Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Making changes to your medical aid

Wherever possible, consumers are tightening their belts and looking at ways to consolidate expenses and save money. Healthcare is no exception. Traditionally, members of medical aids re-evaluated their medical cover annually, to coincide with increase announcements as well as changes to plans and benefits which come into effect on January 1 each year. However due to the pandemic, a number of medical aid schemes have deferred or postponed their increase announcements. This new pricing is being introduced at different times during the year and at varying percentages – often above inflation. ‘This has caused some confusion and challenges,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund – which opted not to defer increases. ‘Members are free to change their options, once a year, during the open period. However, with deferred increases, this often falls out of the open period. This means members start paying the increased premium after to change options has closed.’ Callakoppen explains that the medical aid industry is highly regulated with specific rules and regulations that could impact changing plans and moving schemes. These include waiting periods, late joiner fees and accumulated savings – that all need to be considered when changing plans Can you change your membership any time during the year? You can change at any time but usually this happens during open period. When changing, waiting periods might apply and the savings allocation of the plan may be affected. Make sure you have not already used more than a pro-rated percentage of the benefits or you might have to replay it. This will happen if you have depleted the savings’ portion before the end of the year and switch to another medical aid. What is a waiting period? According to the Medical Schemes Act, medical aid schemes are entitled to impose waiting periods – there are two categories: General waiting period (up to three months) and a condition-specific waiting period (up to 12 months). This protects other members of the Scheme by ensuring individuals can’t make large claims shortly after joining and then cancelling their membership. When do waiting periods apply? Waiting periods generally apply if you move from one medical aid to another, you or your dependants were not on a medical aid for a period of at least 90 days before you joined, or you have never been a member of a medical aid. Can these be waivered? Waiting periods can be waivered but this depends on the medical scheme. Do you pay premiums during a waiting period? Yes, you continue to pay your full premium during the waiting period. What if you change from one scheme to another? Your specific details and medical history will be considered, for example pre-existing medical conditions, how long you have belonged to a medical aid, etc., and underwriting may apply. What is a late-joiner penalty? 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. Can you move directly from hospital insurance to medical aid? Late-joiner penalties will apply if you are over the age of 35 and move from a hospital insurance to any form of medical aid (including a hospital plan). Does the late-joiner penal reduce over time? No, unfortunately not. Once you are paying a late-joiner penalty, it remains in place. ‘The bottom line is that members need to do due diligence if they are considering switching medical plans or schemes. They need to evaluate the monthly contribution against the benefits being offered and make sure they will cover their healthcare needs,’ says Callakoppen.

June 21, 2022

The common cold in babies

With COVID19 prevalent globally, the thought of your baby catching a cold could be one to send shivers down your spine. But don’t fret, here are the symptoms of the common cold, what is considered normal and what is cause for concern. What is a cold? The common cold is caused by a variety of different viruses, and is an infection of the throat and nose. When a baby is born they have a weaker immune system, which develops as they grow older. Understandably though, this makes it easier for them to catch a cold. Babies do build up antibodies when they are exposed to germs, however, it takes 2 to 3 months for their immunity to fully develop. There are many types of viruses that are the cause of colds, but luckily most colds will help increase your little one’s immunity against other another nasty germs. What is normal and what can I do to prevent my baby catching a cold? Unfortunately, as the cold is caused by viruses there is no cure for it, but you can try naturally calm your baby’s symptoms. Unfortunately antibiotics won’t work as viruses are the culprit. It is normal for a cold to last 7 to 10 days. Symptoms include a runny nose, cough and low grade fever. Although alarming, fever is your baby’s natural response to the virus. Don’t give over the counter medication to your baby as these can cause dangerous side effects in young children, but extra fluids, saline spray and air humidifiers are all things you can use to help your baby. When a cold causes your baby to have trouble breathing, a high fever or dehydration it is time to consult with a doctor. Additionally, if the cold lasts for an extended period of time without getting better it is also best to seek professional help. Babies often catch the virus from older siblings or daycare, so if you can limit your baby’s exposure to other people this will help prevent them picking up unwanted viruses. Ask visitors to wash their hands before touching your little one and make sure to keep the baby’s utensils and towels separate from the rest of the household. Keeping your baby up to date with vaccinations is also a very important action that can help protect your them.

June 21, 2022

Exploring male menopause

Recently there has been increased discussions around male menopause. However, research shows that not all doctors and psychologists agree that there is a definitive male menopause or andropause. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, says this is because not all men experience it and, for those who do, they often don’t express their feelings as freely as women – as a result only a few men exhibit ‘midlife crisis’ symptoms. What is ‘male menopause’? It is the decline in the levels of the male hormone testosterone in men, just as women’s levels of estrogen begin to decrease, any time from the age of 40+. Some doctors refer to it as low testosterone. It is normal to experience a decline in the production of the male hormone testosterone with ageing but this also occurs with conditions such as diabetes. This gradual decline of testosterone levels is called late-onset hypogonadism or age-related low testosterone. It is a more gradual than female menopause where ovulation ends and hormone production plummets during a relatively short time. When does ‘male menopause’ start? Andropause or male menopause can begin at about age 40 (but can start earlier) and continue into the 70s. Why is it not talked about more? There is not much research into the subject, probably because you don’t die from the reduction in gonadal hormones and the withdrawal of hormones is not as dramatic as in women. Together with the reduction in hormones, there are often other factors involved when men experience this. For example, work pressure, marital pressures, life management and lifestyles exacerbate the problem. Many practitioners believe that balanced, youthful levels of human hormones improve the quality of life. What are some of the symptoms? Decreased mental sharpness (poor concentration, depressed mood) Decreased energy and strength Weight gain, decreased muscle and increased fat Depression and/or loss of eagerness and enthusiasm Irritability Sore body syndrome (feeling stiffness) Hot flushes or sweats Cold hands and feet Itching Poor sexual function Height loss Dr Mkhatshwa says some men feel the pressing need to make major changes because they feel ‘life is too short’ or have a feeling of dissatisfaction with their career, marriage and health. This can lead to restlessness about changes in appearance and making out of character choices, such as having an affair or a sudden desire for excitement or thrilling experiences. Getting help Men cope with menopause in different ways, it depends largely on their personality. The reduction in hormones often coincides with children leaving home, friends getting sick, marriages in trouble and job horizons narrowing. Combined with physical, psychological and sexual symptoms it is critical for men to acknowledge the challenges and seek the help of their family doctor, spouse, friends and support groups. How does one test for male menopause/andropause? It’s best to make an appointment with your GP who will: Perform a physical exam, ask about symptoms, order tests to rule out medical problems that may be contributing to the condition and do blood tests, which may include measuring testosterone level. Helping your body and mind cope with andropause Diet: A healthy diet, which includes a balance of vegetables, fruits, meats, fish and dairy products Fitness: Engage in regular exercise, including aerobic, muscular and flexibility exercises Get regular health check-ups including cardiovascular, prostate and testicular cancer Check hormone levels as you get older. Generally, between 40 and 55 several important hormones in a man’s body begin to decline Reduce stress in your life. Exercise and relaxation help to reduce stress, as does talking to your partner, friends and family about your problems Although sex is still important as you go through male menopause, you will start to view sex as a part of a loving relationship which includes friendship, intimacy and sharing Get plenty of sleep What about Testosterone Replacement Therapy (TRT), does it work? Medical experts are divided on this. It may improve the sexual function to some extent but there is no evidence that it improves any other symptoms. Are there any dangers or side effects? Men should avoid TRT if they are at high risk of prostate cancer, have severe urinary symptoms from prostate enlargement, have diagnosed heart disease, sleep apnea, a combination of risk factors for a heart attack or are prone to thrombo-embolic events. TRT does have associated risks, including: Worsening sleep apnoea (a potentially serious sleep disorder in which breathing repeatedly stops and starts) Causing acne or other skin reactions Stimulating noncancerous growth of the prostate (benign prostatic hyperplasia) and growth of existing prostate cancer Enlarged breasts Limiting sperm production or causing testicles to shrink Stimulating too much red blood cell production, which contributes to the increased risk of forming a blood clot Fluid retention, etc. Unlike menopause in women, Dr Mkhatshwa believes more research is needed on andropause or male menopause to completely understand it and determine what can be done to assist men through this phase of their lives.

May 31, 2022

Morning sickness – what to expect and how to deal

Being pregnant is an exciting time of your life, but it can be a little daunting. Morning sickness is one of the aspects of pregnancy that can be difficult to deal with. It is estimated that over 70% of women deal with nausea and vomiting to some degree. The name morning sickness is also misleading, as unfortunately you can feel sick anytime of day. Morning sickness is often one of the first signs of pregnancy, beginning in the first trimester. Unless vomiting is so frequent that it leads to weight loss and dehydration (this is known as hyperemesis gravidarum), morning sickness is considered a normal (albeit unpleasant) part of pregnancy. What causes morning sickness? There is no one cause of morning sickness, and severity varies amongst women, and between pregnancies. Some women deal with feeling nauseous the entire pregnancy, whereas others will find that symptoms abate within the second trimester. Luckily, even though you may be feeling miserable, morning sickness is often seen as a sign of a healthy pregnancy and doesn’t harm your baby. Morning sickness is thought to be caused by hormonal changes during pregnancy, specifically the pregnancy hormone, known as human chorionic gonadotropin. How to deal with morning sickness? Unfortunately there isn’t anything you can do to fully alleviate the nausea and vomiting, however, there are things you can do to help fight feeling sick. Making sure you stay hydrated, eating a bland diet, such as rice, bananas and crackers, as well as eating small amounts frequently are all things that can help quell the queasiness. Try staying away from strong smells and spicy foods, as these can trigger nausea. If your morning sickness is bad, speak to your doctor, and be sure to consult with them before trying any medication or alternative remedies.

May 26, 2022

NEW PARENTS AND YOUR BABY’S HEALTH

Becoming a parent is a joy but it can also be overwhelming and just a little daunting. There is no degree or diploma, you are simply propelled into it. It’s a steep learning curve. You instantly have a new life depending on you and, combined with sleep deprivation, the challenges of adjusting to being a parent and wanting to do the best for your child, you need all the help you can get.Becoming a parent is a joy but it can also be overwhelming and just a little daunting. There is no degree or diploma, you are simply propelled into it. It’s a steep learning curve. You instantly have a new life depending on you and, combined with sleep deprivation, the challenges of adjusting to being a parent and wanting to do the best for your child, you need all the help you can get.

May 11, 2022

Talking about TB

Ten people die in South Africa every hour from Tuberculosis (TB). It is and has always been, a serious public health issue that needs to be brought under control. Even though effective treatments are available and there has been considerable progress in fighting the disease – about 450 000 people develop TB every year. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, talks about the state of our nation in terms of TB, the leading cause of death in our country. Of the 450 000 people who develop TB every year, just over half are living with HIV. Although most cases are drug-sensitive and respond well to standard treatment, failure to complete the full course encourages the development of multi-drug resistant TB (MDR TB), which is difficult to treat and has poor outcomes. Is TB a pandemic like Covid-19? TB is considered an endemic but arguably has the criteria to be given pandemic status. According to the World Health Organization (WHO) a pandemic is when: The disease causes death There is persistent transmission between people It spreads in multiple countries An endemic is when the disease is still circulating but at a lower, more predictable rate. The only plausible reason is that the levels of TB are consistent and predictable, rather than the ‘boom and bust’ waves of Covid-19. That said, just because it’s endemic doesn’t mean to say it’s not serious. Smallpox, for example, was endemic for thousands of years and a third of the people who were infected, died. Malaria is also endemic and causes around 600 000 deaths a year. Dr Thandi Dlamini-Miti, senior technical advisor: TB at health NGO Right to Care says, ‘Undiagnosed TB is driving transmission of the disease. Many people with TB don’t know they have it because they don’t have symptoms but they are infecting those around them with this potentially deadly disease.’ Is there enough research and development for TB drugs? The short answer is no. Countries with resources, funds and technical capacity (developed countries) have not invested in the field of TB because the disease has not affected them. It is a disease that flourishes in developing countries, where living conditions are often poorly ventilated and over-crowded. Over 95% of cases and deaths are in developing countries. Another factor to consider is that, although the poor bear the brunt of the burden of ill-health (up to 13X greater incidence of TB), they also have access to far fewer services compared to the rich. Some good news recently came from Right to Care though. Dlamini-Miti says, ‘Since July 2020, a TB prevention treatment called 3HP has been piloted. It is considered a game changer because treatment is shorter, less toxic, promotes better adherence, has a higher barrier to resistance and is safe with first-line antiretroviral therapy.’ Latent TB, HIV/AIDS and immunity TB can be ‘latent’, in other words you have TB in your body but it is not active. You aren’t ill and you can’t spread it. However, if your immune system becomes weak for some reason, the TB becomes active and will make you ill. Having HIV/AIDS is a key factor in the TB epidemic which is why it’s imperative that the almost six million people living with HIV are screened and treated. Latent TB treatment is fairly low cost and can be taken together with anti-retroviral drugs. Despite this, the number of people on medication is only a fraction of those who are eligible. Diagnosing TB Diagnosis is quite complex (particularly for those living with HIV) since many symptoms are similar to those for other common diseases. South Africa has moved towards more intensive and active methods of identifying cases, for example by screening all those attending primary health clinics. The aim is to move from identifying fewer than 70% to 90% of all cases. Currently the process of testing most of the population is a protracted one. The TST (skin test) and blood tests do not differentiate between latent and active TB which means a sputum sample needs to be taken or a chest X-ray. This is both costly and time consuming. A quicker, cheaper method of testing would certainly assist to diagnose TB. Treating TB Current treatment for TB still includes many of the original antibiotics that were developed in the 1950s and 1960s. While newer antibiotics have been introduced, they are still used in combination with the originals whose side effects cannot be ignored. Similarly, BCG is still the only known TB vaccine administered to children in developing countries. Is there a vaccine that can protect adults? Unfortunately not, there is only the BCG for babies, which has become the most widely used vaccine and provides protection to children against miliary and meningeal TB. It provides limited protection against pulmonary TB, which is the most common form of TB. Has TB been affected by the Covid-19 lockdown? Yes, it has reversed years of global progress in tackling TB and, for the first time in over a decade, TB deaths have increased, according to the WHOs 2021 Global TB Report. How is TB contracted? It is transmitted through the air, not by surface contact. Transmission occurs when a person inhales droplets with TB nuclei and it travels though the mouth or nasal passages via the respiratory tract into the lungs to reach the alveoli of the lungs. Each person with TB can spread the disease to another 15 individuals over a year. Who is most at risk of contracting TB? People living with HIV (especially those newly diagnosed or not virally suppressed), living in the same house as someone who has had or has TB, anyone who has had active TB in the last two years, those with diabetes, residents of informal settlements, children under five, the undernourished, alcoholics, smokers, mineworkers, prisoners and pregnant women. How prevalent is TB amongst medical aid members? Protocols required by the National Department of Health dictate that all TB positive patients must be referred to the state for treatment. This means

