Mpumalanga Province Research Articles

Phytochemical Screening and Characterization of Volatile Compounds from Three Medicinal Plants with Reported Anticancer Properties Using GC-MS

Annona senegalensis pers, Sutherlandia frutescens (L.), and Withania somnifera (L.) are abundant plants and widely distributed in the Limpopo, Gauteng, Kwazulu-Natal, North West and Mpumalanga provinces in South Africa. The three plants are among those used by traditional healers and herbalists in South Africa for the treatment of a variety of diseases, including cancer. The current study aimed at the phytochemical screening and characterization of volatile compounds from the three medicinal plants using GC-MS. The methanol leaf extracts were subjected to phytochemical screening using standard chemical tests to detect the presence of different classes of compounds. Volatile compounds were detected by GC-MS analysis, and detected compounds were identified by comparing the MS spectral data with those of compounds deposited in the NIST Library (NIST08). Phytochemical screening indicated the presence of different secondary metabolites such as alkaloids, quinones, steroids, cardiac glycosides, coumarins, and terpenoids in all plants. GC-MS chromatograms allowed the detection and identification of 19 volatile compounds among the three plants with known bioactivities that are important in the management of life-threatening diseases such as cancer and diabetes. The results confirm the leaves of Annona senegalensis, Sutherlandia frutescens, and Withania somnifera as sources of important phytochemicals and therefore justify their use for the treatment of various diseases by traditional healers.

Educators’ experiences of using mobile learning as a professional development and knowledge retention tool during the Covid-19 pandemic

This qualitative study intentionally gathered insights from 12 educators of varying seniority across three schools in the Nkangala Education District, Mpumalanga Province, South Africa, regarding their experiences with mobile learning (facilitated through Microsoft Teams and WhatsApp Messenger) as a professional development and knowledge retention tool during the Covid-19 pandemic. The findings, derived from semi-structured interviews and document analysis, indicated that young educators positively embraced the implementation of Microsoft Teams and WhatsApp Messenger. Senior educators deemed WhatsApp Messenger less intimidating than Microsoft Teams, thereby endorsing it as the preferred medium for professional growth and knowledge retention. This led to a lack of incentive among senior educators to participate in the professional learning events facilitated by Microsoft Teams. Thus, they depended on the supplemental learning information disseminated via WhatsApp Messenger as the principal method for professional development and knowledge retention activities. The research identified multiple obstacles to utilising mobile learning for professional development and knowledge retention, specifically: insufficient ICT skills among senior educators, ineffective content facilitation by subject advisors, and inadequate communication and scheduling of professional development programs. The study advocated for a systematic coordination of: 1) a series of ICT skills training for underqualified educators; 2) peer teaching among novice, mid-career, and senior educators to address internal skills deficiencies; 3) effective communication among the district, circuits, and schools; and 4) skills audits for subject advisors to enhance competency in areas of deficiency. By presenting these recommendations, the report alerts schools, circuits, and districts to the likelihood that the Covid-19-induced adoption of hybrid professional development will become the standard practice.

Assessing Nitrogen Dioxide in the Highveld Troposphere: Pandora Insights and TROPOMI Sentinel-5P Evaluation

Nitrogen oxides, particularly NO2, are emitted through a variety of industrial and transport processes globally. The world’s continuous economic development, including in developing countries, results in an increasing concentration of those gases in the atmosphere. Yet, there is scant information on the current state and recent evolution of these atmospheric pollutants over a range of spatial and temporal scales, especially in Africa. This, in turn, hinders the assessment of the emissions and the evaluation of potential risks or impacts on societies and their economies, as well as on the environment. This study attempts to fill the gap by leveraging data from a Pandora-2S ground-based, column-integrating instrument located in Wakkerstroom in the Mpumalanga Province of South Africa and space-based remote sensing data obtained from the TROPOMI instrument onboard the ESA Sentinel-5P satellite. We compare these two spatially (horizontal) representative data sets using statistical tools to investigate the concentrations of emitted and transported NO2 at this particular location, expecting that a significant positive correlation between the NO2 tropospheric vertical column (TVC) data might justify using the TROPOMI data, available globally, as a proxy for tropospheric and boundary layer NO2 concentrations over the Highveld of South Africa more generally. The data from the two instruments showed no significant difference between the interannual mean TVC-NO2 in 2020 and 2021. The seasonal patterns for both instruments were different in 2020, but in 2021, both measured peak TVC-NO2 concentrations in late winter (week 34). The instruments both detected higher TVC-NO2 concentrations during transitions between seasons, particularly from winter to spring. The TVC-NO2 concentrations measured in Wakkerstroom Mpumalanga are mostly contributed to by the emission sources in the low troposphere, such as biomass burning and emissions from local power stations.

