Health Risk Assessment (HRA??)?

An occupational health risk assessment is a systematic procedure to identify potential health hazards, evaluate the extent of exposure, subjectively and/ or objectively, and to establish the need for, and the effectiveness of control measures.  Furthermore, the occupational health risk assessment is also intended to facilitate the drafting of occupational hygiene monitoring programmes, medical surveillance programmes and occupational health education and awareness programmes.?

Health Surveillance ?

Baseline (pre-assignment) health status, including the assessment of emotional status, is assessed before making recommendations regarding the assignment of a new or current employee to a job to ensure that the individual can perform the job safely and without endangering the safety of others. This recommendation shall be based on any or all of the following:

• medical history;
• occupational history (complete work history);
• assessment of the organs or systems likely to be affected by the assignment;
• evaluation of the description and demands of the job to which the assignment is being considered; and
• compliance with the Occupational Health and Safety Act or other pertinent regulations.

The health status of the employee is reviewed periodically (medical surveillance) where there is a likelihood that workplace exposures or activities could have an adverse health effect. This review may be limited to those organs or systems likely to be affected.

The health status of the employee is re-evaluated following prolonged absence from work due to illness or injury (post-illness or injury assessment). The goal is to ensure that the individual has sufficiently recovered from the illness or injury to perform their job, without undue risk of adverse health or safety effects to the individual or others. The questions we ask include: Should an employee return immediately to fulltime unrestricted duty? Should the employee return on a restricted basis? 

Health Risk Management

This is necessary to ensure the program meets its objective effectively. The mechanism for this will vary as directed for the particular risk. Periodic review is necessary to make sure that the highest standards are met, appropriately.

Protocols:

• ?Hepatitis B guideline document (find out more about Hepatitis B here?)
  

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??Incapacity Management

Effective management of sickness absence, ill-health at work and incapacity means:

• informing employees of the procedure(s) to follow in the event of ill-health;
• identifying concerns and problems at the earliest stage possible;
• making employees aware that the 万博体育官网 understands that employees may occasionally be afflicted by illnesses that prevent them from attending work, and will assist the employee in any way that is reasonable to ensure a successful return to work;
• creating awareness of sickness absence consequences;
• promoting health and safety, and welfare of employees.?
  

Disa?bility Management and S?upport

?The Employment Equity Act requires employers to:  eliminate discrimination, victimisation and harassment; to promote equality of opportunity for employees with a disability; and foster good relations between people with a disability and others who do not. Employers should take positive steps to ensure that people with disabilities can access and progress in employment. OHS will offer support and assessments when required for all individuals with disability.

Injury on Duty (IOD)?

• IOD PRO?CEDURE

For more information contact:

Stellenbosch 万博体育官网 is listed as a public recipient. When creating us as a beneficiary, follow these steps:

   1. Select Payments > Pay Beneficiary and "Add new beneficiary"

   2. Under Public/Business Directory, enter beneficiary name: Univ Stel General

   3. Beneficiary/ Recipient reference: Your Medical? Account number attained from your account 每 Top Right Corner?

Tygerberg Clinic: 8:00am - 4:00pm, Monday to Friday 

?Contact numbers:

Stellenbosch Campus:     +27 21 808 3494/6

Tygerberg Campus:          +27 21 938 9590?

Please take note:

• Please wear a mask if you have cold or flu symptoms to protect those in the waiting room
  
  
  

Click here to read more about CHS >>

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2024:??

2023:??

2022:??

2021:

Kunorozva L, van Tonder R, Starling L, Brown JC, Viviers PL, Derman, EW. A five?year clinical audit of concussive injuries in South African collegiate male rugby players〞a South African experience. Sport Sciences for Health 2021;Epub ahead of print. doi: 10.1007/s11332-021-00768-1

????van Tonder R, Kunorozva L, Viviers PL, Derman EW, Brown JC. Presenting features of female collegiate sports-related concussion in South Africa: a descriptive analysis.? South African Journal of Sports Medicine 2021;33:1-7. doi: 10.17159/2078-516X/2021/v33i1a10416

Pillay L, Patricios J, Janse van Rensburg DC, Saggers R, Ramagole D, Viviers P, Thompson C, Hendricks S. Recommendations for athletes and COVID-19 vaccinations: A South African Sports Medicine Association (SASMA) position statement 每 Part 3.  SAJSM 2021;33(1):1-3. doi: 10.17159/2078-516X/2021/v33i1a12557

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2020:

Ramagole D, Janse van Rensburg DC, Pillay L, Viviers P, Zon?di P and Patricios J. Implications of COVID-19 for resump?tion of sport in South Africa: A South African Sports Medicine Association (SASMA) position statement - part 2?. S Afr J Sports Med. ?2020:32(1):1-5. ??https://doi.org/10.17159/2078-516X/2020/v32i1a8986

Kirby JH? and Duffett RG. COVID-19 pandemic...what about the obesity and inactivity "pandemics"? South African Journal of Clinical Nutrition. 2020:33(2):27-30. 