April 8, 2022

Advice from the experts

Cheese, full of goodness and a lunchbox fav

Versatile and delicious, it’s incredibly easy to make cheese one of your family’s three-a-day dairy options, every day. Like other dairy, cheese is also a firm favourite with kids. Used as a tasty topping, an essential ingredient and a go-to sandwich filler, cheese also stands alone as a nutritious and satiating snack. Packed with protein, calcium, phosphorus and other essential nutrients, cheese, in all its many varieties, deserves its place as a healthy food item in your family’s diet. Understanding the benefits of cheese, how to choose it and how to use it will help you to plan, shop and enjoy including cheese across breakfast, lunch and supper, and the snacks in between. Natural cheese is a fermented food, and while its exact origins are unknown, there is evidence from Ancient Rome and Ancient Egypt that the goodness of cheese has been recognised for thousands of years. Cheesemakers use milk, salt, beneficial bacteria and a natural enzyme known as rennet as the foundations for producing a vast array of cheeses. Different formulae and ageing processes result in different textures, flavours and colours that are all packed with goodness. Maretha Vermaak, the registered dietitian at Rediscover Dairy says, “Cheese can make a significant contribution to your daily nutrient requirements – from the protein that supports healthy bone and muscle development and repair of body tissue; to the dental protection we get from the calcium and phosphorus by having cheese directly after a meal. As parents who are concerned about good nutrition for our growing children, it is great that cheese is also so completely delicious.” When it comes to choosing the cheeses we include in our family’s meals and snacks, value for money is often top of mind. Luckily, today’s cheese options range all the way from luxury to everyday prices and there’s something to fit every budget. Proper storage of cheese also impacts on affordability because you want to avoid any food waste. Many cheeses freeze well, enabling you to buy specials or cheaper bulk options and safely freeze for later use. It often works well to buy a big block of a harder cheese such as cheddar or gouda, grate it all before its use-by-date and freeze the surplus for quick and easy use. Processed cheese spreads can be stored in the pantry until they are opened, and some varieties of cheeses, including sliced processed cheese, have longer shelf lives in the fridge. It’s always important to check the labels when it comes to storage and the nutrient content of a food item. Proper meal planning, and shopping for value for money can help you to include more cheese, more often. Another factor for many busy parents is convenience. The reality of our daily lives is that we often need fast solutions and time-savers. It helps to have nutritious options such as cheese on hand so that we can quickly prepare daily meals, snacks and lunchboxes. A good example of this is glass jar cheese spreads which are healthier options than many other bread spreads, or sliced or portioned cheese products that are grab-and-go, and a great way to control portions. When it comes to lunchboxes, cheese is always a winner, some tips include: Plan for lunchboxes – plan before you shop, and pack lunchboxes before the morning rush Involve your children – in preparing their school snacks and lunches. They learn about nutrition and how to share chores, and you can have fun together Keep it different – it may seem easier to keep doing one thing but embracing a variety of lunchbox foods encourages your children to try new foods as they develop and prevents boredom and lack of interest in eating their school lunches Aim for balance – growing children benefit from a variety of nutrients, even when it comes to snacks and lunchbox lunches. Make sure you are including protein sources like cheese, milk and yoghurt as well as carbohydrate sources like bread and crackers. Don’t forget to add fresh fruit and veg too. Hydration is essential – dehydration can have adverse effects on your child’s performance at school. Water and milk are top choices. Rather avoid sugary drinks. For more dairy ideas join the Rediscover Dairy Facebook page: www.facebook.com/RediscoverDAIRY

February 23, 2021

A FRESH TAKE ON FROZEN

While trying to juggle all of our roles and responsibilities, there is an increased need for convenience, affordability and reduction of waste that aligns with today’s strongest dietary and lifestyle trends. Fortunately, we can call upon the friends in our freezer to meet these needs, and more! However, there are still many misconceptions about the quality and nutritional value of frozen foods. McCain and Sea Harvest, both leaders in the frozen foods category, are here to dispel some of the common misconceptions when it comes to frozen foods: It’s fresh – Fresh produce forms part of a healthy diet as it contains nutrients that are essential for good health. However, there are some disadvantages. The limited shelf life increases the risk of expiring before consumption, which results in more frequent visits to the store and higher expenditure on fresh produce. When cooking with trusted frozen foods brands like McCain and Sea Harvest, you can rest assured that all their produce is harvested at its peak, sustainably sourced and snap frozen within hours to maintain freshness and lock in nutrients. “Freezing is a safe and natural way of preventing bacterial growth and enzyme activity and eliminates the need for undesirable chemical preservatives,” explains Catharina Bester, Marketing Manager: McCain Foodservice & Retail. It’s convenient – There’s no way around it, frozen meals are a win on a busy weeknight. The cleaning, chopping, crumbing and portioning has all been done for you. All you need to do is take it out of your freezer, heat according to the on-pack instructions, and serve. It’s healthy – Contrary to popular belief, freezing causes very little nutrient loss and preserves the vitamins and minerals in food – so all those fantastic nutrients end up on your dinner table, meaning you get a nutritional meal every time. Frozen produce is packed with nutritional value and provides the easiest way for you and your family to get your daily nutrition. It’s affordable – Frozen vegetables and fish have a much longer shelf-life than fresh produce so there’s less wastage, meaning you get more broccoli for your buck. It’s constantly available – Buying frozen food means you can enjoy your favourite vegetables and fish year-round. And, because of its longer shelf life, you can make sure you always have a quick dinner-time solution in the freezer! “You have enough on your plate right now but when it comes to cooking you want a quick and convenient solution that will still offer great nutrition to your family and requires minimal time spent in the kitchen. Sea Harvest and McCain are the friends in your freezer, bringing consumers the fun and creativity back into your kitchen. You get all the health benefits and delicious taste, without the hassle,” says Sea Harvest Marketing Manager, Jared Patel. Reimagine mealtimes with #FriendsInYourFreezer and stand a chance to WIN 1 of 10 PlayStation 5 consoles. T&C’s apply. For more information, visit www.friendsinyourfreezer.co.za, McCain Facebook, McCain Instagram, Sea Harvest Facebook or Sea Harvest Instagram. You can also download this fun activity book to keep the kids busy!

February 19, 2021

Teen Suicide Prevention during COVID19 – Talk, Listen & Connect

Teen Suicide Prevention Week (14 – 21 February 2021) highlights awareness especially around teen Depression. As the COVID-19 pandemic has worsened across the globe and increased stressors for many, the mental health of children and teens has been affected to a large extent. Suicide is the 3rd leading cause of death in 15 – 19 year olds (WHO, 2020). The South African Depression and Anxiety Group (SADAG) is focusing on creating awareness for Teen Depression and Suicide, as South African teens are at a particularly high risk as the mental health impact of COVID-19 has been immense. South African teens (OUTare especially at riskas they) navigate a new world of online learning or delayed learning, social isolation, loss, grief and trauma, with increased anxiety and depression. Psychiatrist and SADAG Board Chairperson, Dr Frans Korb, says “There is a myth that depression or suicide doesn’t affect teens or children, in fact it is very real and affects more young people than we know, with teens being a particular high risk for suicide. Depression is the leading cause of suicide, it doesn’t discriminate against age, gender, race, religion or socio-economic background.” SADAG has seen an increase in the number of calls to the Suicide Helplines, and we encourage parents, teachers and family members to know the warning signs of depression and to reach out for help as soon as possible. Now more than ever, parents need to connect and engage with their children – ask questions, listen carefully to understand, get to know what is happening in their teens lives and what they are feeling and thinking,connecting to help if you pick up any warning signs for depression or suicide before it is too late – it could save a life. There is still a lot of stigma and fear around suicide, and many parents and teachers are afraid that if they talk about suicide to teens that it would cause them to take their life. SADAG’s Operations Director, Cassey Chambers explains, “Research shows that talking about suicide with a young person DOES NOT cause them to have thoughts of suicide or kill themselves. But NOT talking about it can lead to thoughts of suicide turning into action. Talking about suicide and depression create an opportunity to discuss feelings and thoughts that might have otherwise remain hidden. Most teens who are thinking about suicide are often honest and relieved when asked direct questions about their suicide thoughts or feelings.” But informing and empowering parents and teachers on how to have these conversations with teens is the first step to preventing teen suicide. SADAG will be hosting 2 free online CONNECT Webinars – one for Teachers (24 February, 3:30pm) and for Parents (25 February, 1pm) with experts to unpack how to identify warning signs of teen depression and suicide at home and in the classroom, self-help tips to deal with depression, how to talk about suicide with a teen, developing a suicide safety plan, and how to connect to help. Visit www.sadag.org for more details about these free Connect Webinars and RSVP for your free seat today. Miss SA will be using her Instagram platform to focus on Teen Depression for #MindfulMondays on Monday the 15th February at 7pm. SADAG will also be hosting an online #FacebookFriday expert Q&A on Friday the 19th February at 1pm-2pm and again at 7pm-8pm answering all your questions on teen depression, suicide prevention and how to get help LIVE on @TheSADAG. “Even if you notice 1 warning sign, don’t wait or leave it. Talk today, listen and connect to help – it could save a life,” says SADAG’s, Cassey Chambers. Possible Warning Signs of suicide include: Talking about suicide or death – could be writing or drawing about death and dying, or posting pictures, quotes, or messages on social media Writing or sending goodbye letters or messages or posting goodbye messages on social media Saying things like “Everyone would be better off if I was dead” or “I wish I wasn’t here anymore” or “I don’t want to be here anymore” Giving away prized possessions Signs of depression such as moodiness, hopelessness, withdrawal, drastic change in their appetite and sleep, and loss of interest in usual activities Increased alcohol and/or other drug use Behavioural changes and taking excessive risks SADAG runs the country’s only Suicide Crisis Helpline (0800 567 567) which is open 24 hours a day, 7 days a week, sms 31393 and a counsellor will call back or you can visit the online toolkit for teen suicide prevention on www.sadag.org. There is always help!

February 16, 2021

Minimize added sugar in your child’s diet

It’s true. Your baby or toddler was born with a sweet tooth! Children this age naturally prefer sweet tasting foods, including breastmilk. Did you know that babyhood and toddlerhood are critical periods in shaping and influencing your child’s eating habits and taste preferences? Upon introducing solids, it’s important to offer a wide variety of textures and flavors. When it comes to food choices, quality matters most! After all, they have tiny tummies that can only hold so much at one time. Because of this, it’s especially important to offer foods that are rich in nutrients, without any undesirable extras, like added sugar or salt. Some foods naturally contain sugar, such as fruit, some vegetables and dairy products. Added sugar can be in obvious sources like desserts and sugary beverages. But added sugar can also sneak into less obvious sources including flavored yogurts, breakfast foods like cereals and waffles, and even condiments like spaghetti sauce and ketchup. While we want to include good-for-you sources of natural sugars (think fruits, vegetables and yogurts with no added sugar) in our baby or toddler’s diet, we do want to keep out the not so good-for you added sugars. Keeping the added sugars in your child’s diet to a minimum is important in helping reduce the risk of various health conditions. Unhealthy weight gain, tooth decay, and attention/behavioral issues have all been associated with excessive intake of added sugars. Because research shows diets with fewer added sugars are better for our health, there are new laws governing the inclusion of these on our food labels. Moving forward, the government will be requiring food manufacturers to include the amount (in grams) of added sugars on the Nutrition Facts Panel. This will give us a much better idea of what is actually in our foods, in terms of naturally occurring versus added sugar. Here are some other ways to limit your child’s intake of added sugars: Offer mostly whole foods. Serving foods in their natural state, such as fruits and veggies, allows you to know exactly what you are feeding your baby or tot. Processed foods like crackers and other packaged goods can be not- so- obvious harbors for added sugars, check labels and offer no added sugar versions. Be mindful of “kid-friendly” foods. Specific foods aimed towards kids, like yogurts and cereal bars, can still contain too much added sugar. Look for and choose products that don’t include any of these sugars. Be a food label decoder. In addition to seeing the word “sugar” on food labels and ingredients lists, other words can indicate the presence of a sugar that is not naturally occurring in the product. Examples of these include: honey, agave, fructose, dextrose, corn syrup, and molasses. Becoming familiar with the many names of sugar will help you better understand what is in specific products. Meal plan. Preparing meals at home gives you more control over what goes into the foods you make for you and your family. Avoid sugary drinks. Avoid offering your baby or toddler beverages that are high in sugar like fruit beverages, sodas and iced teas. Even though 100% fruit juices do not contain any added sugar, no fruit juice is recommended for infants younger than 12 months. For toddlers 1- 3 years of age the intake for fruit juice should be limited. Limiting your child’s exposure to added sugars will help contribute to a healthy start! We love… Super Smart Pouches: Retail Selling Price: R42,50 Nourish your growing tot with this tasty blend of organic bananas, beets, and strawberries. To help support brain health, each pouch contains 20mg of DHA and 100mg of choline making this pouch perfect for wholesome, on-the-go eating! Stockists: Happy Family Organics products are available at Baby City, Babies R Us, Wellness Warehouse, Clicks, Spar, Pick n Pay, Baby Boom, Dis-Chem, Medicare Pharmacies, Takealot, Babies Africa, Faithful To Nature.

