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

Mental health post pandemic

The Covid-19 pandemic and the resultant lockdowns affected people across the world – mentally, emotionally and physically. These included feelings of isolation, work stress, frustration at rules and regulations, fear for close family and friends and a loss of control over your life.  So, it is not surprising that we have seen an increase in mental health related issues. 1 in 6 South Africans suffer from anxiety, depression or substance use disorder. Over the last two years the prevalence of anxiety and depression disorders has increased by 36.4% and 38.7% respectively. 970 million people worldwide have a mental health or substance abuse disorder. A study by the Global Happiness Council (GHC) shows that mental illness is the main ailment among people of working age.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund says, ‘This has a massive effect on employers as they try to cope with keeping their businesses going, preventing job losses and maintaining a happy and motivated workforce. The economic uncertainty, political instability and poor socio-economic conditions in South Africa have also added to the burden of mental health issues in South Africa.’  To make matters worse, according to South Africa’s National Mental Health Policy Framework, ‘up to 80% of South Africans who need mental health support are unable to easily access it’.  In addition to a comprehensive mental health programme, Bonitas is the first medical aid to offer Panda to its members. It’s a free to download mental health and wellness mobile app that provides scientifically validated assessment tools to enable users to objectively measure their mental wellbeing. A gamified tracking tool allows you to document and monitor the progress you’re making on your personal mental health journey. This includes: Engaging in interactive, audio-only sessions with peers and mental health experts in the ‘Bamboo Forest’ Learning new skills through assignments and videos to help you live a more fulfilled life Tracking your mental health progress to measure how you are feeling Getting text-based chat support from an accredited wellness counsellor Booking 1:1 virtual consultations with accredited and registered counsellors, social workers, psychologists and other mental health professionals ‘The level of support depends on the degree to which you need help,’ says Dr Mkhatshwa.  ‘This ranges from level one, where there is an easy access point to community, information and support, through to level 5 where Panda will notify you to contact emergency services. We know how tough it can be to go through difficult times all by yourself, but with Panda, you will be able to find the support and resources that you need. In a nutshell: The right care at the right time for a healthy mind, using your phone.’   What is mental illness? Mental illness is defined as ‘any behavioural or mental pattern that causes significant distress or impairs normal functioning’. It can occur as a once off, be persistent or recur. The common denominator being the debilitating nature of the condition. It is a medical condition A mental illness affects the way a person experiences and behaves in the world around them. It is a recognised medical condition in the same way as chronic diseases, such as diabetes and high blood pressure and can affect anyone, regardless of race, religion, income or age. It is not a sign of weakness or madness and is nothing to be ashamed of. The good news is, it’s a condition that that can be managed and treated successfully.  Anxiety disorders and depression are the most common mental health problems but others include eating disorders, Post-Traumatic Stress Disorder (PTSD), obsessive compulsive disorder (OCD), bipolar mood disorder as well as psychotic disorders such as schizophrenia and personality disorders. Substance abuse, such as drugs and alcohol, is also classified under mental illness. Battling the stigma The Mental Health Society acknowledges, ‘The social stigma attached to mental ill-health and discrimination exacerbates patients’ condition. It often prevents people from seeking treatment. And, if they do, makes it harder to recover.’ Dr Mkhatshwa says, ‘Fortunately, increasingly well-known and influential people who are suffering from or have overcome mental illness, are being more open about it. This will go a long way to debunk myths, negativity, discrimination and judgement’.  Recognising the signs These can vary but, in general, these include:  Being frequently sad, depressed and gloomy for long periods and feeling overwhelmed by life’s problems Major changes in eating habits, resulting in weight loss or gain Struggling to concentrate and make decisions Loss of energy and lack of motivation Constant stress and anxiety over work, finances, life, friends and family Emotionally distant Frequently tearful Having difficulty sleeping or sleeping more than usual Loss of interest in activities Easily irritated and more aggressive than usual Having thoughts of death or suicide Drug or alcohol abuse may also be a sign of underlying mental illness Help is at hand There are specialised mental health programmes in place through most medical aids and most mental illnesses can be effectively treated by health professionals and community-based services or NGOs. This may include access to medication, therapy and counselling.   The Mental Health Programme (MHP) from Bonitas, which forms part its Managed Care initiatives, is aimed at improving quality of life and empowering people with mental health issues to manage their condition. It is education driven and offers support for loved ones too. ‘The introduction of Panda will dovetail neatly with our MHP,’ says Dr Mkhatshwa. ‘Mental illness cannot be wished away,’ says Dr Mkhatshwa. ‘We can’t expect someone to ‘pull themselves together’, they simply can’t. But with the right support and help, symptoms will be relieved and the recovery rate is encouraging with patients getting back to being happier, more productive members of society.’

Bonitas – innovation, life stages and quality care

Bonitas 2022 contributions continued for 2023!

 Bonitas Medical Fund, one of the leading medical schemes in South Africa, announced its 2023 product line up today. Lee Callakoppen, Principal Officer of Bonitas says, ‘Our average increases for the year would have been 5.9% – well below the current inflation rate of 7.6%. The good news is that we’ve put a price freeze on contributions for the first quarter of 2023, to offer our members some respite. This effectively means an increase of 4.8% over the 12 months. We have also shared exactly what members can expect to pay from 1 April 2023, so that they can make informed decisions. Bonitas celebrated its 40th anniversary this year and has evolved and expanded its capabilities over the past four decades in response to the needs of a growing membership base.  ‘It’s always a delicate balancing act between keeping increases as low as possible while maintaining the stability of the Scheme,’ says Callakoppen. ‘The guidelines, set out by the Council for Medical Schemes (CMS) in Circular 44 of 2022, requested medical schemes to keep contribution increases for 2023 below CPI. However, over the past decade medical scheme contribution increases have outpaced inflation by around 4%. We are delighted to have kept these well below CPI itself. In fact, by applying very low contribution increases since December 2020, the Scheme has effectively passed R1.4 billion in savings back to members.  And, with the challenges we’ve seen recently in the healthcare industry, we know that promoting sustainability is key. So, we’re happy to boast excellent financial indicators from high solvency ratios, strong reserves and a high claims-paying ability. Not only is the Scheme financially sound with over R7.4 billion in reserves but, over the last 36 months we have signed up 190 000 new members. This figure is significantly higher than the size of most schemes in the industry. Even better for sustainability is that the average age of our new members is around 15 years younger than the current membership. It reinforces the fact that we are succeeding in attracting a younger, healthier profile, which is coveted across the industry.  The future of healthcare is anchored on primary and preventative care as well as sustaining well-being, as opposed to responding to illness. One of the key healthcare trends is the rise in non-communicable or lifestyle diseases, such as diabetes, high blood pressure and cancer. 80% of these conditions are caused by lifestyle risk factors which is why we offer a range of Managed Care programmes aimed at assisting members understand and manage their conditions. Cancer care Cancer prevalence is one of the key concerns facing South Africans and is increasing year on year. Last year, we announced our partnership with the South African Oncology Consortium – the largest network of oncologists in the country to enhance the offerings of our cancer programme including screening for early detection, treatment and palliative care. For 2023 we have restructured benefits to be unlimited for PMB cancers, on all options. Diabetes The latest data from the South African Health Quality Assessment, shows that Bonitas has an effective disease management programme and better outcomes than the industry standard for diabetic members, with improved metrics for Hb1Ac, statins and cholesterol.  But, as we always look for ways to improve, we are proud to introduce a benefit of R51 000 per family per year for an insulin pump or continuous glucose monitor for type 1 diabetics over 18 years. Mental health We are pleased to announce that we’ve introduced an innovative new digital solution, called Panda, to support our members in managing their mental wellness. Panda, a free to download app, offers everything from audio sessions with peers and mental health experts to one-on-one virtual consultations with mental health professionals. We encourage our members to complete a mental health questionnaire in the Bonitas Member App to assess their mental health status. Panda will be available from October 2022. Benefit Booster Launched last year, the Benefit Booster was one of the most innovative changes to hit the medical schemes industry and aimed at supporting our preventative care strategy. It unlocked R446 million in additional benefits for members to extend their day-to-day benefits. For 2023, we’ve opted to adjust the benefits limits in line with utilisation with enhancements seen on several plans. Designated Service Provider (DSP)  We implement networks to negotiate the most favourable tariffs for our members so they can avoid out-of-pocket expenses and get more value. These networks are carefully selected to maintain high levels of healthcare, aligned with our brand promise of providing quality healthcare. We have restructured our options to include a wider hospital network component. In 2023, 85% of our members will be within a 30km radius of a network hospital – with a presence across all nine provinces in line with the footprint of our member base.  This includes a GP network of over 4 400 of the most efficient practices in the country, an extensive pharmacy network, with around 2 500 practices to dispense chronic, acute and over-the-counter medicine through Scriptpharm. Our dental network, through DENIS, is one of the largest on the continent – providing access to around 3 000 practices while our optical network through PPN gives members access to over 2 300 practices. Medicine formulary We have aligned our medicines formulary to the WHO’s Essential Medicines List (EDL) to promote affordability and accessibility to clinically approved medicines, in support of Universal Health Care and promotion of medicine adherence for our members.  Hospital-at-home The technology-enabled Hospital-at-Home service brings all the essential elements of in-hospital care to a patient’s home, without moving away from evidence-based clinical protocols and state-of-the-art 24hr vital sign monitoring. 1 200 members have used the offering to date – equating to around 6 000 days in hospital. We are extending the offering to include: A programme for re-admissions, screening and disease prevention, alternative to stepdown facilities and kidney dialysis at home. Savings  We’ve amended our rules to allow members to use their savings as they deem fit for

Bonitas – innovation, life stages and quality care

Essential check-ups for women

Non-communicable diseases (NCDs), known as lifestyle diseases, pose some of the biggest threats to the health of South Africans. They are a result of the way we live, combined with genetic, physiological, environmental and behavioural factors. The most common are hypertension (or high blood pressure), diabetes and obesity. It is imperative to have regular or annual check-ups.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, offers advice about these tests and others specifically for women.  Weight and BMI Almost 70% of women in South Africa are overweight or obese. The Body Mass Indicator (BMI) is used to check if you are a healthy weight. To calculate your BMI: Divide your weight in kilograms (kg) by your height in metres (m) Then divide the answer by your height again  Good to know Underweight <than 18.5 Normal weight 18.5 to 24.9 Overweight 25 to 29.9 Obese 30> Diabetes With over 4.6 million people in South Africa living with diabetes, it’s important to check your blood glucose. There are two main types of diabetes: Type 1 and Type 2. They are different conditions but are both serious and need to be treated and managed properly. One of the biggest problems with diabetes is when it remains undiagnosed. This can lead to blindness, heart attackstroke, kidney failure, impotence and amputation so it’s vital to be checked. Blood pressure Hypertension (high blood pressure) is when blood pressure stays elevated over time. It is often referred to as the ‘silent killer’ since nearly 33% of people who have it, don’t know it.  If your blood pressure is too high, it puts extra strain on your arteries (and your heart) and if it’s not treated, hypertension can cause kidney failure, eye problems and heart disease. Good to know   Range Normal 120/80 to 129/84 Upper end of Normal 130/85 to 139/89 Mild hypertension 140/90 to 159/99 Moderate hypertension 160/100 to 179/109 Severe hypertension More than 180/110 Besides testing for these three main NCDs, Dr Mkhatshwa also advocates specific checks for women. A Mammogram From the age of 18 you should do regular self-examination of your breasts, if you see or feel any changes, consult your doctor immediately. Early detection increases the chance of survival and can save your life.  Some doctors recommend having a mammogram, every two years from the age of 40, others believe you only need to start at 50 years of age. A mammogram is a low-dose X-ray which radiologists analyse to look for changes in breast tissue.  Although the greatest risk for breast cancer is age, women can get breast cancer from a very early age.   Cervical cancer South Africa has a high rate of cervical cancer, this has been attributed to the fact that not enough women are screened regularly. Screening can detect early changes in the cervix which can be treated and save your life.  Screening includes:  Pap test (pap smear) which looks for cell changes (pre-cancers) in the cervix that may progress to cancer if not treated.  The Human Papillomavirus (HPV) test. Looks for the virus that causes most cervical cancers It is recommended that between the ages of 21and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test can be done every 5 years A vaccine has been developed to protect women from getting HPV. It is administered free of charge, annually, to girls between Grade 4 and 7 (9 to 12 years of age) in all government schools. The HPV vaccination can be a cost-effective strategy in lowering the cervical cancer risk among women in South Africa. Bone Density As you age, your bones become thinner and weaker. Over time this can lead to a condition called osteoporosis. If you’re aged 65 or older a bone density test is recommended.  Called a DEXA scan, the frequency of this screening varies depending on your bone density and other risk factors. Your doctor may suggest you have this test earlier if you: Broke a bone in the past Have taken steroids for a long time Have rheumatoid arthritis Are underweight  Have a parent who has broken a hip after a minor injury Treatment for osteoporosis is available – usually the first choice is Bisphosphonates. Colorectal Cancer Screening These tests look for cancer in the colon or rectum by checking for tissue growths, called polyps. If you don’t have an elevated risk for cancer, then you should start having these tests when you turn 45. A colonoscopy, where the doctor looks at your entire colon, should be done every 3-10 years depending on what is found during your exam.  A Faecal Immunochemical Test (FIT) should happen annually. The FIT is also a screening test for colon cancer which tests for hidden blood in the stool, which can be an early sign of cancer.  Skin Checks Skin cancer is caused by the abnormal growth of skin cells – usually on the skin that has been exposed to the sun but not always. There are three major types of skin cancer: Basal cell carcinoma, squamous cell carcinoma and melanoma.  Examine your skin carefully at least once a month and, if you are prone to getting lots of moles, go to a dermatologist and have the mole ‘mapped.’  If skin cancers are found early and treated, they are almost always curable.   If you have a history of skin cancer in your family have your skin checked regularly by a doctor.  Remember early detection of any of these conditions can save your life, so remember to go for regular check-ups with your doctor. 

