Municipal Health

On Wednesday, 1 November 2017, officials from Eden District Municipality’s (Eden DM) Municipal Health Services, George Municipality’s Civil & Engineering Waste Management Section and Cape Nature celebrated National Children’s Day, with learners of the Waboomskraal Primary School.

Mr David Papier, Environmental Health Practitioner (EHP) started the session with a presentation on water safety and health.  He explained the importance of water, not only for present survival, but also for future generations.  “Without water, we cannot exist,” he said.   He concluded by explaining in lamens terms the functions of water in the body.

Second on the programme was Mr Deon Makwena from Cape Nature, who informed learners about the importance of looking after and caring for the environment.  Mr Makwena used dramatic gestures to explain the ripple effect littering have on rivers and the environment as a whole. Followed by Ms Carika Soman, EHP of Eden DM who made a presentation on Personal Health & Hygiene Awareness.  Ms Soman engaged with learners by using practical examples and frequently asking question throughout the presentation.

Ms Janine van Wyk, also from Eden DM did a demonstration on proper techniques when washing hands.  She used two volunteers from the audience.  The last speaker of the day was Mr Geoffrey Bredenkamp of George Municipality who explained the process of water purification.

The core message for learners was to care for your environment, yourself, to save and appreciate our water resources.

On Wednesday, 27 September 2017, Environmental Health Practitioners (EHPs) from the Eden District Municipality (Eden DM) office in Knysna presented a third informal red meat traders training session in Knysna.

The aim of the session was to improve the level of food safety by improving knowledge of legal requirements and responsibilities, good operational procedures and red meat handler’s awareness of food safety issues.

The following topics were covered, namely:

• Health and hygiene practices in an informal food environment.
• Five keys to safer food and legal requirements.
• Implications for formal and informal slaughtering.

Eden DM Councillor Khayalethu Lose, Portfolio Chairperson for Community Services (right) and Mr Clive Africa, Executive Manager for Community Services (left), give a word of encouragement to the informal food traders at the session.

The Local Economic Development Section of the Knysna Municipality was also invited to the session and presented their responsibilities towards empowering small businesses.  What is expected from the informal food traders, also formed part of their discussion points.

To end the programme on a higher note, incentives were handed over to the red meat handlers by Eden DM’s Portfolio Chairperson for Community Services, Cllr Khayalethu Lose and the Executive Manager for Community Services, Mr. Clive Africa.

A total of 24 food handlers were accommodated in this session.

Food safety is one of the nine Key Performance Areas (KPAs) of Municipal Health and Environmental Services, which forms part of the Directorate Community Services at Eden District Municipality (Eden DM). Food safety includes the monitoring of food premises and safe handling of food at formal and informal food premises. Education on hygiene awareness is also done by Environmental Health Practitioners to the public.

Food safety training was recently presented to food handlers of formal and informal food premises in Oudtshoorn.

Environmental Health Practitioners Mr Francois Koelman, Ms Elizna Barnard and Mr Pieter Crous of Oudtshoorn Municipal Health office presented the training.

The content of the training focused on the World Health Organisation’s Five keys for safer food, which include:

1. Keep clean

Wash your hands before handling food and often during food preparation;
Wash your hands after going to the toilet;
Wash and sanitise all surfaces and equipment used for food preparation;
Protect kitchen areas and food from insects, pests and other animals;

2. Separate raw and cook foods

Separate raw meat, poultry and seafood from other foods;
Use separate equipment and utensils such as knives and cutting boards for handling of raw foods;
Store food in containers to avoid contact between raw and prepared foods;

3. Cook thoroughly

Cook food thoroughly, especially meat, poultry, eggs and seafood
Bring foods like soups and stews to boiling to ensure that they have reached 70 ͦ. For meat and poultry, make sure that juices are clear, not pink. Ideally, use a thermometer.
Reheat cooked food thoroughly.

