Trends in Melanoma Mortality in the Population Groups of South Africa

Dermatology ◽  
2019 ◽  
Vol 235 (5) ◽  
pp. 396-399 ◽  
Author(s):  
Caradee Yael Wright ◽  
Thandi Kapwata ◽  
Elvira Singh ◽  
Adele C. Green ◽  
Peter Baade ◽  
...  

The incidence of cutaneous melanoma (CM) is increasing in countries around the world. However, little is known about melanoma trends in African countries by population group. We studied CM mortality in South Africa from 1997 to 2014 to partly address this knowledge gap. Unit record mortality data for all South Africans who died from CM (n = 8,537) were obtained from Statistics South Africa. Join-point regression models were used to assess whether there was a statistically significant change in the direction and/or magnitude of the annual trends in CM mortality. A significant increasing trend of 11% per year was observed in age-adjusted mortality rates in men between 2000 and 2005 (p < 0.01), rising from 2 to 3 per 100,000. There was also a statistically significant increase of 180% per year among White South Africans from 1997 to 1999 (p < 0.05) and of 3% from 1999 to 2014 (p < 0.01). These results may be used to inform CM awareness campaigns and will motivate efforts to improve the collection and analysis of relevant statistics regarding the present burden of CM in South Africa.

2017 ◽  
Vol 10 (4) ◽  
pp. 55 ◽  
Author(s):  
Olivia Lannegren ◽  
Hiroshi Ito

ANC would always rule in South Africa, the African National Congress (ANC), which has been governing the country since the end of apartheid in 1994, received the worst results ever recorded. The ANC with president Jacob Zuma received 54 percent of the votes, which is a considerable decrease from 62 percent in 2011. This election was a clear sign that the ANC is in trouble towards the 2019 elections. The party seriously needs to rethink its strategies and investigates why the votes are decreasing. Given South Africa being a key player in global governance and in particular a strong leader among the African countries, it is significant to understand this political turmoil, as it may influence the political directions of other countries in that area. With reviews of relevant literature, therefore, this paper analyzes the current political situation in South Africa, focusing on corruption and inequality. The paper suggests connections between corruption, Jacob Zuma, and the potential end of the ANC era. The issues of inequality describes more the difficult situation that South Africans are facing and can be connected to the desire for change. It would be interesting to further analyze whether South Africa would be ready for a multiparty democracy with a peaceful transition of power after the national elections in 2019.


2020 ◽  
Author(s):  
Lactatia Matsie Motsuku ◽  
Wenlong Carl Chen ◽  
Mazvita Molleen Muchengeti ◽  
Tamlyn Mac Quene ◽  
Patricia Kellett ◽  
...  

Abstract BackgroundSouth Africa (SA) has experienced a rapid transition in the Human Development Index (HDI) over the past decade, which had an effect on the incidence and mortality rates of colorectal cancer (CRC). This study aims to provide CRC incidence and mortality trends by population group and sex in SA from 2002 to 2014.MethodsIncidence data were extracted from the South African National Cancer Registry and mortality data obtained from Statistics South Africa (STATS SA), for the period 2002 to 2014. Age-standardised incidence rates (ASIR) and age-standardised mortality rates (ASMR) were calculated using the STATS SA mid-year population as the denominator and the Segi world standard population data for standardisation. A Joinpoint regression analysis was computed for the CRC ASIR and ASMR by population group and sex.ResultsA total of 33,232 incident CRC cases and 26,836 CRC deaths were reported during the study period. Of the CRC cases reported, 54% were males and 46% were females, and among deaths reported, 47% were males and 53% were females. Overall, there was a 2.5% annual average percentage change (AAPC) increase in ASIR from 2002 to 2014 (95% CI: 0.6- 4.5, p-value <0.001). For ASMR overall, there was 1.3% increase from 2002 to 2014 (95% CI: 0.1- 2.6, p-value <0.001). The ASIR and ASMR among population groups were stable, with the exception of the Black population group. The ASIR increased consistently at 4.3% for black males (95% CI: 1.9- 6.7, p-value <0.001) and 3.4% for black females (95% CI: 1.5- 5.3, p-value <0.001) from 2002 to 2014, respectively. Similarly, ASMR for black males and females increased by 4.2% (95% CI: 2.0- 6.5, p-value <0.001) and 3.4% (, 95%CI: 2.0- 4.8, p-value <0.01) from 2002 to 2014, respectively.ConclusionsThe disparities in the CRC incidence and mortality trends may reflect socioeconomic inequalities across different population groups in SA. The rapid increase in CRC trends among the Black population group is concerning and requires further investigation and increased efforts for cancer prevention, early screening and diagnosis, as well as better access to cancer treatment.


