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frontshopNOVEMBER2013 MAGAZINE Cutting edge updates for pharmacy gpMrinaienptaWeiStpfh purgluaerit& ask your pharmacist. available Without a prescription.FOR FURTHER PRODUCT INFORMATION CONTACT PHARMA DYNAMICS AT PO BOX 30958, TOKAI, 7966 TEL: 021 707 7000 FAX: 021 701 5898 CUSTOMER CARE LINE: 0860-PHARMA (742 762). Lancap 15 mg. Each capsule contains 15 mg lansoprazole.Reg No.: RSA S4 40/11.4.3/0247. NAM NS2 07/11.4.3/0098. Lancap 14’s: SEP (excl.VAT) R34.63. For full prescribing information, refer to the package insert approved by the Medicines Regulatory Authority.

&trAdItIOnAL FresH TradiTional and new age ideaSBunny CHOW PIneAPPLe & grAPeFruIt WItH MInt sugArIngredIents: MetHOd: Preparation: 10 mins MetHOd: skill level: easy2 tbsp Vegetable Oil 1. Heat the oil in a pan and sauté 1. Top and tail the pineapple,½ tsp Cumin seeds the whole spices and bay leaf until A refreshing and sweet½ tsp Fennel seeds the spices sizzle. pudding that will satisfy then stand it upright and carve the2.5cm piece of 2. Add the onion and cook for 5–7 any tummy. skin away and discard. Place theCinnamon stick minutes or until translucent. pineapple on its side and cut into2 green Cardamom Pods 3. Stir in the curry powder and sauté IngredIents: wafer-thin slices. Repeat this with1 star Anise for one minute, then add the tomatoes the grapefruit, cutting away peel1 Bay Leaf and stir together. 1 medium Pineapple and then cutting into slices.1 Onion, (finely chopped) 4. Cook on a medium heat, 2 Pink grapefruit2 tbsp Curry Powder stirring often, until you get a sauce-like 50g golden 2. Arrange the fruit on a serving2 tomatoes, (chopped) consistency. granulated sugar1kg Boneless Leg of Lamb, 5. Add the meat, ginger, garlic and Small bunch Mint Leaves platter, careful not to lose any curry leaves and 300ml water, bring juices, and set aside.(cut into 1.5cm in dices) to the boil then reduce the heat and simmer, stirring occasionally, for 40-50 3. Use a pestle and mortar1 tbsp Fresh ginger (finely minutes or until the meat is tender. 6. Add the potatoes, salt to taste to pound the sugar and mintchopped) and 200ml water. Continue simmering together until completely blended until the meat and potatoes are and scatter over the fruit.1 tbsp garlic (finely chopped) perfectly cooked (15 minutes). Serve with yogurt and enjoy.10 curry leaves 7. Stir in the chopped coriander2 large Potatoes, (cut in cubes and lime juice. 8. Serve by spooning into the hollowsthe same size as the meat) in the bread and garnish with coriander.salt2 tbsp Coriander Leaves(finely chopped)2 tbsp lime juice2 loaves of crusty WhiteBread (unsliced, each cut acrossin half in the middle and most ofthe crumbs removed)Coriander Cress or sprigs,to garnishFOR FURTHER PRODUCT INFORMATION CONTACT PHARMA DYNAMICS AT PO BOX 30958, TOKAI, 7966 TEL: 021 707 7000 FAX: 021 701 5898 CUSTOMER CARE LINE: 0860-PHARMA (742 762). Lancap 15mg. Each capsule contains15 mg lansoprazole. Reg No.: RSA S4 40/11.4.3/0247. NAM NS2 07/11.4.3/0098. Lancap 14’s: SEP (excl.VAT) R34.63. For full prescribing information, refer to the package insert approved by the Medicines Regulatory Authority.

EDITORIAL CONTENTSEDITOR: Danette Breitenbach NOVEMBER 2013email: [email protected]: 082 494 4174 4 EDITOR'S COMMENT 32BREASTPHOTOGRAPHS From good to better to best… CANCERUnless previously agreed in writing, FrontShop for youPharmacy Magazine owns all rights to all HEALTHcontributions, whether image or text. 6 NEWS 16 AMD on the increaseSOURCES: Shutterstock, supplied images, Pharma Dynamics’ creates a 17editorial staff. 10 new and healthy Gatsby; Men’s Vital hygiene for babyADVERTISING health is in the spotlight withSALES EXECUTIVE (JHB): Bavin Marshoff National Men’s Day; the 20 FEATURESTel: (011) 217 3122, Cell: 076 439 4850 Dis-Chem Foundation donates 22 Malaria: Eradicating the bite of [email protected] R60 000 towards the FairySALES EXECUTIVE (CT): Jean Ramsay Godmothers; Clicks hosts its Heartburn: A burning issue, byTel: (021) 554 3690, Cell: 079 508 0428 7th Annual Healthcare Marjolein Bench, BPharm IMMemail: [email protected] Conference; and Tempur showsPUBLISHING MANAGER: Cherry Ellis you how to snore no more 26 Weight issues: Supplementing foremail: [email protected] 30 wellness; Eating together; State of theLAYOUT & DESIGN: Estelle Masana EVENTS nation for healthemail: [email protected] Constipation: Dealing with constipationMEDIA24 MAGAZINES BUSINESS & CUSTOM 12 PROFILEGENERAL MANAGER: Dev Naidoo 14 frontshop interviews 32 Breast Cancer: Working against BreastPRODUCTION MANAGER: Angela Silver Shoneez Williams, retail Cancer; Myths vs truthsemail: [email protected] environment manager atFINANCIAL MANAGER: Jameelah Conway Colgate Palmolive SA 36 FRONTSHOP TRAINING ACADEMYemail: [email protected] The last frontshop Training AcademyFINANCIAL QUERIES PRODUCTS for the year took place in October inACCOUNTS: Meda Fisher New products from Johannesburg, Pretoria, Durban andTel: 011-217-3203 ScratchMeNots in new colours, Cape Town. The sessions were veryemail: [email protected] and glass bottles for natural well attended. Sponsored by Bayer,REGISTRATION feeding, to one treatment for GlaxoSmithKline and ReckittPetro Cunning head lice Benckiser.Tel: (011) 217 3222email: [email protected] your details here:email: [email protected]: www.frontshop.co.zaPRINTINGPrinted and Bound by PaarlmediaCONTACT DETAILSPHYSICAL ADDRESS5 Protea Place, 3rd Floor, SandtonTel: (011) 217 3210 Fax: 086 271 4275www.media24business.comPOSTAL ADDRESSPO Box 784698, Sandton, 2146MEDIA24 MAGAZINESCEO: John RelihanCFO: Raj LalbahadurCover Price: R15.00© Copyright FrontShop Pharmacy Magazine 2013While precautions have been taken to ensure the accuracy of itscontents and information given to readers, neither the editor, pub-lisher, or its agents can accept responsibility for damages or injurywhich may arise therefrom. All rights reserved. © Front ShopPharmacy Magazine. No part of this publication may be repro-duced, stored in a retrieval system or transmitted in any form orby any means, photocopying, electronic, mechanical or otherwisewithout the prior written permission of the copyright owners. & Custom Find us online! www.frontshop.co.za Join our Facebook community FrontShop NOVEMBER 2013 | 3

EDITOR'S COMMENTFrom good to better to best…FOR YOUL ate in October the last this role, by providing valuable Editor frontshop Training information through our sponsors. Danette Breitenbach Academy took place. The Academy kicked off in With the workplace changing so training and grow it to include a wider Johannesburg, then moved quickly, on-going learning has become audience every month.to Pretoria, Durban and Cape Town. more and more important. But our time,Sponsored by Bayer, GlaxoSmithKline just like the consumers’, is also limited. Please email me any suggestions you(GSK) and Reckitt Benckiser, all the The Academy provides education in an have. I have calls and emails fromsessions were very well attended. effective and time efficient period. We Hermanus and George requesting we also must thank the sponsors of the hold training sessions there (I have not I would like to thank you to each and Academy, as they allow us to present forgotten you) and we will look into howevery one of you for supporting the these sessions to you free of charge. we can accomplish this.frontshop Training Academy, not only now Without these sponsorships none of thesebut throughout the year. We hope that you sessions would be possible.have enjoyed the sessions this year andwill be attending them again next year. As The Academy also offers you thealways we endeavour to make these unique opportunity to network with yourinteresting and useful for you. peers and colleagues in a professional but relaxed environment. Front shop assistants and pharmacyassistants play an important role in the We want to make sure that thepharmacy of today. Consumers are busier Academy continues to meet your needs. Inthan ever, with less time than ever and the future, for example an idea is to utiliseare constantly seeking advice regarding technology and do live broadcasts of theproducts. This is where your role is sessions via our website. We also want toinvaluable. We at frontshop hope that our do podcasts of the speakers on ourtraining sessions assist you in fulfilling websites and a newsletter. We believe these innovations will add value to theWe love PICK of the month TWEETING your way to weight loss 25 November – 10 December The Codeine Care Initiative The key to successful weight loss is support from your social media network. This is according to research out 16 Days of Activism on no violence “I take these to help me sleep” or “I take of the University of South Carolina that found Twitter against women and children them to relax”. As pharmacy assistants and can improve your odds of shedding pounds. Study front shop assistants how often have you participants received the same nutrition, exercise and not heard these words. Probably very often goal-setting advice via podcasts, but half of them also – even daily – because the prevelance of used Twitter as a weight-loss aid. They received daily people addicted to prescription drugs is tweets from a weight counselor and followed other higher than most of us think. study participants in an effort to provide a broad range of social support. Both groups lost weight during the David Bayever presented the Codeine six-month study, with the active tweeters dropping the Care Initiative to the frontshop Training most pounds—every 10 posts to Twitter correlated with Academy in October. The Initiative is a 0.5% weight loss. imperative for pharmacies and kicks off 2 January 2014. See page 38 (Source:http://www.sc.edu/news/newsarticle.php?nid=5604#.UnDh_vmnqYE) What’s HOT online4 | NOVEMBER 2013 frontShop

04/NIC/02/13/P/PRTStuck on cigarettes?We understand that giving up smoking is hard which is whynicorette® is here to help your willpower. nicorette® providestherapeutic nicotine, less than from cigarettes but enough to helpmanage your cravings, until over time you’re weaned off yourneed for cigarettes. nicorette® has a range of gums to suit everysmoker’s individual needs, so speak to your pharmacist aboutthe nicorette® gum variant that best suits you or visitwww.nicorette.co.za to find out more.For every cigarette, there’s a nicorette®.nicorette® Gum 2 mg: Each piece contains nicotine-resin complex 20% 10,0 mg equivalent to 2 mg nicotine. Reg.No.: P/34/187.nicorette® Gum 4 mg: Each piece contains nicotine-resin complex 20% 20,0 mg equivalent to 4 mg nicotine. Reg.No.: P/34/188.nicorette® Mint Gum 2 mg: Each piece contains nicotine-resin complex 20% 10,0 mg equivalent to 2 mg nicotine. Reg.No.: 30/34/0272.nicorette® Mint Gum 4 mg: Each piece contains nicotine-resin complex 20% 20,0 mg equivalent to 4 mg nicotine. Reg.No.: 30/34/0273.For full prescribing information refer to the package insert approved by the Medicines Control Council. ® Trademark © Johnson & Johnson (Pty) Ltd 2013.Talk to us on sharecall 0860 410032 or email [email protected] read the label. Stop smoking aid. Requires willpower. nicorette® contains nicotine.

