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03 July 2020 | Story Dr Nico Jooste and Cornelius Hagenmeier
Cornelius Hagenmeier,left, and Dr Nico Jooste.

South Africa has established itself as a regional higher education hub, which has until the recent COVID-19 pandemic been hosting increasing numbers of international students. The vast majority hails from the neighbouring countries in the Southern African Development Community and includes increasing numbers of postgraduate students, specifically doctoral students. The country has become one of the global epicentres of the pandemic. We argue that while the country is grappling with combating the virus, its higher education system and stakeholders must keep focusing on the post-COVID-19 future. The way the country and its higher-education system treat international students in the present crisis may determine whether it will be able to retain its position as a regional higher education hub, and whether it will be able to be a driver for PhD capacity development in the SADC region and Africa following the pandemic.

South African higher education has promoted ethical practices that govern their engagements with international students. The Code of Ethical Practice – accepted by all South African universities, guide the university’s actions for all phases of study, including the phase where students would be required to go home and return for studies. The common obstacles influencing international student mobility to and from the country caused by the lack of cooperation by government departments, should not have been a problem in this case, as all activities are coordinated by the South African National Coronavirus Command Council (NCCC). According to South Africa’s President, Cyril Ramaphosa, “the NCCC coordinates government’s response to the coronavirus pandemic. The NCCC makes recommendations to Cabinet on measures required in terms of the national state of disaster. Cabinet makes the final decisions”. (Written response by the President to written question NW 725 by Adv. G Breytenbach dated 5 June 2020.)  

International Students in the Initial Phase of the COVID-19 Crisis
The lockdown that the country imposed in March 2020 to combat the pandemic, resulted in a large part of its international student population returning home, particularly those hailing from neighbouring countries for whom travel was easy to organise. At the time, it was anticipated that students would be able to return after a three-week lockdown of the country. Most universities expected that their international students would come back to campuses after an extended recess in April 2020. At many universities, international offices assisted international students with travel arrangements and organised for those unable to travel, mostly students from other regions of the world, to remain in university residences until campuses would reopen. International students expected to be able to return to their universities soon, resulting in many travelling light and leaving essential learning, research, and personal items behind in residences.

However, controlling the COVID-19 pandemic proved far more complicated than anticipated, and the lockdown was replaced by a risk-adjusted strategy that provides for five alert levels, of which level five has the most severe restrictions on public life. As the country progressed to level four on 1 May 2020, South African universities were permitted to resume face-to-face classes for final-year medical students. On Wednesday (13/5), directions were gazetted that “allow for the once-off travel of final-year medical students studying at a public higher education institution to travel from their homes to the university campus where they are registered for study during the period 8-31 May 2020” (GG No. 43319 of 13 May 2020). No clarity was provided on whether this would include international students; the wording was at least wide enough to allow for this. Stakeholders interpreted the regulations in different ways, but at least a limited number of international final-year medical students returned from Lesotho. 

Preparation for the Resumption of Select Face-to-Face Classes 
When the South African Minister of Higher Education and Training, Dr Blade Nzimande, charted the way forward for South African higher education during the COVID-19 pandemic, he enunciated the principle that “all students should be given a fair opportunity to complete the academic year 2020” (speech on 23 May 2020). In this political announcement, he stated that final-year students in programmes requiring clinical training (e.g. nursing, and dental sciences) would begin from 1 June 2020. He postulated that other critical groups of students, including final-year and postgraduate students who require access to laboratory equipment, should be allowed to return to the country’s campuses. He did not refer in any way to a planned exclusion of international students, and at least some universities included international students in their planning for the resumption of select face-to-face classes in June 2020. 

International Students in Basic Education
When the teaching of select grades in basic education resumed in South Africa in June 2020, students from neighbouring countries were allowed to resume their daily commutes across the South African border according to regulations gazetted on 28 May 2020 (GG No. 43364 of 28 May 2020). It appears from individual reports received from border posts that boarding school students are returning from Lesotho and Botswana.