February 12, 2021

The low down on Covid-19 test protocols

As South Africa finds itself starting to move out of the second wave of a Covid-19 outbreak, over 8 million Covid tests have been carried out in the public and private sector since the start of the pandemic. The global gold standard method to diagnose Covid is the Reverse Transcription Polymerase Chain Reaction (RT-PCR) test. It is currently the most accurate way to detect SARS-CoV-2, the virus that causes Covid-19. Will your medical aid pay for the test? According to Lee Callakoppen, Principal Officer of Bonitas Medical Fund, ‘Funding is in accordance with the Council for Medical Schemes (CMS) guidelines, all clinically appropriate and referred diagnostic testing for suspected Covid-19 cases will be funded as a Prescribed Minimum Benefit (PMB) condition.’ Bonitas pays for up to three Covid-19 diagnostic tests from risk, whether the result is positive or negative. However, this is subject to the member or beneficiary being referred by a registered healthcare practitioner (doctor or nurse). This referral is dependent upon whether the member is showing symptoms, has been in contact with anyone who has Covid-19 and prior to hospitalisation. It should be noted that laboratories will not normally accept walk-ins for testing and require a referral or request from a healthcare practitioner. This is to ensure that we don’t test unnecessarily and jeopardise the availability of these tests for those who really need them. ‘Despite the PCR being arguably the most accurate laboratory methods for detecting, tracking and studying the Coronavirus, there are limitations in its widespread use,’ says Callakoppen. ‘These include: Access to the test kits; the complexity of performing them; the need for specialised staff to administer them; potential global shortages; high costs; the requirement for laboratory equipment and the delayed turnaround times. For this reason, testing should only be done when it is clinically necessary.’ What about Rapid Antigen Tests Immunoassay devices that detect the SARS-CoV-2 antigen within 15-30 minutes have also been promoted as a possible solution when access to PCR tests is a challenge. An antigen – detected in the blood or any other fluid – is any substance that makes the immune system produce antibodies. Viruses and bacteria are antigens. However, these tests are not as accurate as the PCR tests and have shown variable performance during evaluations, with sensitivities ranging from 0 to 94%. Test specificity has been high, but sensitivity has been erratic, which we need to bear in mind. Why is specificity and sensitivity critical? Sensitivity is the percentage of true positives (e.g. 90% sensitivity = 90% of people who have the target disease will test positive). Specificity is the percentage of true negatives (e.g. 90% specificity = 90% of people who do not have the target disease will test negative). These allow you to rule conditions in or out but not definitively diagnose a condition. What does the Council for Medical Schemes (CMS) say? The CMS currently still advocates the PCR test to diagnose Covid-19. The World Health Organisation (WHO) has also previously advised that the role of these rapid antigen tests must be evaluated and are “not currently recommended for clinical diagnosis pending more evidence on test performance and operational utility”. However, the WHO has now approved the use of antigen tests (and this is the South African approach as well) as an alternative to the more expensive PCR tests. This is however, in certain defined scenarios such as testing confirmed people in communities where infections have been detected, screening of high risk groups and individuals and for contact tracing purposes. They have also provided conditional recommendations for the use of these tests such as screening at ports of entry, routine screening for employees at their place of work, schools, prior to certain urgent medical procedures, etc. The challenge with these tests is that they are most accurate in patients between 5 and 7 days after showing symptoms – therefore the timing of testing becomes critical in order to ensure accuracy of the result. What about Rapid Antibody Tests? Many countries, including South Africa, are using antibody or serology tests such as the ones offered at various drive-throughs. These can detect whether someone has previously been infected and estimate how widespread the infection is but they are not recommended for diagnosis of Covid-19. For this reason, these are not funded by Bonitas Medical Fund as the use for these tests is limited for purposes of government surveillance and research rather than diagnosing Covid-19. If individuals want to know whether they have previously had Covid-19, for their own information, this test would be able to confirm that – but it is not used to identify whether you currently have the infection. If these tests are done too soon after the infection, they produce incorrect results as the antibodies (IgM and IgG) will not be detectable. There is also no scientific evidence that it provides any immunity to another Covid infection. ‘What is clear is that laboratory testing plays a vital role in the diagnosis and the prevention of the spread of the virus,’ says Callakoppen. ‘Nevertheless, it is important to understand that the timing and correct use of the different types of tests is crucial to gain the best results. We reimburse up to three PCR or rapid antigen tests done in or out of hospital for our members and recommend that this protocol for testing remains, until further research is conducted and evidence provided.’

February 12, 2021

INTERNATIONAL CHILDHOOD CANCER DAY (15 FEBRUARY): EARLY DETECTION CAN SAVE LIVES!

Of the 800 to 1 000 children that are diagnosed with cancer in South Africa each year, more than half tragically go undiagnosed. Dr Charlotte Ingram, Medical Director at the SA Bone Marrow Registry (SABMR) says SA has among the highest childhood cancer mortality rates with two thirds of children never reaching a specialist treatment centre and when they do, their cancer is often at an advanced stage. “Many childhood cancers are treatable with cure rates of between 70% and 80% in well-resourced countries, while in contrast, eight in ten African children with cancer die without access to adequate care. Despite SA having an established oncology healthcare service, its infrastructure is overburdened, which is further impeded by low cancer awareness in the primary healthcare setting and widespread service delivery challenges.” She says unlike adult cancers, childhood cancer is difficult to prevent or screen for because the causative genetic and environmental factors are less understood, but if it is detected early, most children can be treated successfully. “Knowing what the early warning signs are is vital in order for treatment to commence as soon as possible. Unfortunately, among certain local ethnic groups, there is still a lot of stigma and myths that surround childhood cancer. Some of these include: Two of the most common childhood cancers in South Africa are leukaemia and lymphoma. Leukaemia is caused by a rise in the number of white blood cells in the body and accounts for a quarter of all childhood cancer cases in the country. Early symptoms include chronic fatigue, bone and joint pain, weakness, easy bleeding or bruising, recurrent nosebleeds, swollen lymph nodes, fever and unexplained weight-loss. Lymphoma is triggered by tumours that begin in the lymph glands, the spleen, thymus gland and bone marrow and can affect other organs throughout the body as well. Look out for painless swelling of lymph nodes in the neck, armpits or groin, persistent fatigue, fever, night sweats, weight-loss and itchy skin. If any of these signs or symptoms persist, its best to make an appointment with a doctor who will be able to conduct tests to rule out the possibility of blood-related cancers. Dr Ingram explains that in many cases, a bone marrow transplant, which is also referred to as a stem cell transplant is used to treat leukaemia and lymphoma and other blood and immune system diseases that affect the bone marrow. “Childhood cancers are different from those found in adults as most of them occur in developing cells such as bone marrow, blood, the kidneys and nervous system tissues. Chemotherapy kills both cancerous and healthy blood cells inside the bone marrow, which is why transferring a new, healthy set of blood stem cells by way of a bone marrow transplant, helps their immune systems to recover from the intense treatment. Replacing diseased or damaged cells with non-cancerous stem cells will help the body to make healthy cells. “At the moment, SA’s overall childhood cancer survival rate is at an unacceptably low 52%, nearly 30% less than in developed nations. In 2018, the World Health Organisation (WHO) established the Global Initiative for Childhood Cancer, which aims to achieve a global survival rate of at least 50% for all children diagnosed with cancer within the next decade. “To deliver on that promise, policymakers need to prioritise childhood cancer by: Debunking the misconceptions around childhood cancer among a large percentage of our population; Increasing our country’s capacity to deliver quality services for children living with the illness, along with access to care; Whilst also increasing the number of bone marrow donors. Currently, only 73 000 donors are part of the national registry, which is miniscule if you consider that more than 23 million people are eligible.” Do your bit by helping the SABMR spread awareness around childhood cancer this month by sharing its social media posts with family and friends: https://www.facebook.com/sabonemreg/ https://www.instagram.com/sabonemreg If you are between the ages of 16 and 45 and want to become a donor, contact the SABMR on 021 447 8638 or email: donors@sabmr.co.za. Financial donations can also be made via www.sabmr.co.za/donate to help boost funds for their Patient Assistance Programme.

February 12, 2021

Pregnancy and COVID

Looking back at last year, we had no idea how COVID-19 would change the way that we live. It has crept into every facet of our lives. We have had to change the way that we work, learn, bury our loved ones, and socialise. Nothing is “normal” anymore. COVID-19 has had a profound impact on women who are pregnant. The ability for pregnant women to receive health care and general support from friends and loved ones have changed drastically. Pregnancy is a time where a woman and her partner need to be supported and have their regular medical checkups to help them have a healthy baby. Our new normal does not allow for large baby showers, friends popping over for a chat and a cuddle of your baby. Grandparents can’t visit in hospital and in some NICU visitation to the baby is very limited. So how then does a woman and her partner prepare for pregnancy and the time when your baby comes home? Here are 5 topics to consider: Social distancing / Self Isolation during and after pregnancy: The current research suggests that women who contract COVID-19 while pregnant have an increased risk of severe illness and death compared to non-pregnant women. They also have an increased risk of having adverse pregnancy outcomes like prematurity. Over the last year we have learnt that it is almost impossible to have no risk of contracting COVID but if you do need to leave your house, you can consider the risk of the activity. This will allow you to plan and put in place ways to reduce the risks. There may even be some activities you will have to avoid. In general, the more people you have close and prolonged contact with will increase your risk of getting COVID-19. You also need to consider the actions of the people that you live with and how they are interacting with other people. The best way to protect yourselves from contracting COVID-19 is to limit interactions with people. Steps that you can take when you need to interact with others are: Wear a mask over your nose and mouth, try to keep about 2m away from other people, wash your hands with soap and water for at least 20 seconds and if indoors try to be in a well-ventilated room. Events like baby showers, shopping for baby items and visit of friends once baby is home, need to be rethought as to how to make it safer for you and your baby. Some baby shower ideas are online zoom parties or drive by and drop off the gifts and a note. What ever you decide to do, consider the risks and how to reduce them. My Breastpump has an online store where you can have breastfeeding items delivered to your home: https://bit.ly/3obw7vH Look after your health. Keep all your health care appointments. Talk to your health care provider about the safest way to deliver your baby. You might consider having a home birth with a Midwife or giving birth in hospital. Eat a health balanced diet and take all your vitamin and mineral supplements. Keep active so that you are strong for the delivery. Find online antenatal classes to help you prepare for your delivery. The class should include information on different delivery types, how to recover from delivery, information of how to care for your baby once you get back home and are breastfeeding. Finding out what your hospitals policies are around COVID. It is best to know what the hospital policy is regarding COVID testing before delivery, your partners ability to see your baby, what if you do have COVID and visitation during hospital stay for family members. This will help you to be prepared and to pack your maternity bag accordingly. Many hospitals are not allowing non-parents to visit in the maternity ward. This may be lonely and scary, but it does allow you and your partner to have a baby-moon, where you both can focus on getting to know your little one, gives you time to learn how to breast feed and allows you to rest and recover after your delivery. Learn as much as you can about breast feeding. Breast feeding, although it is natural, is a learnt skill that you and your baby will need to learn. It is important to know how to breastfeed, what is normal and learn as much about breastfeeding before you give birth. Include your partner so that he will be able to help you if and when you need it. There are many videos that you can watch on YouTube about breastfeeding with a deep latch. You can visit our website for more information on breastfeeding and expressing milk. It is highly recommended that you find a lactation consultant that can give you an online breastfeeding workshop while you are pregnant. This gives you the necessary information to breastfeed well and someone you know that can help you if you need the help. If you would like to book a consultation with Carey a SACLC please email info@mybreastpump.co.za for more information on a breastfeeding workshop. Have a plan for when you get home. The first few weeks after the birth can be difficult due to sleep deprivation and learning to care for your new child. COVID-9 just makes it so much harder because we are all social distancing. Have a plan or ideas of how you are going to make life simpler for yourself. Firstly, let your family know about visitation and how you would like them to interact with your new baby. Let them know what you would like: No visit policy, Visit but you can only look though the window or you can visit but you must wear a mask and sanitise. Will you have someone in the house to help you? If so, will that person need to self-isolate before they move in? You can ask your friend s and family to support you by taking

