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08 May 2025 | Story André Damons | Photo Supplied
Nosicelo Madushana
Nosicelo Madushana, a third-year medical student at the UFS, was four years old when she sustained third-degree burn wounds on 70% of her body.

With winter fast approaching, healthcare professionals in the Free State are gearing up for an increase in burn injuries during these cold months. Many of these injuries are preventable, and doctors and medical staff believe educating communities about common preventive practices can help keep them safe.

Dr Hilge du Preez, Paediatric Surgeon from the University of the Free State (UFS), says they observe an increase in burn injuries, which can be devastating, causing serious bodily harm, long-term disability, and even death, during the winter months.

“As healthcare professionals, we do all we can to help burn injury patients recover and regain their health and activity. However, as with many other conditions, the best treatment for a burn injury is prevention. Thermal burns are the most common type of burn we see. These are caused by contact with hot substances or fluids, such as flames or boiling water. Children and adults sustain burn injuries in different ways.

“While children can suffer burns from flames, they are more likely to burn themselves by spilling hot liquids or food. We also see cases where children accidentally fall into a tub of hot water that is being prepared for a bath,” says Dr Du Preez.

According to Dr Du Preez, when cooking, it is safer to have pot and pan handles turned inward, rather than outward where children can reach them. Kettle cords and tablecloths should be tucked in and kept out of reach to prevent children from pulling them and spilling hot substances.

 

A turning point

Nosicelo Madushana, a third-year medical student at the UFS, was four years old when she sustained third degree burn wounds on 70% of her body after a large pot of boiling water, fell on her. However, she would only later really understand the impact of this accident on her life.

 “It wasn’t until I was in Grade 3 that I began to understand that I was perceived as different. During an Eskom educational session on the dangers of electricity, the presenter used the analogy of turning into a "chicken roast" when tampering with electric circuits. In that moment, a number of my peers turned, pointed, and laughed, likening me to the example given.

“That experience marked a turning point in my self-awareness and emotional resilience. It shaped me profoundly. I became emotionally guarded, not violent, but verbally defensive. I often felt I had to exist in survival mode rather than being allowed to simply be myself,” Nosicelo recalls.

As a result of these experiences, she explains, she developed a deep-seated need to constantly prove that she belonged in every space she entered. She wanted to ensure that any opportunity or recognition she received was based solely on merit and not influenced by perceptions of her physical appearance or sympathy for her circumstances. It became an unhealthy cycle of overcompensation and striving to validate her presence.

This is demonstrated in her academic achievements as she first did a Bachelor of Sciences in Medical Bioscience degree, followed by a postgraduate diploma in Augment and Virtual Reality (Comp Science) (both at University of the Western Cape). She followed this up with an Honours degree in Anatomical Pathology at Sefako Makgathu Health Sciences University.

 

Apply correct first aid treatment immediately

Dr Du Preez says they also recommend that children should never be left unsupervised around hot substances, whether food or fire. When running a bath for a child, add cold water to the tub first, then hot water to reach the desired temperature. This is safer because, if a child falls into the tub, they will only encounter cold water rather than hot, which could prevent a severe, potentially life-threatening injury.

Adults, on the other hand, explains Dr Du Preez, typically sustain severe burns due to flames, which may result from house fires or accidents involving fire. Paraffin stoves are responsible for a significant number of house fires in South Africa, and healthcare professionals strongly advise against their use.

In the era of load-shedding, people need to be mindful of safe practices when using candles, says Dr Du Preez. Candles should never be left unattended and should always be placed in a container that covers the flame. This helps prevent the risk of a candle setting a room on fire if it falls over.

“If someone suffers a burn injury, correct first aid treatment should be applied immediately. Remove any clothing and jewellery from the affected area, and ensure any burning debris is removed. Cool the burn by running it under lukewarm tap water for 10-15 minutes. Cover the wound with a clean, damp cloth and seek medical attention. Do not apply “home remedies” such as toothpaste, raw egg, or shoe polish, as these can impair healing and increase the risk of infection and scarring.

“In the event of a fire, remember to ‘stop, drop, and roll’ to extinguish any flames. Remove burning clothes and debris, cover the person with a clean towel, and seek urgent medical care.”

 

Being burned victim is her normal

Nosicelo, whose passion lies in research and the fight against cancer, being a burn victim is her normal. She has no memory or photographic evidence of herself without burns. “What I dislike the most is the empathetic gaze, the unsolicited pity, the assumption that I am a victim in constant need of help. I am not a tragic story. I am a woman who is brave, resilient, beautiful, and forging her own path.

“My life is not defined by the incident, but by the choices I make and the legacy I intend to leave. I am a three-time graduate, and I will not stop until I attain the prestigious FCPath(SA) qualification (the Fellowship of the College of Pathologists of South Africa, a recognised postgraduate qualification in pathology for medical practitioners in South Africa.) My journey is one of strength, not sorrow. I am committed to being a part of the global effort to eliminate this disease. Until that day comes, I dedicate myself to being a voice for cancer education, prevention, and early detection, empowering individuals with knowledge that can save lives.”

News Archive

Media: ANC can learn a lesson from Moshoeshoe
2006-05-20


27/05/2006 20:32 - (SA) 
ANC can learn a lesson from Moshoeshoe
ON 2004, the University of the Free State turned 100 years old. As part of its centenary celebrations, the idea of the Moshoeshoe Memorial Lecture was mooted as part of another idea: to promote the study of the meaning of Moshoeshoe.

