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21 October 2021 | Story André Damons | Photo Supplied
Prof Alicia Sherriff, head of the Department of Oncology at the University of the Free State (UFS), says Breast Cancer Awareness Month is important as continued awareness-making of the general population on the risks and signs of breast cancer are essential to ensure early diagnoses and improve the possibility of long-term survival.
Breast cancer among South African women is increasing and is one of the most common cancers among women in South Africa and at Universitas Academic Complex in the Free State, is only second to cervical cancer. 

Prof Alicia Sherriff, head of the Department of Oncology at the University of the Free State (UFS), says 1.8% of breast cancer diagnoses in South Africa are made in men. At Universitas Annex, they treat on average 350-400 new breast cancer patients annually. They have not seen an increase in cancer cases in the past two years; Prof Sherriff says the COVID-19 pandemic definitely had an impact on patients accessing health care and patient referrals.

It is for this reason that Breast Cancer Awareness Month is so important since continued awareness-making of the general population on the risks and signs of breast cancer are essential to ensure early diagnoses and improve the possibility of long-term survival. Early detection is of the utmost importance, since breast cancer is treatable and curable. Awareness is critically important in all age groups and communities. 

Globally, female breast cancer has now surpassed lung cancer as the leading cause of cancer incidence in 2020, with an estimated 2.3 million new cases, representing 11.7% of all cancer cases. 

This is a according to an article in the American Cancer Society which also states that breast cancer accounts for one in four cancer cases in women and is the cause of deaths for one in six patients. It is the fifth leading cause of cancer mortality worldwide, with 685,000 deaths.

According to Prof Sherriff, breast cancer is the abnormal growth of breast tissue. The cause is unknown in most patients but there are some factors that increase your risk of developing breast cancer; for example familial genetic syndromes, smoking and excessive alcohol use and obesity. 

“It is important to note that a person can develop breast cancer even if there is no family history or any of the above-mentioned risk factors. The risk of developing breast cancer increases with age. That said, women as young as 18 years of age have been diagnosed with breast cancer. Self-examination is important so women can be familiar with their breasts and any change will be picked up early. When you self-examine always do it at the same time of the menstrual cycle to experience an equal impact of the hormonal cycle in the female body,” says Prof Sherriff. 

Breast cancer in young women

Less than 2% of patients diagnosed with breast cancer are younger than 34years of age, but it is important to realise that it can happen and if it does arise in the younger age group it tends to be more aggressive and related to genetic mutation.

“The young breast tends to be very dense and therefore more difficult to interpret on a mammogram. For females younger than 40-45 years or women with dense breast tissue, breast sonar is advised to evaluate the breast and sometimes an MRI (magnetic resonance imaging) might be requested, but this is not standard practice. 

“Reproductive and hormonal risk factors to consider are: Early age at menarche, later age at menopause, advanced age at first birth, fewer number of children, less breastfeeding, menopausal hormone therapy, oral contraceptives. These factors all increase the duration of the female breast being exposed to higher levels of estrogen. Certain lifestyle risk factors (alcohol intake, excess body weight, physical inactivity) also increase the levels of hormonal exposure,” says Prof Sherriff. 

Breast cancer rising 

According to an article in the American Cancer Society, incidence rates of breast cancer are rising fast in transitioning countries in South America, Africa, and Asia as well as in high-income Asian countries (Japan and the Republic of Korea), where rates are historically low. 

Dramatic changes in lifestyle, sociocultural, and built environments brought about by growing economies and an increase in the proportion of women in the industrial workforce have had an impact on the prevalence of breast cancer risk factors which include the postponement of childbearing and having fewer children, greater levels of excess body weight and physical inactivity, and have resulted in a convergence toward the risk factor profile of Western countries and narrowing international gaps in breast cancer morbidity.

“Some of the most rapid increases are occurring in sub-Saharan Africa. Between the mid-1990s and mid-2010s, incidence rates increased by more than 5% a year in Malawi (Blantyre), Nigeria (Ibadan), the Seychelles, and 3% to 4% a year in South Africa (Eastern Cape) and Zimbabwe (Harare). Mortality rates in sub-Saharan regions have increased simultaneously and rank now among the world’s highest, reflecting weak health infrastructure and subsequently poor survival outcomes. 