February 10, 2021

Keep calm and keep going

Did you know that even happy and good changes cause us stress? Think of a new baby, a new house, a new job, a new year … The arrival of the COVID-19 coronavirus is a huge stressor. We have had to make big changes to working conditions, home schooling children, staying in touch with loved ones via phone or digital platforms and managing tough economic challenges among others. Even so, South Africans are doing themselves proud and adopting mask wearing, hand sanitising and social distancing. But isolation and fear of catching or passing on the virus do take their toll on our emotional, mental and relationship wellbeing. Healthy lifestyles can help us to manage this stress. Some are: Eat healthy food. Because carbohydrates raise serotonin levels, they act like a natural tranquilizer so it’s competent to dive into bread or muffins when anxiety rises. No problem there but check that you are also eating proteins in meat, chicken or eggs, as well as vegetables, fruit, seeds and nuts, as these are the building blocks of good health. Exercise two or three times a week. Exercise has been found to decrease symptoms of depression. While we do not always feel like it, just start, even if it’s a walk around the block 3 times a week. Enjoyment and motivation tend to follow once we begin. Get a good night’s sleep. Seven to eight hours is recommended as sleep is relaxing to both body and brain and has an important role in supporting our immune system. If you find yourself worrying instead of sleeping, and feeling on edge and overwhelmed during the day, there are two Nativa Complex® formulations which support emotional and mental wellbeing and a good night’s sleep. Nativa Calm Complex® can assist the body to cope with everyday emotional strain, tension and irritability. Its formulation of vitamin B, GABA and herbal actives can help the body with anxiety support, promoting calmness and enhancing focus. Oh for a good night’s restful sleep! Vitamin B, magnesium and herbal actives in Nativa Night Complex® can support the body with restful sleep, undisturbed sleeping patterns, relaxation and reducing mild anxiety. Available from Dis-Chem, Clicks, Takealot and selected pharmacies. Prices: Nativa Calm Complex® around R120 for 30; Nativa Night Complex® around R124 for 30

February 9, 2021

Why it’s important to care for your skin during and after pregnancy

The skin is our largest organ and it serves a number of essential functions. During and after pregnancy a woman may experience changes in her skin. In order to protect herself and her baby, certain skincare ingredients need to be avoided during these periods while others need to be introduced to nourish and care for the skin’s new needs. When selecting skincare products for yourself during pregnancy, and for your baby after birth, it’s important to understand that our skin serves a vital function in our relationship with our babies. What role does the skin play when it comes to mom’s relationship with baby? Skin-to-skin contact is usually referred to as the practice where a baby is dried and laid directly on their mother’s bare chest after birth, both of them covered in a warm blanket and left for at least an hour or until after their first feed. Skin-to-skin contact provides an appropriate and affordable, yet high quality alternative to technology. There is a growing body of evidence that indicates skin-to-skin contact after the birth helps babies and their mothers in many ways: It calms and relaxes both mother and baby. It regulates the baby’s heart rate and breathing, helping them to better adapt to life outside the womb. It stimulates digestion and an interest in feeding. It regulates temperature. It enables colonisation of the baby’s skin with the mother’s friendly bacteria, thus providing protection against infection and boosting baby’s immunity. It plays an important role to help prevent postpartum depression. It stimulates the release of hormones to support breastfeeding and mothering. It stimulates the release of the oxytocin hormone (“cuddle” and pleasure hormone) in both mother and baby. What makes human skin so special? Human skin is a complex living material but in biomechanical tests it reveals its homogeneous nature. Our environment can directly influence who we are: the skin reacts immediately and directly to the outside environment. The skin is colonised by a diverse milieu of microorganisms, most of which are harmless and some very beneficial to their host. The primary role of the skin is to serve as a physical barrier, protecting our bodies from potential assault by foreign organisms or toxic substances. The skin is also an interface with the outside environment and as such, is colonised by a diverse collection of microorganisms. Symbiotic microorganisms occupy a wide range of skin functions and protect against invasion by more pathogenic or harmful organisms and may play a role in educating T cells in the skin, priming them to respond to pathogenic counterparts. In utero, foetal skin is sterile, but colonisation occurs immediately after birth. Microbial communities of the skin and other sites are established and stabilised during the first years of life especially with skin-to-skin contact with mommy or daddy as a newborn explores its environment and matures its immune system. During puberty, changes in sebum production parallel the levels of lipophilic bacteria on the skin. Physiological and anatomical differences between male and female cutaneous environments – such as sweat, sebum and hormone production – partially account for the microbial differences seen between the sexes. Environmental factors specific to the individual, including occupation, clothing, skincare regime and antibiotic usage may regulate colonisation by the skin microbiota. The importance of using specific products on both mother and baby to sustain the effect of skin-to-skin contact Mommy and baby care, hygiene and skincare products are potential factors contributing to the variation of skin microbiota. For example, the use of products that are not pH balanced will alter the conditions of the skin barrier and may either encourage healthy skin flora growth rates or cause it to deteriorate. Understanding the ingredients in skincare products that may affect skin health Particular compounds and molecules need to be applied to skin in order to assist and supplement a homeostatic balance at all times, even when the skin is exposed to the atmosphere with social and environmental stressors. A product with measurable quality, safety and efficacy standards should be considered. Bottom line: don’t settle for just anything when choosing a skincare brand and product, as not all products are created equally. Do your research and choose a product that proves its efficacy by using scientific evidence. Do some research on ingredients, and ensure the products you are using contain ingredients that are safe and effective. Look for a product that understands this scientific rationale and will optimise your skin-to-skin contact with your baby Offering a wide range of skincare solutions for the entire human race, with no exception to mommies-to-be and babies, Biomedical Emporium understands that skincare has to work both on a cellular and a molecular level. Their latest skincare range is the Maternology series for pre-conception and pregnancy, and the Biosimilar BioBaby series for baby. During the process of trying to fall pregnant, IVF treatments and pregnancy itself it is important for a woman to change her skincare regime. The Maternology range helps prepare the mother’s skin for the skin-to-skin contact after baby is born. Many biochemical changes take place during pregnancy. Some women get a beautiful glow during pregnancy due to the elevated hydration and skin moisture retention levels along with the amplified exposure to vitamins and minerals via placental fluid transport. Unfortunately, for other expecting mothers, the increased and fluctuating hormonal activity during the first trimester can have the opposite effect, and may result in an increase in sebum production that may lead to acne and the expression of pigmentation. Skincare during pregnancy should be simple and easy due to the skin being much more sensitive and reactive. The following product ingredients should also be avoided during pregnancy: Retinoic acids. Beta Hydroxy Acids. Any peroxide-containing ingredients. Artificial colour-stained products and products containing fragrances. Skin-staining products (refrain from using self-tanning products during pregnancy). Avoid skin lightening or bleaching ingredients such as hydroquinone-containing products. Avoid mechanical exfoliation as this may deteriorate the skin’s barrier function. The Biomedical Emporium Maternology range is simplistic, easy, and safe to use. The ingredients are rich in vitamins and

February 5, 2021

What to eat during pregnancy

A healthy diet is important for everyone, but now you are pregnant, choosing the right food is more important than ever before, as your baby is relying on you to provide all the nutrients they need to grow and develop.

February 4, 2021

Nutrition for growing bodies has never been easier

The Harvest Table launches its Kids Range Say goodbye to the mealtime battle zone with The Harvest Table’s new kids range of products which promises to provide the right nutrients for growing bodies. Catherine Clark, Owner and Founder of The Harvest Table, says that she understands first-hand what it’s like to try and get children to eat healthily. “I have two kids, Joshua (12) and Emma (9), and I understand this daily struggle all too well. What’s worse, when I don’t get it right, I’m left feeling guilty that they are not getting the right nutrition for their growing bodies. These products have allowed me to provide them with a meal replacement option that is not only nutritious but tasty and convenient too,” she says. Catherine adds that not unlike most kids, her children are drawn to fun packaging, and so, she and her team made an effort to create a vibrant range that is not only earth-consciously packaged but appealing to children too. The range features a variety of eight shakes for kids aged 3-6 and tweens aged 7-12. “We’re proud to launch a range that features different packaging for girls, boys and different age groups. We did not want to produce one-size-fits-all packaging, but rather, products that were inviting and appealed to the child’s imagination, all while making the parent’s job easier,” she adds. Each shake contains prebiotics, probiotics, protein, magnesium, barley grass juice, and lion’s mane mushrooms. The shakes are flavoured with chocolate or blueberry, so they are guaranteed to be a firm favourite in your home. Catherine explains the benefits of the ingredients below: Collagen: Collagen consists of protein building blocks, otherwise known as amino acids, which are essentially structural components found in the bones. Collagen is surrounded by calcium and phosphate, which help form mineralised (hard) bone. Children need to include it in their diet as they go through peak bone-building years at around age 10. The more collagen they have in their bodies, the more readily available it is for their bones. Bone broth: Bone broth contains gelatine which is essential for restoring the gut. It seals up holes in your stomach, heals the lining, and nourishes the gut with essential nutrients. It contributes to a well-functioning digestive system and thus helps the body absorb nutrients easily. Lion Mane mushroom: Lion Mane mushroom contributes to the production of nerve tissue growth and brain cells, which can suffer damage over time. It works throughout the body, and not just in the brain by repairing damaged nerve tissue, regenerating nerve fibres, and also improving the communication between neurons and axons. It also supports cognitive functioning, boosts mental focus, and improves memory. Probiotic: Probiotics are essentially bacteria that is found naturally in our gut. It coexists with harmful bacteria, which can set off the balance in your gut, leading to irregular bowel movements, constipation and diarrhoea. Probiotics help counter the negative effects of the bad bacteria and thus, improve gut health and function. Prebiotic: Prebiotics stimulate the growth of beneficial bacteria and balance in the gut. By promoting changes in the gut bacteria, prebiotics directly affect the mucosal immune system, which is the bodies defense mechanism against toxins. This results in decreased susceptibility to inflammatory diseases. “Parents no longer have to worry about their children getting enough nutrients. This meal replacement can be prepared with three tablespoons of the shake, 250ml of water and three ice cubes, all blended and ready to be enjoyed in a matter of seconds. This range combines great taste, good nutrition and, of course, convenience,” Catherine concludes.

February 4, 2021

Pregnancy and Medical Aid

Motherhood and pregnancy are times of great anticipation and joy. Each experience is unique but what is probably high on the agenda is that you have a trouble free pregnancy, a healthy baby and then know and anticipate the cost involved for pre-natal check-ups and the birth. ‘Choosing the right medical aid is critical in ensuring the healthcare needs of you and your loved ones are taken care of. More so, when you’re looking at expanding your family. For those who are on a medical scheme or wish to join one, here are some important points to consider when you fall pregnant,’ says Lee Callakopen, Principal Officer of Bonitas Medical Fund. When you are already a member of a medical aid scheme When should you advise your medical aid of your pregnancy? If you are already a member, you can access the out-of-hospital maternity benefits without advising your medical aid that you are pregnant. However, please ensure that your doctor uses the correct ICD-10 codes on your claim to ensure that it is processed correctly. Bonitas pays for maternity benefits in addition to savings and day-to-day benefits, which help members get the care they need during pregnancy while limiting out-of-pocket expenses. Remember that pre-authorisation is needed for the delivery of the baby, which can usually, be done from 20 weeks onwards. Pre-authorisation will help you understand the benefits you have available on your plan and ensure that you are aware of what is covered. Bonitas members can also register for the Bonitas baby bag once pre-authorisation is obtained. The baby bag is packed with of useful goodies for the baby to make parenthood a little easier. When do you advise the medical aid that your baby has been born and needs to be added onto your medical aid? For our members, the baby needs to be registered within 30 days from the date of birth to ensure there is no break in cover and that your child will be covered from the first day of life. Are there Designated Service Providers (DSPs) in terms of gynaes and hospitals for childbirth? We strongly advise members to use DSPs to get maximum value and avoid co-payments. We agree special rates with these providers, which are covered within a member’s benefits so that they can focus on taking care of their health and wellbeing during pregnancy. What is normally covered in the maternity benefit? This differs from scheme to scheme and according to the plan you are on. Bonitas pays for up to 12 maternity consultations (paid for from a separate benefit), an amniocentesis, antenatal classes, 2x 2D ultrasounds and the delivery. In addition, there are additional benefit for newborn hearing screening tests and childhood vaccination. Does Bonitas cover the cost of a Caesarian birth? Yes, medically necessary Caesarians are covered on all plans. Some expectant mothers do prefer home births – is this covered? Yes the cost for a home delivery is covered. Are all the childhood vaccinations covered by Bonitas and if so, are there any conditions attached ie where the vaccinations should be done? Vaccines are covered as per the EPI schedule on immunisation. Please note this benefit is available on specific plans. The vaccines can be done at any clinic or pharmacy. If an administration fee is charged by these providers, it will be paid from your savings or day-to-day benefits. The vaccines covered are as follows: The Bonitas Babyline – a dedicated children’s health advice line In 2016, Bonitas introduced Babyline – a 24-hour children’s health advice line manned by paediatric trained registered nurses. They are on the other side of the phone to assist with any parental concerns, vaccination schedules and health related issues, 24/7, 365 days of the year. How does Babyline work? Bonitas parents, or their caregivers, simply call the Babyline number on 0860 999 121 to speak to paediatric trained nurse. Through a series of questions asked regarding the health issue, parents will be provided with professional advice on what to do next. Depending on the symptoms, the advice might be to head straight to the ER or to see a doctor or specialist. The nurse will advise which healthcare provider is the most appropriate, given the health issue. The services offered by the Babyline include: Home care advice Clinic/primary care/GP referral for the same day Clinic/primary care/GP referral for the following day After-hours care within the next six hours Immediate referral to the ER The Babyline service is available to members across all the Bonitas plans, for children under 3 years. Joining a medical scheme when you are already pregnant It is very common for women to apply to join a medical aid scheme when they fall pregnant. But according to the Medical Schemes Act 131 of 1998, medical aid schemes are entitled to impose a 12-month condition specific waiting period for any pre-existing medical condition, such as pregnancy. These waiting periods must be imposed for specific pre-existing conditions to protect the interests of current members of the scheme. When a waiting period is applied to pregnancy, then the pregnancy and birth will not be covered but your baby will be covered from the first day of life – if you register them on your medical aid within 30 days. This will allow you to ensure the needs of your child and the healthcare will be covered. Bonitas has different plans and expectant mothers will be able to select the one most suitable for their needs. Informing the medical aid of your pregnancy Prospective members need to inform their medical aid upon application or within 30 days after you complete the application. What is the policy regarding a member joining Bonitas when they are pregnant? What sort of cover can they expect, if any? The pregnancy would be considered pre-existing and therefore not covered. The baby will be covered if registered within 30 days post-delivery. What happens if someone signs up for medical aid not realising they are already pregnant? At what point is

February 3, 2021

Back to school: Time to boost your child’s immune system?

