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22 August 2025 | Story Dr Nombulelo Shange | Photo Supplied
Dr Nombulelo Shange
Dr Nombulelo Shange is a sociology lecturer at the University of the Free State (UFS).

Opinion article by Dr Nombulelo Shange, Lecturer in the Department of Sociology, University of the Free State 


 

The rising xenophobic violence and exclusion towards African nationals from outside of South Africa is increasingly becoming an emotive issue that is impossible to engage and unpack. In the social-media, “Trumpification” age we live in today, truth-telling and evidence are secondary or even completely irrelevant against the loud, “smart-sounding opinions” rooted in lies and misinformation spread online. Some have used statistics to show that foreigners only make up roughly 4% of our population, which is significant, but not enough to account for our rising unemployment and South Africans’ difficulty in accessing social services and goods such as education and healthcare. There are bigger challenges rooted in our incomplete revolution, rooted in coloniality, where resources and land were left at the hands of the white oppressor, in exchange for “peace”. There are bigger challenges rooted in corruption and poor governance. But even with these realities, many bury their heads in the sand and opt to believe the incomplete story that foreigners are our single greatest problem. 

 

Self-inflicted harm 

Many others have turned to history as a reminder of how African countries in different ways, aided our armed struggle and apartheid resistance, warning that we might need the continent soon and we would have alienated all of our neighbours if we continue down this path. Others have turned to politics and economics, which show us the importance of having strong economic ties with neighbouring countries to ensure growth and development. We saw this in part historically with the European Union and we see it today with the rise of Asian markets like China, Japan, South Korea, Singapore and others. Some of the pluralistic approaches to the rapid growth of many of these Asian markets is in relaxing borders to enable the flow of people, ideas, technology, money and resources. But South Africans continue to respond by fighting for the isolating barriers put up by colonialism and later apartheid in order to strengthen their cruel inhumane policies and stronghold against black people. 

We often do this to our own detriment as black people and people of colour, structures such as Operation Dudula and March on March, seldom march to white schools in the suburbs to demand that white people prove their citizenship and belonging. They do this in predominantly black or mixed areas, applying a self-imposed apartheid dompas system, that limits our movements. They ignore the fact that many South Africans themselves are undocumented because of a variety of historical and contemporary issues and struggles related to accessing important services like Home Affairs. They base many of their strategies on hateful intangible stereotypes like the belief that foreigners are dark, cannot speak South African languages or pronounce specific words. The ideas around what it means to be South African are usually very linear and often prioritise namely Nguni culture and languages. So, if you are not a light skinned, Zulu/Nguni person, without your ID, you find yourself at risk of being harmed or being denied important services like healthcare in an emergency for example. We are too quick to forget the lessons of the COVID-19 pandemic; illness does not care who you are, what race or nationality you are, it spreads and places all of us at risk. Denying foreigners access to healthcare, while many of them live in overcrowded black townships, places black South Africans in harm’s way and can lead to a public health crisis in areas where people were struggling to access healthcare long before the influx of foreigners in the country. 

 

Silence and inaction of our leaders

Noticeable in this whole mess and scary new norm, is the silence and inaction of our leaders. The violent and harmful actions of South Africans can in part be explained by their desperate state stemming from poverty, unemployment, and violent crimes experienced today. The tensions can in part be explained by a lack of adequate awareness of the diverse historical and contemporary importance of the continent and our immediate neighbours for our own growth and development. The overwhelming silence of our leaders is hard to make sense of. The Economic Freedom Fighters (EFF) leaders remain some of the few leaders that condemn this violence and call for a united Africa. It is believed this stance even cost EFF supporters in the 2024 elections, but they still continue to hold onto this important ethical stance, while more prominent leaders shy away from the issue. Many of these leaders were themselves either born or raised in exile or started their own families outside of the country and were the direct beneficiaries of the kindness and sacrifice that many African countries showed us during apartheid. In this new climate of having to prove “South Africanness” and therefore belonging gymnastics, many of them would have their belonging questioned. But rather than call out the violence and put protections in place, while creating awareness on diverse complexities that create “South Africanness”, our leaders are silent. And perhaps more startling, is that our government is partly made up of a political party that campaigned on the hate of foreigners. Including political parties like the Patriotic Alliance in governance has helped formalise fringe ideas like the “abahambe” slogan, which was a chant directed at African foreigners, threatening and instructing them to leave. The threats have materialised, and foreigners are having different kinds of violence enacted on them.  

 

Afrophobia protects colonial borders

Many social commentors warned that the xenophobic utterances embedded in slogans such as “abahambe” coming from Patriotic Alliance leader, Minister Gayton McKenzie, are deeply rooted in anti-black hate. The TikTok accounts of creators such as: Nikita Lexi, Tara Roos, Samantha Jansen, Kaapie in Korea, Romantha Botha, and many others, have provided interesting and important context and caution with their historically rooted, evidence-based truth-telling that speaks to a plethora of contemporary South African issues, including race. Minister of Sports, Arts and Culture, McKenzie has now recently come under fire for posting old racist and sexist tweets, where the biggest frustration is over his repeated use of the “k-word”. The minister’s actions raise a lot of questions about the intersecting links between Afrophobia, tribalism, hate towards blackness and self-hate as a psychosocial condition plaguing many black people and people of colour, especially in South Africa. What we learn from the minister’s tweets is that Afrophobia is often used to mask racism. It is concerning for a government minister to hold such views, while they are responsible for providing services to the predominately black masses, and artists, in the case of McKenzie. 

