Gauteng Cancer Patients ‘Dying Waiting for Treatment’

Cancer patients in Gauteng die while waiting for radiation treatment and the delays mean any intervention already made is rendered useless, reports the Sunday Times.

“It’s bigger than the Esidimeni tragedy,” said one senior oncologist. About half of all cancer patients will need radiation as part of their treatment but can expect to wait up to four months if they are accessing it in state hospitals in Johannesburg and Pretoria – delays described by doctors as “extreme and unacceptable”. Waiting too long for radiation can mean the cancer is much more likely to return, explained the medical director at Campaigning for Cancer, oncologist Devan Moodley in a Sunday Times report.

In December a surgeon at Steve Biko Academic Hospital in Pretoriawrote to the hospital manager to ask that the radiation backlog be dealt with. He wrote: “Many (patients) have transport problems and cannot visit again and again. Some die waiting for treatment.” In the letter the doctor describes the impact of the backlog, like the patient in his 20s who had a tumour removed in December. He needed to start radiation within six weeks to try to prevent a recurrence of the disease, but his first appointment with the radiology department was in March and he will likely only start radiation in June. Another patient is described as young and with an “excellent prognosis” – if he receives radiation within six weeks.

“We are wasting scarce theatre time and precious funds by doing sophisticated surgery (to remove tumours), occupying scarce ICU beds post-operation and then not completing the therapeutic programme by omitting radiotherapy,” the letter continues.
It says there are not enough radiation machines, a situation exacerbated by maintenance problems, shortages of physicists to maintain the machines and radiation therapists, and no funds to pay overtime.

The report says in 2016, machines at Steve Biko were out of service for a few months, leading to a waiting list for radiation that continued until last month. The hospital is, however, getting new radiation equipment, senior sources said. A doctor who spoke on condition of anonymity said the situation was beginning to improve.

But the director of Campaigning for Cancer, Lauren Pretorius, said radiation delays in Gauteng “were systemic and have been ongoing since 2012”. She said because patients often just went home to die and didn’t enter the health system, it was hard to create a proper record of the numbers who weren’t getting treated.

By this time last year, every state oncologist in Durban had quit their job over broken radiation equipment at Addington Hospital. A year later, the equipment is still broken, according to Mary de Haas, a member of the Medical Rights Advocacy Network. There is only one full-time oncologist working for the KwaZulu-Natal government in Pietermaritzburg, so, the report says, desperate patients are seeking treatment in Gauteng.

But they face problems accessing timeous radiation treatment at Charlotte Maxeke Johannesburg Academic Hospital, where there are only two full-time radiation oncologists – and five vacancies for similar posts, two sources confirmed.

The head of medical oncology at the University of the Witwatersrand’sfaculty of health sciences, Professor Paul Ruff, said chemotherapy was working adequately at both Charlotte Maxeke and Steve Biko. “In contrast, there are delays in accessing radiation oncology due to outdated radiation machines, which often break down. The current machines at Charlotte Maxeke are 12 to 16 years old.”

The report says no provision for new radiation equipment for Charlotte Maxeke has been made in the budget for the next three years, said Pretorius.

Ruff said there were not enough specialists in Johannesburg. “Medical staff shortages are getting worse due to lack of appointments of new radiation oncologists and retirement of older radiation oncologists.” There is also a freeze on hiring staff for the Gauteng Health Department.

Activist and 10-year cancer survivor David Mfeka said in the report that improving cancer treatment needed “political will”. “The worst is if the machine is broken, they send you back (home) without a date and you are now fighting the disease, anxiety and depression.”

The report says the Gauteng Health Department has yet to respond.

Sunday Times report (subscribers only)

Source: Medical Brief 


About LFCT

CHILDHOOD CANCER and CHILDHOOD CANCER AWARENESS Little Fighters Cancer Trust is a non-profit Childhood Cancer support organisation that offers support and aid to Children with Cancer and their families. When a child is diagnosed with cancer it affects the whole family. One of the parents, usually the mother, must give up their job to care for the child and this creates financial problems for the family. In South Africa especially the majority of these families are not well-to-do; many of them are rural. A diagnosis of cancer can wipe out any family’s finances, let alone a poor family. The costs of special medications, special diets, hospital stays, transport to and from the hospital or clinic and accommodation and food costs for the mother who spends most of the time at her child’s bedside are astronomical. These are the people and problems that fall through the cracks, and these are the people that Little Fighters Cancer Trust has pledged to help in any way possible. LFCT takes a holistic approach to assisting the Children with Cancer and their Families, with the main aim to be the preservation of individual dignity and pride. Little Fighters Cancer Trust also focuses on promotion and advocacy of National Childhood Cancer Awareness in an effort to increase awareness of Early Warning Signs of Childhood Cancer. This would result in earlier diagnosis, giving the Child with Cancer more of a chance at Treatment and Survival. See "About" for more Background info

Posted on 6 June, 2018, in Blog and tagged , , , , , , , . Bookmark the permalink. Leave a comment.

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