Bonitas – innovation, life stages and quality care

ASTHMA

Asthma is one of the most common chronic illnesses, affecting over 339 million people worldwide.  According to the World Health Organisation (WHO), asthma kills around 1 000 people every day and the prevalence is rising.  South Africa is ranked 25th worldwide for asthma prevalence and is ranked fifth for asthma mortality. The lack of appropriate diagnosis, treatment or access to care may be important considerations in tackling asthma morbidity and mortality in South Africa.  What is asthma? Asthma is one of the most common respiratory complaints in the world where your airways – known as bronchial rubes – become inflamed. This swelling or inflammation makes the airways extremely sensitive to irritations and increases their susceptibility to an allergic reaction. In an allergic reaction, the airways swell and the muscles around the airway tighten, making it difficult for air to move in and out of the lungs. It affects approximately one in 10 children (10%) and one in 20 adults (5%) and can occur for the first time at any age, even in adulthood. Although asthma usually begins before the age of five, a few children affected will ‘outgrow’ it during their teenage years but it usually persists if contracted in adulthood. Asthma tends to run in families, as do related allergic conditions like hay fever and eczema Signs and symptoms Asthma is often under-diagnosed and under-treated.  If you fail to recognise and avoid triggers that lead to your tightened airways, you may have an asthma attack, feel respiratory distress or experience a life-threatening situation.  So, it’s important that you know how to avoid the triggers and recognise the signs of this condition to enjoy a better quality of life.   Symptoms can range from mild to more serious depending on the severity of the illness but include: Coughing that does not subside and gets worse at night Wheezing Shortness of breath Tightness or pain in the chest What causes asthma? The exact cause of the asthmatic process is not well understood but it is thought to be triggered off by an allergy or when the lungs are irritated by something in the air. Research shows that the risk facts are a combination of genetic predisposition and environmental exposure to inhaled substances and particles that may cause allergic reactions or irritate the airways.  These include indoor allergens – such as dust mites and pet dander in the home, outdoor allergens – such as pollen and mould as well as tobacco smoke and air pollution. Other triggers can include cold air, stress or physical exercise. Certain medications, such as aspirin and other non-steroid anti-inflammatory drugs and beta-blockers (which are used to treat high blood pressure, heart conditions and migraine) can also set off an asthma attack.  Factors associated with asthma prevalence or disease severity in South African children include the adoption of an urban lifestyle, atopy (a genetic predisposition),obesity, respiratory infection, or exposure to industrial pollution or tobacco smoke.  Treating asthma Asthma can be life threatening when left untreated and cannot be cured but, with the right treatment most asthmatics will lead completely normal lives. The aim of treatment should be to make the lungs and breathing tubes as normal as possible so that there are minimal symptoms and as little disruption to ordinary life as possible. Get help Bonitas Medical Fund says, ‘If you are experiencing asthma symptoms or think you might have asthma, it is important for you to talk to your GP.  This will help you establish if your symptoms are linked to asthma or whether something else is causing them.’

Bonitas – innovation, life stages and quality care

Dealing with Postpartum Depression – plus ways to deal with mental health after pregnancy

As a new mom, the birth of your baby is a beautiful and exciting time, but there is a darker side to childbirth. Postpartum depression affects about 15% of moms after delivery, and while it is a serious disorder it can be overcome through treatment. What is Postpartum depression? Feelings of anxiety, sadness and fatigue are common after birth and are often referred to as the ‘baby blues’ and should subside within the first two weeks. However, if these feelings stick around for longer, you could be experiencing postpartum depression. Restlessness, mood swings, insomnia, irritability, disconnection from your baby and feeling of worthlessness are all red flags for postpartum depression. Some moms feel guilty or ashamed to be feeling this way, however PPD can affect any woman. Don’t be afraid to reach out for help, as PDD is treatable through both medicated and unmedicated options. What should I do if I have the symptoms of Postpartum Depression? The good news is that PPD is treatable. There are a variety of common types of treatment, which depend on the type and severity of symptoms. Treatment can include counselling, therapy groups, antidepressants and hormone therapy. Self-help groups can be helpful, as it allows you to connect with others who have experienced similar problems and stop feelings of isolation. Recovery time will also vary from mother to mother, but untreated the disorder will last much longer and can interrupt mother-child bonding. Getting help does not mean you are a bad mother, it is important to reach out if you are feeling depressed. Postpartum Psychosis In rare cases moms can develop postpartum psychosis. This should be treated as a medical emergency, and it is essential that you receive help right away.  Symptoms include paranoia, delusion and erratic/disorganised behaviour.        How to deal with mental health after pregnancy  Your mental health is critical to you and your child’s well-being. If you are worried about PPD it is important to get professional help. However, you can help your mood by slowly getting back into exercise, setting aside time for yourself and leaning on those around you for support. It is important to stay connected to family and friends so that you don’t feel alone.

Bonitas – innovation, life stages and quality care

A partnership to bring help to those who need it most

When you’re looking for positive, purposeful, swift action in a time of crisis there’s one organisation you know you can rely on. The Gift of the Givers Foundation is always ready to step in when needed, getting on with the job at hand with the minimum of fuss but with maximum results.  ‘The Gift of the Givers needs no introduction,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund.  ‘The organisation continues to go beyond the call of duty to bring humanitarian aid where needed.  It has built its reputation on the principles we, as a corporate citizen, also value: Respect, care, professionalism and dedication. Their swift and problem solving response in the face of any disaster – be it a pandemic, fire, flood, earthquake, tsunami or war – is to be highly commended.  And we are proud to announce that Bonitas will be partnering with them for the year ahead.’  For 30 years this extraordinary, non-governmental disaster response organisation has been responding to global challenges, in an effort to bring hope, life and restore dignity to the most vulnerable of people. Gift of the Givers primary focus is disaster response but other key areas of assistance include hunger alleviation, water provision, healthcare, education and social upliftment. Headed up by medical doctor, turned humanitarian, Dr Imtiaz Sooliman, Gift of the Givers has repaired and restocked hospitals, run clinics, sunk boreholes, dug wells, provided food and shelter to millions … and so much more. And, more recently, during the Covid-19 pandemic, KZN riots and water shortages in the Eastern Cape, the NGO brought relief to those who needed it most.  ‘Our association with Gift of the Givers goes back a few years when we supported various projects on an ad hoc basis.  However, recently we reassessed and realigned our CSI strategy to be in sync with our mantra: ‘A Medical Aid for South Africa’,’ says Callakoppen. ’This means us investing in the social upliftment of South Africans. And who better to partner with than this leading philanthropic organisation. The Bonitas values align with that of the Gift of the Givers and we look forward to working with them to provide relief to the most vulnerable and marginalised communities, specifically in the field of healthcare interventions.’ ‘We joined Bonitas as our medical scheme in 2019,’ says Dr Sooliman. ‘We worked with our financial advisors to find the most appropriate scheme and plan for our staff and have been impressed with their service, professionalism and how the member always comes first. As a paypoint for the Fund, we interact with the team regularly and, through these interactions, have realised there is synergy in our ethos. This led to us working alongside them on selected projects but we are thrilled they are formalising a partnership with us.’  Sooliman says the private sector plays a vital role in helping the organisation fulfil its humanitarian vision. ‘By working in partnership with like-minded and committed corporate partners, we have the ability to make a real difference in the lives of some of the most vulnerable people across South Africa, throughout Africa and the world.’ ‘We have handed over an initial R500 000k that will be used for healthcare related disasters,’ says Callakoppen, ‘However, additional funding has been set aside for specific healthcare related projects, such as hospital revamps, that are close to the hearts of both the Fund and Gift of the Givers.’  ‘I have been fortunate to meet Dr Sooliman on a few occasions and he has engaged with our Bonitas Board,’ says Callakoppen. ’It was humbling to learn more about the healthcare interventions they have put in place, the impact these have had and also just how much they can achieve in a day. He is passionate about the work they do and has a solid belief in the common humanity that unites us. This resonates throughout the organisation, leading with integrity and honesty. We look forward to the lessons we will learn while working alongside them on future projects.’

Advice from the experts
Squish

Ready, Set, Go! Top Tips and Tricks to Starting Solids with Your Baby

Your baby is nearing six months and excitement starts to mount as you prepare to introduce solids for the first time. This is often called first-foods (weaning) or complementary feeding, implying that foods complement milk at this stage of the weaning journey, instead of replacing it entirely. Even though milk alone may not meet your baby’s nutritional needs anymore, it is still an important source of nutrients and minerals essential for healthy growth and this means that you will still offer baby milk when you first start with solid foods. Ready… The best food to start with is one that is culturally acceptable and familiar to the family. Traditionally, this may be a soft porridge like rice porridge or maize porridge, but other options may be single flavours like puréed sweet potato, or butternut, carrots, apples, pears, pawpaw, or peaches. Regardless of the food you choose, prepare it with breast milk (or formula) to help your baby recognise a flavour that they have been used to for the past 6 months. Offer this food for three days before moving on to another food or changing the flavour in the food. For example, if your baby likes pumpkin, mix with pureed apple or a sprinkle of cinnamon next time as you can mix foods together from early on. It is good practice to continually offer baby’s tastebuds new flavours and taste dimensions as you progress on your solids journey. There is no evidence that babies will not like veggies if they have already had naturally sweeter fruit. It is also suggested that you try a food that is not an allergen for now, avoiding for example a wheat-based cereal (gluten), yoghurt (cow’s milk) or egg at first. For a convenient way to get your baby to try its first foods, why not try Squish 100% fruit and veg purees? Squish offers a range of 100% fruit and veg purees and pressed 100% fruit and veg juices. The convenient pouches are well-loved amongst mommies and are perfect for babies from the first introduction of solids, right through the weaning process – from babies to toddlers and beyond. Squish 100% fruit and veg puree and juice flavours give parents a broader range of taste options for even the fussiest of eaters, right from the first introduction of solids through to a full meal, or tasty snack. Set… Time to stock up on baby-friendly spoons, bowls, and bibs. Think about where you want to feed your baby. Choose an appropriate feeding space, one that will help promote sensory stimulation and the social aspect of mealtimes. Remember, meals do not need to be limited to the feeding chair and you can feed your baby on the lap. Meals also do not need to be limited to the kitchen or dining room.  When age appropriate, sit on the floor with a blanket or outside under the trees on a warm day. Regardless, it is important to ensure however that your baby is always well supported and sitting upright when being fed. Invest in different sized bowls with fun colours (silicon cups work great) and a fun mini cooler bag for when you’re out and about. Squish 100% fruit and purees and pressed juices offer convenient meal solutions whether at home, on the go, right from the start of the weaning journey.  And because Squish purees are free from preservatives, flavourants, colourants, you can rest assured you are offering your baby a meal that is pretty much the same as making it yourself. Go! It’s go time which means it’s time to choose the right time of day, ideally when both you and your baby are calm, relaxed, and not in a rush. This may be the weekend for working parents, or a weekday for stay-at-home moms. You may also want to include other family members for this memorable milestone. The best time of the day to start offering solids to your baby is when your baby is most alert and awake, and in a happy mood. This may be after waking from a midmorning nap and between milk feeds so that your baby is not too tired, too hungry, or too full. During the beginning stages, do not worry too much about the formality of mealtimes as we know it, like offering cereal for breakfast at 8am or a vegetable with lunch at 1pm. Follow your baby’s lead and enjoy these special first moments watching your baby’s taste buds get excited about solid food. You can then start to add other tastes and eventually other textures when your baby is ready, and Squish 100% fruit and veg purees offer a meal solution for every occasion.

Parenting Hub

World Chocolate Day!

