Is one man’s garbage another’s toxic treasure? A brief look into the informal recycling of waste on landfills and associated health challenges in South Africa

As South African consumerism has risen, the waste being generated has increased. Poor accessibility to recycling infrastructures in communities has resulted in a high influx of reusable waste at landfills. Waste disposal through landfills is the primary form of disposal worldwide. According to the World Bank (2018), South Africans produce 0.50-0.99 kg of waste per capita per day. In 2017, the Department of Environment, Forestry and Fisheries (DEFF), formerly the Department of Environmental Affairs, reported that 75% of this waste is disposed of in landfills across the country. This has, to some degree, created a ‘gold rush’ to landfills as underprivileged and unemployed men and women in urban communities turn to waste recycling as a form of income generation.http://www.occhealth.co.zaam2020School of Health Systems and Public Health (SHSPH

Noise-induced hearing loss and hearing conservation in the iron and steel industry in South Africa

BACKGROUND AND PURPOSE: The iron and steel industry in South Africa has been identified as one of the highest risk industries in terms of noise induced hearing loss (NIHL). The National Institute for Occupational Health was commissioned by the Department of Labour to audit the current noise exposure levels and hearing conservation practices in eight major producers of iron and steel, and to make recommendations regarding prevention strategies. METHODS: The audit was conducted in two parts: the noise exposure levels and hearing conservation practices were assessed by the occupational hygiene department. The occupational medicine department assessed the hearing conservation policies and procedures, reviewed employees’ medical records to ascertain the number of NIHL cases, and conducted verification of audiograms on a sample of employees working in noise zones. RESULTS: Area noise levels exceeding 105 dB(A) were measured in four of the eight workplaces. The estimated average annual incidence of NIHL varied from 0.7 - 8.3/1000/year. All companies did baseline, periodic and exit audiometric testing, but there were notable discrepancies between companies and verification audiograms and differences of more than 20 dB(A) were found. Although information and training on noise was reportedly done in all worksites, a high proportion of workers could not demonstrate correct fitting of hearing protection devices or recall when last they were trained. CONCLUSION: A detailed standard operating procedure should be implemented for medical surveillance for NIHL with action timelines that initiate remedial processes prior to employee developing compensable disease. Aggregated audiometric testing results should be communicated to managers and health and safety teams to provide guidance to prioritise areas for control measures. A quality assurance programme for audiometric testing must be implemented. An evaluation tool to measure the effectiveness of the noise and hearing conservation training provided to employees, including contracted employees, should be adopted.http://www.occhealth.co.zaam201

Transnational Perspectives on Black Subjectivity

In this article, five black researchers bring their insights into conversation about meanings of blackness in contemporary Australia, Jamaica, South Africa, the United Kingdom and the United States of America. We critically interrogate blackness transnationally, but also within the historical contexts of our work and lived experiences. Situated within critical race studies, we draw on multiple theoretical frameworks that seek to preserve the complexity of blackness, its meanings and implications. We examine what it means to be made black by history and context, and explore the im/possibilities of transcending such subjectification. In so doing, we engage blackness and its relationality to whiteness; the historical, temporal and spatial dimensions of what it means to be black; the embodied, affective and psychical components of black subjectivity; and the continued marketization of blackness today. The article concludes by reflecting on the emancipatory promise of continued engagement with black subjectivity, but with critical reflexivity, so as to avoid the pitfalls of engaging blackness as a static and essentialised mode of subjectivity

Risk factors for Coronavirus disease 2019 (Covid-19) death in a population cohort study from the Western Cape province, South Africa

Risk factors for coronavirus disease 2019 (COVID-19) death in sub-Saharan Africa and the effects of human immunodeficiency virus (HIV) and tuberculosis on COVID-19 outcomes are unknown. We conducted a population cohort study using linked data from adults attending public-sector health facilities in the Western Cape, South Africa. We used Cox proportional hazards models, adjusted for age, sex, location, and comorbidities, to examine the associations between HIV, tuberculosis, and COVID-19 death from 1 March to 9 June 2020 among (1) public-sector “active patients” (≥1 visit in the 3 years before March 2020); (2) laboratory-diagnosed COVID-19 cases; and (3) hospitalized COVID-19 cases. We calculated the standardized mortality ratio (SMR) for COVID-19, comparing adults living with and without HIV using modeled population estimates.Among 3 460 932 patients (16% living with HIV), 22 308 were diagnosed with COVID-19, of whom 625 died. COVID19 death was associated with male sex, increasing age, diabetes, hypertension, and chronic kidney disease. HIV was associated with COVID-19 mortality (adjusted hazard ratio [aHR], 2.14; 95% confidence interval [CI], 1.70–2.70), with similar risks across strata of viral loads and immunosuppression. Current and previous diagnoses of tuberculosis were associated with COVID-19 death (aHR, 2.70 [95% CI, 1.81–4.04] and 1.51 [95% CI, 1.18–1.93], respectively). The SMR for COVID-19 death associated with HIV was 2.39 (95% CI, 1.96–2.86); population attributable fraction 8.5% (95% CI, 6.1–11.1)

Retrieving Biko: a black consciousness critique of whiteness

There is an important history often neglected by genealogies of ‘critical whiteness studies’: Steve Biko's Black Consciousness critique of white liberalism. What would it mean to retrieve this criticism in the context of white anti-racism in the post-apartheid era? Said's (2003) contrapuntal method proves useful here as a juxtaposing device whereby the writings of a past figure can be critically harnessed, travelling across temporal and ideological boundaries to interrogate the present. Four interlinked modes of disingenuous white anti-racism can thus be identified: (1) a fetishistic preoccupation with disproving one's racism; (2) ostentatious forms of anti-racism that function as means of self-promotion, as paradoxical means of white self-love; (3) the consolidation and extension of agency through redemptive gestures of ‘heroic white anti-racism’; (4) ‘charitable anti-racism’ which fixes tolerance within a model of charity, as an act of generosity and that reiterates the status and role of an anti-racist benefactor

A critical psychology of the postcolonial

Of the theoretical resources typically taken as the underlying foundations of critical social psychology, elements, typically, each of Marxism, feminism, psychoanalysis, and Post-Structuralism, one particular mode of critique remains notably absent: postcolonial theory. What might be the most crucial contributions that postcolonial critique can make to the project of critical psychology? One answer is that of a reciprocal forms of critique, the retrieval of a ‘psychopolitics’ in which we not only place the psychological within the register of the political, but - perhaps more challengingly - in which the political is also, strategically, approached through the register of the psychological. What the writings of Fanon and Biko make plain in this connection is the degree to which the narratives and concepts of the social psychological may be reformulated so as to fashion a novel discourse of resistance, one that opens up new avenues for critique for critical psychology, on one hand, and that affords an innovative set of opportunities for the psychological investigation of the vicissitudes of the postcolonial, on the othe