Impact of parametric seasonal variations on water quality in the Crocodile River and Inyaka Dam in the Mpumalanga Province, South Africa

This study assessed seasonal variations in water quality and their impact on the Inyaka Dam and Crocodile River in Mpumalanga Province, South Africa. A total of 206 water samples were collected across four seasons to analyse parameters including pH, turbidity, electrical conductivity (EC), temperature, Manganese (Mn), Iron (Fe), phosphate (PO43−), nitrate-nitrogen (NO3-N), E. coli, total coliforms, faecal streptococci, and Bifidobacteria. Principal component analysis (PCA) and Pearson correlation identified major pollutants and their seasonal variations, while cluster analysis grouped water quality by parameter fluctuations.Findings indicated that water quality in both the Inyaka Dam and the Crocodile River exceeded permissible limits. In the Inyaka Dam, summer rainfall (202.68 mm) spurred microbial growth, including E. coli and Bifidobacteria, while winter saw elevated levels of PO43−, EC, Fe, and NO3-N. The Crocodile River exhibited its poorest water quality in summer, with high levels of conductivity, turbidity, Fe, Mn, and NO3-N, driven largely by rainfall. Winter pollution in the river was marked by E. coli, PO43−, total coliforms, NO3-N, and Bifidobacteria.The study highlights significant pollution in the Crocodile River, particularly in summer, linked to rainfall and effluent discharges. Microbial pollution persisted across seasons, influenced by both weather and point-source contamination. The winter season exacerbated water quality deterioration in the Crocodile River due to reduced flow, while Inyaka Dam's winter pollution was attributed to lake stratification.

Effect of a cash transfer intervention on memory decline and dementia probability in older adults in rural South Africa

Evidence on cash transfers as a population-level intervention to support healthy cognitive aging in low-income settings is sparse. We assessed the effect of a cash transfer intervention on cognitive aging outcomes in older South African adults. We leveraged the overlap in the sampling frames of a Phase 3 randomized cash transfer trial [HIV Prevention Trial Network (HPTN) 068, 2011-2015] and an aging cohort [Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community (HAALSI), 2014-2022] in rural Mpumalanga Province, South Africa. In 2011/12, young women and their primary caregivers were randomly assigned 1:1 to receive a monthly cash transfer or control. In 2014/2015, 862 adults aged 40+ y living in trial households were enrolled in the HAALSI cohort, with cognitive data collected in three waves over 7 y. We estimated the impact of the intervention on rate of memory decline and dementia probability scores. Memory decline in the cash transfer arm was 0.03 SD units (95% CI: 0.002, 0.05) slower per year than in the control arm. Dementia probability scores were three percentage points lower in the cash transfer arm than the control arm (β = -0.03; 95% CI: -0.05, -0.001). Effects were consistent across subgroups. A modestly sized household cash transfer delivered over a short period in mid- to later-life led to a meaningful slowing of memory decline and reduction in dementia probability 7 y later. Cash transfer programs could help stem the tide of new dementia cases in economically vulnerable populations in the coming decades.

