difference between what the hospitals charge versus what the scheme is able to pay. We try to avoid such a situation so as not to have a negative member impact, but if parties are unreasonable in their demands, this situation may arise.’ To assist our members and reduce the effect of significant contribution increases for 2022, Bonitas used R600m of its reserves to keep increases as low as possible. Contribution increases were kept below 5% for both 2021 and 2022 despite underlying claims expenditure increasing by a significantly higher margin. Bonitas’ medium-term objective is to sustain solvency levels above the statutory minimum of 25% and to make strategic decisions about current reserves in the interests of its members. This while facing significant uncertainty, especially in terms of the cost and prolonged impact of COVID-19, non-COVID-19 utilisation and roll-out of vaccines. All non-healthcare costs are capped below CPI for 2022. However, if healthcare providers and hospital groups do not negotiate favourable tariffs for the year ahead, it results in higher increases in the long run, for all patients and unnecessary out of pocket costs. The benefits of negotiations Negotiations resulted in a 3.1% saving in 2021 terms – these savings could exceed R200 million in 2021 – while in 2020 strategic purchasing yielded hospital negotiation savings of R346 million. These savings contribute to a lower contribution increase. The impact of failed negotiations However, when the costs of doing business is passed on to schemes and, by extension, customers – or medical aid members – things become complicated, especially where tariff increases agreements cannot be reached. In these instances, there are two possible scenarios: A scheme pays what it deems to be a reasonable rate and the hospital bills its rate. This means the member would be required to pay in the shortfall on the account unless the hospital decides to override the difference A scheme excludes the hospital from on its network and actively discourages a member from using this hospital. The member may need to pay a deductible or co-payment if they choose to be admitted at this facility unless the hospital decides to override the difference. ‘Neither of these situations is a favourable outcome,’ says Callakoppen. ‘Which is why reaching a workable middle ground on hospital cost/tariffs is imperative.’

November 17, 2021

Sixty SA schools to get sustainable food gardens from Rhodes Quality

Rhodes Quality has launched a new initiative in partnership with social enterprise, Reel Gardening called Grow with Goodness, with the aim of growing sustainable food gardens for sixty South African schools. Each time you buy a Rhodes Quality 100% fruit juice over the summer period, you will be helping Rhodes Quality feed local vulnerable communities and most specifically hungry children. “We are very excited to kick-off the summer with such a meaningful initiative and that’s why we’ve partnered with Reel Gardening to help us grow school gardens filled with goodness this summer,” says Tamara Patel, Brand Manager for Rhodes Quality at RFG. “ The future of South Africa depends on the seeds we sow and the kindness we show today.” “A portion of this summer’s juice sales will be funding the growth of community gardens at sixty schools around the country,” she explains. “We’re working hard to assist vulnerable communities and feed hungry children and we’re asking all South Africans to join us as we plant gardens around South Africa.” “South Africa’s deteriorating food security issues have been exacerbated by the Covid-19 pandemic, roughly 11% of our population are suffering from hunger,” Patel says. “With this initiative we are hoping to grow South Africa with goodness.” “Our new summer brand campaign is centred around ‘go with goodness’ which effectively means that we want to provide fresh, wholesome nutrition to as many schools as possible,” she explains. “Our 100% fruit juices make it easier for you and your family to go with goodness everyday while helping our local communities grow with goodness too.” Patel explains that it’s really easy to get involved, “Add any one litre Rhodes Quality 100% fruit juice to your shopping cart in stores around South Africa and our team will do the rest.” “Good food is imperative for children’s growth, nourishing their tummies and minds is so important to make sure the children of South Africa grow up strong by eating good, wholesome food,” she says. “What’s more with our partnership with Reel gardens the children will also learn about planting and growing produce in an accessible, sustainable and fun way.” “We couldn’t have asked for a better partner to help us bring this initiative to life, a business started by Claire Reid at age of 16 has grown into an innovative, award-winning social enterprise that delivers a real planting revolution with a focus on getting people grounded,” Patel says. “Since their inception they have reached almost 3,000 schools and communities, and we look forward to our journey with them.” “Growing food not only impacts a person’s ability to take control of their food security,” says Reel Gardening founder, Claire Reid. “It has a myriad of other benefits, including instilling a connection to nature, responsibility, patience, relaxation and problem solving. Whether a few pots on your windowsill or a whole veggie patch in the garden, the process of growing food will improve your quality of life.” “Our delicious range of 100% fruit juices aren’t the only source of goodness,” she adds. “Goodness is also found in the hearts of communities that work together to keep tummies full, join us to help communities continue to grow.” How it works: It all starts with you buying any 1L Rhodes Quality 100% fruit juice. Reel Gardens then visit 60 schools around the country and deliver everything needed to start a wholesome vegetable garden. Volunteers and teachers are trained to care for the garden. From planting to harvest, school children can get involved in and excited about the process Schools are now ready to tend their gardens, watch goodness grow and reap the nutritious rewards! For more information visit the website: https://rhodesquality.com/growwithgoodness/ or Facebook and Instagram #GROWWITHGOODNESS

November 17, 2021

Eating Disorders – Food for thought

Eating disorders is one subject that is very important to address, especially since it usually has its onset during the teenage years but can even develop at a younger age and continue well into the adolescent years. Eating disorders can cause a lot of conflict, stress and even death in families and thus it’s important to understand the types, causes and treatment. Types There are various types of eating disorders. The most common ones according to the South African College of Applied Psychology include binge eating disorder, where the sufferer overeats; anorexia nervosa, where the sufferer eats too little; bulimia nervosa, where the sufferer attempts to rid themselves of food they’ve consumed; and even rumination disorders where the sufferer regurgitates food. “The most common factors that come into play are that the person is anxious about their physical appearance, and how it appears to others around them. This also includes that the image that they have of their own bodies, are distorted. Subsequently, they also have eating behaviours that are maladaptive. Research has further shown that eating disorders affect both genders, although they occur more frequently among females,” says Dr Serahni Symington, Child and Adolescent Play Therapist. Causes Dr Symington says that the causes of eating disorders must be understood from an integrative model, because there is not a single causal factor that leads to the development of it. Multiple factors could lead to the development of an eating disorder and is often also accompanied by other diseases like manic depression, anxiety, possessive compulsiveness disorder and substance abuse. According to reports by psychologytoday.com, researchers have long been probing the underlying causes and nature of eating disorders. Unlike a neurological disorder, which generally can be pinpointed to a specific lesion on the brain, an eating disorder likely involves abnormal activity distributed across multiple neural systems. Eating disorders appear to run in families, and there is ongoing research on genetic contributions to the conditions. Other factors—psychological, interpersonal, and social—can play a role in eating disorders. Among identified psychological factors are low self-esteem, feelings of inadequacy and lack of control in life, depression, anxiety, anger, and loneliness. Interpersonal factors include troubled family and personal relationships, difficulty expressing emotions and feelings, a history of being teased or ridiculed based on size and weight, or a history of physical or sexual abuse. Social factors that can contribute include cultural pressures that glorify thinness and place value on obtaining the “perfect” body, narrow societal definitions of beauty that include only those people of specific body weights and shapes, or cultural norms that value people on the basis of physical appearance and not inner qualities and strengths. People with anorexia nervosa see themselves as overweight even though they may be dangerously thin. In bulimia nervosa, despite usually weighing within the normal range for their age and height, sufferers, like individuals with anorexia, may fear gaining weight, desire to lose weight, and feel intensely dissatisfied with their bodies. Many with binge-eating disorders are overweight for their age and height. Feelings of self-disgust and shame associated can lead to bingeing again, creating a cycle of binge-eating. Treatment Because of their complexity, eating disorders require a comprehensive treatment plan involving medical care and monitoring, professional interventions, nutritional counselling, psychotherapy, and, when appropriate, medication management. Treatment for eating disorders lies in recognizing and overcoming underlying triggers. Depending on the type of eating disorder and its associated underlying triggers; medications can be used to ease symptoms of co-occurring disorders such as depression and anxiety. Selective serotonin reuptake inhibitors (SSRI) are known to help reduce binging and purging and is specifically used in some cases of bulimia nervosa. The first-line treatment for all eating disorders is psychotherapy, which encompasses a broad range of therapy approaches such as cognitive behavioural therapy (CBT) and dialectal behavioural therapy (DBT) which aim to recognize and reduce the harmful thoughts and emotions associated with the eating disorder and works to develop productive coping mechanisms and tools to help the individual engage in positive thoughts, emotions, and behaviours in order to overcome their past traumas and low self-esteem. Other skills and tools learned in therapy include mindfulness, relapse prevention skills, meditation, nutrition counselling, art therapy, and relationship building. The good news Eating disorders can be treated, and a healthy weight can be restored. The sooner an eating disorder is diagnosed and treated, the better the outcome is likely to be. Wingu Wellness Hub Parents who have any concerns about eating disorders and wellbeing of their children can contact the Wingu Wellness Hub to assist with guidance to get the help they need. Sources: https://www.psychologytoday.com/za/conditions/eating-disorders, https://www.psychologytoday.com/za/blog/happiness-is-state-mind/201703/eating-disorders-it-s-not-all-about-food

