Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Your pre- hospitalisation check list

Waves of Covid-19 and the emerging variants meant that several elective surgeries were postponed to minimise the use of hospital beds and to avoid unnecessary exposure to the virus. As the number of infections decrease, surgeons and hospitals are catching up on the backlog of elective surgeries. So, what exactly is elective surgery? It does not mean, as the name implies, that the surgery is optional but rather that it doesn’t need to be performed immediately. It can be scheduled at the patient’s and surgeon’s convenience. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, says there are pre-hospitalisation requirements for those going in for elective surgeries. Here’s a quick checklist. Hospital networks Medical schemes negotiate preferential rates with Designated Service Provides (DSPs) who have partnered with them to ensure that members get the best quality services, at the most cost-effective rate so that benefits are optimised. If you use a network hospital, doctor or pharmacy you will not be charged more than the agreed rate. This will help you avoid co-payments and make your medical aid last longer. So, to reduce co-payments and even avoid them altogether, find a healthcare professional on your schemes network. Pre-authorisation All procedures that take place in a hospital must be pre-authorised. Essentially, it’s an agreement between the medical aid and the hospital, indicating a willingness to pay for costs associated with the visit. But even if you do have pre-authorisation your medical aid is not promising to cover 100% of the costs. All pre-authorisation requests are evaluated against the different schemes’ rules and clinical funding policies however, you remain responsible for any shortfall, including any co-payments. If you are unsure how to go about the process speak to your broker or your medical aid. Quotes A quote is not the same as a pre-authorisation. Most medical aid plans have varying hospital benefits, according to the level of cover you have chosen and they also have a ‘rate’ and which they reimburse healthcare providers. This means that even if the payment is 100% of the rate, this is not necessarily what the healthcare provider will charge, they may charge 200% of your medical aid rate. Asking for a quote prior to being admitted to hospital means you will know what your medical aid will pay and what payment you might be responsible for. It gives you an opportunity to negotiate and eliminates any additional ‘surprise’ co-payments required after the procedure. Co-payments Medical practitioners, hospitals and pharmacies often charge more than medical aid scheme rates, which could be between 100% – 300% of the medical aid tariffs. A co-payment refers to the outstanding portion of the account, for which the member is responsible. This co-payment varies from one medical scheme to another and is sometimes not required if members use DSPs or network hospitals. Day hospitals Consult with your surgeon to see if your surgery can be done in a day hospital. Globally, day surgery hospitals have changed the experience of patients by offering an alternative to acute/conventional hospital surgery. The advantages include: No overnight stay, ideal for children so they don’t have the trauma of overnight stays; there is a lower risk of infection because patients go home on the same day and there is a decreased waiting list. Step-down facilities Your medical aid will stipulate the number of days you need to stay in hospital and check whether you will need a step-down facility when you are discharged. There are several facilities where patients can be cared for and start rehabilitation in conjunction with other medical professionals, for example physiotherapists. Home-based care Find out if you are eligible for home-based care after your procedure. Many patients prefer to be discharged from hospital as soon as possible and receive Hospital-Level Care at home. This means good, clinical quality care which translates into a great patient experience and is also more affordable With Hospital-Level Care at Home, nurses, other health providers and caregivers are an essential element of the care continuum and play a critical role in recovery. GAP Cover Gap Cover is an additional insurance cover that complements medical schemes. It helps to pay the difference in cost between the amount the specialist or hospital charges and the amount paid by a hospital or medical plan. You will be required to pay any shortfalls (co-payments), after which you may claim from your Gap Cover. Keep all documentation related to the surgery and hospitalisation to submit to the Gap Cover provider. Covid-19 Test For emergency admissions, a Rapid Antigen Test is performed at the hospital but for elective surgery you are required to have a PCR test a maximum of 72 hours before admission. If your test is positive, you will have to delay your surgery by at least 10 days and then re-test. Pre-admission Pre-admission can be done a few days before you are scheduled for surgery and makes the admission process less stressful on the day. Pre-admission involves answering a series of questions and tests to eliminate the possibility of allergic reactions, drug interactions or physical complications before, during and after the surgical process. For administrative purposes the following items are required upon admission: Your identification document or passport Your medical aid card Authorisation number supplied by your medical aid, or the letter of guarantee issued by your insurer X-rays, if applicable Chronic medication, if staying overnight Dr Mkhatshwa says, ‘In addition to these, remember to take any chronic medication you are on to the hospital and make sure the doctor/anaesthetists are aware of what you are taking. By following this checklist and making sure the surgeon and hospital have all the necessary information, you will eliminate unnecessary stress ahead of your procedure and prevent unpleasant surprises when you are supposed to be recovering.’

January 19, 2022

Give your body a leg up – immune boosting

Now more than ever we need to find ways to boost our immune systems as much as possible. And, while there are no medications or immunity-boosting supplements that can cure or prevent the coronavirus, there are some simple lifestyle changes we can make and steps we can take to strengthen our defences. Good nutrition can also reduce developing other health problems including obesity, heart disease, high blood pressure, diabetes, and some types of cancer. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund says, ‘Eating a healthy diet, high in immune-boosting nutrients, is just as important during this pandemic. What we eat and drink can affect our body’s ability to prevent and fight disease and recover from it. This is one of the ways in which we can improve our health proactively.’ What is the immune system? The immune system is a complex network of cells and proteins that defends 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. There is no magic pill that will instantly boost your immune system. However, together with a healthy lifestyle, various supplements can boost your immune system and give you a fighting chance. Together with those people who have not been vaccinated, 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. Tips for maintaining a healthy diet: Eat a variety of food, including wholegrains (like maize, oats, rice, and legumes) as well as plenty of fruit and vegetables in your diet Limit salt intake to 5 grams (a teaspoon) a day Eat moderate amounts of fats and oils. Avoid saturated fat (animal fat). Try steaming instead of frying when cooking Limit sugar intake. This includes sweets, fizzy and sugary drinks. Choose fresh fruit over biscuits, cake, and chocolate Drink water. Good hydration is crucial for good health so make sure you drink enough water. There are many foods with high water content – such as cucumbers and celery – add these or lemon and mint, to a glass of water. ‘Ideally we should try and get all our vitamins from the food we eat. However, that’s not always possible which is why taking vitamin supplements can help bridge the gap,’ says Dr Mkhatshwa. ‘The recommendation for general health is a combination of essential vitamins and minerals to keep your body healthy.’ Vitamin C: Key to fighting infection is to increase white blood cell production, eating foods high in vitamin C – such as grapefruit, oranges, sweet red pepper, broccoli, strawberries, kale, and tomato juice – are thought to help plus Vitamin C has been shown to reduce the duration and severity of upper respiratory tract infections. Beta-Carotene: Beta-carotene converts into vitamin A, which is an anti-inflammatory vitamin that can help your antibodies respond to toxins, such as a virus. Beta-carotene is found in carrots, spinach, kale, apricots, sweet potato, apricots, and squash. Vitamin E: Is an essential antioxidant that helps fight cell damage and supporting immune system function. Foods rich in vitamin E include nuts, peanut butter, seeds, avocado and spinach. Antioxidants: Green tea is packed with antioxidants that have been shown to enhance immune system function. It also contains amino acids that may aid in the production of germ-fighting compounds in your T-cells, which reduces inflammation in the body and helps fight infection. Vitamin D: This vitamin also fights off infections and maintains strong bones. It is found in salmon, canned tuna, egg yolks, milk, cereals, breads, and mushrooms. Alternatively, make sure you expose your body to 13-15 minutes of sunshine three times a week for a natural Vitamin D fix. 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. Probiotics: Live cultures, known as probiotics, are said to help stimulate the immune system to fight off disease. Yogurt, Kombucha, Sauerkraut, Kimchi, pickles as well certain types of cheese contain live cultures. Vitamin B-6: Is essential in the formation of new and healthy red blood cells and helps maintain the lymphatic system. Chicken, turkey, cold-water fish (salmon and tuna), chickpeas (traditional hummus), bananas, fortified breakfast cereal and nutritional yeast are great options for consuming vitamin B-6. Zinc: Is a mineral that our body doesn’t store or produce, however our Immune system cells need zinc to function as they are intended, it boosts the metabolism along with healing wounds. Red meat, shellfish, poultry, beans/legumes, and nuts/seeds are high zinc foods. ‘During this global pandemic we need to understand that our actions are not just to protect ourselves but also those around us,’ says Dr Mkhatshwa. ‘The risk of contracting Covid-19 is higher in crowded spaces so, reiterating what the President said, we need to heed the call to make sure you socialise outdoors or have plenty of fresh air flowing through your homes and workplaces. The World Health Organization talks about avoiding the 3Cs: Spaces that are closed, crowded, or involve close contact. ‘We need to work together to contain the spread of Covid-19 especially during the various mutations of the virus. With the 4th wave upon us, we need to vaccinate, wear masks, keep our distance, follow good hygiene protocols, boost our immune systems and get plenty of exercise and fresh air.’

December 10, 2021

Vaccinations proving to be the best defence

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

December 7, 2021

Medical aids can’t bear the brunt of hospital increases

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

November 17, 2021

Walking the road to wellness

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

November 10, 2021

Keeping kids healthy throughout the year

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

November 8, 2021

Advice from the experts

Naturally why women won’t suffer in silence anymore

Because it’s not common knowledge, it’s hard to imagine that 30% of women suffer from menorrhagia or heavy menstrual bleeding every month. Painful symptoms and discomfort are just some of the things these ladies contend with behind closed doors despite their busy lives. A South African based company, 3Sixty Biomedicine believes that too many women suffer from this kind of commonplace health issue without realizing that they’re not alone and that there are more natural treatments and alternatives available to them. Symptoms of menorrhagia include soaking through one or more sanitary pads or tampons every hour for several consecutive hours, needing to use double sanitary protection to control your menstrual flow, needing to wake up to change sanitary protection during the night, bleeding for longer than a week and passing large blood clots. In most cases it’s accompanied by mild to severe cramps lasting from 12 to 72 hours as well as nausea, vomiting, fatigue headaches and diarrhea. Some patients even complain about pain in the hips, lower back, inner thighs and pressure in the abdomen. Debilitating symptoms like these add pressure to the lives of busy women but interestingly the condition is largely undertreated. For those who do seek medical intervention, there are several treatments that can be administered depending on a woman’s age, coexisting medical conditions, family history and desire for fertility. These include contraceptives, non-steroidal anti-inflammatory drugs, tranexamic acid or even surgery such as a hysterectomy. However, with a growing shift and demand for more natural treatments by consumers and medical practitioners – companies like 3Sixty Biomedicine are in the ideal position to offer relief to consumers from a myriad of common but often neglected women’s health issues based on natural ingredients with the added benefit of minimal side effects. The herb capsella bursa-pastoris, also known as shepherd’s purse, is a perfect example of how natural ingredients can be used in alternative treatments. This plant has been shown to significantly reduce the blood flow volumes for women suffering from heavy menstrual bleeding, containing compounds such as tannins, acetylcholine, thiamine, and flavonoids. This herb has been used for decades to treat uterine bleeding and post-partum hemorrhaging and because it has been shown to increase smooth muscle contraction in the uterus, it also facilitates the regulation of menstrual blood flow. The good news for heavy menstrual bleeding sufferers is that there is now an alternative product to assist with management of this condition; with 3Sixty Biomedicine having introduced a natural remedy into the market. SA consumers can get Salome Heavy Menstrual Bleeding, a natural product with 400mg dry extract of capsella bursa pastoris, for the reduction of heavy menstrual bleeding in women with regular menstrual cycles after serious conditions have been excluded by a medical doctor from Takealot.com and 3Sixty Biomedicine’s website, as well as independent pharmacies nationwide. This means that women who suffer from this debilitating and inconvenient condition can finally be able to manage it naturally without the risk of complications or undesirable side effects. For more information about Salome Heavy Menstrual Bleeding and the rest of the Salome range, go to www.3SixtyBioMedicine.co.za or connect on social media: Facebook: Salome Range Twitter: @SalomeRange Instagram: SalomeRange