It’s World Chocolate Day on the 7th of July and this year we are celebrating this sweet occasion with GD Chocolate! World Chocolate Day is all about championing one of the greatest culinary innovations in human history while educating ardent chocolate fans on the processes, resources and methods that go into each slab. GD Chocolate is a unique chocolate manufacturer in that not only do they focus on delicious taste but also seek to highlight the inherent health benefits of authentic cocoa and elevate them with natural, superfood ingredients. Let’s take a look closer at all the different treats you can indulge in this Chocolate Day.  GD Chocolate Slabs GD Chocolate prides itself in sourcing sustainable, natural and authentic cocoa to champion in all their chocolates. Besides being mouth-watering delicious, chocolate’s initial popularity is accredited to cocoa’s immense health benefits, especially when kept as natural and unprocessed as possible. With each slab of GD Chocolate you are getting a dose of essential mineral magnesium, theobromine (which strengthens and improves heart function), anti-oxidants and tryptophan which boosts serotonin levels and gives us that good-feel chocolate is so famously associated with. Furthermore, all chocolates in GD’s range are dairy-free with no preservatives, no soy lecithin, no artificial colourants or flavourants. The slabs come in seven different flavours: Lemon & Black Pepper, Himalayan salt, Vanilla, Coffee, Orange, Mint and Rooibos & Matcha. GD Loaded Logs  One of GD Chocolate’s most unique and innovative products, the GD Loaded Logs pack a superfood punch. Brimming with ingredients that contain powerful health-benefits, these chocolates are delicious and deliver the nutrients your body is looking for. The four different flavours target different specific health areas:  Collagen: If you’re looking for the spring of eternal youth, The Collagen Log is your ticket. Loaded with collagen and sporting a lusciously chewy toffee-like taste, this is your go-to if looking to add some extra TLC to your skin, hair and nails.  Vitamin C: Vitamin C plays an important role in strengthening your immune system and should be consumed daily. With a sweet citrus tang, GD Chocolate’s Vitamin C Loaded Log has made it an easy pill to swallow.  Maca Moringa: In need of an energy pick-up? The Maca Moringa Loaded Log is made specifically to give you an extra boost that, unlike other chocolate bars, is sustained and won’t suddenly leave you hanging.  Turmeric: Finally, help your body out with a punch of turmeric’s anti-inflammatory benefits with the ginger-warm, coconutty Turmeric Loaded Log. Buttercups: With crisp, thin, quality chocolate enveloping a soft, mouth-watering centre coming in five delectable flavours, you really can’t beat GD’s sensational buttercups. These decedent, bite-sized gourmet chocolates are the perfect treats to indulge in when wanting something just a little more exciting than your run-of-the-mill chocolate experience. With flavours like Almond Butter, Mint, Mocha-Coffee, Turkish Rose & Vanilla, there is something for everyone.  Vegan Slabs: GD now offers three delectable vegan options in the form of slabs (R65 ea). GD’s Vegan & Sugar Free Slabs are full bodied, dense, rich-tasting chocolate that are keto and vegan diet friendly as well as free from cane sugar. They have been sweetened with Erythritol and are made with love.  They contain nosoya lecithin, preservatives, artificial colourants or flavourants. No matter if you’re feeling adventurous with one of GD’s innovative loaded logs, looking to treat yourself with a delectable buttercup or are just craving a classic chocolate slab, get ready to boost your body and satisfy your every chocolate dream this World Chocolate Day. With GD Chocolates in your corner, forget New Years and consider July 7th the new best day on the block.  About GD Chocolate:  GD Chocolate is passionate about bringing deliciously healthy chocolate options to the South African market. GD chocolates are dairy-free and contain no cane sugar as only the very best local raw honey is used. They also contain no soya lecithin, preservatives, artificial colourants or flavourants. The Vegan GD Chocolate range is sweetened with erythritol, making it 100% vegan friendly.   https://gdchocolate.com

RediscoverDairy

Say Cheese!

Cheese contains a unique combination of valuable nutrients. It is not only nutritious but also delicious and versatile. Add it to dishes for flavour, eat it in moderate amount by itself or on a sandwich, or put it in a lunch box as a convenient snack.  There are many varieties of cheese. Some of the well-known ones are Cheddar, Gouda, Mozzarella and Feta. Cheese Packed with protein, calcium, zinc and other essential nutrients, cheese deserves its place as a healthy food item in your family’s diet – whichever one you choose. Here’s why cheese is good for you: Cheese is an excellent source of good-quality protein. It contains all the essential building blocks (amino acids) you need to build strong bones and muscles. With one portion of cheese per day, that is two slices of cheese or 2 tablespoons of grated cheese (40 g), you get: 15% of your daily vitamin A needs – for good eyesight and to fight against disease 30% of your daily calcium needs – for strong, healthy bones and teeth 27% of your daily needed zinc – to support your immune system and help protect you against disease.   Cheese fills you up with a unique combination of valuable nutrients and makes you feel fuller for longer, preventing unnecessary snacking. You can have a portion of cheese daily even if you have high cholesterol. Research shows that cheese has a neutral or even protective effect on heart disease. Hard cheeses such as Cheddar and Gouda contain little to no lactose, which makes them good choices in case of lactose intolerance. Protein, calcium and phosphorus in cheese help to protect your teeth against decay. Research shows that eating hard cheese directly after a meal is a good way to protect your teeth and keep them healthy. To make cheese an affordable option in your diet, buy it in bulk when it is offered at a good price. Grate everything and then store it in smaller amounts in an airtight container or plastic bag in the freezer. This way the cheese will last long. You can use it directly from the freezer as needed. Choose cheese as a snack or part of a meal to: Help you reach your goal of 3 servings of dairy a day so that you get enough calcium for healthy bones Keep your teeth in tip-top shape so that you can keep smiling Help you regulate your appetite and feel fuller for longer. For more cheese tips, visit www.rediscoverdairy.co.za

Bonitas – innovation, life stages and quality care

Generics and biosimilars – champion cost savers in the healthcare industry

It is common knowledge that healthcare costs rise exponentially and medical schemes have to find ways to reduce costs both for the medical scheme and its members. Kathy Malherbe spoke to Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, about generics and biosimilars and how they contribute towards reducing healthcare costs. One of the cost drivers is medication which is why The Pharmacy Act of 1997 and the Medicines Control Amendment Act, among other things, have made it mandatory for dispensers of medicine, be they doctors or pharmacists, to offer a patient a generic substitute if one is available. However, generics are not the only cost savers.  The patent expiry on many biological medicines is opening the door to more affordable, life-saving ‘biosimilars’ to be produced – another ‘champion’ in the pharmaceutical industry.  Increased consolidation in the healthcare industry is also having a positive impact on medicine prices and availability. Medical aids are trying to create more competition, even among medicines that are still under patent. They are also tightening up their formularies, in part to encourage pharmaceutical manufacturers to provide better pricing.   What is a generic drug?  A generic is a pharmaceutical drug that contains the same chemical substance as a drug that was originally protected by chemical patents. It is an exact copy of brand-name drugs that has the same dosage, intended use, effects, risks, safety and strength as the original. In other words, their pharmacological effects are identical to those of their brand-name counterparts. But at a much more affordable price… Generic medicines cost, on average, between 30 and 80% less than the original.  What guarantee is there that generics are true replicas?  In South Africa, the Medicines Control Council (MCC) carries the responsibility of making sure that generic drugs are safe and effective. Generic drug manufacturers have to prove their medicine is bioequivalent to the original brand before a product is approved into the local market.   What is a biosimilar? Biological drugs are large, complex proteins made from living cells through highly complex manufacturing processes. Biosimilars are a close equivalent but not exact copies of biologicals. and are manufactured after the patent for the biological/reference drug ends. To be called a biosimilar drug, it must be shown to be safe, work as well as, and work in the same way as its reference drug – the biological. It must also be used in the same way, at the same dose, and for the same condition as the reference drug. The cost of manufacturing biological medicines is more expensive than conventional chemically produced medicines and, because biosimilars are close copies, they remain expensive but are still more cost effective that the original.  What are they used to treat? The most important biological medicines are used to treat conditions such as rheumatoid arthritis, Crohn’s disease, multiple sclerosis, diabetes and cancers. How are they different from generics? The reason biological copies are called biosimilars is that, unlike generic medicines, the active ingredients are not exactly the same as the original but ‘similar.’ It is impossible to make identical copies when ‘translating’ biological molecules from living cells in the laboratory. Very importantly to note though, is that even though biosimilars are not a direct copy, the therapeutic effect is the same as the original biological product. Why are generics and biosimilars less expensive? Generics Pharmaceutical companies are researching and testing new active ingredients and medicines all the time. The patent is valid for about 20 years which means that only the approved company may research, create a new formulation (the ‘recipe’ and process for creating the actual medicine) and register the medicine. This takes years and carries a huge financial burden. After about 8 to 10 years on the market the patent usually expires and other drug companies can make an exact copy of the drug without the initial clinical research costs. Biosimilars While these medicines have revolutionised treatments for many diseases, the research and development expenses, including the costs of highly skilled scientists, clinical trials and the specialised equipment needed, are the main cost drivers. Companies are required to fund these costs, often in excess of 10 years, before registration for use by patients.  Biosimilars save costs because: The molecule and effects have already been discovered and identified by the originator The number of patients required in the clinical trials is reduced The original biological medicine would have been ‘manufactured’ at least 20 years ago. New manufacturing methods are more efficient. The cost-efficiencies, which generic and biosimilar medicines provide, are assuming greater importance for state and private health funders as populations age and the prevalence of cancers and other non-communicable diseases increase.  SA’s already stretched healthcare budget is coming under increasing pressure to fund the high cost of pharmaceuticals, especially biological medicines. While generics and biosimilars may not be a panacea for high healthcare costs, they will go a long way towards offering a cost-effective, quality treatment for a large range of diseases. In addition, these breakthrough treatments can halt progression and sometimes even prevent recurrence by acting on proteins that affect the genome/immune system.

Squish

The Tell-Tale Signs That Your Baby is Ready for Solids

The first bath. The first sleepover at granny. The first giggle. And now, the first taste of solid food. Initially babies only need milk (breast or formula) but as your baby grows the more proteins and minerals as well as thicker textures are needed, which is why the introduction of solid foods is crucial in baby’s development. Starting solids is an exciting milestone for the family but can also bring about some distress as to when to start. The World Health Organisation, supported by the South African Department of Health, encourages that babies start solid food from 6 months. This is an optimal time when your baby’s gut and kidneys are physiologically mature enough to handle solid food. Another reason is that your baby is born with only enough iron and certain other mineral stores to last about 6 months, after which your baby will need to start getting iron and other necessary minerals from food. Your baby will also start to show physical and developmental signs that they are ready to start eating solid food. Baby will sit without support and can hold their head steady. Baby will watch as you or a family member moves food to your mouth. Baby may try to grab your food and put it in its mouth. Baby will instinctively open the mouth when a spoon approaches. Baby may start to wake up more frequently for night feeds than before, indicating hunger. If your toddler starts to show these signs, in addition to the age consideration, it may be time to consider introducing solids. During this time it is important to continue to offer your baby milk. It is a good idea for the first solid meal to be offered during the day after a mid-morning nap and milk feed and when your baby is not too tired or too hungry. Your baby needs to be in top form to learn this new skill and to start its first food journey. It is always a better time to start when your  baby is happy, healthy, and well, and not when ill, has a fever or any rashes. For a convenient way to get your baby to try its first foods, why not try Squish 100% fruit and veg purees, perfect for babies from the first introduction of solids, right through the weaning process – from babies to toddlers and beyond. Squish convenient puree pouches are well-loved amongst mommies and provide delicious tasting convenience, whether at home or on the go. Even better is that Squish purees are preservative free, colourant free and flavourant free with no added starch. Squish 100% fruit and veg puree and Squish 100% fruit and veg pressed juices flavours give parents a broader range of taste options for even the fussiest of eaters, right from the first introduction of solids through to a full meal, or tasty snack. For individualised professional advice for premature babies or any health or nutritional concerns, contact a healthcare professional such as a registered dietitian, paediatrician, or paediatric nurse. Brought to you by Squish 100% fruit and veg puree meals for babies, toddlers and beyond

Parenting Hub

Lifegain® – for those who want more

Our bodies have more of a chance of managing the difficulties that life throws at them if they are well nourished. Indeed, good nutrition is one of the few things under our control when we need renewed vigour.  Tip: Exhaustion can be an early warning that the body is not getting enough needed nutrients.  We could be recovering from surgery or injury, struggling with illness, undergoing stress or be elderly. Or busy lives may result in our relying a bit too heavily on fast foods and snacks. Over the longer-term this can result in essential nutrients lacking, carrying a greater risk of degenerative disease. At all these times we have increased nutritional needs, especially for protein. Lifegain® Advanced Nutritional Shake has been tried and trusted by South Africans for 20 years, and its excellent formulation can help to restore nutrient levels and assist in repairing body tissues and maintaining muscle mass.  Visit https://lifegain.co.za/real-life-stories/ for inspiring stories from users.  Lifegain® is also a nutritious choice for healthy people who want to stay that way!  In its 20 years on the South African market there has never been an equivalent nutritional supplement packing the ALL-IN-ONE cost-effective punch of Lifegain®. So, when shopping for various supplements, it is worth comparing content and cost per serving. It would take a lot of tablets to get the protein and nutrients that once-a-day Lifegain® provides at only R13-R14 a serving for example. Mixed with milk or water, Lifegain®’s gently processed triple protein blend of soy, milk and whey protein isolate provides 15 grams of protein a serving, plus essential amino acids, antioxidants, isoflavones, vitamins, minerals, glutamine and polyunsaturated fatty acids.  Blitzed up with ripe pawpaw or berries, bananas, peanut butter or chocolate powder, Lifegain® also makes a delicious breakfast or anytime smoothie  https://lifegain.co.za/recipes/  Available from Takealot, selected pharmacies and retail outlets nationwide. Price:  Lifegain® 1 kg tin in vanilla, chocolate, or strawberry flavours, around R435. Lifegain® 300 g tin in vanilla, chocolate, cappuccino, or strawberry flavours, around R180. Lifegain® single serving sachets in strawberry or vanilla, around R19. Lifegain® Junior from 3 years, 300 g tin in vanilla, around R180. Lifegain® Glutamine 200 g tin, around R170. Enter here to win one of 2 hampers of Lifegain® products each valued at over R1000

Parenting Hub

Have you had your Vit D3 sunshine shots?