“The five-year age-standardised relative survival in 12 sub-Saharan African countries was 66% for cases diagnosed during 2008 through 2015, sharply contrasting with 85% to 90% for cases diagnosed in high-income countries during 2010 through 2014. The country-specific estimate was as low as 12% in Uganda (Kyadondo) and 20% to 60% in South Africa (Eastern Cape), Kenya (Eldoret), and Zimbabwe (Harare),47% comparable to 55% in the US state of Connecticut and 57% in Norway during the late 1940s,48 3 decades before the introduction of mammography screening and modern therapies,” the article reads.

Low survival rates in sub-Saharan Africa are largely attributable to late-stage presentation. According to a report summarising 83 studies across 17 sub-Saharan African countries, 77% of all stage cases were stage III/IV at diagnosis. Because organised, population-based mammography screening programs may not be cost effective or feasible in low-resource settings, efforts to promote early detection through improved breast cancer awareness and clinical breast examination by skilled health providers, followed by timely and appropriate treatment, are essential components to improving survival.

Physical symptoms and treatments 

Prof Sherriff says screening (checking for disease when there are no symptoms) for breast cancer in the normal population should start at age 40-45, where possible and yearly mammogram with sonar would be preferred. If there is a strong family history with the diagnoses of breast cancer earlier screening should start five to 10 years prior to first diagnoses. Self examination is an essential component of screening. 

The physical symptoms you can experience that might be indicative of breast cancer are:
- A lump in the breast which does not have to be painful 
- Changes of the skin of the breast referring to dimpling, the colour, or texture
- Changes in the appearance of the nipple (areola)
- A clear or bloody discharge from the nipple

The treatment for breast cancer consists of a combination of surgery, chemotherapy, radiation therapy and hormonal therapy. The treatment is individualised based on patient and cancer factors. Some patients will need all of the above whilst others may not. It is essential that the decision on the appropriate management is made in collaboration with the patient as part of the multidisciplinary team of specialists and allied health care workers.

News Archive

State of our campuses
2017-10-30

STATEMENT OF THE RECTOR AND VICE-CHANCELLOR

The protests and disruptions of academic activities by students or groups of students on the Bloemfontein and Qwaqwa Campuses of the University of the Free State (UFS) since 18 October 2017 are taking place at a critical time in the academic calendar when students are writing the end-of-year examinations.

Not only does this place strain on students preparing for examinations, it also places strain on their families, and the entire university community.

I have spent most of my time since 18 October 2017 engaging with a large number of the university’s stakeholders, including concerned parents, staff, union representatives, alumni, the media, and various interest groups to share our plans and approach towards the protests and disruptions, and to ensure our stakeholders of the executive management’s commitment towards ensuring the stability of the campuses, and the uninterrupted completion of the 2017 academic year. Similar engagements by the executive management with the Student Representative Councils (SRCs) of the Bloemfontein and Qwaqwa Campuses have also taken place, and will continue.

During the past week, the disruption of academic activities, damage to and destroying of university property, criminal behaviour, and the violation of the rights of staff and students have occurred. Such behaviour is condemned in the strongest terms by the executive management, and directly contravenes the interdict granted to the UFS by the High Court of South Africa’s Free State Division on 22 February 2017. Although the university supports peaceful protests, I appeal to student leaders and the students who are in support of the protests, to continually prioritise the completion of the exams and the academic year.  The executive management will keep on supporting peaceful protests of students about matters that are important to them, and obviously important to the university. However, we do not support the kind of disruptions and protests that transpired since 18 October 2017.

Last week, we were also made aware of alleged excessive use of force and assault of students by private security companies hired by the UFS at both the Bloemfontein and Qwaqwa Campuses. These allegations are currently being investigated. The executive management condemns in the strongest terms any misuse of force by private security. 

The situation on the Bloemfontein and Qwaqwa Campuses is being closely monitored, and the necessary contingency plans remain in place to ensure the safety of staff and students, and to safeguard university property.

The executive management understands and shares the concerns of academic and support service staff about the completion of the academic year. We also understand the emotional anxiety that student protests and defiance generates among staff and students. I want to thank the university community for their support, as well as members of the institutional task team for their remarkable work under difficult and trying circumstances.

There is continuity between the student protests that started last year in October and what we are facing now. The unifying theme is students’ experience of financial exclusion from higher education. A contributing factor is the fact that President Jacob Zuma has not yet released the Heher Commission’s Report on the feasibility of fee-free higher education and training, which was handed to him at the end of August 2017.

