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24 February 2022 | Story Leonie Bolleurs | Photo Supplied
New Paed Profs
Three senior consultants in the Department of Paediatrics and Child Health were recently promoted to associated professor. From the left are Profs Jan du Plessis, Ute Hallbauer, and David Griessel.

“Dedicated, consistent hard work, a high standard of work ethics, specialised patient care, and high-quality research outputs.” These were the words used by the Head of the Department of Paediatrics and Child Health at the University of the Free State (UFS), Dr Lizzy Tabane, to describe three of its senior consultants who were recently promoted to associate professor.

The three academics who are making a difference in the lives of hundreds of people on a daily basis, are Profs Ute Hallbauer, David Griessel, and Jan du Plessis.

Drug-resistant tuberculosis and diabetics

Prof Hallbauer, the first female professor in the department, works as a consultant senior paediatrician in the Pelonomi and Universitas hospitals. She has proven herself to be a champion in rendering a comprehensive service in paediatric infectious diseases, including paediatric tuberculosis and the specialised area of paediatric drug-resistant tuberculosis (TB).

According to Dr Tabane, when Prof Hallbauer started working with children with drug-resistant tuberculosis in the province in 2006, she reached a success rate of more than 95% compliance and cure of this disease.

It was good to reap the benefits of improved diagnostics and treatment for this disease, says Prof Hallbauer, who initially did not like the topic of TB. “Once my knowledge improved and I diagnosed and managed some difficult situations, it was amazing to see what there is to learn and how much one can do to help children affected by TB. It is worrying that the disease is still so prevalent among children in South Africa,” she says.

Prof Hallbauer also renders a comprehensive service in paediatric diabetes in the Free State and assists doctors from the Northern Cape with advice. Her work includes contributing to the training of dietetics students, where she focuses on food choices for children with diabetes.

“Children with diabetes have taught me a lot of patience. I have learnt to individualise my approach to each child/parent and to never give up and to teach, re-teach and re-teach. Working with the Department of Dietetics and Nutrition to run a Kids Diabetes Camp every year has been a wonderful experience which has benefited everyone: the children, the students, the teachers,” says Prof Hallbauer.

Developmental paediatrics and autism spectrum conditions

Prof Griessel is currently one of two neurodevelopmental paediatricians in the Free State and Northern Cape area and is playing a key role in raising awareness about autism and autism spectrum disorders, both at national and international level. This led to him being elected as a member of the National Executive Committee of Autism South Africa and the Global Senior Leader Committee representing South Africa at the leading world society for autism research, namely the International Society for Autism Research. He was also one of the founders of the Autism Support Centre at the UFS and recently played a significant role in opening the School for Autism just outside Bloemfontein.

He is a firm believer in the critical importance of early child development to thrive in life. The work he is doing has embedded autism in the broader context of child development and is based on recent work in the basic sciences on childhood brain development.

“I am humbled to have interacted with so many autistic adults, young people, children, and families living with autism, who taught me about the real strengths of diversity and demonstrated the courage to persist in the face of adversity,” says Prof Griessel, who finds pleasure in interaction with children and young adults with autism. “Their emotions and feelings come from a pure place and motivate me to continue to be of service,” he says.

Paediatric oncology and paediatric haematology

One of the youngest paediatricians to be promoted to associate professor in the department is Prof Du Plessis, who has proven himself to be a champion in rendering a comprehensive and multidisciplinary service in the field of paediatric oncology and paediatric haematology, with a particular focus on palliative care.

“I always wanted to work with children and their families, and the holistic approach enticed me. It is a privilege to walk the cancer journey with these children and their families, from diagnosis to sometimes the end of life and thereafter.”

“Children are amazing, they have so much joy and unconditional love, and the oncology children are in a completely different league. Where else would you find children calling you their ‘pappa’ or a 15-year-old black girl telling the whole school ‘I have a white father’. It is such a privilege,” he says.

Prof Du Plessis, who was also rated the best lecturer by the medical students in 2020, says besides his fondness for working with children and their families, he unexpectedly fell in love with student teaching. “It is a huge responsibility, but so rewarding to play a small role in shaping the minds of tomorrow’s doctors. It is amazing to witness them experiencing the light-bulb moments and rekindle a passion for the occupation by just spending time with them and being an example of what it looks and feels like to enjoy your work.”

News Archive

Inaugural lecture: Prof Robert Bragg, Dept. of Microbial, Biochemical and Food Biotechnology
2006-05-17



Attending the inaugural lecture were in front from the left Prof Robert Bragg (lecturer at the Department of Microbial, Biochemical and Food Biotechnology) and Frederick Fourie (Rector and Vice-Chancellor).  At the back from the left were Prof James du Preez (Departmental Chairperson:  Department of Microbial, Biochemical and Food Biotechnology) and Prof Herman van Schalkwyk (Dean: Faculty of Natural and Agricultural Sciences). Photo: Stephen Collett
 

A summary of an inaugural lecture delivered by Prof Robert Bragg at the University of the Free State:

CONTROL OF INFECTIOUS AVIAN DISEASES – LESSONS FOR MAN?

