
Bara hospital: The good, bad and ugly
I was shortly to be transported from my bed in a very public – and noisy – ward onto a gurney and thence to the theatre.
There, a growing tumour was to be removed from my bladder. For I was in Chris Hani Baragwanath Academic Hospital in Soweto.
While awaiting my imminent hour of reckoning in theatre, I contemplated my brief journey to that moment.
It had all started a little over eight weeks previously when I had been incarcerated in a Netcare hospital seeking relief from a burgeoning sarcoma adjacent to my chest wall.
This malevolent growth had bloomed in a few short weeks, inducing, in the latter stages, chattering cold followed by blazing fevers on a daily basis.
And with an infection count of 200 – normal is zero – I was swiftly whisked into the high care ward of the hospital.
There were 14 beds curtained off, each with a TV screen and a locker for the few belongings.
Nurses, perhaps one for every two patients, clean towels, a green hospital gown into which you were expected to change and wear and two fully equipped bathrooms, plus several washing stations with soap dispensers.
And as expected, spotlessly clean. As for the meals, they are definitely edible, top boarding school stuff.
Ultrasound and MRI scans, chest X-rays and all other preparatory procedures were conducted swiftly and efficaciously.
ALSO READ: 'I could die before surgery': Cancer patient lost in Gauteng hospitals backlog
Your nurse could be summoned by the simple act of pressing a button, and lo! She manifested.
Once the operation was concluded, a visiting physio forced one to get out of bed and move around.
All of the above I recalled in a haze, which blurred into my arrival at Bara.
A total of 20 hours patiently queuing with a few hundred others over two days seeking admission, which, once granted, involved my finding my way from urology to ECGs and X-rays, through pharmacy and into accident and emergency, where I was informed my transport to a faraway ward could be accessed.
Carrying just a small canvas bag containing basic toiletries and a few snacks, I was squeezed into an already overloaded minibus and careened off through the vast confusion of Bara.
Finally, I arrived at a vast modern complex built to accommodate large numbers of Covid-19 patients, which never happened.
I set about finding my ward. Echoing long, empty corridors and passing several empty or half-empty wards, I finally arrived.
Large cubicles simply furnished… my own was equipped with a bed, a thin blanket and a thinner pillow encased in a thick plastic covering.
There were no lights behind the beds, allowing one to read. And there was a small locker. Nothing to change into, no gowns provided, the good-natured nurses smiled apologetically.
There were two large lavatories cum shower rooms, both spotless. But, sadly, no soap or towels. More smiling apologies.
ALSO READ: Gauteng hospitals get major tech overhaul to slash scan backlogs
The toilet bowls are clean, but they are devoid of seats. The harsh reality of a large state hospital and its offerings came as a sharp corrective.
The next day, I was transferred back into the main hospital building – the surgical ward where patients due for imminent surgery were bedded.
This was bedlam compared to the calm, quiet half-empty ward in which I had spent the previous night.
Patients head to toe in a corridor, in which I was shown my bed. Of privacy in a cubicle, there was none, of lockers, there were none.
Nor were there blankets on my bed, so two large coats were found and thrown over me. Nor was I offered anything to wear.
The following morning I was handed a pair of hospital pyjamas unnervingly similar to concentration camp uniforms and, of course, forbidden any food I nervously awaited the inevitable.
I had already received visits from the young anaesthetist and one of the surgical team members, who had done their best to calm my fluttering nerves.
Finally, the moment of reckoning. A porter arrived with the gurney, I climbed on, nerves jangling uncontrollably and then, as we moved, unbelievably and unexpectedly, the sound of singing.
Had I died and gone to heaven? It was the Lord's prayer, voices exquisitely harmonised. Around the corner in the main ward, they stood – a small shimmering complement of young women who sang.
All fear evaporated as I was wheeled at speed to the anteroom outside the theatre, my anxieties utterly stilled. In that lucid calm, I knew I was safe.