Here’s a winter health fact. Our bodies need Vitamin D for many important processes including supporting the immune system, bone and muscle building, and to promote better sleep and mood.  We can even produce enough vitamin D ourselves. That’s if we bare our arms, legs, back, chests or faces to the sun for a limited period of time, because the sun’s UV rays produce Vitamin D in our bodies. Scientists reckon that five to 15 minutes, or five to 30 minutes for darker skinned people, of sun exposure two or three times a week will do it.  But during winter, just when we need this immune boosting and stress relieving sunny gift to help us through the season of colds and ‘flu, the days are short, we stay indoors, and are usually covered up head to toe for much of the time. But, fun tip ladies: if you wear a cami under your warm clothing, you can head for a sunny spot at a warm time of day, strip off the top layers and you’re all set for a short spot of winter sunbathing. You may not wish to try this at the office! For those of us who can’t do the sun thing, vitamin D is also available in some foods, mainly in fatty fish like pilchards, tuna and salmon. Milk, yogurts and cereals are often fortified with Vitamin D too. Still, there are good reasons why many of us can’t get enough Vitamin D from sun or food (being elderly, covered up clothing for religious reasons, no time to go outside, being darker skinned…). In those cases, a one-a-day Nativa Complex® Vitamin D3 https://www.nativacomplex.co.za/immune-health/#nativa-complex-vitamin-d3 can fill the gap. It’s the newest addition to the well-established Nativa Immune Complex® range.  Nativa Complex® Vitamin D3 supplies 1000 IU of Vitamin D and can be administered from 6 years of age. Cost is around R100 for a month’s supply, from Takealot, Dis-Chem, Clicks and selected pharmacies nationwide. Read about this well formulated immune boosting range at https://www.nativacomplex.co.za/immune-health/#immune-complex-product, and then enter our competition for a chance to win one of two R750 vouchers from Cotton On . Their stylish men’s, women’s and kid’s clothing can see you through winter, and (yay) into Spring.   #VITAMIN D3  #sunshine vitamin

Parenting Hub

Five signs that you are Collagen Deficient

With winter on its way, is your body sending you the sign’s that it’s collagen-deficient? If your neck is drooping, your hair is drying out and your joints ache, these are all warning signs that you may be collagen-deficient. And the worst is yet to come.  Catherine Clark, the Owner and Founder of Harvest Table says that while there is no way to measure the amount of collagen in your body, you can generally tell when your body doesn’t have enough.  “Collagen deficiency strikes nearly everyone over the age of 30. As you age, your body naturally begins to manufacture less collagen. But this is the glue that holds your body together and without it, your body literally starts falling apart. So if you have any of the signs that you may have a collagen deficiency, it’s time to act,” Catherine explains.  Catherine shares five of the key signals that you could be collagen deficient. Wrinkling It’s not just your imagination, winter really is harder on your skin as cold air and wind strip away the skin’s hydration. That’s why you will often see more wrinkles appearing in the colder months, especially on your face. The great news is that collagen will keep your skin strong and elastic. Collagen aids in the skin’s hydration and helps wound repair and stretch marks by improving skin elasticity. It will also help your fingernails and hair grow and keep your teeth strong.  You lose flexibility If your collagen stores are running low, you may lose some flexibility and find that your tendons and ligaments are stiffer. Whether you head indoors during winter or brave the cold outside, collagen can aid in exercise recovery and muscle growth. Glycine and arginine, two of the most important amino acids found in collagen, play a role in helping to form and repair muscle tissue, healing injuries, sparing tissue wasting, boosting the metabolism and aiding in muscle development.  Joint pain Another all too common problem you may experience is joint pain. Though we often assume this is a natural part of ageing or caused by over-exercising, it can actually be due to a collagen deficiency. Cartilage is the buoyant, rubber-like tissue that covers the ends of long bones at the joints and it’s mostly made up of collagen. A collagen deficiency leads to more bone-on-bone movement, which can cause excessive friction that will lead to inflammation and may eventually progress to arthritis. Collagen will assist your body in preventing joint stiffness, swelling and pain. Cellulite A collagen deficiency can also result in worsening cellulite. When the fatty tissues underneath your skin push upward against your body’s connective tissues, the skin at the surface begins to pucker, resulting in cellulite. As your levels of collagen reduce, your skin becomes less firm, grows thinner and becomes more vulnerable to damage. The result is the all too familiar “orange peel” look that worsens with age. Collagen will boost your cell renewal and the skin’s suppleness and will reduce the all too obvious signs of cellulite.  Digestive problems Uncomfortable bloating and other gut symptoms can be an indication that your body needs more collagen. A lack of collagen in the gut can lead to intestinal permeability or “leaky gut syndrome” and symptoms include constipation, diarrhoea, brain fog, fatigue and an impaired immune system. Again, this is easy to reverse if you boost your body’s collagen levels.  Catherine says that the easiest and most efficient way to address a collagen deficiency is to look after your body with the right diet and supplements.  “While we often think of wellness in terms of what we can see and apply on the outside, there’s a lot that can, and should, happen on the inside,” Catherine explains. “By supplementing your diet with collagen and making it part of your daily routine, you can vastly improve your skin and boost immune, cardiovascular and digestive health. Healthy winter skin and joints are only one scoop away.”  Harvest Table has a wide range of collagen products that are available from www.harvesttable.co.za. Follow Catherine on Instagram: @whole_healthy_me.

RediscoverDairy

The dairy solution to lactose intolerance

“Lactose intolerance is not a milk allergy, but a gastrointestinal disturbance that happens after consuming more lactose than the body can handle”, says Maretha Vermaak, registered dietitian at Rediscover Dairy. “It is merely the inability to digest the sugar naturally found in milk and milk products, called lactose.”  Lactose consists of two sugar components, namely glucose and galactose, bound together. During normal digestion, the body produces an enzyme called lactase to separate these two sugar components, so that they can be absorbed into the blood. If the body does not produce enough of the enzyme lactase, the two sugar units cannot be separated. The milk sugar then starts to ferment, which can lead to uncomfortable symptoms such as bloating, gas, loose stools and stomach pain.  Most people who are lactose intolerant can tolerate up to 12 g of lactose in a single dose and experience few or no symptoms. A cup of milk (250 ml) typically contains 12 g of lactose. Dairy foods such as milk, maas, yoghurt and cheese provide important nutrients such as protein, calcium and potassium. Everyone – young and old – needs these nutrients for good nutrition.  Lactose intolerance should not prevent you from having a healthy, balanced diet including milk and dairy products. Here’s how you can tolerate lactose better: Consume small amounts of milk and dairy at a time and space your intake throughout the day. Full-cream milk is tolerated better than low-fat or fat-free milk. Use milk and dairy foods combined with another food. For example, have milk with cereal or pap, stir plain yogurt or amasi into soup or have cheese on bread. Eating lactose-containing foods such as milk and other dairy products with other types of food slows the digestion of lactose and so helps to ease possible discomfort. Cheeses such as Cheddar, Gouda and Mozzarella contain very little lactose (less than 1 g lactose in a portion of 40 g) and are generally tolerated well. In fermented dairy products such as yoghurt and amasi some of the lactose is already broken down. As the live cultures in fermented dairy also improve lactose digestion, yoghurt and amasi are ideal choices if you are lactose intolerant. You can also try lactose-free dairy products. Dairy products help to build strong bones and teeth and contribute to good overall health. So, don’t miss out! You can benefit from the nutrients in dairy even if you are lactose intolerant.  For any other questions about dairy, please visit: www.rediscoverdairy.co.za/askdairy/

Squish

“No One Can Live on Just One Food”. Toddler: “Challenge Accepted!”

Is your toddler going through a [insert latest favourite food craze here] phase? Think about how they want to hear the same song on repeat and play with the same toy, all day, every day. Eating the same foods every day is just another version of this. So, while we can helplessly blame this on a toddler’s love for routine and repetition, as parents, there are few things we can do to make these phases as healthy as possible. Up the Nutrition Bread, cheese, potatoes: whatever the food, be sure to always offer up the most nutritious option or version of that food. For example, leave the skin on the potatoes, a valuable source of nutrients and fibre, offer up wholewheat pasta or whole grain bread, or choose sugar- and salt-free peanut butter (may contain allergens). A good tip for starches like pasta, bread or cereal is to be guided by the food label. Aim to choose a starch product that has more than 6g of fibre per 100g, as this is defined as a high fibre food. Feeding your little one Squish 100% Fruit and Veg purees you can rest assured you are giving your little one the best. Squish is preservative-free, colourant free, flavourant free and contains no added starch, what’s more, they come in a convenient pouch perfect for meal-times or on-the-go-snacks. Texturize It is a good idea to offer up the favourite food in a variety of textures, as and where possible. This will at least allow for your little one to be exposed to various textures of foods at this time, which is important for motor and oral development. For example, bread can be toasted and cut into fingers or triangles or offered as a softer, round bread roll. Potatoes can be cut into chunks or mashed, and you can mix small, diced pieces of banana or strawberries into yoghurt. Try adding a Squish 100% Fruit and Veg Puree to a small dish and get your little one to dip their finger foods into it.  Good news for moms with slightly older babies and toddlers – Squish 100% fruit and yoghurt purees now come in a new, bigger toddler-friendly 200ml pack for growing babies with growing appetites. The bigger pouch size means you can serve your toddler a full meal or snack in one handy serving, as their appetites increase, in a convenient pouch format.  The Squish 200ml bigger pouch range comes in 6 delicious fruit and yoghurt flavours, are free from colourants, flavourants and preservatives, and are ideal for your little one’s growing needs. Flavour Focus Focus on a variety of flavours with this food, both to challenge the taste buds and offer a nutrient variety. For example, if the bread is your toddler’s current favourite you could dip in egg to up the protein and make French Toast or serve up peanut butter and banana sandwiches with added healthy fats. You can mix pureed veg like carrot into mashed potato or try different types of cheese, from softer Mozzarella to stronger Cheddar. Make them scrumptious fluffy and warm breakfast flapjacks filled with sweet, hidden fruits and yoghurt: https://squish.co.za/quick-easy-recipes/sweet/apple-banana-flapjacks/  Patience makes Perfect Throughout this time, keep presenting your toddler with other healthy foods at mealtime, as well as the favourite food.  According to research, between 8 and 10 exposures to food may be needed before a child is willing to try it. This means that patience is key when getting through these phases of food obsessions.  Like all things, it is comforting to know that this too shall pass, and it is unlikely that your little human’s current food obsession will have any long-term negative health effects. If you are concerned, speak to a registered dietitian or pediatric nurse for more helpful advice.

