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05 August 2020 | Story Dr Chantell Witten | Photo Supplied
Dr Chantell Witten

Globally, World Breastfeeding Week is celebrated from 1 to 7 August annually to raise awareness and galvanise action to promote, protect, and support breastfeeding. This year’s theme, #WBW2020, will focus on the impact of infant feeding on the environment/climate change to protect the health of babies, the planet, and its people. Sadly, despite all the health and social benefits of breastfeeding, South Africa has one of the lowest breastfeeding rates globally.  Why is this?

Women in general face a very hostile social environment in South Africa, even more so during the COVID-19 pandemic.  Almost one in two households in South Africa is female-headed, and approximately nine million children live in fatherless homes.  This puts an added burden on women, and most often mothers, to economically provide for essentials such as food, transport, and health care. Non-breastfeeding implies a reliance on other infant feeding, most often commercial and expensive. This inadvertently leads to inappropriate infant feeding, with the introduction of other foods before the age of six months.  The World Health Organisation and the National Department of Health recommends and promotes exclusive breastfeeding for all infants during the first six months of life.  In the era of lifelong antiretroviral treatment for HIV, all women can now safely breastfeed their infants. Infants younger than six months do not need anything else but breastmilk.

Breastmilk is a unique biological material that adapts to the needs of the growing infant.  Breastmilk provides nutrition, immunity, and unique nutrients to promote neurocognitive development.  However, to assist mothers in breastfeeding, we need a supportive environment at home, in our communities, and in our workplaces.  Breastfeeding mothers face an inordinate amount of pressure and negative inputs from hostile family who do not support the mother’s role to mother her child as she sees fit, or from hostile public spaces that do not cater for the breastfeeding mother, such as shopping malls and restaurants.  This saw Spur, the well-known family restaurant group, putting forward a public breastfeeding policy for their retail chain.  In order to support the return of breastfeeding mothers to the workplace, we need all workplace environments to endorse and comply with the code of good practice on pregnancy and afterbirth.  Perhaps in this time of COVID-19, more women will be working from home and will have the pleasure and privilege afforded to them to breastfeed their babies for longer.  The longer children are breastfed, the longer the health benefits and protection, even into the adult years.  Breastfeeding is associated with lower rates of obesity, lower rates of non-communicable diseases, and higher rates of cognitive development.

COVID-19 has forced us to have compassion and stand in solidarity with each other; now, more than ever, we need to stand together with breastfeeding mothers and women in general.  After all, breastfeeding is best for babies, best for our planet, and best for everyone.

 

Opinion article by Dr Chantell Witten, Division of Health Professions Education, University of the Free State

 

News Archive

Fracking in the Karoo has advantages and disadvantages
2012-05-25

 

Dr Danie Vermeulen
Photo: Leatitia Pienaar
25 May 2012

Fracking for shale gas in the Karoo was laid bare during a public lecture by Dr Danie Vermeulen, Director of the Institute for Groundwater Studies (IGS). He shared facts, figures and research with his audience. No “yes” or “no” vote was cast. The audience was left to decide for itself.

The exploitation of shale gas in the pristine Karoo has probably been one of the most debated issues in South Africa since 2011.
 
Dr Vermeulen’s lecture, “The shale gas story in the Karoo: both sides of the coin”, was the first in a series presented by the Faculty of Natural and Agricultural Science under the theme “Sustainability”. Dr Vermeulen is a trained geo-hydrologist and geologist. He has been involved in fracking in South Africa since the debate started. He went on a study tour to the USA in 2011 to learn more about fracking and he visited the USA to further his investigation in May 2012.
 
Some of the information he shared, includes:

- It is estimated that South Africa has the fifth-largest shale-gas reserves in the world, following on China, the USA, Argentina and Mexico.
- Flow-back water is stored in sealed tanks and not in flow-back dams.
- Fracturing will not contaminate the water in an area, as the drilling of the wells will go far deeper than the groundwater aquifers. Every well has four steel casings – one within the other – with the gaps between them sealed with cement.
- More than a million hydraulic fracturing simulations took place in the USA without compromising fresh groundwater. The surface activities can cause problems because that is where man-made and managerial operations could cause pollution.
- Water use for shale-gas exploration is lower than for other kinds of energy, but the fact that the Karoo is an arid region makes the use of groundwater a sensitive issue. Dr Vermeulen highlighted this aspect as his major concern regarding shale-gas exploration.
- The cost to develop is a quarter of the cost for an oil well in the Gulf of Mexico.
- Dolerite intrusions in the Karoo are an unresearched concern. Dolerite is unique to the South African situation. Dolerite intrusion temperatures exceed 900 °C.

He also addressed the shale-gas footprint, well decommissioning and site reclamation, radio activity in the shale and the low possibility of seismic events.
 
Dr Vermeulen said South Africa is a net importer of energy. About 90% of its power supply is coal-based. For continued economic growth, South Africa needs a stable energy supply. It is also forecast that energy demand in South Africa is growing faster than the average global demand.
 
Unknowns to be addressed in research and exploration are the gas reserves and gas needs of South Africa. Do we have enough water? What will be the visual and social impact? Who must do the exploration?
 
“Only exploration will give us these answers,” Dr Vermeulen said.

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