2020 ◽  
Vol 41 (2) ◽  
pp. 119-123 ◽  
Author(s):  
T. J. Ellapen ◽  
M. Barnard ◽  
G. L. Strydom ◽  
K. M. Masime ◽  
Y. Paul

Researchers have identified cancer, diabetes mellitus, cardiovascular, and respiratory diseases as being the principal pathologies of increased aged standardized death rates (ASDRs) among noncommunicable diseases (NCDs). The objective of this study was to compare the change in the ASDR of these principal NCDs between the years 2010 and 2016 in Botswana, Mozambique, Namibia, South Africa, and Zimbabwe. ASDR data were collected from the 2016 Global Health Estimate. Among the selected Southern African countries for both 2010 and 2016, the order of prevalence of NCDs linked to increased ASDR was cardiovascular diseases (both cardiac and stroke), cancer, diabetes mellitus, and chronic respiratory diseases. The percentage of the total number of NCDs linked to increased ASDR in relation to total deaths increased from 43.8% (in 2010) to 51.0% (in 2016) from ( p < .0001). The percentage of principal NCDs in relation to total ASDR increased from 33.0% (in 2010) to 38.2% (in 2016; p < .0001).


2015 ◽  
Vol 20 (3) ◽  
pp. 895-903
Author(s):  
Daniele Bittencourt Ferreira ◽  
Inês Echenique Mattos

A descriptive time series study was conducted in order to analyze the mortality rates for breast cancer in two age brackets (< 60 years and ≥ 60 years), in areas of the state of Rio de Janeiro (inland, metropolitan area, capital and state). The data source was the Mortality Information System. Mortality rates were analyzed for four-year periods, between 1996 and 2011, and the ratios between the incidences for the two age brackets in each area. The trend in annual mortality rates was analyzed with the Joinpoint program and polynomial regression models. The ratios between the incidences observed were 7-8 times higher in women aged 60 years or older. Joinpoint analyses indicated a linear decline in mortality rates in the state and the capital for the whole population and for women aged 60 and over in the same areas. The polynomial regression models allowed the observation of periods of increasing and decreasing rates and a tendency to stabilization at the end of the period. Despite the declining trend, the magnitude of mortality from breast cancer is still high among women aged 60 and older, and it is important to investigate associated factors in this population group.


2020 ◽  
Author(s):  
Alemayehu Argawu

Background: COVID-19 total cases have reached 1,083,071 (83.5%) in the top 10 infected African countries (South Africa, Egypt, Morocco, Ethiopia, Nigeria, Algeria, Ghana, Kenya, Cameroon, and Cote-dIvoire) from Feb 14 to Sep 6, 2020. Then, this study aimed to model and forecast of COVID-19 new cases in these top 10 infected African countries. Methods: In this study, the COVID 19 new cases data have been modeled and forecasted using curve estimation regression and time series models for these top 10 infected African countries from Feb 14 to Sep 6, 2020. Results: From July to August, the prevalence of COVID-19 cumulative cases was declined in South Africa, Cote dʹIvoire, Egypt, Ghana, Cameron, Nigeria, and Algeria by 31%, 26%, 22%, 20%, 14%, 12%, and 4%, respectively. But, it was highly raised in Ethiopia and Morocco by 41%, and 38% in this period, respectively. In Kenya, it was raised only by 1%. In this study, the cubic regression models for the ln(COVID-19 new cases) data were relatively the best fit for Egypt, Ethiopia, Kenya, Morocco, Nigeria and South Africa. And, the quadratic regression models for the data were the best fit for Cameroon, Cote-dIvoire and Ghana. The Algeria data was followed the logarithmic regression model. In the time series analysis, the Algeria, Egypt, and South Africa COVID-19 new cases data have fitted the ARIMA (0,1,0), ARIMA (0,1,0), and ARIMA (0,1,14) models, respectively. The Cameroon, Cote-dIvoire, Ghana, and Nigeria data have fitted the simple exponential smoothing models. The Ethiopia, Kenya, and Morocco data have followed the Damped trend, Holt, and Brown exponential smoothing models, respectively. In the analysis, the trends of COVID-19 new cases will be declined for Algeria and Ethiopia, and the trends will be constantan for Cameroon, Cote-dIvoire, Ghana and Nigeria. But, it will be raised slightly for Egypt and Kenya, and significantly for Morocco and South Africa from September 7 to October 6, 2020. Conclusion: This study was conducted with the current measures; the forecasts and trends obtained may differ from the number of cases that occur in the future. Thus, the study finding should be useful in preparedness planning against further spread of the COVID-19 epidemic in African countries. And, the researcher recommended that as many countries continue to relax restrictions on movement and mass gatherings, and more are opening their airspaces, and the countries other public and private sectors are reopening. So, strong appropriate public health and social measures must be instituted on the grounds again.


2006 ◽  
Vol 16 (Suppl 1) ◽  
pp. 1-10
Author(s):  
P. O'LORCAIN ◽  
H. Comber

Linear and log-linear Poisson regression models of Irish breast, ovarian, and cervical and corpus uterine cancer mortality data for the years 1953–2000 were used to predict European age standardized mortality rates (EASMRs) per 100,000 person years and numbers of deaths for the period 2001–2015. Rates for the whole population and for those under 65 are expected to fall from their current levels for breast and corpus uterine cancers but not for ovarian and cervical uterine cancers. EASMRs for postmenopausal women aged between 55 and 69 years are predicted to fall for breast, ovarian, and cervical and corpus uterine cancers. The continuing expansion of the Irish female population is the primary reason why the numbers of deaths arising from breast, ovarian, and cervical uterine cancer are predicted to increase in all of the above age groups. It is not exactly clear why the numbers of corpus uterine cancer deaths are expected to continue to decline, but it may be a matter of improvement in overall death-certificate coding or their diagnoses as cervical cancer deaths.


