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Saturday, 23 August, 2025

FOCUS: NHI

NHI critics push back against state's ‘delaying tactics’

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NHI litigants have slammed a bid by the Health Ministry to consolidate five separate legal challenges to the National Health Insurance Act and to put them on hold – pending the outcome of a Constitutional Court case – accusing it of deliberately delaying matters. The Ministry says its proposal is a “pragmatic solution” to the many court cases challenging the Act, but doctors’ and medical aid organisations argue that it’s another stalling tactic aimed at pausing their litigation, reports the...

NEWS UPDATE

Legal suit on the cards against anti-migrant groups

Civil society groups, with the help of Lawyers for Human Rights, are preparing legal action in a bid to force authorities to act against anti-migrant groups which are continuing to bar foreigners from accessing healthcare at state facilities. This comes as a meeting last week between Health Minister Aaron Motsoaledi and anti-migrant group Operation Dudula failed to produce any tangible results, reports TimesLIVE. Motsoaledi told the SABC he had explained to the vigilante group how the process of immigration works, emphasising that no one should be denied healthcare, regardless of their documentation status, and warning them that “problems are solved through the...

Shortage of sub-specialist posts increases healthcare risks

The shortage of registrar and sub-specialist posts may save Health Departments millions in the short term, but experts warn it costs billions long-term in litigation and worsens patient outcomes, writes Chris Bateman for MedicalBrief. South Africa’s already dire specialist-to-patient ratios are falling further behind global norms, leading to preventable deaths and prolonged illness. Many registrars wait years for a funded post, some working without pay to complete their training, and others stuck as senior medical officers. The result is clogged referral chains, with tertiary specialists unable to assist at district level. Across provinces, shortages range from crisis to barely manageable. Specialists spend...

Weight-loss drug Wegovy debuts in SA

Novo Nordisk introduced its weight-loss drug Wegovy in South Africa last Thursday, marking its debut in Africa and stepping up competition with Eli Lilly’s Mounjaro, which launched in the country eight months ago, reports Reuters. South Africa has the continent’s fourth-highest number of adults with diabetes, according to the International Diabetes Federation, making it a key growth opportunity. “One in two adults right now in the country is obese or is carrying excess weight,” said Sara Norcross, GM of Novo Nordisk South Africa, at the launch event. “Wegovy is the first and only once-weekly GLP-1 right now that is registered for weight management,” she...

NHLS targets dented by 2024 cyber attack

The National Health Laboratory Service (NHLS) is still suffering from the cyber attack last June that annihilated its ICT systems and infrastructure, and resulted in it not meeting 25% of its annual targets, according to Dr Sylvia Sathekge, CIO of the NHLS. ITWeb reports that Sathekge was part of a panel discussing cyber security and building resilience at the 28th annual national conference of the Institute of Internal Auditors SA this week, where she admitted that because of the impact on the NHLS targets, cyber attacks had to be elevated to a top risk for the organisation and not a “by-the-way”. The organisation’s diagnostic...

AI helps detect rampant healthcare fraud and waste

While the financial haemorrhage linked to fraud, waste and abuse in the healthcare sector adds up to billions every year (between R22bn and R28bn), experts say advanced analytics and AI tools are emerging as powerful weapons in identifying irregular patterns and flagging suspect claims for investigation, reports the Sunday Times. The Health Funders Association (HFA) says fraud, waste and abuse (FWA) are not just draining the private health sector but also affecting the delivery of quality care, while undermining the sustainability of medical cover for millions of South Africans. The figures come from actuarial models based on claims analysis, cross-checked against...

Plans on track for new Western Cape hospitals

The Western Cape Department of Health & Wellness (DHW) plans to complete three hospital projects by 2033, with the new Klipfontein and Belhar regional hospitals aimed at strengthening the regional hospital network and easing pressure on existing facilities, according to a departmental spokesperson. Also in the pipeline is a state-of-art private hospital from Life Healthcare, in the Paarl area. Planning and design work is progressing well for the public hospital projects, along with the statutory and site-readiness processes needed before construction can begin, reports Engineering News. The Klipfontein Regional Hospital will serve Athlone, Gugulethu, Hanover Park, Manenberg, Mitchell’s Plain and Philippi, and...

FDA green-lights chronic lung disease treatment

The US Food and Drug Administration has approved oral brensocatib (Brinsupri) as the first treatment for non-cystic fibrosis bronchiectasis in adults and children 12 years and up, pharmaceutical company Insmed has announced. Medpage Today reports that as a first-in-class reversible dipeptidyl peptidase-1 (DPP-1) inhibitor, brensocatib addresses the underlying inflammatory process of the serious chronic lung disease, which can lead to permanent lung damage and affects roughly half a million people in America. Sufferers of non-cystic fibrosis bronchiectasis are vulnerable to persistent inflammation and repeated respiratory infections as the progressive disease permanently widens the airways and makes it difficult to clear mucus...

