The Prevalence of Hepatitis B Co-Infection in a South African Urban Government HIV Clinic (Original Articles) (Clinical Report)

The Prevalence of Hepatitis B Co-Infection in a South African Urban Government HIV Clinic (Original Articles) (Clinical Report)

Objective. There are an estimated 350 million hepatitis B carriers worldwide. In South Africa the prevalence of mono-infection with hepatitis B has been estimated to range from 1% in urban areas to approximately 10% in rural areas. The exact prevalence of hepatitis B in the HIV-infected population has not been well established. Hepatitis B screening […]

Progress of Preventing Mother-To-Child Transmission of HIV at Primary Healthcare Facilities and District Hospitals in Three South African Provinces (Scientific Letters) (Report)

Progress of Preventing Mother-To-Child Transmission of HIV at Primary Healthcare Facilities and District Hospitals in Three South African Provinces (Scientific Letters) (Report)

Since the introduction of prevention of mother-to-child-transmission (PMTCT) strategies, vertical transmission of HIV has declined in low- and middle-income countries over 20 years from 20-40% to 2.8% in the best-case scenarios. (1) In wealthy countries, transmission rates are below 2%. (2,3) In South Africa, the revised clinical guidelines introduced in 2010 included starting dual zidovudine/nevirapine […]

The Contribution of South African Curricula to Prepare Health Professionals for Working in Rural Or Under-Served Areas in South Africa: A Peer Review Evaluation (Original Articles)

The Contribution of South African Curricula to Prepare Health Professionals for Working in Rural Or Under-Served Areas in South Africa: A Peer Review Evaluation (Original Articles)

The Collaboration for Health Equity through Education and Research (CHEER) was formed in 2003 to examine strategies that would increase the production of health professional graduates who choose to practise in rural and under-served areas in South Africa. It consists of an academic from each of nine universities in South Africa with a health science […]

Protection of Human Participants in Health Research--a Comparison of Some US Federal Regulations and South African Research Ethics Guidelines (Issues IN RESEARCH)

Protection of Human Participants in Health Research–a Comparison of Some US Federal Regulations and South African Research Ethics Guidelines (Issues IN RESEARCH)

In response to criticism of ethical review of a South African clinical trial, we contrast aspects of the United States Common Rule with South African research ethics requirements. In the USA the Common Rule does not apply to all health research and allows many exemptions from ethics review and waivers of informed consent. At a […]

NHI Consensus: Fix the Existing System Or Risk Failure (Izindaba) (National Health Insurance) (South African Medical Association)

NHI Consensus: Fix the Existing System Or Risk Failure (Izindaba) (National Health Insurance) (South African Medical Association)

[ILLUSTRATION OMITTED] It’s not often that 360 doctors of varying disciplines, anxiously awaiting the birth of a much-feted infant, agree on the diagnosis and urgent treatment of its severely ailing mother. That’s what happened at the South African Medical Association (SAMA)’s prenatal ‘check-up’ of the impending National Health Insurance (NHI), at Emperor’s Palace in Gauteng […]

Potential for Nosocomial Transmission of Multidrug-Resistant (MDR) Tuberculosis in a South African Tertiary Hospital (Original Articles) (Report)

Potential for Nosocomial Transmission of Multidrug-Resistant (MDR) Tuberculosis in a South African Tertiary Hospital (Original Articles) (Report)

Tuberculosis (TB) is a major health problem in the Western Cape, with a rising incidence which now exceeds 900 per 100 000 population. (1) In this setting, nosocomial transmission of TB is a potential risk, particularly to HIV-infected or other immunocompromised patients. Nosocomial outbreaks of TB are usually noted initially because of increasing rates of […]