2018 ◽  
Vol 114 (1/2) ◽  
Author(s):  
Bokang Mpeta ◽  
Johan Fourie ◽  
Kris Inwood

Very little income or wage data were systematically recorded about the living standards of South Africa’s black majority during much of the 20th century. We used four data sets to provide an alternative measure of living standards – namely stature – to document, for the first time, living standards of black South Africans over the course of the 20th century. We found evidence to suggest that living standards in the first three decades of the century were particularly poor, perhaps because of the increasingly repressive labour policies in urban areas and famine and land expropriation that weighed especially heavily on the Basotho. The decade following South Africa’s departure from the gold standard, a higher international gold price and the demand for manufactured goods from South Africa as a consequence of World War II seem to have benefitted both black and white South Africans. The data also allowed us to disaggregate by ethnicity within the black population group, revealing levels of inequality within race groups that have been neglected in the literature. Finally, we compared black and white living standards, and revealed the large and widening levels of inequality that characterised 20th-century South Africa.


10.29007/jjrb ◽  
2019 ◽  
Author(s):  
Dolly Posiliti ◽  
Liezel Cilliers

E-health resources are widely used in the healthcare field, by health professionals, patients and the general public. However, to utilise e-health resources an individual needs to possess the basic e-health literacy skills that will enable them to process health information effectively. E-health literacy consists of six basic literacy skills namely tradi- tional and numeracy skills, computer, media, science, in-formation and health literacy skills that individuals need to possess in order to use e-health resources effectively. The concept of e-health literacy is a growing field of research worldwide but has lacked investigation in South Africa. This paper investigated the level of e-health literacy skills of South Africans. The study made use of a qualitative, inductive research approach and a structured literature review to identify the relevant academic studies that have been done in South Africa. Eleven studies were included in the final analysis. The study found that only parts of the e-health literacy skills have been investigated in South Africa, and it was concluded that South Africans have limited skills that enable them to seek health information independently. The study recommends that the lev-el of e-health literacy among South African be improved through education and awareness campaigns that highlight the importance of taking control of owns health in order to improve the health of all South Africans.


Author(s):  
P. Mee ◽  
K. Kahn ◽  
C.W. Kabudula ◽  
R.G. Wagner ◽  
F. X. Gómez-Olivé ◽  
...  

The human immunodeficiency virus (HIV) epidemic in South Africa rapidly developed into a major pandemic. Here we analyse the development of the epidemic in a rural area of the country. The data used were collected between 1992 and 2013 in a longitudinal population survey, the Agincourt Health and Demographic Surveillance Study, in the northeast of the country. Throughout the period of study mortality rates were similar in all villages, suggesting that there were multiple index cases evenly spread geographically. These were likely to have been returning migrant workers. For those aged below 39 years the HIV mortality rate was higher for women, above this age it was higher for men. This indicates the protective effect of greater access to HIV testing and treatment among older women. The recent convergence of mortality rates for Mozambicans and South Africans indicates that the former refugee population are being assimilated into the host community. More than 60% of the deaths occurring in this community between 1992 and 2013 could be attributed directly or indirectly to HIV. Recently there has been an increasing level of non-HIV mortality which has important implications for local healthcare provision. This study demonstrates how evidence from longitudinal analyses can support healthcare planning.


Author(s):  
N. Tshishonga

The renewed incidents of xenophobia, which engulfed South Africa, dented this country’s image, continentally and internationally. These occurrences invoke an unresolved question, thus: Can xenophobic attacks be attributed to tighter or discriminatory immigration policies or are people caught in quandary for socio-economic survival? Similarly to the pogroms in Poland against Jews, xenophobia left fatal scars, not only amongst Africans and non- Africans, and has affected the informal economy negatively. This article explores the impact of xenophobia on the operations of the informal economy on which the poor depend for socio-economic survival. For the most part of April-May 2015, the streets of Durban were deserted because of the xenophobic attacks on non-South African businesses, particularly those owned by Africans from different parts of the continent. Fear was planted in the city of Durban, which in turn led to the decline in economic activity, both formal and informal sectors, with the later bearing the most brunt. The city was turned into a battle field whereby Afro-hatred was perpetuated with the intention of causing bodily harm and making deportation threats. Nationals from other African countries, mainly Nigerians, Somalis, Malawians, Zimbabweans, Mozambicans, Ethiopians and Congolese were accused of taking jobs meant for locals and suffocating their businesses as well as taking their women. In fear of their lives, non-South Africans were forced to close their businesses and to go into hiding. This article argues that the impact of xenophobia is a double-edged sword and has far- reaching implications for both South Africans and non-South Africans as the local city dwellers depend on the services provided by informal businesses. The article uses both primary and secondary data. The empirical data was extracted mainly from the street traders and hawkers eking a living in the informal sector.


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