ChildSafe

Keeping children safe from burns this winter

Winter is the time when children are most at risk of burns. There is a lot more hot food and drink around and generally trying to stay warm with heaters and fires. All these are potential risks for burns in children. Young children can be burned very quickly, and this often happens even when an adult is present, so it is important to be alert around children. Last year, the Red Cross War Memorial Children’s Hospital alone, treated 871 children for burns, the most common (733 children) was caused by hot liquids (such as hot water, drinks and food), followed by flames (48 cases), which are caused by fires. A further 43 children were treated for touching or coming into contact with very hot surfaces such as heaters and hotplates on stoves. “Most burn injuries can be avoided. As most of the burns happen in the home, specifically the kitchen. Make sure that the entire house is installed with smoke alarms. Children are not always able to know when something is dangerous, so parents can start by checking every room in the house for possible burn risks to children. In the kitchen e.g making sure that hanging kettle cords are properly secured and out of a child’s reach. Kettles are a major cause of hot water burns, which is traumatic and can be debilitating for the child.” said Yolande Baker, Executive Director of ChildSafe. Here are a few ways to keep ourselves and our children safe from burns during the winter season. Kitchen area  Turn pot handles away when cooking Keep kettle cords and other electrical wiring out of children’s reach Place matches and lighters out of children’s reach Never hold a child while cooking at the stove Never store things like paraffin, which are highly combustible near any heat Living room  Always check the temperature of food and drink before serving to young children Always place hot liquids and food in the center of the table, using place mats instead of tablecloths which are easy to pull Keep all heaters out of reach of children Install smoke alarms to detect fires in home early Blow out candles before you leave the room or before you go to sleep – we recommend the Candle-in-a-jar Avoid illegal electrical connections and that multiple plugs are not overloaded, as these can overheat causing sparks and fires Never pass hot liquids and food over a child’s head Bathroom Run cold water before hot water Outside the home Never leave open fires unattended and in case of a fire, put the fire out with water When there is a fire inside your home: Warn people inside the house to get out safely. Help people to get out and stay out of harm’s way. If there is a lot of smoke, crawl out below the smoke to escape the fire. Where possible, have more than 1 exit from your house, with clear routes to the door. What to do in case of a burn injury: For more information on the prevention of burns, please visit www.childsafe.org.za

Parenting Hub

How Fresh is Frozen? Frozen vegetables are fresher than you think

There’s no denying that frozen foods are a lifesaver for quick meal solutions and come out tops from a convenience, lifespan, and waste-reduction point of view. But some may question the quality and nutritional value of frozen foods, not to mention the fear of preservatives. We got some insights from McCain, a leader in the frozen foods category, to dispel some of the common misconceptions when it comes to frozen vegetables and potato products. It’s fresh: “Our produce is sustainably sourced from local farmers, harvested at its peak and snap frozen within hours to maintain freshness and lock in nutrients,” says Catharina Bester, Marketing Manager: Foodservice & Retail at McCain. Freezing is a safe and natural way of preventing bacterial growth and enzyme activity and eliminates the need for undesirable chemical preservatives It’s convenient: There’s no way around it, frozen vegetables are a win on a busy weeknight.  The cleaning and chopping have all been done for you, so all you need to do is take it out of your freezer, cook 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 reliable: We all know the feeling of reaching for some veggies in the fridge, only to find that it’s expired or heading to the shops to get a specific ingredient, and not being able to find it. By keeping your freezer stocked with frozen vegetables and potato products, you know you’ll have what you need, ready to go, when you need it. It’s affordable: Frozen foods have a much longer shelf-life than fresh produce and you only use what you need so there’s less wastage. Meaning you get more broccoli for your buck, and not to mention less frequent visits to the store. It’s versatile: The meal options are endless – from quick snacks, tasty potato chips and wedges, stir-fries, pasta sauces and toppings and even baking. You can even create your very own personalized McCain Family Cookbook, which is easy and can be completed in just a few steps. First off, give the book a name and personalise it with a special message. Then, upload six family recipes accompanied by photos, to give it that personal touch. Then, tailor the rest of the book using easy, pre-made recipe categories curated by McCain and chosen by you. According to Danielle De Villiers, Senior Brand Manager at McCain “This cookbook is a continuation of our mission to help families grow and thrive. You can now not only receive mouth-watering, easy-to-follow and accessible recipes that the whole family will love, but also pass on your own recipes to the next generation.” Included in your cookbook will be your personalised recipes, a selection of Food24’s most popular recipes, and family-friendly meal ideas using McCain products. The cookbook will also feature Food24 editorial packed with tips, cheat guides, storage suggestions and other fun food snippets from the team, making this cookbook the perfect addition to any kitchen. Once your personalised cookbook has been completed, check out, and you will receive a digital copy in your inbox and a printed copy delivered to your door. Check out McCain’s extensive range of proudly farm to freezer products, including gluten and preservative-free chips, ready-made creamed spinach, diced beetroot, Hawaiian stir fry mix and a firm kids favourite, Smiles.Follow the #MadeWithMcCain conversation on McCain Facebook or McCain Instagram or visit their website https://www.mccain.co.za/   for more information.

RediscoverDairy

Why sMOOthies can make your breakfast seamless

About one in three people tend to skip breakfast. Breakfast is undeniably one of the most important meals of the day and smoothies are a quick and easy way to provide you with all the important nutrients you need to start your day. Why smoothies for breakfast? They can be prepared with as little as three simple, nutritious ingredients that are part of a healthy eating pattern. MILK contains a powerful combination of 9 important nutrients, such as high quality protein, calcium, potassium, vitamins A, B12 and B2, as well as magnesium, phosphate and zinc. Milk is a versatile ingredient, because in a single product you get a variety of nutrients, that are easily absorbed and ready to be used. YOGHURT, like milk, is a source of high quality protein, which helps to keep you satisfied and at the same time builds and maintains your muscles. Yogurt is a fermented dairy product that is a vehicle  of friendly bacteria and contributes to good intestinal health. These friendly bacteria are used during the manufacturing process to acidify the milk. Similar bacteria also occur naturally in the human digestive system to ensure that nutrients are absorbed efficiently from food. By eating yogurt, you help maintain the bacterial population in your intestinal tract so that you can get the best possible nutritional value from food. FRUIT is packed with important nutrients, which complement milk and yogurt. It is a rich source of folic acid, vitamin C and fiber. Together with milk and yoghurt, it makes a perfect combination for your smoothie. You can also add nuts, seeds, peanut butter, vegetables or oatmeal for texture and flavor. Smoothies are so easy to make! Try this delicious Peanutbutter Whip With Apples smoothie created by the team at Rediscover Dairy. Make it at home with a regular whisk or in a food processor. You can make it in advance and freeze it and then use it to keep your lunch box cool. It is advisable to use plain, unflavoured yoghurt because in this way you can limit unnecessary sugar. Milk and yoghurt are also available in different options. From full-cream, low-fat, medium-fat to fat-free milk which means there is an option for everyone. Alternate the type of fruit and vegetables you add to ensure variety and to give it a new, interesting flavor every day. Smoothies are a quick, easy and “trendy” breakfast option, packed with nutrients. They are a delicious, easy grab-and-go meal. Make sure you give your body the support and nutrients it needs. Try to include 2-3 servings of milk and dairy in your diet daily. Milk and dairy are good for the whole family – young and old! For more dairy tips and recipes visit the Rediscover Dairy Facebook page.

Squish

What Your Toddler Wants You to Know About Their Eating Habits

As a first-time parent, you may have thought that the most challenging part of parenting would be the newborn stage. Little did you realize the trials you would face as you enter the toddler years. Little personalities coupled with big emotions and an inability to express themselves makes it feel like you are having a conversation in an exotic language. But while our toddlers may not be able to speak to us (yet), if we pay attention, they are particularly good at communicating, especially when it comes to their eating habits. As babies become toddlers the parenting role of nourishing growing tummies continues – it’s still about the need to provide tasty, healthy meals and snacks that are nourishing, filling and simple to get into little people. With growing appetites comes growing independence and it’s exciting and liberating when little people can eat and enjoy snacks and meals by themselves.  It is normal to be a picky eater It helps to know that you are not alone in the dinnertime struggles with your toddler. According to research, fussy eating is quite common in young children, peaking at 20 months and gradually fading away by 5 – 8 years of age. This frustrating toddler habit is also about the need to express their independence as they figure out this new and exciting world. Like all things, this too shall pass. Great news for parents of picky eaters, there is a new Squish 200ml 100% fruit and veg puree offering, available in 6 delicious flavours specially made for growing kids with growing appetites. The Squish purees are preservative-free, colourant free, flavourant free with no added starch and come in a convenient pouch, perfect for meal-times, snack-times or on-the-go. “My appetite is never the same” Your child may eat breakfast like a king yet they will barely taste their dinner. It is very normal for your toddler’s appetite to change from day to day, and even from meal to meal. Every toddler is different. Some wake up very hungry to eat a lot at breakfast, while others have bigger appetites at dinner when eating with the family. Teething babies and toddlers are often not extremely interested in food, while growth spurts may mean you cannot keep up with what is on offer. Be guided by the interest your toddler expresses in food rather than assuming they will eat the same amount at each mealtime. “I’ll tell you when I am full” Babies and toddlers are particularly good at listening to their bodies and eating when hungry and stopping when full, unlike adults. Pay attention and you will quickly learn when your little one has had enough to eat. The pace of eating slows down and your toddler will purse their lips closed. They may turn their head in defiance, push food away, and even throw the food to the floor. If you don’t notice these initial signs, your toddler might get rather irritable and demand to leave the dinner table or exit the feeding chair. “Please can I feed myself” With good intentions, many parents will feed their toddlers at mealtimes. However, stepping back and letting your toddler feed themselves is a vital part of their development. The practice of self-feeding stimulates hand-eye coordination and is also important to encourage them to learn to listen to their fullness cues. From about 8 – 9 months you can start offering your baby age-appropriate finger foods like scrambled egg, small soft chunks of butternut, or grated cheese, and toddler-friendly utensils can be used from 15 – 18 months. If you are nervous, serve some meals that allow your toddler to eat on their own and others that you guide.

Nintendo

Losing weight and getting fit with a video game!

Exercise and video games seem a bit odd at first glance. Sitting on your couch with a controller or a handheld device doesn’t seem like the best way to get up and active. Over the years there have been a few games and consoles focused on getting its players up and moving, to varying degrees of success. For the current generation however, one of these is a game I was at first a bit skeptical about – Ring Fit Adventure.  At first glance I figured it was like every other gimmicky peripheral, but if you’re looking for something to get both you and your kids off the couch and moving about, then this might be what you’re looking for.  It’s not a straight exercise game, unlike some other releases in the market, but rather the entire premise is set in a hero ‘saves the world’ narrative, by completing challenges and – you guessed it – exercising while doing it.  It comes with the gaming equivalent of a Pilates ring, in which you dock one of the motion sensitive Joy-Cons. The other Joy-Con is strapped to your leg, and this monitors your movement as you quite literally run (on the spot in real life) around the environment collecting items and defeating enemies.  The Joy-Cons are surprisingly sensitive for this kind of work, and the game will tell you to correct your form if you’re holding the ring incorrectly so you can get the most out of your workout.  When we first got it, my kids were quite enamoured with the game, which gets you to complete a series of challenges that get progressively harder. It also consistently monitors your movement and heart rate, feeding back on how hard you’ve worked in each session. As a parent I was pleased that they were up and moving around, and then a part of me figured, “Hey why don’t I give this a try?”  I can honestly say that I was breathing hard and sweating by the time I finished a couple of levels, which meant that I could use it (and did) to exercise on my own as well. Apart from the fact that you can set the difficulty level, each exercise is designed to work different parts of your body, so you’re working your core, your legs and arms, as well as getting some cardio in there.  The game narrative itself is quite basic, but it does keep you coming back, even if it’s just because you feel like you’re accomplishing something as you progress.  If your kids are more inclined to play video games than run around outside, this is a great way to get them moving and perhaps more interested in exercise overall. Being able to see real world fitness results from a video game is a big draw card in my book!  If you’re a parent looking to give their kids some motivation, or perhaps looking to fit in a quick workout of your own without leaving the house when you have a few minutes, I can highly recommend giving this a try. To find out more about Ring Fit Adventure, visit the Nintendo Online Store South Africa and maybe even take advantage of the current promotion to save R1000 on the Ring Fit Adventure set which includes the Nintendo Switch console. By Pippa Tshabalala on behalf of Nintendo Distributor SA

Bonitas – innovation, life stages and quality care

Toddler Milestones

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Growing children Children grow and learn at their own pace. It is normal for your child to be ahead in one area, but behind in another.  Learning what is normal for each age group can help you feel comfortable with where your child is at and spot any problems early on. Milestones: age 2 Milestones for age 2 include: Walking by themselves; this usually takes place between 9-17 months with the average being 14 months Running: about 6 months after learning to walk Climbing stairs and onto furniture Kicking a ball Ability to scribble with crayons, pencils or markers Imaginative or make-believe play Communication includes using real words by 15-18 months and simple phrases by 18-24 months Milestones: age 3 Milestones for age 3 include: Improved balance: can stand on one foot for a short time, can petal a tricycle and can walk upstairs without holding the railing All baby teeth have come through Potty trained during the day 20/30 vision Communication includes increased vocabulary (hundreds of words), uses short sentences, uses plurals and pronouns and asks many questions Can dress self with exception of laces, buttons, etc. Knows their name, age and gender Learns to share Milestones: age 4 Milestones for age 4 include: Hops on one foot well Throws a ball overhand well Uses scissors to cut out a picture Communication includes increased vocabulary (thousands of words), uses longer sentences, uses past tense and asks even more questions than ever Learns simple songs Starting to understand time better Milestones: age 5 Milestones for age 5 include: 20/20 vision Increased coordination: skipping, jumping and hopping well Learning to use writing utensils well Communications includes increased vocabulary (over 2000 words), uses sentences with 5 or more words and uses all parts of speech Knows the primary colours Learning to understand math Learning to behave with more responsibility and less aggression

Parenting Hub

Infertility challenges during COVID-19? Help is available!