August 10, 2020

Collaboration addresses the challenges of COVID-19

‘Collaboration between all the stakeholders is the cornerstone of tackling the coronavirus pandemic,’ this according to Lee Callakoppen, Principal Officer of Bonitas Medical Fund. ‘This includes engaging both the public and private healthcare sector to find a way forward to address the challenges faced by South Africans. Negotiations, strategising and robust discussion with The Council for Medical Schemes(CMS), The Board of Healthcare Funders (BHF), hospital groups, healthcare practitioners and strategic healthcare service providers will enable us to find the best possible solution during this pandemic.’ Callakoppen highlights some of the key challenges facing consumers and the way forward. COVID-19 testing Challenge: Costs and availability of Coronavirus tests Solution: Negotiation and co-ordination to manage tests and a payment plan put in place Our administrator and business partners are collaborating with the National Institute for Communicable Diseases (NICD), the Department of Health (DoH), pathology laboratories and the Radiology Society of South Africa to try to monitor and manage the availability and cost of tests. In addition, we are collaborating on the provision and delivery of medicines and co-ordination of treatment available in order to ensure sustained, quality healthcare is available to all members. Bonitas covers COVID-19 as a Prescribed Minimum Benefit (PMB), paying for up to three PCR tests from risk – regardless of the result. ‘One of the problems has been a shortage of tests in South Africa and we have urged our members to follow the guidelines from the Government and the World Health Organization, only testing when absolutely necessary, such as when they have come into contact with a known COVID-19 positive case, are showing symptoms and have received a referral from a healthcare practitioner for a test,’ Callakoppen says. This step aims to ensure that tests are reserved for those who really need them. These measures also go a long way in helping to curb misuse of tests and mistaking the symptoms of other respiratory illnesses for COVID-19. ‘We note that as the number of COVID-19 positive cases increase, there is a significant increase in the number of tests conducted. However, again we strongly urge the public to only test when absolutely necessary or when advised by their Healthcare practitioner to do so, as a shortage of tests could have a much more far-reaching impact on the spread of the disease.’ Addressing affordability Challenge: Helping cash-strapped members continue paying their medical aid premiums Solution: Proactive application to CMS for concessions and looking for ways to add value to our members and South Africans ‘The economy and livelihoods of many South Africans have been adversely impacted by the pandemic. We definitely sympathise with this and, as the cost of living continues to increase it was very clear to us that affordability of medical aid, as well as daily living expenses, would become a concern. We began engaging with the CMS prior to the issuing of the CMS Circular 28 of 2020 containing COVID-19 Medical Schemes Industry Guidelines to try and offer our members some respite from the harsh economic impact. However, as medical schemes we are highly regulated in terms of our operations. As such there is a lack of parity between the level of relief we would have liked to offer our members to the level of relief that was approved.’ CMS issued an additional industry circular in April 2020, outlining how medical schemes can apply for exemptions to the Medical Schemes Act to launch lifelines to members, such as contribution holidays or accessing their medical savings accounts to cover premiums. The R160bn medical scheme market covers about 8.9-million members, most of whom are subsidised by their employers. Callakoppen says, ‘The CMS regulates the industry and has been very specific in terms of what medical aids may and may not do. Schemes are required to request exemptions from the Medical Schemes Act to relax certain credit management policies through the CMS. ‘We approached the CMS in April with requests for concessions and have implemented those they approved. At present, our concessions include allowing contributions to be funded from savings. In addition, we have special concessions in place for members who belong to employer groups.’ Despite the regulatory environment, Bonitas has been agile in its approach. ‘We used the challenges of the current landscape to become more innovative in terms of what we can do, within our environment, to assist our members and South Africans at large with some relief. We therefore introduced free virtual GP consultations to all South Africans through the Bonitas Member App so that they would continue to have access to healthcare during this time. We continue to keep the issue, of how members are impacted due to the economic challenges, top of mind and this informs your strategies to respond and address the challenges consumers are experiencing. Hospital beds Challenge: Shortage of high care and ICU beds Solution: Negotiations to have access to facilities outside of network hospitals and standardised tariffs Together with Medscheme, our administrator, we have implemented tariff enhancements to ensure that sub-acute and day hospitals can accommodate admissions where provincial licence exemptions have been granted, when the time comes. There are about 25 800 adult acute beds in the private sector and about 3 700 day hospital and sub-acute hospital beds that stable patients could be sent to. In addition, there are 3 600 dedicated paediatric beds nationally. ‘As a Fund we have negotiated with hospital groups to ensure that members do not have to go to a network hospital during this time when private hospitals may experience capacity constraints. Our key mandate is to act in the best interests of our members at all times and as such we strive to ensure that they have access.’ Virtual Care 24/7 for everyone Challenge: How to maintain your health during the Government’s call to stay at home and social distancing Solution: Virtual Care Early in April, Bonitas launched its Virtual Care, offering it to all South Africans, at no cost, during the COVID-19 crisis. These virtual medical consultations, with GPs and

August 7, 2020

Painful period cramps to be a thing of the past

Dysmenorrhea, the technical term for extreme period pain, is a common women’s health issue that impacts up to 20% of women with their menstrual cramping being severe enough to interfere with daily activities, according to the American Academy of Family Physicians. Symptoms typically begin in adolescence and may lead to school and work absenteeism, as well as limitations on social, academic, and sports activities. Since the start of 2020, an innovative South African based pharmaceutical company, 3Sixty Biomedicine, has been searching for treatments to assist females suffering from common but often neglected women’s health issues. 3Sixty Biomedicine’s latest product within the Salome range will hopefully be the answer to most women’s battle with painful menstrual cramping, even those as young as 13 years old. The new Salome Menstrual Pain product was launched and made available to South African consumers on Takealot.com, independent pharmacies nationwide and 3Sixty Biomedicine’s website in July, draws on natural ingredients and includes yarrow (Achillea millefolium) which has antispasmodic, anti-inflammatory & analgesic effects which may provide relief for spasm associated with menstrual periods known as dysmenorrhoea. Primary dysmenorrhoea is defined as painful cramps that occur with menstruation and although estimates of its prevalence vary widely, it is the most common gynecologic problem in women of all ages and races. Primary dysmenorrhea is thought to be caused by excessive levels of prostaglandins – hormones that make your uterus contract during menstruation and childbirth. The pain results from the release of these hormones when the lining (endometrium) is sloughing off during your menstrual period. The symptoms of menstrual pain may include lower abdominal or pelvic pain with or without radiation to the back and the pain usually occurs at the onset of menstrual flow and typically lasts 8 to 72 hours. “Nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended as the first line treatment for primary dysmenorrhoea. We are delighted to now provide women, from as young as 13 years old, with a safe alternative option to manage painful menstrual cramping that includes natural ingredients and is available in a user-friendly capsule pack online and at pharmacies countrywide. As a business we are passionate about breaking the silence on common women’s health issues. Too often conditions like menstrual cramps, PCOS and heavy menstrual bleeding are often considered taboo and are not spoken about or even treated – leaving millions of women suffering in silence and worse yet – not allowing them to reach their full potential. We want to be part of the solution by not only providing natural remedies that assist women with treating their health issues, but by also offering women educational platforms that connect them to other women and health experts via our social media channels to help #BreaktheSilence and reassure them that they are not alone”, explained 3Sixty Biomedicine’s CEO, Walter Mbatha. For more information about Salome Menstrual Pain and the rest of the Salome range, go to www.3SixtyBioMedicine.co.za or connect on social media: Facebook: Salome Range Twitter: @SalomeRange Instagram: SalomeRange *Sourced information from: https://medbroadcast.com/condition/getcondition/dysmenorrhea#:~:text=Primary%20dysmenorrhea%20is%20thought%20to,off%20during%20your%20menstrual%20period.

