South African Medical Association

SAMA Weekly Newsletter | 23 April 2020

 

 

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National Department of Health issues Updated Rapid Reviews of Potential COVID-19 treatments

On the 9th of April, three updated rapid medicines reviews were published by the Department of Health's National Essential Medicines List Committee's (NEMLC) COVID-19 Subcommittee.

These rapid medicines reviews have been ongoing since early 2020, in an attempt to provide evidence-based guidance for clinicians for medicines proposed for the prevention and management of COVID-19.

  • Convalescent Plasma: Based on this rapid evidence review, the NEMLC Subcommittee suggests not to use convalescent plasma for severe COVID-19 outside of a clinical trial setting.
  • Azithromycin: We do not recommend routine use of azithromycin for the treatment of COVID-19 in either ambulatory or hospital settings. Azithromycin use should be restricted to patients in whom there is a clear antibacterial indication.
  • Interferon: We recommend against the use of type 1 interferon for the treatment of COVID-19 in hospitalised patients.

The full reviews are available at: http://www.health.gov.za/covid-19-rapid-reviews/ along with multiple other reviews which are updated on a regular basis as new evidence becomes available.

Questions or concerns? Please direct these to the SAMA Knowledge Management, Research and Ethics Department - shelleym@samedical.org

 
 


Last Chance to participate - survey extended to 1 May 2021

SAMA Survey: Medical Doctors’ perspective on Euthanasia and Doctor-Assisted Suicide And their views on legalising these practices in South Africa: A Cross Sectional Survey

Dear SAMA Member

The contentious issue of euthanasia and doctor-assisted suicide (DAS) has once again received attention in the medical and legal communities.

You are invited to take part in an anonymous online survey on Euthanasia and Doctor-Assisted Suicide.

The survey is being conducted between 04 March – 01 May 2021.

This online survey will require about 15-20 minutes of your time.

Ensure that your personal perspective and opinion is included on this highly controversial subject by accessing the following link to the survey:
http://samedical.co.za/lime/index.php/999495?lang=en

The objectives of the SAMA survey are to:

  • To assess the knowledge of doctors on euthanasia and doctor-assisted suicide.
  • To determine medical doctors’ attitudes and perceptions towards euthanasia and doctor-assisted suicide.
  • To assess the doctors' willingness to provide euthanasia and doctor-assisted suicide.
  • To establish doctors’ position on legalising euthanasia and doctor-assisted suicide in South Africa and their willingness to provide such treatment.

This will also serve to inform the SAMA position on the issue going forward.

This survey is supported by the SAMA Human Rights, Law and Ethics (HRLE) Committee, and is approved by the South African Medical Association Research Ethics Committee (SAMAREC).

Please note that this survey is for SAMA members only.

Questions or comments? Please contact:

Mr. Brandon Ferlito
Principal Investigator

+27 (0) 12 481 2018
brandonf@samedical.org

 


REQUEST FOR COMMENT ON REVISED CHAPTERS OF THE STANDARD TREATMENT GUIDELINES AND ESSENTIAL MEDICINES LIST FOR PRIMARY HEALTHCARE AND ADULT HOSPITAL LEVEL OF CARE

he Ministerially appointed National Essential Medicines List (EML) Committee has reviewed the following sections of the Standard Treatment Guidelines (STGs) and Essential Medicines List (EML) for Primary Healthcare (PHC) and Adult Hospital Levels of care:

Level of care Chapter Section/ STG
Primary Healthcare Ch 7: Family planning Section 7.2.2: Levonorgestrel intra-uterine device (LNG-IUD) - to be added to the existing grouping of contraceptives on the EML
Primary Healthcare Ch 13: Immunisation Section 13.7: Other vaccines – influenza vaccines - update of the chapter

The Department of Health is seeking constructive comment regarding the identification of major errors, particularly involving diagnosis and treatment. Please include a short motivation to substantiate any comment made.

As per our standard processes , SAMA will be making comments to these chapters if necessary and appropriate. All the relevant information is attached for review:

  • Invitation to comment letter from the Department of Health
  • Revised Family planning chapter including the addition of LNG-IUD
  • Rational behind the revision of Family planning and addition of the LNG-IUD
  • Revised Immunisation Chapter including recommendations for influenza vaccine timing in relation to COVID-19 vaccination (2 week interval)
  • Report of NEMLC discussions about National Influenza vaccination guidelines for the 2021 flu season and rationale for the STG Update.

SAMA members are welcome to submit any comments you may have to the SAMA Knowledge Management, Research and Ethics Department (KMRED) by 1 May 2021.
Please send comments, suggestions and responses for inclusion in he SAMA submission to Shelley McGee at shelleym@samedical.org

Comments can also be directed through to the Department of Health by 10 May 2021:

Trudy Leong
E-mail: trudy.leong@health.gov.za
Essential Drugs Programme
Private Bag X828
PRETORIA 0001

Supporting Documents
 


Africa Vaccination Week – 24 to 30 April 2021

With all eyes currently focused on COVID-19 vaccination, other critical vaccinations must not be forgotten. This is the message of the South African Medical Association (SAMA) ahead of Africa Vaccination Week which runs from 24-30 April.

The theme for this year’s Africa Vaccination Week is “Vaccines Bring us Closer” and comes as the world faces the unprecedented global vaccination campaign against COVID-19.

