Mail & Guardian
Mail & Guardian
Tanya Pampalone

Creator

Tanya Pampalone

Guest Author

New research shows a steep decline in adolescent pregnancy rates across all nine provinces from 2021 to 2025, reversing course from previous years. It’s good news, even if it’s not clear why it’s happening. (Unsplash)

Teen pregnancies are dramatically dropping. But researchers aren’t sure why

New research shows a steep decline in adolescent pregnancy rates across all nine provinces from 2021 to 2025, reversing course from previous years. It’s good news, even if it’s…

Complex organised crime networks are fuelling a health crisis that is getting worse and addiction treatment isn’t keeping up.

Here’s how to make drug addiction a health issue, not a criminal one

Experts say South Africa’s contradictory approach to drugs — treating addiction as both a disease and a crime — is fuelling a worsening crisis in places like Westbury, where…

After being diagnosed with HIV at 33, retired Constitutional Court justice Edwin Cameron never thought he’d make it to 40. He’s now 73 and part of a generation that is growing older thanks to antiretrovirals and, he says, the activism that made sure it was available in South Africa. Photo: Stefan Els
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HIV made him expect to die at 40. At 73, Edwin Cameron asks: Who’s planning for our ageing survivors?

At 33, the retired Constitutional Court justice thought he had, maybe, seven years left. His story traces the arc from certain death because of Aids to a chronic, manageable…

Health economics research estimates that obesity cost South Africa approximately R33.2 billion in 2020, equivalent to about 15% of government health expenditure and roughly 0.67% of GDP. (Yunmai/Unsplash)
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Obesity: the chronic disease that isn’t treated like one

A review of 37 studies found that when people stop taking weight-loss drugs like Ozempic, the weight comes back

After a year of US funding cuts across global public health, including South Africa’s hard-hit HIV programmes, new realities are settling in. We spoke to Mitchell Warren from the New York HIV advocacy organisation, Avac, to find out what that means for South Africa. Photo: Paul Botes

What will HIV funding look like in 2026?

After a year of US funding cuts across global public health, including South Africa’s hard-hit HIV programmes, new realities are settling in

The tattoos on Zandile Simelane’s arms tell a story that most people can’t read. Hidden beneath the delicate blue ink of flowers and butterflies, dull white scars rise, remnants of the time when cutting herself seemed like the only way to express how much she was hurting. (Bhekisisa)

Cutting: Why teens turn to self-harm when they don’t have words for their pain

For some teenagers, emotional pain manifests as deliberately cutting, burning, hitting, biting, scratching or picking at their skin

We talked to experts about their take on a few of the most pressing public health issues this year. (Jay Caboz)

Here’s what’s on South Africa’s 2026 public health agenda

We talked to experts in obesity, tobacco, artificial intelligence, HIV, TB and the NHI to find out what we can expect — and what we can’t — this year

What’s driving anti-immigrant healthcare blockades? Sharon Ekambaram from Lawyers for Human Rights says it’s everything from the sky-high cost of Zimbabwean passports and corruption to South Africa’s institutionalised xenophobia — and a growing global intolerance of migrants. (Bhekisisa team)
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Court orders government, police to block vigilantes from two clinics — and put up warnings at entrances

The judgment complements a November ruling meant to stop groups such as Operation Dudula from blocking foreign nationals from entering government hospitals and clinics and…

The high court has ruled that blocking foreigners from healthcare is unconstitutional. Photo: Bhekisisa
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Is the NHI channelling Operation Dudula’s healthcare blockades?

While groups like Operation Dudula flood the zone with fear, confusion and misinformation around healthcare access for foreign nationals, that space has been easy to muddy,…

Africa’s floods and droughts are messing with our minds. Researchers are trying to figure out how

As climate change intensifies, experts say our health and healthcare systems are going to suffer. But mental health often takes a back seat

Building back: Since the floods of April 2022, people are, very slowly, rebuilding their lives in Inanda, the township just northwest of Durban. (Delwyn Verasamy)

The falling down place

While the scars left by the April 2022 flash floods aren’t obvious to visitors to Inanda, the township just northwest of Durban, the collective and individual trauma, often left…

DISBANDED HOPE: Algae soup brewing in the informal settlement of Ethembeni, which means ‘hope’ in isiZulu, in Khayelitsha. (Lihle Tyala)

There’s something in the water. Khayelitsha’s kids want you to see it

When a group of learners headed out with their cameras to document infectious disease in the time of climate change, many came back with what they see every day — dangerous,…

Misinformation fuelled by US health secretary Robert Kennedy Jr is creating a dangerous lack of trust in vaccines and South Africa’s public health experts are scared. Photo: Gage Skidmore/Flickr

US making diphtheria great again? Why SA’s public health experts are worried about America’s RFK Jr

Misinformation fuelled by the US health secretary is creating a dangerous – and growing – lack of trust in vaccines

The pathological hatred Trump inspires on the left and the quasi-religious devotion he commands on the right reflect tensions within American democratic culture. File Photo

It’s the ‘Donald disease’ that’s making us sick

With the 12 specialised key population clinics in South Africa funded by the US government, and now shuttered, getting treatment at government clinics has been difficult, if not…

A new proposal that aims to get more women to breastfeed says this could cut back the greenhouse gas emissions and get countries that produce the bulk of emissions to pay for it

How breast milk can help fight climate change

A new proposal that aims to get more women to breastfeed says this could cut back the greenhouse gas emissions and get countries that produce the bulk of emissions to pay for it

How climate change affects people with diabetes

Having diabetes is bad enough but heat waves, floods, air pollution and infectious illnesses make dealing with it harder and increase rates

To the man who bled words

Tanya Pampalone pays tribute to a writer and a friend, Tiisetso Makube, who died this week.

M&G’s @benedictkelly recommends a piece about a famous astrophysicist

The writing on the web: What the M&G is reading

What’s being read around the M&G newsroom? Here are some things we like. A lot.

How America’s next generation was outclassed

Growing inequality has left the capitalist dream on its last gasp. And the sooner we all stop fantasising about the American Dream, the better.

Cape Town’s rehabs for the rich and infamous

The Malibu Model has reached Cape Town. And for those who want to get sober, and have the kind of cash that gets you the best, it’s a beautiful thing.