November 11, 2021

Walking the road to wellness

Being healthy and living a full life is what we all want, for ourselves and our family. An important part of life’s wellness journey is about having the right people to support you – physically, emotionally, mentally and even financially – when it matters most. The latest television ad by Bonitas Medical Fund underpins this ‘holistic’ healthcare message in a simple, real and compelling way. It addresses the fact that medical aid is a necessity but expands on the message to show how the Scheme acts in the best interests of its members and ‘has a plan’ for everyone. The story is one of perseverance and tenacity as a father tackles his tough wellness journey with the support of his family, friends – and medical aid – in order to walk his daughter down the aisle. ‘The story is about protecting our loved ones and making sure they have the best care possible,’ says Lee Callakoppen, Principal Officer of Bonitas. Produced by Joe Public and shot over three days in various locations, the advert reinforces the Bonitas’ brand strategy of being the ‘Medical Aid for South Africa’ while it introduces a campaign takeout referencing affordable and accessible quality healthcare and better benefits that don’t impact your savings. ‘We are a unique medical scheme,’ explains Callakoppen. ‘In that we offer medical aid solutions for all sectors of the market and the South African population. Our advertising needs to be slightly disruptive and set us apart, which is why we chose to portray a real life family dealing with a healthcare situation that was impacting their lives and future. ‘We’re always taking strides to see how we can provide our members with more value – and connect with them more strongly. Be it through competitive plan design, the introduction of new benefits that add meaning to their lives or innovation in the way we communicate and engage with them.’ There are several versions of the ad including a 60s, 30s and three 10s which will be flighted across a range of DStv channels as well as Business Day TV, ENCA, eTV and SABC. Supporting the campaign will be radio, print and digital adverts. ‘We are passionate about ensuring South Africans make informed decisions about their healthcare and that they have the cover they need, when they need it. Our hope is that this TV advert will resonate well with viewers and get them thinking about the future of their health. We believe ‘when I becomes we, illness becomes wellness’ and would like to be the medical aid that takes the wellness journey with them.’ Click here to view the latest Bonitas Medical Fund TV advert

November 10, 2021

Keeping kids healthy throughout the year

Parents are often very good about getting their children off to a healthy start at the beginning of the year with medical check-ups and healthier schools lunches but it’s equally important to maintain a healthy lifestyle throughout the year. So, here are some tips on what you should be doing to maintain your child’s health.

November 8, 2021

Herbal extracts and how they can help overcome common women’s health issues

These days supplements, which include vitamins, minerals and herbal extracts, are easily available and more accessible. Fortunately, science and technology has also come a long way in recent years and we have made impressive strides with vitamins, minerals and herbal extracts in particular when it comes to studying and knowing the mechanism of action and how it relates to the body’s physiology and thereby, how it helps keep you healthy or how it can help treat ailments. The Salome range, launched by South African pharmaceutical company 3Sixty Biomedicine, addresses common women’s health issues using herbal extracts as a key ingredient. The current product range offers over the counter treatment options to help manage heavy menstrual bleeding, menstrual pain, Polycystic Ovary Syndrome (PCOS) and infertility linked to PCOS. 3Sixty Biomedicine locally manufactures their products and because they are based on herbal extracts the added benefit for consumers is that they are safe to use and have limited side effects. Being a biotechnology company, the efficacy of these ingredients included in their products is backed by science and medical studies, which is why their products are recognized and reimbursed by certain medical aids. Common women’s health conditions that moms can do without – period! Primary dysmenorrhea, the technical term for period pain without the presence of other conditions such as endometriosis, is the most common gynaecologic problem in women of all ages and races with the menstrual cramping being severe enough to interfere with daily activities, according to the American Academy of Family Physicians. Salome Menstrual Pain is based on herbal extracts of yarrow (Achillea millefolium) which has antispasmodic, anti-inflammatory & analgesic effects, which may provide relief for spasm associated with menstrual periods known as dysmenorrhoea. What is great about Salome Menstrual Pain is because it contains natural ingredients, females from as young as 13 years old who suffer from menstrual pain can use it to manage painful menstrual cramping without worrying about unwanted side-effects. Another common problem experienced by women is menorrhagia (heavy menstrual flow and prolonged bleeding). 3Sixty Biomedicine created their Salome Heavy Menstrual Bleeding product to help alleviate this problem. The product also draws on herbal extracts from Capsella Bursa-Pastoris, a medicinal plant also known as Shepherd’s purse, as an active ingredient to assist with the reduction of heavy menstrual bleeding in women with regular menstrual cycles. The medicinal benefits of this plant have been scientifically proven to have smooth muscle stimulant effects. As an added bonus Capsella has antioxidant features that improve uterine tone, meaning that it will facilitate the regulation of menstrual blood flow. It also has anti-inflammatory properties that can have a positive impact on the management of heavy menstrual bleeding (HMB). Understanding the basics of PCOS Salome Polycos assists with the management of symptoms commonly associated with PCOS by helping to decrease testosterone levels, increasing progesterone levels in women with irregular or absent periods and thus regulating the menstrual cycle, as well as reducing blood pressure levels. It also plays a role in increasing insulin activity in women diagnosed with PCOS, as many suffer from insulin resistance. Due to these hormonal imbalances women living with PCOS often battle with acne, irregular periods, male pattern hair loss or experience excessive body hair growth (hirsutism). Salome Polycos’s main active ingredient is D-chiro-inositol (DCI) which is a natural extract obtained from the carob tree. In cases where infertility can be linked back to the hormonal imbalances caused by PCOS, patients who make use of products like Salome Fertility that contain Myo-inositol and D-Chiro-inositol have seen an increase in their ovulation, a reduction in their hyperandrogenism and in the oxidative stress in their follicular fluid. The efficacy of the product lies in it containing the correct ratio of Myo-inositol and D-Chiro-inositol that have been extracted from the pod of the Carob bean tree. Clinical studies have shown that these natural extracts are instrumental in helping manage the regulation of ovarian function in PCOS patients. There is a solution! The full Salome range that contains natural herbal extracts is available online at Takealot.com and www.3Sixtybiomedicine.co.za, as well as over the counter at most pharmacies nationwide. The products are recognised and can also be reimbursed by medical aids. We believe #YourJourneyMatters so follow the Salome range on their social media pages to hear from Salome experts who are committed to educating and normalizing conversations about common women’s health conditions. Facebook: SalomeRange Twitter: SalomeRange Instagram: SalomeRange

November 1, 2021

Keep your kids moving

Winter is here and with it comes colder weather, making getting outside to play and exercise more of a challenge. But it’s still important. Bonitas Medical Fund suggests you try and keep your child active throughout the year and provides some suggestions to get them moving, exercising and having fun.

November 1, 2021

Survey shows parents more worried about child consent than Covid-19 vaccine itself

The announcement by the South African government that children aged 12-18 are now eligible for Covid-19 vaccination has brought with it intense discussion around consent and the rights of minors. While this is so far a theoretical concern, given that most children in that age group will need their parents’ help to register for and receive a vaccination shot, a recent survey shows that the efficacy of the jab itself is no longer a sticking point. When gig technology company, M4Jam ran a survey asking adults if they were willing to be vaccinated in late 2020, 32% of the 3000 respondents said they would. 17% believed their community medical facilities could cope with the patient load, and 58% of respondents wanted to wait and see what happened to others who took the jab before deciding for themselves. In August 2021, a follow-up survey found that 56% of South Africans believed medical facilities would cope and 69% said they would happily be vaccinated. In both surveys, leading causes of mistrust and hesitancy were a lack of confidence in both possible side effects and the government’s ability to ensure that the vaccine’s contents were safe and effective. By the end of October 2021, a new dynamic has emerged in the vaccination drive, with parents now able to decide whether their kids should receive a single dose. In a new M4Jam survey, 2498 South Africans answered questions about children and the vaccine, revealing some positive trend shifts from previous surveys. A total of 1886 (76%) of the respondents are parents, which 80% of them said they would get their children vaccinated.. 47% strongly agreed with the statement. 52% of respondents said they had no concerns about children receiving the vaccine, but 74% were concerned that children do not require parental consent to get vaccinated. 64% of the parents said all that mattered to them was how effective the vaccine was in children, although 56% were still worried about possible short and long-term side effects from the vaccine. “The results show an evolution of opinions in line with widening vaccination rollout and proven effectiveness,” says M4Jam CEO Georgie Midgley. “The more people who are vaccinated or know people who are, and the more those vaccinated people that have steered clear of Covid-19, the more positivity around the use of the vaccine will grow. However, people are still sceptical of the long-term safety of the vaccine as only time can resolve.” 83% of respondents felt children aged 12-18 are too young to make such a decision for themselves. “Again, because this is new ground for the vaccination programme, parents are understandably cautious about any potential differences in effects on children versus what adults experience,” says Midgley. When asked which sources of information parents trusted in deciding to get their children vaccinated: “What was very interesting and encouraging was that only 5% of respondents said they trusted what they read on social media completely. Co-workers and classmates received a similarly low complete trust rating at 9%. The vaccination messaging campaign seems to have made significant headway so that any residual concerns and fears are mostly legitimate by this stage. Parents are more worried about the ability of their children to make important decisions than they are about the vaccine itself,” says Midgley.