Ramagole D, Janse van Rensburg DC, Pillay L, Viviers P, Zon?di P and Patricios J. Implications of COVID-19 for resumption of sport in South Africa: A South African Sports Medicine Association (SASMA) position statement. S Afr J Sports Med. ?2020:32(1):1-6. ?https://doi.org/10.17159/2078-516X/2020/v32i1a8454?

Bosch S, Viviers P, Derman W and de Villiers R. A "scattered" SCAT in a football goalkeeper: a case report. S Afr J Sports Med.? 2020:32:1-3. https://doi.org/10.17159/2078-516X/2020/v32i1a7737

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2019:

?Brown JC, Starling LT, Stokes K, Viviers P, Jordaan E, Surmon S and Derman EW. High Concussion Rate in Student Community Rugby Union Players During the 2018 Season: Implications for Future Research Directions. ?Front. Hum. Neurosci., ?2019; 13:423. ?doi: 10.3389/fnhum.2019.00423.

Viviers P et al. A Pheochromocytoma in an Elite Collegiate Athlete: 583 May 29, 2019. Medicine & Science in Sports & Exercise 51(Supplement):151.

2018:

Moyaert M, Viljoen JT, Viviers PL, Derman W, De Villiers R. Sacroiliac tuberculosis masquerading as mechanical lower back pain in a collegiate basketball athlete: a case presentation.? S Afr J Sports Med, 2018; 30:1-3. doi: 10.17159/2078-516X/2018/v30i1a4372.

Shafik A, Schwabe K, De Villiers R, Viljoen JT, Derman W. Stress fracture of the thoracic spine in a male rugby player: a case report. S Afr J Sports Med, 2018; 30:1-2. doi: 10.17159/2078-516X/2018/v30i1a4592.

Viviers PL, Viljoen JT and Derman W. A Review of a Decade of Rugby Union Injury Epidemiology: 2007-2017.? Sports Health, 2018; 10(3): 223-227. doi: 10.1177/1941738118757178?.

2017:

Fischer JD, Smith GH, Rodrigues RS, Afzal MR, van den Heever DJ, Viviers PL, Viljoen JT. Concussion management application for amateur sports. Conf Proc IEEE Eng Med Biol Soc. 2017 Jul; 2017:2594-2597. doi: 10.1109/EMBC.2017.8037388.

Viviers PL, Kirby JK, Viljoen JT and Derman W. The Diagnostic Utility of Computer-Assisted Auscultation for the Early Detection of Cardiac Murmurs of Structural Origin in the Periodic Health Evaluation. Sports Health, 2017. 9(4): 341-345. doi: 10.1177/1941738117695221.

Duinslaeger E, Kirby JH, Viljoen JT, Viviers PL. The forgotten coracoid: A case report of a coracoid fracture in a male cyclist. South African Journal of Sports Medicine, 2017; 29:1-2. doi: 10.17159/2078-516X/2017/v29i0a1636.

Adams R, Van Der Heever, MM, Damons, A. Perceptions of clients on awareness and the geographical location of a South African university sexual health clinic. Afr J Prm Health Care Fam Med, 2017. 9(1), a1350. doi: 10.4102/phcfm.v9i1.1350.?

2016:

Bates HL, Kirby JH. The perceived benefits of the Maties Injury Programme among students. South African Journal of Sports Medicine, 2016; 28(2):36-8. doi: 10.17159/2078-516X/2016/v28i2a170.

Bultheel M, Kirby JH, Viljoen JT, Viviers PL. An atypical presentation of myositis ossificans. South African Journal of Sports Medicine, 2016; 28(1):33-4. doi: 10.17159/2078-516X/2016/v28i1a465.?
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• The Maties risk of non-communicable disease survey (MaRooN)???
• Treatment of acute hamstring injury?

Campus Health 每 Tygerberg Student Centre

??????? ?Adult Immunisation Programme?	? ??Reproductive & Gender Health Programme	Foot Programme	Chronic Disease Programme?
?   ?Mental Health P?rogramme	?   HIV/AIDS?	?  Tuberculosis	?   Travel Medicine???

Adult Immunisation Programme?

We provide immunisation advice for routine booster vaccinations for an adult population of all ages from 18 years upwards.

It is preferable to get booster immunisations against some or all of the below vaccinations, prior to arriving on campus, especially if living in a residence environment.  Consult with one of our nursing practitioners for advice about your specific vaccination requirements.

• Flu vaccination 每 annually
• MMR (Mumps, Measles and Rubella)
• DPT
  
• Meningitis
• HPV
• Hep A/B 每 compulsory for Medical School students
  

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??Reproductive & Gender Health Programme

We offer the following services:

• State oral and injectable contraception and advice
• STI screening and treatment as per state protocol
• Pregnancy testing
• Clinical breast exams
• Cervical screening (incl. Pap smears and HPV advice)
• Prostate screening exam for men

Our women's and men's health programmes aim to meet the specific health needs of each group.  Special focus is placed on cancer screening and prevention of Chronic Diseases of Lifestyle.?