August 7, 2020

BREASTFEEDING & COVID-19: BUSTING THE MYTHS

We’ve had an overload of fake news over the past pandemic months. One of the most damaging falsehoods to emerge has been that COVID-19 + moms can transmit the virus through breastmilk to their little ones, and should stop breastfeeding. Spokesperson for ADSA (The Association for Dietetics in South Africa), Andiswa Ngqaka, a registered dietitian says, “There are anecdotes from various countries indicating that this misinformation is causing moms to avoid breastfeeding during the pandemic. While some may see infant formula as a ‘safer alternative’ during this time, this is not the case. Breastmilk is the safest and most nutritious food for babies, and COVID-19 does not change that.” There is no evidence of COVID-19 transmission through breastmilk As the medical profession’s foremost experts in nutrition, registered dietitians are constantly keeping up to date with the latest scientific evidence. Worldwide, there is currently no evidence that breastfed babies have been infected by mothers who have tested positive to COVID-19. Andiswa explains, “The WHO cites one study where there was a detection of non-infectious COVID-19 viral RNA in breastmilk, and this is definitely not the same thing as finding viable and infective virus. Therefore, there is unanimous agreement across international health organisations that moms can have complete peace of mind breastfeeding their children through the pandemic, even if they are COVID-19 + or suspect they might be infected. The benefits of skin-to-skin contact with your baby and breastfeeding as normal are overwhelmingly immune-boosting and protective of your baby’s health.” Lisanne du Plessis, Associate Professor at Stellenbosch University and ADSA spokesperson, gives her top 5 tips for breastfeeding moms during the pandemic: Mothers should breastfeed on demand, whenever baby wants to breastfeed, day and night. Breastfeed exclusively for 6 months. Breastmilk provides all the food and water that babies need during this time. Breastmilk also protects babies against sickness or infection. Do not give any other food or liquids to babies, not even water, during the first 6 months of life. Even during very hot weather, breastmilk will satisfy babies’ thirst. Giving babies under 6 months anything other than breastmilk will cause them to suckle less, will reduce the amount of breastmilk that a mother produces and may make babies sick. Practice hygienic measures to protect moms and babies against COVID-19 and other harmful bacteria and viruses in our environments. Breastfeeding is food security for babies Breastfeeding from birth supports the healthy development of babies and plays an important role in prevention of all forms of childhood malnutrition including wasting, stunting, obesity and underweight and micronutrient deficiencies. Breastmilk protects against many infections including COVID-19. At a time when many South African families are facing serious food shortages, breastmilk provides complete food security for babies under 6 months, and boosts nutrition and health for other young ones. Breastfeeding saves on the food budget, making more money available to feed the family. When it comes to food, you can’t get anything safer, more convenient and more economical than breastmilk. “It would make good sense to see a boost in breastfeeding across South Africa at this time,” says Lisanne. What precautions should a COVID-19 + mom take? The WHO provides the following breastfeeding guidelines if you suspect or know you have COVID-19: Wash hands frequently with soap and water for at least 20 seconds or use alcohol-based hand rub and especially before touching the baby; Wear a medical mask during any contact with the baby, including while feeding; Sneeze or cough into a tissue. Then dispose of it immediately and wash hands for at least 20 seconds again; Routinely clean and disinfect surfaces that you have touched. It is vital that partners, family and friends support breastfeeding moms who may be COVID-19 infected. They need to understand that there is no evidence that the virus is transmitted through breastmilk, and that by continuing breastfeeding, the mother is doing the best she can do to protect her baby from COVID-19. What should happen if you’re just too ill to breastfeed? Andiswa says, “If you’re too ill to breastfeed, try to express your milk for your baby and give it with a clean cup or spoon and cup. Expressing breastmilk is important to sustain your milk production so that you can carry on breastfeeding when you recover. If you can’t express your breastmilk, you can consider donor human milk. Wet nursing is another option if culturally acceptable to you. Your last option would be to provide a breastmilk substitute. Reunite with your baby as soon as your recover. Get support if you need help re-lactating and bonding with your baby.” Get Messages for Mothers – M4M A global pandemic is certainly not the easiest time to be a new mom and the mom of young children. Mothering babies and small children is often an isolating experience at the best of times, so now, with social distancing and staying-at-home, you may need to make some extra efforts to ensure you are well-supported at this critical parenting time. Grow Great, a campaign to prevent stunting by 2030, partnered with other NGOs Embrace, ilifa labantwana and the Perinatal Mental Health Project, to launch Messages4Mothers, a new digital platform to connect with South African moms during the pandemic. Messages for Mothers can be accessed at M4M or you can connect with Grow Great on social media @GrowGreatza on both Twitter and Facebook. Grow Great Communications Specialist, Duduzile Mkhize says, “Some of the biggest concerns for mothers are around how they can safely continue to breastfeed their children while dealing with COVID-19. Some mothers are essential workers and they worry about how they can continue to keep their families safe. Mothers of small children worry about taking them for immunisations as they fear clinics might not be safe. Pregnant mothers who have to go for checks ups also worry about this. COVID-19 lockdown has caused a lot of anxiety for many people, so many mothers ask questions about how to cope with anxiety and depression.” You’re not alone On a daily basis,

August 6, 2020

Teddy Bear hugs bring comfort to littlies

One of the biggest challenges for foundation phase teachers during Covid-19 restrictions has been the inability to show appropriate physical affection to pupils. High fives, hugs and physical touch are more likely to be used by children in the foundation phase, and teachers often make use of appropriate physical touch to comfort and contain the emotions of these children. The absence of this interaction and the changes brought about by Covid-19 restrictions has left many children feeling anxious. As a way to bridge the gap between Covid-19 restrictions and the need to comfort their small learners, HeronBridge Pre-Preparatory has implemented the Teddy Bear Initiative. How this works: Each child is required to bring a reasonably sized teddy bear from home with them to school daily. This helps with the settling in process and provides a sense of familiarity and comfort as a transitional object that reminds children of a safe place. During different times of the day, the teacher implements “ Teddy Bear Time” where the class as a whole holds their teddy bears, hugs them tightly then releases, and repeats this process. Physical compression through squeezing and then releasing something is a way to activate then relax muscle groups. When repeated, this activity helps the body to find a rhythm and the mind to re-focus. It is a cognitive behavioural process, that reduces panic, regulates breathing, lowers cortisol levels (responsible for panic) and subsequently reduces anxiety. If at anytime during the day a child is feeling distressed, the teacher can ask the child to pick up their teddy, hug it tightly, release and repeat, while maintaining eye contact. “It has been so lovely to see the children finding comfort in their teddy bear hugs throughout the day,” says Wendy Beyneveldt, Pre-Preparatory Head at HeronBridge College. “At a time when things are so chaotic, we want to make sure that we are creating a happy, loving and safe learning environment for all our children, the Teddy Bear initiative helps us to do that.”

August 4, 2020

C-section questions, answered

One of the biggest decisions you’ll make about your baby’s birth is whether to have a vaginal birth or a Caesarean section, also known as a c-section. Neither method is objectively better than the other, some moms need to have c-sections for physical or health reasons, or decide that they would rather opt for a c-section for personal reasons. Focusing on the c-section, we’ll let you know what you can expect when having one and what the average recovery time is. When making this decision you should consult with your health practitioner, but it won’t hurt to know more about what is happening to your body during the process so that you can make the most informed decision for you and your baby. So what exactly is a c-section? C-section is the surgical delivery of a baby. During the process you doctors will cut into your abdomen and your uterus and lift your baby out of this. As you are having a major surgery, you’ll typically have an epidural. This way you’re numb, but still awake so you can experience the magic of your baby’s birth. Both c-sections and vaginal births have their pros and cons. You’re likely to take longer to recover from a c-section birth and you’ll probably feel pain in the incision area for a few weeks. As it’s a surgery, there’s a risk of damage to surround organs, infection and excessive bleeding. Make sure to consult with professionals about what works best for you and your baby before making a choice. When is a c-section necessary? Some moms elect to have c-sections before the time, whilst others may need to have an emergency c-section due to complications that arise during birth. If you are expecting twins, have high blood pressure, diabetes or have an infectious disease, such as HIV or genital herpes you’ll schedule your c-section ahead of time. Unplanned c-sections are necessary if your labour doesn’t start or stalls, if you become too exhausted or your baby goes into distress, if the umbilical cord slips into the birth canal before the baby (as there is a risk of the baby’s air supply being cut off) or if your uterus ruptures. How long will I take to recover from a c-section? Don’t expect too much of yourself after having a c-section, you’ll typically spend around 3 to 4 days in hospital and take about 4 to 6 weeks recovery time at home before you start feeling normal again. Some moms experience muscle or incision pain for a few months following the c -section.

August 3, 2020

Food security for children starts at the breast – support breastfeeding

South Africa has one of the lowest breastfeeding rates in the world. Not because women do not understand the importance of breastfeeding for their children but because women face a hostile environment to care for their children. This World Breastfeeding Week, observed from 01 to 07 August, the South African Civil Society for Women’s, Adolescents’ and Children’s Health (SACSoWACH) are focusing on creating an environment that enables and supports women to breastfeed successfully. Due to our current global crises, with the engulfing COVID-19 pandemic and the subsequent economic crash, women are bearing the brunt of job losses. Female-headed households, especially, are experiencing a financial shock,1 adding to the burden of finding food for their families and caring for their children. In South Africa, nearly one in two households are headed by women, skewing the need to provide unfairly on mothers. South Africa is known as ‘the fatherless nation’ as it has one of the highest numbers of absent fathers in the world. It is estimated that nine million children in South Africa grow up without fathers.2,3 In a recent media report, even our Springbok captain has had to call on men to support and eradicate the scourge of abuse and violence against women.4 Breastfeeding is excellent for infants and young children as a food source, for immunity and for neurocognitive development, and emotional self-regulation.5 “The first step to creating a supportive and safe environment for women and children is the essential provision of food for pregnant women and breastfeeding mothers. Safety and protection for moms, as the life-carrier and carer of children, is non-negotiable,” explains Dr Tshepo Motsepe, First Lady of South Africa, patron of the Coalition, passionate breastfeeding activist and humanitarian. The high rates of violence in South Africa cannot be ignored. Breastfeeding is associated with less violence in societies.5 Research also shows that 80% of rapists are the product of absent fathers.3 Young men who grow up without involved fathers are more likely to develop ‘hyper-masculine’ behaviours such as aggression and emotional instabilities. In contrast, young women are more likely to develop lower self-esteem and become victims of violence.3 Many hungry and stunted children live in fatherless homes1 where suicide is more likely in these individuals.3 “We need fathers and empowered men to step up and invest in the future of our society. Children are our future; the outcomes we want for tomorrow begins with what we do today. We call on all men to set an example and provide emotional and financial support, as far as possible, for the family and breastfeeding partners. This will help women to breastfeed exclusively and relieve them of the pressure to return to work too early,” explains Patrick Shivuri, Maternal and Child Health Programme Manager from Save the Children and a father himself. “Food security for infants and young children starts at the breast. Breastmilk is a living food; it protects against many infections that include COVID-19. If we want to protect children’s health, we need to protect and support their mothers,” adds Dr Chantell Witten, nutrition lead for SACSoWACH and lecturer at the University of the Free State. This has never been more relevant in a time when food is scarce and financial resources constrained. “Reducing Gender-Based Violence starts with protecting, promoting and supporting breastfeeding mothers at all cost. Paternal presence both emotionally and financially is a long-term investment for a healthy and less violent South Africa,” ends Precious Robinson, SACSOWACH chairperson and health advocate from Right to Care. In celebration of World Breastfeeding Week, SACSoWACH will host a breastfeeding dialogue on Thursday, 06 August 2020. The discussion will be live-streamed on their website; please visit www.sacsowach.org.za to find out more and sign up.

