Publications by authors named "Nonhlanhla Tlotleng"

Background: Uganda is among the 10 countries in the sub-Saharan Africa region that have the highest prevalence of diarrhoeal disease. Evidence suggests that the severity of childhood diarrhoeal disease is escalated through various sociodemographic and environmental factors.

Objectives: To assess prevalence of diarrheal illness in children below the age of 5 years in Uganda in 2016 and associated factors.

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Objectives: This study describes the characteristics of admitted HCWs reported to the DATCOV surveillance system, and the factors associated with in-hospital mortality in South African HCWs.

Methods: Data from March 5, 2020 to April 30, 2021 were obtained from DATCOV, a national hospital surveillance system monitoring COVID-19 admissions in South Africa. Characteristics of HCWs were compared with those of non-HCWs.

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Article Synopsis
  • Medical laboratory workers face a higher risk of COVID-19 due to exposure to biological samples and contamination of testing documents.
  • Data collected from April 2020 to March 2021 revealed 2,091 COVID-19 positive cases among laboratory staff, with the highest infections occurring during the first wave of the pandemic.
  • Laboratory managers and support clerks are at the greatest risk, and the study suggests that tailored interventions are necessary for these high-risk groups to reduce infection rates.
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Healthcare workers (HCWs) are among the most vulnerable in regard to contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Comorbidities are reported to increase the risk for more severe COVID-19 outcomes, often requiring hospitalization. However, the evidence on disease severity and comorbidities among South African HCWs is lacking.

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Background: An association between blood-lead levels and aggression has been demonstrated in children and adolescent youth in South Africa. However, there are limited studies that have assessed aggression as an outcome for cumulative lead exposure using bone lead concentration. This study aims to assess the association between bone lead concentration and aggressive behaviour among a sample of youth in South Africa.

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Objective: To investigate gender differences in health in informal waste pickers affected by poverty and multiple environmental and work hazards.

Methods: A cross-sectional descriptive study was conducted at two major landfill sites in a large city. Information on health, work hazards and health care access as well as blood pressure, blood glucose, cholesterol and BMI were measured.

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  • The level five (L5) lockdown in South Africa was implemented as a strict measure to curb COVID-19 transmission, and its impact was assessed in this study.
  • Data collected from March 5 to April 30, 2020, indicated that a significant percentage of confirmed cases occurred during the lockdown period, with a forecast suggesting many more cases would have emerged without it.
  • While the L5 lockdown effectively reduced the overall incidence of COVID-19, certain provinces experienced higher case rates during this period, indicating mixed outcomes in different regions.
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Background: Cardiovascular disease (CVD) is the leading cause of death among non-communicable diseases in South Africa. Several metabolic risk factors contribute to the development of CVD. Informal workers such as waste pickers could be unhealthy lifestyle naive, and most public health research on CVD does not include this understudied population.

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  • Informal workers in Johannesburg, specifically golf caddies and waste pickers, are at a higher risk for problematic alcohol use due to factors like low income and adverse working conditions.
  • A study involving 514 participants showed that over half consumed alcohol, with a significant portion exhibiting signs of alcohol-related problems, particularly among younger individuals and smokers.
  • The research found that common mental distress, age, and smoking were linked to problematic drinking, highlighting the need for interventions like counseling and improved work conditions for these vulnerable groups.
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Introduction: Informal waste recyclers contribute significantly to waste removal in South Africa. Waste recyclers face health hazards which are associated with handling and disposal of waste, a lack of personal protective wear and inaccessibility to occupational health care services. Consequently, accessing health care within the public health care sector is important for health outcomes in this population.

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  • - The study examines musculoskeletal pain prevalence among male golf caddies in South Africa, comparing them to other golf course employees while considering factors like age and income.
  • - Data was collected from 249 caddies and 74 non-caddies across six golf courses in Johannesburg, revealing caddies were older and earned less, while also working fewer hours.
  • - Findings show caddies experience significantly higher odds of musculoskeletal pain in various body areas, highlighting the need for future policies that address their health risks without hindering their employment opportunities.
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Waste pickers are exposed to various environmental health hazards, and self-rated health (SRH) could influence their medical care access. This study investigated the association between illness, clinic visits and SRH, and assessed if SRH can increase clinic visits. A cross-sectional study was conducted.

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In developing countries, waste sorting and recycling have become a source of income for poorer communities. However, it can potentially pose significant health risks. This study aimed to determine the prevalence of acute respiratory symptoms and associated risk factors for respiratory health outcomes among waste recyclers.

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Background: There is no population based occupational health surveillance system in South Africa, thus mortality data may be a cost effective means of monitoring trends and possible associations with occupation. The aim of this study was to use deaths due to pneumoconiosis (a known occupational disease) to determine if the South African mortality data are a valid data source for occupational health surveillance in South Africa.

Methods: Proportions of complete occupation and industry information for the years 2006-2015 were calculated for working age and retired adults.

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Work-related tuberculosis (TB) remains a public health concern in low- and middle-income countries. The use of vital registration data for monitoring TB deaths by occupation has been unexplored in South Africa. Using underlying cause of death and occupation data for 2011 to 2015 from Statistics South Africa, age-standardised mortality rates (ASMRs) were calculated for all persons of working age (15 to 64 years) by the direct method using the World Health Organization (WHO) standard population.

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Malignant mesothelioma is a rare and aggressive pleural or peritoneal tumour almost always caused by exposure to asbestos fibres. Exposure to asbestos can cause malignant mesothelioma 30-40 years after exposure. A description of sources of exposure is important for prevention and possible financial compensation.

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Article Synopsis
  • - Cancer mortality rates in South Africa are largely unreported, but this study analyzed 2014 data to highlight the need for better interventions and advocacy regarding cancer treatment and awareness in developing countries.
  • - In 2014, cancer accounted for nearly 8% of total deaths in South Africa, with the Western Cape having the highest cancer mortality rate and Limpopo the lowest. Men faced significant deaths from lung cancer, while cervical cancer was predominant among women.
  • - The findings emphasize the importance of exploring the reasons behind provincial differences in cancer mortality and suggest prioritizing cancer awareness, risk factor education, and improving healthcare access.
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Surface-modified gold nanoparticles (AuNPs) are nanomaterials that hold promise in drug delivery applications. In this study, the cytotoxicity, uptake, intracellular localization, and the exocytosis of citrate-stabilized (Cit-AuNP) and polyethylene glycol (PEG)-modified gold nanoparticles with the carboxyl (COOH) terminal functional group were assessed in human embryonic kidney (HEK 293) and the human caucasian hepatocytes carcinoma (Hep G2) cell systems, representing two major accumulation sites for AuNPs. The zeta (ζ)-potential measurements confirmed the negative surface charge of the AuNPs in water and in cell growth medium.

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Background: Reliable in vitro toxicity testing is needed prior to the commencement of in vivo testing necessary for hazard identification and risk assessment of nanoparticles. In this study, the cytotoxicity and uptake of 14 nm and 20 nm citrate stabilised gold nanoparticles (AuNPs) in the bronchial epithelial cell line BEAS-2B, the Chinese hamster ovary cell line CHO, and the human embryonic kidney cell line HEK 293 were investigated.

Methods: Cytotoxicity of the AuNPs was assessed via traditional XTT-, LDH-, and ATP-based assays, followed by cell impedance studies.

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