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Cutting edge
On Friday I was the moderator at a session of the HealthCare Expansion Congress that dealt with Africa's pandemic and pandemic preparedness. All three speakers highlighted one simple fact - our healthcare infrastructure is totally inadequate and will not stand up to a major onslaught. In fact Dr Kgosi Letlape, president of the South African Medical Association said that a higher being must have looked kindly on Africa by not letting SARS enter the continent.

The simple truth is that if bird flu, for example, were to arrive here - we could not cope. And this is mirrored in our failure to cope with the epidemics of TB and HIV that threaten the very fabric of our society. The other thing that the outspoken Dr Letlape said is that we are no longer a caring society. It is every man for himself - and how true this is.

So, how are we going to change the appalling state of our public health services in South Africa? According to Dr Letlape it is a waste of time waiting for government to do something - they will not until those with a voice start to use public health care services and complain, loudly, about how bad they are. He pointed out that not a single one of our politicians use public hospitals and clinics. When our Minister of Health needed a liver transplant, she went privately. Others have left the country for care - not trusting even our private health services.

In a country where inequality and lack of caring is so stark, it may well be that the only way to improve the health of all is by unifying our health services. And that means getting an overarching health service that provides a uniformly high standard of care to everyone - not just those who can pay for medical aids. Am I prepared to give up my medical aid and wait in queues in day hospitals and go to a state hospital for major treatment? I must admit that I am not sure - I certainly know that I wouldn't subject my elderly father to that. But, Dr Letlape is probably right. The poor have no voice - we must speak for them - and speaking through our actions will carry far more weight than mere words.

Bridget Farham Editor
https://www.bizcommunity.com

Headlines

Medical
US healthcare - the highs and lows
US spends more than twice as much on health care per person than most other industrialised nations, ranks last in preventable mortality, study finds.

South Africa: Wanted - 4,000 doctors
With more South African doctors now working abroad than in the country's ailing public health sector, the government needs to start aggressively recruiting health workers from other countries, according to a non-profit recruitment organisation.

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Chronic diseases
Sri Lanka: Rising kidney disease among farmers puzzles researchers
A steep rise in kidney disease in farming communities in Sri Lanka has baffled doctors and researchers.

Cardiovascular fitness may slow the progression of Alzheimer's
Cardiorespiratory fitness has been linked with reduced brain atropy in early Alzheimer's disease.


Corporate Social Responsibility
Soccer stars give goals for miracles - Quo Vadis Communications
South Africa's rugby stars started it. The golfers are doing it. Now soccer stars are linking up with Vodacom to raise funds for cataract surgery for disadvantaged South Africans across the country, through a new campaign, Goals for Miracles.


Exercise science
Walk to avoid disability in old age
Something as simple as a regular walk can maintain independence into old age.

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HIV/AIDS
New HIV vaccine trial halted
Plans to conduct a large-scale human trial of an experimental HIV/AIDS vaccine in the United States have been shelved.

HIV damages the immune system earlier than thought
New research shows that HIV acts faster than originally thought.

Two genes isolated that may protect against HIV
Two genes have been isolated that may prevent transmission of HIV or slow progression to AIDS.

Genetic variation makes Africans more susceptible to HIV
A genetic variation that protects Africans against malaria may raise the risk of infection with HIV.


Infectious diseases
Madagascar: Plan to fight Rift Valley Fever needs funding
Rift Valley Fever (RVF) has claimed the lives of at least 20 people and killed thousands of animals since the beginning of 2008, and UN agencies warn that worse is to come unless immediate action is taken.

One step closer to a cure for bird flu
Scientists and researchers have taken a big step closer to a cure for the most common strain of avian influenza, or "bird flu," the potential pandemic that has claimed more than 200 lives and infected nearly 400 people in 14 countries since it was identified in 2003.

GUINEA-BISSAU: Cholera epidemic reaches capital, Bissau
Cholera which first broke out in Guinea Bissau in May in the southern region of Tombali has now broken out in the capital Bissau killing four people and infecting 214, according to Daniel Kertesz, representative of the World Health Organization (WHO).

16th July was World Hepatitis Day - Magna Carta
Hepatitis is a virus that is more common than most people realise and is most often caused by a viral infection so can be very easily contracted.


Malaria
Malaria breakthrough from Australia
Scientists in Australia have discovered the malaria parasite's secret.


Medical Research
Alzheimer's vaccine stopped plaque and not dementia
Scientist have thought that if the plaque associated with Alzheimer's could be stopped, this would prevent dementia.

Getting on top of Staphylococcus aureus
[Hedwig Kresse] S. aureus bacteria have become a key concern in both the hospital and community setting and the increasing spread of resistant strains such as MRSA underlines the urgent need for new strategies for treatment and prevention of these infections. New research shows that immunisation against S. aureus has big potential in selected target groups.

Plant sterols to lower cholesterol have risks
Plant sterols have been touted as an effective way to lower cholesterol and reduce the risk of heart disease.


Nutrition
Fruit of the baobab to be available in European shops
An unusual fruit from a native African tree, the baobab, is to be available in the UK after being approved by the EU.

Now less sugar in Woolworth's juices - liquidlingo Communications
In the most recent step in its Good Food Journey, Woolworths has announced that it has reduced the amount of sugar in its chilled 100% fruit juices and nectars.


Obstetrics and Gynaecology
AFGHANISTAN: High birth rate killing mothers, infants - UNFPA expert
Afghanistan has the highest fertility rate in Asia - 6.7 - which not only means the deaths of thousands of young mothers and infants every year but also poses long-term challenges, an expert of the UN Population Fund (UNFPA) warned.


Public health
Loud music leads to more drinking in less time
A study of the effects of music levels on drinking in a bar setting has found that loud music leads to more drinking in less time.

Deadly lead recycling industry cripples Senegal's city neighbourhood
In the Dakar suburb of Thiaroye/Mer earlier this year 22 children died from lead poisoning over a three month period and in June a further 31 children were found to have potentially lethal levels of lead in their blood.

Donated blood safer than ever - South African National Blood Service
Not a single case of transmission of HIV, hepatitis B or hepatitis C by blood transfusion has been detected since South African National Blood Service (SANBS) introduced the most sensitive test in October 2005 to test every unit of donated blood.


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