SA pharmacies support flavoured vape ban

Regulation of e-cigarettes in this country is long overdue, with flavoured vapes, especially, being described by the Independent Community Pharmacy Association (ICPA) as “bait”, reports Business Day. SA’s biggest association for independent pharmacies has long supported the government’s plan to introduce laws to regulate e-cigarettes, which it says could be useful for adults wanting to kick the smoking habit, but which needed to be regulated to protect children and ensure they did not contain dangerously high levels of nicotine. Parliament is currently holding public hearings on the draft Tobacco Products & Electronic Delivery Systems Control Bill, which seeks to introduce stricter...

HRT shortage leaves women struggling

A worldwide shortage of hormone replacement therapy medication is affecting women around the globe, leaving them unable to find relief from menopausal symptoms that range from inconvenient to debilitating, reports CBC. Drug Shortages Canada, an online database of drug shortages and discontinuations in the country, shows that since 2017, there have been 92 shortages and four discontinuations of products containing oestradiol, a form of oestrogen commonly used in HRT drugs. The products include transdermal patches, pills, vaginal rings, topical gels and creams. “If a woman can’t get her medication, she’s not going to be functioning as well. She’s not going to...

Vet council reports Minister for ‘overstepping’ his mandate

The SA Veterinary Council (SAVC) has accused Agriculture Minister John Steenhuisen of seeking to de-legitimise its free and fair elections and has written to President Cyril Ramaphosa, asking him to rein him in, reports City Press. In his letter, Registrar Mongezi Menye claimed the Minister’s directive to restart the process was unlawful because no governing body exists to provide oversight. A fortnight ago, Steenhuisen questioned the integrity of the election process of the regulatory body for the veterinary and para-veterinary professions, citing “inconsistent and conflicting communications to registered veterinary professionals regarding voting deadlines that created confusion and may have resulted in...

Experts oppose Kennedy’s hepatitis B jab theories

Scathing American public health experts are pushing back against doubts and criticisms about the hepatitis B vaccine spread by Health Secretary Robert F Kennedy Jr and his allies, saying his arguments “make no sense”. Since overhauling the Centre for Disease Control (CDC) Advisory Committee on Immunisation Practices (ACIP), Kennedy and his supporters have questioned the vaccine's safety and the need for a birth dose, reports Medpage Today. However, those assertions could erode public confidence in a vaccine credited with virtually eliminating childhood transmission of the virus in the United States, health professionals said. “To be pulling back on a safe vaccine that prevents liver disease...

Scientists call for stronger action in DRC mpox crisis

Mpox is spreading faster, showing new modes of transmission and affecting different populations, with scientists warning that the disease needs to be brought under control urgently, reports SciDevTech. An international researcher from the University of Manitoba, Canada, who is playing a key role on a global team working to track and understand the shifts in how mpox is spreading throughout the Democratic Republic of Congo (DRC), has called the expansion of the virus extremely concerning. “Viruses don’t have passports – and they don’t respect international borders. We need to get things under control urgently,” said team member Dr Jason Kindrachuk, UM...

Tainted fentanyl kills 96 patients in Argentina, more deaths suspected

A massive investigation has been launched in Argentina after at least 96 people, and possibly more, are thought to have died after being treated with medical-use fentanyl that was tainted with bacteria, reports The Guardian. The official death toll stands at 87, and a judicial source said nine further deaths were now being probed. The alarm was first raised in May, when dozens of hospital patients suffered serious bacterial infections. Strains of the bacteria Klebsiella pneumoniae and Ralstonia pickettii – some of which were resistant to multiple antibiotics – were detected in the patients. Investigators said the source was fentanyl, traced to...

Eastern Cape pupils hospitalised after school lunch

The Eastern Cape Department of Health said 131 children from Gobisizwe Agricultural School in Ngqeleni were admitted to hospital last week with suspected food poisoning. IOL reports that department spokesperson Siyanda Manana said the pupils became ill after eating a lunch of rice and tinned fish, provided by the school nutrition programme, last Wednesday. “About 70 children were transported to Nelson Mandela Academic Hospital, Mthatha Regional Hospital, and Ngangelizwe Community Health Centre by ambulance – and some who were in a serious condition were airlifted,” he said. While most were discharged the next say, another 30 had been admitted to Mthatha Hospital...

Innovative project sees Groote Schuur interns tackle GBV

Cape Town’s Groote Schuur Hospital has provided 50 medical interns with specialised training on how to sensitively screen for intimate partner violence (IPV) and administer a rape kit – in acknowledgment of Women’s Month, reports the Cape Argus. Kristy Evans, who is the Executive Director at the Groote Schuur Hospital Trust, said the programme instilled a sense of compassion and care in their staff, and changed how they responded to these types of cases. “Many women who walk into our hospital carry the silent weight of violence. This intervention gives them a moment of safety, of being seen and supported, often...