October 29, 2021

Review: Organic Aromas Nebulizing Diffuser

Organic diffusers are an affordable, versatile, and convenient way to improve your health and quality of life. The organic Aromas Nebulizing Diffuser is a beautiful atmospheric essential that works through the simple process of oil diffusion, which uses differential in air-pressure to turn oil into a vapour that is then spread around a living space. This innovative Nebulizing Diffuser releases a mist of beautiful fragrance of pure essential oils and works together with one of the product’s main features to produce an LED mood lighting that creates a calm and gentle atmosphere. And… it is truly beautiful to look at making it the perfect accessory to any home or office. The organic Aromas Nebulizing Diffuser uses the Bernoulli’s Principle. It blows pressurised air through a glass pipe and has a convenient knob to adjust the volume of fragrance coming through the nebulizer. The diffuser is quiet and doesn’t require a lot of effort to setup. Everything is included in the box and we had the unit up and running quickly. Once you load the essential oil into the glass reservoir using the supplied dropper, you can switch the unit on. It is quick to release the fragrance and silent as well as beautiful and mesmerising to look at. Using the turning knob we had the unit on the lowest setting and our home was filled with a beautiful fragrance in no time. Not only is this product beneficial for you, it creates cleaner air. Indoor air quality is another proven benefit and makes room for more health improvement. The essential oils are able to help prevent all that you don’t want around you, including bacteria and fungus that needs to be exterminated. With the dust and bacteria decrease you are able to breathe with ease, especially during allergy season. Organic Aromas offer a wide variety of essential oils for you to choose. They are concentrated and you do not need to add water to the unit, so a little… certainly does go a long way. The Organic Aromas website have essential oil sets or you can purchase individual oils to your individual preference. As accidents do happen and the glass is rather thin, if ever your unit does break, you could easily replace the glass reservoir, adapter or cleaning pipes. Certainly one of the better features is that the unit automatically switches off after two hours. We do recommend the usage of the diffuser within a well-circulated or open area. The Organic Aromas Magnificent – Nebulizing Diffuser is a fantastic device. It has added great value. All I need is this one nebulizer to fragrance my home or office. The benefits of diffusers are many and can safely be used every day to: Help you relax Promote feeling of serenity Improve focus and clarity Enhance your mood Help clear airways for easier breathing Promote healthy sleep patterns Relief of pain and cramping Visit the Organic Aromas website to purchase your unit today

October 20, 2021

Let’s Talk about PND

In the weeks leading up to the birth of my daughter, I remember waking multiple times a night due to being uncomfortable and all those bathroom breaks! I was thinking this was my body’s way of preparing me for waking through the night to care for my baby— and would get filled with a sense of excitement and also dread. Although my little one was premature, she was a good sleeper (by newborn standards), I still however never got more than a few hours of sleep at a time. I was physically exhausted, but the emotional roller-coaster was worse. I was constantly anxious, having panic attacks, I was distraught because I felt like my life had been unequivocally changed and that I’d never get it back. I cried every day, but could rarely explain why. I was not the mother she needed, I was not coping, I was failing her, myself and my husband. Why could I not rejoice and marvel at the child I had always longed for? At the time I put this down to the baby blues that I knew was very common after having a baby. But weeks turned into months and the feelings stayed and so did my desperation, I was lost and I did not think I would ever find my way back. I had to reach rock bottom before I realized that I needed help that this was not “normal”. My baby blues had turned into full-blown depression, I knew I had to do something! So I got help, and it was not easy finding my way back. During my journey, there were a few things that helped me find myself again. Get help: Any kind of depression should be seen like any other illness, for example: diabetes. No one will ever tell you to just sort yourself out if you were a diabetic and it is the same with depression. It needs intervention from medical professionals South African Depression and Anxiety Group (sadag.org). Make time for yourself: relax and take a break from your little one. Do something that makes you feel good. Share what you are feeling: Having someone just listen to how you are feeling can help you work through how you feel in a safe place. Have a support system: support will play a big part in recovery make sure they know how you’d like to be supported. Very often it is our instinct to take on everything. Allowing others to help can reduce your stress. Make time for friends and family. Spending time with those you love increases your “feel good” brain chemicals. Make meals a priority. The foods you eat can affect your mood. Keep blood sugars stable and ensure you continue to take your postnatal vitamins. Get out and about: going outside in the fresh air and slowly introducing some exercise. It can give you some perspective and time for your body and brain to have a breather. Join a group for mothers. Chatting to others who are experiencing similar struggles can be reassuring and it is also a good social outlet. Get some sleep: A good night’s sleep. This was one of the biggest factors for me. When I started sleeping more, I notice a huge difference in not only my mood but in my child. At the time I did not realize how sleep and your mood are extremely closely related and mounting evidence suggests that the fewer hours sleep you get, the more likely you are to have a mood disorder like postpartum depression. A recent study shows that only 10% of parents get an average of 7 or more hours of sleep a night! This suggests we are at risk of creating an issue not only for us but for our children who need more sleep than we do! If you suspect how you are feeling is more than just crazy post-baby hormones, please reach out for help, you do not have to continue to struggle in silence, you are not alone and there is help available! By Ohara Kydd – Good Night Consultant

October 19, 2021

Home-based care – there is no place like home

The shift towards home-based care was accelerated by the Covid pandemic. Although not necessarily always possible for Covid patients, the benefits of home-based care vs hospitalisation have been highlighted for both patients and their families for several procedures and illnesses. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, says the Scheme has a renewed focus on home-based as an alternative to in-hospital care, without compromising the health of its members. What is home-based care? It’s defined as the provision of health services, by healthcare practitioners and formal and informal caregivers, in the home. Home-based care is to promote, restore and maintain a patient’s maximum level of comfort, function and health, including care towards a dignified death. It can be classified into preventive, promotive, therapeutic, rehabilitative, long-term maintenance and palliative care categories. When is home-based care appropriate? Post-operative care – after a surgery or procedure so that you gain your independence and become as self-sufficient as possible Generalised illness – when you are ill enough to be admitted to hospital but can be treated at home by healthcare practitioners Palliative care – when you have life-limiting illnesses and the focus is on the relief of symptoms, pain and stress. Some patients may also receive therapeutic treatment. The primary benefit of home care is that you are in a space which is familiar and usually surrounded by loved ones. This is beneficial not only for those recovering from a disease or needing palliative care but especially those who have cognitive diseases such as dementia. The alternative to hospital strategy (ATH) Dr Mkhatshwa says, ‘Hospital-at-home enables some patients who need acute-level care to receive care in their homes, rather than in a hospital. This care delivery model has shown to reduce costs, improve outcomes and enhance the patient experience. The need for home-based care is not only because of the cost of hospital care but a shortage of beds, nursing staff and other healthcare professionals, particularly in the public sector.’ ‘Bonitas is constantly looking for ways in which to minimise contributions and add value for members. It is common knowledge that hospitalisation costs are the main cost driver for all medical schemes. Even with 24-hour professional care at home the costs are far less. Most medical aids will pay for nursing care at home For this reason, Bonitas’ partnered with Quro Medical, an innovative South African digital health company, to provide patients with active treatment by healthcare practitioners at home. The technology-enabled hospital-at-home service brings all the essential elements of in-hospital care to the patients’ home, without moving away from evidence-based protocols and state-of-the-art vital sign monitoring. Patients are monitored wirelessly, automatically and continuously to enable early identification of significant clinical change or deterioration. In fact, research has shown that, ‘patients admitted in the home programme were less likely to return to the hospital within 30 days of their discharge’. ‘The partnership also offers earlier and safer relocation to the home,’ says Dr Mkhatshwa’ home-based care is offered to all members, subject to pre-authorisation and Managed Care protocols. ‘It’s important to note that the treating doctor remains at the centre of the patient’s care. While patients who are medically stable may qualify for home-based care, each and every one is different and their response to hospitalisation and/or surgery differs. This means each request has to be reviewed carefully to ensure we provide quality care to deliver the best possible health outcome for the patient.’ The advantages of home-based care Health care at home, in a comfortable environment, improves patient participation in treatment. Having family members and loved ones participating in the care of a loved one – such as helping with bathing, feeding – makes a significant difference in the outcome. Personal attention Hospitals, out of necessity, have strict rules so instead of the patient adjusting to these, they can be at home, amongst family and in familiar surroundings. Nursing sisters or carers come to the home for a few hours a day, full time or when the need arises There are no visiting hours and the patient is the primary focus of the caregiver, so needs are met faster and more time is spent with patients. This also means a faster recovery and the chances of picking up an infection, which can happen in hospital when they are exposed to germs, is reduced. Independence and companionship Losing independence is always a huge concern for those chronically ill or the elderly. Having home-based care means they have more control and can decide when they want to eat, drink, socialise and sleep. Companionship A caregiver provides your loved one with a familiar face, friendly conversation and a meaningful human connection, all of which can have a big impact on overall health and well-being. Family involvement Home care enables the family to play a larger part in their loved one’s care plan, this includes a direct line of communication with the caregiver and a care manager providing frequent updates regarding care. Pets It is common knowledge that pets are beneficial to those who are vulnerable and home-based care means pets can stay with their owners. They help calm dementia patients, reducing heart disease and stress related conditions and generally make patients happier. What about home-based care for COVID-19 For patients with mild disease, home management may be possible, provided they are not at high risk of deterioration (i.e., older than 65 years or presence of co-morbidities). Dr Mkhatshwa says, ‘It must be stressed that while hospital care is indispensable for patients in critical condition, home health care is equally right for thousands of people. This personal approach to treatment gives patients the confidence they need to lead independent, full lives. We have no doubt that this is going to play a key role in the future of healthcare.’