What might be perhaps the most damaging and harmful to us as black South Africans, is that our Afrophobia disconnects us to valuable, self-affirming spiritual, social, historical, ecological and economic ties we have with the African continent. We protect the colonial borders that tore our families and cultural groups apart. Our hate is a worship of the colonial shackles that dismembered our ancestors, histories and experiences and that still stifle us today. 

News Archive

Higher than expected prevalence of dementia in South African urban black population
2010-09-22

 Prof. Malan Heyns and Mr Rikus van der Poel

Pilot research done by University of the Free State (UFS) indicates that the prevalence of dementia, of which Alzheimer’s disease is only one of the causes, is considerably higher than initially estimated. Clinical tests are now underway to confirm these preliminary findings.

To date it has been incorrectly assumed that dementia is less prevalent among urban black communities. This assumption is strongly disputed by the findings of the current study, which indicates a preliminary prevalence rate of approximately 6% for adults aged 65 years and older in this population group. Previous estimates for Southern Africa have been set at around 2,1%.

The research by the Unit for Professional Training and Services in the Behavioural Sciences (UNIBS) at the UFS and Alzheimer’s South Africa is part of the International 10/66 Dementia Research Group’s (10/66 DRG) initiative to establish the prevalence of dementia worldwide.

Mr Rikus van der Poel, coordinator of the local study, and Prof. Malan Heyns, Principal Investigator, say worldwide 66% of people with dementia live in low and middle income countries. It is expected that it will rise to more than 70% by 2040, and the socio-economic impact of dementia will increase accordingly within this period. 21 September marks World Alzheimer’s Day, and this year the focus is on the global economic impact of dementia. Currently, the world wide cost of dementia exceeds 1% of the total global GDP. If the global cost associated with dementia care was a company, it would be larger than Exxon-Mobil or Wal-Mart.

The researchers also say that of great concern is the fact that South Africa’s public healthcare system is essentially geared toward addressing primary healthcare needs, such as HIV/Aids and tuberculosis. The adult prevalence rate of HIV was 18,1% in 2007. According to UNAIDS figures more than 5,7 million people in South Africa are living with HIV/Aids, with an estimated annual mortality of 300 000. In many instances the deceased are young parents, with the result that the burden of childcare falls back on the elderly, and in many cases elderly grandparents suffering from dementia are left without children to take care of them. “These are but a few reasons that highlight the need for advocacy and awareness regarding dementia and care giving in a growing and increasingly urbanized population,” they say.

Low and middle income countries often lack epidemiological data to provide representative estimates of the regional prevalence of dementia. In general, epidemiological studies are challenging and expensive, especially in multi-cultural environments where the application of research protocols relies heavily on accurate language translations and successfully negotiated community access. Despite these challenges, the local researchers are keen to support advocacy and have joined the international effort to establish the prevalence of dementia through the 10/66 DRG.

The 10/66 DRG is a collective of researchers carrying out population-based research into dementia, non-communicable diseases and ageing in low and middle income countries. 10/66 refers to the two-thirds (66%) of people with dementia living in low and middle income countries, and the 10% or less of population-based research that has been carried out in those regions.

Since its inception in 1998, the 10/66 DRG has conducted population based surveys in 14 catchment areas in ten low and middle income countries, with a specific focus on the prevalence and impact of dementia. South Africa is one of seven LAMICs (low and medium income countries) where new studies have been conducted recently, the others being Puerto Rico, Peru, Mexico, Argentina, China and India.

Mr Van der Poel says participating researchers endeavour to conduct cross-sectional, comprehensive, one-phase surveys of all residents aged 65 and older within a geographically defined area. All centres share the same core minimum dataset with cross-culturally validated assessments (dementia diagnosis and subtypes, mental disorders, physical health, anthropometry, demographics, extensive non-communicable risk factor questionnaires, disability/functioning, health service utilization and caregiver strain).

The local pilot study, funded by Alzheimer’s South Africa, was rolled out through an existing community partnership, the Mangaung University of the Free State Community Partnership Programme (MUCPP).

According to Mr Van der Poel and Prof. Heyns, valuable insights have been gained into the myriad factors at play in establishing an epidemiological research project. The local community has responded positively and the pilot phase in and of itself has managed to promote awareness of the condition. The study has also managed to identify traditional and culture-specific views of dementia and dementia care. In addition, existing community-based networks are being strengthened, since part of the protocol will include the training and development of family caregivers within the local community in Mangaung.

“Like most developing economies, the South African population will experience continued urbanization during the next two decades, along with increased life expectancy. Community-based and residential care facilities for dementia are few and far between and government spending will in all probability continue to address the high demands associated with primary healthcare needs. These are only some of the reasons why epidemiological and related research is an important tool for assisting lobbyists, advocates and policymakers in promoting better care for those affected by dementia.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za  
21 September 2010

 

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