The latest developments indicate that the President might release the report by the end of the coming week. This will hopefully provide more certainty on the issue of free higher education, and could therefore contribute to the stability on campuses at South African universities. The UFS, as a collective, will actively engage with the recommendations in the report once it is available.

The executive will continue to engage with the SRC, not only to strengthen the relationship between these bodies, but to constructively address various domestic challenges on our campuses.

Prof FW Petersen
Rector and Vice-Chancellor
University of the Free State

 

UPDATE: 27 October 2017 at 15:03: Concession for students who experienced trauma on Friday 20 October 2017

As part of an agreement between the UFS Executive Management and the Bloemfontein Campus SRC on Monday 23 October 2017, it was agreed that there would be a process in place to allow students to write an additional exam if they experienced physical, emotional or psychological trauma relating to events that took place on the Bloemfontein and Qwaqwa Campuses on Friday 20 October 2017.

The names and student numbers of students were sent to management. In total, 1 236 student numbers were received, of which only 1 152 students were matched and qualified for an additional exam in place of the main examination that took place in the period 23 October to 28 October 2017.

Note: Only students with predicates qualify for the above concession.

Students will be notified via email by Wednesday 1 November 2017 if their applications have been successful. Should you have any enquiries regarding the notification or need to follow up on the process, you may contact the Student Academic Services Examination Division at addexam@ufs.ac.za. Lecturers will be notified via the Dean of the relevant faculty.

The students approved via this process, will also be eligible to apply for an ad hoc exam. This process will be managed by the Student Academic Services Examination Division.

Definitions:
·  Main Examination: The first sitting of the final examination
·  Additional Examination: The second sitting of the final examination. For the above students, this will be their first opportunity.
·  Ad hoc Examination: A once-off concession for the above students, which allows them to apply for a second opportunity.
·  Special Examination: A last opportunity given to students who have one module outstanding to complete their qualification. This examination is managed by the relevant ‘home’ of the outstanding module.
 

UPDATE: 26 October 2017 at 15:00: The exams on the campuses are continuing and no disruptions have been experienced since it started on Monday 23 October 2017. 

A fire broke out on the Rag Farm of the University of the Free State’s (UFS) Bloemfontein Campus during the early hours of Thursday 26 October 2017, damaging the western side of the building. Arson is expected and the incident is being investigated by the South African Police Service (SAPS). On the same campus, two students were arrested in the early hours of Thursday morning for attempts to light a fire next to the Main Building. The incident is also being investigated by the SAPS. 

On the Qwaqwa Campus, the situation is calm and no incidents were reported since yesterday morning.

The situation on the Bloemfontein and Qwaqwa Campuses is being closely monitored, and the necessary contingency plans remain in place to ensure the continuation of the exams, the safety of staff and students, and the safeguarding of university property.
 

UPDATE: 25 October 2017 at 14:26: Exams at the University of the Free State (UFS) are continuing today without disruptions on the campuses, after commencing on Monday 23 October 2017.

Early this morning, six students were arrested on the Qwaqwa Campus for contravening the Interdict. One of the two students who was injured and hospitalised the evening of 22 October 2017 on the Qwaqwa Campus during an incident between students, security officers, and members of the South African Police Service (SAPS) when a firearm was allegedly released, has been discharged. The second student is still in hospital and recovering well. The private security company involved in this incident has since been suspended and the incident is being investigated.
 
The necessary safety contingency plans remain in place on the campuses, and continued discussions/conversations between the executive management and the SRCs are taking place. Notices of intention to suspend will be issued to students who performed acts of a criminal nature or who violated the rights of staff and students.

 

UPDATE: 24 October 2017 at 13:36: Situation on the UFS Bloemfontein and Qwaqwa Campuses on 24 October 2017 

The exams on the campuses of the University of the Free State (UFS) started yesterday (23 October 2017) without disruptions. The situation on the Bloemfontein and Qwaqwa Campuses is calm today and no disruptions have occurred at exam venues. The necessary safety contingency plans remain in place.  