NEWSPHARMA DYNAMICS' NEW GATSBYFrom left: SA’s first heart-healthy Gatsby revealed in the wake of National Nutrition Week did you knowreceives a thumbs up from Jessica Bacon (HSFSA), Heleen Meyer (author of Cooking from theHeart), Mariska Fouche (Pharma Dynamics) and Wayne McKay (comedian) Almost half (48.0%) of adult South Africans eat outside the home, and 28.7%In a challenge set by Pharma Dynamics should be limited to no more than five reporting doing so monthly, 20.3% moreduring National Nutrition Week grams (one teaspoon) per day.” than once a month, and 28.3% weekly*(9 to 16 October) the Gatsby had amakeover courtesy of Heleen Meyer, well- Heleen Meyer, author of Cooking from (*According to the HSFSA)known cookbook author and food the Heart, says the challenge to overhaulspecialist, and the Heart and Stroke the local favourite Gatsby was one of the containing more than 70 heart-healthyFoundation South Africa (HSFSA). more interesting food challenges she has local dishes, which forms part of its been tasked with. umbrella campaign, called The Gatsby is an oversized sandwich iChange4Health.typically stuffed with hot chips, meat and “Most fast food meals can be turnedspicy sauce. into a simple, lean and healthier version “More than 40% of all deaths in the by making some modifications. In this country are attributed to chronic diseases Jessica Bacon, Registered Dietician instance I’ve replaced traditionally deep- of lifestyle, such as cardiovascularwith HSFSA, explains that the average fried chips with oven-baked chips, polony disease, cancer, hypertension andGatsby contains 6 200 kilojoules (kj). “This with baked beans and lean red meat, and diabetes, and most of these areprovides almost three quarters of daily I’ve added fresh ginger, lemon juice and preventable if changes are made to theenergy (kilojoule) needs and more than masala for extra flavour. These way we live and attention is given to whathalf of the recommended saturated fat modifications translates into a delicious, we eat,” says Fouche.intake based on an average 8 400 kJ diet. nutritious Gatsby that is lower in total fat,It also provides almost the entire unhealthy saturated fat and salt, and Nutritional information per portion:maximum daily allowance for salt, which higher in fibre, making it a better choice for the heart,” says Meyer. Average Gatsby Healthier GatsbyFacts Energy (kJ) 2147 The heart-healthy Gatsby is also more 6 200 18.51 in 3 South Africans are living with high affordable than traditional Gatsbies Total fat (g) 5.8 ranging in price from R25 to R45 per 70 blood pressure making them more susceptible to portion. Saturated fat (g) 12.5 life-threatening diseases such as stroke and Pharma Dynamics set the challenge to promote the importance of a healthy and Fibre (g) 10.1 heart disease; balanced diet in keeping diseases of 2.1 751 lifestyle at bay. According to spokesperson Sodium (mg) 130 heart attacks occur every day – that’s for Pharma Dynamics, Mariska Fouche, 1 740five people every hour and 240 strokes occur the challenge is in line with the company’s on-going drive to promote healthy eating daily – that’s 10 people every hour. via its popular Cooking from the Heart initiative – a free online recipe book 80% of deaths due to heart disease and stroke could be prevented by people making healthy lifestyle choices* (*According to the HSFSA)6 | NOVEMBER 2013 frontShop

NEWS19NaNtDiooanyvae2l0mM1e3bn'es r EARLY SIGNS OF TESTICULAR CANCER OFTEN NOTICEABLEExperts say that men could benefit detect cancer at an early stage, when it Organisations like Cancer Buddiesgreatly by being alert to certain cancer is more likely to be successfully treated. create a support system which is criticalsymptoms. It only requires a trip to the If you are concerned about a symptom for people living with cancer. Their workdoctor’s office sooner rather than later. or sign, please talk to your doctor. touches the lives of so many, which isBut when it comes to scheduling doctor why Dulcolax is so passionate aboutvisits, men are notorious foot-draggers. Symptoms of testicular supporting the initiative,” concludesIn fact, some men would never go to the Hansen.doctor if it weren't for the women in their cancer may include:lives. Should you, a friend or a family • A lump on a testicle member be diagnosed with cancer and Linda Greeff, founder of People Living • Scrotum that seems swollen or would like more information on Peoplewith Cancer and Cancer Buddies, Living with Cancer and Cancer Buddiescomments “Men often need to get bigger than usual please contact 0800 033 337, visit theirscreened for cancer. Fear often also • Dull pain or ache in the testicle website www.cancerbuddies.org.za orplays a role in seeking medical advice, • Dull ache or heaviness in the lower www.plwc.org.za or e-mail them atwhich is unfortunate. Routine preventive [email protected] can diagnose cancer and other part of the abdomendiseases in their early stages. When • Symptoms are often present in one A Cancer Buddies branch has beencancer is found early, there are more established in Pretoria, Gauteng and theyoptions for treatment. That means there testicle only. can be contacted directly onare also better chances for a cure.” (012) 807-2744. Most often, testicular cancer can be Some cancer symptoms in men are detected at an early stage, and menspecific. They involve certain body parts often find the cancer themselves whileand may point directly to the possibility of performing self-examinations. Somecancer. Other symptoms are, however, doctors recommend that men agesvague. For instance, pain that affects 15 to 55 perform a monthly self-many body parts could have many examination to identify any changes.explanations. It may or may not be a sign Men who notice a lump, hardness,of cancer. But you can't rule out cancer enlargement, pain, or any other changewithout seeing a doctor. in one or both of their testicles should visit their doctor immediately. The testicles produce male sexhormones and sperm for reproduction. ”Despite a slow increase in theThe first sign of testicular cancer is often number of new cases, the number ofenlargement of the testicle or a small deaths due to testicular cancer havelump or area of hardness on the testicle, decreased dramatically since the 1960swhich can be either painless or painful. as a result of treatmentOther symptoms may go unnoticed until improvements,” comments Tyronthe cancer is advanced and has spread to Hansen, Product Manager for Dulcolaxother parts of the body. which sponsors Cancer Buddies. “However, this is still devastating news Regular testicular self-examinations and it is important to know that if youand examinations by doctors can help are suffering from cancer, you are not alone.WHO LOVES YOU, PREGGY MOMMA ?Natural Bone & Tissue Support Relieves Exhaustion and Fast Relief from Morning Assists Lactating Mothers Rejuvenating Support for for Pregnant Mothers Fatigue during Pregnancy Sickness, Nausea & Vomiting with Milk Production Post Baby Tonic Post Natal DepressionCerene Essential Tissue Salts Cerene Energy Assist Syrup has been Cerene Morning Assist has been Cerene Lactate Assist helps Cerene Body and Soul Restorer has Cerene Rebound has Rebound has FSMC01Formula contains four essential designed to activate and stimulate formulated especially for pregnant stimulate formation of milk for been formulated to include natural been naturally formulated for mildelemental tissue salts combined all systems in the body to function women, not only will it relieve the breastfeeding mothers. calming and restorative ingredients, feelings of post natal depression.specifically for the pregnant women at their fullest level giving you the symptoms of nausea it will also assist The formula will not impair, nor it also contains essential minerals Many new mothers tend to, in oneto ensure natural bone and tissue energy you need throughout the with mild feelings of depression and change the natural goodness of the to help build your body after the form or another, suffer from mildsupport for the growing baby and period of your pregnancy. stress caused by typical morning mother’s milk in anyway. There is stresses of childbirth post natal depression and a statemother. sickness syndrome. no better food for baby than of anti-climax. mother’s milk. Safe for Lactating Mothers. frontShop NOVEMBER 2013 | 7

NEWS “YOUR HEALTH. OUR CARE” It was World Hunger Day last month (16 October). The Clicks 7th Annual Healthcare Children going hungry in the world and in SA is still a problem Conference took place at Emperors Palace in Johannesburg last month and 870 million in the world do not have enough to eat for the first time ever it brought together Clicks healthcare assistants and Almost 1 in 5 children dies from hunger in the developing world pharmacist assistants, along with Children who are poorly nourished suffer up to 160 days of illness each year pharmacists and nursing practitioners. 3.1 million children in SA go to bed with hungry tummies daily 50.9% of people in Sub-Saharan Africa live on less than In total over 600 attendees from all US$1.25 a day sectors of Clicks fully integrated healthcare offering attended. OtherTHE DIS-CHEM FOUNDATION DONATE delegates include suppliers, the medical scheme industry, pharmacy schools andR60 000 TOWARD THE FAIRY GODMOTHERS the South African Pharmacy Council (SAPC).Late last month during the Breakfast terminally ill children, and simply cannotXpress show the Dis-Chem Foundation afford to fit the medical bills. Others are This year’s conference was themedannounced that they have chosen to donate teenage moms and retrenched parents “Your Health. Our Care” and focused onmuch needed products and funds toward who are unemployed and cannot afford the learning and engagement, with the aim ofregistered Trust, the Fairy Godmothers. basic necessities. building stronger relationships amongst healthcare staff and suppliers to provide Fairy Godmothers was founded in 2010 As part of their Random Acts of Clicks customers with an excellentby Veronica Schmitt. Noticing that she had Kindness initiative, The Dis-Chem healthcare service in all Clicks storeslots of clothing that her little girl was not Foundation did not hesitate to act on this and pharmacies.making use of, Veronica started to post two need and donated a R30 000 Dis-Chemparcels a month to a lady who desperately Pharmacy store card toward products for The keynote speaker was Dr Anbanneeded clothing for her children. Today, the these families, as well as a R30 000 cash Pillay on Smart Partnerhips and GuruFairy Godmothers function as a registered donation that the Fairy Godmothers can Ramanathan who is the Chief InnovationTrust and has grown into an organisation utilise for much needed parcels. Officer and Senior Vice President forrun and funded by mothers who are able to General Nutrition Centers (GNC), a globaldonate baby clothing and items to assist “We feel so blessed to be able to help specialty retailer of health and wellnessdisadvantaged mothers. mothers who do not have the means. products. He offered insights about Thank you so much for the donation, it preventative wellness with regards to Currently, Fairy Godmothers are really will go a long way,” said Veronica supplements, global pharmaceuticalcommitted to send out 54 parcels made up Schmitt from Fairy Godmothers. trends and how supplementation canof clothing for babies, food, toiletries, goods improve health.such as prams and cots as well as diapers Penny Stein from the Dis-Chem Foundationthat need to go to mothers living in the in turn said, “Veronica and all the mothers at See Guru Ramanathan’s feedback onFree State, Johannesburg and Cape Town. Fairy Godmothers really do amazing work. We page 26 Supplementing for wellness.Most of the less fortunate mothers have commend and applaud your dedication and feel privileged to be able to assist.”SNORE NO MORESteps to take if your partner snores while nose before going to sleep weight can cause snoringsleeping • Humidifier – invest in a good humidi- • Wear earplugs – if the snoring is due• Roll your partner onto their side – fier to combat dry air in the bedroom, to a medical condition, invest in a people tend to snore less in this position add a few drops of essential oils to good pair of earplugs for yourself• Gently nudge your partner if he or she is create a healthy aroma • The correct pillow – keep the neck in • Avoid consumption of alcohol, caffeine the correct position, so that there is already sleeping on their side and cigarettes before going to sleep no pressure on the windpipe• Tissues – place tissues next to your • Start exercising – carrying extra • Sleep posture – invest in a TEMPUR pressure relieving mattress and pillow partner’s bed so they can blow their to ensure your body is in the correct position Shutterstock • Adjustable bed – raising the head slightly with an adjustable bed can help alleviate snoring Not all snores are created equal – snoring may signal other health issues so be sure to rule them out by getting your partner to a doctor to check if there are any medical conditions that need to be addressed. (Information supplied by TEMPUR)8 | NOVEMBER 2013 frontShop



EVENTS 16 Days of Activism Women and Children 25 November – 10 December violence and abuse on women and symbol of peace - during the 16-day children. period to symbolise their commitment to 16 Days of Activism on no violence never commit or condone violence against against women and children The campaign also aims to: women or children. • Challenge the perpetrators of violence to This is a worldwide campaign to Other ways of supporting theoppose violence against women and change their behaviour. campaign:children • Involve men in helping to eradicate • Speak out against woman and child It aims to raise awareness of the violence. abuse. Encourage silent female victimsnegative impact that violence and abuse • Provide survivors with information on to challenge abuse, and ensure thathave on women and children and to rid they get help. Report child abuse to thesociety of abuse permanantly. services and organisations that can help police immediately. Encourage children lessen the impact of violence on their to report bullying behaviour to school While the campaign runs only for 16 lives. authorities.days each year, its objectives are • Men are critical partners in the fightreinforced by a year-long programme What you can do against the abuse of women and chil-and a national plan to combat abuse. South Africans are urged to support the South Africa is still home to high campaign by wearing a white ribbon - alevels of violence against its women andchildren, despite a world-renownedConstitution and a legislative overhaulthat safeguards women's and children'srights. The government, business, civilsociety organisations, faith-basedorganisations and the media are allparticipating in the drive to increaseawareness of the negative impact ofEvents happening in November2 4 4 8 National Chil- dren’s Day National Car- SADC Malaria SADC Malaria diopumpnary Week Day Resuscitation (CPR) Week14 25 2616 Days of World Diabetes International Activism on no Day Day for the violence against Elimination of women and Violence against children Women10 | NOVEMBER 2013 frontShop