October 13, 2021

Keto And Zuri Learn About COVID-19

Roche and the Kolisi Foundation today launched a children’s book, Keto and Zuri Learn about COVID-19, that will help parents and caregivers across Africa explain COVID-19 to children by sharing scientific facts in age-appropriate language. The book is available to download for free on both the Kolisi Foundation and Roche’s websites, and a limited run of free printed copies will be distributed throughout Africa in seven languages. “We recognize the confusion and concern that children may be facing as a result of the pandemic and the changed behaviors of those around them. Similarly, we know the difficulties many parents and caregivers share in explaining scientific facts and public health policies to their children,” said Bart Vanhauwere, Area Head Africa, Roche. “This book aims to present the realities of COVID-19 in an easily digestible, approachable manner to help children and adults alike understand the changes caused by the pandemic and continue taking action to stay healthy.” “We often notice that the families we meet need information in addition to more practical support. This is why the Kolisi Foundation is proud to partner on the creation of this book. It helps children understand COVID-19 and emphasizes the importance of health and safety behaviours, to protect themselves and their family members and friends. The full-colour illustration is visually appealing and the book is published in multiple languages,” said Valerie Anderson, Kolisi Foundation Operations and Programmes Manager. In South Africa, Transnet, a 25-year partner of Roche, will be handing out a limited printed supply of the books through the Phelophepa trains. These two trains, of which Roche is the main external sponsor, are free, mobile healthcare clinics that are now dedicated to COVID-19 screening, testing and awareness for people living in rural communities. The One by One Target Covid Campaign is also a partner of Keto and Zuri Learn about COVID-19. The Campaign is proudly supporting the distribution of the new children’s book in Uganda, Zambia and the Democratic Republic of Congo. To help spread further awareness, they announced the creation of the book to their AfricaCovidChampions, who they brought together in an effort to spread reliable information about COVID-19. AfricaCovidChampions is a new initiative that includes some of the most prominent African celebrities, media personalities, journalists, and influencers from the sports, entertainment, business, cultural and faith communities. Among many others, these prominent figures include Heritier Wanabe (Musician), Simon Mwewa Lane (TV Show Host), Joseph Kusaga (Media Owner), Jeff Koinange (Journalist/Talk Show Host) and Gift Ali (Ugandan Football player / Sports Personality). These influencers have committed to serve as powerful public health advocates and will help the Africa Centres for Disease Control and Prevention (CDC) reach people with the essential information needed to fight the COVID-19 pandemic. Digital copies of the children’s book can be downloaded here. It is available in multiple languages, including English, Afrikaans, Zulu, Xhosa Setswana, Portuguese, French:https://www.roche.com/sustainability/philanthropy/covid-19-childrens-book.htm About Roche Roche is a global pioneer in pharmaceuticals and diagnostics focused on advancing science to improve people’s lives. The combined strengths of pharmaceuticals and diagnostics under one roof have made Roche the leader in personalised healthcare – a strategy that aims to fit the right treatment to each patient in the best way possible. Roche is the world’s largest biotech company, with truly differentiated medicines in oncology, immunology, infectious diseases, ophthalmology and diseases of the central nervous system. Roche is also the world leader in in vitro diagnostics and tissue-based cancer diagnostics, and a frontrunner in diabetes management. Founded in 1896, Roche continues to search for better ways to prevent, diagnose and treat diseases and make a sustainable contribution to society. The company also aims to improve patient access to medical innovations by working with all relevant stakeholders. More than thirty medicines developed by Roche are included in the World Health Organization Model Lists of Essential Medicines, among them life-saving antibiotics, antimalarials and cancer medicines. Moreover, for the twelfth consecutive year, Roche has been recognised as one of the most sustainable companies in the Pharmaceuticals Industry by the Dow Jones Sustainability Indices (DJSI). The Roche Group, headquartered in Basel, Switzerland, is active in over 100 countries and in 2020 employed more than 100,000 people worldwide. In 2020, Roche invested CHF 12.2 billion in R&D and posted sales of CHF 58.3 billion. Genentech, in the United States, is a wholly owned member of the Roche Group. Roche is the majority shareholder in Chugai Pharmaceutical, Japan. For more information, please visitwww.roche.com. About the Kolisi Foundation Founded by Siya and Rachel Kolisi, the Kolisi Foundation has the vision to change the narratives of inequality in South Africa. Seeking to support people living in under-resourced communities in South Africa by providing relief resources, facilitating capacity-building and horizontal learning exchanges, and mobilizing and advocating for systemic change. Driven by their motto to ‘remember the one, one by one’, the Kolisi Foundation is invested in researching, piloting and developing projects centred around three programmatic areas: Food Security, Gender-Based Violence, and Education and Sports Development. For more information, please visit www.kolisifoundation.org.

October 12, 2021

WEANING 101: HOW TO START SOLIDS

It’s something to celebrate when your tiny tot tastes something other than formula or breast milk for the first time. But often, the overload of information makes parents fearful of starting solids. Go with your gut and take your cues from your kiddie. If they’re old enough and face-planting into your plate to try to share your lunch, it’s usually a sign they’re ready! Here are some simple tips for a solid start to solids. Nadia Jansen van Rensburg, co-founder of Rooted Natural and a clinical dietitian with a special interest in paediatric nutrition, says, “We started Rooted Natural because we wanted children to have a healthy relationship with food right from the get-go. It’s natural for parents to be preoccupied with whether their little ones are eating well. But it can become an unhealthy obsession very easily, which means missing out on the joy of the experience. “The best advice is to be relaxed and let your baby lead the process. Repeated exposure of as many tastes, textures, smells and colours as possible. We eat with all our senses!” Here are van Rensburg answers parents’ most pressing questions when it comes to solids: When should I start solids? It’s different for every child. From four to six months, infants are developmentally and emotionally ready to start exploring a new method of feeding – and new foods, flavours and textures. Their nutritional needs increase and the introduction of solids helps to optimise growth and brain development. Plus, more energy from food supports their increasingly active bodies as they begin to sit, play and crawl. It’s a wide window period, so take your cues from your little one. They need to be able to sit with minimum support and have good head and neck control. Children often show you when they’re ready by grabbing at food, and sucking their lips or opening their mouths when morsels are nearby. How do I set the scene for success? It’s a great idea to get into regular feeding rhythms right from the start. Sit your little one at the table in a chair or in a chair with a clip-on tray and make sure their feet are supported. Avoid screens and any distractions. Try to get them excited about the food – its taste, textures, colours and smells! Positively talking about food is an important part of the process. Allow them to play! Play is a pivotal part of children’s learning process so let them have fun with their food. That’s how they’ll learn to eat by themselves. Time it well. Your baby should be rested, hungry and interested; not overly hungry, overtired, stimulated or fed. Importantly, you need to be relaxed as well. Go with a single flavour at first. Think about starting with vegetables, then progressing to fruit, grains and protein combinations. Should I do the puree or baby-led weaning approach? That’s up to you! The more traditional take is for first foods to be smooth, soft purees, then there’s a progression to textured purees and, eventually, whole meals. The latest trends and research are seeing parents include the baby in the meal – e.g., if they reach for a whole broccoli stem, let them try it. There’s no right or wrong! We recommend combining the two methods. This way, you ensure adequacy, but baby also gets to play, participate and explore, which fuels tactile development. Remember, the bigger the mess, the higher the success! Van Rensburg concludes, “Our Rooted Natural brand was designed to bring fun to the feeding process, with wholesome, sugar-, salt- and preservative- free foods that let children play with new tastes and textures. Healthy kids are happy kids. I’m a dietitian and my co-founder, Kirby, is a professional chef. We combined our love of food to create a range of organic, earth-friendly baby and toddler food that takes the stress out of solids. “We encourage you to relax and enjoy this new chapter. It’s a beautiful, exciting one. Most importantly, you’ve got this. You’re a brilliant parent. Go with your gut and learn with your little one.” For more information on Rooted Natural, visit RootedNatural.co.za or follow on Instagram and Facebook.

October 8, 2021

Emotional Intelligence: The most important gift you can give your child in this post-pandemic world

EQ. Two simple letters that wield such a determining influence in our children’s lives. Emotional Intelligence (or EQ as it’s more commonly known) is not a novel concept. For years the importance of developing children’s EQ and IQ in tandem, has been discussed and promoted in scholarly articles and mainstream media alike. The question being asked now (and louder than it’s ever been asked before) is – were we paying attention? The COVID-19 pandemic has forced the calling upon of resilience, empathy, confidence, adaptability to unpredictability, embracing of change and countless other skills that the emotionally intelligent child possesses. And in doing so, it has shone a spotlight on the vast difference in the coping capacity of the high-EQ child versus the not-so-high. But does this matter? Yes. Yes it does. It matters because the pandemic has demonstrated that being emotionally intelligent is an outlook, an approach to life and a determinant of success that will be more important than ever in the aftermath of multiple levels of lockdown and the severe restrictions that were and still are being placed on our children’s complex socialisation needs. The socio-emotional consequences of 2020’s school closures and mandatory isolation are manifesting fast and furiously. Increased cases of childhood anxiety, depression, peer-related issues and behavioural challenges are presenting at schools and in homes…And it’s only through increased efforts in EQ Education that we can hope to offset these consequences for our children in the long-run. But where do we even begin? At the very beginning, ofcourse. Much like learning the basics of reading and writing requires first learning the alphabet – children should be taught emotional awareness and expression (the basic principles of EQ) by first being taught to identify their feelings accurately. Too few children are able to differentiate their feelings and the feelings of others beyond “happy”, “sad”, “scared” or “angry”. But “sad” is not the same as “guilty” and “angry” is not the same as “rejected”. Storybooks like those in the “Game Ranger Grace & The Big 5 Feelings” series have been specifically created to expand the emotional vocabulary of young children. To expand a child’s emotional vocabulary is to help them take their first step on the road to emotional intelligence, because the ability to accurately identify an emotion directly impacts the ability to effectively regulate and express it. And the good news is that the younger the child when EQ Education efforts start, the greater the long-term benefits will be. So start at the very beginning…it’s a very good place to start! Visit www.tjtrainingsolutions.co.za to order copies of the first book in the “Game Ranger Grace & The Big 5 Feelings” series or email [email protected] to query available EQ resources and workshops.