International Students in Higher Education   
As the country moved to alert level three on 1 June 2020, some stakeholders in South Africa’s higher education system anticipated that at least international students from neighbouring low-risk countries such as Lesotho or Botswana would be allowed to return when their face-to-face classes would resume. Directions issued by the South African Department of Higher Education and Training on 8 June 2020, however, unequivocally stated that ‘international students who returned to their home countries during the lockdown will only be permitted to return to campuses when Level 1 of the strategy is announced’ and explained, without elaborating on detail, that ‘these international students will be supported through remote learning until they return. Tailored catch-up plans will be implemented when they return.’ Consequently, many international students are likely to return after face-to-face classes in their modules have recommenced, and it is left to individual higher-education institutions to ensure that they are not ‘left behind’. Core challenges to ensure this include the cost of data in the main source countries of international students, as well as limited internet speed. Some universities are trying to alleviate this by providing data allowances for international students; however, this is not yet practised uniformly throughout the sector. 

Core Challenges 
To avoid harm to South Africa’s reputation as a preferred destination for international students, the country and its higher-education system will have to find satisfactory answers to critical questions:

• How can the South African higher-education system ensure that no international student is left behind in modules for which face-to-face classes resume, especially considering those who require clinical/laboratory training? A recent webinar between Vice-Chancellors from six SADC countries highlighted the fact that connectivity and data availability throughout Southern Africa is still one of the biggest challenges facing all higher-education systems. Not only the South African system, but all other SADC universities will have to be innovative to resolve this problem, especially where all have committed themselves to not leave any students behind.

• Who will bear the considerable cost for necessary interventions, such as the provision of data to international students abroad?

• How can the training of critical professions for combating COVID-19 in Southern Africa be sustained at South African higher-education institutions when degrees such as medicine (MB ChB degree) require clinical training and examinations through a practical component?

• How can reputational damage to South Africa as a destination for international students be avoided when, apparently, high school students from (at least) Lesotho are allowed to enter the country and return to boarding schools, but students in critical health science degrees are not allowed to return to classes?

Way forward
We posit that careful balancing of the often conflicting priorities of combating COVID-19, ensuring that no international students are left behind, and sustaining the training of professionals who are critical in the fight against COVID-19 in Southern Africa, is necessary to ensure that South Africa contributes optimally to the fight against the pandemic in Southern Africa and sustains its position as a preferred destination for international students post-COVID-19. It will be important to demonstrate to the world that the country is living up to its world-renowned Constitution, which entrenches equality as a fundamental right. Any differentiation between international and local students, as well as between secondary and tertiary education students, which does not have a rational connection to a legitimate government purpose such as protecting public health, may infringe the country’s internationally celebrated Constitution, taint South Africa’s standing as a higher education hub, and jeopardise its existing reputation as a preferred destination for international students. Moving forward, thoughtful action is required to ensure that future generations of international students choose to study in South Africa following the pandemic, and to encourage those who left in haste when the COVID-19 crisis intensified, to return to complete their studies. 

 

Opinion article by Dr Nico Jooste is Senior Director of the African Centre for Higher Education Internationalisation (AfriC) and a Research Fellow of the University of the Free State (UFS) South Campus. Mr Cornelius Hagenmeier is Director of the Office for International Affairs at the UFS and serves on the AfriC Board of Directors. Both are writing in their personal capacity.

News Archive

Research contributes to improving quality of life for cancer patients
2016-11-21

Description: Inorganic Chemistry supervisors  Tags: Inorganic Chemistry supervisors

Inorganic Chemistry supervisors in the Radiopharmacy
Laboratory during the preparation of a typical complex
mixture to see how fast it reacts. Here are, from the left,
front: Dr Marietjie Schutte-Smith, Dr Alice Brink
(both scholars from the UFS Prestige
Scholar Programme), and Dr Truidie Venter (all three
are Thuthuka-funded researchers).
Back: Prof André Roodt and Dr Johan Venter.
Photo: Supplied

Imagine that you have been diagnosed with bone cancer and only have six months to live. You are in a wheelchair because the pain in your legs is so immense that you can’t walk anymore – similar to a mechanism eating your bones from the inside.

