Subscribe to our Newsletter


click to dowload our latest edition

Every doctor’s COVID-19 jab is one step closer to your vaccination

Published

on

OP-EDS

The myalgia I awoke to this morning isn’t unfamiliar to me. It’s the common achy feeling we all experience at the onset of a touch of flu. The mild malaise I’m also feeling, after a shorter night’s sleep, is a physiological effect I try to avoid, but it’s the result of a habit that seems to creep into most of our busy lives.

Perhaps more particular, last night was the close constant attention I paid to my glucose levels as a Type 1 diabetic. Thankfully, all remained normal. Barring my mild symptoms, I’m feeling fantastic this morning, 24 hours after receiving the Johnson & Johnson COVID-19 vaccine.

My mind drifts back to almost a year ago, when I contracted a simple rhinovirus (the common cold). In spite of experiencing similar symptoms, I would certainly not have described myself as feeling “fantastic” at the time. These same symptoms used to conjure up uneasiness that my family had to bear as part of the role in life I have chosen. That’s what happens when you live with some comorbidities and work in a busy practice that had started to screen its patients vigilantly for the new “Wuhan flu”.

I welcome the vaccine’s side effects as do my colleagues as we enrol this week as the guinea pigs of the Johnson & Johnson trial. This is the only vaccine to date that has shown significant efficacy in preventing severe COVID-19 or death as a result of the 501.V2 variant, the most common strain of COVID-19 in South Africa today.

It’s a single-dose vaccine, with 500 000 doses secured to inoculate healthcare workers over the next four weeks. This is a trial still at stage 3b, which means that it’s not yet registered anywhere in the world for commercial use, in spite of its rolling application in the United States, the United Kingdom, and South Africa.

The vaccine is being rolled out as an emergency measure while it awaits FDA (Food and Drug Administration) approval potentially at the end of this month. Should the vaccine prove to be effective amongst South Africa’s healthcare workers, it will give SAHPRA (the South African Health Products Regulatory Authority) the green light for commercial rollout to our citizens.

My social media feed has been preoccupied with posts by colleagues receiving their vaccines. I, too, have added my own story to this noise. In reality, it’s far from noise. The supportive response we have all received from the public has been overwhelming.

A dear pulmonology colleague and I engaged in conversation yesterday as to whether doctors should be “flaunting their receipt of a vaccine” on social media or rather just quietly receiving the jab under the radar.

After some meaningful thought, we both agreed on the former. The palpable excitement by the public to doctors’ Facebook posts is fuelled by some valuable perspectives which I would like to share with you. These are the reasons that our community members should feel joy that our healthcare workers are finally being vaccinated this week.

The healthcare worker’s safety perspective: during surges of COVID-19 infection, patients have described the thought of not being able to see their doctors, nurses, and paramedics with ease as a terrifying dynamic. Statistics have shown that healthcare workers are three to four times more likely to develop COVID-19 than the general public. As many as 54 685 healthcare workers in the public sector alone have been infected with COVID-19 over the past year, with 779 losing their lives.

Unfortunately, every community doctor knows another doctor who has either contracted a serious COVID-19 infection or even lost their life to this plague. The vaccine offers you the promise that your doctors will be protected and able to help you when you may need them whether for COVID-19 or another reason.

The experimental perspective: the AstraZeneca vaccine taught us that in the dynamic, evolving space of COVID-19, variants affect efficacy tremendously. This phenomenon is so significant, that an already procured vaccine at one million units had to be returned. It’s still unknown whether the Johnson & Johnson vaccine will indeed be effective in large numbers on the ground, beyond the limited sample size of the original study in South Africa.

It’s best to run a live trial on largely healthy healthcare workers. I have my predictions that even with the Johnson & Johnson vaccine, modifications will need to be made to the product in the near future. Dr Glenda Gray advised me that a two-dose regimen is also being explored. Other expert vaccinologists have reported that it’s relatively simple to modify vaccines. As a member of the public, you will hopefully have access to the next round of vaccines – the improved version two.

