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24 November 2022 | Story Andre Damons | Photo Supplied
Thaba Nchu health web new
One Health Warriors with the scholar pledge cloth after scholars made a pledge to take care of their pets at St Paul’s Primary School in Thaba Nchu.

International One Health Day is held annually on 3 November. The goal of the day is to educate and increase awareness of One Health to encourage a collaborative effort between multiple disciplines, promoting the concept that the interactions between humans, animals, and the environment impact the health of people, animals, plants, and the environment.

The aptly named One Health Warriors, a student group comprising postgraduate students from the Division of Virology at the University of the Free State (UFS), was formed in 2016. The One Health Warriors annually participate in arranging a One Health event to celebrate International One Health Day. What is One Health? What zoonotic diseases should the public be aware of? How do zoonoses affect the healthcare provider? These are all questions that the student group addresses in their events.  

In 2022, the One Health Warriors targeted scholars to participate in their annual event. It is important for scholars to start learning about One Health from an early age, because most of them do not understand the importance of taking care of their pets. They are not always aware of the diseases that can be transmitted from animals to humans and how to protect themselves.

It is for this reason that postgraduate students from the Division of Virology took One Health awareness and science communication to the classrooms of Ratau Primary and St. Pauls Primary schools in Thaba Nchu, Bloemfontein. Grade 6 scholars were included in the events and a total of 224 learners participated in the day. 

According to Prof Felicity Burt, an expert in arbovirology in the Division of Virology and the National Health Laboratory Services (NHLS) – who holds an NRF-DST South African Research Chair in Vector-borne and Zoonotic Pathogens Research – and Tumelo Sekee, PhD student and research assistant in the School of Pathology, they decided to start with primary schools as they believe it is good to start teaching scholars from an early age to take care of their pets and understand the importance of One Health. 

Making the youth aware 

The focus was on making the youth aware of diseases transmitted from animals to humans, how to protect themselves from zoonotic diseases, and how to take care of their pets. They used role-play activities in which the learners were educated about the risk of contracting the rabies virus and some of the signs that may be shown by rabid dogs. The learners also got to learn about the importance of reporting any bites and getting appropriate treatment from the clinics.  

Rabies circulates within this area and is a high risk for children who play with stray dogs. They were advised about vaccines to protect their dogs against infection and thereby protecting themselves. They were shown how to remove ticks from the dogs, and the importance of not eating a dead animal whose cause of death is unknown. 

“The children were advised on the potential for tuberculosis (TB bovis) to occur in their livestock and the potential for spread to humans. Pictures were circulated among the learners showing them what a rabid dog or animal might look like and how an animal with TB bovis may present. The learners were taught about the importance of hand washing. In the finale of the event, the learners made a pledge to take care of their pets, and this was confirmed with painted hands on our One Health posters,” says Tumelo Sekee.

According to Prof Burt, One Health is an approach that recognises that the health of people is closely connected to the health of animals and their shared environment. One Health is not new, but it has become more important in recent years. “This is partly because many factors have influenced the way humans interact with animals (domestic and wild), plants, and our environment. These changes have led to the spread of known (endemic) pathogens and the emergence of novel pathogens and zoonotic diseases, which are diseases that can spread between animals and people. The recent pandemic is an example of how zoonotic transmission of a pathogen from wildlife to humans has a devastating public health impact,” explains Prof Burt.

Positive feedback
Sekee says the feedback was extremely positive; this may be because the communication was done in the learners’ mother tongue, Setswana, which made it easy for them to understand. Says Sekee: “There were many questions and discussions after the play, which suggested that the scholars showed interest in learning about a One Health approach. The scholars were also enthusiastic about participating in future events of the One Health warriors.”

The postgraduate One Health group previously also visited schools in Botshabelo and Bloemfontein, as well as farm workers in Kroonstad. They now plan to visit other schools in the Free State so that the One Health message can reach as many people as possible.  

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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