EVENTSfor No Violence Against dren. Men and boys are encouraged to working to end violence against women and/or children. Call the Stop Gender talk about abuse and actively discourage and children by making a contribution to Based Violence helpline on 0800 150 150. abusive behaviour. the Foundation for Human Rights. Tel: • Report illegal guns to the police -• Families must stick together to create 011 339 5560/1/2/3/4/5. according to the International Action a safe environment for women and • Engage in online dialogues such as the Network on Small Arms Women's children. Cyber Dialogues organised by Network, women are three times more• Parents and adults can make sure that Gender Links – see likely to die violently if there is a gun in children are not exposed to sexual and www.genderlinks.org.za - which pro- the home. violent material such as pornography. vides a platform to share issues and • Join a community policing forum (CPF)• Volunteer some of your time and energy experiences and offer solutions, with or community safety forum (CSF) to help in support of a non-governmental or- experts participating in the online chats. fight crime in your area. For information ganisation or community group working • Get connected with important contacts on how to join, contact your local police in your area to help abused women and and information published on station. children. Use your life skills and knowl- www.womensnet.org.za. • Take part in a 16 Days event edge to help support victims of abuse. • Seek help if you are emotionally, physi-• Donate some money to organisations cally or sexually abusive to your partner (Source: SAinfo reporter: www.southafrica.info) World AIDS Day 29 November: World AIDS Day on 1 December brings together International Women people from around the world to raise awareness about HIV/AIDS and demonstrate international solidarity in the face of the pandemic. The dayHuman Rights Defenders Day is an opportunity for public and private partners to spread awareness about the status of the pandemic and encourage progress in HIV/AIDS prevention, treatment and care in high prevalence countries and around the world. Between 2011- 2015, World AIDS Days will have the theme of \"Getting to zero: zero new HIV infections. Zero discrimination. Zero AIDS related deaths\". The World AIDS Campaign focus on \"Zero AIDS related deaths\" signifies a push towards greater access to treatment for all; a call for governments to act now. It is a call to honor promises like the Abuja declaration and for African governments to at least hit targets for domestic spending on health and HIV.Events happening in December1 2 3 5 Worlds AIDs Day World Diabetes International International Congress 2013 Day of Disabled Volunteers Day9 Melbourne, Aus- Persons World Patient tralia Safety Day Movers and happenings 10International Human Rights Want to be in frontshop magazine? Has your pharmacy appointed new staff? Has Day it hosted a promotion or an event? We want to know. Send us a photo and caption of new appointments (name and designation and pharmacy and location). If your pharmacy has hosted an event or promotion send us a photo or two with captions and a brief description of the event (include what the brand was, where it happened (pharmacy and region), and who was present and what took place). Email these to [email protected] frontShop NOVEMBER 2013 | 11

PROFILEInspiring others Cwtihemasnee.geWekwe” i-allrBenaotrhtaeccokomnOeebsaifmwweae’.vewabietefnorwsaoimtinegoftohre. rWpeearsreonthoer cshoamnegeotthheart Name: Shoneez Williams to pursue a career in PROFILE commerce. However, Designation: Retail Environment similar to Miss South Q What is your dream? Manager Africa, I still share a A My life dream is to travel around dream of inspiring Company: Colgate Palmolive SA people and developing the world and see different my leadership skills in countries, learn about different people, Education & Work Life: every aspect of life. their beliefs and cultures. I graduated in 2010 from the University of Q What does your Q Who has inspired you and why? Johannesburg with a BCom Honours job entail on a A My parents are without a doubt degree in Marketing Management. I then joined the graduate programme at Adaily basis? my inspiration in life they have Colgate Palmolive; which provided me As a retail taught me so many things and have with the perfect platform to start my environment made me who I am today for that I will career as it gave me the opportunity to manager I specialise in forever be grateful for. understand how different functions within Customer Marketing. the organisation work together to ensure My job entails the Q What advice would you give to overall business success. I was essence of marketing front shop assistants and permanently appointed in 2011 as an focusing on aspects Assistant Category Development such as product Apharmacy assistants? Manager. It was at this stage of my career assortment, pricing, “Change will not come if we wait when I gained in-depth understanding of point of sale and for some other person or some the pharmacy environment and developed promotions. The other time. We are the ones we’ve been strategies to proactively respond to pharmacy environment waiting for. We are the change that we shoppers, consumers and customers. In is so unique it allows seek” - Barack Obama. If there is 2012 I was promoted as the Junior Retail me to have a differentiated approach and anything you want to achieve in life it Environment Manager of the Pharmacy focus on very specific strategies that have starts with you, and believing in yourself Channel and then promoted in 2013 as the a tremendous impact on the pharmacy is the first step. Retail Environment Manager. environment. Q Where did you grow up? What part of your job do you love A I grew up in Sophiatown a suburb Q the most? situated in Johannesburg. I love working with agencies coming What inspired you as a child? What A up with new concepts, activations, Q did you dream of? developing point of sale material and As a child I dreamt of becoming detailing clinically information to Pharmacist and front shop assistants. A Miss South Africa, but as I grew up I Q You are very passionate about discovered my true passion and decided your products. What drives your I still share a Apassion? dream of I believe you should be passionate about the things you love doing and“inspiring people I love the work that I do therefore the and developing passion comes automatically. my leadership skills in every What is something most people ”aspect of life Q don’t know about you? I am the first person in my family to A have gone to university and graduate with a degree.12 | NOVEMBER 2013 frontShop



PRODUCTS Bladder Relief Puzzled Green; think Cys-control bladder relief from Arkopharma Incredible Hulk is a product that utilises the benefits of concentrated cranberry extract as aIn recognition of National Eczema Month, “With eczema, kids are constantly preventative and remedial supplement forwhich was in October, ScratchMeNots scratching itchy skin which causes skin urinary discomfort associated with urinaryhave launched in two new colours, Papaya damage rather quickly. We're excited that tract infections (UTI’s) – typically cystitis andSplash and Puzzled Green. ScratchMeNot Flip Mitten Sleeves prevent prostatitis. this damage by allowing parents to cover The colours not only coordinate with their fingers when they scratch and when Cystitisthe National Eczema Association’s (NEA) the scratching has subsided, parents canbrand colors, they work to increase open the mittens allowing hands free Cystitis refers to the inflammation of theawareness about the prevalence of time,” said Thomas. When their hands are bladder wall. It usually occurs when theeczema and ways to help ease its effects. covered, children can still do all normal urethra and bladder become infected by activities including playing, eating and bacteria which cause irritation and Andrea Thomas, creator of writing. inflammation. It’s a fairly common lowerScratchMeNots, is excited about the new urinary tract infection that affects bothcolours and the chance to raise According to research, approximately genders (though it’s more common toawareness. “Our children wearing NEA 10% of children suffer from eczema, women) and all age groups. Urinary tractcolours can help spread the word by usually starting in infancy, a skin infections (UTI’s) account for a significanteducating those we encounter about condition that constitutes an itchy rash. proportion of hospital-acquired infections,eczema and how it impacts children and Many children cannot stop scratching especially patients using urinary catheters.families,” she said. “Plus, the colours are long enough for their skin to heal. That isgreat and can easily be worn with why ScratchMeNot Flip Mitten Sleeves Known causes/risks:Halloween costumes.” are essential for young ones with eczema, for newborns to age six. • Inserting tampons (low risk) and urinary catheters (high risk)Designer Beds and Headboards for TEMPUR mattresses • Using the diaphragm for contraceptionA new range of designer beds and design to combine quality with elegance (increased risk)headboards have been launched, and style. Tufted upholstereddesigned and manufactured locally and headboards in either fabric or leather • Failing to empty the bladder completelyspecifically for TEMPUR adjustable with optional side wings for extra • Frequent and/or vigorous sexual activitybeds and mattresses. comfort. Strong and sturdy to hold either • A blockage in the urinary system adjustable beds with TEMPUR • Other bladder or kidney problems Exceptional workmanship and mattresses or to accommodate just • The reduced presence of vaginal mucus TEMPUR mattresses. Enjoy a modern feel and several unique designs in a and a thinning of the urethra associated variety of colours. Matching ottomans with menopause. available too. An exclusive, imported range of genuine leather bases, Symptoms: completes the offering. • Urine has traces of blood, is dark and/or It is very important that your mattress cloudy and has a strong odour and pillow conforms to your body, • Pain just above the pubic bone, lower back giving you a restful and and abdomen rejuvenating sleep, every night. TEMPUR’s unique temperature • A frequent need to urinate and passing sensitive material gently conforms only small amounts each time to the shape of your body offering a perfect balance of total comfort • A burning sensation when urinating and superior support - soft where • Feeling weak and feverish you want it, firm where you need it™. • Vomiting is common to UT infected children. Prostatitis Prostatitis is a swelling of the prostate gland and is not necessarily bacterially related. Not always curable, it can be managed medically and does not place men at a higher risk of developing prostate cancer. The range of symptoms includes: • Pain in the groin, pelvic area and genitals • Pain during or after ejaculation • Severe burning during urination • Difficulty in urinating and an inability to empty the bladder • Fever and chills. Treatment of first time and frequently recurring UTI should be undertaken by a qualified medical practitioner.14 | NOVEMBER 2013 frontShop

One treatment for head lice PRODUCTSNew to South Africa is the Paranix • Paranix spray: kills 100% of head Glass bottle feedingrange of head lice treatment solutions lice and eggs in one treatment and is the natural wayfor every need. The solutions are 100% 100% effective in 15 minutes (includingeffective in treating lice infestations through combing). The product sprays Mothers wishing to embrace a moreusing a double action formula – without on easily, without mess or fuss. It is natural way of nurturing their babiesthe harsh chemicals. odourless and contains no insecticides. will be pleased to note that Philips AVENT has recently introduced In the past getting rid of head lice • Paranix Shampoo: contains no insecti- its new glass feeding bottle. Pure, safewas a lengthy process often treating cides and kills up to 100% of head lice and heat resistant, the baby brand’sthe scalp with pesticides over a period (including thorough combing) within natural glass bottle is BPA-free andof time to ensure that all the lice had 10 minutes after treating the scalp. suitable for babies.been properly killed off. Traditionally, It is also a shampoo with a pleasantmost anti-lice products contained fragrance. The teat of the natural glass bottlepotentially harmful chemicals or features an innovative petal design thatinsecticides, such as pyethrin or • Paranix Repellent Spray: is highly effec- encourages baby to latch-on easilypermethrin. These powerful chemicals tive, providing up to 24 hours of protec- ensuring a comfortable and contentedoften led to burning and skin irritations. tion. It has been clinically tested and feed. The innovative twin valve design is suitable for daily use, with a gentle reduces colic and discomfort by venting Paranix is pesticide free which formulation – 20% IR3535 and plant air into the bottle and not baby’s tummy.means less harmful chemicals on your extracts. The product is non-greasy andchild’s head. It works with natural has a pleasant fragrance. Made from French Pharmacopoeiaingredients to combat head lice grade glass, the Philips AVENTpreventing any resistance to the glass bottle is fully recyclable.product. Furthermore, it is thermal shock resistant which Paranix has a dual action to combat means it can be safelyhead lice – dehydration and suffocation. stored in the fridge,The products contain mineral oils that warmed and sterilised withdehydrate head lice and eggs via ease.solubilisation of the natural waxes ofthe epicuticle. As one of the spray’s key The bottle is printedingredients, dimethicone has a using only organic ink andsuffocation effect that blocks the lice made from only virgin rawtrachea and spiracles. materials ensuring the highest quality and ultimate The range comes in a spray, purity. Compatible withshampoo and a repellent spray: much of the Philips AVENT range, the glass bottle is without a doubt the natural way to bottle feed.Safeguarding sexual healthHaving identified a gap in the market for a women experience vaginal dryness caused specifically designed to match vaginal pHpure and natural personal lubricant, Yes® by declining oestrogen levels, which can and osmolality and it is also semen-set out to create a certified organic, plant- cause pain during intercourse, elevated friendly. Osmolality refers to the balancebased range of intimacy products. vaginal pH leading to thrush, and a condition of salts, carbohydrates and proteins in a called atrophic vaginitis where even sitting lubricant and how this concentration Patented in the US and Europe, the down can hurt. compares to the amounts present inunique formula is organically certified by vaginal cells. A concentration too high orthe Soil Association, a leading Chemically induced menopause, such ascertification body in the UK, and is the after breast cancer treatment or having a too low can prevent conception. Semenonly organic range of personal lubricants hysterectomy, can cause the same is neutral to alkaline, so using anin the world. Yes® is guaranteed to symptoms, as can pregnancy, acidic lubricant at ovulation maynourish and moisturise the tissues breastfeeding and taking damage sperm motility.without exposing them to potentially antidepressants, the contraceptive pill The Yes® range includes aharmful and synthetic chemicals that are or antihistamines. water-based natural lubricantso common in personal lubricants today. (also available in pack of six The Yes® range does not mimic applicators), a baby fertility- Most women have a need for any hormones, is gentle enough for friendly naturallubricants or vaginal moisturisers at sensitive skin and has been lubricant andsome stage in their lives. Yes® is recommended by specialist nurses naturalrecommended for women who are prone to women who have undergone lubricantto fungal and bacterial infections, breast cancer treatment. combo andsensitive to chemical ingredients or value packs.suffering from vaginal dryness or The baby fertility friendlyinflammation, as a result of medication or variant has been designed to supporthormonal imbalances. healthy conception and is ideal for couples trying to conceive, who want to Between 50 to 80% of menopausal use a lubricant, as it has been frontShop NOVEMBER 2013 | 15