October 5, 2021

Hospital pre-authorisation vs quotes – what you need to know

Due to the different waves of Covid-19 and the emerging variants, a number of elective surgeries were postponed to help minimise the take up of hospital beds and to avoid unnecessary exposure to the virus. However, surgeries are now getting back on track, – even if it’s only a window during which the backlog of elective surgeries can be tackled. It is the perfect time to talk about the issue of pre-authorisation and quotes and why you should know the difference. Lee Callakoppen, Principal Officer of Bonitas Medical Aid, says pre-authorisation, ahead of any medical procedure or hospital admission, is always required. He also stresses the importance of asking for a quote to submit to your medical aid. This will ensure you know exactly what is covered and whether you should plan for any out-of-pocket expenses. Does pre-authorisation mean payment, in full, is guaranteed? Not necessarily. Let’s take you through the process and T&Cs. What is pre-authorisation? All procedures that take place in a hospital must be pre-authorised. Essentially, it’s an agreement between the medical aid and the hospital, indicating a willingness to pay for costs associated with the visit. But even if you do have pre-authorisation your medical aid is not promising to cover 100% of the costs. All pre-authorisation requests are evaluated against the different schemes’ rules and clinical funding policies however, you remain responsible for any shortfall, including any co-payments. If you are unsure how to go about the process speak to your broker or your medical aid. When do I need to pre-authorise? You must apply for a Pre-Authorisation Reference number (PAR) as soon as a visit or admission to a hospital is planned. This applies for a CT scan, MRI scan or radio-isotope study. Do this as early as possible in case you are required to submit additional documentation or a motivation from your healthcare provider. You also need pre-authorisation for: Renal clinic admissions for dialysis Procedures in doctor’s rooms or day clinics, instead of hospital Physical rehabilitation care in rehabilitation facilities Drug and alcohol rehabilitation care in specific facilities Hospice admissions Oxygen therapy at home All specialised radiology What information is needed? Name and surname of the person having the procedure Membership number and dependent code The date of admission or procedure The diagnosis All proposed surgical procedures, diagnostic procedures or specialised radiology codes available (ICD-10, CPT, NRPL codes) The name of the facility where the procedure will take place The names and practice numbers of the healthcare professionals (doctor, surgeon, specialist etc) Once your pre-authorisation has been approved you will receive a confirmation letter. Read this carefully and check that the information is correct. If you are any queries speak to your doctor or your medical scheme. What about emergency admissions? In the event of emergency treatment or admission to hospital, you – or a family member or the hospital – must contact your medial aid on the first working day after the incident to obtain authorisation. Did you know? Your doctor or the facility you are being admitted to, can do the authorisation on your behalf. Despite this, it remains your responsibility to ensure that the authorisation is completed and correct. What happens if you don’t pre-authorise? You will either be liable for a co-payment, or your procedure will not be covered. Does pre-authorising ensure payment of the procedure? No, unfortunately not. Most medical aid plans have varying hospital benefits according to the level of cover you have chosen and they also have a ‘rate’ and which they reimburse healthcare providers. This means that even if the payment is 100% of the rate, this is not necessarily what the healthcare provider will charge, they may charge 200% of your medical aid rate. This means you are responsible for any shortfall in the form of a co-payment. Co-payments differ from one medical scheme to another and are often higher than anticipated, mostly due to medical practitioners and hospitals charging higher than the medical aid rate. ‘We mitigate this as much as possible,’ says Callakoppen, ‘by negotiating with hospitals and service providers who are on our network, to place a ceiling on the costs of the procedures.’ For this reason, it is best to find a healthcare provider on your scheme’s network Quotes vs pre-authorisation for procedures Callakoppen advises private medical aid members to not only obtain pre-authorisation but to also ask for a detailed quote from the hospital and medical practitioner prior to being admitted to hospital. ‘This gives you an opportunity to negotiate and eliminates any additional ‘surprise’ payments required after the procedure. ‘The most important thing’, says Callakoppen, ‘is to find out, prior to being admitted, what your medical aid will pay and what payment you might be responsible for. The last thing you want to deal with is a surprise large co-payment and the stress related to that when you are recovering from a procedure.’

September 30, 2021

Giving birth – the facts and the myths

With so many truths and myths flying around when it comes to pregnancy and giving birth, it’s no wonder you get confused. Not only does every existing mother and aunt know the ‘right’ answer to everything, but doctors also have varying opinions. Have you ever walked out of the doctor’s office realising that out of the ten important questions you want to ask, 8 slipped out of your mind during the consultation? Don’t worry, it happens to the best of us. We have listed some popular beliefs and delved into whether they are true or false. Breaking of the waters makes the contractions stronger, thus can speed up labour. True. While there are other medical reasons why breaking the waters may be necessary, once a woman is around 7cm dilated, this process helps speed things up for the painful last three. However, this will only be used if you absolutely need to have things go a bit quicker. So don’t count on it to help you out if you’ve been in labour for 30 minutes without any complications. Braxton Hicks contractions are regular and strong, and will wake the mother up if she is asleep False. Real contractions will start at the top of the uterus and the intense pressure, like a tight belt around her waist, will wake her up. True contractions feel like menstruation cramps. While Braxton Hicks may not be a walk in the park, you will know the difference because they won’t come in regular intervals and increase in intensity. If you lift your arms above your head during pregnancy, the umbilical cord will slip around the baby’s neck. False. The baby is submerged in water and thus gravity will have no influence. Furthermore, the baby may become entangled by the umbilical cord because of the length of it. But the baby can swim through a loop in the cord as well. Dilation of the cervix can occur at any given time of the pregnancy. True. Some women have an “incompetent cervix” which means that the cervix does not tighten properly and a woman who had a child previously, has a slightly dilated cervix. In labour, dilation of the cervix is capable of happening earlier in the pregnancy. This is not necessarily a problem, but your doctor will talk you through it, depending on each case. An epidural might not be possible if the mother previously had an extensive back injury. True. Although this statement is true in certain circumstances, the skills of the anaesthetist will determine the likelihood of the mother having an epidural. If you feel that this may be a problem, make an appointment with the anaesthetist prior to the birth to talk about your options. An emergency epidural can be done if the baby is under stress False. This is not true as an epidural takes up to 20 minutes to have an effect. If the baby is under stress, 20 minutes to wait will be too long. The most successful method of managing pain during labour is the one the mother choose True. To manage the pain of labour, the mother needs to have the right attitude and support. Sometimes a combination of non-pharmacological methods (hypnosis, reflexology, massage and water therapy) is more effective than any given pain medication. While the term ‘mind over matter’ sounds like hocus-pocus when it comes to the pain of birth, it really has proven to help. So if you believe that having a water birth will help you, then you’ve already done some of the work. Bleeding in pregnancy at any given time necessitates a trip to the emergency room. True. Bleeding is always regarded as suspicious and should be investigated. So ignore those who scoff at your apparent paranoia and get yourself checked out ASAP. If the mother wakes up in the morning in the last trimester with a swollen face and extremities, she should contact her primary caregiver immediately True. This may indicate a rise in blood pressure and must be investigated immediately. You should take a urine sample for testing as well. The mother should insist that an advanced lactation specialist help her with breastfeeding. False. All midwives are trained to help and assist the mother with breastfeeding difficulties. However, it is true that a lactation specialist have a particular interest in and passion for breastfeeding. Some hospitals do not have lactation specialists available, then the ward midwife can assist effectively. With the right attitude and the right support, breastfeeding can be a success. The delivery of the placenta occurs within 15 minutes after the birth of the baby with a contraction True. But don’t worry, this contraction is not as strong as during the birth and the tissue is soft and moulds into the area, so the expulsion will be far easier than delivering the baby.

September 29, 2021

How to handle angry feelings

Once there was a red balloon that lived in a house with a family. Every day the red balloon got bigger and bigger without anyone noticing. One day the balloon popped with a loud bang and everyone in the house got a nasty fright. Anger is often like the red balloon in that it builds up slowly over time until it explodes over a seemingly small incident/event. Aggressive behaviour is learned through the modelling of significant others. If you handle your anger like the red balloon, your children might learn that aggression is the best way to deal with uncomfortable emotions. Eventually these emotions could cause school difficulties, anxiety and relationship problems. Emotional control, however, creates a feeling of security and peace within a family. It is thus important for us as parents to ensure that our emotions and our reactions in response to our emotions are equal. For example, when you are angry, you do not have to express that anger by yelling or throwing things. Feeling angry is not wrong, but the way you express it might be wrong. As parents we have the responsibility to teach our children how to deal with their emotions in effective and appropriate ways. The following tools can help you manage your emotions more effectively: If you realise that there are often outbursts among family members, write down your emotions and thoughts. Keeping a journal will help you gain perspective. Humour can help you feel more in control over stressful circumstances. Take deep breaths. This will help to not only relieve some of the tension but will also give you a few moments to think more clearly. Focus all your attention on something in your environment or something on yourself, like the garden outside your window or the pattern on your dress or shirt. This technique can help you gain control over your emotions. Research has shown that there is a close link between a healthy marriage and successful parenting. It is therefore a good idea to invest in building a healthy relationship with your wife/husband. A good way to do this is by going away for a weekend or having planned date nights, to help you reconnect with your partner. Build your self-knowledge. Who am I? What is my personality like? Self-knowledge can help you gain insight into your own behaviour and emotions. Be mindful of external factors that could contribute to your emotions. For example, are you eating healthy foods, exercising, getting enough sleep? Are you stressed and worried?

September 29, 2021

What should I do if I have symptoms of COVID-19 and I am pregnant?

Given today’s current global COVID-19 pandemic, worrying about the potentially harmful viruses’ effect on your pregnancy and baby is a valid concern. You’re probably wondering the best ways to avoid the virus when pregnant, and what to do if you think you may have caught it. How can I protect myself and my baby from catching the corona virus? Protecting yourself from COVID-19 while pregnant, is similar to that of anyone else avoiding the virus. Minimise contact with others through social distancing, frequently wash and sanitise your hands, and avoid touching your nose, eyes and mouth. Don’t be tempted to skip important prenatal visits in lieu of avoiding the virus – chat to your doctor about the best way forward with regard to this. Although slightly disappointing, cancelling events such as baby showers is a good idea, as the risk of exposure and infection becomes bigger with larger groups. Being pregnant, it’s a good idea to be extra precautious where possible. However, the RCOG (Royal College of Obstetricians and Gynaecologists) states that pregnancy doesn’t increase your risk of becoming unwell from coronavirus, and the majority only develop mild to moderate symptoms. What should I do if I think I have COVID-19 while pregnant? If you think you may have COVID-19 or have tested positive for corona the first thing you should do is contact your doctor. However, it’s best to avoid travelling to the doctors office as you may come into contact with someone positive for COVID-19 in these spaces. As the virus is new, this means that the studies that have been conducted are limited. Because of this it’s essential to follow social distancing guidelines to try and protect yourself, however, if you do contract the virus there is no immediate need for stress, as pregnancy doesn’t increase your risk.