This lecture comes at a critical point in South Africa's still-new democracy. There are indications that the value of public engagement that Moshoeshoe prized highly through his lipitso [community gatherings], and now also a prized feature in our democracy, may be under serious threat. It is for this reason that I would like to dedicate this lecture to all those in our country and elsewhere who daily or weekly, or however frequently, have had the courage to express their considered opinions on pressing matters facing our society. They may be columnists, editors, commentators, artists of all kinds, academics and writers of letters to the editor, non-violent protesters with their placards and cartoonists who put a mirror in front of our eyes.

There is a remarkable story of how Moshoeshoe dealt with Mzilikazi, the aggressor who attacked Thaba Bosiu and failed. So when Mzilikazi retreated from Thaba Bosiu with a bruised ego after failing to take over the mountain, Moshoeshoe, in an unexpected turn of events, sent him cattle to return home bruised but grateful for the generosity of a victorious target of his aggression. At least he would not starve along the way. It was a devastating act of magnanimity which signalled a phenomenal role change.

"If only you had asked," Moshoeshoe seemed to be saying, "I could have given you some cattle. Have them anyway."

It was impossible for Mzilikazi not to have felt ashamed. At the same time, he could still present himself to his people as one who was so feared that even in defeat he was given cattle. At any rate, he never returned.

I look at our situation in South Africa and find that the wisdom of Moshoeshoe's method produced one of the defining moments that led to South Africa's momentous transition to democracy. Part of Nelson Mandela's legacy is precisely this: what I have called counter-intuitive leadership and the immense possibilities it offers for re-imagining whole societies.

A number of events in the past 12 months have made me wonder whether we are faced with a new situation that may have arisen. An increasing number of highly intelligent, sensitive and highly committed South Africans across the class, racial and cultural spectrum confess to feeling uncertain and vulnerable as never before since 1994. When indomitable optimists confess to having a sense of things unhinging, the misery of anxiety spreads. It must have something to do with an accumulation of events that convey the sense of impending implosion. It is the sense that events are spiralling out of control and no one among the leadership of the country seems to have a handle on things.

I should mention the one event that has dominated the national scene continuously for many months now. It is, of course, the trying events around the recent trial and acquittal of Jacob Zuma. The aftermath continues to dominate the news and public discourse. What, really, have we learnt or are learning from it all? It is probably too early to tell. Yet the drama seems far from over, promising to keep us all without relief, and in a state of anguish. It seems poised to reveal more faultlines in our national life than answers and solutions.

We need a mechanism that will affirm the different positions of the contestants validating their honesty in a way that will give the public confidence that real solutions are possible. It is this kind of openness, which never comes easily, that leads to breakthrough solutions, of the kind Moshoeshoe's wisdom symbolises.

Who will take this courageous step? What is clear is that a complex democracy like South Africa's cannot survive a single authority. Only multiple authorities within a constitutional framework have a real chance. I want to press this matter further.

Could it be that part of the problem is that we are unable to deal with the notion of "opposition". We are horrified that any of us could become "the opposition". In reality, it is time we began to anticipate the arrival of a moment when there was no longer a single [overwhelmingly] dominant political force as is currently the case. Such is the course of change. The measure of the maturity of the current political environment will be in how it can create conditions that anticipate that moment rather than ones that seek to prevent it. This is the formidable challenge of a popular post-apartheid political movement.

Can it conceptually anticipate a future when it is no longer overwhelmingly in control, in the form in which it currently is and resist, counter-intuitively, the temptation to prevent such an eventuality? Successfully resisting such an option would enable its current vision and its ultimate legacy to our country to manifest itself in different articulations of itself, which then contend for social influence.

In this way, the vision never really dies, it simply evolves into higher, more complex forms of itself. If the resulting versions are what is called "the opposition" that should not be such a bad thing - unless we want to invent another name for it. The image of flying ants going off to start other similar settlements is not so inappropriate.

I do not wish to suggest that the nuptial flights of the alliance partners are about to occur: only that it is a mark of leadership foresight to anticipate them conceptually. Any political movement that has visions of itself as a perpetual entity should look at the compelling evidence of history. Few have survived those defining moments when they should have been more elastic, and that because they were not, did not live to see the next day.

I believe we may have reached a moment not fundamentally different from the sobering, yet uplifting and vision-making, nation-building realities that led to Kempton Park in the early 1990s. The difference between then and now is that the black majority is not facing white compatriots across the negotiating table. Rather, it is facing itself: perhaps really for the first time since 1994. It is not a time for repeating old platitudes. Could we apply to ourselves the same degree of inventiveness and rigorous negotiation we displayed up to the adoption or our Constitution?

Morena Moshoeshoe faced similarly formative challenges. He seems to have been a great listener. No problem was too insignificant that it could not be addressed. He seems to have networked actively across the spectrum of society. He seems to have kept a close eye on the world beyond Lesotho, forming strong friendships and alliances, weighing his options constantly. He seems to have had patience and forbearance. He had tons of data before him before he could propose the unexpected. He tells us across the years that moments of renewal demand no less.

  • This is an editied version of the inaugural Moshoeshoe Memorial Lecture presented by Univeristy of Cape Town vice-chancellor Professor Ndebele at the University of the Free State on Thursday. Perspectives on Leadership Challenges In South Africa

 

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