HEALTHAMD ON THE INCREASEWorld Retina Day took place on 28 September and the that a patient will lose all their sight. DryOphthalmological Society of South Africa (OSSA) macular degeneration usually progressesidentified AMD as a vital topic for World Retina Day. slowly, and many people with the condition can live relatively normal,Age-related macular degeneration (AMD) AMD. Studies to support this theory productive lives, especially if only one eyeis a common eye condition among people have been inconclusive thus far and is affected. An ophthalmologist mayaged 50. It is the most common cause of additional studies are under way. recommend annual eye exams to see ifregistered blindness in the first world. • Diet – Research on the link between the condition is progressing. Taking a diet and AMD risk has shown that intake high-dose formulation of antioxidant Millions of people globally have been of a variety of food types may alter the vitamins and zinc may reduce thediagnosed with AMD and researchers risk of developing AMD. For example, progression of dry macular degenerationestimate that 25% of people over the age high consumption of linoleic acid, to vision loss, according to research byof 65 may be affected by it. As the monounsaturated, polyunsaturated and the National Eye Institute (NEI).population enjoys a longer life, the vegetable fats – fats commonly foundnumber of those affected by AMD will in many snack foods – was associated Wet macular degenerationincrease as well. with double the risk of developing wet AMD, one of the two main types of AMD. Wet macular degeneration cannot beWhat is it? • High blood pressure – Severe AMD cured, but early diagnosis and appropriate has been associated with moderate to treatment may help slow progress of wetAMD gradually destroys the macula, the severe elevations in blood pressure, macular degeneration and reduce thepart of the eye that provides sharp, central according to a recent epidemiological amount of vision lost. Medications mayvision needed for seeing objects clearly. In study, which found that patients with help stop growth of new blood vessels bysome people it advances so slowly that wet AMD, the more severe form, were blocking the effects of growth signalsvision loss does not occur for a long time. more than four times as likely to have which the body sends to generate newIn others the disorder progresses faster moderate or severe hypertension than blood vessels. These drugs areand may lead to a loss of vision in one or patients without AMD. Additionally, considered the first-line treatment for allboth eyes. The vision loss makes it cardiovascular disease, in general, ap- stages of wet macular degeneration.difficult to recognise faces, drive a car, pears to be associated with increasedread, write, or do close work, such as risk of AMD While there is no known way tosewing or fixing things around the house. • Oestrogen and early menopause – prevent AMD, the most important Studies suggest a higher incidence of thing a person can do is to haveSymptoms: AMD in women, particularly in women regular eye exams, which may allow who experience earlier onset of meno- AMD to be detected and diagnosedIn its early stages, AMD may not have pause, which suggests that oestrogen early. Furthermore, if any of thesymptoms and may be unrecognised until may play a protective role in minimising symptoms described above areit progresses or affects both eyes. The AMD risk. experienced, patients are urged to seefirst sign of macular degeneration is an ophthalmologist as soon asusually distortion of straight lines. This Treatment possible.may progress to a gradual loss of centralvision. Dry macular degeneration Importantly, new treatment modalities Treatment cannot reverse dry macular are coming out which means thatSymptoms can include: degeneration. But this does not mean ophthalmologists in South Africa are• Straight lines start to appear distorted, much better equipped today than ever before to tackle AMD. or the centre of vision becomes dis- torted• Dark, blurry areas or white out appears in the centre of vision• Diminished or changed colour perceptionRisk factorsAlthough researchers do not have adefinitive picture of what causes AMD theaging processes seem to be the biggestrisk factor by far. There are, however, anumber of additional factors that may puta person at greater risk of developingAMD.• Genetics - New evidence exists that some cases of AMD are hereditary.• Cigarette smoking – Studies have found that current and former smokers had as much as twice the risk of developing AMD as non-smokers.• Overexposure in sunlight – It has been suggested that exposure to sunlight might damage the macula and cause16 | NOVEMBER 2013 frontShop

HEALTH Miracle Comfrey®VITAL HYGIENE FOR BABY AFTER 8 DAYSMany parents wonder if Add just enough so the food can be pu-they’re being overprotec- réed easily. Avoid adding sugar or salt. AMAZINGtive when it comes to food • Pour puréed food into ice cube trays and RESULTShygiene, but babies’ im- freeze. When the food is frozen, you canmune systems are most remove it from the ice trays and store in Miracle Comfrey®vulnerable for the first six freezer bags.months of life. • When you're ready to feed your baby, you For all skin problems can defrost and heat only the amount of Tel: 086-111-777-1This is according to registered dietician, food that will be eaten. Cell: 0727-84-84-84Slava de Gouveia, who explains that at • To check food temperature, many moms Fax: 086 524 9357around six months parents start to pre-taste. The problem says Slava, isintroduce solid foods and so open up a that an adult’s mouth often harbours Email: [email protected] world of tastes and textures for bacteria and viruses. Rather spoon a P.O. Box 300, Patensie, 6335babies to explore and enjoy. “But because little food on the inside of your wrist to www.miraclecomfrey.netbabies’ immune systems are still check the temperature before feeding.developing, this is also a crucial time to • Another habit parents may not realisepractise good oral hygiene habits and could be harmful is feeding directly fromeating patterns and it is vital to be as a food jar. “This is like a chef doublehygienic as possible. dipping!” says Slava. “By feeding directly from the jar, you would be putting aShe offers the following guidelines: spoon with saliva on back into the sterile• Start by ensuring that any utensil used jar and so contaminating the contents. Saliva contains digestive enzymes and in baby food preparation is thoroughly bacteria predisposing the contents of cleaned and sterilised where possible. the jar to fermenting and spoiling.” If you can, have a basic set of equip- • Another essential (and messy) part of ment and utensils that are dedicated to a small child’s development is playing preparing meals for your child. with their food. However, germs easily• Always wash your hands before prepar- pass from fingers to mouth and babies ing food. Clean, wash and trim food in as and toddlers are especially susceptible little water as possible but ensure that it to gastroenteritis. When old enough, is done thoroughly. allowing children to feed themselves• Avoid using kitchen towels or cloths using cutlery helps them learn good in the process. These are germ traps! habits and prevents grubby hands from Rather use paper towels, which are transferring germs into the mouth, as disposable. well as having the added benefit of help-• If cooking from scratch, cook the food ing them to develop co-ordination and until tender, well-cooked but not over- motor skills. cooked, in as little water as possible. (Source: PHILIPS AVENT’S TODDLER FEEDING RANGE HELPS BABIES AND TODDLERS GROW, LEARN AND ENJOY FOOD SAFELY, October 2013) frontShop NOVEMBER 2013 | 17

90% 70% 40%pregnant women teenage girls teenage boys



MALARIAERADICATING THEbite of Malaria8 MNaolavreiamDbayer What do Kingsley Holgate, hot chicken, beer and Captain Morganhave in common? The answer is malar-ia, or rather the eradication of malariain Africa throughGoodbye Malaria.Goodbye Malaria is Nando's director Sherwin Charles’ responsibility for Nando’s as CEO of the company, Sonhos Social Capital, set up to deliverthe campaign.He told Danette Breitenbach more. Nations and is supported by Yvonne concert goers wear their Goodbye Malaria pyjamas.What is Goodbye Malaria? Chaka Chaka and Mark Fish who “The first of such an event was held in“It is a campaign set up to benefit two performed in the closing ceremony.” Durban recently when Goodbye Malaria was launched in conjunction with the 6thorganisations that fight Malaria in Africa; How does it work? Multilateral Initiative on Malaria (MIM) Pan-African Conference, that was held atthe Global Fund to Fight AIDS, the Durban International Convention Centre at the beginning of October.Tuberculosis and Malaria and the Roll “Out of the Unite Against Malaria Yvonne Chaka Chaka preformed at the event and all the attendees wore theirBack Malaria Partnership (RBM).” campaign we realised that we needed a pyjamas.\" call to action so we created and launchedHow did it all start? the Unite Against Malaria bracket. The Challenges and philosophy around it is simple: to help goals“Over the years Nando’s has worked with “Right now our challenge isKingsley Holgate on the continent fighting communities considered unemployable distribution. We will not be marketing directly toMalaria. Through Holgate we were able to and raise funds for Malaria. The bracket consumers but would likesee and experience first-hand the plight did both. consumers to push the product. We would like toof communities from Malaria. So despite “Selling for US$3, one dollar goes to see businesses buy into the campaign andthe success of the bed net campaign with the Global Fund, one dollar to the support it throughhim, we felt more needed to be done. community who made it and one dollar to participating by purchasing the pyjamas“In 2009 the Unite Against Malaria cover the cost and administration of the for their staff and staff wearing these to work oncampaign was launched. It used the bracket. Since inception the campaign has World Malaria Day.World Cup and footballers to deliver the contributed $650 000 to the Global Fund. “The goal is for theMalaria message and became the official The same amount has gone to the product to become the equivalent of the Producthealth campaign of the 2010 World Cup. It communities in Cape Town that make the Red campaign, which waswas so successful that it also became the bracelet. started by Bono from U2 and ONE/DATA’s Bobby Shriverofficial campaign of the Africa Cup of It’s an incredible story which raises funds but the question was for the elimination of what next? \"The answer was a global campaign that develops from the bracelet. This campaign would also support African entrepreneurs through the creation of an Africa product that could be sold across the world. The result was the Goodbye Malaria pyjamas. “Our idea is to celebrate World Malaria Day by highlighting our successes and the number of lives saved. We want to do this through concerts held globally, where the20 | NOVEMBER 2013 frontShop