Prof Robert R Bragg
Department of Microbial, Biochemical and Food Biotechnology
University of the Free State

“Many of the lessons learnt in disease control in poultry will have application on human medicine,” said Prof Robert Bragg, lecturer at the University of the Free State’s (UFS) Department of Microbial, Biochemical and Food Biotechnology during his inaugural lecture.

Prof Bragg said the development of vaccines remains the main stay of disease control in humans as well as in avian species.  Disease control can not rely on vaccination alone and other disease-control options must be examined.  

“With the increasing problems of antibiotic resistance, the use of disinfection and bio security are becoming more important,” he said.

“Avian influenza (AI) is an example of a disease which can spread from birds to humans.  Hopefully this virus will not develop human to human transmission,” said Prof Bragg.

According to Prof Bragg, South Africa is not on the migration route of water birds, which are the main transmitters of AI.  “This makes South Africa one of the countries less likely to get the disease,” he said.

If the AI virus does develop human to human transmission, it could make the 1918 flu pandemic pale into insignificance.  During the 1918 flu pandemic, the virus had a mortality rate of only 3%, yet more than 50 million people died.

Although the AI virus has not developed human-to-human transmission, all human cases have been related to direct contact with infected birds. The mortality rate in humans who have contracted this virus is 67%.

“Apart from the obvious fears for the human population, this virus is a very serious poultry pathogen and can cause 100% mortality in poultry populations.  Poultry meat and egg production is the staple protein source in most countries around the world. The virus is currently devastating the poultry industry world-wide,” said Prof Bragg.

Prof Bragg’s research activities on avian diseases started off with the investigation of diseases in poultry.  “The average life cycle of a broiler chicken is 42 days.  After this short time, they are slaughtered.  As a result of the short generation time in poultry, one can observe changes in microbial populations as a result of the use of vaccines, antibiotics and disinfectants,” said Prof Bragg.   

“Much of my research effort has been directed towards the control of infectious coryza in layers, which is caused by the bacterium Avibacterium paragallinarum.  This disease is a type of sinusitis in the layer chickens and can cause a drop in egg product of up to 40%,” said Prof Bragg.

The vaccines used around the world in an attempt to control this disease are all inactivated vaccines. One of the most important points is the selection of the correct strains of the bacterium to use in the vaccine.

Prof Bragg established that in South Africa, there are four different serovars of the bacterium and one of these, the serovar C-3 strain, was believed to be unique to Southern Africa. He also recently discovered this serovar for the first time in Israel, thus indicating that this serovar might have a wider distribution than originally believed.

Vaccines used in this country did not contain this serovar.  Prof Bragg established that the long term use of vaccines not containing the local South African strain resulted in a shift in the population distribution of the pathogen.

Prof Bragg’s research activities also include disease control in parrots and pigeons.   “One of the main research projects in my group is on the disease in parrots caused by the circovirus Beak and Feather Disease virus. This virus causes serious problems in the parrot breeding industry in this country. This virus is also threatening the highly endangered and endemic Cape Parrot,” said Prof Bragg.

Prof Bragg’s research group is currently working on the development of a DNA vaccine which will assist in the control of the disease, not only in the parrot breeding industry, but also to help the highly endangered Cape Parrot in its battle for survival.

“Not all of our research efforts are directed towards infectious coryza or the Beak and Feather Disease virus.  One of my Masters students is currently investigating the cell receptors involved in the binding of Newcastle Disease virus to cancerous cells and normal cells of humans. This work will also eventually lead to a possible treatment of cancer in humans and will assist with the development of a recombinant vaccine for Newcastle disease virus,” said Prof Bragg.

We are also currently investigating an “unknown” virus which causes disease problems in poultry in the Western Cape,” said Prof Bragg.
 
“Although disinfection has been extensively used in the poultry industry, it has only been done at the pre-placement stage. In other words, disinfectants are used before the birds are placed into the house. Once the birds are placed, all use of disinfectants stops,” said Prof Bragg.

“Disinfection and bio security can be seen as the ‘Cinderella’ of disease control in poultry.  This is also true for human medicine. One just has to look at the high numbers of people who die from hospital-acquired infections to realise that disinfection is not a concept which is really clear in human health care,” said Prof Bragg.

Much research has been done in the control of diseases through vaccination and through the use of antibiotics. “These pillars of disease control are, however, starting to crumble and more effort is needed on disinfection and bio security,” said Prof Bragg.

Prof Bragg has been working in close co-operation with a chemical manufacturing company in Stellenbosch to develop a unique disinfectant which his highly effective yet not toxic to the birds.

As a result of this unique product, he has developed the continual disinfection program for use in poultry. In this program the disinfectant is used throughout the production cycle of the birds. It is also used to ensure that there is excellent pre-placement disinfection.

“The program is extensively used for the control of infectious diseases in the parrot-breeding industry in South Africa and the product has been registered in 15 countries around the world with registration in the USA in the final process,” said Prof Bragg.

“Although the problem of plasmid mediated resistance to disinfectants is starting to rear its ugly head, this has allowed for the opening of a new research field which my group will hopefully exploit in the near future,” he said.

 

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