The kids have been at home for almost two months, but in just a few short weeks, they will be back to school. Most of us headed the president’s plea to keep safe, sanitise and stay home, which means that our children have been around fewer people, have been exposed to less germs, and may require a little immunity boost. Catherine Clark, Owner and Founder of the Harvest Table says that even if you’ve already started giving them vitamins, there are other ways to help boost immunity, “A strong immune system does not necessarily mean your child will not get sick, but their body will be in a better position to fight against bacteria and viruses,” she adds. Catherine offers these four ways to boost your child’s immunity: Encourage adequate sleep time: Sleep is one of the most important components of the immune system. Many studies show that sleep deprivation increases susceptibility to infection in children. The Sleep Foundation recommends that children aged 3-5 years get 10-14 hours of sleep, and those aged 6-13 get 9-11 hours of sleep. In order to help give your child a longer, better rest at night, it is essential to get them back into a well-defined sleep time routine. Have set bed- and wake-up-times, limit noise in the home by switching off devices and wind down by reading them a book. Keep up the hygiene: According to the Centres for Disease Control and Prevention (CDC), washing hands prevents illnesses and the spread of infections to others. They also recommend regular hand washing because it helps prevent 30% of diarrhoea-related illnesses, and 20% respiratory infections. Encourage your children to not only sanitise regularly, but also wash their hands often (and not only when they are visibly dirty!). Furthermore, clean their toys and high-touch surfaces often to limit the transfer of germs. Make movement a part of play: Research shows that prolonged hours of sitting can increase the risk of upper respiratory infections by two or three times a year, but, moderate exercise can reduce this by stimulating an immune response in the body. Children don’t spend as much time outside as they used to due to distractions like television and other devices. It can be challenging to encourage them to do something outside, so it’s important to make outdoor play fun. And, it’s not enough to tell your children to play in the yard, you need to get involved too! They will be more motivated if mom or dad doing it as well. Up the probiotics and prebiotics: About 70% of the body’s immune cells are found in the gut. There are good and bad bacteria found in the gut. Probiotics increase the good bacteria and thus reduce the potential damage caused by the harmful bacteria. Prebiotics, on the other hand, stimulate the growth of beneficial bacteria and directly impact the body’s defense system by decreasing susceptibility to inflammatory disease. You can increase your child’s probiotic and prebiotic intake with The Harvest Table’s new Kid’s range. It contains prebiotics, probiotics, collagen, bone broth, magnesium, barley grass juice, and lion’s mane mushrooms — all vital ingredients for growing bodies. Plus, it tastes like a milk shake so it’s easy enough to get them to take it! “Illness is a part of life. Your child is likely to still get sick, no matter how many vitamins and supplements they take, but boosting their immunity builds up their ability fight off illnesses quicker and gives them a fighting chance,” Catherine concludes.

February 1, 2021

9 signs you may have Postpartum depression

Also known as Postnatal depression, this condition can often be mistaken for something referred to as the ‘ Baby Blues ’. Both of these conditions involve feeling depressed, horrible mood swings and start a few days after giving birth. The difference between Baby Blues and Postpartum depression As a new mom , the combination of a lifestyle change, lack of sleep and rapidly fluctuatinghormones can result in the Baby Blues within two weeks of giving birth. However, these feelings should start to go away after around two weeks – when your body starts to adjust as do your hormones. It is important to be kind to yourself during this time. Although many women have gone through labour and birth, it does not make the process easy. Feeling out of sorts, overwhelmed and down are understandable. Sometimes Baby Blues turns into something more, and that is something that you need to look out for. Symptoms of postpartum depression According to the American Psychiatric Association, here is a basic checklist to watch out for: Sadness Fatigue, or a decrease of energy Impaired concentration and decision making The inability to feel pleasure A tendency to blame yourself, to feel guilty or worthless Sleep disturbances Agitation or restlessness Appetite disturbances or weight loss Recurring thoughts of self-harm If you read through this list and found yourself identifying with a few or all of these symptoms -it is very possible that you have Postpartum Depression . Again, this is a physical condition that is treatable. It is not your fault and you are not a bad mother for having it. In fact, between 10 to 15% of mothers worldwide suffer from Postnatal depression , with many more in countries with higher poverty levels. Without intervention, Postnatal depression can last for years. Getting help Regardless of your personal support system, there are support structures out there that can help you through this difficult time. If your Postnatal depression is compromising your ability to look after your child, or you have any thoughts of self-harm, it is important to know that there is something you can do if you reach out to the right places. The following organisations offer assistance, and are trained to help you. Adcock Ingram Depression and Anxiety Helpline 0800 70 80 90 SADAG Mental Health Line 011 234 4837 Suicide Crisis Line 0800 567 567 You can also speak to your GP, Gynaecologist or midwife about what you are feeling. Joining a support group, or a mother and child class can help with feelings of isolation – you will be surprised how many other mom’s may be going through the same thing as you.

January 7, 2021

What vitamins and minerals are needed during pregnancy

As an expecting mom you’ll want to do your best to make sure that your baby is as healthy as possible. What you eat is critical during this time, as everything your baby needs comes from you. Prenatal vitamins are supplements which can be taken during pregnancy which contain needed vitamins and minerals. What vitamins and minerals are essential and why? During pregnancy your vitamin and mineral needs will change as you now have a growing baby to provide for. Your food should contain much of the vitamins and minerals needed during pregnancy, particularly if you are already following a healthy, balanced diet. Folic acid and iron are typically found in most prenatal vitamins and are essential in a healthy pregnancy. Folic acids helps to prevent neural tube defects and iron supports healthy growth, helping prevent anemia and blood (in both mom and baby) carry oxygen Vitamin D, calcium and iodine are other important nutrients that are needed during pregnancy. Vitamin D aids in the development of the bones, teeth and nervous system, calcium helps bone and teeth development and iodine is important in brain development. Getting the correct micronutrients is important. Deficiencies can lead to complications such as hypertension and a low birth weight. However, it’s also important not to exceed the healthy amount of certain vitamins and minerals – too much vitamin A, for example, can cause birth defects. What foods should I be eating? Prenatal vitamins are a good idea to cover any nutritional gaps you may have, while they may supplement your diet they don’t replace a healthy lifestyle. Therefore, eating correctly also greatly benefits you and your growing baby. Foods you should try include in your diet are dairy products, such as milk and yogurt, as they contain extra protein and calcium, as well as probiotics. Legumes, such as lentils and soybeans are another good food to include – these contain protein, fibre and folate (which is very important during pregnancy). Sweet potatoes, high in vitamin A and fibre, are another good veggie to add to the shopping list. Eggs, broccoli, lean meat and berries are other wholesome foods you should be including in your diet. A healthy pregnancy benefits both you and your baby in the long run, not only does it ensure that you deliver a healthy baby, but helps your child throughout adulthood development.

January 4, 2021

The Importance of Using a Mouthwash and Dental Floss

There are several reasons to incorporate both dental flossing and using a mouthwash to your oral hygiene routine. Brushing your teeth isn’t the only important way that you can protect your mouth. Mouth washing and flossing should also be added to your daily routine to keep your teeth, gums and mouth as healthy as possible. Whilst brushing your teeth will clear your teeth of food, particles and bacteria; it has limited reach, leaving bits and pieces of food and bacteria in between teeth. Flossing allows you to clean in between each individual tooth, helping to remove plaque and prevent the buildup of plaque, which can lead to tartar. To complete your routine, using a mouthwash every day will ensure that your whole mouth is getting the detailed-attention it needs. Biorepairs 3-in-1 High Density and Gum Protection mouthwashes are the only high-density formulas with microRepair® that provides greater adhesion to the teeth. Furthermore, they contain 0% alcohol, Fluorine and Chlorhexidine 3-in-1 High Density Mouthwash Biorepair’s High Density Mouthwash (R129.99) is both anti-cavity and antibacterial, protecting teeth from cavity-causing sugars and repairing uncovered dentin with microRepair®, which approximates tooth enamel. MicroRepair®, biomimetic hydroxyapatite particles that are similar to that found in tooth enamel, repairs the enamel and remineralises it by depositing new biomimetic minerals that protect teeth from cavities, plaque and tartar build-up. MicroRepair® particles easily penetrate areas that are difficult for toothbrushes to reach and, thanks to the high-density formula, are able to adhere better to the teeth, ensuring greater efficacy. In-vitro tests have demonstrated that microRepair® particles penetrate deeply into exposed dentinal tubules, preventing external stimuli from touching the tooth nerve and causing pain. Anti-sensitivity: The microRepair® particles repair the exposed dentine and provide relief in 30 seconds. Antibacterial without Chlorhexidine: MicroRepair® and Zinc PCA prevent plaque and tartar build-up without chlorhexidine* Anti-cavity: The microRepair® particles protect the enamel from cavities Mouthwash Gum Protection Biorepair’s Gum Protection Mouthwash (R129.99) helps fight gum disease, preventing bleeding and inflammation of the gums. Gums often become inflamed, painful and bleed: Biorepair® Gum Protection Mouthwash provides relief to gums from the very first use, protecting and hydrating with its formula enriched with gum-healing Hyaluronic Acid. Moreover, the hydrating and protective properties of Hyaluronic Acid promote gum healing. Thanks to their combined action, microRepair® and Zinc PCA prevent plaque build-up on the gum line. The antioxidants Vitamins A and E protect the oral mucosa. The natural extracts of spirulina, calendula and witch hazel offer astringent and soothing properties. Hyaluronic Acid: promotes tissue healing and strengthens gums thanks to its hydrating and protective properties. Antibacterial without Chlorhexidine: microRepair® and Zinc PCA prevent plaque and tartar build-up without chlorhexidine* Vitamins A and E: provide an antioxidant and protective function for the oral mucosa. Spirulina, Calendula and Witch Hazel: relief for gums thanks to the astringent and soothing properties of the natural ingredients Both Biorepair’s Waxed (R49.95) and Non-waxed Expanding Floss (R52.00 – R69.99) is made with microRepair® for regular spaces, making it perfect for everyday oral hygiene. It is the only dental floss with microRepair®, particles made up of the same substance as enamel and self-cleaning polymer which penetrate the places your toothbrush cannot reach, protecting against the formation of the dental plaque that causes cavities and inflamed gums. With antibacterial Zinc PCA, the waxed floss is made from approximately 140 micro-filaments that move during use, adapting to every interdental space and removing plaque build-up and food debris. Made with gum healing Hyaluronic Acid and ultra-soft filaments that expand when used, the non-waxed expanding floss adapts to all interdental spaces without irritating sensitive gums. Biorepair is exclusive to Clicks stores.

December 23, 2020

Working and pregnancy – when to stop and how much is enough

As an expecting mom with a career you may be wondering when the best time would be to stop working and how you can stay comfy and productive when you are still in the workplace. Morning sickness, back pain, frequent bathroom breaks and other pregnancy related symptoms can make working as you used to a more challenging task for you. It’s important that you calculate the risks that your job could possibly have to you and your baby. For instance if you are working with chemicals, heavy metals or radiation you’ll need to either stop working or take extra precautions. Heavy lifting or labour intensive jobs and lots of travel for work are also jobs that’ll become more difficult as your pregnancy progresses. Desk work and computer work are generally regarded as safe, whereas jobs that require lots of standing will become more difficult in later pregnancy. Dealing with work and pregnancy Working can be stressful without having a growing baby in your belly. The physical and emotional changes that you experience can make meeting your body’s and workplaces’s demands a challenging task. However, some moms with healthy pregnancies are able to work almost until they go into labour, how much you can do will depend on your pregnancy. Morning sickness is something many moms have to deal with. There are ways you can help manage nausea at work. Avoiding dining areas, packing mouthwash and a toothbrush and packing in soothing lemon and ginger are all things you can do to make yourself more comfortable. Eating and drinking little and often can also help keep the nausea at bay. Be sure to dress comfortably, and try to take frequent breaks and walks, as this’ll also help you stay more comfortable. What rights am I entitled to as an expecting mom in South Africa? As a pregnant employee, you are probably wondering what rights you’re entitled to. It is a good idea to inform your employee as soon as you can, so that your employer can manage the situation as best as they can (for both of you) – they are required by law to maintain a work environment that is safe for their employees. As an expecting mom, you will be glad to hear that you’re well protected under South African law – you may not be discriminated against or dismissed due to your pregnancy. You also have the right to four consecutive months unpaid maternity leave, anytime from four weeks before your expected birth date. Unfortunately employees are not obligated to pay you during this period, however, your job will be kept open for you until your return to work after maternity leave.