MALARIA LARGEST GATHERING ON EARTH OF MALARIA EXPERTSNando's director and Sonhos Social From the 6 to 11 October, the World’s The malaria community is responding by largest gathering of Malaria experts racing to hold on to the gains of the lastCapital CEO, Sherwin Charles came together in Durban. 10 years, while at the same time continuing to develop the tools that could help toHIV/AIDS in Africa. The Global Fund is The 6th Multilateral Initiative on eliminate and eventually eradicate malaria.also a recipient of the campaign. Malaria (MIM) Pan-African Conference, subtitled \"Moving Towards Malaria Yvonne Chaka Chaka, internationally “At the same time the idea is to change Elimination: Investing in Research and renowned musician and humanitarian, RBMthe mindset of Africa from preventing Control”, saw presentations by leading and UNICEF Goodwill Ambassador, andMalaria to eradicating it. We believe it can scientists on the latest groundbreaking MDG Envoy for Africa, and Kingsley Holgate,be eliminated in our lifetime. It has been research on preventing, controlling and South African explorer, humanitarian anddone in other parts of the world so there eliminating the disease. author, were also speakers at theis no reason why it cannot be done in conference.Africa. Despite the number of deaths from malaria having been driven down over The Multilateral Initiative on Malaria (MIM) “While not a lot of people are dying of the past decade, there are threats to this (http://www.mimalaria.org/eng/), launched inmalaria, if you take your foot off the pedal including a resistance by the malaria Dakar, Senegal in 1997, is an internationalthen it comes back and takes long to get parasite to the most effective drugs, and alliance of organizations and individualsrid of, for example one year of malaria by mosquitoes to frontline insecticides seeking to maximise the impact of scientificspreading takes five years to eradicate. (used in long-lasting insecticide-treated research against malaria in Africa to ensure nets and indoor residual spraying. that research findings yield practical health “The campaign has started in benefits. The MIM conference in Durban Mozambique under the Add to this that donor funding for follows successful conferences held in auspices of the ministry of malaria has plateaued, and there is a Yaoundé, Cameroon, in November 2005, and health in that country. fear that a repeat of what happened 50 in Nairobi in October 2009. The MIM years ago when donor fatigue and a lack Secretariat is currently hosted by the “In today’s age there of new tools resulted in a resurgence of Biotechnology Centre of the University of should be no-one dying malaria that took roughly a million lives a Yaoundé I/Amsterdam Medical Centre. year in 2000. from the bite of a mosquito.” Advanced malaria test to improve diagnosis in Africa Australian healthcare company, Atomo utilise the next-generation AtomoRapid™ Diagnostics recently launched solution to aid in the fight against AtomoRapid™ Malaria at the 6th MIM Malaria”. Pan-African Malaria Conference in Durban. There is a serious need in Africa for reliable, rapid diagnostic tests that are AtomoRapid™ Malaria is ideal for easy to use in-field, especially in remote both professional and self-test settings. A resistance to artemisimin – a applications, will enable quick and key component of drugs used to treat reliable diagnosis of malaria in the malaria – is on the increase due to field. ‘blanket’ treatment programmes if the patient is suspected of having malaria. Rapid testing away from hospitals AtomoRapid™ Malaria aims to alleviate and clinics is recognised as an this issue by providing the healthcare increasingly important weapon in the worker with an easy to use and reliable fight to bring infectious diseases under diagnostic test to help make the decision control in Africa. Figures from The on the course of treatment for the patient. Global Fund, state that of the 655 000 malaria deaths worldwide in 2010, over AtomoRapid™ Malaria will be 90% of these occurred in Africa. manufactured in South Africa with production taking place at a new ISO 13485 certified A large scale study in Sudan facility. This makes it not only the world’s revealed major user errors when using most user friendly rapid Malaria test, but an complicated malaria test kits. Through African made test that can be exported to the collaborative commercialisation, benefit of the rest of the world. Atomo has ensured that these common errors are reduced through “The Atomo team has been working hard the integration of blood collection and towards making AtomoRapid™ HIV and delivery features into the test cassette. AtomoRapid™ Malaria available to the market at a competitive price and the response we John Kelly, the CEO and founder of have received so far has been fantastic – we Atomo Diagnostics said, “Malaria is as now look forward to collaborating with much of a threat to the wellbeing of leading organisations to change the rapid Africans as HIV is, so we wanted to testing landscape,” says Kelly. ensure that we were also able to frontShop NOVEMBER 2013 | 21

HEARTBURNiAssbuuerning By Marjolein Bench, BPharm IMM Symptoms of heartburn include a burning pain in the chest that22 | NOVEMBER 2013 FrontShop usually occurs after eating and may occur at night and pain that worsens when lying down or bending over. The pain often rises in the chest and may radiate to the neck, throat, or angle of the jaw. Heartburn is usually associated with regurgitation of gastric acid (gastric or acid reflux) which is the major symptom of gastro-oesophageal reflux disease (GORD). It may also be a symptom of ischemic heart disease, though this is true for only 0.6% of those experiencing heartburn. Reflux occurs when the ring-shaped muscle that normally prevents the contents of the stomach from flowing back into the oesophagus (lower oesophageal sphincter) does not function properly. Stomach acid and enzymes flow backward from the stomach into the oesophagus, causing inflammation and pain in the oesophagus. The most typical symptom is heartburn. The stomach lining protects the stomach from the effects of its own acid. Because the oesophagus lacks a similar protective lining, stomach acid and enzymes that flow backward (reflux) into the oesophagus, routinely cause symptoms and in some cases damage. When a person is standing or sitting, gravity helps to prevent the reflux of stomach contents into the oesophagus, which explains why reflux can worsen when a person is lying down. Reflux is also more likely to occur soon after meals, when the volume and acidity of contents in the stomach are higher and the sphincter is less likely to work properly. Factors contributing to reflux include: • weight gain • fatty foods • chocolate • caffeinated and carbonated beverages • alcohol • tobacco smoking • certain drugs.

Heartburn, alsoknown as dyspepsia,or acid indigestion, isa burning sensationin the chest, justbehind the breastbone The types of drugs that interfere withlower oesophageal sphincter functioninclude:• those that have anticholinergic effects (such as many antihistamines and some antidepressants)• calcium channel blockers• progesterone• nitrates. Alcohol and coffee also contribute bystimulating acid production. Delayed emptying of the stomach (forexample, due to diabetes or use ofopioids) can also worsen reflux.Preventing heartburn / patients with esophagitis don’t relieve symptoms right away, H2acid reflux In many patients, GORD is a chronic, blockers relieve symptoms for a longer period of time than antacids. They• Avoiding foods and beverages that relapsing disease. Long-term usually start to work within an hour. contribute to heartburn: chocolate, cof- maintenance is the key to therapy; Examples of H2 blockers available over fee, peppermint, greasy or spicy foods, therefore, continuous long-term the counter are ranitidine (Zantac) or tomato products and alcoholic bever- therapy, possibly life-long therapy, to Cimetidine (Lenamet –OTC) ages. control symptoms and prevent • Proton pump inhibitors greatly reduce complications is appropriate. the body’s production of acid. They• Stop smoking. Tobacco inhibits saliva, Maintenance therapy will vary in work well for heartburn that isn’t which is the body's major buffer. To- individuals ranging from mere lifestyle resolved by antacids or H2 blockers. bacco may also stimulate stomach acid modifications to prescription These medicines are most helpful production and relaxes the muscle be- medication as treatment. for people who have heartburn often tween the oesophagus and the stom- — more than two days a week. For ach, permitting acid reflux to occur. Types of OTC products example: lansoprazole (Lansoloc OTC).• Reducing weight if too heavy. There are 3 types of OTC medicines that Who should not take OTC• Not eating two to three hours before treat heartburn: antacids and acid reducers? sleep. • Antacids reduce the effect of (neutral- ize) the acid in the stomach. They can • People that have kidney diseaseTreatment goals provide fast, short-term relief. Many OTC shouldn’t use antacids containing cal- medicines combine different antacids. cium carbonate or aluminum hydrox-All treatments are based on attempts to: For example: Adco-Medigel, Adco- ide and magnesium carbonate without Mayogel, Gaviscon and Maalox. a doctor’s recommendation.• decrease the amount of acid that re- fluxes from the stomach back into the • H2 blockers reduce the amount of oesophagus acid the stomach makes. While they• make the refluxed material less irritat- ing to the lining of the oesophagus by neutralising the acid GORD is a problem that issymptomatic by day, but in which muchdamage is done by night. Treatment should be designed to: 1) eliminate symptoms 2) heal esophagitis 3) prevent the relapse of esophagitisor development of complications in FrontShop NOVEMBER 2013 | 23

HEARTBURN• In postmenopausal woman proton duration are at substantially greater • Weight Loss pump inhibitors may increase the risk risk of developing oesophageal cancer. Acid reflux has a significant role of bone fractures. in asthma, chronic cough and ear, Symptoms suggesting nose and throat problems — all• Patients that have been treated for a that serious damage may referred to as extra-oesophageal Clostridium difficile infection in the have already occurred manifestations (EOM) although this past. Proton pump inhibitors may include: connection may often go unrecog- increase the risk that the infection nised. GORD should be considered may return. • Dysphagia: difficulty swallowing or a in these conditions, or it could go feeling that food is trapped behind the undetected.• In the elderly or patients that have breast bone. With effective treatment, using the immune system problems. Proton pump inhibitors may increase the risk • Bleeding: vomiting blood, or having range of medications and preventative of pneumonia tarry, black bowel movements. treatments available today, patients become symptom free, avoid potentialNot a trivial condition • Choking: sensation of acid refluxed into complications and restore their quality the windpipe causing shortness of breath, of life.When symptoms of heartburn are not coughing, or hoarseness of the voice.controlled with modifications inlifestyle, and over-the-counter Marjolein Bench BPharm IMMmedicines are needed two or more Marjolein Bench nee Bettman is a qualifiedtimes a week, or symptoms remain pharmacist with a degree from Rhodes University.unresolved on the medication, a doctor She also has an IMM diploma. She has worked in theshould be consulted. retail and hospital pharmacy environment for six years. She then moved into the pharmaceutical When GORD is not treated, serious industry and has 20 years of experience in trainingcomplications can occur, such as severe medical reps, pharmaceutical sales to GPs,chest pain that can mimic a heart specialists and pharmacies and brand and marketingattack, oesophageal stricture (a management. She is now director of Workbenchnarrowing or obstruction of the Consulting offering marketing solutions to theoesophagus), bleeding, or a pre- pharmaceutical industry.malignant change in the lining of theoesophagus called Barrett'soesophagus. Patients with chronic,untreated heartburn of many years Relieves... Relieves... Hyperacidity Belching Indigestion BloatingHeartburn Upset Stomach FlatulenceAcidity IndigestionGas & Flatulence Ease the stress on stomach teDaospsaogoen:fu1ltaoft2er Dosage: a1 dTaaby let meals twice ` For orders contact,Durban Branch: Nolan Pillay ( 071 860 9660 or : [email protected] orBradley Chetty ( 073 250 0147 or : [email protected] Johannesburg Branch: Vin Pillay ( 082 517 3231 or : [email protected] Singh ( 081 467 1179 or : [email protected] Asmitha Singh ( 083 500 6646 or : [email protected] Vasiliadis ( 072 260 7793 or : [email protected] Telesales ( 011 309 2700 or : [email protected] Western Cape: Chris Haller ( 084 685 5592 or : [email protected] ( 031 571 2844 or : [email protected] Eastern Cape: Cathy Martin ( 083 656 5534 or : [email protected]



WEIGHT ISSUES W1o6rlOd cFotoodbDearySUPPfLoEr MwEeNllTnIeNsGs Nutritional supplemen- Such processed foods are macro-nutrient significant, positive research studies into tation can save South dense, but lack in adequate amounts and complementary and alternative medicine: Africa millions and help types of key micro-nutrients. This causes • Omega 3 fatty acids: Millions of dollars the country avoid the all sorts of negative chain reactions and scourge of obesity and can lead to malnutrition and obesity,” said have been invested in research and over preventable diseases. Dr. Ramanathan. 150 international clinical trials have demonstrated the benefits of these fats This is according to Dr. Guru “However, the move towards wellness in various health applications, including Ramanathan, who was the inter- in South Africa is very positive heart, joint, cognitive and eye health. national keynote speaker at the considering South Africa’s Omega 3 also assisted cancer patients 7th Annual Clicks Healthcare particular public health to cope better with chemotherapy. Conference that took place early concerns. I am not seeing • Multivitamins: In a recent Randomised, last month Emperors Palace in Johan- as many obese people Double-Blind, Placebo-Controlled trial nesburg. He is the Chief Innovation Officer here as in the US. by GNC in the USA, 112 adults were for US-based General Nutrition Centers However as affluence given a high potency multivitamin blend (GNC), the largest global specialty retailer grows, people need to or placebo or a traditional low potency of health and wellness products. As a manage their health multivitamin for 42 days. Those on the global expert, he spoke on international to avoid problems like high potency multivitamin all showed trends in supplementation and preventa- obesity. improved nutritional status, with statisti- tive wellness. cally significant increases in their Lutein “South Africa levels in particular, B vitamins status, as “As wealth increases and the middle has the opportunity well as decreased inflammatory status class expands, people become busier and to leapfrog this and enhanced quality of life within a few then commonly reach for convenience/ whole experiment weeks. fast foods which tend to be processed. the US went through • Heart Health: A recent US study on the with convenience foods. health benefits of grape seed polyphe-Did you know Scientific research now nols indicated significant benefits to backs the efficacy claims of heart health, particularly a lowering of IavEnitrano-elScfuoseooehrxmumopctmphoeamctewAitropfeicrsndoeiecuiltasaynondafhgdoleersrdrrooebtwahelainmelaanibtorpulraoehatwel3roaeagnlrrd%ltioiihnntwigeaotnhcnhcodaoernlnaawspsltuteetrhaml.olndnetuerscssts several complementary systolic and diastolic blood pressure in medicines and vitamin and pre-hypertensive adults. needs. mineral supplements – which • Obesity: A recent US study on could be of great benefit to the South African public,” he said. obesity indicated that a daily high protein and fibre meal replace- Dr. Ramanathan ment helped patients lose ap- highlighted a number of proximately 3kgs in 12 weeks, but more importantly, significantly reduce their bad cholesterol levels. Dr. Ramanathan said SA was responding positively to the trend towards preventative wellness with cutting edge research into health conditions such as heart disease, diabetes and cancer, vaccine development and diagnostics. The Department of Health also recognised the need to study emerging health concerns associated with nutritional imbalances.26 | NOVEMBER 2013 frontShop

