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Teen vaccinate, or not teen vaccinate? Not a question, say doctors

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As the news broke that South Africa would allow children aged 12 and up to get vaccinated with a first Pfizer shot, some parents were thrilled but others expressed fear, uncertainty, even anger.

“As the daughter of a polio survivor and the mother of an asthmatic child, I feel strongly that we need to get vaccinated, not just for ourselves, but for others,” says Vanessa Levenstein, a copywriter at Fine Music Radio in Cape Town. “My son, Sammy, is 14 and my daughter, Safra, is 17, and this past Shabbat, we all said how grateful we were that the vaccine was now available to them. I feel we are privileged to have it.”

Her husband, Jonathan Musikanth, an attorney, agrees. “We look forward to giving our children some sort of normality again,” he says. Levenstein adds, “We’re living in a society with huge social inequalities: someone living in a crowded Manenberg flat cannot self-isolate if they get infected. The only way to stop the spread is through the vaccine roll-out. ‘If I’m not for myself, who will be for me? And being only for myself, what am I?’ The words of Hillel still ring true.’”

The SA Jewish Report asked parents on Facebook what they thought, and a mother responded, “The judgement and anger towards people who don’t want to be vaccinated is extreme and frightening.” For this reason, she asked to be quoted anonymously.

“My children are healthy and have been exposed to COVID-19 and didn’t have any symptoms,” she said. “I don’t feel that I need to vaccinate them against something that I feel isn’t dangerous to them. They didn’t have any symptoms, so I don’t feel I need to protect them from dying. The fact is that nobody in the world knows the long-term effects of this vaccine. I’m not willing to risk it.

“It’s all well and good saying we should do it for herd immunity, but I won’t allow my children to get vaccinated to protect others when they don’t need the protection themselves,” she said. “Also, I don’t feel that 12 year olds are old enough to make a decision about this. My kids would agree.”

Asked how she felt about her children navigating a post-COVID-19 world unvaccinated, she said it was “a huge concern”.

“I’m concerned that their freedom will be taken away because of this. However, is that a good enough reason to go against what I wholeheartedly believe to be the truth about the vaccine?” she asked. “I don’t believe that by not vaccinating kids, I’m putting anyone else’s life in danger.”

Johannesburg pulmonologist and parent Dr Anton Meyberg told the SA Jewish Report, “This is definitely a scary and emotive time in our lives as parents. It’s one thing to vaccinate ourselves, the adults, but now we are being asked to trust science with our own children. Whereas we know that children definitely don’t get as sick as adults, they definitely can still get sick [from COVID-19]. And some get severe multisystem inflammatory syndrome while others can suffer from ‘long COVID’.

“There are so many myths and misconceptions about vaccination and they need to be dispelled,” he says. “As a doctor on the frontline, it’s a ‘no brainer’ to me that my daughter and children over the age of 12 should be vaccinated. As parents, we have the responsibility of safekeeping and caring for our children, and vaccinating them allows us to do this. No doubt by vaccinating our teens, we’re protecting their parents and grandparents, but we’re also making sure that schools can remain open and our children can lead almost normal lives.

“The most documented side effect in children after the second dose of the Pfizer vaccine, mainly in boys 16 to 30 years of age, is myocarditis [inflammation of the heart muscle],” Meyberg says. “Males aged 12 to 17 are more likely to develop myocarditis within three months of catching COVID-19 at a rate of 450 per million infections. This compares with 67 per million after the vaccine. The condition is self-limiting and easily treatable, and it’s crucial to avoid exercise for up to a week post vaccination in order to decrease the chances of its occurrence. Widespread vaccination is a critical tool to help stop this pandemic. The question shouldn’t be if you’ll vaccinate, but rather when.”

Jeffrey Dorfman, associate professor in medical virology at Stellenbosch University, says “the arguments for vaccinating children are very strong in countries such as South Africa and the United States where there’s still a lot of COVID-19 transmission and the potential for more waves. Children may be at lower risk of severe COVID-19 disease than adults, but not zero. In the United States, more than 63 000 children have been hospitalised since August 2020, and more than 500 have died. More than 4 000 have been diagnosed with multisystem inflammatory syndrome, which is dangerous.

“Additionally, the vaccines in use prevent many COVID-19 infections – not 100%, as we all know about breakthrough infections, but even for the Delta variant, vaccination prevents about 70% of infections based upon current studies,” he says. “That’s enough to matter to the people around children who are vaccinated, and may be enough to stop or reduce school outbreaks. Vaccination will certainly reduce the risk of a child bringing a COVID-19 infection home to vulnerable adults. It’s certainly not unheard of for children to bring an infection home from school resulting in the death of a caregiver, and this is tragic and preventable.