September 23, 2021

Redefining healthcare in 2022

As South Africa moves to Covid-19 adjusted Level 2 and vaccination numbers increase, access to quality healthcare remains a priority. Today, Bonitas Medical Fund announced its 2022 product line up offering. This includes the use of reserves to keep contribution increases lower, a Benefit Booster to stretch day-to-day benefits, a revised international travel benefit with payment for Covid tests and a contribution towards quarantine costs. There is also a renewed focus on preventative care, virtual consultations and plans that enable more South Africans to have access to affordable, quality healthcare. Lee Callakoppen, Principal Officer of Bonitas said, ‘The Scheme performed well in a volatile market, attributable to proactive risk management and prudent board decisions. A positive offshoot of the pandemic was an increased appreciation of medical aid cover that resulted in better-than-expected member retention and a 2.3% membership growth since January.’ Top line changes ’We have taken a strategic decision to utilise approximately R600m of reserves to ensure that 82% of members receive a below CPI contribution increase for the 2022 benefit year. The innovative Benefit Booster equates to an increase in day-to-day benefits for members ranging from 16% to 32%, depending on the members’ plan. We believe it is the largest increase in benefits ever seen in the medical aid industry.’ The average weighted contribution increase across all plans is 4.8% with the BonStart premium decreasing by 7.9%, which can be attributed to the low cost versus benefits ratio and the younger membership profile on the plan. The decrease in contribution is an industry first – as was the decision to offer BonFit Select at a 0% increase in 2020. New offerings include an additional virtual plan, BonStart Plus, a renewed focus on Managed Care with an oncology management programme as well as an enhanced member app, powered by AMP, which includes a personalised wellness programme to encourage healthier behaviour. Plans There will be a total of 15 plans for the year ahead comprising traditional, savings, hospital, edge (virtual), network and income-based plans, each carefully crafted with a specific mix of benefits to appeal to various target markets. Increases range from minus -7.9% to 6.5%. Bonitas has opted to increase its options which are currently in a growth phase – BonSave, BonFit and BonEssential – by only 3.6%. Sustainability and affordability The Council for Medical Schemes (CMS) recommended increases in line with CPI of 4.2% with the caveat that financial stability and sustainability of schemes must remain a priority. We feel that the use of part of our reserves to cushion members against increasing costs is an appropriate strategy. Other recommendations by the CMS include: Driving innovation from a pricing point of view; exercising caution in terms of utilising reserves to help cushion increases and adopting innovative pricing models – a directive Bonitas took to heart. Boosting benefits The Benefit Booster is the most innovative change in the healthcare industry since the advent of the savings account. It stretches value and equates to an increase in day-to-day benefits ranging from 16% to 100%, depending on the plan. This covers all out-of-hospital claims including acute medicine, GP consultations and non-surgical procedures such as wart removal. Members simply need to complete a wellness assessment (which can be done online), to tap into the Benefit Booster. Claims will pay from this benefit first – helping to preserve savings and day-to-day benefits for members. Managed Care At the launch, Dr Morgan Mkhatshwa,Head of Operations said, ‘Lifestyle diseases have reached epidemic proportions in South Africa. 80% of these Non-Communicable Diseases (NCDs) are caused by lifestyle risk factors like smoking and obesity. Managed Care is designed to help members with chronic conditions by using the best clinical and treatment protocols. This is achieved by analytics and continuous research, alignment to the latest technology, market trends and member needs and leveraging this data for enhanced treatment. Oncology Cancer prevalence is increasing alarmingly. As a result, coordination of care is critical for oncology. Bonitas is introducing a new Oncology Management Programme that utilises a partnership between Medscheme Managed Healthcare and the South African Oncology Consortium (SAOC), to improve the coordination of care of oncology patients. Back and Neck Programme ‘Our back and neck programme has seen a 93% success rate. In 2022, we introduce the eDBC app. This technology-driven channel offers digital coaching solutions and home-based care to help improve pain and mobility. It includes a self-assessment, baseline progress checks and outcomes’ evaluation.’ The GP is key ‘The Scheme believes that the GP is at the heart of the Managed Care model. Care coordination is essential in ensuring that members get the right level of care and support in managing their conditions. Our GP network has a broad national footprint and 98% of members are within a 10km radius of a network GP.’ Virtual Care BonStart, the inaugural Edge plan introduced in 2020, proved very successful – using virtual care as its base. For this reason, the Scheme is introducing an additional Edge plan, BonStart Plus for 2022, aimed at attracting a new profile of member through this diversified distribution channel and attractive pricing. Virtual care has proven a sound and reliable solution, locally and internationally, for improving access to quality healthcare and is now offered across all 15 Bonitas plans. Digital Covid-19 spurred progression of digital enhancements with innovations such as a mobile app and WhatsApp channel being swiftly created. The Member Zone is being enhanced allowing members to manage their medical aid more effectively. Amalgamations Callakoppen says, ‘Bonitas’ track record for amalgamations is excellent and we are currently awaiting approval from the Competition Commission to our proposed amalgamation with the Nedgroup Medical Aid Scheme. The amalgamation will fortify the size of Bonitas as well as decrease the average age and pensioner ratio while bolstering the reserves.’ Travel benefits ‘We wanted to ensure that our members are covered should they need to travel and noted that testing and enforced quarantine could be expensive. The Scheme is therefore offering a Covid-19 PCR test pre-

September 22, 2021

It’s All About the Hass

Did you know that the Urban Dictionary defines the word Hass as “anything kick ass”? We’d say that with the Hass avocado’s rich, nutty, addictive taste, they got that absolutely right! Named after California postman Rudolph Hass, who grew the first tree of its kind from a seed he bought in the 1920s, the Hass avocado cultivar has a thick, pebbly skin and a creamy, slightly nutty tasting flesh. The skin colour of Hass avocados assists in telling whether the fruit is ripe: they usually turn from green to a dark purple-brown as they ripen. But enough of the biology and history lessons; Hass is actually the world’s most popular avocado cultivar, and it’s not difficult to understand why. Besides the fact that the Hass a wonderfully luxurious taste, its thicker skin allows for a longer shelf life. And luckily for us South Africans local Hass avocados are available all the way from March until November. Recent research conducted by SAAGA, revealed that South Africans are very traditional when it comes to eating avo and prefer it with bread, in a salad or simply on its own. Try a Hass the way we all like it – on bread – but with a twist and a bit of extravagance. For further information and avo recipes, visit www.avocado.co.za , like us on Facebook iloveavocadoSA and follow us on Instagram iloveavossa AVOCADO BAGELS WITH FURIKAKE SEASONING Furikake seasoning is a Japanese seasoning of dried seaweed, toasted sesame seeds and spices, usually used on rice; it is also delicious with avocado! Serves 4 Preparation time: 10 minutes Ingredients: 4 Bagels 2 large ripe avocados Toppings of your choice; strawberries, radishes, micro greens, pickled red onion, pomegranate seeds, toasted seeds such as pumpkin and sunflower For the Furikake: ¼ cup toasted sesame seeds 1 tablespoon black sesame seeds 1 sheet nori, torn into pieces Pinch of sea salt flakes Pinch of chilli flakes (optional) Pinch of sugar Method: To make the Furikake: In a mini food processor or spice grinder, whizz the all the Furikake ingredients for a few pulses to break up the nori, take care not to over blend. Assemble the bagels by slicing the avocado or cutting into interesting shapes (with miniature cookie cutters), top with toppings of your choice and sprinkle with the Furikake. Remaining Furikake will keep stored in an airtight container for up to a month.

September 20, 2021

Why yoghurt is a healthy eating gateway for kids

As parents we are always looking for healthy eating routines for our children – not only to ensure they get the best nutrition for growing bodies but to help set them up for a lifetime of healthy eating habits. It turns out that yoghurt is a special ally for concerned parents. Rich in protein and vital nutrients such as calcium and potassium, as well as beneficial probiotics that promote gut health, yoghurt is a wonderfully versatile and delicious kid’s food. “Yoghurt plays a positive role in a healthy diet and research has shown that children from 8 to 18 years who eat yoghurt at least once a week, tend to have healthier diets overall. Studies show that children who enjoy yoghurt consume 10% more milk, 23% more fruit and 30% more wholegrains, demonstrating that it is gateway to healthy eating choices”, says Registered Dietitian at Rediscover Dairy, Maretha Vermaak. A big advantage is that most kids like yoghurt, and it is not challenging for parents to include it in many different meals and to have it on hand as a convenient and satisfying snack. All the ways that yoghurt is good for healthy growth Growing bodies and developing minds mean that children have particular nutritional needs. Childhood is also a high energy time, and children’s diets must cater to their daily activity levels. The unique nutritional profile of yoghurt meets a range of child nutrition needs, including: High quality protein for a developing body and sustainable energy Calcium for strong bones and teeth Probiotics for gut health and immune system support Potassium, phosphorus, magnesium and Vitamins A and B12 for overall health and growth South African families are lucky to have a wide choice of yoghurt ranges. If child weight management is a concern, parents can easily choose low- and no-fat options. As yoghurt helps a child feel fuller for longer, it is a useful component of a weight maintenance eating regime that can help to avoid unhealthy snacking. Some parents may feel concerned that there are yoghurt ranges that include added sugar. However, it should be noted that the levels of added sugar in some yoghurts is minimal, far below the sugar content in sweets, chocolates and fizzy cold drinks. Children enjoy yoghurt in so many ways As versatile, good food, yoghurt can be a convenient staple in your household, consumed in many ways. Adding yoghurt to oats and other cereals brings balance and nutritional punch to the all-important breakfast which sets your child up for success each day. Individual yoghurts and yoghurt drinks are excellent lunchbox foods. Yoghurt can be used as toppings for desserts, fruits and as the basis of tasty dips at snack time. A dollop of yoghurt adds delicious creaminess to everything from pancakes to soups, wraps to stir-fries and curries. Easily made from scratch at home, frozen yoghurt never fails as a healthy icy treat and yoghurt smoothies are ideal for families-on-the-go. The 22nd World School Milk Day, celebrated on 30 September 2021, is a reminder that other food and health concerns should never eclipse the need for meeting our children’s needs for daily eating regimes that promote their healthy growth. Through its Consumer Education Project (CEP), Rediscover Dairy partners with National School Nutrition Programme (NSNP) of the Department of Basic Education (DBE) to highlight World School Milk Day. The NSNP includes dairy once a week in their school feeding programme to support South African children most vulnerable to stunting and wasting. The CEP makes fun information and teacher resources available for Grades R to 7 at http://www.dairykids.co.za/ Parents who are home-schooling due to COVID-19 can download curriculum-aligned interactive posters, worksheets, fact sheets and teaching guides. Children learn all about the healthy eating, SA’s food-based dietary guidelines, the role of dairy in healthy eating and the farm-to-table processing of dairy. For more dairy ideas join the Rediscover Dairy Facebook page: www.facebook.com/RediscoverDAIRY

