Surveillance Reports

The evolution of antenatal care HIV/syphilis sentinel surveillance in South Africa (1990–2022)

How has antenatal care HIV and syphilis surveillance evolved, and what comes next? Antenatal care (ANC) services provide convenient access to healthy women who are sexually active and can serve as a proxy for the general population with respect to HIV surveillance. Since 1990, South Africa has conducted antenatal care HIV and syphilis sentinel surveillance […]

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One Health surveillance report for rabies in South Africa (2021–2023)

How can One Health surveillance reveal hidden trends in human and animal cases? Rabies, endemic in South Africa, is a fatal viral infection affecting livestock, wildlife, domestic animals, and humans through direct zoonotic exposure. Although rabies has been reported in numerous mammalian species, most human infections are associated with contact with rabid domestic dogs. Traditional

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The burden and epidemiology of HIV-associated cryptococcal meningitis and culture-confirmed cryptococcosis in South Africa, 2018–2023

Can surveillance data reveal trends in HIV-associated cryptococcal meningitis in South Africa? HIV-associated cryptococcosis continues to contribute substantially to illness and death among people living with HIV in South Africa, despite important progress in expanding access to antiretroviral therapy (ART). Cryptococcosis is a serious opportunistic fungal infection caused by Cryptococcus neoformans or Cryptococcus gattii. It

The burden and epidemiology of HIV-associated cryptococcal meningitis and culture-confirmed cryptococcosis in South Africa, 2018–2023 Read More »

Occupational cancer mortality in South Africa: insights from national data, 2011–2015

Can mortality data help reveal hidden cancer risks across South Africa’s workplaces? Cancer poses a significant public health challenge in South Africa, yet understanding how workplace exposures contribute to cancer risk remains limited. Traditional surveillance systems often lack detailed occupational information, making it difficult to identify high-risk industries or exposure patterns. Mortality data provides a

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Tracking infectious agents through wastewater in South Africa: measles, rubella, hepatitis, influenza, mpox, and tuberculosis, 2024

Can wastewater surveillance reveal hidden disease trends and strengthen public health in South Africa? Infectious diseases caused by viral and bacterial pathogens remain a major public health concern. Traditional surveillance systems, which rely on laboratory-confirmed cases, can be affected by socioeconomic factors, delayed healthcare-seeking, and under-reporting. These challenges can obscure the true burden of disease

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Linkage to care for rifampicin-resistant tuberculosis cases in Gauteng, South Africa (2022–2023)

How effectively are rifampicin-resistant TB patients in Gauteng linked to care and initiated on treatment? Tuberculosis (TB) is a contagious bacterial infection caused by Mycobacterium tuberculosis that primarily affects the lungs but can spread to other parts of the body. Common symptoms include a persistent cough, fever, night sweats, and weight loss. Without timely diagnosis

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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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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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