“Additionally, I know of cases of children who were asymptomatically infected and had to move away from vulnerable grandparents,” he says. “It was scary for the people involved. The children had no symptoms and were tested only because they had a COVID-19 positive contact. Were the contact not known, they would have continued to live with the grandparents, who would have been at risk. Even children who have had COVID-19 can have it again, and a large study from Kentucky in the United States shows that vaccination further reduces the risk of COVID-19 re-infection. We aren’t going to get on top of COVID-19 unless we use the tools at our disposal. As a society, we can’t afford serious lockdowns and have to use less disruptive tools. Vaccines should be high on everyone’s list.”

A third mother expressed mixed feelings about vaccinating her teenage sons. However, after reading a letter by Johannesburg family physician Dr Sheri Fanaroff, she has decided to go ahead with it. In the letter, Fanaroff laid out all the questions and concerns to show that “the risk of getting COVID-19 infection far outweighs the risk of vaccination in teenagers. I can say without hesitation that I will be relieved to have my own teenagers at the front of the queue to get vaccinated this week so that they can return to a more normal lifestyle.”

She explained amongst other points that “vaccination reduces the risk of teenagers dying: the virus was the fourth leading cause of death for those aged 15 to 24 and the sixth leading cause for those aged five to 14”.

Fanaroff also explained that “vaccination reduces the risk of severe infections, hospitalisation, and the need for oxygen and intensive care in teenagers. Recent figures from the US show that the hospitalisation rate among unvaccinated adolescents was ten times higher than that among fully vaccinated adolescents.

“There’s no biological reason or proof that a COVID-19 vaccine can interfere with the progression of puberty. There’s also no biological mechanism whereby hormones associated with puberty can have an impact on immune responses to COVID-19 vaccines. There’s no evidence that the vaccine has any impact on fertility.”

During the health department briefing on Friday, 15 October, acting Director General of Health Dr Nicholas Crisp stated that based on the Children’s Act that allows children aged 12 to 17 to consent to medical treatment, children in this age group don’t require their parents’ consent to have a COVID-19 vaccine. Teens can register and consent to being vaccinated without permission.

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“Let my people in” – chief rabbi takes on travel ban

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South Africa’s chief rabbi, Dr Warren Goldstein, has taken on the Israeli government over its sudden blanket travel ban in light of the new variant discovered by South African scientists.

He has been interviewed in Hebrew across multiple national radio stations, TV stations, print media, and online media in Israel.

In a plea to Israeli leaders, he said that shutting the door on world Jewry was a mistake for a number of reasons.

Many South African Jews were turned back in transit between 25 and 26 November, and others are desperately trying to get there because of important family commitments. But the chief rabbi emphasises that “Israel is home to all Jews, especially in times of crisis, and a total closure signals a separation between Israeli and diaspora Jews. The new variant doesn’t distinguish between Jews who have Israeli citizenship and other Jews.”

To him, there are two issues at stake. “The first is the relationship between Israel and the South African Jewish community. Our relationship with Israel is very much part of our value system, and we are a very Zionist community. This is expressed in many different ways, for example, our aliyah numbers, which proportionately are really strong. It’s also expressed in the high percentage of our community who have visited Israel, the fact that so many of our youth study in Israel, and especially in how so many of us have family in Israel. The connection goes very deep.”

To be blocked from entering Israel is therefore “a real blow to the South African Jewish community – spiritually and emotionally”. This latest blanket ban comes after almost two years of very intermittent access to Israel, and the new extreme levels of restriction were a tipping point for him.

“I felt I needed to make my voice heard in Israeli society. This is why I went to the Hebrew media, so that this plea would be heard by society and decision makers. I wanted to send a message on behalf of our whole community.”

He says he has seen the pain of these restrictions reflected in many ways. For example, specific incidents, like a father not being able to attend his son’s Barmitzvah, and a general sense of loss and distance.

The other reason he has spoken out is “for the sake of Israel itself, and for all Jews. Is Israel an ordinary state, or a Jewish state?” he asks rhetorically. “This is a direct plea to the Israeli government and goes to the heart of Israel’s identity. Israel is the only Jewish state, and we are deeply connected to it. In light of that unbreakable bond, if the state says some Jews can’t enter, it’s drawing a divide between the state of Israel and communities across the diaspora. That partnership between diaspora Jewry and the state of Israel is crucial, and if you break that bond, it will hurt Israel and world Jewry.”

