Di­ar­rhoea tops baby fa­tal­i­ties in SA

Salt and sugar so­lu­tion can treat de­hy­dra­tion

Sowetan - - News - By Zoë Ma­hopo ■ ma­hopoz@sowe­tan.co.za

While it can be treated with a sim­ple sugar and salt so­lu­tion, di­ar­rhoea con­tin­ues to be a lead­ing killer among chil­dren un­der the age of five years in South Africa.

This is one of the key find­ings in the lat­est Health District Barom­e­ter com­piled by the Health Sys­tems Trust in part­ner­ship with the na­tional Health Depart­ment.

This is the 12th edi­tion of the pub­li­ca­tion that tracks the ef­fi­ciency of health­care across 52 mu­nic­i­pal dis­tricts.

Ac­cord­ing to the 2016/2017 fi­nan­cial year re­port, di­ar­rhoea con­sti­tuted 10.1% of the fa­tal­i­ties of chil­dren un­der the age of five in 2015.

The re­port also states that the num­ber of fa­tal­i­ties has de­clined steadily over the years, with less than 1 000 deaths for the first time since the 2012/2013 fi­nan­cial year.

It makes rec­om­men­da­tions for ef­fec­tive home treat­ment and im­proved care at fa­cil­i­ties.

Pae­di­a­tri­cian Dr Vhut­shilo Net­shi­tuni said chil­dren suc­cumb to water and salt de­fi­ciency.

“Chil­dren die be­cause of de­hy­dra­tion . When you lose water and salt there is a level when the body can­not cope and it goes into shock,” Net­shi­tuni said.

She said par­ents should im­me­di­ately ad­min­is­ter the home­made sugar and salt so­lu­tion and take the child to a doc­tor if their con­di­tion wors­ens.

Net­shi­tuni said chil­dren in crèches were at risk of be­ing ex­posed to viruses which cause di­ar­rhoea, some­times due to poor hy­giene stan­dards.

She said some­thing as sim­ple as wash­ing hands thor­oughly and ster­il­is­ing milk bot­tles with boiled water can save a child’s life. “It all comes back to good hy­giene,” she said.

Masabata Mkhwanazi from him­self freely‚ but such free­dom was con­fined if it incites vi­o­lence or ha­tred.

He said Slade’s den­i­grat­ing com­ments about black peo­ple‚ such as say­ing they were re­garded as an­i­mals or ser­vants‚ only serve to stir up emo­tions of ha­tred be­tween blacks and whites.

“They are cat­a­lysts for the in­cite­ment of vi­o­lence not only to­wards him but also to­wards in­no­cent whites‚ among whom are those who fought for free­dom which we so dearly en­joy to­day‚” Mood­ley said.

“He went to great lengths to jus­tify his dis­crim­i­na­tion against the blacks by com­par­ing the many phys­i­cal char­ac­ter­is­tics and at­tributes that ex­ist be­tween the brain sizes‚ cu­bic ca­pac­ity of the brain‚ blood type‚ bone den­sity‚ dif­fer­ent bod­ily fea­tures etc. The con­clu­sion reached [by him] is that a black per­son has lim­ited men­tal in­tel­lect.”

Mood­ley said Slade’s prac­tices‚ be­liefs‚ com­ments and con­duct were all in­con­sis­tent with the vi­sion that the con­sti­tu­tion seeks to achieve be­cause they were based on racial seg­re­ga­tion and were de­mean­ing and op­pres­sive to­wards blacks.

“Mr Slade has shown no re­morse or any re­grets by his racist re­marks. He has be­come so im­bibed in his re­li­gious be­liefs that he does not feel that he has said or done any­thing wrong.

“He was cool‚ col­lected and con­fi­dent when he gave his ev­i­dence and did not blink an eye­lid while we were glued to our seat.”

He went as far as to say that Krizan­iova the African Self Help As­so­ci­a­tion, an NGO which has 41 child­care cen­tres in Gaut­eng, said they ad­vised par­ents not to bring ill chil­dren to crèche.

Mkhwanazi said they also con­tact the health depart­ment for as­sis­tance if they sus­pect an out­break.

“All our cen­tres have run­ning water and our toi­lets are clean through­out the day. We ad­here to strict guide­lines for chil­dren’s diet,” she said.

The North­ern Cape had the high­est fa­tal­i­ties at 3.8%, fol­lowed by East­ern Cape at 3.7% and North West at 3.2%.

‘ ‘ Sav­ing child’s life all comes back to good hy­giene

had “fer­tilised” Slade’s ha­tred of black peo­ple. “One can say they are a cou­ple made in heaven as both sing from the same hymn sheet re­gard­ing their views on blacks... She played a ma­jor role in feed­ing Mr Slade with the fer­tiliser nec­es­sary to grow and sus­tain his re­li­gious be­liefs to the detri­ment of the blacks.

“She is the one who in­flu­enced him in prevent­ing blacks from com­ing to the lodge. Mr Slade ini­tially re­sisted but she in­sisted and he gave in,” he said.

“I am sur­prised that such pal­try amount is asked for in view of the ex­treme racist’s views that Mr Slade holds of blacks. I would have awarded an amount of be­tween R150 000 to R200 000 as dam­ages but I am con­fined to the amount that the ap­pli­cants ask for.”

Mood­ley fur­ther or­dered that Slade and Krizan­iova im­me­di­ately re­move any ma­te­rial that would amount to racism‚ in­equal­ity and hate speech from their web­site and that their three books be banned from pub­li­ca­tion as they amount to racism‚ in­equal­ity and hate speech.

How­ever, Slade ap­peared to do the op­po­site‚ up­dat­ing his web­site with his view of the judg­ment yes­ter­day morn­ing.

“He read it with some mis­takes but the most of­fend­ing was the fact that he said we sub­mit­ted no ev­i­dence... Mood­ley dared to or­der a ban of our book dis­tri­bu­tion in South Africa and of our blog and any dis­crim­i­na­tory com­ments‚” he wrote.

He said an ap­peal against the judg­ment would be “too costly”.


An­dre Slade and his Slo­vakian part­ner Kata­rina Krizan­iova have been found guilty of hate speech and fined R50 000.

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