CMASA FEES ONLY
R300
COME ON CASE
MANAGERS….LET’S GROW THIS
ASSOCIATION ….pay your fees
UP COMING EVENTS
We are looking forward to our chapter meeting sponsored by
and Intercare at
Christa will be addressing us on Pain and Annelien will present depression in women.
Come along a bring lots of questions and a friend.
We will be serving lunch from 12H30 the 07/08/2015 and the talk will follow @13H30.
Please bring a friend and remember to RSVP at westerncapeCMSA@gmail.com
USEFUL LINKS
http://www.casemanagement.co.za (if you are a paid up member, you will have access to more information)
COMPETITION TIME
Are you looking for a sponsor toward your CMASA conference fees for 2016? Look no further.
The Western Cape chapter is launching a competition.
Criteria for entering




Membership paid up.
Case study entry.
Attend all chapter meetings.
Help grow the chapter.
New publishers
The Western Cape Case Management Chapter members attended a talk by Dr. Paul Sinclair, a paediatrician practising
at Vincent Palotti hospital as well as Red Cross Children’s Hospital.
The focus of the talk was on the role
immunisation in prevention of
disease in children. We have become
complacent as the incidence of potentially devastating and life threatening diseases has decreased over the years.
An interesting point that was raised was to also consider vaccinating adults – woman before they fall pregnant,
caregivers of little children especially if new babies will be introduced in the environment. Caregivers can include
parents, grandparents, teachers, nannie and older siblings. Some of the ‘childhood’ diseases have serious
complications if contracted by adults.
Prevention of disease in children
Nutrition
Isolation
Natural/ Homeopathy ways
Vaccination can be very effective.
The results of vaccination - life threatening diseases - small pox were eradicated. Damaging effects can be limited
and the community protected. Risks vs benefits should be evaluated objectively. Should there be concerns about ASD
(Autism Spectrum Disorder) postpone the vaccination until the risk decrease.
Different vaccines prevent different
diseases:
DTP:
Diphtheria- can cause paralysis, cardiac damage
Tetanus – Prolonged spasms
Pertussis – 100 day cough – could lead to intra cranial bleeding. There appears to be a higher incidence in Pertussis
possibly due to the a cellular vaccine currently used. It could be considered to also re vaccinate older children.
Polio – Flaccid paralysis
Hep B – cancer
HiB – infection to ears, lungs, meningitis ultimately brain damage.
The MMR vaccine could protect against:
Measles – rare but re-emerging with new migrates arriving from countries where no vaccination is done. Children
get ill - keep in mind that the ‘red rash’ is inside out
Rubella – Risk factor for an expecting mother – babies could be born with congenital rubella (cataracts, heart defects,
sensorineural deafness and other abnormalities).
Mumps – lead to Inflammation of
the brain and in post puberty to
inflammation of the testicles and
could lead to infertility
Respiratory syncytial virus (RSV) –
Palivizumab
Case managers are most aware of this high costing drug. Certain infants who will be at risk are vaccinated this is a
seasonal disease, changes every year and it’s a passive vaccine. Strict protocols are followed by the medical aids
always keeping in mind that the cost of one vaccination is less than half the bed fee in per day ICU.
WHAT IS NEWS
Hepatitis is an inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer.
Hepatitis viruses are the most common cause of hepatitis in the world but other infections, toxic substances (e.g. alcohol, certain drugs),
and autoimmune diseases can also cause hepatitis.
There are 5 main hepatitis viruses, referred to as types A, B, C, D and E. These 5 types are of greatest concern because of the burden of
illness and death they cause and the potential for outbreaks and epidemic spread. In particular, types B and C lead to chronic disease in
hundreds of millions of people and, together, are the most common cause of liver cirrhosis and cancer.
Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of
parenteral contact with infected body fluids. Common modes of transmission for these viruses include receipt of contaminated blood or
blood products, invasive medical procedures using contaminated equipment and for hepatitis B transmission from mother to baby at birth,
from family member to child, and also by sexual contact.
Acute infection may occur with limited or no symptoms, or may include symptoms such as jaundice (yellowing of the skin and eyes), dark
urine, extreme fatigue, nausea, vomiting and abdominal pain.
What are the different hepatitis viruses?
Scientists have identified 5 unique hepatitis viruses, identified by the letters A, B, C, D, and E. While all cause liver disease, they vary in
important ways.
Hepatitis A virus (HAV) is present in the faeces of infected persons and is most often transmitted through consumption of contaminated
water or food. Certain sex practices can also spread HAV. Infections are in many cases mild, with most people making a full recovery and
remaining immune from further HAV infections. However, HAV infections can also be severe and life threatening. Most people in areas of
the world with poor sanitation have been infected with this virus. Safe and effective vaccines are available to prevent HAV.
Hepatitis B virus (HBV) is transmitted
through exposure to infective blood,
semen, and other body fluids. HBV can be
transmitted from infected mothers to
infants at the time of birth or from family member to infant in early childhood. Transmission may also occur through transfusions of HBVcontaminated blood and blood products, contaminated injections during medical procedures, and through injection drug use. HBV also
poses a risk to healthcare workers who sustain accidental needle stick injuries while caring for infected-HBV patients. Safe and effective
vaccines are available to prevent HBV.
Hepatitis C virus (HCV) is mostly transmitted through exposure to infective blood. This may happen through transfusions of HCVcontaminated blood and blood products, contaminated injections during medical procedures, and through injection drug use. Sexual
transmission is also possible, but is much less common. There is no vaccine for HCV.
Hepatitis D virus (HDV) infections occur only in those who are infected with HBV. The dual infection of HDV and HBV can result in a more
serious disease and worse outcome. Hepatitis B vaccines provide protection from HDV infection.
Hepatitis E virus (HEV) is mostly transmitted through consumption of contaminated water or food. HEV is a common cause of hepatitis
outbreaks in developing parts of the world and is increasingly recognized as an important cause of disease in developed countries. Safe
and effective vaccines to prevent HEV infection have been developed but are not widely available.
SAVE THE DATES
07 August 2015
16 October 2015
04 December 2015
12 February 2016
Health Awareness Days 2015
July
1-5 Corporate Wellness Week
11 World Population Day
18 International Mandela Day
28 World Hepatitis Day