June is World Infertility Awareness Month, a time dedicated to heightening awareness about infertility – a medical condition often not widely spoken about yet something which affects a surprisingly large number of couples around the world.1a “Infertility is when you cannot get or stay pregnant after trying for at least a year and you are under the age of 35, or if you are over the age of 35 and are unable to get or stay pregnant for six months,” says Dr Sulaiman Heylen, President of the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG).” In the past few years, the number of couples seeking treatment for infertility has dramatically increased due to factors such as postponement of childbearing in women, and lifestyle factors such as stress, smoking and body weight.1b However, an additional recent stumbling block has been the fear of contracting COVID-19 which has had an impact on delaying people’s fertility journeys. For those already undergoing fertility treatment, when COVID-19 hit, there was a suspension of treatment worldwide and the subsequent delay of fertility treatments has resulted in much psychological distress for many patients.2a The month of June therefore aims to highlight why it’s so important not to let the pandemic ruin one’s fertility plans. “In addition to psychological issues, there are the physiological ones too,” says Dr Heylen. “Delaying fertility treatment due to fear of COVID-19 can further reduce your chances of successful treatment outcomes, with studies showing a reduction in live birth rates in patients who have postponed treatment.” “Treatment was suspended during the hard lockdown, but clinics are open once again, and particularly ‘high risk’ patients whose chances of falling pregnant would be further reduced by delaying treatment are encouraged to seek assistance,” says Dr Heylen.  Dr Heylen says that infertility is a disease as defined by the WHO that can lead to disability (loss of function). “Section 27 of the constitution entrenches the fundamental right to access healthcare services and specifically includes reproductive health. SASREG feels that fertility services are an essential service and should therefore not be withdrawn for patients for whom delay in treatment would affect their prognosis.” “It’s very important to stress that assisted reproductive technology (ART) clinics are safe and have taken precautions to ensure the health and safety of patients and staff, while we await the availability of the vaccines,” says Dr Heylen. “There is minimal risk of exposure to the virus at these clinics and there is therefore no need to wait for a vaccine to reach out to receive fertility treatment.” Dr Heylen also notes that there has been much misinformation circulating online about the potential negative impact the COVID-19 vaccine might have on fertility, which has been causing patients to delay treatment while deliberating whether to have the COVID-19 vaccine or not.2b With COVID-19 vaccines now available globally, the British Medical Journal (BMJ) has stated that there is “absolutely no evidence” that these vaccines can affect the fertility of women or men.3a “Patients undergoing fertility treatment should be encouraged to receive a COVID-19 vaccine when it becomes available to all South Africans,” says Dr Heylen. “There’s no evidence that vaccination before or during fertility treatment will impact the outcome of treatment in any way. As the vaccine does not contain any actual virus, there is also no reason to delay pregnancy attempts after vaccination.” People undergoing fertility treatment (in vitro fertilisation (IVF), frozen embryo transfer, egg freezing, ovulation induction, intrauterine insemination, or using donated gametes) can be vaccinated during treatment but may wish to consider the timing given the potential side effects in the few days after vaccination.3c People may start their fertility treatment immediately after being vaccinated, unless they wish to have a second dose before pregnancy.3d Those who are donating their eggs or sperm for the use of others can also still have a COVID-19 vaccine.3e Don’t delay fertility treatment One in every four couples in developing countries is affected by infertility4a, while one in six couples worldwide experience some form of infertility problem at least once during their reproductive lifetime.1a The current prevalence of infertility lasting for at least 12 months is estimated to affect between 8 to 12% worldwide for women aged 20 to 44.1a “More than 50% of patients who visit a fertility centre are 35 or older,” says Dr Heylen. “It is very important for people not to wait too long when they consider having children. Young women need to be aware that there is a slow decline in fertility from their 20s until the age of 35, after which it starts to decrease rapidly until the age of 45. About half of infertility cases can be linked to the male. It’s therefore extremely important to investigate your fertility options and fertility preservation earlier in life, rather than leaving it too late. A woman who is not ready to have a child can choose to freeze her eggs to try to preserve her ability to have a child later on should she wish to.” Treatment options It is now estimated that more than 9 million babies have been born worldwide since the first IVF baby was born in the last 70s.1c The most common fertilisation treatment is intracytoplasmic sperm injection (ICSI)1e. This accounts for around three quarters of all treatments globally while conventional IVF accounts for around one quarter.1e Success rates from frozen embryo transfer are increasing too.1e “The good news is that over the last decade the advances that have been made in the field of assisted reproduction are massive and there is hope for those who might be suffering from some form of infertility,” says Dr Heylen. “You are not alone and there are many options available to help you realise your dream of having children.” Visit a fertility clinic near you to speak to a doctor about the options available to you and your partner. For more information, visit www.merckfertilityjourney.co.za #WorldInfertilityMonth #DontDelay #Merck

Baby Tastes

Baby & Kiddies Tastes makes meal time lekker for the little ones

Many South Africans live demanding lives where time is of the essence and nobody feels their pressure more than the moms and dads who, after a long day still need to ensure that the little ones have a nutritious meal when needed. Thankfully Baby & Kiddies Tastes can relieve you of that task. What is Baby & Kiddies Tastes? Baby & Kiddies Tastes trusted meal supplier for the little ones between the ages of 6 to 12 months, then up to 6 years old. The company was started by Vanessa Crichton, a dedicated mother, wife and entrepreneur who also knows her way around the kitchen, trained as a chef in London. Having started many other successful culinary companies such as Exquisite tastes catering, Vanessa, who has eleven years’ experience in making children’s food has turned her attention to helping moms and dads when it comes to mealtime for their young kids. What does Baby & Kiddies Tastes offer? Baby & Kiddies Tastes offer nutritionally tested fully textured, natural and healthy frozen meals for children between the ages of 6 to 12 months for children up to the age of 6 years old. Meals are made using the best ingredients that are also packed with flavour. Vanessa has meticulously crafted up to 50 different flavour combinations ensuring that every meal is a great experience for your child. What are the benefits of using Baby & Kiddies Tastes? Baby & Kiddies Tastes takes away the stress of having to prepare a meal for your young ones and ensures that every meal is jam-packed with essential nutrients that children need. It is also easy to prepare as the meals are cooked and frozen with a 2-month freezer life. It is also worth noting that our meals contain no additives or preservatives and no added salt or sugar, due to this, we do not suggest freezing for longer than 2 months. What other advantages can moms and dads benefit from? We know that convenience is key when it comes to mealtime, as mentioned our meals are packed with flavour and full of nutrients but they also offer added benefits. These include innovative modular packaging which limits food wastage. We know that kids can get a bit inquisitive and might make an unwanted mess. For this reason, we provide tamper-proof Kiddies Tastes tubs for those who are slightly older. Our packaging is also recyclable. Are there currently any special offers? We have a allergen range, “Local is Lekker” options, as well as vegetarian meals.  Free delivery is offered for monthly orders. How do I get Baby & Kiddies Tastes meals? Baby & Kiddies Tastes offers free delivery on all monthly orders and we deliver to Johannesburg and Pretoria based areas. Ordering is quick and easy, just head over to www.babytastes.co.za where you will find a list of our meals. Customers can order individual meals or place a monthly order. Alternatively, contact us via [email protected] and your order will be delivered within 3 to 5 days.  Baby & Kiddies Tastes brings the freshness and goodness of local South African ingredients to your freezer, ready for your child’s meal time, anytime. 

RediscoverDairy

“Milk, what a winner! “

“Cow’s milk is a versatile and convenient source of essential nutrients for everyone. It is one of the top food sources of calcium and also contains a unique combination of valuable nutrients, of which some are typically lacking in many South Africans’ diets,” says registered dietitian at Rediscover Dairy, Maretha Vermaak. These include calcium, potassium and vitamin A. Milk is also an affordable source of good-quality protein, and its overall nutritional value stems from more than just the sum of its individual nutrients. What’s more is that milk is a filling food item, ready to be enjoyed just as it is or as a base in other dishes. Here’s what you should know when choosing the best milk options for everyone in your family. Your milk choices  The only difference between full-cream, low-fat and fat-free milk is the amount of fat per serving, which is also reflected by the energy value (kJ). A 250 ml serving full-cream milk contains 8 g fat and 640 kJ compared with 4 g fat and 518 kJ in low-fat milk. Fat-free milk contains 0.5 g fat and 362 kJ per 250 ml serving. You can also choose to buy fresh (pasteurised) milk or milk that keeps for longer, such as long-life or powdered milk. It doesn’t matter which one you choose – each offers you all the goodness of cow’s milk. Always keep fresh milk in the fridge. Long-life milk can be stored in the cupboard until you need it, but put it in the fridge once it has been opened. Powdered milk is convenient because you can prepare only as much as you need at one time. Know what’s in your basket Be sure that what you buy as powdered milk is made from real cow’s milk. The list of ingredients will be short and the first item will always be full-cream or fat-free (cow’s) milk. If not, it’s not real milk. Don’t be fooled: coffee creamer is not cow’s milk! Coffee creamer is made from unhealthy plant fats and contains very little protein (0.1%) and no calcium or any of the other important nutrients of milk. Coffee creamer is not a substitute for milk and can never replace milk or formula milk in the diet of children or babies. Take your pick: you’ll get the same unique combination of nutrients and the taste you love whichever milk option you choose!  Did you know?  Want to use milk later? Simply freeze it in smaller containers, and then let it thaw in the fridge before use. A quick shake once thawed and it’s ready to drink or use in your favourite recipes.   Do you have any questions about dairy? Rediscover Dairy has your back, just visit the AskDAIRY page and find an answer to any of your questions. We now have more than 100 questions and answers listed: https://www.rediscoverdairy.co.za/ask-dairy/

Mums Support Network

The silent victims of PND

One in three women suffer from Perinatal Distress (PND) in our country, according to the South African Depression and Anxiety Group (SADAG). But the terrifying truth is that it’s not just the women who suffer; it’s often their partners who take strain, even to the point of being diagnosed with PND themselves.  Hubby’s hormones Women’s hormones undergo major changes during and after pregnancy, but they’re not the only ones. The lack of sleep and increased stress that new fathers experience can also take a toll on their bodies, creating real hormonal shifts that are often overlooked. Craig*, whose wife Claire* was diagnosed with PND soon after the birth of their first child, began to feel off kilter around the same time, but “everyone was so concerned with Claire, nobody even asked me how I was doing.” Because Claire wasn’t coping, Craig felt added pressure to take on extra duties with the baby and around the house – on top of maintaining a full-time job. He “somehow muscled through” those first few difficult weeks, which turned into months before he realised how severely it had affected him.  Real men do cry At the end of his rope, Craig realised he had to do something about his situation. He reached out to a friend, who suggested he see a doctor. Through a combination of medical support, psychological therapy, and practical assistance (in the form of family, friends and a night nurse), Craig made a full recovery and is the happy husband and father he always dreamed of being. “It was the darkest and scariest period of my life,” he confesses. “Sometimes I’m not even sure how I made it through, but I am so glad that I did.” Not only is it unhelpful to bottle up emotions instead of working through them in a healthy way, it also sets an unrealistic and unhealthy example for older children and others who look up to you as a male role model. Like all humans, men experience a range of feelings triggered by both hormones and environmental factors, and by reaching out for help, you are doing the best thing for yourself, your family, and for society in general.  Risk factors Each father is an individual, but there are broad factors that may place someone at added risk of developing PND. These include a personal or family history of mental illness, a strained relationship with the mother of the child, or difficulties with the child – this could be anything from colic to serious medical conditions that induce additional stress and/or concern. Financial pressure, problems at work and feeling unsupported (not having a circle of family or friends to confide in) can also increase the risk. Single fathers are also at added risk.  However, perhaps the biggest risk factor is that so many cases of paternal PND go undiagnosed (or are diagnosed too late, once major damage has already been done) because the condition is not acknowledged or accepted as a legitimate illness. “Let me tell you, it is real!” implores Craig.  It’s essential that every new and expectant dad ensure he has the support of at least a few key friends or family members who can be a shoulder to lean on and, occasionally, a pair of hands to hold the baby. Further, we as a society need to update our mindset when it comes to supporting new and growing families. “People always ask how the baby is,” Craig points out. “Sometimes they ask how the mother is doing. But nobody ever asks the dad.” A family affair Treatment of the mother is important but should not be in isolation from treatment of the family as a unit. Some doctors are reluctant to include fathers in the treatment plan for PND or even to talk to them about it, because of concerns about breeching doctor-patient confidentiality. This further disempowers fathers from helping to heal the family unit as a whole. It’s crucial to find a healthcare practitioner that sees and treats new and expectant families together (this, of course, includes a broad range of family structures including unmarried partners, same-sex families, adoptive parents and single-parents with their own unique support structures).   Don’t live in denial  Craig’s advice for dads struggling with PND? “It doesn’t matter how you got here. It doesn’t matter what you think of mental illness. It does matter that you are here. It does matter that your partner needs kindness and the way to provide that is to accept that you are here. Then act.” You heard the man! Make that call. Take that first step. You – and your family – deserve it.  *Names have been changed to protect identities.

