Estimating the Burden of Disease Attributable to Interpersonal Violence in South Africa in 2000 (Scientific Letter) (Letter to the Editor)

Estimating the Burden of Disease Attributable to Interpersonal Violence in South Africa in 2000 (Scientific Letter) (Letter to the Editor)

To the Editor: Violence, previously considered a social issue, is now an acknowledged public health problem. It is defined as the intentional use of physical force or power, threatened or actual, against another person, against oneself, or against a group or community, that results in injury, death or deprivation. (1) In this study we focus […]

Hyperglycemic Crisis in the Eastern Cape Province of South Africa: High Mortality and Association of Hyperosmolar Ketoacidosis with a New Diagnosis of Diabetes (Original Articles) (Clinical Report)

Hyperglycemic Crisis in the Eastern Cape Province of South Africa: High Mortality and Association of Hyperosmolar Ketoacidosis with a New Diagnosis of Diabetes (Original Articles) (Clinical Report)

Diabetic hyperglycaemic crisis is a major reason for high-care unit admissions, (1) with mortality rates of up to 30%. (2-9) It is characteristically classified as ketoacidotic or hyperosmolar.10 Presentations with the combination of ketoacidosis and hyperosmolality are recognised, (6,7,11-16) and have variably been described as ketoacidosis with hyperosmolality or hyperosmolar state with ketoacidosis, depending on […]

Educational Factors That Influence the Urban-Rural Distribution of Health Professionals in South Africa: A Case-Control Study (Original Articles) (Report)

Educational Factors That Influence the Urban-Rural Distribution of Health Professionals in South Africa: A Case-Control Study (Original Articles) (Report)

Among factors that influence health professionals’ career choices in favour of rural and under-served communities, the role of undergraduate and postgraduate training is assumed to be significant. (1-3) Selection criteria for entry to training, timing, duration, site and type of exposure to educational opportunities in rural and underserved areas during the undergraduate phase, and the […]

NDM-1 Has Arrived: First Report of a Carbapenem Resistance Mechanism in South Africa (Scientific Letter) (Carbapenemase) (Letter to the Editor) (Report)

NDM-1 Has Arrived: First Report of a Carbapenem Resistance Mechanism in South Africa (Scientific Letter) (Carbapenemase) (Letter to the Editor) (Report)

To the Editor: Resistance to [beta]-lactam antibiotics in Enterobacteriaceae has steadily increased, with the emergence of carbapenem-resistant Enterobacteriaceae (CRE) seen in the past decade. Resistance to carbapenems may be mediated via a variety of mechanisms, but the development and spread of carbapenemases ([beta]-lactamase enzymes that hydrolyse carbapenems and many other [beta]-lactam antibiotics) in Enterobacteriaceae has […]

Fatal Road Traffic Accidents in the Mthatha Area of South Africa, 1993-2004 (Original Articles)

Fatal Road Traffic Accidents in the Mthatha Area of South Africa, 1993-2004 (Original Articles)

Each year, 1.2 million people die in RTAs worldwide and millions more sustain injuries, with some suffering permanent disabilities; the young are particularly vulnerable. The average daily global death toll is 3 285 people. (1) Earlier this century, public health experts predicted that, if current trends continue, RTA injuries will have risen by 60% by […]

Mental Health Service Delivery in South Africa from 2000 to 2010: One Step Forward, One Step Back (Original Articles) (Report)

Mental Health Service Delivery in South Africa from 2000 to 2010: One Step Forward, One Step Back (Original Articles) (Report)

In 2000, Rita Thorn published a systematic review of mental health services research in southern Africa, conducted from 1967 to 1999. (1) The review suggested a need to shift from centralised institutional care, which characterised apartheid South Africa, towards decentralised, integrated and community-based services provided within a human rights framework. The use of trained non-specialists […]

Prevention of Mother-To-Child Transmission of HIV Programme: Low Vertical Transmission in Kwazulu-Natal, South Africa (Original Articles) (Human Immunodefeciency Virus)

Prevention of Mother-To-Child Transmission of HIV Programme: Low Vertical Transmission in Kwazulu-Natal, South Africa (Original Articles) (Human Immunodefeciency Virus)

Objective. To describe the operational effectiveness of the prevention of mother-to-child transmission (PMTCT) of HIV programme at McCord Hospital during the period 1 March 2004-31 August 2005. Design. Observational cohort study.