The snowball perspective: this is the mindset that has excited me most since the rollout of vaccines a week ago. Every country with a functional vaccine campaign started off by vaccinating its healthcare workers. They constitute less than 5% of the population. Once healthcare workers start being vaccinated, the rollout soon spreads to essential workers and the elderly and vulnerable. Thereafter, vaccines are offered to younger healthy adults.

There is nothing more my wife and I would like to see than our own parents being vaccinated. I can say the same for my elderly patients. Understanding the procurement plan in South Africa, I’m confident that once the initial snowball of vaccinated healthcare workers has been formed, it’s inevitable that it will grow quickly and our deserving, beloved, vulnerable citizens will be vaccinated soon. Every doctor you see vaccinated means you are one step closer to being vaccinated yourself.

COVID-19 has changed our lives. It continues to place tremendous strain on our community socially, emotionally, financially, and physically. It has been proven that our second-nature, non-pharmacological measures of mask wearing, sanitising, and social distancing are powerful weapons in our armament. These measures dropped COVID-19 cases from a peak of 21 980 a day on 8 January 2021 to 998 today. However, we are finally exploring options of real pharmacological immunity. I’m utterly grateful to be contributing towards the body of knowledge of this development, and I have confidence that as the lightning development of vaccines continues to play out in South Africa, we will slowly get back to normal life.

Dr Daniel Israel is a family practitioner in Johannesburg.

Continue Reading
1 Comment

1 Comment

  1. Jillian lipworth

    Feb 25, 2021 at 12:48 pm

    Well done daniel you deserve it

Leave a Reply

Your email address will not be published. Required fields are marked *

OP-EDS

Our title deed to Israel was given by G-d

Published

on

Yom Ha’atzmaut is an opportunity to declare proudly and publicly our connection to Israel. This is our opportunity to remind ourselves and the world what Israel means to us.

We can draw our inspiration for this from a beautiful and powerful mitzvah bikkurim – the mitzvah for farmers to bring the first fruits of the harvest to the Temple in Jerusalem and dedicate them to G-d.

The Talmud paints a colourful picture of the farmers’ procession to the Temple as they brought the bikkurim. They didn’t arrive one by one in Jerusalem; rather, they would go up in a group, accompanied by music and a whole entourage to mark the occasion. At the head of the procession, there was a bull decorated in gold. And all the residents of Jerusalem – the shopkeepers and all the workers, sometimes even the king – would come out to greet the farmers. Upon arriving at the Temple, the Levi’im would sing a song from the book of Tehillim.

Then, on dedicating their baskets of produce to the Temple, the farmer would make a declaration summarising Jewish history and expressing gratitude to G-d for bringing the Jewish people to the land of Israel – to the sacred ground from which these first fruits were harvested.

Why all the fanfare? And how is any of this connected to Yom Ha’atzmaut?

One of our great sages, the Malbim, explains that the declaration on the bikkurim was a response to those who would challenge our right to the land of Israel. He cites Rashi’s very first comment on the Chumash – the question of why the Torah begins with the book of Genesis, the more narrative-driven portions of the Torah, when really the Torah is a book of commandments.

Quoting from a prescient midrash, Rashi explains that the reason the Torah begins with the story of creation is because one day, the Jewish people would be accused of unjustly appropriating the land of Israel, to which we can respond – G-d, the creator of the world, gave it to us. That is our title deed. And we underline this claim by publicly declaring and celebrating our connection to the land of Israel in the bikkurim ceremony.

There’s certainly a lesson we can draw on here in our own age about proudly and unapologetically celebrating our connection to the land of Israel.

But bikkurim has another – no less important – lesson for us for Yom Ha’atzmaut – the lesson of gratitude. Through the declaration, farmers express gratitude for the fact that G-d took us out of Egypt and brought us to the land of milk and honey from which the fruits were harvested. In this way, the entire farming experience becomes grounded in a deep appreciation. And the way we show our gratitude is by dedicating the best and the first to G-d through the mitzvah of Pidyon Haben, of redeeming a first-born son, and through the mitzvah of bikkurim.