July 31, 2020

Boosting the immune system during the pandemic

The outbreak of the global coronavirus pandemic earlier this year had caused much anxiety and uncertainty for many. It has been a roller-coaster of emotions for parents since lockdown started and the decision to implement home-schooling either by distant-learning or privately was something no parent was prepared for. The pandemic shifted the roles and responsibilities of parents alike, adding “home-school teacher” to the already long list of roles. Public schools in South Africa are set to close from 27 July to late August with the exceptions of grades 12s and 7s. Grade 12s will only take a week’s break and return on 3rd August 2020. Grade 7s will get a two-week break returning on 10th August 2020.President Cyril Ramaphosa, said that the decision to close schools was not taken lightly by the government. The decision to reopen schools has been met with mixed reviews as parent’s stress over the wellbeing and safety of their children and family. Boosting the immunity during the pandemic has been a high priority according to pharmacies. Parents have been taking extra precautionary measures to ensure that their little ones stay healthy and well. We asked registered Pharmacist, Ashleigh Bruce for advice on what parents can do to boost their kids immune system during this pandemic, “The whole family should be taking Vitamin C and Zinc supplements daily”, says Ms Bruce. Not forgetting the basic and simple action of washing the hands often and sanitizing. The Delite Foods jelly range is packed with Vitamin C! An oblivious way to ensure kids get the Vitamin C they need without them realising it. She has also advised on trying DIYs, meditation and yoga as a form of self-care distraction to manage your stress and emotions during this difficult time. Stay connected and engage with us on Facebook, Instagram and Twitter.

July 31, 2020

COVID-19 and Allergies

The coronavirus pandemic is a time of anxiety for most people, particularly those with existing health concerns. Millions of South Africans live with long-term conditions, including coeliac disease and allergic disorders such as eczema (atopic dermatitis), hay fever (allergic rhinitis) and asthma, one of the most common chronic diseases affecting children. According to Professor Michael Levin, Head of Allergy at Red Cross War Memorial Children’s Hospital and CEO of Allergy Foundation South Africa (AFSA) there is potentially harmful misinformation around coronavirus and allergies circulating. “Patients are unsure about symptoms and whether their allergies increase the risk of serious COVID-19 complications. We want to reassure people and enable them to manage their allergies as well as possible during this time. To do this, we’re providing factual, up-to-date resources and support for allergy patients and caregivers, thanks to the generous support of Sanofi.” Professor Levin stresses that people with allergies and asthma should always take good care of themselves, whether or not there is a pandemic. “It is conservatively estimated that 80% of asthma deaths could be prevented with better treatment and access to medication. Not managing your condition does not only negatively impact your health, it can be fatal.” Dr Candice Royal of the KidsAllergy Paediatric and Allergy Centre in Cape Town, agrees the most important message for allergy sufferers is to continue good care. “Allergic disorders are systemic diseases and should not be looked at in isolation. They can be well-managed with education, correct medication and ongoing support from your healthcare professional. Whilst people with uncontrolled asthma may be in a high-risk group for severe illness from COVID-19, recent studies have shown this is not the case in well-controlled asthmatics.” Continue to take and seek treatment, safely: “Do not to stop taking prescribed allergy or asthma medications, including inhaled or oral corticosteroids. Find ways to access care and medication that limits potential exposure to the virus. For example, have medication delivered, or send someone to collect. A telephone appointment with your doctor may be an option than going to the clinic or surgery.” Symptoms of allergies and COVID-19 can be similar, which has been a source of concern for many. Coughing for example, is common to asthma and coronavirus; yet fever, body aches and pains which are usually experienced during coronavirus, are rarely related to asthma. Speak to your healthcare provider for clarity or refer to AFSA’s useful symptoms checklist – www.allergyfoundation.co.za/covid-19-symptoms. “If you have asthma, continuing to control it could help you defend against the virus. Taking prescribed controller therapy daily, whether you have symptoms or not, helps repair swelling and inflammation in the lungs so that you’re better able to fight off viruses – including the coronavirus,” says Dr Royal. “There is no evidence that the use of inhaled or nasal steroids increases one’s risk of contracting COVID-19, and using them regularly might even help prevent you from getting the infection or from suffering with more severe symptoms.” Nebulisers are not recommended, as they can increase the risk to those around you. Professor Levin advises using an asthma pump with a spacer, rather than a nebulizer. “Spacers deliver medication to the airways more effectively than a pump on its own.” For people with skin or eye allergies, itching may mean touching and potentially increased infection risk. To prevent this, experts recommend regular skincare and steroid use as needed whilst also maintaining excellent hygiene measures – washing hands regularly, always wearing a mask and maintaining social distance. Allergy care may change for people who become infected with COVID-19. According to Dr Motohiro Ebisawa, President of the World Allergy Foundation, “Professional help is essential to understanding what is causing symptoms such as shortness of breath, chest tightness, or difficulty breathing. Patients should not assume these symptoms are either from their asthma or COVID-19 but consult their physicians immediately in case emergency care is needed.” For further information and free, up-to-date resources on allergies and COVID-19 – including asthma, allergies and COVID-19; coronavirus and asthmatic children; coronavirus and coeliac disease and a useful symptoms checklist – visit www.allergyfoundation.co.za/covid-19-and-allergy For further information visit www.allergyfoundation.co.za, follow @SAallergy on social media or contact Lynn Kämpf, Business Manager of the Allergy Foundation South Africa on [email protected].

July 31, 2020

COVID-19 is taking its toll on SA’s mental health

Fear and anxiety have gripped the globe as COVID-19 continues to take its toll on human life, economies and society at large. Experts are becoming increasingly concerned about the psychological effects of the epidemic, particularly on the poor, elderly, children and teens, and frontline healthcare workers. Abdurahmaan Kenny, mental health portfolio manager at Pharma Dynamics, says levels of distress are bound to increase as more South Africans become infected, lose their income and social isolation becomes a way of life beyond the lockdown. “Vulnerable populations, such as the elderly, those with mental health conditions and pre-existing health concerns are likely to experience higher levels of psychological distress due to the major threat that the outbreak poses to their own personal health. “Another high distress category is likely to include the poor who rely on odd jobs to make a living. Staying at home means they cannot provide for themselves or their families. “Doctors and nurses, particularly those at the frontline of the crisis, may experience secondary traumatic stress (STS) reactions—a by-product of working in a traumatic environment. “Equally, parents who are dealing with childcare responsibilities during school closures and work-from-home obligations may experience greater levels of anxiety as they try to juggle it all while taking care of elderly parents and reassuring their children.” He says that stress during the outbreak can include fear and concern about one’s own health and the health of loved ones, which is completely normal. More detrimental changes to watch out for include sleeplessness, difficulty concentrating, feelings of hopelessness, suicidal thoughts and worsening of chronic health problems. Those with pre-existing mental health conditions are also encouraged to continue with their treatment. Should their symptoms worsen, they should contact their healthcare provider (remotely if possible). Advice to parents “Arming yourself with the real facts about COVID-19 and the risk that it poses to yourself and your family can make the outbreak less stressful. If you remain calm and provide reassurance, children will follow your lead. However, teens are likely to be exposed to more communication from friends and social media, which may lead to excessive worry or sadness, unhealthy eating or sleeping habits or acting out. “Keep the lines of communication open between you and your children. Answer questions they may have around COVID-19 based on facts provided by credible organisations such as the World Health Organisation (WHO) or the SA government (sacoronavirus.co.za). Share advice on how to cope with stress and try stick to a routine with educational, fun and relaxing activities to make the days meaningful. “Be a role model to your children. Limit your news coverage of the outbreak to once a day, including social media. Stick to a wholesome routine of your own by getting enough sleep, eating healthily, exercising and connecting with friends and family. Your children will take their cue from you.” Feature Supporting frontline responders “Many of our doctors, nurses and other healthcare personnel will be directly involved in the diagnosis, treatment and care of people with COVID-19, which places an extraordinary burden on them both physically and mentally. “It is vital that they remain focused by taking care of their own health in order to continue to respond to the outbreak. “Take regular breaks, eat right, practice deep breathing and relaxation techniques, get enough sleep and work in teams to help ease the burden. Also ensure that childcare, household and pet care responsibilities are in hand while you’re on duty. Communicate with loved ones, even if it’s just once during a shift. Helping those in quarantine “For the 112 people who have been released from quarantine in Polokwane, many of whom have been separated from their families for more than 65 days (first while being in lockdown in China for 51 days and then another 14 days in SA), a range of emotions may follow. “These could include feelings of relief, stress from constant monitoring for signs and symptoms, sadness, frustration and even anger. Guilt about not being at home and caring for children or other emotional or mental health challenges may surface. Families should be extra supportive and allow those returning from quarantine time to adjust. “It can also be traumatic being separated from loved ones after testing positive for COVID-19. Remain in contact as much as you can via phone or video calling to provide patients with the love and support they need.” Kenny says knowing how to respond to these challenges when they arise will help you to stay mentally focused while caring for those closest to you. “For now, we need to embrace the new rhythm of life and the chance it gives us to connect with others in different ways.” As a leading provider of central nervous system (CNS) medication for the treatment of depression, anxiety and bipolar disorders, amongst others, Pharma Dynamics is committed to the mental wellbeing of all South Africans. The company advocates for prevention services, early identification and intervention for those at risk. Those who feel mentally overwhelmed by COVID-19 or experience signs of depression can contact Pharma Dynamics’ toll-free helpline on 0800 205 026, which is operated by trained counsellors who are on call from 8am to 8pm, seven days a week. The call centre is a critical service to the public and is therefore operational during the lockdown. Also visit www.letstalkmh.co.za for additional tips and videos to ensure mental well-being during the lockdown. The public is also being encouraged to share photos and ideas of their own on the platform to help others get through this challenging time.