December 21, 2020

Travel tips during Covid-19

With the increasing number of local Covid-19 cases – over 10 000 in the past 24 hours – we need to be mindful that the pandemic is not on vacation. The statistics are worrying. South Africans need to shake off their Covid-fatigue and get back to making informed choices about their wellbeing and adhering to the protocols: Wear a mask when you leave your home, sanitise and socially distance – if we want to flatten the second wave curve, especially over the holiday season. We have also been asked to remember the 3 Cs: Avoid crowds, confined spaces and close contact. Bonitas Medical Fund, says, ‘Internationally many countries are reinforcing lockdown rules as the cases spiral, with reports too of coronavirus symptoms changing. Some medical practitioners are also saying the second wave is even more dangerous than the first. ‘Over the past month, within our membership community, we have seen an increase in the number of tests, the percentage of positive results, people requiring treatment and those being hospitalised. Through our free virtual consultations we have noted an increase in non-members consulting with doctors around the pandemic, with our call centre load having also increased.’ Here are some tips for travel during the festive season whether within our borders, to neighbouring states or abroad. Medical aid card Remember to carry your medical aid card and details with you. In the case of an emergency, it will streamline the process of getting care quickly or being admitted to hospital. Bonitas also advises that you put the Covid-19 emergency hotline (0800 029 999) or call centre number (0860 002 108) into your mobile phone so it is at hand. Virtual consultations Bonitas continues to offer free virtual consultations to all South Africans – not just its members – until 31 December 2020. If you are on holiday and concerned about your health, download the Bonitas Virtual Care App and make an appointment. The doctor will engage with you in a virtual video consultation wherever you are. The consultation includes any medical issue, Covid-19 or unrelated and advice on the most clinically appropriate steps for further care. These consults are available 24/7. Sanitise, sanitise, sanitise Pack your own soap and sanitiser. The hospitality industry has stringent health and safety protocols in place and most establishments have enhanced their deep cleaning regimes. However, it is still recommended that you keep your sanitiser with you always. If you are taking a road trip, make sure you have waterless soap and sanitiser in the car and limit your pit stops without compromising on taking the necessary rest breaks. Perhaps pack a picnic, to avoid crowded fast food outlets and restaurants on the main routes. Travelling internationally Remember that if you are leaving the country and crossing a border you will need to produce proof of a negative Covid-19 test and will also complete a travel health questionnaire. Minister of International Relations and Cooperation, Dr Naledi Pandor, has warned South Africans travelling abroad to make sure they know what the respective countries’ Covid-19 protocols are to avoid being stranded – various countries have different protocols and some have also introduced new stricter lockdown measures. She has urged travellers to familiarise themselves with the immigration and health entry requirements of the country they are visiting, as well as South Africa’s re-entry health requirement upon their return. If you are uncertain, contact the local embassy for clarification or the Department of Health. Alert your medical aid It is important that you notify your medical aid scheme ahead of any international travel. Firstly, to check what medical conditions will be covered and, secondly to activate the international medical travel cover. Travel insurance policies Medical expenses that you might encounter when travelling in Africa or other international destinations can be prohibitively expensive. To avoid having your holiday and finances totally ruined, look at what your current medical aid scheme offers in terms of medical travel cover and, if necessary, top this up with additional travel insurance. Carry your policies Travel insurance policies give detailed information about what to do in an emergency situation and have international call centres to assist you. Make sure everyone in the family has these numbers handy. The claiming process Most medical insurance requires an invoice as well as the proof of payment or receipt in order for them to reimburse you. Make sure you are familiar with the claim process. ‘One thing 2020 has taught us, is that life is unpredictable. And although additional, tougher lockdown regulations were recently announced in an effort to curb the second wave of Covid-19 infections, the burden of responsibility remains with each and every one of us,’ says Bonitas. ‘There are real concerns around the current rate of transmission, not only in South Africa but globally. In order to minimise your risks and to stay healthy and safe these holidays we all need to do our bit and stick to the protocols.’

December 18, 2020

Summer safety tips for parents

Most accidents that put children in the emergency room during the summer and festive season are preventable, says leading paediatrician and Paed-IQ BabyLine CEO Dr Iqbal Karbanee. “Unfortunately, many common and fun family activities during the summer months can quickly take a turn for the worst and end in injury. Others can have lasting and traumatic consequences for families,” says Karbanee. Examples of such activities include a trip to the beach or the local swimming pool (drowning), a home-based braai where there is a wood fire or paraffin burner that can fall over and cause a fire (burn wounds), or even bicycle or scooter rides (traffic accidents). The ChildSafe Initiative in South Africa suggests that 80% of child injuries occur in or around the home and while many children are hospitalised, hundreds more end up visiting the emergency room and thousands more go to clinics and doctors. Karbanee says that it is difficult to count the cost of treating preventable accidents in children, whether as once-off hospital visits or the longer-term costs of prolonged treatment and rehabilitation. It can cost up to as R500,000 when skin grafting or plastic surgery is required, which can be as a result of a burn. The Child Gauge Report 2019 suggests that more than 8,000 children die every year as a result of injuries. About 5,000 of these are accidental or unintentional, with leading causes being road traffic injuries, burns and drownings. Globally, it is estimated that one million families lose a child to a preventable injury every year. “Reducing the number of preventable accidents is therefore a healthcare priority that should be observed by all parents and caregivers, especially during the summer months,” says Karbanee. Below Karbanee discusses the top summer risks that are preventable and how parents can keep their children safe. 1. Trampolines are great ways for kids to use up excess energy, but they are simply too dangerous. Children’s bones are still developing and experiencing an injury whether through a broken or fractured bone can set them back developmentally. Serious injuries related to the brain or spine can occur. If you are gifting your child or children a trampoline over the festive season, or if you already have a trampoline at home, there are ways you can lessen the risks associated with the equipment. Always make sure there is adult supervision and only one child at a time should be on the trampoline. No children under the age of six should be allowed to jump and it is the parent’s responsibility to ensure that strict rules are enforced. 2. Shopping centres, amusement parks or even the beach are fun outings for families to enjoy. However, it can be easy for a parent to be separated from a child especially if these places are busy. Make sure you and your child have a plan should they become separated from you and how they can look for help. Older children should be able to memorise your cell number. 3. Drownings are known as silent killers because children are unable to shout for help and they are amongst the most common preventable accidents that can happen in seconds. A drowning can happen in a few centimetres of water. Life jackets are a must if you want to boat, canoe, jet ski, SUP with your kids or even just spend time near a body of water. Never leave a child unattended near water and consider hiring a lifeguard to keep watch over the kids in the pool if you are having a gathering or party with several children in attendance. 4. Dog bites are a major cause of preventable traumatic injury in children. Too often what starts as a peaceful or exciting family day out turns into a horror story involving a dog attack, with the victims mostly being children who can sustain severe injuries. Teach your children to not go near a dog who is off leash or without a muzzle, and to not put their face close to the dog’s, even if it is a trusted family pet. If the dog runs up to the child or a family on the beach or elsewhere, children should not reach out to pat the dog, even if it looks cute. 5. Wood fires are common in South Africa during summer. They are dangerous to children if unattended, as children are naturally curious and may want to see what happens when they throw things in the fire. The smoke also poses a danger to young respiratory systems as they are still developing, even more so if the children suffer from asthma or allergies. Put fireplace tools and accessories out of a young child’s reach and keep a fire extinguisher on hand. It may seem obvious, but never leave children unsupervised with candles, paraffin burners or outdoor wood fires. Always ensure children are in the company of trustworthy responsible caregivers and ensure paraffin stoves are out of reach and on safe work areas. If an accident does happen, never apply any butter or other food onto a burn. 6. Playgrounds and parks are good to get kids to play outdoors, but be careful of hot slides and poorly maintained equipment that may have rusty nails or sharp hooks. Hot equipment can burn bodies and sharp objects can tear skin, which may require tetanus shots. Also remember to put sunscreen on your child of no less than SPF 50 when spending time outdoors. The CANSA association of South Africa suggests that exposure to UV radiation received as a child increases the risk of melanoma later in life. 7. Bikes, scooters, skateboards and other wheelie toys are fun for children but should not used near moving traffic. Traffic-related accidents are amongst the highest preventable accidents for children. Protective gear like helmets or shin or knee pads can go a long way in preventing injuries, whether only scrapes and bruises or more severe. If you live in a neighbourhood that does not have a bike line where kids are less at risk, then make the effort to go

December 16, 2020

Start 2021 Smart with Smart Nutrition and a Great Education

Stand a chance to win a year’s worth of school fees FUTURELIFE®, in partnership with Pick n Pay Smart Shopper, are thrilled to launch their Start Smart Campaign, an opportunity for one lucky child to win a year worth of school fees for 2021. “FUTURELIFE® was built on the vision to improve the lives of South African families through Smart Nutrition, and this exciting initiative is merely an extension of that commitment so that we can help future leaders start smart,” says Mark Bunn, FUTURELIFE®’s Managing Director. He adds that education is key to unlocking future success, “Education empowers our youth with the knowledge, skills and values they need to build a better society, and it all starts with the foundation built during pre-, primary- and high-school. Much like Smart Nutrition, which also is fundamental for good health and development during the early years.” How Start Smart will work: 1. Buy any 2 FUTURELIFE® bread and/or FUTURELIFE® cereal bars at any Pick n Pay across South Africa between 16 November 2020 – 10 January 2021 and swipe your Smart Shopper card. 2. You will then automatically be entered into a draw to stand a chance to win school fees for your child in 2021. 3. Winner will be drawn within four weeks of the competition closure date and will be contacted directly. FUTURELIFE® has been using and leveraging the knowledge, expertise and experience, of a multi-disciplinary team of science and nutritional experts for over 13 years. This together with a proprietary manufacturing process, and a unique combination of essential nutrients and ingredients, in a specially formulated recipe, is of nutritionally superior smart food products. “Our vision all those years ago has made a real impact. We have witnessed how far a little can go and appreciate how even the smallest action can make a huge difference. So, purchase your two participating products today and help your child to start 2021 smart with Smart Nutrition and a great education!” Bunn concludes. Buy any two of the following participating products: Futurelife High Protein Low GI Brown Bread Futurelife High Protein Honey and Oats Bread Futurelife High Protein Ancient Grains Brown Bread Futurelife High Protein Bar 50 g Futurelife High Protein Lite Bar 40g Futurelife High Energy Bar 40g Futurelife High Protein Crunch Bar 40g Futurelife Granola Bar 40g Products are available from all leading Pick n Pay Retail Outlets. For more information on the Start Smart Campaign, please go to www.futurelife.co.za or https://www.pnp.co.za/campaign/win-with-futurelife

December 4, 2020

Birth injuries

You only want the best for your baby, but sometimes harm comes to them unintentionally. During the birthing process, your baby can experience harm or physical injury; this is known as a birth injury. Birth injuries are not uncommon, sometimes they are temporary and other times they may affect your baby for a lifetime. But what exactly are birth injuries? And what causes them? What are the chances of my baby getting injured during birth? Birth injuries range from harmless to serve, either quickly healing or causing disability throughout life. Although significant injury or death during the birth process isn’t as likely, birth injuries are not uncommon – according to the Birth Injury Guide, about 29 in 1000 babies suffer a birth injury of some kind. Why would my baby become injured during the birth process? There are several reasons why a baby can experience physical trauma during the birthing process. When you near the end of your pregnancy your baby moves into position for delivery, sometimes babies will move into an abnormal position, such as a breech (feet first), and this can cause them injury when they are born. Other reasons why baby’s may become injured during birth is being abnormally large, the mother’s pelvis is too small, or a long and difficult labour, where the mother’s contractions aren’t strong enough to push her baby out. What happens if my baby has a birth injury? Generally, birth injuries affect the babies head neck and shoulders, as babies are generally born head first. There are a variety of injures that your baby could stain from birth trauma, such as bruising of the scalp, broken bones or brain damage. Sometimes these injuries are temporary and other times they can last a lifetime. Your doctors and midwives will assess the damage to your baby and help you and your baby accordingly. Sometimes babies will sustain trauma during birth, and the injury won’t be noticeable until they have started school or being missing developmental milestones, as they struggle to mentally keep up with their peers or grow at what is considered a normal rate. Sadly most birth injuries aren’t preventable, but even so, moms whose babies experience birth injuries often feel guilty and angry, as if they are too blame. Although feeling this way is understandable, this is not the case and if you are feeling this way after your baby has experienced a birth injury it is best to speak to a health professional and reply on your partner, friends and family for support.