You are lucky though, since you could be injected with a drug to control the pain so effective that you will be able to get out of the wheelchair within a day-and-a-half and be able to walk again. Real-life incidents like these provide intense job satisfaction to Prof André Roodt, Head of Inorganic Chemistry at the University of the Free State (UFS). The research, which is conducted by the Inorganic Group at the UFS, contributes greatly to the availability of pain therapy that does not involve drugs, but improves the quality of life for cancer patients.

The research conducted by the Inorganic Group under the leadership of Prof Roodt, plays a major role in the clever design of model medicines to better detect and treat cancer.

The Department of Chemistry is one of approximately 10 institutions worldwide that conducts research on chemical mechanisms to identify and control cancer. “The fact that we are able to cooperate with the Departments of Nuclear Medicine and Medical Physics at the UFS, the Animal Research Centre, and other collaborators in South Africa and abroad, but especially the methodology we utilise to conduct research (studying the chemical manner in which drugs are absorbed in cancer as well as the time involved), enhances the possibility of making a contribution to cancer research,” says Prof Roodt.

Technique to detect cancer spots on bone
According to the professor, there are various ways of detecting cancer in the body. Cancer can, inter alia, be identified by analysing blood, X-rays (external) or through an internal technique where the patient is injected with a radioactive isotope.

Prof Roodt explains: “The doctor suspects that the patient has bone cancer and injects the person with a drug consisting of an isotope (only emits X-rays and does no damage to tissue) that is connected to a phosphonate (similar to those used for osteoporosis). Once the drug is injected, the isotope (Technetium-99m) moves to the spot on the bone where the cancer is located. The gamma rays in the isotope illuminate the area and the doctor can see exactly where treatment should be applied. The Technetium-99m has the same intensity gamma rays as normal X-rays and therefore operates the same as an internal X-ray supply.” With this technique, the doctor can see where the cancer spots are within a few hours.

The same technique can be used to identify inactive parts of the brain in Alzheimer patients, as well as areas of the heart where there is no blood supply or where the heart muscle is dead.

Therapeutic irradiation of cancer
For the treatment of pain connected with cancer, the isotope Rhenium-186 is injected. Similar to the manner in which the Technetium-99m phosphonate compound is ingested into the body, the Rhenium-186 phosphonate travels to the cancer spots. Patients thus receive therapeutic irradiation – a technique known as palliative therapy, which is excellent for treating pain. A dosage of this therapy usually lasts for about two months.

The therapy is, however, patient specific. The dosages should correspond with the occurrence and size of cancer spots in the patient’s body. First, the location of the cancer will be determined by means of a technetium scan. After that, the size of the area where the cancer occurs has to be determined. The dosage for addressing total pain distribution will be calculated according to these results.

Technique to detect cancer spots on soft tissue
Another technique to detect cancer as spots on bone or in soft tissue and organs throughout the body is by utilising a different type of irradiation, a so-called PET isotope. The Fluor-18 isotope is currently used widely, and in Pretoria a machine called a cyclotron was produced by Dr Gerdus Kemp, who is a former PhD graduate from the Inorganic Research Group. The F-18 is then hidden within a glucose molecule and a patient will be injected with the drug after being tranquillised and after the metabolism has been lowered considerably. The glucose, which is the ‘food' that cancer needs to grow, will then travel directly to the cancer area and the specific area where the cancer is located will thus be traced and ‘illuminated’ by the Fluor-18, which emits its own 'X-rays'.

In the late 80s, Prof Roodt did his own postdoctoral study on this research in the US. He started collaborating with the Department of Nuclear Medicine at the UFS in the early 90s, when he initiated testing for this research.

Through their research of more than 15 years, the Inorganic Group in the Department of Chemistry has made a major contribution to cancer research. Research on mechanisms for the detection of cancer, by designing new clever chemical agents, and the chemical ways in which these agents are taken up in the body, especially contributes to the development in terms of cancer therapy and imaging, and has been used by a number of hospitals in South Africa.

The future holds great promise
Prof Roodt and his team are already working on a bilateral study between the UFS and Kenya. It involves the linking of radio isotopes, as mentioned above, to known natural products (such as rooibos tea), which possess anti-cancer qualities.

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