July 30, 2020

Easy tomato soup with cheesy bread dippers

This comforting tomato soup can be made in less than 20 minutes and enjoyed by both you and your toddler. Don’t forget to make the cheesy bread dippers – sure to be the most fun part of the meal for your toddler! This meal is suitable for toddlers 12 months+. Makes four small and two adult servings. What you’ll need Ingredients for soup: 1 tablespoon olive oil 1/2 cup chopped onion 2 cloves garlic, minced 1 tin diced tomatoes 1 cup low-sodium vegetable broth / vegetable stock 1/2 teaspoon dried basil Pepper to taste (optional) 1/2 cup plain Greek yogurt Ingredients for cheesy bread dippers 4 slices of whole wheat bread 1 tablespoon butter or olive oil 1/2 cup shredded mozzarella cheese 2 teaspoons Italian spice mix How to make it: In a medium pot, heat olive oil over medium heat. Add the onion and garlic and cook until tender, roughly 4 minutes. Add in the tomatoes, broth, basil and pepper. Bring to a boil, then reduce heat and simmer for 10-15 minutes. Meanwhile, you can make the cheesy bread dippers. Heat the oven to a broil and line a baking sheet with tin foil. Butter or oil one side of the bread and place it (butter side up) on the baking sheet. Broil until golden brown. Remove from oven, carefully flip the bread over and sprinkle the non-cooked side with cheese and Italian spice mix. Place back under the broiler and heat until cheese is golden brown. Let cool and then cut into 2-inch strips. When soup is done, add in the yogurt and using a blender or hand immersion blender, blend the soup until smooth and creamy. Let cool slightly and then serve the soup with the cheesy bread dippers. Always check with your child’s doctor first if you have any questions about introducing new foods and textures. Launched on Mother’s Day 2006, Happy Family Organics is one of the largest and fastest growing organic food brands to offer a comprehensive line of nutritious foods for babies, toddlers, kids and their mothers. Constantly innovating, Happy Family strives to offer families the right nutrition for every stage of development, and is on a mission to change the trajectory of children’s health through nutrition. Happy Family Organics products are available at all Baby City stores, Babies R Us, Wellness Warehouse, Selected Clicks, Selected Spars, Selected Pick N Pay stores, Selected Baby Boom, selected Dis-Chem and selected Medicare pharmacies, and online from Takealot.com, Babiesafrica.com and Faithful to Nature.

July 28, 2020

Five brain-boosting foods and drinks

Our bodies need “fuel” for every organ, and the brain is no exception. Giving our brains the right food can aid concentration and memory greatly, both of which are necessary for studying and completing tasks and assignments. In today’s article, we discuss five of the best foods and drinks for boosting brain function. Fatty fish Omega-3 is a type of fatty acid that is most commonly found in fatty fish like salmon. Our brain cells consist mostly of fat, 50% of which is the same kind as omega-3 fatty acids! By eating fatty fish or taking omega-3 supplements, your brain maintains optimal levels of fat. It also helps strengthen the structure of the brain cells themselves, both of which result in optimal brain function. These acids also increase blood flow, which is essential for optimal organ performance. One last benefit of this fatty acid is that it increases the amount of grey matter in your brain, which is the other component of the nerve cells (the other is fat), and more grey matter means better cognitive function. Younger children might not enjoy the taste of fish like salmon, so be sure to incorporate an omega-3 supplement in their daily vitamin regimen! Nuts Nuts contain high levels of something called antioxidants, which are natural compounds that slow down oxidation. Oxidation is a naturally occurring process that can damage the body’s cells. With particular regard to the brain, oxidation negatively affects our cognitive function, and consequently our ability to focus, learn and remember. By consuming foods high in antioxidants, we can improve these cognitive functions that are critical for academic success. Antioxidants can also be found in blueberries. Here, they take the form of something called anthocyanin, which is a type of flavonoid. Flavonoids are molecules that give food its colour, and they contain high levels of antioxidants. Blueberries also improve cell-signalling (how brain cells communicate with one another). Good cell signalling is essential for making and storing both short-term and long-term memory, both of which are crucial for studying and writing tests and examinations. Also read: Do’s and Don’ts for Making Healthy Food Choices During the Lockdown Leafy greens Leafy greens like lettuce and spinach contain a compound called carotenoids. These are similar to the flavonoids found in blueberries as they are the compound which gives food its colour and, like flavonoids, they also contain antioxidants and help improve cell signalling. When digested and absorbed, carotenoids often migrate to the frontal cortex, which is the region of the brain that is responsible for such functions as problem-solving and memory – in essence, it is the “control panel” of our brain, so keeping it healthy is essential for optimal cognitive functioning! Unlike many other foods, chopping and cooking foods that are rich in carotenoids actually increases the strength of the nutrients when they enter the bloodstream, so be sure to incorporate plenty of steamed spinach or cooked kale in your child’s diet. Water We all know hydration is important given that our body’s cells consist of 60% – 70% water, but it’s particularly important for our brains. This is because dehydration leads to a lack of sufficient water in our cells which, in turn, leads to poor organ function. In the brain, this means reduced/impaired cognitive function, particularly the brain’s ability to create short-term and long-term memories. As a result of this, we are unable to convert the information we are learning into memories, and if we are unable to create these memories in the first place, we’re unable to recall them later on. Experts recommend drinking 6 – 8 glasses of water a day, but fewer are needed depending on your child’s age (generally one 235 ml cup for every year of the child’s age): Green tea Green tea contains a compound called L-theanine, which is an amino acid (amino acids are compounds that make up the proteins in your body’s cells). L-theanine is thought to increase GABA activity (GABA is a brain chemical that reduces the activity of brain cells). Higher levels of GABA tend to make people feel more relaxed, which leads to decreased stress, which in turn helps improve concentration. L-theanine also increases your brain’s alpha waves, which are a type of brain activity that is thought to aid mental coordination, calmness, alertness, and learning, all of which are essential for studying. Now, green tea might not be to the taste of younger children, but certainly, teens might enjoy the flavour, so give it a go! by Jacqui Smit

July 24, 2020

Tips for keeping coughs and colds away

Winter is an incredibly beautiful season. Apart from the inconvenience that the seasonal weather can bring, in a country where drinking water is often scarce, the rain is always welcome! Less welcome, however are the germs and nasties that creep into our homes. With people coughing and spluttering all around us during winter, it’s important to step up our own personal hygiene. This rings particularly true in the current circumstances we find ourselves in. With Covid-19 still very much a part of our daily lives, keeping germs at bay, is now more important than ever. What can you do to prevent catching a cold or flu this winter? Wash hands religiously With the number of people catching the flu virus at an all-time high, it’s important to keep the spread of germs to a minimum. Wash your hands regularly – particularly after a cough or sneeze, with warm, soapy water for at least 20 seconds. Also, keep hand sanitiser gel and wipes within easy reach if necessary. Vital Baby’s Hygiene Hand & Face Wipes (R35.00) are great to keep in the car, at home and in your handbag. They’re gentle enough to use on baby’s face, and effective at removing germs and dirt. Cough into elbows This is one that both adults and kids can adopt. Encourage coughing and sneezing into the elbow crease rather than hands. Sneezing into hands can spread germs even more as we use them to do so much. Make up a silly song If your child doesn’t like washing their hands for long, or with soap, make it fun. Make up a silly song or find one on the internet that encourages them to do it thoroughly. For example, make up words to the tune of ‘Row your boat’ such as: Wash, wash, wash your hands, make them nice and clean, scrub the germs and wash them off, dry them in between. Get rid of the snot Help to clear little noses using a nasal decongester. This handy little device helps to remove snot quickly, efficiently when they are sniffling and unable to do it themselves. Sterilise after use to make sure it remains hygienic. Stay active Staying active and taking regular exercise can also boost your immune system. Encourage your child to play outside, take them to a park, or head to an activity centre where they can tear around without worrying about the weather. Watch out for fevers If your child has caught a cold, keep an eye on their general health. Take their temperature regularly and their body temperature seems hotter than normal, offer the correct dosage of children’s paracetamol and ibuprofen to keep their temperature under control. Try to focus on fruit and veg We all know that eating a balanced diet packed full of fruit and veggies can give our immune system a boost. During the winter months, try to sneak even more into your child’s diet. If they reject it, hide them in their favourite meals or sauces. Get enough rest Ok, ok, so if you’re a parent, don’t laugh at this suggestion! We know that sleep might be something that you struggle to get enough of, but it really does affect wellbeing. If you think your child is coming down with something, cancel some plans and encourage them to get plenty of downtime. Take the idea on board for yourself too; switch off your phone and try to get an early night. Even an hour extra can really help with your own energy levels. We hope that you manage to stay healthy this winter! Follow Vital Baby on social media: @vitalbabysa Vital Baby products are available at Clicks, Babies R Us, Loot, Baby City, Takealot and at www.babiesafrica.com.

July 23, 2020

Mental strength when you need it

The pandemic has shown us we are more resilient than we think Covid-19 has had devastating effects on the people of South Africa and the world over. As the rate of infection continues to skyrocket, especially in our urban centres, people are starting to grow more fearful of what the future holds. This is on the backdrop of an already ailing economy where our country’s official unemployment rate surpassed 30% in June. Despite the government’s Covid-19 economic stimulus and relief package, the unemployment rate is projected to peak anywhere between 41% and 54% as a result of the lockdown. Projections by the International Monetary Fund suggest that debt repayments will account for more than 80% of our GDP by the end of next year. These statistics paint a gloomy portrait. At the start of 2020, we never thought we’d be forced to retreat into our homes in an attempt to survive this ruthless virus, and social distancing wasn’t even a part of our lexicon. We didn’t anticipate such a sudden, severe threat to our lives and livelihoods. Adjusting to this new way of life and pervading sense of uncertainty has been challenging. It’s easy to lose perspective, to forget what we’re trying to accomplish, to feel scared and alone. The irony, however, is that the physical distancing forced us into a space of introspection, and we were able to connect on a deeper level with not just ourselves but each other. This sense of connection is what drew us closer together, because we were able to see that we might not physically be with one another, but we’re in this together, united in a common cause to overcome an invisible enemy. Sometimes when we feel overwhelmed – whether it’s about our health, children, finances or broader social issues – it helps to have a friendly reminder that adversity is a test of strength, and that we are much stronger than we think. Metropolitan’s Three Word Stories campaign did just that. The radio and social media campaign ran on Ukhozi FM, Thobela FM, Lesedi FM, Umhlobo Wenene and Motsweding FM, which have a combined listenership of around 22 million people, and hundreds of thousands of followers on Facebook and Twitter. By encouraging listeners to speak openly about their concerns, Metropolitan’s Three Word Stories sought to build resilience and inspire mental strength to help us cope with the stresses of a new and uncertain world. It created a much-needed platform for us to share our experiences and gain wisdom through our collective knowledge. The conversations emphasised that mental health is essential for our wellbeing. It eased our anxiety about the future by helping us find ways to navigate new challenges. Sharing our stories reminded us that we already have the fortitude to handle whatever life throws at us, especially when we’re there for one another. The voices we heard during the campaign spoke to our resilience, our shared humanity, our deep connection to everyone in South Africa and the world. We needed reminding. Jane Mokoena from Limpopo shared how – amidst the difficulties presented by the pandemic – she was able to use the time at home to reconnect with her children. Anna Maake from the Free State said that the turbulent past few months were reminiscent of her humble beginnings. She was reminded of her innate strength and resilience, which helped her get through dark times before – and reminded her that she will again get through this. Financial concerns featured prominently in stories such as: ‘Smart Money Goals” Should we be trying to save more? How should we restructure our finances? How can we pull ourselves out of debt? What can we do to help others while we wait out the storm? How do we balance the need to stay safe with the need to earn a living? Hearing these fears articulated let us know that there are thousands of people in similar situations who are willing to listen and help. So is Metropolitan. Take comfort: we’re here for you and will continue to be for the long run. But more importantly, we hope the insight we were able to share into the hearts and minds of ordinary South Africans during this campaign helped remind them just how strong, capable and resilient they are. Post-Covid our lives are likely to be forever changed, but what will remain is our ability to overcome whatever challenges we encounter. We’re all strong, but we’re stronger together, and even though we can’t always be with one another, we have more friends than we realise. Continue to stay safe and strong, South Africa, and remember that the only thing we should be spreading right now is our love for our country, one another, our families and ourselves. By Nontokozo Madonsela, Chief Marketing Officer for Momentum Metropolitan