NOW READ: Alarm raised over 'R1.7bn fire safety gap' at Charlotte Maxeke hospital

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

IOL News
3 days ago
- IOL News
Glenmore's R2bn claims against health service providers dismissed by Competition Tribunal
The decision comes after the Tribunal upheld exceptions filed by both the National Health Laboratory Service (NHLS) and AfroCentric Health, citing multiple deficiencies in Glenmore's case. Image: Supplied The Competition Tribunal has ruled against Glenmore Capital, dismissing its complaint regarding the alleged exclusion of its COVID-19 rapid antigen test kits from the South African public and private sectors. The decision comes after the Tribunal upheld exceptions filed by both the National Health Laboratory Service (NHLS) and AfroCentric Health, citing multiple deficiencies in Glenmore's case. Glenmore's complaint, originally lodged with the Competition Commission in August 2022, sought damages nearing R2 billion, claiming that NHLS and AfroCentric engaged in exclusionary practices that barred it from entering the market for COVID-19 test kits. The Commission, however, chose not to pursue the case, citing Glenmore's struggle to achieve market acceptance as a result of commercial factors, including delays in regulatory approval and a decrease in demand as the COVID-19 pandemic waned. Frustrated with the Commission's decision, Glenmore escalated the matter to the Tribunal. At a pre-hearing in December 2024, Glenmore was afforded an opportunity to amend its founding affidavit to address the concerns raised by NHLS and AfroCentric. Despite making amendments, both defendants argued that Glenmore's case remained fundamentally flawed. Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Advertisement Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Next Stay Close ✕ In its defence, NHLS and AfroCentric articulated four primary exceptions, asserting that Glenmore's complaint lacked a valid cause of action, failed to properly identify the legal entities involved, lacked a clear market definition, and exceeded the Tribunal's jurisdiction due to the nature of the claims made. No valid cause of action: Glenmore's complaint failed to establish a legal basis under the Competition Act, lacking both legal and factual foundation. Glenmore's complaint failed to establish a legal basis under the Competition Act, lacking both legal and factual foundation. Improper citation of entities: Glenmore did not adequately identify which legal entity allegedly contravened the Act, despite having been given several opportunities to rectify this. Lack of proper market definition: The complaint failed to clarify the relevant market, with Glenmore shifting references between disparate health products without defining a cohesive product or geographic market. The complaint failed to clarify the relevant market, with Glenmore shifting references between disparate health products without defining a cohesive product or geographic market. Lack of jurisdiction and procedural issues: The Tribunal highlighted that it cannot award damages unless under consent orders and noted allegations outside the ambit of competition law, such as irregular procurement and insider trading. The Tribunal noted that Glenmore had been granted ample opportunity to clarify and bolster its case but ultimately failed to provide a coherent argument. With the exceptions upheld, Glenmore's complaint referral was dismissed in its entirety. BUSINESS REPORT

IOL News
08-08-2025
- IOL News
Chikungunya virus: symptoms, treatments and how to protect yourself from the mosquito-borne threat
Southern China is experiencing a chikungunya outbreak, reviving memories of COVID-19 controls. Image: Jimmy Chan/pexels In what feels eerily like a return to 2020, southern China is facing an outbreak that's reviving memories of the pandemic, but this time, it's not Covid-19. It's chikungunya, a virus spread by mosquito bites that causes sudden fever and severe joint pain, often lingering for months or even years. According to Bloomberg, the outbreak's epicentre is Foshan, a city in Guangdong province in South China, where over 6500 cases have been reported in just a few weeks. The local government is acting swiftly: hospitals are keeping patients under mosquito nets, drug purchases are being monitored, and communities are undergoing mass testing and disinfection campaigns. What is chikungunya Pronounced chik-un-GUN-yuh, the virus was first identified in Tanzania in 1952, but only arrived in China in 2008. Today, it's known to circulate in over 110 countries, mostly in Africa, South and Southeast Asia, and now, more prominently, southern China. According to the World Health Organisation (WHO), symptoms usually appear 3–7 days after a mosquito bite and include: Sudden high fever. Intense joint and muscle pain. Skin rashes. Headaches. Swelling of the joints. While most people recover within a week, some may suffer from chronic joint pain for months, sometimes even years. Fortunately, deaths are rare, and the virus is not spread person-to-person, only through mosquito bites. Still, in vulnerable groups like newborns, the elderly, and those with chronic illnesses like diabetes or heart disease, the illness can hit harder. Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Advertisement Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Next Stay Close ✕ With over 7,000 cases reported, authorities are implementing measures reminiscent of the pandemic. Image: Saeed Saeed/pexels Not another lockdown, but a wake-up call. Though the virus itself isn't new, the scale of the response in China is catching attention worldwide. Authorities are now tracking people buying over-the-counter fever or pain relief medication, a tactic used during the Zero-Covid strategy, reports "Bloomberg". Rather than lockdowns or digital tracking, outbreak control should focus on vector management and reducing human mosquito contact, Dr Donal Bisanzio, a senior epidemiologist at RTI International, a nonprofit research group, told BBC News. According to Kang Min, Director of Guangdong CDC's Institute of Infectious Disease Prevention and Control, new cases are slowing down, but challenges remain due to international travel and the flood season, which fuels mosquito breeding. Here's what local authorities are doing: Mass disinfection drives and stagnant water removal. Encouraging window screens and mosquito nets. Fines of up to 1,000 yuan (R2 600) for businesses not cleaning up mosquito habitats. Seven-day health campaigns in high-risk towns like Lecong. Communities light mosquito coils at the same time daily to maximise the repellent effect. What does this mean for travellers and locals alike? With the outbreak spreading to 12 cities in Guangdong province and a first imported case in Hong Kong, a 12-year-old boy who had visited Foshan, global attention is growing. The US State Department has even advised travellers to China to exercise increased caution. In an interview with eNCA, Professor Tulio de Oliveira from the Centre for Epidemic Response and Innovation at Stellenbosch University discussed the chikungunya virus. He noted that in South Africa, the NICD has recorded ten travel-related cases of this virus from December to July. During the winter months, there are no immediate concerns about widespread outbreaks in South Africa. However, emphasised that the real concern for South Africa will arise in the summer when mosquito populations increase. "The variant causing concern originated in Réunion Island in March, leading to a significant outbreak with nearly 50 000 infections. While it also spread to Mauritius, effective measures helped control it there." He added, 'This variant has mutations that allow it to spread more easily through certain mosquito species.' 'Climate change and rising temperatures are expanding the areas where mosquitoes thrive, which could lead to more chikungunya cases. ' He urged vigilance as the situation evolves, especially with the potential for more introductions of the virus into South Africa as the seasons change. How to protect yourself Use mosquito repellent daily, especially in humid, rainy seasons. Install mosquito screens on windows and doors. Sleep under mosquito nets, especially if you live near standing water. Wear long sleeves and pants if you're outside at dawn or dusk. Eliminate stagnant water in plant pots, buckets, or outdoor containers. If you've travelled to affected areas and develop fever, joint pain, or rash, see a doctor and mention your travel history. Early detection helps avoid complications and stops the spread.

