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30 April 2025 | Story Leonie Bolleurs | Photo Supplied
Dr Palesa Mohajane
Dr Palesa Mohajane, scientist production at the Department of Water and Sanitation, received her PhD from the UFS for her research on the impact of pandemic-related burials on groundwater quality.

Dr Palesa Mohajane, a scientist production at the Department of Water and Sanitation in Hartbeespoort, was recently awarded her doctoral degree at the University of the Free State’s (UFS) autumn graduation ceremony. Her thesis, titled Modelling the effect of pandemic-induced burials on groundwater contamination: a hydrogeological and epidemiological assessment, looks at the impact of increased burial rates on groundwater quality.

 

Safeguarding groundwater resources

Dr Mohajane explains that witnessing the dramatic rise in burial rates during the COVID-19 pandemic – including instances of mass burials – and the resulting strain on cemeteries, raised concerns about the potential risk of groundwater contamination. This became a motivator for her research.

Her study bridges the gap between environmental science and epidemiology, developing tools to predict how disease outbreaks and related deaths can impact groundwater systems. “By focusing on this intersection, the study contributes knowledge that informs not only responsible cemetery management, but also the protection of groundwater resources important to public health,” she says.

Dr Mohajane highlights the environmental risks that come with an increase in burial activity during pandemics. “When death rates rise sharply, cemeteries experience a surge in burials, which accelerates decomposition within confined spaces. As bodies decompose, they release organic and inorganic pollutants, which can seep through geological layers and affect groundwater quality.”

She notes that if cemeteries are established without proper hydrogeological assessments, these substances can infiltrate the soil and contaminate water sources, posing a threat to both environmental and human health.

 

Using advanced tools to predict groundwater pollution

Dr Mohajane conducted her research during the post-pandemic period when the longer-term environmental effects of COVID-19-related burial practices began to surface. “Groundwater sampling and quality testing were conducted between September 2023 and January 2024. This period provided a suitable time frame to monitor contaminant release and assess the hydrochemical effects of the burial practices,” she explains.

Langberg Cemetery was selected as a case study due to its representative geological and human-made characteristics, making it a strong candidate for validating the research models. “This site allowed for real-world testing of the mathematical models and simulations, offering important insights into how contaminants move through soil and rock layers and impact groundwater,” says Dr Mohajane.

Her findings revealed that groundwater contamination is influenced by multiple interacting factors – including burial depth, body mass, and geological features. She explains that shallower burials allow pollutants to reach the water table more rapidly, while deeper burials may delay but not prevent eventual leaching. Larger body masses produce more decomposing material, increasing the number of pollutants released. Geological conditions such as fractures and varied rock formations also play a role in the spread of contaminants.

Dr Mohajane’s work has serious implications for both public health and water sustainability. The presence of elevated levels of total dissolved solids, electrical conductivity, specific ions, alkalinity, and mineralisation indicates potential health hazards. As groundwater is an important source of drinking water, she stresses the urgency of addressing these risks. “We need to use advanced tools to predict and prevent groundwater pollution before it occurs. With proper water management systems, we can reduce the environmental impact of pandemics,” she says.

She also emphasises the importance of continuous monitoring to detect pollutant levels that exceed safety limits. “Improving burial practices – including thorough geological assessments before establishing cemeteries and optimising burial depths – can help reduce contaminant migration. These measures are important to protect community water resources,” she adds.

 

Measures to protect groundwater and public health

Dr Mohajane’s research proposes a range of practical measures to safeguard groundwater and public health. Cemeteries should only be developed after detailed geological evaluations, and clear regulations must guide cemetery design to manage increased burial needs during pandemics. Regular water quality monitoring using modern detection tools is key, along with the inclusion of environmental assessments in public health planning.

“These policy measures, if adopted at both regional and national levels, can help to reduce the risk of groundwater pollution and support long-term public health,” she says.

Ultimately, this research supports South Africa’s efforts to protect its groundwater by encouraging collaboration between scientists and policy makers. It offers predictive tools, evidence-based guidelines for sustainable cemetery management, and highlights how scientific research can shape practical, effective policies. The goal is to ensure that groundwater remains a safe and secure resource during future public health and environmental crises.

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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