Consumers’ perceptions on indigenous fruit value-added products in Bushbuckridge, Mpumalanga, South Africa

Most rural communities use indigenous fruits as an integral part of their diets by processing them into value-added products such as alcoholic beverages, jam, juice, and nuts/dried fruits. Despite the claim that these products are rich in vitamins and energy, they are still relatively underutilised due to their low availability at mainstream retailers. The data was collected from 384 participants in Bushbuckridge in Mpumalanga Province and the Statistical Package for the Social Sciences (SPSS) was used to analyse the consumers’ perceptions on indigenous fruit value-added products. Principal component analysis was applied, and the study results revealed that consumers preferred buying indigenous fruit value-added products over exotic fruit value-added products. Data on indigenous fruit value-added products’ market availability and accessibility was extracted and the data showed that they were perceived as important variables by consumers. Furthermore, consumers (96.4%) indicated that they would purchase marula fruit value-added products instead of other products (wild sour plum, orange monkey and wild medlar). Regarding access to indigenous value-added products, 24.7% of the participants strongly agreed and 27.6% agreed that they do have access. Therefore, it is recommended that interventions to create awareness and promote the sale and consumption of the indigenous fruit value-added products should be prioritised at events such as indigenous festivals, as well as at local retailers.

Leaf gas exchange, water use, and yield of Marula (Sclerocarya birrea) and Kei Apple (Dovyalis caffra): South African indigenous fruit trees with domestication potential

Conventional crop production is expected to decline in the future in sub-Saharan Africa due to the rising costs of inputs, soil degradation, and increasing water scarcity related to climate variability and change. South Africa has more than 30 species of indigenous fruit trees that are adapted to grow under harsh conditions, yet these species are currently underutilized. Their cultivation is constrained by the lack of detailed ecophysiological information required to develop effective management strategies that optimize tree performance. In this study we investigated how two species with domestication potential namely Marula (Sclerocarya birrea) and Kei apple (Dovyalis caffra) responded to climate and soil factors over a period of two years (2019–2021). Photosynthesis, transpiration, and yield were quantified for mature trees growing in experimental orchards in the Mpumalanga Province of South Africa. Leaf gas exchange data were collected at selected intervals during the growing season using an infrared gas analyser while whole tree transpiration rates were quantified using the heat ratio method of monitoring sap flow. These data were used to parameterize a big leaf Penman-Monteith (PM) model to estimate the transpiration dynamics of individual trees at the daily time step. S. birrea's transpiration responded strongly to both climatic and soil water content variations while the water use of D. caffra was driven mostly by climatic factors. Transpiration rates averaged 0.30 L/m2 of leaf area for S. birrea while that of D. caffra was around 0.45 L/m2. Both species exhibited significant alternate bearing with yield of individual trees fluctuating by more than 50 % between successive years. For the 2019/20 season, water productivity (grams of fruit per litre of water transpired) varied between 6.2 and 17.4 g/L for S. birrea and between 24.3 and 41.7 g/L for D. caffra. Whole tree transpiration by both species were accurately predicted using the PM model albeit with different parameters for each species. This study demonstrates that a simple PM model can accurately estimate the water requirements of these species in other growing regions.

Prevalence and genetic diversity of Bartonella spp. in wild small mammals from South Africa.

Bartonella spp. are intracellular bacteria associated with several re-emerging human diseases. Small mammals play a significant role in the maintenance and spread of Bartonella spp. Despite the high small mammal biodiversity in South Africa, there is limited epidemiological information regarding Bartonella spp. in these mammals. The main aim of this study was to determine the prevalence and genetic diversity of Bartonella spp. from wild small mammals from 15 localities in 8 provinces of South Africa. Small mammals (n = 183) were trapped in the Eastern Cape, Free State, Gauteng, Limpopo, Mpumalanga, Northern Cape, North West, and Western Cape provinces of South Africa between 2010 and 2018. Heart, kidney, liver, lung, and spleen were harvested for Bartonella DNA screening, and prevalence was determined based on the PCR amplification of partial fragments of the 16S-23S rRNA intergenic spacer (ITS) region, gltA, and rpoB genes. Bartonella DNA was detected in Aethomys chrysophilus, Aethomys ineptus, Gerbillurus spp., Lemniscomys rosalia, Mastomys coucha, Micaelamys namaquensis, Rhabdomys pumilio, and Thallomys paedulcus. An overall prevalence of 16.9% (31/183, 95% CI: 12.2%-23%) was observed. Bartonella elizabethae, Bartonella grahamii, and Bartonella tribocorum were the zoonotic species identified, while the remaining sequences were aligned to uncultured Bartonella spp. with unknown zoonotic potential. Phylogenetic analyses confirmed five distinct Bartonella lineages (I-V), with lineage IV displaying strong M. coucha host specificity. Our results confirm that South African wild small mammals are natural reservoirs of a diverse assemblage of Bartonella spp., including some zoonotic species with high genetic diversity, although prevalence was relatively low.IMPORTANCESmall mammals play a significant role in the maintenance and spread of zoonotic pathogens such as Bartonella spp. Despite the high small mammal biodiversity in southern Africa including South Africa, there is limited epidemiological information regarding Bartonella spp. in these mammals across the country. Results from our study showed the liver and spleen had the highest positive cases for Bartonella spp. DNA among the tested organs. Bartonella elizabethae, B. grahamii, and B. tribocorum were the three zoonotic species identified and five distinct Bartonella lineages (I-V) were confirmed through phylogenetic analyses. To the best of our knowledge, this study presents the first extensive nuclear diversity investigation of Bartonella spp. in South African small mammals in South Africa.