TimesLIVE
07-08-2025
- TimesLIVE
Does SA need a Covid-like ministerial advisory committee to deal with HIV funding cuts?
Increase health taxes. Roll out the twice-a-year anti-HIV jab lenacapavir to stop HIV from spreading. Use artificial intelligence (AI) to do more with less. Convene a ministerial advisory committee. These are some of the things that have surfaced as potential solutions to fill the huge gap that US President Donald Trump's administration's sudden funding cuts in February have left. But would they work — and are they doable? Only if we move fast, and get lots of each thing, it seems. Health minister Aaron Motsoaledi told Bhekisisa's TV show, Health Beat, in July, that he 'would strongly consider' a ministerial advisory committee (MAC), like the one we had during the Covid pandemic for which scientists advised the health department on what to do. 'There's nothing wrong with establishing a MAC [to deal with funding cuts],' Motsoaledi admitted ... but we've not yet established anything like that for [the funding crisis].' No MAC or emergency think-tank with input beyond government structures has since been announced by the health department. But scientists warn such a committee should be an important part of the country's response to the crisis. 'We need to urgently convene a national think-tank,' medical doctor and the head of Wits RHI, Helen Rees, cautions. 'There are some really superb people who've been working in the programmes closely and well with the health department who could contribute their ideas and experience ... [and help figure out] what [strategies] can we [the health department] retain that aren't hugely expensive.' In Johannesburg, research released at the Conference on HIV Science in Kigali in July, shows HIV testing between January and March 2025 was 8.5% lower than the same time last year (before the funding cuts), and 31% less people were diagnosed with HIV in 2025. During the same period, there was also a 30% reduction in people who tested positive, who started on antiretroviral treatment, compared to 2024. So what has South Africa done so far? Motsoaledi has managed to raise a small amount of extra funding — R735m — from the treasury through the Public Finance Management Act. But it's less than 10% of the R7.9bn we've lost (and are in all likelihood about to lose in September, the end of the US financial year). The country is, however, starting to make progress with the rollout of lenacapavir, an injection that is taken once every six months, that provides near complete protection against HIV infection. About 170,000 people got newly infected with HIV in 2024, according to the latest Joint UN Programme on HIV and Aids report. A modelling study has shown if between two- and four-million people in the country take the jab, each year, for the next eight years, South Africa could end Aids as a public health threat by 2032. South Africa's medicines regulator, the South African Health Products Regulatory Authority, has told Bhekisisa the shot will be registered in the country before the end of the year. And, at a presentation at the Kigali conference, health department consultant Hasina Subedar said, if all goes well, the department will start to roll out the jab in April 2026. In July, the health department accepted an offer from the Global Fund for Aids, TB and Malaria, to reallocate R520m of its funds to buy lenacapavir from its maker, Gilead Sciences, over the next three years until cheaper generic versions become available. The funds will become available in October. But, if the health department budgets for the $60 per patient per year that the Global Fund has told them to, the grant is only enough to put about 400,000 people on preventive treatment for three years — about 10% of what is needed to end Aids by 2032. One more way to generate 'a stable and predictable funding stream' without donors, according to a July report by the public health organisation Vital Strategies, is to increase taxes on tobacco, alcohol and sugary drinks to a level where taxes constitute 50% of the selling price of the products. That money can then be used, among other things, to improve health infrastructure. According to the report, 45.7% of the price of a box of cigarettes, 27.6% of a bottle of beer and 3.4% of sugar-sweetened carbonated drinks currently go towards taxes in South Africa. Mia Malan recently asked Wits RHI's Helen Rees how the country should go about to find solutions to the HIV and TB funding crisis. Following is an edited version of the full TV interview.