Bonitas – innovation, life stages and quality care

Infant Milestones: the first year

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Milestones: 1-3 months Milestones for months 1 to 3 include: Ability to raise head and chest when laying on stomach Stretches arms out and kicks when laying on back Smiles purposefully Enjoys playing with other people Can follow a moving object with eyes Ability to open and shut hands and bring hands to mouth Ability to grasp and shake a toy Communication includes facial expressions and body movement, coo’s and babbles Begins to imitate some sounds and expressions Begins to recognize toys and people from a distance Hand-eye coordination improving Milestones: 4-7 months Milestones for months 4 to 7 include: Uses hands and mouth to explore Can find a partially hidden object Attempts to get objects that are out of their reach Can roll from back to tummy and tummy to back Can sit by self for a short time, with or without hands and sit in a highchair Ability to transfer toys between hands, point and reach for objects Communication includes using more variety of sounds and pitches; uses sound to reflect moods, babbles to get attention and can imitate sounds better Play becomes more intentional Milestones: 8-12 months Milestones for months 8 to 12 include: Can move to a sitting position and crawling position on his/her own Crawling Sitting independently Pull up, stand and walk while holding onto furniture; may even take a few steps independently Grasp objects with thumb and first finger; can finger feed themselves Place toys into containers and take them out; find toys that are hidden Communication includes saying mama and dada, oh-oh, shaking head yes or no and imitating other sounds; may even say their first word Uncomfortable around strangers and cries when mom or dad leaves

RediscoverDairy

World Milk Day reminds us why milk is great for busy parents and families

There’s little doubt that our pandemic experience over the past year, has increased our focus on our family’s health and well-being.  The trend towards ‘functional foods’, those with benefits beyond simple nutrition, has been accelerated and is likely to carry through into our post-Covid lifestyles. In this quest for healthier eating, many of us are discovering more about some of the foods that have been our favourites since childhood.  Milk is a good example.  It’s a whole food with a unique combination of nutrients that contribute to health at all stages of life. 1 June is the celebration of World Milk Day, and it highlights that dairy offers the family multiple benefits, from meeting our daily energy requirements and promoting gut health, to helping us get a good night’s sleep and strengthening our immune systems.  As a parent, dairy has your back Dairy gives everyone in your family nutritional support to help cope with busy and demanding days. Always delicious and amazingly versatile, it’s a favourite kids’ food. That’s such a blessing because dairy is a powerful daily nutritional boost, ideal for growing bodies.  Registered dietitian at Rediscover Dairy, Maretha Vermaak says, “Milk is a source of valuable nutrients such as good quality protein, naturally occurring sugars, and micronutrients such as vitamins and minerals and an array of different fats. This one-of-its-kind nutritional profile offers a range of benefits from building bones and strengthening teeth, to supporting digestion and the immune system.” It’s so convenient to use, any time of the day, and in so many different ways. Dairy can easily be part of every meal, breakfast, lunch and dinner, as well as snacks and lunchboxes.  Including milk, maas, yoghurt or cheese in your family’s diet three times a day will help to ensure that your body gets what it needs.  Check out these family-focused dairy ideas from Rediscover Dairy.   Energy to get your family through the day – Dairy foods deliver a package of naturally occurring nutrients that are easily absorbed by the body while also providing energy. Vitamin B12 helps with energy metabolism and also keeps both adults and kids mentally alert throughout the day.  The protein in dairy is complete, which means it provides all the essential amino acids needed to build and repair body tissues. Essential amino acids cannot be made by our bodies and need to be taken in from protein-rich foods. Milk protein also makes you feel fuller for longer and can help to prevent unnecessary snacking. For the active family, milk and flavoured milk also offers a good rehydration option after high energy games, sports and outdoor family fun, while also helping with muscle recovery and repair.  Gut health for overall wellbeing – Young or older, a healthy gut microbiome – your intestinal community of microorganisms – supports overall health and wellbeing. Fermented dairy foods such as yoghurt, maas and kefir provide probiotics, which are active bacterial cultures that benefit the gut microbiome and impact on overall health. Adequate, daily portions of yoghurt, maas and kefir in your family’s eating regime helps to promote the diversity of the gut microbiota.  Strong immunity supports a productive and active lifestyle – We are all concerned about keeping healthy and warding off infections and illnesses that may impact on our family’s wellbeing. Eating a balanced diet that includes foods from all the different food groups will help build a strong immune system, so that each member of the family can lead a productive and active lifestyle. The protein, vitamin A and zinc provided by milk are especially beneficial in keeping immune systems strong, and the probiotics provided by fermented dairy products give extra support. A good night’s sleep – It’s true, a glass of warm milk at night will help you and your children sleep more peacefully. Elevated stress levels often interfere with our ability to get a good night’s rest. Milk contains the amino acid tryptophan and our bodies use tryptophan to produce the ‘feel-good’ hormone serotonin, which aids relaxation.  Dairy is affordable all-round nutrition Milk and dairy are nutrient rich, packed with many essential nutrients, and are definite nutritional value for money. By just adding milk, maas or yoghurt to a meal, you can make healthy food choices and give your family much-needed nutrients to stay strong and healthy.  Celebrate World Milk Day  Milk and dairy are worth celebrating indeed! Join in on 1 June this year and be part of World Milk Day. Connect with Rediscover Dairy on Facebook and Instagram and tap into all the great ways to include dairy in your family’s healthy lifestyle.

Bonitas – innovation, life stages and quality care

Boosting your immune system

The global pandemic has highlighted more than ever the need to stay healthy and keep our immune systems as strong as possible.  It is well documented that people with  co-morbidities and poorly functioning immune systems are at the highest risk of getting really ill from Covid-19.  Although you cannot suddenly reverse a co-morbidity or instantly boost your immune system, now is a good time to make your health and natural defences a priority.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund offers some input as to how to boost our immune system and keep it that way.  What is the immune system? The immune system is a complex network of cells and proteins that defend the body against infection.  It also keeps a record of every germ (microbe) it has ever defeated, so it can recognise and destroy the microbe quickly if it enters the body again. Dr Mkhatshwa stresses the fact that Covid-19 is a novel (new) pathogen which means our bodies don’t have any existing antibodies to mount a defence. For that reason, it remains imperative to continue wearing masks and practising social distancing, hand hygiene and cough etiquette. Can over-the-counter vitamins and supplements help?   There is no magic pill that will instantly boost your immune system. However, together with a healthy lifestyle habits, various supplements can boost your immune system and give you a fighting chance.  What are considered useful vitamins and supplements to take? The recommendation for general health is a combination of 5 essential vitamins and minerals to keep your body healthy. These include: Vitamin C:  Supplementing with Vitamin C has been shown to reduce the duration and severity of upper respiratory tract infections, including the common cold. This vitamin can also be found in oranges, grapefruit, broccoli, strawberries, red bell peppers and tomato juice. Vitamin D: Also fights off infections and maintains strong bones. Vitamin D has been highly researched in connection with Covid-19 because of its effect on the immune system. – it is found in salmon, mushrooms, milk, cereals and breads. Studies have shown that Vitamin D can expedite healing and stall inflammation in the respiratory system but there has not been robust clinical evidence to prove its use against Covid-19. Vitamin A:Helps regulate the immune system and protects against infections by keeping your tissues and skin healthy – it can be found in sweet potatoes, carrots, apricots and spinach. Vitamin E: Is an essential antioxidant that helps fight cell damage. Nuts and peanut butter are filled with Vitamin E. Zinc: Works as an antioxidant and boost the metabolism along with healing wounds.  Meat, shellfish, beans/legumes and nuts/seeds are high zinc foods. Zinc is needed for immune cell development and communication and plays an important role in inflammatory response. A deficiency in this nutrient significantly affects your immune system’s ability to function properly, resulting in an increased risk of infection and disease. It has also been highly researched in the fight against Covid-19 but sadly has not shown any proven clinical results. Taking a deep breath – the science behind breathing and the immune function Your mental state influences your physical health. Our immune and lymphatic systems are chemical based so we are essentially a collection of chemicals, from our brains to our bones.  The air we breathe converts into chemicals that we need to fuel our cells. The way we breathe matters and even impacts our body chemistry. The physiological responses to deep, controlled, mindful breathing is so profound that if we could bottle them and sell them as drugs, they’d be worth a fortune.  Learn to exhale, activate your diaphragm, breathe deeply and work on fixing your posture. Simply thinking about better breathing will trigger positive immune responses. Breathing slowly and deeply is one of the most effective things you can do right now for your wellbeing. The immune function and auto-immune disease are complex topics. The state of our health is not black and white, nor can it be affected by one-stop solutions. A holistic approach to health will always win against quick fixes. Once we understand that, improvements in these essential body systems can happen naturally.  Will the flu vaccine help your immunity?  Flu vaccines have been shown to reduce the risk of influenza illness, hospitalisation and death. Not only will flu vaccinations reduce the risk of getting flu but are an important conservation measure for scarce health care resources. This remains a concern with the ongoing the Covid-19 pandemic.  A protective antibody response takes about 2 weeks to develop so should be taken early.  The third wave of Covid-19 in South Africa, as predicted by The National Institute for Communicable Diseases (NICD), has begun and Dr Mkhatshwa recommends doing everything you can to boost your immune system, according to your personal preference.   In terms of Covid-19, it’s especially important to understand that no supplement, diet or other lifestyle modification, other than social distancing and proper hygiene practices can protect you. 

Parenting Hub

Building muscle the healthy whey!

One of South Africa’s leading collagen pioneers, Harvest Table, has recently added to its innovative range of health-boosting products with the launch of its Power Shakes, specially-formulated sports nutrition for athletes of all shapes and sizes. Catherine Clark, the Owner and Founder of Harvest Table, says that as part of a healthy lifestyle, a growing number of South Africans are getting actively involved in sports on a regular basis. At the same time, consumers are becoming increasingly educated about their health and are looking for nutritional solutions that will boost their performance and their health.  “Attitudes towards exercising have changed during the past decade but sports supplements have not necessarily kept pace with the latest research,” Catherine says. “We identified a gap in the market to supply good quality sports nutrition that can help both the race snakes as well as the weekend warriors build muscle, sustain higher levels of activity and minimise injuries.”  So, Catherine and her team put their heads together to formulate a nutritional shake that would benefit athletes’ overall health and wellness. The result is a tasty range of three shakes that pack a powerful combination of grass-fed whey concentrate, collagen and I-glutamine, a unique blend that offers a wide range of health benefits. “Whey is a key ingredient in our shakes as athletes have been using it to build muscle for years. But whey is often over-processed and can be damaging to the digestive system, leading to discomfort and even ulcers,” Catherine explains. “To overcome this, we’ve used a good quality grass-fed whey that delivers the same muscle-building properties but is much gentler on the gut,” Catherine explains. While whey is seen as the prerequisite for building strong muscles, joint maintenance and bone strength are equally important for athletic performance. This is where collagen is recognised as the rising star in sports nutrition. Collagen is a basic building block for strong bones which are essential to support muscle development and help prevent injuries whilst also ensuring faster recovery times. “Collagen is a complex protein that acts like a glue in the connective tissues throughout your body. It has a special combination of 19 amino acids that help to fight inflammation and to repair, maintain and restore muscle mass. In fact, your tendons and ligaments are made up of around 75% collagen so supplementing your diet with collagen will help to reduce potential pain or injury and help you to recover, even after a strenuous workout,” Catherine explains. While injury prevention and quick recovery are important, most sportsmen and women want bags of energy as this is what really makes a massive difference when it comes to physical performance. Again, this is where collagen really is a stand-out. The amino acid glycine is found abundantly in collagen and this is needed to form creatine, which as any athlete knows, promotes healthy muscle growth and produces energy.  “The combination of ingredients in our Power Shakes ensure that you have more energy to move and exercise and more lean muscle on board to keep your metabolism fired up, making it much easier to power up your performance. Whether you’re hitting the road for a gentle five-kilometre training run or gearing up for a 100km bicycle race, you will have the optimal nutritional balance to go out harder and bounce back faster,” says Catherine.  The Harvest Table Power Shake range includes three varieties: Power, Endurance and Repair, each of which provides the nutritional support required to target a specific performance requirement. The Power Shake range can be ordered directly from the Harvest Table online shop at www.harvesttable.co.za Follow Catherine on Instagram: @whole_healthy_me.

Parenting Hub

AMASI is simply amazing!

Amasi (also known as maas) is a well-loved product that forms part of many cultures within South-Africa. Our ancestors traditionally prepared this fermented drink by storing unpasteurised cow’s milk in a calabash or hide sack. This allowed the milk to ferment. Today amasi is made by adding live cultures to full-cream pasteurised cow’s milk. These live cultures help the fermentation process along, which gives amasi its distinct sour taste and additional health effects.  This Mzansi culinary treasure is absolutely great for baking! Amasi is a perfect substitute if you can’t find buttermilk near you. Here is a fabulous, quick and easy Rediscover Dairy scone recipe you can try: You will need: 250 ml amasi (maas) or buttermilk  1 cup self-raising flour  1 cup grated cheddar cheese  ½ teaspoon salt 1 egg Pinch of cayenne pepper (optional)  Some extra goodies you can add to the batter:  Chopped spring onions (or chives) topped with feta Melted butter and a little honey which makes a pouring sauce for the top Directions: 1. Pre-heat oven to 180°C. Spray and Cook a muffin tin. 2. Add all the ingredients to a big bowl and mix until incorporated. Do not overmix, as it could result in dense scones. 3. Spoon the mixture into your muffin pan. Pro-Tip: use an ice-cream scoop to get equal sized scones. 4. Bake until golden brown 15–20 min, or until a skewer inserted into the centre comes out clean.  Take out and rest on a wire rack. Serve and enjoy!    The Rediscover Dairy team loves this recipe because it is quick and easy to prepare and suitable for many occasions from breakfast, snacks, quick dinner served with cheese. It’s made with amasi, but you can use plain yoghurt or milk Amasi is good for the whole family: the live cultures in amasi help to build a strong digestive system and keep the immune system strong  like other fermented milk products, amasi is generally tolerated well by people who are lactose intolerant. it is also a good meal replacement when your household’s meat stores are low.  For better health, make amasi part of your three servings of dairy a day!