Sociocultural perceptions of physical activity and dietary habits for hypertension control: voices from adults in a rural sub-district of South Africa

BackgroundOver half of adults from rural South Africa are hypertensive. Apart from pharmaceutical treatment, lifestyle changes such as increasing physical activity and reducing dietary salt have been strongly advocated for the control of hypertension. However, the control rates of hypertension for adults in rural South Africa are low. In this paper we explore whether this is due to the recommended lifestyle intervention not aligning with the individual’s socio-cultural determinants of behaviour change.AimTo explore the social and cultural beliefs, perceptions and practices regarding physical activity and diet as a hypertension control intervention on hypertensive adults living in a rural sub-district in South Africa.MethodsNine focus group discussions were conducted with hypertensive adults aged 40 years and above from Bushbuckridge sub-district in Mpumalanga Province of South Africa using a semi-structured interview guide. Each session began with introductions of the discussion theme followed by a short discussion on what the participants know about hypertension and the normal blood pressure readings. Physical activity and dietary habits were then introduced as the main subject of discussion. Probing questions were used to get more insight on a specific topic. A thematic analysis approach was used to generate codes, categories, and themes. A manual approach to data analysis was chosen and data obtained through transcripts were analysed inductively.FindingsParticipants had a lack of knowledge about blood pressure normal values. Perceived causes of hypertension were alluded to psychosocial factors such as family and emotional-related issues. Physical activity practices were influenced by family and community members’ attitudes and gender roles. Factors which influenced dietary practices mainly involved affordability and availability of food. To control their hypertension, participants recommend eating certain foods, emotional control, taking medication, exercising, praying, correct food preparation, and performing house chores.ConclusionLifestyle interventions to control hypertension for adults in a rural South African setting using physical activity promotion and dietary control must consider the beliefs related to hypertension control of this population.

Material needs security and cardiovascular risk factors in rural South Africa

BackgroundThe prevalence of cardiovascular disease is burgeoning in low- and middle-income countries (LMICs). In sub-Saharan Africa, the prevalence of cardiovascular risk factors is increasing, though rates of CVD diagnosis and management remain low. Awareness of the influence of social determinants of health (SDOH) on cardiovascular outcomes is growing, however, most work focuses on high-income countries. Material needs security is a measure of SDOH that may be particularly relevant for LMICs. This study investigated the relationship between material needs security and cardiovascular risk in older adults living in South Africa.MethodsThe analysis included 5059 respondents age ≥ 40 in the Health and Aging in Africa survey, an observational cohort study administered in 2014 in Mpumalanga Province, South Africa. Linear regression models tested the association between material needs and eight cardiovascular risk factors (waist-to-hip ratio, body mass index, blood pressure, glucose, cholesterol, LDL, and triglycerides). Adjusted linear regression models controlled for sociodemographic confounders.ResultsThere were significant adjusted associations found between increased material needs security and four cardiovascular risk factors, including waist-to-hip ratio (β = 0.001; 95% CI [0.00002,0.002]), BMI (β = 0.19; 95%CI=[0.14,0.24]), glucose (β = 0.46; 95%CI=[0.02,0.90]), and triglycerides (β = 0.26; 95%CI=[0.02,0.49]).ConclusionIncreased material needs security was associated with significantly increased cardiovascular risk in older adults in rural South Africa. These findings can inform the approach to treatment and management of cardiovascular disease in South Africa and similar LMICs. Future investigations should evaluate the implementation and efficacy of interventions that recognize the role of material needs security in cardiovascular risk.

