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09 November 2018
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Story Charlene Stanley
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Photo Charlene Stanley
Dr Tseliso Ntili, HOD of the Free State Department of Water and Sanitation, warns that pollution caused by mismanagement of municipal water-treatment works puts severe pressure on the province’s water security.
“Despite our water challenges, Bloemfontein will never become a second Cape Town.” This firm assurance was given by Dr Tseliso Ntili, HOD of the Free State Department of Water and Sanitation, during his presentation at the recent regional seminar of the Faculty of Law’s Environmental Law Association.
The theme of the seminar was Water Quality and Water Security in Bloemfontein and was attended by staff and students from the Faculty of Law and the Faculty of Natural and Agricultural Sciences, as well as relevant role players from private, business, and government sectors.
Not enough water for city’s needs
Water restrictions in some form do seem to remain part of our future landscape though, as Dr Ntsili explained that the city’s current water yield of 218 megalitres per day still fell short of the demand of 259 megalitres per day.
Pollution and mismanagement at municipal level
He pointed out that a big cause for concern was that 75% of the Free State’s waste-water treatment works were dysfunctional. Housekeeping and security at these plants are often severely neglected. Yet, it is difficult for the Department of Water and Sanitation to act against offending municipalities.
“In intra-governmental disputes, the courts must be satisfied that organs of state have taken all reasonable steps to settle contentions – which can be a time-consuming process,” he explained.
Dr Ntsili said that the Caledon River System’s dwindling water levels due to low rainfall and siltation was also a concern, but that plans were underway to supplement the water supply to Bloemfontein via the Gariep Dam by 2026.
However, he warned that poor water management could drastically affect these long-term plans.
“If we can’t manage pollution, the cost will be high. Water security will be challenged, and we will have water shortages – not because of drought, but because of negligence.”
Haemophilia home infusion workshop
2017-12-17
Parents receive training for homecare of their children with haemophilia.
Photo Supplied
Caregivers for haemophilia patients, and patients themselves from around the Free State and Northern Cape attended a home infusion workshop held by the Clinical Skills unit in the Faculty of Health Sciences in July 2017. “It felt liberating and I feel confident to give the factor to my son correctly,” said Amanda Chaba-Okeke, the mother of a young patient, at the workshop. Her son, also at the workshop, agreed. “It felt lovely and good to learn how to administer factor VIII.”
Clinical skills to empower parents and communities
There were two concurrent sessions: one attended by doctors from the Haemophilia Treatment Centre, and the other attended by community members including factor VIII and XI recipients, caregivers and parents. The doctors’ meeting was shown informative videos and demonstrations on how to administer the newly devised factor VII and XI kit, and discussed the pressing need for trained nurses at local clinics. Dr Jaco Joubert, a haematologist, made an educational presentation to the community members.
The South African Haemophilia Foundation was represented by Mahlomola Sewolane, who gave a brief talk about the role of the organisation in relation to the condition. Meanwhile, procedural training in the simulation laboratory involved doctors and nurses helping participants to learn the procedures by using mannequins and even some volunteers from among the patients.
A medical condition causing serious complications
Haemophilia is a medical condition in which the ability of the blood to clot is severely impaired, even from a slight injury. The condition is typically caused by a hereditary lack of a coagulation factor, most often factor VIII. Usually patients must go through replacement therapy in which concentrates of clotting factor VIII (for haemophilia A) or clotting factor IX (for haemophilia B) are slowly dripped or injected into the vein, to help replace the clotting factor that is missing or low. Patients have to receive this treatment in hospital.