September 20, 2021

Braai Day: Lekker Braai Sides for Any Occasion

Heritage Day, also fondly known by South Africans as National Braai Day (24th September) is a great time to fire up the flames and rustle up some quick and easy braai side dishes to share with family and friends. Savour the goodness of our unique food heritage by dialling up the braai menu and special family times, this Braai Day. Rhodes Quality has a range of ideal braai sides like corn, chakalaka, beetroot, gherkins and beans that that will have you making the tastiest braai recipes with ease. Not to mention sticky finger-licking jam marinades and refreshing Rhodes Quality juices to compliment any braai. With the goodness of mother nature sealed into every product you can create nourishing and satisfying meals for your family prepared with love. Gather your family around the patio table and make memorable mealtimes. From a crunchy mixed bean salad, to the ultimate chakalaka and cheddar cheese braai broodjies, a beetroot and red cabbage salad with feta, and much more this braai day. Crunchy Mixed Bean Salad: An easy salad, as a side dish with your favourite meat or perfectly filling on its own. INGREDIENTS (Serves 6) 1 x 400 g can Rhodes Quality Black Beans, drained and rinsed 1 x 400 g can Rhodes Quality Whole Kernel Corn, drained and rinsed 1 x orange pepper, seeded and chopped 1 x red pepper, seeded and chopped 1 x small red onion, finely chopped 65 ml (¼ cup) flat leaf parsley, finely chopped 1 x 410 g can Rhodes Quality Baked Beans 10-15 ml (2-3 tsp) fresh lemon juice] Salt and freshly cracked black pepper METHOD Place the Rhodes Quality Black Beans and the Rhodes Quality Whole Kernel Corn into a large bowl and toss to mix. Add the peppers, onion and parsley and mix again. Stir in the Rhodes Quality Baked Beans. Season to taste with the lemon juice and salt and pepper. Chill until serving. Beetroot & Red Cabbage Salad with Feta: This beetroot and red cabbage salad with feta is quick and easy to prepare. Try this crunchy and colourful salad at your next braai. INGREDIENTS (SERVES 4) Rhodes Quality Sliced Beetroot 30 ml lemon juice 5 ml Dijon Mustard 90 ml olive oil Cabbage Apple sliced Feta cheese 1 clove garlic, finely crushed 5 ml sugar salt and freshly ground pepper METHOD Whisk all the dressing ingredients together until well blended. Season the dressing with the salt and freshly ground black pepper to taste and set aside. In a large bowl toss the cabbage and the apple slices together. Pour enough of the dressing over the salad to lightly coat the cabbage and apple. Add the Rhodes Quality Sliced Beetroot and toss gently to mix. Crumble the feta cheese over the top of the salad. Serving suggestion: Sprinkle over some fresh parsley and nuts over the salad and serve. Chakalaka and Cheddar Cheese Braai Broodjies: A twist on the traditional broodjie, with added Rhodes Quality Chakalaka, you’re sure to win your family over with these lekker braai broodjies. INGREDIENTS (MAKES 6) 1 x 400 g can Rhodes Quality Mild & Spicy Chakalaka 1 farm style loaf Butter for spreading 200 g (2 C) grated cheddar cheese Salt and black pepper METHOD Remove the crusts and slice the loaf lengthwise into 4 even slices. Butter two slices of bread on 1 side and place buttered side down on a board. Sprinkle the cheese evenly over both slices. Spread a generous layer of the Rhodes Quality Mild & Spicy Chakalaka down the centre of each slice. Cover with the 2 remaining slices of bread and butter the tops. Place the sandwiches inside a braai grid and slowly toast them over warm coals until golden brown. Serve hot off the fire. Boerewors Pita Pizzas: Need pizza in a hurry? Using leftover braaied boerewors, these South African Pita Pizzas can be on the table in under 15 minutes. INGREDIENTS (MAKES 4) 4 pita breads 1 x 400g can Rhodes Quality Tomato Braai Relish 200 g cooked boerewors, sliced 65 ml (¼ cup) fruit chutney 250 ml (1 cup) mozzarella cheese, grated METHOD Place the pita breads on a baking tray. Spread the pitas with a generous helping of Rhodes Quality Tomato Braai Relish. Toss the sliced boerewors in the chutney and arrange on top of the relish. Sprinkle with the mozzarella cheese. Bake in an oven preheated to 190°C for 4-5 minutes, or until the pitas are crisp and the cheese is melted. Slice and serve. Apple and Kiwifruit Salad Dressing: This quick and easy dressing is packed with a Vitamin C punch and is a tasty additional to a fresh leaf salad. INGREDIENTS (Makes dressing for 1 medium sized salad) 125 ml (½ cup) Rhodes Quality Apple Fruit Juice Blend 30 ml (2 Tbsp) apple cider vinegar 15 ml (1 Tbsp) olive oil 15 ml (1 Tbsp) water 3 ripe Kiwifruit, peeled and chopped 1 garlic clove, crushed salt and freshly cracked black pepper To serve: fresh salad greens, sliced cucumbers, sliced avocado, sliced spring onions. METHOD Place the Rhodes Quality Apple juice into a blender along with the remaining ingredients. Process until smooth and well blended. Season to taste. Chill until serving. Mix together all the salad ingredients in a large bowl. Pour over the desired amount of dressing. Toss lightly to mix. Orange Tahini Dressing: This salad dressing it packed with Vitamin C and makes for a fresh addition to your side salad or vegetables. INGREDIENTS (Makes dressing for 1 medium sized salad) 65 ml tahini 125 ml Rhodes Quality Orange 100 % Fruit Juice Blend 30 ml (2 Tbsp.) apple cider vinegar salt and freshly cracked black pepper 15 ml (1 Tbsp) honey METHOD Place all the tahini paste, Rhodes Quality Orange 100 % Fruit Juice Blend and vinegar into a blender. Add salt and black pepper to taste. Add honey. Process for 1-2 minutes until well blended and creamy. Thin with a little water if desired. Serve chilled over salad or vegetables. For more #RootedInGoodness inspiration visit: www.rhodesquality.com/recipes or follow Rhodes

September 16, 2021

Covid-19 Information for Moms-to-Be

Pregnant women do not appear to be more severely unwell if they develop Coronavirus than the general population. As this is a new virus, how it may affect you is not yet clear. It is expected the large majority of pregnant women will experience only mild or moderate cold/flu like symptoms.

September 16, 2021

Urban living’s impact on our wellness

South Africa is urbanising rapidly: 63% of South Africans are already living in urban areas. Stats indicate this will rise to 71% by 2030 and by 2050, eight in 10 people will be living in urban areas. While it is unavoidable that people migrate to cities for work, it does have a negative effect on people’s health. The most significant effect is the increase in non-communicable or lifestyle diseases. Dr Morgan Mkhatshwa,Head of Operations at Bonitas Medical Fund, says that the main problems associated with changes in lifestyle and behaviour, due to urbanisation, are: Increased alcohol and tobacco use Lack of exercise. Cities are often over-populated, there are too few public spaces for physical activity and many residents have to use public or private transport because of long commutes to work, schools and amenities Poor nutrition. Changes in diet include more processed and refined food, an increase in high-fat and high-sugar diets, less fruit and vegetables, less complex carbohydrates and fibre Socio-economic factors There is an increasing recognition of the importance of social, economic and physical environments as determinants of health and well-being. Unfortunately, the poorest people living in under-serviced inner city areas or informal settlements are the most exposed to unhealthy urban environments. With urbanisation, the double burden of non-communicable diseases (NCDs) will increase if no effective health systems and policies are put in place to prevent, detect and treat communicable and non-communicable diseases. ‘Our analysis of lifestyle diseases indicate that hypertension is the most prevalent non-communicable disease, followed by high cholesterol and diabetes Type 2. Obesity, high cholesterol, diabetes Type 2 and hypertension are all symptoms of metabolic syndrome, caused by poor nutrition and a sedentary lifestyle. ‘The science around nutrition has long been problematic. Published results have varying conclusions but concur that highly processed and food with high sugar and “bad fat” content should be avoided. ‘Also, in the top seven conditions are susceptibility to blood clotting, asthma, underactive thyroid and depression,’ says Dr Mkhatshwa. Asthma is a respiratory condition most often caused by pollution or other irritants in the environment and mental health conditions can also be a consequence of urban living. Oncology is also becoming more and more prevalent. The number of Bonitas members with cancer has more than doubled since 2016. Air pollution Motor vehicle, industry and domestic fuel use increases air pollution which is responsible for a range of lung and respiratory diseases, heart conditions and cancers. Chronic Obstructive Pulmonary Disease (COPD) and asthma are two of the most prevalent respiratory diseases. ‘We have the expertise to respond to these risks and lifestyle diseases by providing comprehensive, integrated care, every step of the way,’ explains Dr Mkhatshwa. ‘And, through our Managed Care programme, we help equip our members to take responsibility for their health by providing information and education, encouraging wellness, paying for preventative care and providing cover for medical costs incurred. However, more needs to be done and we advocate collaboration with public health authorities to educate and encourage South Africans to look after their health.’ Covid-19 and NCDs It is common knowledge that Covid-19 and non-communicable diseases such as hypertension and diabetes interact to create a perfect storm. The pandemic has made people more aware of having to take responsibility for their health and preventing or managing chronic disease optimally. ‘Co-morbidities have an impact on those who contract Covid-19 and there is possibly a synergistic issue with the coronavirus and these co-morbidities that exacerbates the prognosis and burden of disease.’ Managed Care ‘Achieving good patient health outcomes is the fundamental purpose of healthcare,’ says Dr Mkhatshwa. ‘Measuring, reporting and comparing outcomes is perhaps the most important step towards unlocking rapid outcome improvement and making better choices. ‘Managed Care is a critical component and improves quality of care and we know that proactive intervention and working with members to prevent or control lifestyle diseases is the only way forward. Because when ‘I’ becomes ‘we,’ illness can become wellness.’ The GP is pivotal We believe there needs to be coordination of care and that members should be encouraged to nominate a General Practitioner as the first port of call for all health care needs, who can refer to a specialist or auxiliary provider as the need arises. This eliminates inefficiencies caused by ‘doctor hopping.’ ‘To tackle the rising burden of disease, we need medical schemes to work together with public health authorities, particularly in the context of the challenges of urbanisation, lifestyle diseases and the Covid-19 pandemic.’