Professional nurses’ experiences of managing epilepsy at limited resource rural facilities in Limpopo and Mpumalanga Provinces, South Africa

BackgroundEpilepsy is a neurological disorder affecting approximately 50 million individuals globally, contributing significantly to the global disease burden. Professional nurses play a crucial role in the care and treatment of people living with epilepsy, ensuring their safety and well-being. Professional nurses frequently encounter challenges, such as restricted access to drugs, specialised equipment, and epilepsy treatment training. Despite these obstacles, professional nurses are essential to providing high-quality care to patients with epilepsy in remote locations. MethodsA qualitative design using explorative, descriptive, and contextual design was employed to achieve the objectives of the study. The sample comprised 20 professional nurses working in selected rural communities in Limpopo and Mpumalanga. Data was collected through in-depth individual interviews and analysed using Tesch's eight steps of data analysis. ResultsFour themes emerged from the data: experiences of professional nurses during management of epilepsy; inadequate training in management of epilepsy; insufficient supply of antiepileptic drugs and late presentation to local clinics. ConclusionThe study found that professional nurses experienced several challenges hindering the effective management of epilepsy. Cultural beliefs in supernatural causes of epilepsy significantly influence treatment preferences, consequently delaying diagnosis and treatment. Despite limited resources and cultural barriers experienced by professional nurses, they strive to provide appropriate care to minimise seizures. Ongoing education and training on epilepsy management is vital to enable professional nurses to keep up-to-date with current methods and new developments.

The HIV Care Cascade for Older Adults in Rural South Africa: A Longitudinal Cohort Study (2014-2019).

As people with HIV grow older, stable engagement in care is essential for healthy aging. We evaluate the HIV care cascade for older adults in rural South Africa at 2 time points cross-sectionally and assess movement in the cascade over time. We evaluated the cascade stage at waves 1 (2014-2015) and 2 (2018-2019) of Health and Aging in Africa: A Longitudinal Study of an INDPETH Community in South Africa, a population-based longitudinal cohort study in Mpumalanga Province, South Africa. Biomarker screening defined cascade stages [HIV+/no antiretroviral therapy (ART); ART+/unsuppressed viral load; ART+/suppressed viral load]. Between-wave probability of death, cascade progression, regression, cascade transitions, and sociodemographic predictors were assessed with Poisson regression. The impact of death was considered using the Fine and Gray competing risk model. We observed a higher prevalence of antiretroviral therapy with viral suppression over time (50% in wave 1 vs. 70% in wave 2). Among those alive, the oldest age group (70+ years old) was most likely to have cascade progression [adjusted risk ratio for treatment initiation vs. 40-49 years old: 1.38 (95% confidence interval: 1.02 to 1.86)]. However, there was a significant risk of death and cascade regression. Death between waves reached 40% for 70+-year-olds who were ART+/unsuppressed. In competing risk models, older age was associated with equivalent or less cascade progression. Older age groups who were unsuppressed on treatment and men had poorer cascade outcomes. Improvements observed in HIV treatment coverage over time for older adults must be interpreted in the context of the high risk of death for older HIV-positive adults, especially among those failing treatment.

Ethnobotanical insights on the management of plant pests and diseases by smallholder farmers in Mpumalanga Province of South Africa

