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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

Food insecurity should not stand in the way of education
2015-06-11

 

Every year, hundreds of students drop out of university due to financial difficulties – only to return to dire financial circumstances. It is only a few who manage to secure a bursary to fund their studies. These bursaries often pay only for academic and residential expenses, leaving students without additional funding for food.

The University of the Free State realized that up to 60% of its students were food insecure. Many of these students admitted to having to work after class to buy food or having to beg from friends. In 2011, the UFS launched the No Student Hungry Bursary Programme (NSH), which provides modest food bursaries to food insecure students. Currently, 130 students receive food bursaries from the programme to ensure they have one less thing to worry about while they are studying.

This year, at our Autumn Graduation Ceremony, six beneficiaries of the NSH Bursary Programme, received their degrees – an achievement all them feel they could not have reached was it not for the support by NSH.

For Tshililo Nethengwe, accounting student from Venda, her first year at university in 2012 was a daily battle. Although her parents managed to pay her study and accommodation fees, the meager monthly food allowance her parents could afford was not enough to last her the month.

“Every morning I used to tell myself not to think about food because I am here to study. Somehow, I still managed to get something to eat – even if it was just a few slices of bread a day. I was very determined to succeed in my studies, and NSH took away the burden of needing to ‘hustle’ and beg for food.”

Tshililo was one of six NSH recipients who received their degrees and is now doing her honours in B.Com Accounting.

“The NSH Bursary Programme invests in potential, and supports academic achievers who come from challenging backgrounds,” explains Vicky Simpson, co-ordinator of NSH.

“We promote the success of undergraduate students, enabling them to focus on their studies and not on where their next meal will come from. Successful graduates will have a positive and direct impact on our economy, different communities, and many households.”

The NSH food bursary is awarded to students on the basis of financial need, academic excellence, and the commitment to serve the community. We have helped more than 500 students since 2011, when Prof Jonathan Jansen, Vice-Chancellor and Rector, started NSH.

“These students share amazing stories that inspire us. Many had to endure hardship, but they managed to persevere, worked hard, and made it to university. The ability to buy a meal makes an enormous difference.”

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