4. Keep food at safe temperatures

Do not leave cooked food at room temperature for more than 2 hours.
Refrigerate promptly all cooked and perishable food (preferably below 5ºC).
Keep cooked food piping hot (more than 60ºC) prior to serving.
Do not store food too long even in the refrigerator.
Do not thaw frozen food at room temperature.

5. Use safe water and raw materials

Use safe water or treat it to make it safe
Select fresh and wholesome foods
Choose foods processed for safety, such as pasteurized milk
Wash fruits and vegetables, especially if eaten raw
Do not use food beyond its expiry date

Participants now have a greater understanding about the importance of their roles and responsibilities in when handling food. A Certificate of Attendance was issued to those who received training and informal food traders also received incentives, which included cooler boxes and aprons.

The WASH (water, sanitation and hygiene) Project in Schools is a programme which is supported by the World Health Organisation (WHO) to improve water, sanitation and hygiene conditions at schools. The school manager, educators of PJ Badenhorst Primary School in Dysselsdorp and the Eden District Municipality (Eden DM) Municipal Health Section based in Oudtshoorn, collaborated to establish a WASH committee. The committee strives to ensure that sustainable good health prevails among educators and learners and that the school environment is kept clean and healthy. The committee is supported by the school governing body. Involvement of educators, learners, parents, communities and government institutions is important in WASH projects.

The Manager of the Eden DM Municipal Health Services: Klein Karoo, Mr Desmond Paulse, gave a presentation to the WASH committee on the important components of a Programme, which include:

• water facilities, water conservation and access to water;
• hygiene promotion;
• sanitation;
• control of communicable and vector-borne diseases;
• cleaning and waste disposal;
• food storage and preparation especially in case of school feeding schemes; and
• importance of hand washing.

Environmental Health Practitioners Francois Koelman and Willie Plaatjies did a presentation to food preparers of the school feeding scheme on food safety and safe storage of food. The Municipal Health Section of Eden DM will continue to support the school with WASH projects.

Diarrhea and worm infections, which are two of the main diseases that affect school aged children, can be drastically reduced through improved water, sanitation and hygiene practices. Children can carry infectious agents from childcare settings and schools into the home and vice versa, causing those in contact with them to get infected. WASH in schools focuses generally on the prevention of diseases that can be transmitted from person to person, and the program aims to ensure the following:

• learners that are healthier,
• learners that can positively influence hygiene practice in their homes, among family members and in the wider community;
• learners to observe, communicate, cooperate, listen and carry out decisions about hygienic conditions and practices for themselves; and
• change in current hygiene behavior and continue better hygiene practices in the future like correct hand washing with soap which is an important barrier to transmission of infections and has been cited as one of the most cost-effective public health interventions. Hand washing with soap can reduce the incidence of diarrhea from 48 to 42 percent. Improved sanitation behavior has also been associated with a reduction in gastro-intestinal illnesses.

Eden District Municipality’s women, on 18 August 2017, were treated to a day of motivational talks in commemoration of Women’s Day at the George Correctional Services recreational hall. Financial planning and donations were provided by Capitec; women’s health information was shared by Agness Maree from CANSA; dressing according to your body shape by Annalidda; and self-defense tips by Mr Malcolm Pojé. Ladies from Eden DM were dressed up to the theme “Sassy, Candy, Mismatch”, which represents a woman being bold, full of spirit and talkative, colourful, sweet and not one in the same.

Cllr Rosina Ruiters‚ Eden DM Executive Deputy Mayor delivered the keynote address and expressed her passion for progressive women and especially the contribution that women offer to their families and society in general. “I am here to honor the power and struggles of women who have broken all barriers and reached the pinnacle of success in every sphere of life,” she said. Cllr Ruiters also highlighted 09 August 1956, as one of the turn-around events in the struggle for freedom and women’s rights in South Africa. “It was on this day that more than 20 000 women of different races staged a march to the Union Buildings in Pretoria to protest against the proposed amendments to the Urban Areas Act (commonly known as the pass laws) of 1950.”

