FOCUS: PUBLIC HEALTH

Judge sets aside HIV contracts and orders fresh bidding process

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South Africa's biggest HIV drug tender has been set aside by the Gauteng High Court (Pretoria), which found that the contracts awarded were unconstitutional and invalid, and ordered the National Department of Health to restart the process from scratch, notes MedicalBrief. The court ruled that two companies – Viatris and Innovata – which won the lion’s share of the R15.5bn HIV drug tender should have been disqualified, while Cipla, which brought the challenge, was unfairly shut out, reports Business Day. Acting Judge Graham...

NEWS UPDATE

Medicine shortages worse a year after President's intervention

Unpaid provincial Health Department accounts, regulatory disputes with SAHPRA, and manufacturing pressures are among the reported causes of a widespread medicine shortage in South Africa – this despite President Cyril Ramaphosa’s intervention last year, reports News24. A task team that was established a year ago and which has met three times, has failed to resolve the issues, with critical shortages worse than ever. In fact, the Department of Health’s latest internal report for September, which tracks national medicine stock levels, shows that new shortages are emerging faster than existing problems can be resolved, reports News24’s sister publication Rapport. Reasons cited include the...

Public sector access to obesity jabs still far off

The chances of the Health Department offering GLP-1 drugs to public sector patients for obesity any time soon are remote, reports Business Day. While the WHO backed the treatments for long-term obesity almost a year ago, the department has yet to begin assessing whether to make them available, a senior official has confirmed. The national essential medicines committee is considering adding the medicines to the list of drugs that can be prescribed for diabetes patients on state healthcare facilities, but it has not yet even started to review the evidence for their use in obesity care, said the department’s chief director...

‘Gap cover is breaking medical schemes’ – SA actuaries

Four actuaries from Medscheme, one of the country’s largest medical scheme administrators, presented evidence at the Actuarial Society of South Africa (ASSA) convention in Cape Town recently on the impact of delayed medical scheme regulatory reform on South Africans, and possible solutions to the conundrum of higher costs for fewer benefits, reports News24. Using Medscheme and partner insurers’ data, Medscheme actuaries Stephanie van Niekerk, senior manager for actuarial product and group technical marketing; Elizabeth Greyling, senior actuarial analyst; Homaam Arend, actuarial analyst; and Allan Williams, associate consultant, highlighted how: Medical scheme benefits are reducing As the cost of providing prescribed minimum benefits...

800 Bronkhorstspruit contamination cases ‘not an ‘outbreak’, says Minister

Despite at least 830 people having been affected by the contaminated water in Bronkhorstspruit, and having sought medical help for gastrointestinal problems, Water and Sanitation Minister Pemmy Majodina insists there is no “outbreak”, reports Daily Maverick. She said the situation cannot be classified as an outbreak without fatalities or critical cases. And meanwhile, there is still no timeline on when piped tap water will be safe to drink, with communities complaining that water tanker supplies are erratic and unreliable. So far, 833 people have been affected by the outbreak, with about 40% of patients being toddlers under four, after drinking water from...

Queues, medicine shortages, plague clinic patients

Shortages of critical medicines and endless queues at clinics around the country are frustrating outpatients, whose anger is compounded by fear of having to do without vital medication, and safety concerns while waiting for opening hours. TimesLIVE reports that at Madidi Clinic in North West, Samuel Mogauwe (54) is clutching a prescription slip instead of the high blood pressure medicine he desperately needs. For weeks, he has left the clinic without his medication, forced to choose between his health and his finances as medicine shortages affect this rural community. “I haven’t had my tablets since September,” he said. “I just can’t afford...

Karoo patients travel for 10 hours for cancer care or dialysis

Patients in Beaufort West who need lifesaving dialysis and chemotherapy have to travel for 10 hours for help, with some having to book overnight stays for their treatments 300km away, reports GroundUp. The provincial Health Department said it has no immediate plans to introduce these treatments in the area any time soon. One patient, Phoebe Stephenson, makes the arduous 10-hour round trip to the George National Renal Care centre three times a week for treatment. Stephenson was diagnosed with a chronic kidney disease in April 2025, so every Monday, Wednesday and Friday, she and seven other patients from Beaufort West are...

Treasury flags perilous state of provincial Health finances

Continuing weak financial control in provincial Health Departments – and lack of improvement in audits – has been slammed by the Treasury, with a warning that this poses significant fiscal risks, reports Business Day. Five of nine Health Departments received qualified audits for the 2025/26 financial year, three received unqualified audits with findings, and only the Western Cape achieved a clean audit, with the the accumulation of accruals peaking at almost R25bn in 2024/25. While the Treasury helped reduce this to R20.5bn in 2025/26 with additional allocations to the provincial equitable share, the remaining accruals indicate continued pressure within provincial health...