UPDATE: 23 October 2017 at 14:54: Agreement between the UFS executive management and the Bloemfontein Campus SRC on Monday 23 October 2017
 
During a meeting between the executive management of the University of the Free State (UFS) and the Bloemfontein Campus Student Representative Council (SRC) this morning, the following was agreed:
 
1.       Students who feel traumatised by events that took place on the Bloemfontein and Qwaqwa Campuses on Friday 20 October 2017 and do not think that they are fit to write exams, must provide their names and student numbers to the respective SRCs.
 
2.       In Bloemfontein, email should be sent to Asive Dlanjwa at DlanjwaA@ufs.ac.za; TyidaS@ufs.ac.za or submitted at Steve Biko House, Office 54. In Qwaqwa, email should be sent or submitted to the SRC President, Masopha Hlalele, at 2013037573@ufs4life.ac.za. These students will be excused from the exams taking place between 23 October and 28 October 2017, and will be given a chance to write additional exams. These exams will be regarded as the first opportunity.
 
3.       Students injured on the Bloemfontein Campus as a consequence of the events of Friday 20 October, should contact Dr WP Wahl from Student Affairs (to arrange for medical assistance).
 
4.       Students who wrote exams today (23 October 2017), but who feel that they have done so despite being traumatised and want to withdraw from the examination list, must indicate their names, student numbers, and the exam that they wrote. These students are also eligible for additional exams in relation to the exams set for the week of 23 October to 28 October.
 5.       A window period of 48 hours (ending at 15:00 on Wednesday 25 October 2017) will be given to provide the names and details of students who experienced trauma to come forward for these arrangements to take place.
 
The following was also confirmed again during the meeting:
 
•         Students in Armentum and Beyers Naudé residences, which were singled out by the SRC as particularly affected by the events, would be offered counselling and medical assistance.
 
•         The 36 students jailed on Friday 20 October 2017, as well as those students residing in Armentum and Beyers Naudé who were traumatised or hurt by the events, will be starting exams a week later and will be given additional examinations for the modules they had to write during the week of 23 October to 28 October 2017.
 
•         Additional examination will be granted to all members of the SRC.
 
•         Any other student who was affected by Friday’s events and who is in need of counselling or medical attention, must indicate this to the SRC or the Office of the Dean of Students.
 
Please note the procedure for accessing counselling services: On the Bloemfontein Campus, students must go to  the Student Counselling Offices, Health and Counselling Building (above Kovsie Health),  to fill in the necessary forms and schedule emergency appointments.

UPDATE: 23 October 2017 at 07:28: Summary of events on the Bloemfontein and Qwaqwa Campuses since Wednesday 18 October 2017

Disruption of academic activities at the UFS started on the morning of Wednesday 18 October 2017 when a group of students blocked the main entrance to the Qwaqwa Campus and handed a memorandum to the campus management. Academic activities on the Qwaqwa Campus were interrupted, and resumed the next day. On the Bloemfontein Campus, disruption of some academic activities occurred after a meeting of students convened by the Student Representative Council (SRC).  Members of the executive management subsequently met with the Bloemfontein Campus SRC, and a memorandum was handed to the executive management on 19 October 2017.

On the evening of 19 October 2017, seven students were arrested for arson on the Qwaqwa Campus, and four students were arrested on the Bloemfontein Campus on the morning of 20 October 2017 for contravening the Interdict. In the late afternoon of 20 October 2017, 36 students were arrested on the Bloemfontein Campus for contravening the Interdict. The arrest of this group of students occurred after the executive management responded to the memorandum of the SRC earlier in the day; the reply to the memorandum was rejected by the SRC and the students present.

Mindful of the Interdict and aware of the fact that these 36 students needed to prepare for exams, the university attempted to secure their release. This was not possible, given that the legal processing of these students by the South African Police Service (SAPS) had to continue. Students were finally released on bail on Sunday 22 October 2017 and will appear in court on Monday 23 October 2017.

Early on Saturday morning, the executive management met with the SRC and was made aware of incidents that took place at some residences, and the manner in which the private security company proceeded on Friday afternoon. The executive management explicitly stated that the approach taken by the security company was not in agreement with the UFS’s stand on student protest. At this meeting, it was agreed that the UFS would terminate its contract with the private security company and that it would initiate an independent external investigation into Friday’s events as soon as possible.

It was further agreed with the SRC that students in Armentum and Beyers Naudé, residences which were singled out by the SRC as particularly affected by the events, would be offered counselling and medical assistance.