September 13, 2021

Prevention of Falls

From the moment a baby starts to crawl, the world is a magical place filled with new adventures and discoveries. From their perspective, everything is a potential mountain to climb (that giant bookshelf), obstacle to overcome (those pesky stairs) or mysterious place to investigate (anywhere beyond the safety gate). Little bumps will happen, but ChildSafe is here to help so these brave expeditions do not result in something more serious.

September 10, 2021

PCOS Awareness with Salome this September

September is international PCOS Awareness Month and Salome is determined to do their bit in creating awareness & empowering women with the option of a naturally based solution to this common hormonal disorder. An estimated 8 – 13% of women suffer from Polycystic Ovary Syndrome (PCOS) that involves reproductive, cosmetic and metabolic problems. The long-term effects of this condition, if not diagnosed and treated early, are infertility due to ovarian dysfunction, as well as the risk of developing diabetes, cardiac problems linked to hypertension, sleeping problems and high cholesterol. Common symptoms and diagnosis Symptoms of PCOS include irregular or prolonged menstrual cycles and elevated levels of the male hormone androgen, which results in excess body hair and acne, and polycystic ovaries where the ovaries are not able to function properly. Getting a diagnosis by a health practitioner is key to effectively managing PCOS. The onset of PCOS can start from as young as 14 or 15 years old and if left undiagnosed and untreated for years – will cause further health complications down the line, including possible infertility. Parents are encouraged to talk to their daughters about what is considered ‘normal’ and ‘abnormal’ periods. Just by having these conversations, we can normalize these common women’s health conditions and debunk myths and the unfortunate stigma attached to it. What is Salome and how can it help with PCOS? The Salome range was developed by local pharmaceutical company, 3Sixty Biomedicine, and is based on consumer insights that South Africans are wanting more natural alternatives to treat common female health conditions. Salome Polycos assists with the management of symptoms commonly associated with PCOS by helping to decrease testosterone levels, increasing progesterone levels in women with irregular or absent periods and thus regulating the menstrual cycle, as well as reducing blood pressure levels. It also plays a role in increasing insulin activity in women diagnosed with PCOS, as many suffer from insulin resistance. Due to these hormonal imbalances women living with PCOS often battle with acne, irregular periods, male pattern hair loss or experience excessive body hair growth (hirsutism). Salome Polycos’s main active ingredient is D-chiro-inositol (DCI) which is a natural extract obtained from the carob tree. In cases where infertility can be linked back to the hormonal imbalances caused by PCOS, patients who make use of products like Salome Fertility that contain Myo-inositol and D-Chiro-inositol have seen an increase in their ovulation, a reduction in their hyperandrogenism and in the oxidative stress in their follicular fluid. The efficacy of the product lies in it containing the correct ratio of Myo-inositol and D-Chiro-inositol that have been extracted from the pod of the Carob bean tree. Clinical studies have shown that these natural extracts are instrumental in helping manage the regulation of ovarian function in PCOS patients. Who can use this? Due to the herbal extracts and use of natural ingredients in the products, the Salome range has minimal side effects and can be reimbursed by certain medical aids. The products are available online at www.3Sixtybiomedicine.co.za or on Takealot.com, and can be purchased over the counter at leading pharmacies nationwide. We believe #YourJourneyMatters so follow the Salome range on their social media pages to hear from Salome experts who are committed to educating and normalizing conversations about common women’s health conditions. Visit: 3sixtybiomedicine.co.za Facebook: Salome Range Twitter: SalomeRange Instagram: SalomeRange

September 2, 2021

What to know about Covid 19 vaccines and skin reactions

As we all know, our skin is our biggest organ, and our skin is affected by EVERYTHING in life – our lifestyle, what we eat, drink, medication, sun exposure and also when we are sick. With this pandemic, a lot of focus has been on the vaccines, and obviously the main focus is to stop the spread of the virus. This, however, leaves a few questions regarding treatment before and after receiving your vaccine. Guidelines has been given to our industry, as well as to the aesthetic medical industry, on timeframes to make sure adverse reactions do not occur. The main aim of this, is to prevent FURTHER inflammation as this is the main reason why we struggle with skin problems. Inflammation is the umbrella of all problematic skin conditions. Ageing is caused by inflammation, pigmentation, acne, atopic skin conditions like eczema, rosacea and skin sensitivity. These all caused by inflammation of some kind! Now, with the Covid 19 vaccine, we are introducing inflammation into the body therefore it could definitely affect our skins too! It can make the skin super-sensitive, it can dry out the skin, cause severe dehydration, it may cause hyperpigmentation etc. We actually don’t know, but based on what we DO know about inflammation, it is necessary that we know how to treat skin in these times. If you have received your vaccine, or are planning on getting your jab, please make sure to support your skin! This can be done in a number of ways. Q: What should we use on our skins to support our skin against inflammation of any kind? A: We need to use medical grade skincare products and ingredients that are well tolerated by the skin, and specifically growth factors and antioxidants to fight against the inflammation that may be caused in the skin. Hydrating, barrier repair as well as sun protection! This doesn’t mean that you need to change your whole skincare routine or product range at home, you would need to only slot in a product like the AQ Active Serum once a day under your day moisturiser! Q: How long before receiving your vaccine should you introduce these ingredients into your skin care routine, if you are not already using them? A: This is quite an open-ended answer, as some medical specialists say 4 –6 weeks and other say 14 days. I think to be perfectly honest, we should rather be safe than sorry, and try to prepare the skin at least 4 weeks prior to getting your vaccine, as this is how long a regular, healthy cell turnover will take in your epidermis. Q: What about recommendations for aesthetic treatments and medical aesthetic procedures? A: For superficial, mild and non-invasive treatments, 14 days before and 2-3 weeks after getting the vaccine… For your more advanced skin treatments such as micro needling, plasma pen, certain chemical peels, laser and medical aesthetic procedures such as botox, fillers and threads etc: 4 –6 weeks before and after getting your vaccine. Q: What types of treatments are totally safe to have done? A: Focus on anti-inflammatory treatments like Growth Factor induced therapy that we refer to as GFIT treatments. This is where we use the AQ Skin Solution Recovery Serum with different modalities. In this case just an application with LED light for about 30 minutes or a light stamping with 0.5mm depth. Certain chemical peels that have anti-inflammatory properties. Calming, healing and antioxidant-type ingredients plus of course hydration and barrier protection. Q: How long after receiving the vaccine should you keep using these ingredients? A: I think it is hugely important to understand that all of us are different and all of us will react or respond in different ways, therefore I would suggest to keep on using these ingredients on your skin for an extended period of time. Q: What do growth factors do in the skin? A: It is very important to use growth factors at a time like this because AQ growth factors allows your skin to heal itself! It will work differently on each person’s skin because it will assess what needs to be done. Some patients have more inflammation than others, or maybe the vascular system within the skin isn’t functioning properly or it’s affected their collagen production. The growth factors will regulate the cell functions and bring it back to its norm, therefore it will work on any and all skin conditions. It basically regulates the different processes within the skin so that the skin can heal itself correctly and be in its healthiest state. Q: What makes AQ Skin Solutions growth factors different to other growth factors on the market? A: The Human Growth Factors found in AQ Skin Solutions is fibroblast-derived, and then cloned in the lab to react the same way your natural growth factors do. We have a Halal Certificate showing that no genetic material from the donor line is utilized within the formulation. Human growth factors will be easily recognised by the cells, meaning no side effects, no contra indications and it can be used on skin of all ages and all skin types. Other growth factor products are derived from plant extracts or some from bacteria. AQ is one of 5 Human growth factor products worldwide, the only HGF range available in Africa! We use between 150 and 200 different growth factor families within each formulation at optimal combinations and percentages to ensure sufficient communication to the cells. Q: Medical-grade skincare is surprisingly affordable, isn’t it? A: There is a misconception that medical-grade skincare is expensive, but the reality is that investing in it will likely save you money in the long run. While you may have to pay a little more upfront, using medical-grade skincare that is tailored specifically to your concerns means you’ll get the visible results you’ve been seeking. Also, because they are highly concentrated with active ingredients, you only need to use a small amount to get your results. Therefore, medical-grade skincare products

August 31, 2021

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