July 22, 2020

COVID-19 Immune Boosting Claims Debunked

A happy immune system is an important component of wellness. In light of the recent flu outbreak associated with the Coronavirus (COVID-19), the task associated with supporting immune health has become increasingly significant. Avoiding illness is not always possible, but there are several steps one could put in place to support immune health and reduce the risk of getting sick, as well as minimise duration and complications if they do. However, across social media we’ve heard that a variety of methods including taking large numbers of supplements and strange diets can “boost our immune system” and combat against COVID-19. Immune supportive ingredients are actually very individual and differ from person to person. There is no blanket advice when it comes to so-called ‘immune boosting’ advice. Factors involved in supporting the immune support depends very much on an individual’s genetic composition, current diet and lifestyle e.g. stress and sleep. This article will explain why there are no single foods or supplements that will prevent or cure COVID-19, and debunk recent diet claims related to this. How does the immune system work? Before we dive into the details surrounding the immune system and the specific foods as well as supplements, we first need to consider how does our immune system defend our body? People have this idea that the immune system is some kind of internal force field that can be boosted or patched up. This couldn’t be further from the truth. As the name suggests it’s not a single thing and has no central organ of control BUT is a system that involves many organs and biological functions. Their interactions defend the body against foreign invaders such as pathogens. Each day, the body confronts an environment teeming with disease-causing organisms. The immune system is designed to implement rapid, specific, and protective responses against these organisms. The immune system can be broadly split into two parts, the innate and the acquired response. On detection of infection, it’s the innate response that acts first. Though fast, it lacks in finesse, and deals with an invading pathogen in much the same way that the Ghostbusters might try to remove a ghost from a haunted hotel. It gunges the halls and doorways to try to flush it out (that’s why you fill up with phlegm and snot), it yanks up the thermostat to try to boil it (why you run a fever), and it shuts down the building until the problem is solved (it makes you lethargic so you don’t go out and pick up another infection while your immune system is at work). What the innate response doesn’t do is eliminate the intruder from the body. That is the job of the acquired system, a specialised SWAT team by comparison that identifies the enemy and makes the specific weapons, or antibodies, needed to destroy it. It can takes round about 5 to 10 days for the acquired system to identify the antibodies needed and clone them up to sufficient numbers to make a meaningful attack. DID YOU KNOW? Our immune system’s response varies over the course of 24-hours. At certain times, we may be more resilient to fighting off viruses and at other times of the day, we may be more susceptible to pathogens. For example sleep is vital for your body’s immune function the next day, so if you haven’t slept well your immune defences may be compromised. “Immune boosting” claims are flawed The term “boosted immune system” is unscientific and is often used in headlines and marketing of diets, potions and dietary supplements. Dietary choices and supplements don’t boost the immune system; rather it can allow the immune system to function adequately and more efficiently. According to experts the only way to ‘boost your immunity’ is through vaccination. Getting vaccinated against the flu and other diseases stimulates the immune system to protect against illness. Vaccines teach the immune system to recognise specific pathogens and prepare them to mount a defence if they are encountered. Therefore, our current goal (considering the COVID-19 pandemic) is to SUPPORT and OPTIMISE our current immune system with an overall healthy diet and lifestyle. For example, a balanced diet provides a range of nutrients which play an important role in our immune system. How to optimise the immune system? COVID-19 is a scary time for most individuals. Largely because we don’t have much data on the disease as it is brand new. Before we can make any reliable claims during this pandemic, we need repeated, robust, human clinical evidence. However, until more research is available, we want to do our best in optimising our immune system. So, what can we do to keep the immune system functioning optimally? I would suggest the following: Immune supportive nutrients. A good starting point is a healthy balanced diet and to take a comprehensive, high quality multi-vitamin and mineral supplement. We should be very cautious of just taking supplements that has been touted as ‘immune boosting’. Correct nutritional deficiencies. Consider having nutrient levels checked by means of a blood tests in order to identify any deficiencies in key nutrients that are important to a healthy immune system activation. Supplementation can then take place according to underlying nutrient deficiencies. Identify and address ways to reduce inflammation. Initially we believed that anti-viral supplements were the way forward for prevention of COVID-19 and more and more evidence is emerging that the secondary focus needs to be on reducing inflammation. In fact controlling the local and systemic inflammatory response in COVID–19 may be as important as the anti-viral therapies. Taking an Omega-3 supplement is sensible since it is anti-inflammatory. Know your genes. Consider DNA testing. Knowing more about your genes can help your healthcare practitioner make positive changes through nutrition to improve and optimise cellular defence mechanisms. Immune supportive nutrients: Vitamin C There is no question that vitamin C plays a role in the immune system, however the research has found that vitamin C supplementation does not reduce the risk of the common

July 20, 2020

Beating the COVID-19 Blues

We have all been cooped up in our homes for weeks, so cabin fever is real! For most people, there is nothing better than getting together with family and friends and when these interactions are taken away, it is natural to feel off.

July 20, 2020

Tips to keep schools clean and students and teachers safe

When schools are back – albeit staggered over the rest of the year – it is critical that school management teams have plans in place to keep their staff and learners safe from the coronavirus. “They must develop this plan, implement the plan, and make sure they maintain the plan,” according to Emma Corder, Managing Director of industrial cleaning manfucaturer Industroclean. Schools across the country have varying degrees of access to proper sanitation and other assets needed to protect learners. It might certainly be a daunting prospect for any school principal to try and prevent the spread of the coronavirus if, for example, the school does not even have access to running water. Corder says there are thankfully basic safety measures that can be implemented almost anywhere, which she recommends. The essential first step she says is to stick to the basics. “This being hand hygiene, correct mask usage, respiratory etiquette and physical distancing.” When it comes to smaller children, it might be less easy to remind them to not share their lunch, stationery or even climbing structures, playgrounds swings and slides.” Unfortunately, the above is just the basics and schools are going to need to develop a checklist that they can abide by on a daily basis. General engineering and administrative measures need to be implemented, to ensure that all classrooms have proper ventilation e.g. cleaning of air-conditioners with correct filter installed beforehand, or during school hours all windows are opened. All schools must have a dedicated isolation room; this is needed should a pupil or staff member show any symptoms of Covid-19. “I strongly recommend that all staff and teachers be put through the correct training to make sure they understand and properly implement health measures. They will need to be intimately familiar with the basics such as the difference between cleaning and disinfecting a surface, as well as the safe disposing of any potentially hazardous medical waste,” adds Corder. But there is also a responsibility on all parents and caregivers to ensure students are fully prepared, by creating a “Covid-19 Back to School Pack”. The use of a big sized pencil box is perfect to pack two clean masks, pack of wet wipes and hand sanitizer. It’s also advised that the learners take their own water bottles so as to not fill them at the school or use public water taps, and especially to not drink directly from the mouthpiece of a tap. Remember the three best cleaning practices: Prepare for cleaning and disinfecting. Correct PPE for cleaning Use all chemicals correctly Cleaning equipment must be clean e.g. mop sleeves must be soaked in cleaning solution before being used. Disinfectants should be freshly prepared and NRCS registered. Do the Job. Top to bottom from clean to dirty. For normal cleaning use the spray and wipe method. And colour code all cleaning materials to prevent cross contamination. End of Task Dispose of dirty water and waste according to safe procedures. Wash and dry all equipment before storing it in a clean space. Dispose of all PPE wear before washing up. “If headmasters or members of staff need any assistance or have any questions about measures that are planned for a school, they must get in touch with the Departments of Health or Education immediately. Proper disinfection and preparation must be completed, before learners return,” says Corder.