It was finally agreed that the SRC, the 36 students jailed on Friday, as well as those students residing in Armentum and Beyers Naudé who were traumatised or hurt by the events, will be starting exams a week later and will be given special examinations for the modules they had to write during the week of 23 October 2017.

The students included in the categories indicated above, are the only students who had been granted special examinations. Any other student intending to request a special examination must follow the normal procedure.

Occurrences of fake news and miscommunication are taking place on social media – especially about the exams. The university’s official communication platforms (i.e. Newsflash, State of our campuses email, the website, Facebook, Twitter, Blackboard, SMS, and the ufs4life student email) are the only ones that carry official messages.
Exams start on all campuses on Monday 23 October 2017 at 08:00 and will continue as planned.

 

UPDATE: 22 October 2017 at 19:37: EXPLANATORY NOTE ON THE INTERDICT ISSUED BY THE FREE STATE HIGH COURT ON 22 FEBRUARY 2017

 
Since Wednesday 18 October 2017, disruptions and protests have occurred on and around the Bloemfontein and Qwaqwa Campuses of the University of the Free State (UFS), caused by students or groups of students.
 
On 22 February 2017, the High Court of South Africa, Free State Division, granted an Interdict against four respondents, of which the fourth respondent includes all individuals or legal persons acting in direct or indirect support of the activities to which this matter applies.
 
In terms of the Interdict, no registered student of the UFS, or legal persona may:
 
1.     Do anything which directly or indirectly obstructs, inhibits, prevents, disrupts, delays or interferes with the academic functioning of the UFS. This includes registration of students, any functions or events taking place at the UFS, tests, examinations and the processes related to academic activities, administrative services and normal student activities.
2.     Block, barricade or obstruct roads or entrances to the UFS. Similarly, roads on the UFS campus or entrances to buildings or venues on the UFS campus may not be blocked, obstructed or barricaded.
3.     Damage or destroy any property (moveable or immovable) on the UFS campus, irrespective of who the owners are.
4.     Molest, assault, threaten or intimidate UFS staff members, students, contractors and officials.
5.     Incite, taunt, instigate, prompt or encourage any other individuals or students to act in any way that violates this Interdict.
 
Please note that any student(s) who who contravenes the Interdict, will immediately be provisionally suspended.
 
The Sheriff of the Court and/or the South African Police Services are authorised to remove and expel from the UFS property and premises any student(s) who fails to comply with the provisions of the Interdict.
 
This Interdict is current and valid for all registered UFS students and legal persona operating at the university.

UPDATE: 22 October 2017 at 12:42: Exams will go ahead on the Bloemfontein and Qwaqwa Campuses on 23 October 2017
The exams will go ahead on the Bloemfontein and Qwaqwa Campuses on Monday 23 October 2017, as per the exam timetable. All academic and administrative activities are also continuing on both campuses tomorrow.



The situation on the two campuses is calm today, and no disruptions occurred during the course of last night.



The university crisis team – including members of the executive management and Protection Services – is on alert and has worked with the South African Police Service (SAPS) during the weekend to ensure stability on the two campuses during the exams. Security measures are in place for the exams and the situation on both campuses is monitored closely.



Occurrences of fake news and miscommunication are taking place on social media – especially about the exams. The university’s official communication platforms (i.e. Newsflash, State of our campuses email, the website, Facebook, Twitter, Blackboard, SMS, and the ufs4life student email) are the only ones that carry official messages.

Exams will proceed on the South Campus as scheduled.

UPDATE: 21 October 2017 at 12:45
The situation on the Bloemfontein and Qwaqwa Campuses of the University of the Free State (UFS) is calm today, and no disruptions occurred during the course of last night. Security measures are in place and the situation on both campuses is monitored closely.

Thirty six students were arrested on the Bloemfontein Campus yesterday at late afternoon, after a group of students clashed with members of the private security company and the South African Police Service (SAPS).

The executive management met with the Bloemfontein Campus Student Representative Council (SRC) this morning to discuss the arrest of students, as well as the disruptions of academic activities that happened on campus since Wednesday.

UPDATE: 20 October 2017 at 12:05:  Situation on the Bloemfontein and Qwaqwa Campuses on 20 October 2017

Academic and administrative activities are continuing on the Bloemfontein and Qwaqwa Campuses today.