November 26, 2020

Neurodiversity: What you need to know

“Neurodiversity is having a brain that functions in ways that diverge significantly from the dominant societal standards of ‘normal’, but is far from flawed” ~ Anonymous Today’s children are growing up in a world that strives for inclusivity. Thus, we must teach our children and society about neurodiversity for this to be successful. Understanding neurodiversity is just as important as teaching our children that people come in all different shapes, colours, and sizes, all worthy of love and opportunity in this world. That means your child might be one of the few that is wired differently, and that his/her life may not follow the path you envisioned as they have a neurodivergent diagnosis. Before we can help him/her thrive, we must have a clear understanding of what a neurodivergent (the buzz word in psychology circles) diagnosis entails. What is Neurodiversity? Neurodiversity is in concept a viewpoint that certain people have learning and thinking differences rather than inferiorities. The concept has been around for many years, but in a nutshell, it means that brain differences are just that, differences. Neurodiversity includes people with variations of learning differences. Some of these differences may include: ADHD, dyslexia, dysgraphia, autism, etc. but they are not flawed. People with neurological differences are not broken or incomplete versions of ‘normal’ people. They approach life just a little differently, are highly intelligent human-beings and can live rich and meaningful lives. When it comes to Neurodiversity, look at the bigger picture. Let’s face it, to experience life through a uniquely neurodiverse lens and therefore have what is contemporarily described as a barrier to learning is a complicated thing, but often, it’s defined more by society’s misconceptions, misunderstandings and expectations, rather than by the individual condition itself. To battle with the consequences of the negative side of neurodiversity is nothing to be ashamed about. All children need love, encouragement, and support, and for children with neurodiversity, such positive reinforcement can help ensure that they emerge with a strong sense of self-worth, confidence, and the determination to keep going even when things are tough. The term neurodiversity can be viewed as another positive contribution to this overarching commitment to diversity, and should be integrated into both classroom lessons on diversity, and educational policies dedicated to promoting inclusivity in learning. Teaching with a Neurodiverse approach. Teaching with a neurodiverse approach begins with helping children understand their own strengths and needs. Once children understand themselves, they realise everyone else has their own assortment of abilities as well, and when they work together as a group, classroom or community, they can do great things. At the Bridge Assisted Learning School we follow a Neurodiverse approach. It includes more hands-on learning, experiential learning, project-based learning, expeditionary learning, arts-based learning, brain-based learning, universal design learning, and other programmes to support the children with their neurodiversities in order to succeed with what will benefit each student in school and life. Every child has his or her own unique learning style. Some children learn best by seeing or reading, others by listening, and others by doing. You can help your child with their neurodiversity by identifying their primary learning style. Is your child a visual learner, an auditory learner, or a kinaesthetic learner? Once you’ve figured out how they learn best, you can take steps to make sure that the type of learning approach is reinforced during home study. Always remember that the way you behave and respond to the challenges your child faces, has a big impact on them. A good attitude won’t solve the challenges associated with a neurodiversity, but it can give your child hope and confidence that things can improve and that they will eventually succeed. To learn more about neurodiversity please visit https://www.thebridgeschool.co.za/ By Dr. Greg Pienaar, Principal at The Bridge Assisted Learning School

November 23, 2020

How an app can help you monitor your child’s growth Growth hormone deficiency

The growth of a child is a significant indication of the child’s health and irregular growth can be an early warning sign of medical problems.1 These kinds of medical problems first show themselves in a child’s irregular growth pattern.1 Growth hormone deficiency has been identified in about 1 in every 3,800 children.2 Therefore, it is important for parents to understand the significance of regularly checking their child’s growth development. This can be done during visits to your healthcare practitioner. For additional support and tracking, an easy to download growth app was launched this September 2020, in order to help parents to easily track their child’s growth. “Growth is one of the fundamental differences between child and adult health care. Physical growth is an indicator and predictor of both present and future health. Among the numerous measures of growth, height and weight are perhaps the most important measures in childhood. While weight may change in adult life, height changes from conception to shortly after the end of puberty.” Says Dr Kuben Pillay, a Paediatric Endocrinologist from Durban. Human growth hormone is a chemical messenger that is vital for normal growth and development.3 Growth hormone is responsible for making us grow and in our bodies, growth hormone is produced naturally. When a child is diagnosed as growth hormone deficient, it means his or her pituitary gland is not producing enough growth hormone.4This could be due to hereditary or genetic conditions. Without enough growth hormone, a child does not grow the way he or she should, to reach his genetic potential or height and to attain well-being. According to Dr Pillay “Changes in patterns of growth may occur during any of 3 different growth phases through childhood and may be due to numerous different causes. These phases are the period between conception and the end of the first year of life (the infant phase), from approximately 1 year of age until the start of puberty (child phase) and between the start and end of puberty. There are different causes that may change growth in these phases and thus, the timing of the change in growth may offer important clues to the underlying cause. For example, nutrition both in the womb and after delivery may result in changes in patterns of growth during the infant phase. Congenital abnormalities (particularly bone abnormalities) and genetic disorders may also be causes. During the child phase many more possibilities may influence growth including genetic disorders (e.g. Turner syndrome), severe chronic disease (heart disease, severe asthma, kidney, etc.), severe malnutrition and hormonal disorders. Growth in puberty is due to effects of the hormones of puberty viz. testosterone in boys and oestrogen in girls.” How to measure growth and treat a possible growth hormone deficiency The typical growth of a child, which would be considered normal, is as follows:4 From birth, infants grow about 20 cm in the first year of life From 1 to 2 years of age, babies and toddlers grow about 10 to 13 cm From 2 to 3 years of age, toddlers grow at a rate of about 7.5 to 10 cm From age 3 years to puberty, growth is stable at around 5 to 6 cm per year until puberty Most of a child’s growth occurs before puberty, but the pubertal growth spurt accounts for more than 20% of adult height.4 When puberty occurs, there is a fast phase of growth. With this guide, parents can easily notice whether their child reaches the growth requirements. If, however, your child does not meet the growth requirements, he or she might need to consult with a healthcare professional, undergo tests and possibly undergo growth hormone therapy. Growth hormones are also vital for the healthy development of essentially all tissues in the body, including muscle and bone.3 It is important that children who are growth hormone deficient are diagnosed and treated as early as possible in order to aid their bones in growing and developing at a normal pace. Children with severe growth hormone deficiency show increased body fat, subnormal bone mineral density, and reduced lean body mass and could potentially develop lipid abnormalities.5 Once a child is tested for growth hormone deficiency related disorders such as short stature, a methodical approach is necessary.6 An evaluation of growth failure is needed and if there is no evidence suggesting growth hormone deficiency, then other tests are done. If there are abnormalities suggesting growth hormone deficiency, then growth hormone stimulation tests and an MRI of the brain could be suggested.6 If a child does not undergo treatment once diagnosed with growth deficiency, he or she might not attain a normal height etc., when becoming an adult.7 Once a child is on a treatment plan, strict adherence is important to achieve the maximal benefits of growth hormone therapy. Early initiation of growth hormone treatment in children with isolated growth hormone deficiency improves their chance of achieving their genetic height potential.8 Once a diagnosis of growth hormone deficiency has been made, it is recommended that treatment with GH is initiated as soon as possible.8 The first year is a crucial indicator.8 Children who are on hormone treatment typically grow more over the first year of treatment, and further over the next 2 years.9 “Growth hormone continues to play an important metabolic role in adulthood long after the completion of linear growth, so growth hormone may become a lifelong therapy for children with childhood growth hormone deficiency whose condition persists into adulthood,” says Professor Thandrayen, Paediatric Endocrinologist at Chris Hani Baragwanath Academic Hospital. If effective, therapy should be continued for as long as there is a clinical benefit (defined as ongoing catch-up growth or maintenance of a normal growth velocity).5 The Growth Journey App To aid parents in checking their children’s growth, Novo Nordisk has launched an app for growth monitoring in September 2020 called the Growth Journey App. The Growth Journey App is a free growth tracking app that uses a phone’s camera to help you track a child’s growth regularly.10 Parents can easily track their child’s growth as the app automatically measures a child’s height

November 20, 2020

Are day hospitals the new trend?

Globally, day surgery hospitals have changed the experience of patients by offering an alternative to acute/conventional hospital surgery. Hospital costs the highest expense In South Africa, the concept of day hospitals is also gaining popularity – particularly as a result of high hospital costs. Lee Callakoppen, Principal Officer of Bonitas Medical Fund, says, ‘Using our hospital dashboard for the full 2019 year, direct hospital costs were 43% of the total scheme expenditure. These excluded doctor and allied services while a patient was in-hospital. The increase in the use of day hospitals Internationally there is a trend in increased day surgery for multiple reasons including: Improved anaesthesia (with quicker recovery period) Improved pain control (anaesthetic blocks and improved medication) Instrumentation and procedures (keyhole surgery). Cost saving initiatives Private medical aids are struggling to keep up with rising healthcare costs, which usually outpace inflation by 3+%. They are continually looking for ways of reducing costs and keeping premium increases as low as possible without prejudicing the quality of healthcare or financial stability of the fund. ‘We negotiate special rates through our hospital networks and Designated Service Providers (DSPs) and encouraging members to use our Managed Care initiatives. Encouraging members to use day hospitals is another way in which we can save on costs. That said, the strategy amongst acute hospitals is to reduce the tariffs for day surgery to the level of day clinics to prevent a market shift away from their facilities. For the Scheme and members this is a win-win as it still translates to cost savings. Examples of price differences ‘There remains a difference in costs between day and acute hospitals,’ says Callakoppen. The table below represents savings across some of the most prevalent surgeries. Procedure Difference in Case-Mix Adjusted Hospital Cost per Event (Acute Hospital Base) Corneal, Scleral And Conjunctival rocedures -6.3% Eyelid Procedures -28.1% Circumcision -13.9% Tonsillectomy And/Or Adenoidectomy (Child) -13.0% Tonsillectomy And/Or Adenoidectomy (Adult) -11.7% Myringotomy (grommets) -15.5% Colonoscopy -15.4% Other advantages of day hospitals Patient satisfaction No overnight stay – patients are admitted, operated on and discharged on the same day Child-friendly wards and facilities – day hospitals are the ideal alternative for children requiring same day surgery as the trauma of overnight stays are eliminated Lower risk of infection – due to the fact that patients return home on the same day, the risks of cross infection are reduced, which results in a shorter recovery Mortality and major morbidity is extremely low (<1%)* Improved surgery scheduling – decrease in waiting lists Why is take up not higher? Day hospitals clearly have marked advantages but the reason take-up is not that high, is there are some perceived disadvantages of using them. One which is the geographical access – specifically in areas like the Eastern Cape. There is concern around procedure complications and the need for a patient to have advanced care. But legislation is strict around day hospitals and they have to be located within five kilometres of an acute hospital for exactly this reason.’ The issue of doctor access is another factor inhibiting the rapid increase in use. Many doctors have their consulting rooms close to an acute hospital and are unwilling to travel further. Equipment may be limited in day hospitals but the increasing list of procedures which can be performed in day hospitals speaks to this challenge being overcome. This is probably why the percentage of day cases, split between acute hospitals and day hospitals, is still biased toward acute hospitals. Currently the split of day cases being done in acute hospitals is 74% and 26% in day hospitals. This implies that 74% of all procedures which could be performed in a day hospital are currently performed in acute facilities. Safety is foremost Not all patients can go to day hospitals. Callakoppen says, “It should be noted that this percentage will be lower as some patients would have anaesthetic and comorbidity risks and from a safety perspective may rather have the procedure performed in an acute hospital where overnight facilities are available. Additionally, not all day clinics are adequately equipped to do some procedures and, as such, the true percentage will be lower.’ Day hospital options for 2021 Bonitas currently has 68 day hospitals on the BonCap network and 30 day clinics on the Select options. According to Callakoppen, ‘This will be enhanced in 2021 when we implement a day surgery network across all options. A comprehensive list of procedures that should be done as day procedures has been collated for our members. If any of these procedures need to be done then members must use a facility on the day surgery network, or alternatively pay a co-payment. While the day surgery network will be comprised mainly of day clinics, it should be noted that certain acute (conventional) hospitals will need to be included on the network where there are areas of access constraint to them.” Will day hospital use be enforced? The Day Hospital Association of South Africa has proposed that medical aid enforce day hospital use in the future but also caution that there are some cases which cannot be carried out in day hospitals. He says, “The Scheme is in agreement with the concept. Although we do promote the use of day hospitals, we must bear in mind that there are some procedures for which this is not suitable. High risk patients who require more intensive post-surgery care would require acute/conventional hospitals. But the benefits of day hospitals should definitely be considered by all patients when undergoing a procedure.”

November 17, 2020

Could your child have Type 2 diabetes?