WEIGHT ISSUESEATING togetherYoung children do not have the innate ability • Children often reject unfamiliar foods the juices, artificially flavoured milk, hot choco- first time they are offered but if parents late, sports drinks, flavoured waters and, ofto choose a balanced, nutritious diet, continue to offer foods in small portions, course, fizzy drinks. without making a fuss, infants will gener- • Breakfast cereals and cereal bars canparents need to offer it. ally accept them. often be high in sugar. Again, read labels This is according to says Registered carefully. • Avoid making unfavourable comments • Baked rather than fried snacks are stillDietician, Slava de Gouveia, who also says about food; at this stage children really look surprisingly high in fat so they should stillthat one way that is recognised as forming a up to family members and if older siblings be limited.healthy eating foundation is eating together as or parents make these comments, childrena family. “Research shows that children who may refuse the food in an effort to identifyeat meals with their families eat more fruit with and impress their role models.and vegetables, drink less carbonated drinks(a source of hidden kilojoules) and eat fewer • A tablespoon, not heaped, of each food forfried foods than children who rarely eat with each year of age is the general portion sizetheir families.” Eating together, she adds, rule. Do not over feed or force feed children.gives parents the chance to mix new andunfamiliar foods with familiar and well-liked • When it comes to food choices, it’s advis-foods. It also has the added benefit of able to avoid adding sugar and salt. Andteaching children table manners and giving desserts should be avoided as they containthe family a chance to bond. excess sugar and often lots of fat.To help make healthy eating less • It’s also not a good idea to introduce conve- nience, highly-processed and junk foods.complicated for parents, Slava has the Many parents often think they’re makingfollowing guidelines:• When introducing solids, introduce veg- healthy food choices when in actual fact gies before fruit as this can help increase some seemingly good choices could be vegetable acceptance.• Foods with different textures, flavours and contributing to unhealthy habits. Slava colours should be part of every meal.• Remember that some toddlers and points out a few: pre-schoolers may prefer raw to cooked • Ready-made meals are often high in salt veggies and fruit. and kilojoules. Read labels carefully. • It’s always easier to drink kilojoules than eat them so be very wary of all drinks like The affordable and reliable VitaPlus range includes a variety of health and lifestyle products to solve all of your consumers’ health and general first aid needs. The ideal solution for your pharmacy. OUR RANGE INCLUDES • Plasters • Finger splints • Wound dressings • Ear plugs • Medic tapes • Pill boxes • Pregnancy tests • CondomsTo view our full range visit www.impo.co.za Distributors Group Pty Ltd. attic rush_3057

State ofWEIGHTISSUES thenation for healthChildhood obesity is not just a local concern – it’s a world- middle-income countries, particularly in In August this year, The Human wide trend. The World Health urban settings.” Sciences Research Council (HSRC) Organisation (WHO) says: released the South African National “Childhood obesity is one of the The WHO goes on to add that Health and Nutrition Examination most serious public health challenges of “Overweight and obese children are likely Survey. This study took the pulse of the the 21st century. The problem is global to stay obese into adulthood and more South African population and the results and is steadily affecting many low- and likely to develop non-communicable show that our children are not in great diseases like diabetes and cardiovascular shape. diseases at a younger age.”A tale of two parts Ages 0 – 14 years: • 10.6% to 18.2% the number of • 27.2kg vs 24.8kg : South African girls heavier than overweight South African children boys has almost doubled in the last decade • Boys are heavier and taller than girls until the age of five and then the girls are heavier and taller. • 2-5 age group: overweight and obesity is most prevalent • Boys living in urban formal areas are heavier than those living in rural informal area • The heaviest and tallest girls were in KZN and Gauteng and the lightest in the Free State • 7.0kg/m²: mean BMI for boys • 17.7kg/m²: mean BMI for girls • The percentage of normal and underweight children was so significantly greater among boys than girls• The heaviest boys are in • The highest prevalence of stunting was in young boys KwaZulu-Natal (KZN) and and girls 0 – 3 years then Gauteng • Boys living in the North West, Mpumalanga and• The lightest boys are in the Northern Cape Province had the highest stunting preva- North West province lence vs. Gauteng with the lowest• Gauteng and KZN had the • Girls in the Free State, North West and Eastern Cape tallest boys was the most stunted vs. Limpopo with the least stunted• The shortest boys were in the • Boys are more stunted, wasted (thinner) and under- Western Cape weight than girls.• The heaviest and tallest girls • Under-nutrition is most prevalent in rural informal were in KZN and Gauteng and areas the lightest in the Free State • The North West, Free State and Northern Cape had a high prevalence vs. Gauteng and KZN with the lowest prevalence. • The prevalence of under-nutrition among children younger than 10 years has decreased in South Africa, except for the 1 – 3 year group which showed an increase of 11.7%. Severe stunting in this age group increased by almost a third (32.6%) The Government’s National Development Plan proposes to introduce a nutrition programme for pregnant woman and young children. The rising trended of overweight and obesity among children in the country as well as the under-nutrition (stunting) must be addressed. Attention should be given to care during and even before pregnancy and the window of opportunity up to around two years of age.28 | NOVEMBER 2013 frontShop



CONSTIPATIONDEALING WITHconstipationHave you noticed a recent change in your bathroom habits? Have you been having fewer bowel movements than usual? Do you have to strain to go? These are all signs of constipation, a common digestive health problem. When bowel movements become difficult or less frequent constipation occurs. This is, generally, when a person has two or fewer bowel movements per week. As food passes through the large intestine, water is absorbed and food waste products form into stool. Muscle contractions move stools through the colon to the rectum, where they are passed as feces. When this process slows down, stools become dry and hard to pass, causing constipation. Common culprits include a low-fibre or high-fat diet, lack of exercise, and not drinking enough fluids. Certain medications, not going when you feel the urge, laxative abuse, and pregnancy can also lead to constipation.Common causes of constipation include:• Inadequate water intake • Resisting the urge to have a bowel movement, • Medicines (especially strong• Inadequate fibre in the diet which is sometimes the result of pain from pain medicines, such as• A disruption of regular diet or rou- hemorrhoids narcotics, antidepressants, or iron pills) tine; traveling • Overuse of laxatives (stool softeners) which,• Inadequate activity or exercise or over time, weaken the bowel muscles • Depression • Eating disorders immobility • Hypothyroidism • Irritable bowel syndrome• Eating large amounts of dairy • Neurological conditions such as Parkinson's • Pregnancy • Colon cancer products disease or multiple sclerosis• Stress • Antacid medicines containing calcium or aluminum30 | NOVEMBER 2013 frontShop

CONSTIPATIONFact: Mood can affect Your regularity DIET TIPS FORDepression may trigger constipation or make it worse. DIGESTIVE HEALTHReducing stress through meditation, yoga, biofeedback, andrelaxation techniques may help. Acupressure or shiatsu Some simple changes that canmassage may help, too. Massaging the abdomen may help improve your diet and help relieverelax the muscles that support the intestines and get bowels constipation:moving • Add veggies. You don't have to countSymptoms can or Milk of Magnesia). Do grams of fibre to get the recom- not use laxatives for mended amount. Instead, aim to eatinclude: more than two weeks 2 cups of fruit and 2 ½ cups of veg- without calling your etables every day. Make sandwiches• Infrequent bowel movements and/or dif- doctor, as laxative with roasted veggies, add a salad ficulty having bowel movements overuse can aggravate instead of fries to your meal, buy your symptoms. pre-cut vegetables to snack on with• Swollen abdomen or abdominal pain• Pain low-fat dip, keep the fruit bowl full• Vomiting for a handy and healthy snack, and add chopped, dried fruit to While constipation is not a serious See a oatmeal and cereal. medical problem, for a handful of people doctor if: • Go for grains. Re- it can be. So if constipation persists for place white bread, white more than two weeks, you should advice • Constipation is a new rice, and regular pasta the person to consult a doctor problem for you with whole-grain bread and whole-wheat pasta There are several things you can do to • You have blood in and brown rice. Eat more your stool prevent constipation. whole oats, multi-grain cereals, • Eating a well-balanced diet with plenty • You are losing and whole-wheat crackers -- just weight even though be sure to choose low-fat and low- of fibre. Good sources of fibre are fruits, you are not dieting sugar options. Snack on air-popped vegetables, legumes, and wholegrain popcorn instead of chips. When buy- bread and cereal (especially bran). Fibre • You have severe ing cereal, choose brands that have and water help the colon pass stool. pain with bowel at least 5 grams of fibre per serving. • Drink 1½ to two quarts of water and other movements • Bulk up on beans. Replace meat fluids a day (unless fluid restricted for with a bean or legume dish at least another medical condition). Liquids that • Your consti- once or twice a week. Add cooked contain caffeine, such as coffee and soft pation has beans to salads, and try bean soups drinks, seem to have a dehydrating effect lasted more and stews as main course meals. and may need to be avoided until your than two • Add fiber gradually. Make changes bowel habits return to normal. Some weeks slowly over the course of a week or people may need to avoid milk, as dairy so -- increasing fibre too quickly can products may be constipating for them. What's new in the cause bloating and gas. Be patient • Exercise regularly. treatment of -- it may take time for your body to • Move your bowels when you feel the constipation? adjust. urge. • Consider a fiber supplement. If you Each part of the intestine (stomach, have trouble getting enough fibre in If you are constipated, try the following: small intestine, and colon) has a network your diet, consider a fibre supple- • Drink two to four extra glasses of water of nerves that controls its muscles. A ment such as Citrucel, FiberCon, great deal of research is being done in and Metamucil. Also called bulk- a day (unless fluid restricted). order to gain an understanding of how forming laxatives, fibre supplements • Try warm liquids, especially in the these nerves control each other and are generally safe and non-habit ultimately the muscles. Much of this forming. Just be sure to talk with morning. research involves the study of your doctor before using them as • Add fruits and vegetables to your diet. neurotransmitters. (Neurotransmitters they can interfere with some medi- • Eat prunes and/or bran cereal. are chemicals that nerves use to cations. communicate with each other.) This • Stay hydrated. If you add more If needed, use a very mild stool research is allowing scientists to develop fibre to your diet either with food or softener or laxative (such as Peri-Colace supplements, be sure to drink more drugs that stimulate (and inhibit) the fluids to aid digestion. Aim for aboutDid you know various nerves of the colon which, in 8 glasses a day. Choose low or no- turn, cause the muscles of the colon calorie beverages -- drinking sugary AwA2tll3hmoloeh5onspe0es3lllleryapfig8ngicggrberatrearaxantfmegmpoiarnDlo-sasab-sdimoi,oefansofuatb,srefntwoiiftnmdbu1ohiccrrtyebel5uA2mnespdaso.e1esingUnnmorrsn.cgag,dafiAmrcofanaarfortyystuminteofuipptrostnaneesrafio,rarongwpvetdreeeclofaewligomyby5em,o,hretmmewa0amn.vhbeo,Teealinswencnhtdshdadeeio,ngsfmnueduepsasteyidve to contract and propel the colonic soda and fruit drinks will add extra contents. Such drugs have great calories you don't need. health problems. potential for the treatment of • Exercise. Getting regular exercise not only keeps you fit, it may help constipation that is due to colonic you stay regular. Exercise can help inertia. The first of these drugs is in food move more quickly through clinical trials and is likely to be the large intestine. Although it's not available soon. These drugs are an always easy to squeeze in time to be exciting development because they active, these s offer a new treatment for a difficult- frontShop NOVEMBER 2013 | 31 to-treat form of constipation.