BackgroundPests and diseases are a major contributor to yield losses in sub-Saharan Africa, prompting smallholder farmers to seek cost-effective, accessible and ecologically friendly alternatives for crop protection. This study explored the management of pests and diseases affecting crops across eight selected villages in Ehlanzeni District, Mpumalanga Province, South Africa.MethodsA total of 120 smallholder farmers were purposefully selected utilising the snowball technique. Information on the management of plant pests and diseases was collected through interviews and focus group discussions using semi-structured interview schedules. Ethnobotanical indices, including relative frequency of citation (RFC), use-value (UV) and informant consensus factor (Fic), were used to quantify and rank the plants used for crop protection in the study area.ResultsTwenty-three plant species (16 naturalised exotics and seven indigenous plants) belonging to 16 families were used for managing pests (vertebrates and invertebrates) and diseases (fungal and bacterial related) affecting crops in the study area. The dominant (100%) crops cultivated by the participants were Allium cepa L., Mangifera indica L., Solanum lycopersicum L. and Zea mays L. The RFC value ranged from 0.08 to 0.83 and the three most popular plants for crop protection were Capsium annuum L. (0.83), A. cepa (0.63) and Dichrostachys cinerea (L.) Wight & Arn. (0.43). In terms of the UV, the five most promising plants used as biocontrol were Tulbaghia violacea (0.13), A. cepa (0.12), C. annuum L. (0.09), Solanum campylacanthum Hochst. Ex A.Rich.(0.09) and Pinus pinaster (0.08). Based on the Fic, four categories were established and dominated by fungal diseases (0.64). Furthermore, T. violacea and A. cepa were the most often mentioned plants used against fungal conditions. Other categories cited were bacterial diseases (0.3), invertebrate pests (0.11) and vertebrate pests (0.14), an indication that smallholder farmers had limited agreement or common knowledge about the plants used for their management. The preparation methods included maceration (38%), decoction (38%) and burning (24%). Foliar application (67%) and soil drenching (33%) were used for administering plant extracts during the management of crop pests and diseases.ConclusionThe study highlights the importance of botanicals and associated indigenous knowledge among smallholder farmers in Mpumalanga Province, South Africa. It is pertinent to explore the valorisation of these botanicals by generating empirical data on their biological efficacies and phytochemical profiles.

Assessment of the Impact of Coal Mining on Water Resources in Middelburg, Mpumalanga Province, South Africa: Using Different Water Quality Indices

The objective of this study was to assess the water quality status of the surface water and groundwater resources in the Middelburg area, South Africa. The assessment was addressed using combined water quality indices, investigating selected chemical parameters over four different seasons for a period of five years from 2017 to 2021. A combination of the Canadian Council of Ministers of the Environment water quality index and the comprehensive pollution index was used to analyze the water quality status of surface water and groundwater of the town of Middelburg, situated near coal mining activities in Mpumalanga, South Africa. The combination of the indices indicated that some surface water monitoring sites ranged between poor to fair water quality. Groundwater monitoring points also showed a poor to fair ranking. The comprehensive pollution index confirmed that some sites showed very poor water quality in the summer seasons, exceeding expected limits for the period 2017 to 2021. The principal component analysis further showed that both surface water and groundwater sites had high levels of contamination with increased chemical parameters. The results were compared against the different water quality guidelines. In an extensive monitoring program, water management systems must be properly implemented to mitigate impacts on water resources.

The impact of climate on the dominant height and climate thresholds for P. elliottii, P. taeda, P. patula, and P. patula x P. tecunumanii plantation forests

Plantation forests were introduced into South Africa to satisfy the regional demand for wood-based products, which are largely found in the Mpumalanga province. To better understand the impacts of climate on the dominant height growth of commercially important plantation species, enumeration data collected from 2012 to 2023 was scrutinised, representing 34740 plots in 2082 plantation compartments. Statistically significant multiple linear regression models were developed to predict dominant heights for Pinus elliottii, Pinus taeda, Pinus patula, and Pinus patula x Pinus tecunumanii hybrids using climate variables as independent factors. Mean annual maximum temperature was statistically significant when modelling dominant height for P. elliottii, while winter maximum temperature was significant for P . taeda, P. patula, and P. patula x P. tecunumanii. Rainfall was found to be significant for P. elliottii and P. taeda, while spring rainfall was found to be more important when modelling dominant height for P. patula. Interestingly, autumn rainfall was found to have a negative impact on dominant height growth of P. taeda and P. patula, while rainfall was not significant in P. patula x P. tecunumanii. The findings imply that the southern pines have water thresholds, while Mexican pines are more temperature limited than water limited.