“Vaccinations save millions of lives every year and immunisation is widely recognized as one of the world’s most successful health interventions. Killer diseases like polio, diphtheria and whooping cough have been either completely or nearly completely eliminated in many countries through expanded vaccination programmes over many years. We cannot forget that these vaccinations must also continue amid all the news around COVID-19,” says Dr Angelique Coetzee, Chairperson of SAMA.

According to the World Health Organization (WHO), there are still nearly 20 million children in the world today who are not getting the vaccines they need, and many miss out on vital vaccines during adolescence, adulthood and into old age.

“Sadly, many children have not been vaccinated during the global pandemic, leaving them at risk of serious diseases like measles and polio. COVID-19 has interrupted routine immunization in many African countries, putting thousands more lives at risk. We cannot allow these vaccination programmes to falter, and no effort must be spared to ensure children across the continent receive these crucial immunisations,” notes Dr Coetzee.

She says spreading fear and misinformation around the topic of vaccination adds to this threat.

She notes, “Although vaccine development is complex, the basic mechanism by which vaccines work to protect us against killer diseases is wonderfully simple. Our immune systems are powerful and working all the time to protect us from constant exposure to germs like viruses and bacteria, which cause infections in our bodies.”

Vaccines contain a part of an infection-causing agent, or a weakened version of that agent, which bodies recognise and generate an immune response against. When eventually exposed to the real infection, bodies can quickly respond and prevent the infection from taking hold. Additionally, when people get vaccinated and protected from diseases, they can indirectly also protect those around them, even if they have not been vaccinated.

“If you have been vaccinated so that you don’t get sick with an infectious disease, you are also much less likely to spread it to others. Vaccines are thus critical to the prevention and control of infectious-disease outbreaks. Fewer infections also mean fewer infected people to treat, which helps to protect the effectiveness of antibiotics, and places less strain on healthcare systems,” says Dr Coetzee.

For the majority of vaccine recipients, vaccines are also perfectly safe. Side effects are often related to the body’s own immune response to the vaccine and may include fever, headache, muscle pains, and tiredness. But these symptoms are usually very short-lived and generally mild. While severe side effects, such as allergic reactions, do occur, these are very rare and can usually be managed when recognised early.

“Vaccination is a key component of primary healthcare, and one of the best health investments money can buy. With all eyes focused on the delivery of COVID-19 vaccines, other crucial vaccination commitments must not be forgotten. Now, more than ever, we need commitment to vaccination programmes and greater commitments to achieve universal access to immunization for all Africans,” concludes Dr Coetzee.

[ENDS]

 

Compensation bill for occupational injuries could be disastrous, parliament hears

The possible amendment of a bill seeking to include domestic workers among those qualifying to claim for injuries sustained at work has been given the thumbs up.

The South African Institute of Chartered Accountants (Saica) hailed the bill, which if amended will benefit more than 864,000 domestic workers across SA. And the South African Medical Association (SAMA) also said it was encouraging.

But they also raised concerns over some elements of the Compensation of Occupational Injuries and Diseases Amendment (COIDA) Bill at the parliamentary portfolio committee for employment and labour on Wednesday.

SAMA rallied behind the objective of providing quality medical care to people injured on duty. But the association vehemently objected to the amendment of section 73 (clause 43 of the amendment bill) in the form proposed, arguing it will be catastrophic to workers.

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COVID-19 in SA: 1,569 new cases, 53 deaths recorded

OHANNESBURG - At least 53 more people have died due to the coronavirus, bringing the national death toll to 53,940. The health department said 1,569 new infections have been reported. Active cases are now just over 20,000. KwaZulu-Natal has the most active cases at nearly 5,000.

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India COVID-19 surge hits new record as oxygen runs short

NEW DELHI - India's brutal new COVID-19 outbreak set records on Wednesday with more than 2,000 deaths in 24 hours as hospitals in New Delhi ran perilously low on oxygen. India has been in the grips of a second wave of infections blamed on lax government rules and a new "double mutant" virus variant, adding almost 3.5 million new cases this month alone.

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COVID-19 vaccine | Gauteng prepares for phase two

OHANNESBURG - Gauteng premier David Makhura says the Wits Reproductive Health Institute is important in the fight against COVID-19. Makhura has been assessing readiness ahead of the phase two vaccine rollout earlier on Tuesday.

 

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Use COVID-19 lessons to battle deadly superbugs: WHO

NEW YORK - Lessons learned during the COVID-19 pandemic should be used to fight the spread of drug-resistant bacteria, which kill tens of thousands of people each year, the World Health Organization said Thursday. The UN health agency warned that the world was running out of options for fighting antimicrobial resistance (AMR), with few new effective antibiotics in the pipeline.

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COVID-19 vaccine | Western Cape ready for Phase 2

CAPE TOWN - South Africa has activated and signed for 31 million vaccines from Johnson & Johnson and will receive a total of 30 million vaccines from Pfizer. Health Minister Zweli Mkhize says government has overcome a number of stumbling blocks along the way during its covid-19 vaccine rollout. He visited the Western Cape to assess the province's state of readiness to start the second phase for senior citizens.

 

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Mkhize says J&J vaccine rollout to resume soon

JOHANNESBURG - Health Minister Zweli Mkhize has reassured the nation the Johnson & Johnson roll-out will resume soon. The COVID-19 vaccine's rollout was temporarily halted after reports in the United States indicated some J&J recipients developed rare blood clots after receiving the vaccine. Mkhize said he will make an announcement soon.

 

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Physical address The South African Medical Association, Block F Castle Walk Corporate Park Nossob Street Erasmuskloof Ext3 Pretoria 0181, South Africa www.samedical.org

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