BREAST CANCER awBOarerceanstteoscbsanmecroenrthWBOrReKaIsNtGCAaGAnIcNeSTrOctober was Breast Who is at risk? cancer was at an early stage. Key to thisCancer Awareness month.Breast Cancer is one of In South Africa the highest risk is regular self-breast examination andthe most common cancersamong South African population groups are White and Asian regular mammograms.women and it is a cancerthat is on the increase. women, then Black and ColouredWhat is it? women. Incidence in Black women, Treatment depends on the stage andBreast cancer is a general term for specifically those of African descent, type of the cancer, as well as your agedifferent types of cancer that developfrom breast tissue cells. When abnormal is increasing. In Europe rates of new and health.cells divide in an uncontrolled manner,they can form a mass of extra tissue, cases of breast canceror tumour, which can be benign or have increased but thismalignant. Benign tumour cells donot spread to other parts of the body, Signs and symptomsis because of improvedcan usually be removed and do notrecur. Malignant (cancerous) tumour detection and treatmentcells can invade nearby tissues and options. While statisticsbreak away from the primary tumour to in South Africa areform secondary tumours (metastases) unreliable, the death rateelsewhere in the body. from all types of breast cancer has not increased. (This is because treatment is more effective). PanredvternetaiotmnentTreatment is effective if the condition is detected early, with 90% of patients surviving for many years after SL••y• a m tBcCespUarkhretuniaoansusnsemsytmguameslaaupiylapmnrnrctipecnihopskia:mnpplnytplohegslsteeeedm.sonaiesbspacaavphytrieiaeooairunurnga.esscnu:licaeunelsdl:ptytheehpce:aeiaiesnlahllyeraslspyste,asibonturaettgdhseoewsmi.teh ••O• • •• bc C AlBhcVoBClaroauarhegdnemasaugasnpieestgotdoisenprnwisaitsencaihwnloleblmeionrlsefrslgkoianytirsengtmtnioucdnfopnenttdrthhtneooeeerumsbbtrshrr, eeestaaeassxitrttnmurcelour dteem:perature a diagnosis when the breast32 | NOVEMBER 2013 frontShop

While women who have a familyhistory of breast cancer are in ahigher risk group, most women whohave breast cancer have no familyhistory. Statistically only about 10%of individuals diagnosed with breastcancer have a family history of thisdisease.• If you have a first degree relative with breast cancer: If you have a mother, daughter, or sister who developed breast cancer below the age of 50, you should consider some form of regular diagnostic breast imaging starting 10 years before the age of your relative’s diagnosis.• If you have a second degree relative with breast cancer: If you have had a grandmother or aunt who was diagnosed with breast cancer, your risk increases slightly, but it is not in the same risk category as those who have a first degree relative with breast cancer.• If you have multiple generations diagnosed with breast cancer on the same side of the family, or if there are several individuals who are first degree relatives to one another, or several family mem- bers diagnosed under age 50, the probability increases that there is a breast cancer gene contributing to the cause of this familial history.Risk FactorsThe following risk factors have been ovaries, uterus or colon. Cancer in one • Exposure to oestrogen increases risk.identified: breast means there is a one per cent Oestrogen stimulates cell division: the• Female gender: 11% of women chance per year of developing cancer in more cells divide, the more likely it is the other breast. that some may become cancerous. develop breast cancer. (European • When a biopsy indicates abnormal cells figures based on a life expectancy of that are not yet cancerous (atypical hyper- • Women with early onset of menstrua- 76 years) plasia), there is moderately increased risk tion, late menopause, a menstrual• More advanced age: 77% of women of developing cancer in future. Atypical cycle shorter or longer than average, diagnosed with breast cancer are hyperplasia is a benign condition associ- no pregnancies or first pregnancy after over 50. ated with abnormal growth of cells. A 30, have slightly higher risk.• Having one first-degree relative young patient with this diagnosis is very (mother, sister or daughter) with likely to develop a cancer. • Using oral contraceptives may slightly breast cancer doubles risk; having • Risk increases slightly if you have had a increase risk. Women who stopped two increases risk five-fold. benign breast lump. using oral contraceptives over 10 years• Approximately five to 10% of breast • Having had chest area radiation therapy in ago do not appear to have increased cancers are the result of inherited childhood or youth increases risk. risk. mutations (changes) of the genes • Obesity (being overweight) is a possible BRCA1 and BRCA2, which make risk, especially after menopause. • More than eight years of hormone proteins that help prevent cancerous • Diet high in saturated animal fats may replacement therapy (HRT) increases growth. This cancer-preventing func- increase risk. the risk. Risk returns to that of the tion is less effective with a mutated • Compared to non-drinkers, women who general population within five years of gene, and 50 to 60% of women with consume one alcoholic drink daily may stopping HRT. BRCA1 or BRCA2 mutations develop have a small increase in risk; those who breast cancer by age 70. have two to five drinks daily have about • Recent research suggests that• Risk increases significantly if you 1.5 times the risk. smoking may increase the risk have had cancer of the breast, frontShop NOVEMBER 2013 | 33

MYTHNEWSThe Breast Cancer The Breast Cancer MythMyth Finding a lump in your breast means you have breast cancer. Breast cancer is contagious. The Truth The Truth Only a small percentage of breast lumps turn out to be cancer. But if you You cannot catch breast cancer or transfer it to discover a persistent lump in your breast or notice any changes in breast someone else's body. Breast cancer is the tissue, it should never be ignored. It is very important that you see a result of uncontrolled cell growth of mutated physician for a clinical breast exam. He or she may possibly order breast cells that begin to spread into other tissues imaging studies to determine if this lump is of concern or not. Perform within the breast. However, you can reduce routine breast self-exams, establishing on-going communication with your your risk by practicing a healthy lifestyle, being doctor, getting an annual clinical breast exam, and scheduling your routine aware of the risk factors, and following an screening mammograms. early detection plan so that you will be diagnosed early if breast cancer were to occur. The Breast Cancer MythThe Breast Men do not get breast cancer; it affects women only.Cancer Myth The TruthBreast cancer is contagious. Each year it is estimated thatThe Truth approximately 2 190 men will be diagnosed with breast cancerYou cannot catch breast cancer or and 410 will die. While thistransfer it to someone else's body. percentage is still small, menBreast cancer is the result of should also check themselvesuncontrolled cell growth of mutated periodically by doing a breastcells that begin to spread into other self-exam while in the showertissues within the breast. However, and reporting any changes toyou can reduce your risk by practicing their physicians. Breast cancera healthy lifestyle, being aware of the in men is usually detected as arisk factors, and following an early hard lump underneath thedetection plan so that you will be nipple and areola. Men carry adiagnosed early if breast cancer were higher mortality than women do,to occur. primarily because awareness among men is less and they are less likely to assume a lump is breast cancer, which can cause a delay in seeking treatment.The Breast Material on this page courtesy of the National Cancer Institute. The BreastCancer Myth ht tp: // w w w.nationalbreastcancer.org / breast-cancer-my ths Cancer MythAntiperspirants and deodorants A mammogram can cause breastcause breast cancer. cancer to spread.The Truth The TruthResearchers at the National Cancer A mammogram, or x-ray of theInstitute (NCI) are not aware of any breast, currently remains the goldconclusive evidence linking the use of standard for the early detection ofunderarm antiperspirants or breast cancer. Breast compressiondeodorants and the subsequent while getting a mammogram cannotdevelopment of breast cancer. cause cancer to spread. According to the National Cancer Institute, “The34 | NOVEMBER 2013 frontShop benefits of mammography, however, nearly always outweigh the potential harm from the radiation exposure. Mammograms require very small doses of radiation. The risk of harm from this radiation exposure is extremely low.” The standard recommendation is an annual mammographic screening for women beginning at age 40.

GET TO KNOW THE EARLY WARNING SIGNS AND BEAT BREAST CANCERA puckering of the A lump in the A change in the skinskin of the breast breast or armpit around the nippleA new dimpling An unusual increase in One breast unusually of the nipple the size of one breast lower than the other. Nipples at different levelsAn enlargement of the glands STRIVING FOR A CANCER SMART SOUTH AFRICA An unusual swelling in the armpit For more information call CANSA toll-free on 0800 22 66 22 www.cansa.org.za

LASTTRAINING BUT NOT LEAST…The last FrontShop Training • Pain Management by Dr Johannes these training sessions assist you in Academy took place in October Kruger fulfilling this role, by providing across the country in valuable information through our Johannesburg, Pretoria, Durban • Codeine Dependence and the Codeine sponsors. and Cape Town. The sessions Care initiative by David Bayever.were very well attended. Front Shop assistant and Pharmacy I would like to thank each and every one of you for supporting frontshop and Sponsored by Bayer, GlaxoSmithKline assistants play an important role in the its training academy. We hope that youand Reckitt Benckiser three topics were pharmacy of today. Consumers are busier have enjoyed the sessions this year andpresented to attendees: than ever, with less time than ever and will be attending them again next year.• Endometriosis by Andri Tucker are constantly seeking advice regarding As always we endeavour to make these products. This is where your role is interesting and useful for you. invaluable. We at Front shop, hope thatJohannesburg Trainingl to r: Lauren Dali - Netcare Sunninghill, Catherine Forbes - Actor Pharma andAmanda Bornman - Netcare Sunninghill l to r: Mthokozisi Xaba - Phelang Crossing and Mpini Majola - Carstenhof Pharmacyl to r: Bongelwa Buthelezi - Netcare Linksfield Clinicand Elizabeth Filby - Medicare 14th Ave Pharmacy l to r: Joy Mnyakeni - Pick 'n Pay Lonehill, Tanisha Pilly - Pick 'n Pay Lonehill and Kobie Viljoen - Pick 'n Pay Lonehill l to r: Marie Botha - Constantia Valley Apteek and l to r: Winners of the Grandpa giveaway in Johannesburg: Bongeluwa Buthelezi - Lee Smit - Constantia Valley Apteek Netcare Linksfield Clinic, Dhanya Mathew - Netcare Linksfield Clinic and Izane Bekker - Netcare Linksfield Clinic36 | NOVEMBER 2013 frontShop

TRAININGSpeakers Dr Kruger has a B Pharm and M Pharm from Pukkie as well as a PHD from Tukkies and a M Phil from the North West University. He has had publications published and vast academic experience having given many presentations at a number of conferences. He is a member of the Pretoria branch of the Pharmaceutical Society and has been awarded the fellowship of the society.Andri Tucker, Marketing and Dr Kruger spoke to the training David Bayever told attendeesSales IUS & GT, from Bayer, academies on pain managementwho spoke to the attendees Dr Johannes Kruger about codeine addition and theabout endometriosis Codeine Care initiativeAndri Tucker the marketing andsales IUS and GT from Bayer. A lecturer from the University of theAfter school Andri trained as a Witwatersrand in Johannesburg, innurse, completing her nursing the faculty of Health sciences,degree at Tukkies in Pretoria. After Dr Bayever is a qualified pharmacistworking at Krugersdorp Private registered with the South AfricanHospital she became a medical rep. Pharmacy Council. He is currently enrolled for a Master of Pharmacy degree by dissertation.Pretoria Trainingl to r: Winners of the Grandpa giveaway: Jani Viljoen - Medirite Menlyn,Estelle Linde - Denmar Apteek and Charlotte Venter - Transpharm l to r: Rachel Morare - Pharmacy Direct, Mosibudi Machaba - Pharmacy Direct and Jennifer Mongwai - Pharmacy Directl to r: Ayanda Shange - Medirite Grey Owl and Tiyisela Maluleke - MediriteGrey Owl l to r: Elmi de Swart - Pharmacy Direct, Henda Stohz - Pharmacy Direct and Stephen van Wyk - Pharmacy Direct frontShop NOVEMBER 2013 | 37

