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06 September 2021 | Story Leonie Bolleurs | Photo Mpendulo Myeni
Lucien le Grange, architect and urbanist, delivered the 32nd Sophia Gray Lecture this year. The online event was hosted in the Oliewenhuis Art Museum, where an exhibition of his work was also on display.

The Department of Architecture at the University of the Free State (UFS) presented the 32nd Sophia Gray Memorial lecture at the Oliewenhuis Art Museum on 26 August 2021.

The speaker at this year’s event – presented online – was Lucien le Grange of Lucien le Grange Architects and Urban Planners. Some of his work includes the Nelson Mandela Gateway to Robben Island, the Prestwich Street Memorial, and the architecture and urbanism of District Six. 

Le Grange was part of the staff of the Cape Town School of Architecture from 1978 to 2011, where he taught Design and History and Theory of Architecture at undergraduate and postgraduate level. Most of his work was also conducted in the Western Cape.

Purposeful thinking and purposeful action

He believes a time such as this, marked by so many environmental and public health challenges, demands of us purposeful thinking and purposeful action. “The recent social disruption in our country specifically requires honest reflection of the kind of social system we seek to create for ourselves as a nation.”

“We are at a crossroads that gives us an opportunity to seriously and honestly confront our shortcomings as a society. We need to find ways to restore confidence in ourselves and to fashion a new national urban development strategy,” he continues.

Le Grange is of the opinion that the social unrest in July is important for architects and urban designers to reflect upon. He elaborates: “In different ways, the sight of unrest stretching from Phoenix to Soweto shows that the apartheid city format remains very much intact. There has in fact been very little reconstruction and development. Our cities remain unsustainable, inequitable, and inefficient. These spaces are still conglomerations where there is no choice, no sense of place, no sense of safety, and no sense of security.”

For him as an architect and urbanist, the images of freeway landscapes summarise much of the shortcomings of our South African cities. He feels that it demonstrates a dependency on the private motor vehicle at the expense of safe and secure public transport. “It illustrates an environment full of physical barriers, which segregates communities in the isolated, monofunctional informal settlements that populate our urban landscapes,” he says. 

Le Grange is convinced that this condition – all over our nation’s towns and cities – is an inditement against our dysfunctional state. “It is astounding that 27 years since the birth of our democracy, the apartheid city planning model still prevails,” he says. 

Projects contributing to the social fabric

Much of the work he displayed during the lecture was done in the first decade after 1994. He says in the early years of our new democracy, the aspirations and ambitions of the RDP somehow influenced how our social services programmes were conceived and how they were delivered. The projects were executed in a manner that allowed greater social interpretation in terms of its design and execution. Facilities were expected to serve a broader social role, and its construction very often incorporated training and employment opportunities. 

“It was an exciting time, although short-lived.”

He grouped his work into three overlapping areas of concern – architecture and the city, architecture and history, and architecture and community – which have informed the understanding of various contextual challenges and inspired his design ideas. 

“These areas have assisted us to develop strategies that assist city building, urban design, engagement with user communities, the making of buildings, and the treatment and use of building materials,” he says. 

Talking about architecture and the city, he discussed the urban design for the old Klipfontein Road Corridor. The project consists of an activity corridor along 35 km of landscape and is envisioned as a space that will allow for various development opportunities. The project also aims to break down the barriers that divide much of the urban landscape in Cape Town and to populate it with nodes, coinciding with activity areas such as a stadium, schools, or shopping malls.

Le Grange’s portfolio also includes projects that investigate a revitalisation of destroyed and forgotten sites or landscapes in District Six.

As an urbanist, he investigates how cityscapes should perform to retain integrity and a kind of density that allows mixed-use development. He points out some of the opportunities that come with dense urban living, offered by structures such as major routes, punctuated with urban landmarks and streets. Multi-purpose in their function, he believes streets are social spaces where children can play and where communities can gather during a carnival or a protest. “It is also a place of finer intimacies, from which to be seen and into which one can look onto,” he adds. 

“One must also remember the existence of natural features; in this case the presence of Table Mountain that is like a mantle wrapped around Cape Town,” says Le Grange.

The declaration of the Group Areas Act in 1966 meant the end of this vibrant and highly liveable quarter in the city, and was followed by a period of destruction, implemented between the mid-1970s through to the 1990s.

Le Grange says there was, however, not a full removal. Places of worship and the schools were still occupied. When requested to develop a first-phase housing development for people to return to this area, it was around these particular social spaces that he worked. 

The first nine houses built for this project were privately funded by the developers and were constructed without any approval from the authorities. The occupants of these houses were the first claimants to be moved back to District Six after being forcibly removed by the apartheid regime. 

The Klipfontein and District Six projects are but two on the list of projects in which Le Grange – who believes all of humanity has a right to a life of dignity – was involved to better the lives of communities around him. 

Other projects he touched on during his lecture include the Genadendal Heritage, Conservation, and Restoration project, the Ocean View Community Hall, and the Hanover Park Market. 

View the complete lecture and access the virtual exhibition here. A live exhibition is also on display in the Oliewenhuis Art Museum. 

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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