Malaria cases in Gauteng tied to travel elsewhere, say experts

The surge in malaria cases in Gauteng this year was not caused by mosquito bites within the province, but rather, linked to people who had visited neighbouring countries and provinces after the January floods in southern Africa, reports Daily Maverick. More than 400 infections and 11 deaths in the first three months of 2026 had initially caused alarm, and in a public webinar last week entitled “What caused the 2026 spike in malaria cases in Gauteng?”, senior University of Pretoria malaria expert Professor Tiaan de Jager said the cases – reported in Johannesburg and Pretoria – were a shock in a province...

Free State records two mpox cases

Two people in Sasolburg have tested positive for mpox, with health officials saying both infections are linked to the same source, reports The Citizen. The development comes amid a wider increase in reported infections across the country, according to the Sedibeng Ster, with the National Department of Health noting South Africa had recorded 26 laboratory-confirmed cases since the start of 2026. The Free State Department of Health said the the two Sasolburg cases were linked to the same source, and that it was following up with a small number of close contacts, with assessments and testing under way. The first patient was reported to...

Public Protector slams Eastern Cape Health

After an unannounced visit to two hospitals in the Eastern Cape, an irate Public Protector Advocate Kholeka Gcaleka said the public health sector was in dire need of renewal, and that no progress had been made since Covid-19, reports Daily Dispatch. Gcaleka said she was prompted to visit the facilities – in Gqeberha and Butterworth – after numerous reports were sent to her office and the provincial offices “of a stagnant health sector which has continually deteriorated since the Covid-19 pandemic”. She expressed “extreme dissatisfaction” after her visit to Livingstone Hospital in Gqeberha, which had already been under investigation by her...

DA bogus doctor loses expulsion bid

Bogus doctor Abdulkader Elyas, who had approached the Western Cape High Court seeking a second opinion after his expulsion from the DA, was dealt a blow on Monday after his urgent bid to overturn his expulsion was postponed, reports News24. The postponement leaves Elyas’ challenge unresolved as he races to reverse the DA’s decision to terminate his membership and to protect his political position before the local government elections next week. Elyas had pleaded guilty in September 2024 to five charges of misrepresenting his credentials, including false claims of holding a Bachelor of Medicine and Bachelor of Surgery (MBChB), a BCom...

Indian court orders cancer drug price cuts

Cancer drug prices are to be drastically reduced in India after a retired bank clerk took her case to the Supreme Court, reports The Guardian. She died in September 2022, while her case was still pending. In a victory for sufferers, from next month, 137 cancer drugs will be cheaper as the government tries to stem the crisis of poorer patients either abandoning treatment, selling land, or falling into debt to meet the high cost of some medicines, which are raking in massive profits for hospitals and pharmacists. Sarojam Radhakrishnan, who worked for a bank in Kerala, was diagnosed with breast...

First human case of Shamonda virus identified in France

A disease normally only ever found in animals has been detected in humans for the first time, with the first known case of the Shamonda virus (Shav) being identified in a French patient who died in early October, reports the BBC. Shamonda belongs to the same group as Schmallenberg virus, which causes reproductive disorders in livestock. Health officials said it was an “exceptional case in a severely immunocompromised patient” but that there was currently no risk to the public. Shav primarily affects cattle and can be spread by infected midges. Cases have also occurred in sheep, goats, alpacas and horses, but infections...

US state sues OpenAI over ChatGPT’s medical advice

The US state of Iowa’s Attorney-General Brenna Bird has sued OpenAI, alleging the company misled consumers about its product ChatGPT’s safety and reliability, including the risks of receiving inaccurate or dangerous medical advice from the chatbot, reports Becker’s Health IT. Seven other states have filed separate lawsuits against OpenAI, all broadly challenging ChatGPT’s safety and OpenAI’s representations to consumers, while Iowa’s petition specifically includes allegations involving medical advice. The 91-page petition alleges that OpenAI violated the state’s Consumer Fraud Act by misrepresenting ChatGPT as a safe and trustworthy product despite evidence of potential harms to users. It specifically raises concerns about ChatGPT’s...

Nurse killed while responding to Ebola in DRC

A nurse was killed and a health worker severely injured after being attacked while responding to an Ebola alert in the Congo, reports the Associated Press. The WHO said this was the latest in a series of attacks on health workers and responders that authorities say is hampering efforts to slow the fastest-growing Ebola outbreak in the world. The attack took place on Saturday in the town of Bafwasende. Local authorities have not yet commented on the attack or the suspects. Last month, a Congolese politician was beaten to death in North Kivu after publicly defending the government’s response to Ebola. Earlier, on a radio show,...