Seasonal and trend variation of methane concentration over two provinces of South Africa using Sentinel-5p data

South Africa faces the urgency to comprehensively understand and manage its methane (CH4) emissions. The primary aim of this study is to compare CH4 concentrations between Eastern Cape and Mpumalanga regions dominated by cattle farming and coal mining industries, respectively. CH4 concentration trends were analyzed for the period 2019 to 2023 using satellite data. Trend analysis revealed significant increasing trends in CH4 concentrations in both provinces, supported by Mann–Kendall tests that rejected the null hypothesis of no trend (Eastern Cape: p-value = 8.9018e−08 and Mpumalanga: p-value = 2.4650e−10). The Eastern Cape, a leading cattle farming province, exhibited cyclical patterns and increasing CH4 concentrations, while Mpumalanga, a major coal mining province, displayed similar increasing trends with sharper concentration points. The results show seasonal variations in CH4 concentrations in the Eastern Cape and Mpumalanga provinces. High CH4 concentrations are observed in the northwestern region during the December-January–February (DJF) season, while lower concentrations are observed in the March–April-May (MAM) and June-July–August (JJA) seasons in the Eastern Cape province. In the Mpumalanga province, there is a dominance of high CH4 concentrations in southwestern regions and moderately low concentrations in the northeastern regions, observed consistently across all seasons. The study also showed an increasing CH4 concentration trend from 2019 to 2023 for both provinces. The study highlights the urgent need to address CH4 emissions from both cattle farming and coal mining activities to mitigate environmental impacts and promote sustainable development. Utilizing geographic information system (GIS) and remote sensing technologies, policymakers and stakeholders can identify and address the sources of CH4 emissions more effectively, thereby contributing to environmental conservation and sustainable resource management.

The influence of the fourth industrial revolution in teaching and learning: the COVID-19 context

Background The aim of this paper was to explore how the Fourth Industrial Revolution shapes teaching and learning during COVID-19 in some of the schools located in the Gauteng and Mpumalanga provinces, South Africa. This paper employed qualitative interpretative multiple case study design. Purposive sampling was used to sample our participants. Methods We selected four teachers who separately taught at the early childhood development stage, intermediate phase, senior phase, and further education and training phases. Data was collected telephonically through semi-structured interviews with teachers from Limpopo, Gauteng and Mpumalanga provinces of South Africa. Data was collected from their experiences of COVID-19 from 2019 to 2021. Collected data was analysed using a typology approach whereby themes that derived from the literature reviewed and research questions were used. Results We inferred from the results of the paper that teachers had challenges with teaching and availability of learning resources, such as limited access to internet and socio-economic backgrounds, which hindered the integration of the Fourth Industrial Revolution in the teaching and learning process. There were also challenges related to teachers’ background on the usage of the Fourth Industrial Revolution and the lack of school management teams support. The paper revealed that the integration of the Fourth Industrial Revolution in teaching and learning was affected negatively by the existence of the above-mentioned challenges, which needs to be addressed. Conclusions Therefore, we recommended that the government and stakeholders within the education sector provide resources such as smart-boards, computers, and network access in schools lacking such facilities, as well as providing professional development interventions and training teachers to have an in-depth understanding of the Fourth Industrial Revolution within the teaching and learning context.

Substance Use among School-Going Adolescents and Young Adults in Rural Mpumalanga Province, South Africa.

