Researcher WDGMC | nephrologist @WitsUniversity | ARK Study - understanding epidemiology kidney disease in South Africa @AgincourtHDSS | nuts about climbing
Brilliant thread on social and psychosocial determinants of obesity from @jburnmurdoch . Blaming individuals doesn't work, quite apart from its unacceptability.
NEW: a column in the Times argues that the only way to tackle obesity is through fat shaming (yes, you read that right).
It’s an astonishing argument to make, and unsurprisingly it falls to pieces under scrutiny.
Let’s take a look, and see if we can do better:
Oh, and for the "it’s just personal responsibility" crowd, an anecdote:
I worked nights (10p-7a) at local supermarket for a few months between school & university, and my diet, exercise & weight all took a hit. Over the months after leaving that job, I got back onto an even keel
Are eGFR-cr values calculated from CKD -EPI equations developed in non-African populations really appropriate for defining CKD prevalence (according a fixed non-age adapted eGFR threshold) in an African population. Probably not.
Good points, to the first. We underestimate CKD based on creatine eGFR so we know we are missing people using the <60 cut offs, plus those with severe CKD die in the absence of RRT in this rural community
And to the second, agree we have limited understanding of the impacts of AKI from infectious diseases and heat stress. Schistosomiasis is endemic, and malaria seasonal, with high HIV prevalence. Planning to unpack in future studies
One third of those with CKD had none of these associated risk factors.
28.4% with normoalbuminuric haematuria.
28.7% with nitrite negative leukocyturia
No Brainer...one would hope the government would do everything they can. But we are at stage 6 because the future of south Africans clearly is not a priority
Calls to have hospitals exempt from loadshedding, especially now that the country has descended to stage 6. "Services such as emergency surgeries can't be performed timeously." Prof Adam Mohamed from Charlotte Maxeke Academic Hospital.
bit.ly/3ShvpN5
How can we improve referrals from primary care to the renal clinic?🏥🫘
Urine needs to be tested more often for protein!🧪
Our study shows that only around 25% of patients with kidney disease provide urine samples for testing. 🧵
gla.ac.uk/news/headline_8793…
Beautiful and inspiring! Hope you will write your story Cissy, not only to create a record but to share your legacy teach so.many that can learn from you
The @CityofJoburgZA Multi-Party Government and our integrated waste management Entity, @CleanerJoburg is waging a war on illegal dumping in the City.
We have closed more than 100 illegal dumping sites since the beginning of 2022.
This is one of so many. @mphophalatse1@CityofJoburgZA if we are going to follow through on commitment to water conservation can prioritize infrastructure to fix leaks in Jozi.there are also 2 on corlett drive
Can @CityofJoburgZA start a Twitter profile for us to report leaks
#JoburgUpdates
The Multi-Party Government will implement lifestyle audits for all councillors and senior executives as part of its commitment to a well-run City that effectively tackles corruption - MMC for @JoburgGCSS, Cllr @LeahK28#GoldenRepair#BuyaMthetho ^GZ
Can attest to this...everyday is see municipal workers fixing water leaks, repairing tar, picking up rubbish...thank @mphophalatse1 and @CityofJoburgZA for reigniting hope in Jozi again. good governance is possible
This a government at work, and it scares our opponents that residents are seeing and
feeling a different @CityofJoburgZA.
The repair and rebuild of Joburg is happening.
Perpetuating a narrative that absolves South Africans from taking any responsibility for any of this mess. We also seem to have a very short memory...... what about all our neighbors who protected ANC activists when they fled for their lives out of SA
MEC Phophi Ramathuba’s dehumanising rant to a Zimbabwean patient is a distraction from the root issue: that the ANC never acted on the implementation of strategic frameworks to regulate cross-border healthcare agreements back in 1994. dailymaverick.co.za/article/…