Damning UK report on failures to stop Covid spread in care homes

A public inquiry in Britain has found appalling lapses in government decisions made during the pandemic, which, among other things, allowed Covid-19 to spread “like wildfire” among vulnerable and elderly people, reports The Guardian. It also revealed that the so-called “protective ring” around care homes – a long-held claim by former Secretary of State for Health and Social Care Matt Hancock – did not even exist and that the “opposite was true”. According to the report by Heather Hallett, who is leading the inquiry, and who has rejected his claim, the care sector was an “afterthought”, and the government’s failure to advise that...

Community Health Centre in the Cape reopens after deadly shootout

The Retreat Community Health Centre in Cape Town’s southern suburbs has reopened after a temporary lockdown last week triggered by a fatal shooting directly outside the medical facility, reports the Cape Argus. The violent incident unfolded late on the Sunday afternoon, a stone’s throw from the clinic. Western Cape South African Police Service (SAPS) spokesperson Captain Wesley Twigg said officers had responded to reports of gunfire and discovered four victims at the scene: one man was dead, while three others, aged between 16 and 21, were seriously injured and needed immediate emergency care. Twigg said preliminary reports indicated that the victims were...

MEDICO-LEGAL

ER doctor questioned after toddler found alive in morgue

A family is questioning the decisions made by an emergency room doctor after a toddler was pronounced dead “in error” at Mercy Gilbert Medical Centre in Arizona, and later found breathing inside the hospital morgue, reports ABC15 News. It was previously reported that 18-month-old Vincent Fiordilino had been taken to the hospital – on 8 February – after being found in his family’s pool. Police records and body-camera video, obtained by ABC15, show officers observing apparent signs of life after Vincent was pronounced dead. More than five hours later, he was found alive in the hospital morgue, when the Medical Examiner’s transport...

SOME RESEARCH HIGHLIGHTS IN THE PAST WEEK

DIET

Scientists find 10 diets linked to slower ageing – German study

A recent study of 10 different dietary patterns by DZNE (the German Centre for Neurodegenerative Diseases), has found that healthy eating, generally, is associated with slower biological ageing –...

Not all ultra-processed foods linked to cancer-risk – US study

A study of more than 460 000 Americans found that ultra-processed foods (UPF) were not associated with increased colorectal cancer risk overall, challenging a widely-held assumption. The study team...

HIV/AIDS

Slower walking linked to brain health in HIV+ people – UCT study

Recent research published in the Journal of NeuroVirology has suggested that the speed at which people with HIV walk could provide important clues about their brain health. The University of...

ONCOLOGY

How pancreatic cancer evolves to evade treatment – US study

A recently analysis of nearly half a million cells from dozens of pancreatic tumours, led by researchers at UC San Diego Moores Cancer Centre and New York University (NYU),...

Supplement helps reduce cancer-related ‘chemo brain’ – US study

A small, preliminary single-arm clinical study found that after eight weeks of treatment, cognitive function score almost doubled in breast cancer survivors who were treated with the supplement oxaloacetate,...

VACCINES

Kennedy’s jab plan could cause hepatitis B surge, study finds

Ending the practice of immunising all newborns against hepatitis B, as Health Secretary Robert F Kennedy Jr has recommended, would sharply increase the number of chronic infections and put...

TROPICAL DISEASES

Optimism that new drug could end sleeping sickness

Sleeping sickness is a notorious disease – a single bite from a tsetse fly carrying the parasite is all it takes to infect someone. Without treatment, one form of...

PULMONOLOGY

Novel breath test helps distinguish fibrotic lung conditions

Targeted sphingolipid profiling using high-performance liquid chromatography–tandem mass spectrometry warrants further study as a potential approach to characterising and assessing fibrotic interstitial lung disease (ILD), suggested research presented at...

RADIOLOGY

Non-surgical osteoarthritis treatment delivers relief – German study

A promising new treatment for knee arthritis may provide lasting relief for people struggling with osteoarthritis, and offer a potential alternative to joint replacement surgery by using tiny, dissolvable...

REPRODUCTIVE HEALTH

Finnish study seeks patterns in father-and-son reproductive health

From sperm quality and testosterone to testicular size, a study of Finnish and Danish father-son pairs recently investigated how closely men's reproductive characteristics resembled those of their fathers, with...

SLEEP HEALTH

‘Circadian depression’ might affect one in four people – Australian study

A recently published Australian study has suggested that about one in four people with severe depression could have a proposed subset called “circadian depression”, linked to the body’s internal...