Gratitude is at the heart of Jewish identity. The word “Jew” comes from the word “Yehudi”, derived from the name “Yehuda”, Leah’s fourth son. When she gave birth to Yehuda, she said, “I will give thanks to G-d.” As Jews, we know that everything we have, every blessing we enjoy, comes from our creator.

And so, as we mark Yom Ha’atzmaut this year, as we look back with satisfaction on all of the immense achievements of the past 73 years, our hearts are filled with gratitude and appreciation to G-d for His blessings that have made it all possible.

David Ben-Gurion, Israel’s first prime minister, is famous for having said, “In Israel, in order to be a realist, you must believe in miracles.” G-d’s miracles have accompanied the birth, growth, and development of the state of Israel throughout these 73 years. From the great military victories and economic and technological achievements, to the miraculous rebuilding of yeshivot and Torah learning on a grand scale beyond the wildest dreams of those who saw the destruction of these institutions in the Holocaust, the Jewish people have established, with G-d’s blessing, a thriving state in spite of all odds. Israel has, with divine help, continuously defied the natural order of things.

This Yom Ha’atzmaut, as we once again declare our historic connection to the land and celebrate all that our beloved state of Israel has miraculously accomplished, let us do so with deep gratitude and unabashed pride – and through this, let us unleash abundant divine blessings for many more years of greatness.

Continue Reading

OP-EDS

Beth Din works to make Pesach “lesstressingmoreblessing”

Published

on

The kosher department spends nearly six months of the year planning for Pesach and making certifications.

This year was particularly challenging with the sad and untimely passing of Rabbi Desmond Maizels in Cape Town. His care and knowledge added much to South African kashrut for many decades.

Various products available all over the country are manufactured in Cape Town. With the help of the Cape Town kosher team, we ensure that the highest standards are kept, and all essential items that the community needs are made available across the country.

This year, we launched a #lesstressingmoreblessing campaign, which we hoped would help make everyone’s preparation ahead of Pesach a little easier. We shared our expanded Green List, which is a list of products that don’t require a special Pesach hechsher.

We all know how expensive this time of year is and unfortunately, it’s costly for companies to manufacture Pesach items. In many cases – locally and internationally – the ingredients need to be changed, and factories often need to be closed for at least 24 hours to kasher production lines.

Furthermore, runs are often done in small batches and in most cases, production is done under the direct supervision of a mashgiach. We do what we can to research products all year round to add to our Green List to make it easier and more cost-effective to keep Pesach.

We then shared some delicious recipes from Romi Rabinowitz. Next, we created and shared helpful videos on kashering some of the latest kitchen appliances, which also enabled the community to meet some of the kosher team. Most importantly, we extended the hours of our kosher desk hotline to answer all the community’s questions.

Pick n Pay again printed our Pesach Guide, and innovated by placing a variety of Pesach-specific products on its Bottles app. This is something we hope to expand in the future.

What’s most important to us is community feedback. After Pesach, we reached out to the community via a survey, and got just less than 800 responses.

Here are the most pertinent:

•     Most of the community was happy with the product range available this year;

•     They prefer to buy locally-made products as it keeps costs down;

•     More than two-thirds of the community felt that the kosher department gave them useful information this year;

•     The Green List was found to be the most useful information shared;

•     There is a range of locally produced items that people would like to see available next year, namely: Orley Whip, sweets, cold drinks, diet drinks, chocolates, spices and sauces; and

•     Many expressed appreciation for our team, which we are grateful for.

The survey is now closed, so if you didn’t have the opportunity to respond to it, we invite you to contact us directly with your feedback.

We are grateful to everyone who completed the survey. We value the feedback and, with the positive and useful information given, we have already begun to plan for Pesach 2022. We hope we will keep you #lesssressingmoreblessing.

  • Rabbi Dovi Goldstein is the kosher managing director at the Beth Din.

Continue Reading

OP-EDS

Is the US losing interest in the Middle East?