He isn’t asking Israel to jeopardise the health of its citizens. Rather, he’s asking that the same criteria be applied to Israeli citizens returning to Israel and Jews needing to visit. Israeli citizens who want to return are allowed to do so if they are fully vaccinated, do a PCR test, and go into quarantine.

“If you combine these three strict requirements, the Israeli authorities have deemed that the risk becomes negligible. If they are good enough for Israeli citizens, any Jew in the world should be allowed to enter on the same basis.”

Goldstein is speaking up now in particular because “vaccines have completely transformed the risk profile. We can see this in the current wave in South Africa.” He has written about it before, but not as extensively as now. “I’ve learnt that one needs to use multiple platforms and address Israeli society directly.”

He says the message has found “tremendous resonance with journalists. I haven’t spoken to one Israeli interviewer who wasn’t sympathetic. They have challenged me, and I have clarified that I’m not asking for more than what’s granted to Israeli citizens. There has been a lot of support and interest.”

He says the incident in which South African Jews were forced away from Israel on Friday 26 November and made to fly on Shabbat was “an absolute disgrace and totally unacceptable for any state, but for a Jewish state, was unthinkable and beyond the pale. This is especially considering the circumstances of two of these Jews going to comfort the Kay family, whose son gave his life for the state of Israel. At the very least, the Israeli government must apologise for this conduct and promise its citizens and Jews around the world that such a thing will never happen again.”

Finally, he says “vaccination is everything. It’s a blessing. Thank G-d for it. Take it with both hands: it is a big mitzvah to protect yourself and others.”

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World mourns Eli Kay, son of SA Jewry

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At the beginning of November, the Kay family celebrated the happiest of simchas in Israel – the wedding of Avi and Devorah Kay’s eldest son. Three weeks later, they again gathered in the Jewish homeland, but this time for the darkest of tragedies: the funeral of the Kays’ second eldest son, Eliyahu (Eli), who was murdered by a Hamas terrorist in Jerusalem on Sunday, 21 November 2021.

A South African oleh who was building a beautiful life in Israel, 25-year-old Kay was shot dead by a Palestinian gunman in Old City, near the Kotel. Four others were hurt. Horrific images of blood being washed from the Jerusalem stones were seen online after the attack.

The Jewish world is now mourning the senseless loss of a soul who embodied the best of the South African Jewish community and its commitment to Judaism and Israel. Indeed, that deep love of his faith, history, and identity was what brought Kay to the Kotel on Sunday. He was living his purpose but was killed for being a Jew.

An ardent Zionist, he made aliyah from South Africa without his family in 2016. His parents and siblings later joined him, with his parents leaving South Africa last December amidst tough COVID-19 restrictions. They settled in Modi’in. Avi’s parents, Cliffy and Jessie, remain in Johannesburg, while Devorah’s parents Rabbi Shlomo and Rebbetzin Lynndy Levin of South Hampstead Synagogue, live in London. The tragedy of grandparents burying a grandchild is unfathomable.

The family are pillars of the Johannesburg Jewish community, and played a vital role in building Torah Academy over generations. Both parents, as well as their four children, were alumni of the school. In its statement, the school pointed out that Kay was killed while holding his tefillin and a Likutei Sichos [The ‘Collected Talks’ containing the teachings of the Lubavitcher Rebbe] – devoted until the very end to his Judaism.

He accomplished much in his short life. After arriving in Israel, he studied at a Chabad yeshiva in Kiryat Gat in the south of Israel, and then enlisted in the army. “He was a squad commander in the paratroopers, which is a big deal for a lone soldier in my view,” says Ron Feingold, who served with him. “He volunteered for the IDF [Israel Defense Forces] and then excelled enough to lead people in it. I will never forget our conversations about the duty that we felt to our people.”

After completing his military service, he volunteered at the Nirim kibbutz for a year in the Eshkol region of Israel. Writing on Facebook, Shira Silkoff recalled meeting him when she arrived on kibbutz.

“The first time I met you [Eli], you were walking in one direction and I was walking the other. I was shy, unsure of how to go about meeting people who already all seemed to be friends. But we spoke for a few minutes, on that kibbutz path, with you holding a tub of slowly melting ice cream. Because that was you. You had time for everyone. No news report can capture your spirit. Your smile. Your passion for life, your ability to hold deep conversations at absurd hours, and absurd conversations at any hour. None of the news reports can capture your enthusiasm, your determination to achieve everything you set out to do.”

