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13 September 2022 | Story Prof Jan du Plessis and André Damons | Photo Istock
Prof_Jan-DuPlessis
Prof Jan du Plessis is the Head of the Paediatric Oncology Unit at the University of the Free State (UFS).

A post on Facebook by a bereaved parent of a young child who tragically died of cancer that reads: “I want my old life back, the one with my child in it”, is unfortunately still the sad reality that many families face, even though in developed countries the overall survival rate for childhood cancer is now over 80%. For some types of cancer and in developing countries such as South Africa, the rate is much lower. There are some childhood cancers for which there is no treatment and which are uniformly fatal. 

Another harsh reality, according to Prof Jan du Plessis, Head of the Paediatric Oncology Unit at the University of the Free State (UFS), is that some of those who do survive cancer can go on to suffer long-term (sometimes life-long) health issues as a result of their treatment. Almost all cancer treatments used in children today were actually developed for adults. Most of these treatments (such as chemotherapy or radiotherapy) target all fast-growing cells (not just cancer cells), and this leads to harsh side-effects in young, growing bodies. 

Prof du Plessis says the need for more effective and safer treatments for children is urgent. Despite better outcomes for children diagnosed with cancer, some do not survive. Currently, between 800 to a 1 000 South African children are diagnosed with cancer annually. However, it’s estimated that half of the children with cancer in South Africa are never diagnosed, according to the Cancer Association of South Africa (CANSA)

Different types of Childhood Cancer

Children can get many different types of cancer. Some of the most common childhood cancers are:
• Leukaemia – cancer of the blood and bone marrow, which is the most common childhood cancer.
• Brain cancer – cancer that grows in the brain which is the second most common childhood cancer. It kills more children than any other type of cancer.
• Neuroblastoma & Nephroblastoma – the most common solid tumours diagnosed in children under the age of five.
• Sarcoma – a cancer that grows in the bones and connective tissues of the body.
• Lymphoma – cancer that develops in the lymphatic system.

St Siluan Warning Signs of Childhood Cancer:

According to CHOC Childhood Cancer Foundation South Africa, research showed that an ongoing awareness campaign on the early warning signs was needed to improve the rate of referrals at an earlier stage of the disease. It is for this reason that 15 February (International Childhood Cancer Day), and the month of September, that marks Childhood Cancer Awareness Month, are important for awareness. 

“It is not possible to prevent cancer in children, but significant improvements can be made in their lives by detecting cancer early and avoiding delays in care. A correct diagnosis is important to treat children with cancer because each cancer involves a specific treatment regimen that may include surgery, radiotherapy, and chemotherapy.

“To improve early diagnosis we try to educate the public/students on the early warning signs of childhood cancer. We use the St Siluan Warning Signs for Childhood Cancer,” explains Prof Du Plessis. 

S – Seek medical help early for ongoing symptoms
I – White spot in the eye, new squint, sudden blindness or bulging eyeball
L – Lump on the stomach, pelvis, head, arms, legs, testicle or glands
U – Unexplained fever present for more than two weeks, weight loss, fatigue, pale appearance, easy bruising and bleeding
A – Aching bones, joints, back and easy fractures
N – Neurological signs, a change in walk, balance or speech, regression, continuous headaches with / without vomiting and enlarged head

According Prof du Plessis, his hope is to diagnose these kids early, the earlier they are diagnosed, the less treatment they are exposed. It is amazing to witness how the cancer kids adapt to their new normal and reality, says Prof Du Plessis. 

“They play soccer in the corridor, not in the park. One in fact learnt to walk in the hospital. Nurses and doctors become their new family. Their joy, strength and resilience is remarkable. Their laughter will make your heart melt. Your life will be forever changed, seeing a child fight cancer.”

News Archive

Mekondjo! National exhibition to reveal the courage, determination, repression and torture of PLAN
2014-05-21

 
Angelina Angula ex PLAN soldier injured during the 1978 Cassinga attack - photo by John Liebenberg.

A pioneering exhibition by John Liebenberg and Christo Doherty is about to open on the Bloemfontein Campus. ‘Mekondjo! born in the struggle for Namibia’ gives South Africans their first insight into the lives of the men and women who fought against the SADF in the bush of Northern Namibia and Angola from 1966 – 1989.

This public exhibition presents eleven portraits of People’s Liberation Army veterans in the process of speaking about and coming to terms with their very different experiences in the Namibian War of Liberation.

When the People’s Liberation Army (PLAN) returned to Namibia after the UN-supervised elections of 1989, it had been fighting against South African rule for 23 years. Formed in 1966 as the armed wing of the South West African Peoples’ Organisation, PLAN had developed from a handful of poorly armed guerrillas to a sophisticated mechanised force. These soldiers fought alongside Angolan, Russian and Cuban soldiers against the SADF and UNITA. Since SWAPO’s election victory, the new government has mythologised the heroism of the armed struggle. The stories of the individual PLAN fighters’ experiences are only now being articulated, though.

Their stories are of great courage and determination against often impossible odds; but also of repression, torture, and disastrous decisions by the PLAN leadership.

The exhibition will be on display from Thursday 22 May to Friday 23 May for the duration of the Silence after Violence conference. The conference is hosted by the UFS Institute for Reconciliation and Social Justice and the Center for Holocaust Studies at the University of Vermont.

Date: Thursday 22 May and Friday 23 May 2014
Place: Centenary Complex, Reitz Hall, Bloemfontein Campus
Exhibition Introduction: Thursday 22 May, 14:00 – 15:30
Other viewing times: intermissions during the Silence after Violence programme

The public is welcome to attend.

* Spotlight photo: PLAN commissioner Nkrumah Mushelenga, Windhoek 2013 – photo by John Liebenberg

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