Browsing by Subject "Surveillance"

Now showing 1 - 4 of 4
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    Bodies across borders : embodiment and experiences of migration for southern African international students at the University of Cape Town
    (2010) Moll, Tessa; Bennett, Jane
    In context of increasing global migration and its correlation to heightened tensions around the meaning of a "foreign" body, this research questions the experiences of bodies crossing borders into the social and historical space of Cape Town, South Africa. Grounded in theories of surveillance, embodiment, and feminist geography of fear of crime, the study employed a feminist methodology using qualitative group interviews with international students from the Southern African Development Community at the University of Cape Town. The transcribed data was analysed through the participants' use of discourses and their descriptions of experiences. Questions arose around the meaning of surveillance and notions of respectability in transition. Furthermore, participants navigate amid new spaces of fear and insecurity in relation to their subjectivities, particularly as "foreigners". The research suggests that fear becomes a fundamental attribute of bodies in migration through which individuals mitigate through "passing" subverting expressions of embodied nationalities, knowledge gathering of the local terrain, among others. The challenges and techniques to overcome these fears become part of a process to re-establish the "self" in a foreign context.
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    Health surveillance of employees on a lead mine, 1979-1989
    (1991) VAN HEERDEN, H; METS, J
    Health surveillance of employees at a lead mine in the northern Cape, employing about 1 400 people, is specifically aimed at early detection of excessive lead absorption, which is the main chemical hazard. Over a period of 9 years the blood lead level distribution showed very few values (2,5%) that exceeded 60 μg/100 ml.Health surveillance of employees at a lead mine in the northern Cape, employing about 1 400 people, is specifically aimed at early detection of excessive lead absorption, which is the main chemical hazard. Over a period of 9 years the blood lead level distribution showed very few values (2,5%) that exceeded 60 μg/100 ml.
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    National sentinel site surveillance for antimicrobial resistance in Klebsiella pneumoniae isolates in South Africa, 2010 - 2012
    (2014) Perovic, Olga; Singh-Moodley, Ashika; Dusé, Adriano; Bamford, Colleen; Elliott, G; Swe-Han, Khine Swe; Kularatne, Ranmini; Lowman, Warren; Whitelaw, Andrew; Nana, Trusha; Wadula, Jeanette; Lekalakala, Ruth; Saif, Adrienne; Fortuin-de Smit, Melony; Marais, Else
    ABSTRACT BACKROUND: The increasing rates of antimicrobial resistance observed in the nosocomial pathogen Klebsiella pneumoniae are of major public health concern worldwide. OBJECTIVES: To describe the antibiotic susceptibility profiles of K. pneumoniae isolates from bacteraemic patients submitted by sentinel laboratories in five regions of South Africa from mid-2010 to mid-2012. Molecular methods were used to detect the most commonly found extended-spectrum beta-lactamase (ESBL) and carbapenemase resistance genes. METHODS: Thirteen academic centres serving the public healthcare sector in Gauteng, KwaZulu-Natal, Free State, Limpopo and Western Cape provinces submitted K. pneumoniae isolates from patients with bloodstream infections. Vitek 2 and MicroScan instruments were used for organism identification and susceptibility testing. Multiplex polymerase chain reactions (PCRs) were used to detect blaCTX-M, blaSHV and blaTEM genes in a proportion of the ESBL isolates. All isolates exhibiting reduced susceptibility to carbapenems were PCR tested for blaKPC and blaNDM-1 resistance genes. RESULTS: Overall, 68.3% of the 2 774 isolates were ESBL-positive, showing resistance to cefotaxime, ceftazidime and cefepime. Furthermore, 46.5% of all isolates were resistant to ciprofloxacin and 33.1% to piperacillin-tazobactam. The major ESBL genes were abundantly present in the sample analysed. Most isolates (95.5%) were susceptible to the carbapenems tested, and no isolates were positive for blaKPC or blaNDM1 There was a trend towards a decrease in susceptibility to most antibiotics. CONCLUSION: The high proportion of ESBL-producing K. pneumoniae isolates observed, and the prevalence of ESBL genes, are of great concern. Our findings represent a baseline for further surveillance in SA, and can be used for policy and treatment decisions.
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    Pandemic influenza preparedness in the WHO African region: are we ready yet?
    (BioMed Central, 2018-11-14) Sambala, Evanson Z; Kanyenda, Tiwonge; Iwu, Chinwe J; Iwu, Chidozie D; Jaca, Anelisa; Wiysonge, Charles S
    Background Prior to the 2009 pandemic H1N1, and the unprecedented outbreak of Highly Pathogenic Avian Influenza (HPAI) caused by the H5N1 virus, the World Health Organization (WHO) called upon its Member States to develop preparedness plans in response to a new pandemic in humans. The WHO Member States responded to this call by developing national pandemic plans in accordance with the International Health Regulations (IHR) to strengthen the capabilities of Member States to respond to different pandemic scenarios. In this study, we aim to evaluate the quality of the preparedness plans in the WHO African region since their inception in 2005. Methods A standard checklist with 61 binary indicators (“yes” or “no”) was used to assess the quality of the preparedness plans. The checklist was categorised across seven thematic areas of preparedness: preparation (16 indicators); coordination and partnership (5 indicators); risk communication (8 indicators); surveillance and monitoring (7 indicators); prevention and containment (10 indicators); case investigation and treatment (10 indicators) and ethical consideration (5 indicators). Four assessors independently scored the plans against the checklist. Results Of the 47 countries in the WHO African region, a total of 35 national pandemic plans were evaluated. The composite score for the completeness of the pandemic plans across the 35 countries was 36%. Country-specific scores on each of the thematic indicators for pandemic plan completeness varied, ranging from 5% in Côte d’Ivoire to 79% in South Africa. On average, preparation and risk communication scored 48%, respectively, while coordination and partnership scored the highest with an aggregate score of 49%. Surveillance and monitoring scored 34%, while prevention and containment scored 35%. Case investigation and treatment scored 25%, and ethical consideration scored the lowest of 14% across 35 countries. Overall, our assessment shows that pandemic preparedness plans across the WHO African region are inadequate. Conclusions Moving forward, these plans must address the gaps identified in this study and demonstrate clarity in their goals that are achievable through drills, simulations and tabletop exercises.