Kay then began working at the Kotel as a guide at the Western Wall Plaza. Some reported that he was murdered on his way to pray, others that it was on his way to work. But for Kay, these tasks were intricately connected. At the end of the day, he was there because he loved Israel and the Jewish people. According to The Western Wall Heritage Foundation, Kay “warmly greet[ed] everyone he met, doing his sacred work”.

Hearing the news was one of the most difficult moments for members of the South African Jewish community. “I was broken, gutted,” says Rabbi Levi Avtzon, who taught Kay when he was a teen. “Eli was quite a character: he was feisty and demanded a lot of himself and others. He didn’t have time for nonsense. He was a great guitar player and a natural leader. He was a searcher, looking for the truth. And when he saw the truth, he would go all the way in following it.”

Avtzon says these values came from the incredible upbringing he received from his parents. He describes Avi as “a gentle soul” and “an incredible financial advisor”, who continues to do this work in South Africa even though he now lives in Israel. “Until they left for Israel, Devorah was the life and soul of Torah Academy Girls High – loved by everyone and really dynamic.” The family’s door was always open. For example, they graciously hosted Avtzon’s parents when they visited him after he first moved to South Africa as his flat was too small.

Contemplating what Kay’s future would have looked like had his life not been stolen so senselessly, Avtzon says, “No matter what he would have done, he would have done it well. We need to take pride that this is the kind of mensch that our community raises.”

Kay’s cousin, Eli Landes, wrote on Facebook how he remembered “dancing with you [Eli], laughing with you, learning to play ‘mouth trumpet’ with you, studying with you, making up fake British sentences with you, talking about life with you. In life, you defended us. Guarded us. And now, I have no doubt you stand at G-d’s right hand, continuing to fight for us and protect us.”

Kay’s fiancé, Jen Schiff, said, “I felt it was important to share how much Eli loved this country, and how he came here by himself, and fought for this country. He always treated everyone with love and respect. And I know that when this happened, he didn’t feel alone.”

The outpouring of grief and support came from the very top of Israeli society as well as from around the globe. Prime Minister Naftali Bennett, former Prime Minister Benjamin Netanyahu, Foreign Affairs Minister Yair Lapid and other Israeli leaders expressed condolences. Minister of diaspora affairs, Nachman Shai, personally wrote to the South African Jewish community, saying, “My heart breaks with yours. [Eli] was a son of both of our communities … Eli represented the best of the Zionist spirit nurtured in Johannesburg.”

Shai represented the Israeli government at the funeral, which took place at Har Menuchot cemetery in Jerusalem. Thousands of people from all walks of life attended in person, and almost 2 600 people (mostly from South Africa) watched on YouTube. There, Shai described him as “the paratrooper, the yeshiva student, warrior … the best of the best”.

Kay “would have been a great husband and father”, said an emotional Rabbi Motti Hadar, the principal of Torah Academy Boys High School, contemplating the brightest of futures cut short. “That is the hugest tragedy. And while his time came too soon, I think there is almost no other way he would have chosen to go than literally sacrificing his life for what he believed in, which was Israel, his Judaism, and living life to the fullest.”

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Miss SA future uncertain as Israel hatred boils

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It’s touch and go whether Miss South Africa will get on a plane to Israel to compete in the Miss Universe pageant next month, after a week of high drama in which the South African government bizarrely withdrew its support for the young university graduate.

The government had the anti-Israel lobby licking its lips at the prospect of her dreams being crushed. This lobby was determined that Lalela Mswane would never compete on an international stage in the coastal town of Eilat.

There are many who want her to go to Israel and represent her country, learn, engage, and prosper and there are those – a bunch of Israel haters – who are pulling out every stop to prevent it.

So far, the 24-year-old KwaZulu-Natal beauty has stood her ground. She is due to meet about 70 of her counterparts from all over the world – including the Arab world – in the Holy Land in a few weeks’ time.

Just how long she, the private Miss South Africa Organisation, and its chief executive, Stephanie Weil, can withstand the heat created by the small but predatory anti-Israel lobby is anyone’s guess.

At the time of going to press the odds were stacked against them in a fast moving developing story that has everyone guessing.

“It’s a rollercoaster ride,” said one insider.

Behind the scenes, a myriad of supporters have rallied around the young beauty queen, desperate to help her as critics stop at nothing to prevent her from representing her country at the Olympic Games of beauty pageants.

“It’s precarious, complicated,” offered another.

There has been more time and space allocated to this issue in the media than FW de Klerk’s death and his funeral arrangements, hung local councils, and coalition talks. Never mind the country’s dire electricity crisis, abysmal unemployment rate, water cuts, and critical crime levels. Social media has been lit with those fiercely in favour and those vehemently against Mswane attending the pageant.

