Current Issues

Antenatal HIV and syphilis testing in South Africa: Comparing medical records and laboratory results among pregnant women

How consistent are antenatal HIV and syphilis results across data sources? Syphilis is a curable sexually transmitted infection (STI) caused by the bacterium Treponema pallidum (TP). Globally, about 7.1 million people were newly infected with TP and an estimated 200 000 deaths were due to syphilis in 2020. Syphilis can be transmitted from mother to […]

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Malaria vector surveillance in South Africa: 2023 update

How do mosquito species and resistance trends impact malaria transmission? Malaria is a life-threatening disease caused by parasites transmitted to humans through the bites of infected Anopheles mosquitoes. In South Africa, malaria transmission is seasonal and occurs mainly in the Limpopo, Mpumalanga, and KwaZulu-Natal provinces.  Symptoms can range from fever, chills, and headaches to severe

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Investigation of a measles outbreak in Mpumalanga, South Africa (Nov 2022–Dec 2023)

What contributed to the measles outbreak in Mpumalanga? Measles is a highly infectious and potentially fatal acute viral disease that predominantly affects young children. It is characterised by fever and a maculopapular rash that typically appears 3–5 days after the onset of respiratory-like symptoms. Complications include diarrhoea, pneumonia, encephalitis, and death. Measles is vaccine-preventable. Despite

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Investigation of foodborne disease outbreak linked to restaurant in Cape Town, South Africa (February, 2024)

How did a Cape Town restaurant become the source of a foodborne disease outbreak in February 2024? Foodborne diseases (FBD) are illnesses caused by eating contaminated food. The World Health Organisation (WHO) estimates that globally, one in ten people, about 600 million individuals, fall ill from FBD every year, with 420,000 deaths. Low and middle-income

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The risk of zooanthroponosis of mpox in South Africa

Is there a risk of mpox spreading from humans back to animals? Mpox is a zoonotic disease caused by the monkeypox virus (MPXV). The virus is transmitted from animals to humans in endemic areas in central and western Africa. Although the natural ecology of MPXV remains to be elucidated, evidence points towards several rodent species

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Tracking STI pathogens in South Africa: sentinel surveillance report 2021–2024

What do the latest findings tell us about STIs and treatment in South Africa? Sexually transmitted infections (STIs) are a group of infections passed from one person to another through sexual contact. Caused by more than 30 bacterial, viral, and parasitic pathogens, STIs can range from curable infections like gonorrhoea, chlamydia, and trichomoniasis, to lifelong

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Animal Bites and Human Rabies in Limpopo, South Africa (2011–2023): Epidemiological Trends and Insights

What Do 12 Years of Data Reveal About Rabies and Animal Bite Trends in Limpopo? Rabies is a viral zoonotic disease caused by the rabies virus and is primarily transmitted to humans through the saliva of infected animals. Transmission occurs via bites, scratches, or contact with mucous membranes and open wounds. The disease presents with

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Tracking the Silent Spread: Enteric Pathogens in South Africa (2018–2023)

How Have Diarrhoeal Pathogens Affected South Africans Over 5 Years of Age in the Last 5 Years? Enteric pathogens are a common cause of diarrhoeal diseases and affect the stomach and intestines. These pathogens spread mainly through contact with contaminated food, water, or surfaces. Diarrhoeal disease has long been a significant global public health concern,

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Influenza Surveillance in South Africa: 2024 Report

Why Is Influenza Still a Concern in South Africa? Influenza, commonly known as the flu, is a highly contagious respiratory illness caused by influenza viruses that primarily affect the nose, throat, and sometimes the lungs. Its severity can vary from mild symptoms to life-threatening complications, especially for vulnerable populations such as the elderly, young children,

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Occupational Lung Disease Surveillance in South African Miners: 2021 Findings

What Do the 2021 Autopsy Findings Reveal About Occupational Diseases in Miners? Occupational lung diseases, including emphysema and pulmonary tuberculosis (PTB), are common among South African miners due to long-term exposure to harmful dust and particles like coal and silica dust. Emphysema causes damage to the lungs, making it hard to breathe, while PTB is

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