The ongoing public health crisis of substance use among school adolescents and young adults (AYAs) in South Africa is not new in research parlance, amidst the national policy of drug abuse management in schools. In view of no tangible progress to reduce substance use in high schools in the country, we conducted a cross-sectional quantitative study aimed at investigating substance use among adolescents and young adults in the four public high schools selected through multi-stage sampling in rural Mpumalanga province, South Africa. Data on substance use, demographics, household socio-demographics, and related factors were collected via a validated self-administered questionnaire. Hierarchical logistic regression was performed using STATA 18. The study included 402 AYAs aged between 14 and 23 years (18 ± 1 years), and 45% reported substance use in the last twelve months. Alcohol was the most used substance (74%), followed by cigarettes (12%) and cannabis (11%). AYAs used substances out of social influence, curiosity, to find joy, and to eliminate stress, especially in social events, on the streets, and at home, and reported negative physical health outcomes, mainly hallucinations, sleeping disorders, body weakness, and dry mouths. Hierarchical logistic regression showed that the likelihood of substance use was three times in a particular high school (S4) (AOR = 3.93, 95%CI: 1.72-8.99), twice among the grade 12s (AOR = 2.73, 95%CI: 1.46-5.11), over twenty times in the communities with substance availability (AOR = 22.45, 95%CI: 2.75-183.56), almost ten times among AYAs participating in recreational/sports activities (AOR = 9.74, 95%CI: 4.21-22.52), and twice likely to happen in larger households (AOR = 2.96, 95%CI: 1.57-5.58). Prevention and intervention efforts should consider these specific health concerns to develop targeted strategies for mitigating substance use and its adverse consequences in this vulnerable population towards achieving the United Nations' Sustainable Development Goal Target 3.5, which aims to strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and the harmful use of alcohol.

Knowledge of pregnant women regarding prevention of mother-to-child transmission of HIV infection in Gert Sibande District, Mpumalanga Province, South Africa: A qualitative study.

Prevention of mother-to-child transmission (PMTCT) of HIV helps in closing the gaps for new HIV infections, thereby contributing to achieving the global targets of an AIDS-free generation. To explore knowledge regarding PMTCT among pregnant women in Gert Sibande District, Mpumalanga Province, South Africa (SA). The study was performed in two clinics in Chief Albert Luthuli Municipality, Gert Sibande District. It was a qualitative and descriptive exploratory study involving in-depth, one-on-one interviews with pregnant women regarding their PMTCT knowledge and perspectives. The study findings showed that pregnant women from the two clinics have a good knowledge of PMTCT. However, they were not aware that caesarean section can minimise mother-to-child transmission (MTCT) of HIV infection. PMTCT is important in establishing an HIV-free generation. The study revealed that women had a good understanding of MTCT; nevertheless, additional education is necessary, particularly regarding birthing procedures that minimise the risk of MTCT.

Primary and tertiary management of ocular surface lesions in HIV-infected patients in Ehlanzeni, Mpumalanga Province.

In sub-Saharan Africa, ocular surface squamous neoplasia (OSSN) is the most common ocular surface tumour and is strongly associated with HIV infection. This range of ocular malignancies can be managed early to prevent large tumours requiring invasive treatment, facial disfigurement and mortality. Primary healthcare workers (HCWs) play a critical role in the early identification of the lesion. In addition, the ocular lesion can also be the presenting sign of HIV infection in individuals who have not yet been diagnosed. The aim of the present study was to assess the management of suspicious conjunctival growths in HIV-infected patients in primary health facilities and a specialist eye clinic in South Africa. To assess the knowledge, attitude and current practice of HCWs working in HIV clinics regarding ocular surface lesions and to evaluate the management of patients with ocular surface lesions at a tertiary hospital. A cross-sectional study design was used (November 2020 - May 2021), for which 149 HCWs were invited to assessments about their knowledge, attitudes and practices regarding ocular surface lesions. In addition, files of patients with ocular surface lesions who presented between January 2018 and August 2020 to the eye clinic were reviewed using a data extraction sheet. One hundred-and-three HCWs agreed to participate in the survey (response rate 69.1%). Of these participants, 84.5% were experienced professional nurses (6 - 15 years of work experience) but had minimal experience with detection and management of eye complaints and lesions. Twenty-seven (26.2%) of the participants recognised some ocular surface lesions and 86 (83.5%) reported that they would refer patients with suspicious lesions. Sixty-two files were reviewed and 51 (82.2%) of the patients had an HIV-positive diagnosis. Fifty percent had carcinoma-in situ and squamous cell carcinoma of the conjunctiva. Thirty-one (50%) of the patients were lost to follow-up. OSSN is an important manifestation of HIV infection. It would be beneficial for patients to receive a basic ocular examination as part of the baseline clinical evaluation; this may contribute to early referral to an eye care facility. The health system would benefit from establishing an eye health support system with the nearby health facilities, thereby educating primary HCWs about the association between HIV and OSSN.