It appears from thousands of social-media posts that many more are in favour of her fulfilling her dreams and wish her well than not.

The drama started with a statement issued on Sunday, 15 November, by the department of sports, art, and culture announcing that it would no longer support the pageant because of Miss SA organiser’s “intransigence and disregard” of advice against sending Miss SA to Israel, which it said would have a negative impact on her reputation and future.

The ministry, headed by Nathi Mthethwa, has come under fire for its lack of compassion for struggling artists during COVID-19 and the minister’s general ineffectiveness together with his department’s mismanagement of funds.

The African National Congress (ANC) made its views clear by backing and welcoming the government’s decision to withdraw support for Mswane.

The Democratic Alliance’s deputy shadow minister of sports, art, and culture, Veronica van Dyk, told the SA Jewish Report, “Miss SA is a private company, and as such must deal with the government as it sees fit. We don’t intend to be drawn into a fight between the two. A beauty pageant should never be politicised, and this is exactly what the ANC is trying to achieve. We should be weary not to fall into their trap.”

Department of international relations and cooperation (Dirco) spokesperson, Clayson Monyela, said this week that in spite of all of the anti-Israel rhetoric, South Africa had “no intention of suspending any diplomatic relationships with Israel”.

He told The Citizen, and later repeated to the SA Jewish Report that Mthethwa’s announcement reflected the government’s stance on the matter falling under his portfolio, “but didn’t indicate any intentions of cutting ties with Israel”.

“We have diplomatic relations with both Israel and Palestine. What has happened with Miss South Africa cannot be anywhere close to cutting diplomatic ties. We can’t do that because if we do that, it means we can’t engage with Israel so are excluding ourselves from being part of the solution to the conflict, because if you cut ties with a country, it doesn’t have to engage with you,” said Monyela.

However Miss SA’s future hangs in the balance, as negotiations behind the scenes continue ad nauseam.

Zev Krengel, the national vice-president of the South African Jewish Board of Deputies, lambasted the anti-Israel lobby for its bullying and intimidatory tactics, and said Miss SA was being used as a political scapegoat.

“Miss SA is a young woman, she is an easy target,” he said.

South Africa, he said, participated in various team sports, namely baseball, tennis, and soccer, against Israel, and where was the outrage?

Speculation has it that the signing of the Abraham Accords could eventually lead to Israel co-hosting the 2030 FIFA World Cup with its Arab neighbours.

“Do you see South Africa pulling Bafana Bafana out? No, this is pure bullying of a young woman, it’s outrageous,” he said.

He said he was bitterly disappointed in the government for withdrawing its support of Miss SA saying it was “on the wrong side of history, and while the rest of the world opens up and benefits from relations with Israel, including several Arab nations, South Africa is determined to remain on the sidelines of progress”.

People from all over have weighed in on the controversy.

The former Israeli ambassador to South Africa, Arthur Lenk, tweeted, “Wait, wait! Governments offer no support for this non-governmental contest. And the SA government made no decision whatsoever. A single ministry stated a viewpoint. Where is the story here other than the hateful noise the anti-Israel lobby is peddling?”

Author Khaya Dlanga took to Instagram saying that the government had “crossed the line” by withdrawing its support for Mswane, and had thrown her under the bus.

“They have put a young woman in an impossible position,” he said. “This government hasn’t imposed sanctions against Israel or travel restrictions. Instead, it’s grandstanding on the shoulders of a young girl. Why throw her under the bus when it hasn’t made meaningful commitments? Let her go.”

The South African Zionist Federation (SAZF) said it was “appalled” that the government was “self-sabotaging” the country’s hopes and chances of participating and shining in Miss Universe just because it happened to take place in Israel.

“Our country is simply signalling its isolationism and irrelevance on the world stage,” it said.

The government had been silent on serious human-rights abuses occurring in many other countries where South Africa participates in sports and contests but “self-righteously reserves its opprobrium for the world’s only Jewish state”, the SAZF said.

“If our country were interested in bringing peace to the Middle East or carrying any moral weight in playing a mediatory role between Israel and the Palestinians, we have now ensured that our one-sidedness and unilateralism will prevent us from doing so,” the organisation said.

Meanwhile, the Miss South Africa Organisation broke its social-media silence this week with an Instagram post about Miss SA 2020, Shudufhadzo Musida’s, participation at Miss World in Puerto Rico on 16 December.

While Miss SA seemingly had the world at her feet just weeks ago, it remains to be seen if she will participate in Miss Universe.

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