It’s a question no parent wants to ask. But as with so many things in life, knowledge really is power. We’ve outlined all you need to know about the risk factors for Type 2 diabetes so you know what to look for. The difference between Type 1 and Type 2 diabetes First of all, it’s important to understand the difference between Type 1 and Type 2 diabetes. Type 1 diabetes used to be called ‘juvenile diabetes’ because it was most often diagnosed in children. It’s an auto-immune condition, unrelated to lifestyle or diet. If your child has Type 1 diabetes, you’ll know very quickly because they will get very sick. They’ll lose weight, eat a lot, constantly be thirsty and need to pee a lot – often at night. They’ll also be exhausted. Type 2 diabetes, on the other hand, develops slowly. Until recently, it was mostly seen in older people – one of the risk factors is being over 45 years old. But it is being diagnosed in children more and more. This is largely because our kids aren’t as active as they used to be – one of the main risk factors is a lack of physical activity. Another is being overweight or obese, particularly around the tummy area, and having a family history of diabetes. What to do if your family is at risk for developing Type 2 diabetes If this is ringing a bell, there are a few simple things you can do. The easiest way to remember them is to think EEL: Eat healthy Exercise Lose weight if necessary Eating healthy means cutting out junk food, sweets and treats, juice and fizzy drinks. Also cut out refined carbs, which means white bread, white rice, pasta – all the white foods. Eat lots of green vegetables (half a plate with each meal), good quality protein and some wholegrain carbs. It might feel like a big adjustment, but your whole family will feel better if you can start eating healthier. Exercise doesn’t have to mean joining a gym. It can be as simple as a 30-minute walk, most days of the week. Or some stretching or yoga at home, or a game of soccer with the neighbourhood kids. It’s so important for kids to be physically active. Losing weight is important if your child is overweight or obese, but that doesn’t mean putting them on a diet. If they’re getting active and eating healthy, drinking lots of water and staying away from junk food, weight loss will be a natural result. If you’re not sure whether or not you’re at risk of Type 2 diabetes, check out our fun 1-minute diabetes risk test on www.sweetlife.org.za. We also have all the information you need on how to reverse Type 2 diabetes, and advice and tips on how to manage diabetes if you’re living with it. The most important thing to remember is that you’re not alone in this! There is a whole community of Diabetic South Africans, all living our best lives. Symptoms of Type 1 diabetes Very hungry Very thirsty Needing to pee a lot, especially at night Sudden weight loss Exhaustion Risk factors for Type 2 diabetes 45 years old (or older) OR Overweight or obese AND Physically inactive (not much exercise) High blood pressure Family history of diabetes High cholesterol Heart disease history High-risk ethnic group (Asian Indian, Coloured) Diabetes during pregnancy or a baby over 4kg PCOS (Polycystic Ovarian Syndrome) If this sounds like you, it’s important to go for a diabetes screening. There are free screenings at Clicks Clinics and many independent pharmacies during November (National Diabetes Month). Bridget McNulty is a Type 1 diabetic and the co-founder of Sweet Life Diabetes Community, SA’s largest online diabetes community. Find out more about how to live well with diabetes at www.sweetlife.org.za

November 16, 2020

Top tips to encourage babies and toddlers to eat their fruit and vegetables

We all know fruit and vegetables are an important food group, but persuading babies and toddlers to eat them can be a battle. Even if your child absolutely refuses to eat vegetables it’s important to put some on their plate at every meal so they get used to seeing them. Psychologists have found that once children become familiar with a food, they are more open to trying it, but you may need to present the same food on as many as ten separate occasions before your child feels comfortable eating it. While it’s important to put some vegetables on your child’s plate, many children find a large serving of vegetables off-putting, so it’s better to give them an amount you know they will eat and gradually increase the portion size: Try to incorporate finely chopped vegetables such carrots, peppers and mushrooms into dishes like spaghetti bolognaise Rather than serving them as a side dish, incorporate vegetables into main dishes. For example, add a variety of vegetables to a meat and cheese lasagna When your child says they are hungry, offer them a piece of fruit rather than biscuit Serve raw strips of pepper or carrot with a dip such as hummus. If you serve them at the beginning of the meal when children are hungry they are more likely to eat them Mix cooked pureed spinach, carrots or shredded cabbage into mashed potatoes To encourage toddlers and older children to eat their vegetables, use a star chart where you award one star for each serving of fruit or vegetable eaten. Offer a treat such as a trip to the swimming pool or the park at the end of the week if they’ve made the target of five portions each day for a week Persuading children to eat fruit is usually less of a problem, but if children aren’t keen it can be used to make puddings or smoothies. To make fruit smoothies blend soft fresh fruit (berries, banana and, mangoes) or canned fruits such as apricots, peaches with low fat yoghurt and milk or fruit juice   Stewed or fresh fruit make a great filling for pancakes. For savory pancakes try adding spinach and soft cheese, stir-fried vegetables or ratatouille Spread a mashed banana on toast in the morning instead of jam or marmalade or add a few chopped apricots or some fresh berries to cereal Toddlers learn by example, so make sure that they see you and older siblings eating and enjoying fruit and vegetables You can also share your toddler eating tips, and read advice from other moms by visiting Philips AVENT on facebook: www.facebook.com/philipsavent By Fiona Hunter, Nutritionist

November 6, 2020

Smartick launches free online assessment to detect the risk of dyscalculia amongst children

First online e-learning programme to design dyscalculia early detection online resource tool Smartick, an AI-based maths, coding and logic e-learning programme for kids aged 4 – 14, has launched a free standardised online assessment that allows for quick and easy identification of children at risk of dyscalculia. Dyscalculia (pronounced dis·cal·koo·lee·a) is a mathematics learning disorder characterised, among other things, by the difficulty in acquiring number sense and calculation. In other words, a relative of the more commonly known and researched learning disorder dyslexia, which involves difficulty reading due to problems identifying speech sounds and how they relate to letters and words. Smartick global research suggests that approximately 5-7% of a country’s population may suffer in silence from dyscalculia and that in a class of 25 students, it is likely that at least one child has the learning disorder. For a population of 57+ million in South Africa, and if similar percentages are anything to go by, it could equate to around four million people potentially being misdiagnosed. Smartick co-founder, Javier Arroyo says that dyscalculia is a disorder with serious consequences and high prevalence, but unknown among many children, parents and educators. “Dyscalculia tends to be confused with other disorders such as attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), low IQ or even study laziness. While it can result in failure in the mathematics subject, although not always the case, it can translate into real life difficulties that cause frustration and low-self-esteem,” says Arroyo. On a day-to-day basis, it can translate into misreading the time on a watch or car license plate, as well as having difficulty memorising phone numbers, number sequences or calculating the return on a purchase. Available to South Africans from 1 September 2020 with the aim of helping to detect the ‘dyslexia’ of the numbers, Smartick’s designed* free standardised online assessment takes approximately 15 minutes to complete and includes tasks around three fundamental areas of mathematical learning: comparison and recognition of numbers, arabic numerals and numbering and arithmetic. “The exercises for each evaluate the ability to recognise and manipulate numerical quantities without counting, and numerical processing that use verbal symbolic code, such as number recognition and comparison. Children with dyscalculia often have severe and persistent difficulties in learning arithmetic,” says Arroyo. At the end of the assessment, a report is immediately generated and sent with the child’s strengths and weaknesses in each of the evaluated areas. If, according to the results, a child is at risk of dyscalculia, it is recommended that parents and / or guardians go to a professional for a complete evaluation, which includes psychological tests for intelligence, attention and reading, in addition to specific tests for maths. Arroyo says the e-learning programme wanted to provide the educational community and parents with an instrument with which to identify early on one of the mathematical learning disorders as common as unknown. “Children with dyscalculia need adapted, daily training based on a deep understanding of concepts and procedures. Your child might be the next Bill Gates and can help change the world, but he’s misdiagnosed and misunderstood,” he says. *The standardised dyscalculia assessment needs to be completed on a tablet and is aimed at children from first to fourth grade. It was developed in collaboration with the Universities of Malaga and Valladolid in Spain, with more than 800 students in different areas of Spain participating in the initial assessment validation study.

October 26, 2020

Ten tips for choosing the right medical aid

The medical aid landscape can be tricky to navigate so it’s best to compare all the available options and schemes to find a medical aid that works for your budget and your family’s health. Bonitas Medical Fund helps guide you through choosing the best plan. Analyse your healthcare needs No two people or families are alike, medical needs differ so do a quick personal healthcare needs’ analysis to determine what cover you need. If you have dependants, factor in their healthcare needs too. Factors to consider include: How often you visit your family visit a doctor or specialist Over-the-counter medication or chronic medication required Chronic conditions like high blood pressure or diabetes Specific conditions like cancer, HIV or renal failure Dentristy Optometry This will help you decide on whether you need a comprehensive medical aid or a hospital plan. Read the small print Benefits vary from plan to plan, so establish what is and isn’t covered and look at whether the option offers additional risk benefits which can save on day-to-date expenses. Such as free wellness screenings (blood pressure, cholesterol, blood sugar and BMI measurements) through to mammograms, pap smears and prostate screening. In some cases this extends to maternity programmes, dental check-ups, flu vaccinations and more. Managed Care options Managed Care programmes help members manage severe chronic conditions such as cancer, diabetes and HIV/AIDS. What about savings? Medical savings are a fixed amount a medical scheme gives you at the beginning of the year. There are ways to maximise your savings but first you need to know what you annual allocation is. The day-to-day detail Look at what the scheme suggests as a way to make your benefits last, bearing in mind the following: Some plans require you to use a specific GP, hospital network and have a list of Designated Service Providers (DSPs). These keep costs down because the scheme will have negotiated special rates with these services providers. Check the network in your area before making a final decision. Must you be referred to a specialist by your GP? Does your medical aid offer additional GP consultations, which they will pay for, after you have exhausted your day-to-day benefits? Virtual Care and technology Technology and virtual care is being embraced by medical schemes and members. Check what is offered on the plan you’re considering and whether it you want access to your benefits 24/7. Age impacts your decision As parents of young children, ensure the option you select provides sufficient child illness benefits If slightly older, select a plan that covers chronic conditions and provides sufficient in-hospital cover in the event of hospitalisation Ensure the affordability Consider all the costs involved before you make your final decision, such as: Monthly contributions: The rule of thumb is that contributions should not exceed 10% of your monthly income. A medical aid co-payment is a fee that the member is liable for when making use of certain medical services. These co-payments usually apply to specialist or elective medical procedures and will differ from one medical aid scheme to another. Waiting period and exclusions The Medical Schemes Act and the specific scheme’s rules determine this. Bonitas recommends that you enquire with the relevant scheme about their exclusion list and waiting periods. Brokers Using a broker doesn’t cost you anything. An independent broker will help you work your way through the different options and help choose the medical aid plan best suited to your and your family’s needs. For more information on the product offerings from Bonitas go to www.bonitas.co.za

October 21, 2020

Sunburn in babies, how to prevent and treat it

Living in sunny South Africa, worrying about your baby being exposed to the sun’s rays is a valid concern. Too much unprotected time in the sun can be harmful to your baby, leading to painful sunburn and, even skin cancer later in life. Here’s how to prevent and treat sunburn if your little one has spent too long outside. How to treat sunburn Babies and toddlers are more sensitive to the sun as they have less developed skin than adults. Prevention is better than cure when it comes to sunburn, however, if your baby has spent too much time in the sun, the reddy, painful burn will only show up a view hours later. Those who have darker complexions tend to be less sun sensitive, however, everyone has some risk of sunburn. Redness, swelling of the skin (warmth) and pain are all symptoms of sunburn. If the sunburn has caused fever, chills, blisters and headaches its best to consult your local health practitioner. You can treat mild sunburn with a cooling bath, moisturiser or aloe gel – all of which will help cool irritated and inflamed skin. Giving your baby extra fluid in the days following the burn should prevent dehydration. It is recommended that you keep your baby out of the sun until the burn has healed.x Tips for preventing sunburn Sun is strongest between 10am and 4pm so limit your little one’s sun exposure during this time. When your baby is spending time outdoors in the sun, be sure that they are wearing a hat and sunblock with an SPF of higher than 30, if your baby is older than 6 months (if they are younger you will need to find alternative protection for them). Try to find sunblock that is formulated for kids (as this will work best for sensitive skin) and do a patch test on their skin before using it. If your child doesn’t like the feel of sunscreen (or is younger than 6 months), sun protective clothing is the better option.

October 21, 2020

Convenient and Nutritious Food Pouches for Your Little One When You’re on The Go

For busy parents, there are always those times when you’re on the go, or pressed for time, and you don’t have any homemade baby food on hand. It’s at times like these, when baby food pouches can be a quick and convenient snack for your little one! With no plates, spoons or glass jars needed, you can satisfy your tots appetite on the go whilst being rest assured your little one is getting all the good nutrients they need. Organix has been cooking up scrummy, nutritious baby and toddler meals and snacks since 1992. Making sure little ones eat a healthy varied diet, full of texture and taste from real fruit and veggies is at the core of the brand. When Organix make their foods, they think about little ones growing up to be healthy, independent food explorers. They also set their own standards based in their experience in children’s nutrition, from what goes in the food, to the portion sizes they recommend, so everything is just right for little ones as they grow and develop. Organix pouches, suitable for little ones between the ages of 6 months – 36 months, are a convenient way for babies to explore food on the go – just simple combinations of fruits and grains for a fun taste adventure! When little tums are filled with tasty food you can trust, that’s when the wonder starts. The pouches retail for R32, 49 and are available in six delicious flavours; Just Apple, Pineapple & Coconut, Just Apple, Sweet Potato & Pineapple, Just Mango, Pear & Granola, Just Oat, Apple, Banana, Raspberry & Blueberry, Just Apple, Strawberry & Quinoa, Just Oat, Apricot & Banana. Their No Junk Promise is their stamp of reassurance that you will always find in all of their foods – Always Organic – We promise to only use organic ingredients. Nothing unnecessary – We promise to only use recognisable ingredients that serve a purpose. Setting Standards – We promise to set the best standard in what good food for children should be. Organix pouches are available at Clicks, www.takealot.com and www.babiesafrica.com. Facebook: Organix South Africa Instagram: @organixfoodsa #organixsouthafrica

October 20, 2020

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