Fo?ot Programme

(Available by appointment?)

This programme is to assess and monitor foot complications, mainly??? arising from diabetes.   It involves a comprehensive foot assessment and appropriate care advice by a CHS staff member.

Chronic Disease Programme??

Our ※Wellness Programme" is designed to provide comprehensive medical assessments to all who attend CHS with, or without chronic lifestyle diseases.   We aim to help you manage your chronic diseases and/or provide possible PREVENTATIVE strategies for those who may be at risk for future diseases.

What does a ※medical" assessment entail?

1. Detailed clinical history, including social habits, family illnesses, etc.
2. Detailed physical examination includes weight, height, waist circumference measurement, pulse, blood pressure, visual test and dental overview.
3. Detailed medication assessment
4. Detailed physical activity assessment, including musculoskeletal screening
5. Appropriate side room tests and investigations (for example see below)
6. Basic nutritional assessment
7. Basic psychological assessment

Medical testing offered at CHS:

1.      Basic side room tests

• Hb (for anaemia),
• Glucose + cholesterol (fasting), 
• HIV, 
• Urine dipstix, 
• Height/weight

2.      Lung function tests

3.      ECGs

4.      Referral

Mental Health P?r?ogramme ?

According to the WHO, depression is a common mental disorder and one of the main causes of disability worldwide.

Globally, an estimated 350 million people are affected by depression.  Determinants of mental health and mental disorders include not only individual attributes such as the ability to manage one's thoughts, emotions, behaviours and interactions with others, but also social, cultural, economic, political and environmental factors such as national policies, social protection, standards of living, working conditions, and community support.  Stress, genetics, nutrition, perinatal infections and exposure to environmental hazards are also contributing factors to mental disorders.

• 万博体育官网 can be a stressful place 每 for students and staff.  We diagnose and treat a variety of mental conditions 每 this includes ''exam stress'', depression and headache syndromes.
• We are also able to refer to a psychiatrist or psychologist???.

If you have concerns about your mental health, you can make an appointment at CHS or contact the Centre for Student Counselling and Development (CSCD) directly on ?021 808 4707.?

For assistance in a crisis, students must present at the nearest Emergency Unit (Stellenbosch Mediclinic / Karl Bremer/ Louis Leipoldt Hospitals), or call ER 24 (010 205 3032).

HIV/AIDS  

HIV screenings is available upon patient request.  The clinical nurse practitioner does the testing.  Doctors may also refer patients for testing as part of their routine health check-ups.

Testing consists of finger-prick test.  If the test should come back as positive, a confirmation test as well as a blood test is done.  Patients are counselled through each step of testing.

TREATMENT 每 patients are referred either to the nearest local clinic or a private physician (depending on their preference) for the appropriate treatment regime.

PREVENTION 每 the best way to prevent HIV is to practice safe-sex i.e. use condoms.  Pre- and post-exposure prophylaxis can be prescribed.  It is also important to know your status 每 regular HIV-testing is recommended.

Tuberculosis?

If TB is suspected, the doctor or clinical nurse practitioner may request testing (persistent cough for more than 4 weeks, night sweats, weight loss, contact with a person who has TB).  Patients may also request that TB tests be done based on the above symptoms.  Pulmonary (lung) TB tests are conducted with sputum samples.  These samples are collected on 2 or 3 consecutive mornings before the patient has had anything to eat or drink.  Chest x-rays may also be done, but we do not diagnose TB off an x-ray.

TREATMENT 每 TB is a notifiable disease.  Patients who test positive are referred to the nearest local clinic for treatment.  This is to ensure that the Department of Health's guidelines are adhered to.  Treatment may vary from 6 每 12 months depending on the type of TB diagnosed.  It is important for patients to remember that they need to complete the full course of treatment to ensure that they recover and to prevent the spread of drug-resistant TB.

PREVENTION 每 always practice cough etiquette by covering your cough with a tissue, handkerchief or your hands.  Make sure that you wash your hands after coughing or sneezing into them.  Ensure that there is sufficient ventilation in the areas that you work and live.  If you have any of the signs suggestive of TB, get yourself tested.  If you are on treatment for TB, please complete the treatment course.

Travel Medicine?

(By appointment only)

Are you traveling soon?  Call us for your appointment.

It is important to consult with us before and after your travels.  You will receive travel advice, which is appropriate to your travel destination.

We provide compulsory vaccinations (e.g. yellow fever), as well as other travel-related vaccinations and prescriptions for malaria prophylaxis will be given, as appropriate.

If you feel unwell after visiting a foreign country, please consult us as soon as possible after returning home.

Appointments:                 30-minute appointment

Consultation Fee:            There is a nominal fee payable for this consultation.  

Please enquire at our reception for more information.     ?