“Women are like glue to their families, but still face abuse in today’s life; emotionally, physically and financially.”
“Women must speak out and put a stop to the abuse. Wathinta abafazi wathinta imbokodo ‘you strike a rock – you strike a woman’,” Cllr Ruiters concluded.

Malcolm Pojé, Communication Officer and Spokesperson of the Southern Cape, South African Police Service (SAPS), shared his admiration and respect for women. He then presented various self-defense skills, which proves to be effective when a person faces an attacker. He specifically pointed out how a woman should target specific areas of a man’s body to temporarily disable him, which would ensure her with adequate time to escape to a safe space.

Eden District Municipality, Portfolio Chairperson of Strategic Services, Cllr Erica Meyers, extended a word of appreciation to Eden DM women for their hard work and dedication. She also thanked, CAPITEC Bank, Malcom Pojé from SAPS, Annalida (fashion designer) and Ms Maree from CANSA for supporting and offering motivational talks to Eden DM women.
The décor was done by Margaret Powell and Marlene Nqumse, who had to make do with minimal funds – Eden DM would like to thank them for doing a sterling job!

The Environmental Health Practitioners (EHPs) of the Eden District Municipality devote themselves to undertake routine water sampling of areas, situated along the Eden district, as a crucial part of the Municipal Health Services’ key performance areas.

Regular sampling of the following sites, situated within the five coastal areas are procured routinely, as well as prior to and during the December holiday season:

Bitou   – 5 sample sites
Knysna  – 9 sample sites
George   – 4 sample sites
Mossel Bay  – 5 sample sites
Hessequa  – 4 sample sites

A total of 12 “Blue Flag” beaches have been identified and proclaimed within the entire District, emphasising the very important role this region represents as prominent holiday and tourist destination.

The purpose of sampling at these sites is to ensure that all recreational areas that are being utilised by local residents and visitors, are safe and pollutant-free.  The presence of pathogenic bacteria isolated in the water samples, is normally an indication of fecal pollution, which may originate from storm water run-off, pets and wildlife, as well as human sewerage.  If present in high concentrations in water and ingested while swimming or enter the skin via a cut or sore, it may cause ear and throat infections, as well as gastro -enteritis.

A collaborative approach regarding the management of all coastal water bodies (including rivers, estuaries, lagoons and the ocean) with all other stakeholders, e.g. the South African National Parks (SANParks) and Nature Conservation, will ensure a safe and enjoyable holiday for everyone.

After an incident that occurred in one of Plettenberg Bay’s childcare facilities, Eden District Municipality’s Environmental Practitioners on 28 October 2016, embarked on a programme to create awareness about a bacterial infection named Impetigo.

The programme was held at the Bongolethu Crèche in Kwanokuthula, Plettenberg Bay.  Mr Gawie Vos, Ms Zoleka Goniwe and Ms Nokuphiwa Mbali facilitated the session, which was attended by four teachers, 50 toddlers, as well the principal, Ms Beauty Mpondo.

1. What is Impetigo?

Impetigo is a highly contagious skin condition that is most common in children. It usually occurs on the face, neck and hands of young children and infants. Children who wear diapers also tend to get it around the diaper area. The disease occurs usually following another skin condition or an infection. Impetigo is caused by two bacteria – streptococcus pyogenes and staphylococcus aureus, which is highly contagious.

2. What are the symptoms?

Impetigo symptoms can be uncomfortable and embarrassing, particularly when they are present on the face. Though the symptoms vary slightly from type to type of Impetigo, they are similar and can include: red sores that pop easily and leave a yellow crust, fluid-filled blisters, itchy rash, skin lesions and swollen lymph nodes.

3. How to prevent Impetigo?

In order to prevent Impetigo one needs to maintain good hygiene. These methods include: washing hands regularly, bathing or showering regularly, cleaning and covering any injuries to the skin.

With the children who eagerly participated in the activities and attentively listened to the facilitators, the participation of the teachers and attendance of the school principal, the programme was described as being a great success.