Last night, six students were arrested for arson on the Qwaqwa Campus. The South African Police Services (SAPS) and Campus Security were on the campus and are still monitoring the situation. On the Bloemfontein Campus, four students were arrested this morning for contravening the Interdict by causing disruptions at the Computer Labs and UFS Sasol Library. The SAPS is also deployed on the Bloemfontein Campus and are closely monitoring the situation, together with the university’s security team.

The executive management will meet with students on the Bloemfontein Campus at midday to provide feedback on the memorandum handed to them by the Student Representative Council (SRC) yesterday.

The safety of both staff and students remains a priority to the executive management. Staff and students on both campuses are requested to stay calm and to focus on the coming examinations and completion of the academic programme for the year. Measures are put in place to ensure that the exams will go ahead as planned. The university crisis team – including members of the executive management and Protection Services – is on alert and are working to stabilise the situation on the two campuses.

The continuation of the university’s academic programme is a serious matter to the executive management and the disruptive behaviour of some of our students will not be tolerated. Students who are identified while taking part in these incidents will be disciplined according to the university’s student disciplinary procedures.

Video recordings and/or photos of these incidents can be shared with Protection Services by contacting Noko Masalesa and Elise Saayman at masalesan@ufs.ac.za | saaymane@ufs.ac.za or +27 51 401 3436 | +27 51 401 9706.

Occurrences of fake news and miscommunication are taking place on social media – especially about the coming exams. The university’s official communication platforms (i.e. Newsflash, State of our campuses email, the website, Facebook, Twitter, Blackboard, SMS, and the ufs4life student email) are the only ones that carry official messages.

UPDATE: 19 October 2017 at 19:07: All academic activities on the UFS Bloemfontein and Qwaqwa Campuses will continue as normal on Friday 20 October 2017.

The necessary steps will be taken to ensure that outstanding classes and tests continue unhindered. Communication about the rescheduling of classes and/or tests affected by the disruptions on the Bloemfontein Campus will be sent via email tomorrow. Students on the Qwaqwa Campus must please check with the respective lecturers and/or information on Blackboard for details on rescheduled tests.

UPDATE: 19 October 2017 at 10:50: Situation on the Bloemfontein and Qwaqwa Campuses on 19 October 2017

During a meeting between the executive management of the University of the Free State (UFS) and the Student Representative Council (SRC) of the Bloemfontein Campus on 17 October 2017, a basic percentage point of 8% increase in tuition fees for 2018 was used as discussion point. Rumours on the social media of a different basic percentage point in relation to tuition fees for 2018 are untrue.
 
No decision has been made about the increase in tuition fees for 2018. Tuition-fee increases must be approved by the UFS Council, and therefore no decision about an increase in tuition fees for 2018 has been made yet.
 
Members of the executive management met with the Bloemfontein Campus SRC yesterday and it was agreed that a memorandum will be handed over today (midday); on the Qwaqwa Campus, a memorandum was handed to the campus management yesterday.
 
The Rector and Vice-Chancellor, Prof Francis Petersen, has subsequently been in discussion with the President of the Bloemfontein Campus Student Representative Council, Asive Dlanjwa, regarding yesterday’s disruption of academic activities on the campus. The campus management of the Qwaqwa Campus are in a similar conversation with the campus SRC, and discussions will continue today.
 
The situation on the Bloemfontein Campus remains under control and is being closely monitored, with academic activities on the campus continuing as normal today. The situation on the Qwaqwa Campus is calm today and academic activities, including tests, are continuing as scheduled. Staff and students on both campuses are requested to stay calm and to focus on the completion of the academic programme for the year.
 
Please note that the university’s official communication platforms (i.e. Newsflash, State of our campuses email, the website, Facebook, Twitter, Blackboard, SMS, and the ufs4life student email) are the only ones that carry official messages.

Released by:
Lacea Loader (Director: Communication and Brand Management)
Telephone: +27 51 401 2584 | +27 83 645 2454
Email: news@ufs.ac.za | loaderl@ufs.ac.za
Fax: +27 51 444 6393

 

UPDATE: Disruption of academic activities on the Bloemfontein Campus (19 October 2017 at 12:25 PM)

Disruption of academic activities on the Qwaqwa and Bloemfontein Campuses (18 October 2017)

 

 

 

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