FDA grants priority review for oral gonorrhoea antibiotic

The US Food and Drug Administration (FDA) has accepted British pharmaceutical company GSK’s application for priority review of gepotidacin as an oral option for uncomplicated gonorrhoea infections, the company said last week. CIDRAP reports that gepotidacin is a first-in-class triazaacenaphthylene antibiotic that inhibits bacterial DNA replication by targeting a distinct binding site. In March, the FDA approved the antibiotic for treatment of uncomplicated urinary tract infections. But GSK, which developed gepotidacin in collaboration with the American government’s Biomedical Advanced Research and Development Authority, has also been evaluating its potential as a treatment for uncomplicated gonorrhoea. The company’s supplemental New Drug Application was...

Naked US doctor has licence revoked

A doctor in Arkansas suspected of having a sexual compulsive disorder has had his licence revoked a year after video footage captured him walking through his office stark naked and masturbating in front of three female employees, reports New York Post. David Diffine originally had his licence suspended last year after the Arkansas State Medical Board was made aware of his tendency to wander naked through his office – at one stage being caught on camera as he forced his employees to watch his antics. The board opted to revoke Diffine’s licence for five years after extensive interviews with his employees...

MEDICO-LEGAL

Life Esidimeni officials to be prosecuted for just two of the deaths

Families of those who died in appalling circumstances in the Life Esidimeni tragedy are furious that the National Prosecuting Authority (NPA) has decided former Gauteng Health MEC Qedani Mahlangu and former director of mental health Dr Makgabo Manamela are likely to face the music for only two victims’ deaths, reports Daily Maverick. The families have released a statement saying the Acting Director of Public Prosecutions, Marika Jansen van Vuuren, held a meeting with them on Monday to update them, and that the recommendation that only two of the deaths warranted prosecution was “unjust and a betrayal of the 144 lost...

Mother sues after baby swopped at birth

An Eastern Cape mother is suing the provincial Health Department for more than R1m after her baby was swopped at birth at Isilimela Hospital in Port St Johns last year. The Daily Dispatch reports that the woman wants MEC Ntandokazi Capa to pay her for general damages and future medical and related expenses, but the department is preparing to challenge the claim. The mother – who was given the wrong baby by the hospital staff in August – is claiming R800 000 for general damages and R500 000 for future medical expenses for psychotherapy due to the trauma of the ordeal. When...

Nurses' negligence likely caused baby's brain damage – judge

Negligent nurses at a rural Eastern Cape hospital likely caused a baby's severe brain damage, an Eastern Cape judge has ruled, saying the child would have been delivered without harm, but for the staff’s inadequate monitoring, lack of clinical knowledge and skills, and non-compliance with the maternity guidelines. MedicalBrief reports that the nurses, at the Isilimela Hospital, in the Port St John’s District, used oxytocin to induce birth after a prolonged labour, but failed to monitor the foetal heart rate or for excessive uterine contractions, which can starve the baby of oxygen, according to the judgment handed down on 29...

Hospital fires 15 nurses after girl (12) kills herself

A Washington children’s hospital sacked 15 nurses after a 12-year-old patient killed herself at the facility where she was advised to have 24-hour supervision, reports KGNS News. According to a filed lawsuit, on the night of 13 April, the girl, Sarah Niyimbona, left her room in the Providence Sacred Heart Children’s Hospital and died after jumping off a parking garage roof. Since 2024, the girl had repeatedly been admitted to the hospital’s emergency department because of multiple attempts to commit suicide. Despite the need for her 24-hour monitoring, the healthcare worker assigned to monitor her was removed by the hospital, along with...

SOME RESEARCH HIGHLIGHTS IN THE PAST WEEK

DERMATOLOGY

Skin lightener cancer risk flagged in African study

Thousands of women risk developing cancer from skin-lightening products – freely available on the informal market, despite being regulated – according to a study collaboration between a South African...

DIET

Cancer risk could drop by 45% with vegetarian diet – US study

Recent evidence from a study by American researchers has reinforced the conclusions that diets packed with veggies and fruit are are strongly associated with benefits that include everything from...

MENTAL HEALTH

ADHD drugs have wider life benefits – Swedish-UK study

Medication can help people newly diagnosed with ADHD to reduce their risk of substance misuse, suicidal behaviour, transport accidents and criminality, scientists have suggested. The BBC reports that around 5%...

NATURAL REMEDIES

High hopes for newly-found cannabis leaf compound – Stellenbosch study

Researchers at Stellenbosch University say they have identified a rare class of chemical compounds – flavoalkaloids – in the leaves of cannabis plants, which could open new doors for...

RESPIRATORY

Child vapers three times likelier to become smokers – global study

A large global review has suggested links between youth vaping and pneumonia, bronchitis, lower total sperm counts, headaches and migraines, while the researchers also discovered a tie between depression...