July 17, 2020

Do’s and Don’ts to keep the weight off this winter

Longer nights, shorter days, colder weather and decreased exercise can all contribute to winter weight gain. Add the temptation of rich comfort food and it’s easy to see why so many of us battle to keep to our health goals during winter. According to Dr Riekie Smit, an aesthetic medicine practitioner from Pretoria with a special interest in weight management, women tend to gain an average of between two and four kilograms every winter and generally only lose half of what they gained in the upcoming summer. Unless it’s stopped, this pattern will result in gaining more weight every year. We feel sorry for ourselves when it is cold outside and opt for comfort food, and then regret it when summer arrives. However, Dr Smit recommends that we should all make an effort to eat healthier food and increase our intake of vegetables, especially green ones. “This will not only keep the weight off, but also keep your immunity levels high,” she says. Dr Rosetta Guidozzi, a general practitioner from Johannesburg, says that in order to boost immunity during winter it is important to follow a healthy diet, including lots of vegetables and citrus fruits. Foods should be enhanced with herbs such as sage, rosemary, oreganum and coriander as they have powerful antioxidant effects and are flavour enhancers, which can help you to eat less. The same applies to spices such as curry and peri-peri, which flavour foods and induce a decrease in consumption. Clinical psychologist and cognitive behavioural therapist, Dr Colinda Linde from Randburg, Johannesburg, also agrees that eating for immunity is important. “Winter tends to be when we get sick, so make sure to include immune boosting foods like citrus, garlic, herbs, mushrooms and a dose of probiotics. Winter is also a great time for ‘slow food’—casseroles, soups and stews that are easy to put together, warm and hearty to counter the cold,” she says. Although it can be more difficult to exercise in winter, Dr Smit says that if the cold is putting you off your walk or cycle, opt rather for indoor exercise programmes, either at the gym or at home. She says that there are now multiple apps to help you with this. Dr Guidozzi reiterates that continuing exercise and eating correctly in winter is a priority. This includes the preparation of healthy stews and soups using lots of herbs and spices. “The trick is to remain motivated during winter,” she says. Even if you change the type of exercise you do during the winter months, it is important to at least continue with activity. Dr Linde says that while she would definitely recommend including exercise in winter, it is also important to be realistic about it. She recommends possibly starting the day with stretches, which warm you up and can be done on a yoga mat in your bedroom at home. She says in this way you consciously include exercise in your daily routine, with the option to also add something outside of home such as the gym, a walk or a run. Dr Guidozzi says that winter can also trigger the “winter blues” in some people, an onset of lowered moods. “To prevent this, it is necessary to exercise and also to spend time outdoors, and absorb the sunlight when one can,” she says, and reiterates the importance of maintaining good sleeping habits. She says that sleep deprivation will lower immunity and can lead to making less favourable food choices. While healthy eating and exercise is important, so too is taking time for yourself. Dr Linde, who is launching the second edition of her book entitled Get the balance right—Coping tips for working moms, which was first published in 2005, says that winter is associated with hibernation in nature, where animals and many plants slow down, and renew themselves by spring. “We have a short winter here, only three months really, so it could become an annual stocktake, going inward by meditating quietly or journaling for a few minutes daily”, she says. The time saved by putting a stew in the slow cooker can be used to curl up on the couch with a magazine. Another tip to remember in winter is to care for your skin, which can become dry and irritated during the winter months, leading to loss of collagen and wrinkling. Dr Smit recommends using a milk cleanser and rich moisturiser to stay hydrated. Keeping up an adequate intake of water is also essential. “In winter you could opt for hot herbal teas or hot water with lemon or mint leaves,” she suggests. Some healthcare practitioners suggest taking a supplement with added vitamin C and zinc in winter, although this should not replace a healthy diet, especially a diet which includes fruit and vegetables with adequate vitamin C. Adding probiotics to your daily routine can also help your immunity to resist viral infections. Remember also that hand hygiene is vital to avoid germs. Instead of associating winter with comfort eating, hibernation and a bowl of creamy pasta on the couch, be proactive. Spice up your winter menu with healthy vegetable soup, download an app to start getting more active in the comfort of your home and remember that while summer bodies can be made in winter, eating healthy foods, exercising and upping your immunity can help you to enjoy a healthier winter. Whether in winter or summer, some people trying to lose weight will struggle too much with hunger, especially at the start of their weight loss journey. These people might benefit from a prescription medication which, together with appropriate lifestyle adjustments, can help kick-start a weight loss journey, or can help someone get back on track. If you are worried about your weight, speak to your doctor for advice about how to lose or manage your weight. Visit www.ilivelite.co.za for tips, support and further information about weight loss.

July 17, 2020

How to help a child struggling with (Corona Virus) anxiety

We’re all on edge because of the coronavirus. Our daily lives have been disrupted, we aren’t sure what tomorrow may bring, and, for many of us, the nonstop news and social media coverage are overwhelming. Therefore, it is not uncommon to feel anxious or worried during this time. If you or your children are feeling worried, learning how to deal with anxiety in a healthy way can help the whole family be more resilient, both now and when the pandemic is finally over. What is anxiety? Anxiety can be described as feelings of uneasiness or being worried when there is not necessarily any imminent danger present. It is often accompanied by intrusive and often unrealistic “What if” types of thoughts, experienced in the body as stress that continues even after the cause of the stress is gone. What can parents do to support their children? Many parents are experiencing a more difficult time dealing with COVID-19 than their children and some of the anxiety that kids are experiencing may be unintentionally passed on by worried parents. As parents, it is important to be a positive role model for your children and this includes showing them how to deal with anxiety during stressful events. You can create a positive and safe atmosphere in the home environment by doing the following: Living in the “here and now” by focusing on, and staying in touch with, what is actually happening and not getting carried away with worst-case scenarios. Identifying and getting help for your own anxieties first. Being smart about what you read. Make sure your information comes from trustworthy and credible sources. While it is important that we are informed about how best to keep our families safe, we should be mindful about what we are reading online to make sure it’s actually helpful and not making our anxiety worse. It is easy to get sucked into clicking on “fake news” inadvertently or forwarding social media posts to your family group without verifying them or applying common sense. Being aware of feel-good news and sharing these stories with your children to facilitate a more positive mindset and create awareness of the “silver lining” despite the crisis. Sticking to an established routine that involves exercise, regular meals, and healthy amounts of sleep – this is crucial for regulating our moods and our worries. It can be hard to accept that our old routines are no longer possible because of COVID-19 precautions. Looking for ways to be flexible and starting new routines can help you and your family create a more productive and healthier lifestyle that can help to lower the amount of anxiety you experience. Monitor your children Parents do not always recognise signs of anxiety in their children. Identifying anxiety in your child can be tricky because it involves a pattern of behaviours that is unique to each child. The following behaviours could indicate anxiety: Reassurance-seeking (“Are we going to be okay? Is Grandpa going to be okay?”) Reluctance to separate from parents Physical symptoms like headaches or stomach aches Moodiness and irritability Tantrums or meltdowns Trouble sleeping Talk about their anxiety Younger Learners – Younger children may not always be able to express how they are feeling. For younger children, use a “feelings chart” with pictures describing emotions instead of saying “Tell me how anxious you are”. With a feelings chart, which you can find on the internet, you can ask your child to point to the feeling and/or picture representing an emotion that they are currently experiencing. They can also draw pictures about things they feel happy or sad about. Older learners – For children who are more aware of, and able to articulate, how they are feeling, it is better to ask what psychologists call “forced-choice questions.” If you ask a vague question, you’re going to get a vague answer. So instead of asking “How was your day?” which is pretty vague, maybe ask “Did your anxiety get in the way of you having a good day today?”. Teenagers – If you have teenagers, start talking about yourself first. You can start the conversation with something like, “I saw this article today and it made me wonder about this and that. Did you experience something like that? What’s your reaction to it?”. Do not force your teenager to talk about their feelings unwillingly as this can create tension and cause them to feel hostility towards you. Wait a bit first and then attempt to discuss the matter with them at a later stage when they are calm and more willing to talk. If this still does not work, they can use a journal or art activities to express their feelings and experiences. Also read: Five tips on how to motivate your teen during lockdown How to help your anxious child Structure their day. As parents, we often think that setting boundaries for a child is a way to make our lives easier, but kids benefit from boundaries, too. It is easy for children to get bored or fretful if they are facing a day without structure and anxiety can thrive under those circumstances. Make sure that you are structuring their days when they are “cooped up” at home. Alternate chores or schoolwork with more fun activities that your children enjoy and periods of free time. As restrictions lift, be sure to incorporate safe, outdoor activities that comply with social distancing principles as well. Make sure children are still getting the chance to exercise. Encourage your child to socialise with friends via video chats and social media if they have access to these platforms. This is especially important for teenagers who thrive on social interaction with their peers. Avoid giving too much reassurance. Avoid getting into a cycle of providing too much reassurance. Children of all ages can become too reliant on reassurance and want to hear it more and more often, and when a parent isn’t able to give them complete reassurance, their anxiety can worsen. Instead, try the following: Remind kids of the things they are

July 17, 2020

Nutrient Enhancers: my kind of food additives!

This is an excerpt from my book ‘Mila’s Meals: The Beginning & The Basics’ I’m talking about egg yolk, ghee, flaxseed oil, coconut oil, hemp seed oil, olive oil, sauerkraut liquid, kefir, cinnamon, nutmeg, clove, vanilla, ginger, cardamom, allspice, turmeric, broth, dulse, liver, blackstrap molasses, baobab, cacao, hemp, lucuma, maca, moringa. It is important for me to make every mouthful of food that Mila swallows as nutritious as possible because: Good nutrition is so important at this stage of life Only a small amount of food is going to go in (at the beginning for some, or forever like with Mila) And because a lot of food is going to be turned away or spat out when the toddler emerges… So I developed a list of ‘nutrient enhancers’ – nutrient-dense foods which can be added to almost any purée or meal without significantly changing the taste, texture or appearance… because trust me… there is no greater food detective than an 18-month old! An excellent example of where nutrient enhancers shine their bright light is in the preparation of plain noodles. “Plain noodles?” I can hear you exclaim! Trust me, there will come a time when your toddler will only want to eat plain noodles, repeatedly, for months on end – and you will make them for her… because you need to choose your battles wisely, because it is the end of a long day, because you have another baby to take care of or because you are tired! So this is as plain as Mila’s plain noodles got: I cooked the gluten-free noodles in bone broth with some seaweed (wakame or kombu). Once cooked, I stirred in a raw egg yolk, some coconut oil, a pinch of sea salt and a sprinkle of dulse. Ta da! Plain noodles… that were eaten with glee! Get creative… there is no end to how sneaky you can be! Nutrient Enhancer: Why is it valuable? Eggs Eggs are a source of high-quality protein and have all the B vitamins (including vitamins B1, B2, B3, B5, B6, B12), as well as choline, biotin, folate and cholesterol, selenium, iodine, omega-3 fatty acids, vitamins A, D and E. Avoid the egg whites for your little one’s first year as these contain difficult-to-digest proteins and are what usually cause an allergic reaction. Egg yolks should be softly cooked in the beginning, but from 1 year of age you can add them in raw. They can be blended into all plant-based purées to add fat and protein. GheeFlaxseed oilCoconut oilHemp seed oilOlive oil Adding some healthy fats to your little one’s plant-based purées and meals will aid the absorption of vitamins A, D, E and K. Healthy fats are essential for your little one’s brain development Sauerkraut liquidKefir These will supply probiotics – vital friendly gut bacteria that complete the digestion process, produce vitamins, keep pathogenic (‘bad’) bacteria in check, and support the immune system. Get my sauerkraut recipe here CinnamonNutmegCloveVanillaGingerCardamomAllSpiceTurmeric Spices are a great way to develop your little one’s flavour palette. They also have medicinal qualities and are a source of nutrients. Cinnamon is a great source of manganese, fibre, calcium, potassium, iron, zinc, magnesium and vitamin A. It is known to have antioxidant, anti-diabetic, antiseptic, local anaesthetic, anti-inflammatory, warming and anti-flatulent properties. Nutmeg is a good source of potassium, calcium, iron, manganese, vitamins A, B’s and C. It is a useful remedy for: insomnia, anxiety, nausea and vomiting, indigestion (gas) and diarrhoea as well as being anti-inflammatory and antibacterial. Cloves are a great source of manganese, vitamin K, dietary fibre, iron, magnesium and calcium. They are well known for their ability to relieve tooth and gum pain, aid digestion and provide relief from asthma and bronchitis. Vanilla has antioxidant, anti-depressant and anti-inflammatory properties. Ginger is a good source of vitamin C, magnesium, potassium, copper and manganese. It is a remedy for headaches, motion sickness, nausea, indigestion, wind, colic, cold, flu, bronchitis. Ginger tea is a useful remedy for morning sickness. It boosts the immune system and protects against bacteria and fungi. Cardamom is a great source of iron, manganese, potassium, calcium, magnesium, dietary fibre, riboflavin, niacin and vitamin C. It is used as an antiseptic, antispasmodic, carminative, digestive, diuretic, expectorant, stimulant and tonic. It is a remedy for sore throats, constipation, indigestion and colic. Allspice has a good amounts of potassium, manganese, iron, copper, selenium, magnesium, vitamin A, vitamin B6, riboflavin, niacin and vitamin C. It has antiinflammatory, warming and soothing and anti-flatulent properties and is known to aid digestion. Turmeric is a powerful anti-inflammatory and antioxidant and an excellent source of iron, manganese, vitamin B6, dietary fibre, potassium, vitamin C and magnesium Broth Instead of using water to thin a purée or to cook the vegetables in, use bone broth. Bone broth: builds a healthy gut and digestion aids muscle repair and growth fights inflammation creates a balanced nervous system and a strong immune system inhibits infection caused by cold and flu viruses helps protein and mineral absorption promotes strong, healthy bones It is a source of calcium, magnesium, phosphorus, sulphur, boron, zinc, peptides (healing amino acids and natural antibiotics), collagen, omega-9s, iron, vitamin B6 and B12. All the nutrients are easily absorbed by your little one’s body (bio-available). Get the bone broth recipe here Dulse Dulse is an excellent source of calcium, potassium and vitamin B12 – making it a useful addition to any dairy-free or vegan diet. It is also a great source of protein, vitamins B6 and A, iron, phosphorus, manganese and iodine. Sprinkle dulse flakes into purées, or other meals. Liver Liver is an excellent source of high quality protein, omega-3 fatty acids, vitamin B complex (including choline, B12 and folate), a highly bio-available form of iron, vitamin D, vitamin E, pre-formed vitamin A (retinol), vitamin K2, various amino acids and trace minerals such as copper, zinc, chromium and cholesterol. A small amount (1 teaspoon) of raw liver can be grated into any purée. The liver must be frozen for 2 weeks before using it raw (fourteen days will ensure the elimination of pathogens and parasites). Alternatively add some Chicken Liver pâté into purées of other meals. Blackstrap molasses Blackstrap molasses is one way to boost your little one’s iron intake. Its other nutrients include manganese,