TRAININGPAIN – the pharmacist’s roleDr Johannes Kruger, sponsored by • Paracetamol is an effective analgesic and is relatively safeGlaxoSmithKline (GSK) explained that a • Dispersable paracetamol reaches peak plasma levels quickerlarge part of a pharmacists’’ life is • than tablets and tablets with sodium bicarbonate has aworking with people in pain. “Patientshave different pain thresholds. For quicker onset of actionexample females have a higher pain • Patient selection and type of pain to be treated needs to bethreshold than males.” familiarised by the pharmacist Pain is unpleasant sensory andemotional experience associated withactual or potential tissue damage, ordescribed in terms of such damage. Itmotivates the individual to withdrawfrom damaging situations and is anociceptive stimulus.Classes of PainCharacteristics of pain:• region of the body involved (e.g. abdomen, lower limbs)• system dysfunctioning (e.g., nervous, gastrointestinal)• duration and pattern of occurrence• intensity and time since onset• etiology There are three classes of painnociceptive pain, inflammatory painand pathological pain.• Pharmacists have an ample range of drugs to treat pain Durban TrainingThe Durban venue was filled to capacity (l to r) Zelda van Janse van Rensburg, Nomfundo Zungu, Petro du Toit, Thandeka Mthimkhulu, Emerald Mazibuko and Nokuthula Gumede from Hyperpharm Medical Centre Pharmacy in Richard's Bay. They drove all the way to Durban to attend the training(l to r) Winners of the Grandpa giveaway: Jerry Letuka, GSK rep, WarrenParker - Dis-Chem Hillcrest, , Shaveer Inderjith, Mary Chidanyika - Dis-ChemHillcrest and Sherwin Ryon Moodley, GSK rep38 | NOVEMBER 2013 frontShop Ruskshana Randass - Dis-Chem Hillcrest, Rekha Jugdeo - Dis-Chem Hillcrest, Loshnie Govender - Dis-Chem Hillcrest

TRAININGThe truth about endometriosisAndri Tucker, Marketing and Sales IUS & GT, social and professional functioning during menstrual bleeding is “normal” and justfrom Bayer, spoke to the attendees about what would otherwise be a very productive something women have to “put up with”.endometriosis. period in her life. Nothing could be further from the truth! Endometriosis is a common condition The severity of the pain does not always If a patient is experiencing any of thethat affects up to 10% of all women during correlate with the extent of the disease – and symptoms associated with endometriosis ittheir child-bearing years. It occurs when endometriosis may also be found in women is important to refer them to a doctor fortissue like that which lines the inside of the who experience few or no symptoms. medical help. The patient may be putting uputerus, grows outside the uterus in places with unnecessary painful symptoms thatthat it is not supposed to grow - usually on The “cluster” of symptoms that should they have been told by friends and family arethe surfaces of organs in the pelvic and raise the suspicion that endometriosis may “normal”.abdominal cavity.1 exist are: • Pelvic pain Currently there is no cure forThe two most common • Heavy menstrual periods endometriosis, but there are a variety ofsymptoms of endometriosis • Pain during or after sex treatments that doctors can prescribe.are pain and infertility • Infertility There is also no single treatment that works • Other painful symptoms such as low back in all women. But there are medications that The most common types of pain can reduce pain, and /or removeexperienced by women who have pain, and bowel and bladder symptoms endometriotic lesions, preserve fertility, andendometriosis are: can also be present. improve quality of life.• severe menstrual cramps It can take more than eight years for a• chronic pelvic pain diagnosis to finally be made! Many women There is now a specific medication for the• painful intercourse with endometriosis experience debilitating treatment of endometriosis, Visanne® - and it pain that can interfere with their daily life is available in South Africa. It is in the form Pain can be so intense that it can affect a and have an impact on work and personal of a daily tablet, has a potent effect on thewoman’s quality of life possibly impairing relationships. Lack of awareness of endometrium, stopping the growth of the endometriosis is common. It is also a endometrium lining as well as having anti- common misperception that pain and heavy inflammatory actions.Cape Town Training Santie Janse van Rensburg – Clicks Head Office, and Tanya Wilson - Clicks Head Office, and Muneer Rahaman – Clicks PinelandsSteve White - Forest Glade Tana Hattingh - Bayside, Dis-Chem and Elna Sauer – Tygervallei Dis-ChemWinners of the Grandpa prizes in Cape Town: Suwayda Mohammed – Tabita May – Clicks Gugulethu, Fatthiyyah Solomons – Lifestyle Pharmacy,Khayelisha Pharmacy, Edna Wilkinson – Lifestyle Pharmacy and Maryka Edna Wilkinson – Lifestyle Pharmacy and Mangiwe Boso – Lifestyle PharmacyHartogh – Bayside, Dis-Chem frontShop NOVEMBER 2013 | 39

THE CODEINETRAININGCare Initiative“I take these to help me sleep” or “I take suspect the increased popularity of CODEINECARE INITIATIVEthem to relax”. As pharmacy assistants prescription painkillers is a primaryand front shop assistants how often have drive.” found in many over the counteryou not heard these words. Probably very medicines. It is a very successfuloften – even daily – because the Prescription drugs are legal, cheaper ingredient but it can be addictive as well.prevelance of people addicted to and their use is socially more acceptable.prescription drugs is higher than most of More worrying is that they might replace The objective of the Codeine Careus think. certain illicit drugs since their use is Initiative is to produce an innovative perceived to less harmful. solution to assist pharmacist and patients In fact, prescription addiction is the to control the potential misuse of codeinesecond highest in the US, after marijuana. The Codeine Care initiative in containing substances and to empowerThis is according to David Bayever, who particular drew a lot of interest and many the pharmacist to make an informedtold frontshop Training Academy questions, with a lively debate taking in decision.attendees about codeine addiction and the Cape Town.Codeine Care initiative. He also toldattendees that while addition to The reality is that this project is ofprescribed opioids had remained stable utmost importance for the pharmaciesfor five years until 2009 -2010, the past nationwide. South Africa is one of thetwo years have seen an eight per cent highest consumers of codeine in theincrease. world and the highest in Africa. The World Health Organisation (WHO) has identified “One recent study found that the this as a problem. Therefore we need annumber of people diagnosed with a innovative solution to assist pharmacistssubstance abuse problem increased and their patients to control the potentialby70% from 2001 to 2009. Doctors misuse of codeine containing substances. Codeine is an effective painkiller andCodeine facts and statistics to communicate to CODEINECARE INITIATIVEpatients/consumers The Codeine Care InitiativeAbout codeine HCP Brochure• Codeine is classified as an opioid analgesic or painkiller. It is used to control mild to moderate types of Promoting safe, responsible self-medicationpain, and works by binding to certain receptors (called opioid receptors) in your brain, which reduces thepain that you feel. Codeine is also sometimes used to help ease a dry cough.• Information on how to take codeine can be found on the printed information leaflet from the inside of yourpack, which will give you more information about the medicine and a full list of possible side-effects fromtaking it, or scan the TrustaTAG (2D barcode) on pack to access the information on your mobile phone.• Take the medicine exactly as your pharmacist, doctor or other healthcare professional has told you. Yourrecommended dose will also be on the label of your pack.• You can take codeine before or after food.• If you forget to take a dose, take it as soon as you remember and then continue as before.NEVER take two doses together to make up for a forgotten dose.Can codeine cause problems?Along with their useful effects, all medicines can cause unwanted side-effects, although not everyoneexperiences them. These usually improve as your body adjusts to the new medicine, but do speak to yourhealthcare professional or pharmacist if any of the following side-effects continue:• Feeling or being sick • Constipation• Abdominal pain • Feeling dizzy or sleepy• Dry mouth• Other common side-effects include: disturbed sleep, headache, mood changes, feeling confused,difficulties passing urine, flushing, sweating, rash, and itching.Could the patient/consumer be addicted to codeine?Codeine is a narcotic, giving you a sense of calm and wellbeing, which makes it attractive even after painor a cough has been relieved. As your body becomes used to codeine, increased doses are taken in orderto achieve this same desired effect, which is where the danger of addiction to and misuse of codeineoccurs.This quick checklist may help in ascertaining whether a patientmight be misusing codeine: Yes / No• Can you get through a week without taking medicine that contains codeine?• Are you able to stop using codeine-containing medication with when you want to?• Do you ever feel bad or guilty for using medicine that contains codeine when it was not needed?• Has using codeine created problems between you and other people in your life?• Have you ever experienced any of the symptoms listed in this brochure when takingcodeine-containing medicine regularly?If the patient/consumer has answered ‘Yes’ to any of the questions above, it is best to offer advice whereappropriate, including contacting an external help line such as Lifeline.More informationTo find out more about the Codeine Care Initiative and effective, responsible self-care and self-medication,visit www.selfcare247.co.za.The Codeine Care Initiative brochure40 | NOVEMBER 2013 frontShop

TRAINING What happens with people addicted to The Codeine CODEINECARE INITIATIVEcodeine containing medicine is that they Care Initiativepurchase the medicine at a number ofpharmacies, which are usually in close The safe, responsible wayproximity to each other. They also provide to self-medicationresponses to pharmacy staff questionsthat would not lead to challenges. The newest innovation in pharmaceutical care is the launch of the Codeine Care Initiative - a very simple process aimed at helping you understand your purchases of medication containing codeine. It also aims to address and manage potential codeine medication misuse. Bayever quoted the Pharmacist code ofconduct: Welfare of the patient principle: How“A pharmacist’s prime concern in theperformance of his/her professional 1 2 3duties must be the welfare of both the Ask Pharmacistpatient and other members of the public”. Identify Yourself Purchase ProductAnd control over medicine principle: “A Ask your pharmacist for a product Provide your ID numberpharmacist must at all times exercise containing codeine to your pharmacist The pharmacist will dispense the productproper and/or reasonable care in respect in accordance with the CPS Guidelinesof and control over medicines”. Why The Initiative will go live on 2 January Simple way to promote Information is the key One step forward Encouraging the correct2014 when consumers purchasing a industry self-regulation. to better responsible in addressing codeine use of over-the-countermedicine containing codeine will have to self-care and self-medication.supply their identity numbers. This will be medication misuse. medicines.entered into a central database. Thereforeconsumers abusing codeine can be Information Remembereducated and assisted for drug abuse. at your fingertips Read all labels, and never take more than the recom- The information will be entered via a Using the free Microsoft TAG application available for mended dose of any medicine.feature phone, and app that has been smartphones and feature phones, you can scan the If in any doubt about the seriousness of a medicaldeveloped by Microsoft and is very unique TAG provided by TrustaTAG Systems on the condition, talk to your healthcare professional.secure. product package. This will take you to a page showing more information about that particular product. The difficulty of this is that it will be upto the pharmacist or their assistant to say www.selfcare247.co.zano to the consumer. “We have to convinceour patients to give us their id number. The Codeine Care Initiative posterThe international world is also watchingus. As an industry we need to work industry. As an industry we can ill afford This will be the first of such projects.together.” to lose codeine.” Codeine is the pilot and other misused products will follow. Bayever said no–one starts out The reality is that this initiative is ofwanting to be addicted to codeine. “It is utmost importance for the pharmacies Did you know•••• • UaUtImdhpotIpptndpeihritsitlioeSecloaoiestooiv1uid7sceouns4str2rntieipamh%pw%aegotAaoiroefoetrfoapoernlafrdlOidpegecpmwTiaeotafwChieeitdnidosaim/deeeP-rti4nacclarbdotire0lnesewlnsyetstcitiwond4ardeeii54tenperap%3itennireoageyn2ntienmdpd6aaeaet.rebrn3ipsnneucetakasentifneldomrlrdeereserpn3snot6.tro.tf1neodrsomething that occurs gradually. Often nationwide. South Africa is one of thethe patient does not even realise he/ she highest consumers of codeine in theis addicted. We need to find out the real world and the highest in Africa. The Worldreasons why they are abusing the Health Organisation (WHO) has identifiedingredient and assist them to overcome this as a problem. “Therefore we need antheir addiction.” innovative solution to assist pharmacists and their patients to control the potential The Initiative is launching with misuse of codeine containingpharmacies and then rolling out to other substances,” said Bayever, adding that thesectors. There is a PR programme in project was being watched avidly by otherplace to promote the project. This will countries.include a five point plan on howpharmacists can refuse a codeine “As health professionals we are takingcontaining medication to a consumer. a leading role in self-regulating our industry. As an industry we can ill afford The Initiative is launching with to lose codeine,” he concluded.pharmacies and then rolling out to othersectors. There is a PR programme inplace to promote the project. This willinclude a five point plan on howpharmacists can refuse a codeinecontaining medication to a consumer. Bayever said that the project was beingwatched avidly by other countries. “Ashealth professionals we are taking aleading role in self-regulating ourFrontShop Training Academy is a CPD accredited training evening and completely organised by FrontShop. Sponsored by pharmaceutical companies inthe industry, the products launched and lectures are reviewed and printed in the FrontShop Pharmacy Magazine, available afterwards on our websiteand Facebook and sent out via email to a network of other medical magazine subscribers to increase our sponsors publicity. To book your training slot for2014. Email [email protected] frontShop NOVEMBER 2013 | 41