Published

on

The United States-Saudi Arabia relationship is a really interesting case study for those who watch Middle Eastern geopolitics closely. Some background to current events is necessary to set the context.

On the one hand, Saudi Arabia is a difficult ally. Its human-rights record is suspect, to say the least. It was clearly responsible for the killing of the journalist Jamal Khashoggi in 2018, which caused a worldwide outcry. It has also been involved in a war in Yemen that has created a humanitarian disaster, with high civilian casualties and hunger, malnutrition, and illness in that country.

On the other hand, it’s a strategic US ally, and a stable, pro-Western country. It entered the war in Yemen for good reason – to prevent the Iranian-aligned Houthi forces from taking over the country. It was also the second biggest oil producer in the world in 2020.

President Joe Biden was left with a difficult choice. Heading up a Democratic administration, which supposedly prides itself on its support for human rights, he couldn’t leave things as they were. On the other hand, he couldn’t damage the US’s vital strategic and national interests. To this end, he seems to have attempted to walk a fine line by taking the following actions:

He released a redacted intelligence report that blamed the crown prince for being behind the murder of the journalist, but took no further action. He has made it clear that the US no longer supports the operations of the Saudi coalition in Yemen, and has temporarily paused the sale of offensive arms to Saudi Arabia, but has allowed the continued sale of defensive arms.

More importantly, he didn’t act when Saudi oilfields were once again attacked by Houthi missiles and drones on 7 March, which led to a spike in oil prices briefly above $70 (R1 021) a barrel.

The US said on the Monday that its commitment to defend Saudi Arabia was “unwavering”, and in a Twitter post, the US mission in Riyadh condemned the attacks, which it said demonstrated a “lack of respect for human life” and a “lack of interest in the pursuit of peace”. However, the US took no further action.

The main issue, however, which is being brought to the fore by the awkward US-Saudi dance, is that the US is losing interest in the Middle East. The area is much less of a priority than it used to be.

There are a few reasons for this. First, the US no longer relies on imports of oil from the region. Last year, according to The Economist, the US was in fact a net exporter of oil and natural gas.

Second, the US has been involved in long and endless wars in Iraq and Afghanistan that have cost trillions of dollars and achieved very little.

Finally – and this has been the policy across three US presidents now – the US wants to pivot to Asia and focus much more on countering a rapidly growing and influential China. It wants to lighten its burdens in the Middle East, and instead focus its energies on what everyone believes will be the world’s leading growth region of the 21st century.

This doesn’t mean the US will withdraw totally. It still has troops all over the area, and has vital interests in preventing a nuclear arms race there and not allowing terrorist groups to grow and find sanctuary. However, given recent events, it seems clear that it will scale down its activities and no longer expend the time and energy it has in the past. Its military activities will be curtailed.

The effect of this clear signal from the US has been dramatic, and it no doubt played a major role in the Abraham Accords and signing of peace treaties between Israel and the United Arab Emirates and Bahrain. If and when the Saudis join the emerging Israel-Sunni reproachment, it will no doubt also be due to the fear of less US involvement in the region and of therefore having to face their enemies alone.

While this development has been positive for Israel in that it now has new strategic allies in the region, bringing much more diplomatic strength and regional influence, in the long term, there must be concern.

The US moves towards Saudi Arabia are a portent for it becoming much less involved in the region, and clearly show its intention not to be dragged into any more wars there.

While Israel now has a lot of new allies as a result, and it seems the friendships will be warm, none of the new allies are major military powers. Local regional alliances, useful as they are, cannot replace the world’s main superpower, and an unstable region will surely become still more unstable without the US’s active presence.

Israeli leaders have long suspected this, but the fact that the US hasn’t responded militarily to the two recent attacks on the Saudi oilfields when in the past, under any president, there would have been a robust and strong response, shows how dramatically things have changed. The US can no longer be relied on as a military ally. Israel will be left to fend pretty much for itself if and when the next war breaks out in the Middle East.

  • Harry Joffe is a Johannesburg tax and trust attorney.

Continue Reading
Advertisement

Naale Elite Academy

Trending