July 13, 2020

Vegan – Is it healthier?

As popular campaigns like ‘Veganuary’ fuel New Year’s pledges to cut back on meat, MANY people has been asking my opinion on vegan diets and on documentaries such as ‘The Game Changers’. If you are intrigued – keep reading.

July 13, 2020

Lockdown Weight Gain

Since being back at the practice and seeing patients, we found that majority of people have gained 1-3kg during the lockdown period. This weight gain occurred despite eating ‘ok’ and doing some form of exercise.

June 29, 2020

How to incorporate yoghurt into your child’s diet by Happy Family Organics

The yoghurt section in the grocery store seems to be expanding every year, and it’s no wonder why! Yoghurt is a versatile food that can be eaten as part of a meal or snack, and can be incorporated into many recipes from dips to dressings to desserts. Yoghurt contains protein, fat and carbohydrates, as well as the nutrients calcium, potassium, phosphorus and is often enriched with vitamin D.

June 25, 2020

Face masks in children: how safe are they?

If you follow me on social media you would have noticed me going on a lot about face masks recently. It’s very important for the public to know how to use them correctly because otherwise it’s such a wasted effort.

June 22, 2020

Delite Foods, the local guilt-free brand keeping your family healthy and happy!

You might have seen our Tantalize range in the sugar alternative and wellness aisles at major retailers but doubt that you know who we are, so let’s introduce ourselves.

June 22, 2020

Tasty heart healthy Braai recipes to try during the lockdown

The recipes are all easy to make, affordable and consist of essential ingredients, which make them ideal for cooking during the lockdown. It even carries Jan Braai’s stamp of approval!

June 19, 2020

Infertility: Don’t wait until it’s too late!

Parenthood is undeniably one of the most universally desired goals in adulthood, and most people have life plans that include children. However, not all couples who want a pregnancy will achieve one spontaneously and a proportion will need to seek medical treatment to help resolve underlying fertility problems. It’s therefore understandable that infertility has been recognised as a public health issue worldwide by the World Health Organisation (WHO). “Infertility is when you cannot get or stay pregnant after trying for at least a year and you are under the age of 35,” says Dr Sulaiman Heylen, President of the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG). One in every four couples in developing countries is affected by infertility, while one in six couples worldwide experience some form of infertility problem at least once during their reproductive lifetime. 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. In recent years, the number of couples seeking treatment for infertility has dramatically increased due to factors such as postponement of childbearing in women, development of newer and more successful techniques for infertility treatment, and increasing awareness of available services. This increasing participation in fertility treatment has also raised awareness and inspired investigation into the psychological ramifications of infertility. It can cause stress, depression and anxiety, which is why it is important to know that there are options available for treatment. Age is a key factor “Up to 50% of all patients who visit a fertility centre are 35 or older. We cannot stress enough how important it is 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,” says Dr Heylen. “It’s extremely important for couples to investigate 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,” says Dr Heylen. It’s estimated that 20 to 30% of infertility cases are explained by physiological causes in men, 20 to 35% by physiological causes in women, and 25 to 40% of cases are because of a problem in both partners. In 10 to 20% no cause is found. Infertility is also associated with lifestyle factors such as smoking, body weight and stress. A woman’s age is one of the most important factors affecting whether she is able to conceive and give birth to a healthy child. This is due to several changes that are a natural part of ageing: The number and quality of eggs (ovarian reserve) decreases naturally and progressively from the time a woman is born until the time she reaches menopause. It is not only more difficult to get pregnant (conceive), but miscarriage and chromosomal abnormalities in the child (such as Down syndrome) are more common in older mothers. Fibroids, endometriosis, and tubal disease are more common and can affect fertility. Women who become pregnant at an older age have a higher risk of complications during the pregnancy, such as gestational diabetes and preeclampsia. The decrease in a man’s fertility appears to occur later in life than in a woman’s fertility. In their mid-to-late 40s, men experience changes in their sperm that can cause issues with fertility, and chromosomal or developmental problems with their children. Lifestyle and family history If you have any of the following risk factors, you may also consider seeking advice earlier: Family history (i.e., mother or sister) of early menopause (before age 51) History of cigarette smoking in either partner Previous ovarian surgery Exposure to chemotherapy or radiation to treat cancer in either partner Shortening in the time between periods Skipped or missed periods History of injury to the testicles Exposure to toxic chemicals (certain pesticides or solvents) Pregnancy is a complex process Pregnancy is the result of a process that has many steps. To get pregnant: A woman’s body must release an egg from one of her ovaries (ovulation). A man’s sperm must join with the egg along the way (fertilise). The fertilised egg must go through a fallopian tube toward the uterus. The fertilised egg must attach to the inside of the uterus (implantation). Infertility may result from a problem with any or several of these steps. For the pregnancy to continue to full term, the embryo must be healthy and the woman’s hormonal environment adequate for its development. When just one of these factors is impaired, infertility can result. Couples, dependent on the ages of the partners, are generally advised to seek medical help if they are unable to achieve pregnancy after a year of unprotected intercourse. The doctor will conduct a physical examination of both partners to determine their general state of health and to evaluate physical disorders that may be causing infertility. Usually both partners are interviewed about their sexual habits in order to determine whether intercourse is taking place properly for conception. If no cause can be determined at this point, more specific tests may be recommended. For women, these include an analysis of ovulation, x-ray of the fallopian tubes and uterus, and laparoscopy. For men, initial tests focus on semen analysis. “Based on the results of the specific tests, a treatment plan will be made which can include medication, surgery or assisted reproduction,” says Dr Heylen. Treatment options Not all couples who desire a pregnancy will achieve one spontaneously and some will need medical help to resolve underlying fertility problems. It is now estimated that more than 9 million babies have been born worldwide since the first IVF baby was born in 1978. Most assisted reproductive technology (ART) treatments take place in women aged between 30 and 39. The most common fertilisation technique is ICSI

June 19, 2020

Baby and tot picky eater meal plan by Happy Family Organics

It seems we constantly hear about kids being picky eaters; it may feel like we are condemned to have a child who will eat nothing but chicken fingers and pizza. Is there anything you can do to raise an adventurous eater? Plenty actually, starting right now!

June 17, 2020

Virtual medical consultations now available 24/7

Staying healthy remains a priority for South Africans especially during the COVID-19 lockdown. However it can be a challenge to seek medical help when the Government is asking us to stay home, wear masks, wash our hands frequently and practice social distancing. The solution lies in virtual care.

June 15, 2020

Applying for a protection order against Domestic Abuse

It is not uncommon for people in South Africa to find themselves trapped in an abusive relationship. Children are often the victims of domestic violence either directly, or indirectly by being a witness to the abuse which can have a dire and lasting impact on them.

June 12, 2020

Cookie	Duration	Description
cookielawinfo-checkbox-advertisement	1 year	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Advertisement".
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Cookie	Duration	Description
_ga	2 years	This cookie is installed by Google Analytics. The cookie is used to calculate visitor, session, campaign data and keep track of site usage for the site's analytics report. The cookies store information anonymously and assign a randomly generated number to identify unique visitors.
_gid	1 day	This cookie is installed by Google Analytics. The cookie is used to store information of how visitors use a website and helps in creating an analytics report of how the website is doing. The data collected including the number visitors, the source where they have come from, and the pages visted in an anonymous form.

Cookie	Duration	Description
_gat_gtag_UA_18530557_4	1 minute	No description
pron_ip	session	No description
pvc_visits[0]	1 day	This cookie is created by post-views-counter. This cookie is used to count the number of visits to a post. It also helps in preventing repeat views of a post by a visitor.
tk_ai	session	Gathers information for WordPress by themselves, first party analytics tool about how WP services are used. A collection of internal metrics for user activity, used to improve user experience.