Parenting Hub

New delights and a new look for SASKO Bake Mixes

Much loved South African household brand, SASKO, has announced the launch of two new flavour variants in its popular SASKO Bake Mix range, Red Velvet and Sweet Dough. SASKO’s new Red Velvet Bake Mix, a signature cake that should evoke as much excitement as the first slice of cake placed on a plate will now be easy to whip up and bake in the comfort of your home. This delicious and easy to bake mix is versatile and is equally well received as a cupcake or even as a cake pop.  The new SASKO Sweet Dough Mix is an equally tasty and versatile offering. It’s a welcome shortcut for busy cooks who are hankering after vetkoek, doughnuts or delicious juicy koeksisters. This indulgent memory trip in a bite tastes just as good as the fresh doughnuts Ouma used to serve over weekends – or when mom wasn’t watching. In addition to the two new flavours, SASKO Bake Mixes packaging has also received a makeover and features clean lines, with SASKO’s signature Seshweshwe-inspired print, which speaks to our South African Heritage. The SASKO Bake Mix range also features Vanilla Flavoured Bake Mix, Chocolate Flavoured Bake Mix, Bran Bake Mix, Scone Bake Mix, and a very handy Pancake, Flapjack and Waffle Mix. There is something for everyone and thanks to SASKO, it’s simply a case of adding a handful of extra ingredients to satisfy that craving.  For more information on SASKO, visit the website or follow SASKO on Facebook and Instagram for news and inspiration.  ##SASKOBakeMixes  #DeliciouslyEasy RECIPES: SWEET DOUGH RING DONUTS Ingredients: 500 g SASKO Sweet Dough Bake Mix 90 g Butter 2 Extra large eggs 125 ml Milk 125 ml Boiling water 5 ml Vanilla essence 10 g Instant dry yeast Vegetable oil for frying Method:  Add butter to boiling water in a mixing bowl and cool. Add eggs and vanilla essence to the butter mixture and mix. Add milk and mix. Add bake mix, yeast and make a dough. Close the dough with cling wrap and allow to rise for approximately1 hour. Roll into thick coil and cut, shape into donuts and allow to rise again until preferred height. Once oil has heated, place ring donut in oil and fry until golden brown. SWEET DOUGH VETKOEK   Ingredients: 500 g SASKO Sweet Dough Bake Mix 10 g Instant dry yeast 350 ml Lukewarm water Vegetable oil Method Mix bake mix and yeast in a large mixing bowl by hand. Add the lukewarm water and make a dough. Close the dough with cling wrap and allow to rise for approximately 1 hour. Roll into a small round shape or preferred size. Once oil has heated, place vetkoek in oil and fry until golden brown. RED VELVET CAKE POPS Ingredients: 1 x SASKO Red Velvet Baked Cake (see recipe as per above) 200 g White cooking chocolate Cake Pop sticks 75 g Butter / Margarine 1⁄2 tsp Vanilla essence 150 g Icing sugar Method:  Add 1 x 18 cm layer cake to a large bowl and crumble until it resembles fine crumbs. For buttercream: Soften butter and add the icing sugar and vanilla essence. Mix well until all is blended. Add in buttercream a little at a time until cake is moist, still slightly crumbly and can hold a ball shape. Roll into balls. Melt at least 3 blocks of white cooking chocolate in the microwave. Dip the tip of the cake pop sticks into white chocolate and insert into cake balls. Freeze for 20 minutes. Melt the remaining chocolate in a microwave-proof bowl. Carefully dip the cake balls into the chocolate until covered. Swirl and tap gently to let the excess chocolate drip o. Decorate with sprinkles while the chocolate is still soft. RED VELVET CUPCAKES Ingredients: 500 g SASKO Red Velvet Bake Mix 2 Extra large eggs 90 ml Milk 80 ml Water 160 ml Vegetable oil Method:  Preheat oven to 180°C. Beat oil, milk, water and eggs together with a whisk in a mixing bowl. Add the bake mix to the egg mixture. Mix with an electric beater (low speed) or by hand with a whisk for 1 minute. Equally divide cupcake batter into a well-greased mun pan with cupcake holders. Bake for 20-25 minutes. Once cooled down, decorate with desired icing and decorations.

Squish

Squish Launches New 200ml Bigger Pouch for Toddlers

For Growing Kids with Growing Appetites South Africa’s, well-loved, convenient baby food brand, Squish has launched an SA first, a new larger 200ml pouch size especially for toddlers and their growing appetites. The new, bigger 200ml pouch range sees the popular baby and toddler food brand extending its existing range of ready-to-eat 100% fruit and veg and yoghurt purees and pressed juices, giving parents another reason to love the 100% goodness and convenience of Squish. The range includes three yoghurt flavours and three 100% fruit puree flavours packaged in the convenient new, bigger 200ml pouch. “We have created this larger pouch size with our consumers in mind, providing a new, innovative solution for babies and toddlers with growing appetites,” says Tamara Patel, Brand Manager for Squish at RFG. “The bigger Squish 200ml pouch is perfectly sized for growing kids, in a convenient format that parents want, in a size they want.” Patel explains that the latest extension to the Squish product range came after identifying the opportunity to introduce a larger pack-size, “The 200ml Squish range has been developed for parents who have grown to love Squish during their baby’s weaning journey, but are looking for a larger meal for their babies and toddlers as they grow older.” “Like all our Squish products, the utmost care has been taken to ensure that we offer our consumers the best product possible,” she adds. “We do not compromise on quality ingredients, there are no preservatives, colourants, flavourants or starch, and we fully control our supply chain, meaning we can control the quality of raw materials from the fields, right through to the end product.” She says, “Our Squish puree range is made from 100% fruit and vegetables, and is preservative, colourant and flavourant free with no added starch. Our 100% fruit and veg puree with yoghurt range is made with double cream yoghurt, not yoghurt powder, which offers us a notable point of difference.” “With our new bigger pouches, parents can rest assured they are offering their children the same goodness and great taste they have come to rely on from the Squish 110ml range,” she adds. “We understand that parents want the best for their children, but they are often pressed for time. With the extension of this larger pack size, they can feel confident in the knowledge that they are not compromising on the quality of ingredients for baby through to toddler.” “Over the past few years, we have seen a switch in consumer behaviour from jars to pouches. The pouch format offers a safe, hygienic and convenient offering,” Patel explains. “We saw the need to provide a larger pack to parents of older babies and toddlers. Where they would have previously purchased two pouches per meal for their growing little ones, the 200ml pouch is an all-in-one meal for an older baby, or the perfect lunchbox snack for a toddler”. The Squish range now comprises a wide range of purees in 110ml and 200ml pouches, and a 100% fruit and veg pressed juice range ensuring that parents find a range of convenient, quality products to help them on their weaning journey, from starting solids right through to toddlers and beyond. The products are available nationwide at top-end retail, wholesale and specialist chains – find Squish in the baby food section. For more information visit: www.squish.co.za or follow Squish on Instagram: @rhodes_squish

Bonitas – innovation, life stages and quality care

Free Flu Vaccines

Annually, seasonal influenza (flu) kills around 11 500 people in South Africa. Which is why Bonitas Medical Fund offers flu vaccines annually at no cost – to every member and beneficiary. The Fund has announced that the cost of administering the flu vaccine – as well as other vaccines covered from the risk benefit – will also be covered or subsidised for its members. Flu vaccines have been shown to reduce the risk of contracting flu, becoming seriously ill if you do, being hospitalised and even death. Flu vaccinations are also an important conservation measure for scarce health care resources, which remain a concern during the ongoing the Covid-19 pandemic. According to Principal Officer of Bonitas, Lee Callakoppen, the World Health Organization (WHO) has also recommended that high risk groups consider having the flu vaccination in 2021, particularly because of Covid-19. ‘As part of our preventative care benefit, we offer free flu vaccinations annually to our members to help maintain their health and immunity.  ‘Due to the unique circumstances created by the pandemic and our members being financially constrained, we have negotiated with our network of over 60 pharmacy groups – which include Dischem, Clicks and PnP – to cover cost of the flu administration fee, capped at R50. However, should a provider charge more than R50, the shortfall will be for the member’s account.’ He says the Scheme is financially stable and sound and has set aside funds to cover the flu vaccine – estimating around 40 000 doses will be utilised during the 2021 season – along with the administration costs.  Although the flu vaccination is free to all members, the Scheme (guided by WHO and the Department of Health) highly recommends that the following groups consider being vaccinated: Healthcare workers Individuals over the age of 65 years  People with comorbidities like heart disease, diabetes or lung disease  Pregnant women  People living with HIV and AIDS  ‘We believe the best and first form of defence against flu is the vaccine,’ says Callakoppen. ‘And we suggest people get vaccinated soon, ahead of the flu season – which traditionally runs from May to August because the protective antibodies take about two weeks to develop. However, we know that protocols in place for Covid-19 such as social distancing, wearing a mask, handwashing and sanitisation will also go a long way in protecting against us against getting flu.’ In addition to the free flu vaccination and as part of the preventative care benefit, Bonitas also covers the costs of a pneumococcal vaccine for beneficiaries over the age of 65 years once every 5 years and childhood immunisation, this includes the vaccine admin fee. 

RediscoverDairy

Dairy: your bone-building partner throughout life

Most people only think about their bones once they get a fracture or reach older age. Just think about the tears and pain when your child breaks a bone.  When he or she breaks a bone for a second time, you might ask yourself “is there anything I can do to help prevent this?” Bones are the body’s foundation. All muscles anchor itself to our bone structure, providing support and structure, and at the same time it also helps protect our organs. Being proactive and building healthy, strong bones is therefore critical to leading a long, healthy, active and independent life. Bones are living tissue, constantly in a state of renewal, so building and maintaining bones is a lifelong affair. The key to achieving strong bones involves a mix of weight bearing exercise, calcium-rich foods such as milk, cheese and yoghurt and vitamin D from safe sun exposure, foods or a supplement. Not looking after bones can increase the risk of osteoporosis, a disease which sees bones become brittle and at high risk of fracture. In South Africa, osteoporosis affects one in three women and one in five men over the age of 60 years. Worldwide osteoporosis causes more than 8.9 million fractures each year; resulting in an osteoporotic fracture every three seconds! Hip fractures are invariably associated with chronic pain, reduced mobility, disability and an increase degree of dependence. This becomes a real worry if we consider the statistics that in white women (having a higher risk for osteoporosis), the lifetime risk for a hip fracture, is 1 in 6, compared with a 1 in 9 risk of a diagnosis of breast cancer. Bone health is determined by both genetics and lifestyle factors, and adopting a bone-friendly lifestyle at any age can help reduce the risk of osteoporosis. As part of a bone-friendly lifestyle, research confirms that milk and other dairy product remain the number one food source of calcium to support bone health. Childhood presents the best opportunity to build bone strength and ultimately reduce the risk of osteoporosis in later years. Along with the rest of their body, children’s bones are growing rapidly throughout this period, so it’s critical that children receive enough daily calcium to ensure their bones achieve their maximum strength. Teenage years are another massive growth period. Over a period of two years (12-14 for girls and 13-15 for boys) teens’ bodies build one-quarter (25%) of their adult bone mass. Therefore, it’s a critical time for teenagers to exercise and stockpile their bones with calcium from the diet. Between the ages of 12-18 years calcium requirements increase and teens in general need even more milk and dairy products (3 to 4 serves from the dairy each day), where a serving of dairy is typically a cup (250ml) of milk or amasi,  2 tubs (200 ml)of yoghurt, two slices or 2 tablespoons of grated (40g) of cheese, or half a cup (120g) of cottage or ricotta cheese. Building strong bones also requires exercise. Like muscles, bones respond to weight-bearing exercise like running or brisk walking, lifting weights or sports involving jumping. When bones are made to bear more weight than they are used to, they develop increased strength or bone density. After the age of 30 it is important to maintain your bone density by consuming 2 – 3 servings of dairy a day. This is called the maintenance phase. The bone loss phase starts at 52 years for women, and 65 years for men. During the bone loss phase, calcium needs increases again and older people need to consume more calcium rich foods. Registered dietitian at Rediscover Dairy, Maretha Vermaak, says: “Dairy is a valuable source of calcium in the diet. Calcium from milk and other dairy products are easily absorbed, meaning that your body can use most of the calcium effectively to build and maintain strong bones. Calcium obtained from food also enhances the positive effect of physical activity on bone mass during growth.”

Sidebar Image

Scroll to Top