We can no longer tolerate a situation where our state, far from being an example of good labour practice, is responsible for the casualisation of work and the exploitation of the mainly women workers who are leading grassroots healthcare provision in our communities. CHW’s demands, in the Eastern Cape and in the rest of the country, for secure employment and a living wage must be met, with immediate effect. We note the recent permanent employment of CHW in Gauteng as a step in the right direction and hereby demand an end to regional disparities in the pay, recognition and integration of CHW into the workforce of the National Department of Health.

Precarious workers make use of mass transport systems (taxis and buses) to get to and from work, areas the WHO and National Department of Health have deemed as high risk for infection. Furthermore, domestic workers and health care workers work in intimate spaces with people who are at high risk of COVID-19 infection, such as the elderly and people who have travelled to and from high-risk countries. However, due to the legacy of inequality, we continue to live in, these are the very same workers who will not be paid – and cannot afford – to self-quarantine. Without income, they also cannot afford healthy food or medication, making them even more vulnerable. We commend the Government for communicating around COVID-19, however, gaps remain in addressing the anxiety, fear and stigma related to infection. On top of the fear of dying, vulnerable workers reside in communities where the potential is high for stigmatisation and discrimination in the event of self-quarantine or being identified as having the virus. We believe that a successful response to COVID-19 requires unity among all who live in South Africa, and we aim to be part of a unified solution. That unified response, however, requires Government to take bold and deliberate steps to ensure that the most vulnerable members of society are cared for and have their dignity and livelihoods secured. COVID-19 will exacerbate inequality among the working class of this country as they do not have the choice to ‘work from home’ and they are subject to ‘no work no pay’ labour conditions. This is compounded by the fact that domestic workers and informal workers particularly still do not have access to the Compensation for Occupational Injuries and Diseases Act (COIDA) that other COVID-19 affected formal workers have. This means that domestic workers and informal workers cannot claim compensation in the event that they contract COVID-19 while at work. Given that we are officially under a national state of disaster, Mr President, we call for expedited access to the Unemployment Insurance Fund (UIF) for domestic workers and informal workers.

It is important for young people to inform the national youth policy as the policy directly impacts them and their development trajectory  In addition, encouraging youth participation in the policy making process helps in nation building and active citizenship

100% fruit juice is not 100% good for us. But this is not what fruit juice companies want us to know. They want us to continue buying their unhealthy products, thinking they’re healthy when they’re really not. Just one 250ml glass of 100% fruit juice is equal to 6.5 teaspoons of sugar [1]. This is more sugar than what the World Health Organisation (WHO) says we should have everyday [2]. It’s important these unhealthy beverages are treated the same as cold-drinks by including 100% fruit juices in the Sugary Drinks Tax. Add your name and join the call on Minister of Finance Enoch Godongwana to help save lives. If enough of us come together now and join this campaign, Minister Godongwana may have no choice but to listen and protect public health. Together with our friends at Heala we have been campaigning for the Sugary Drinks Tax since 2016 and thanks to our people power and the public pressure we have put on the Minister of Finance, we have secured a Sugary Drinks Tax of 11%. The Sugar Cane Growers Association is fighting back by saying a higher Sugary Drinks Tax is irresponsible [3], but really the truth is Treasury is not doing enough to fight the crisis of NCDs that is damaging so many South African families. This is irresponsible. Minister of Health Zweli Mkhize, when talking about this crisis, said, “Every South African has been affected by diabetes- whether directly or indirectly. For those who have experienced or witnessed the complications of this deadly disease, it can be devastating and disruptive for families and communities.” [4] It’s time for 100% fruit juices to be seen as the unhealthy, potentially dangerous beverage they are by giving them the same treatment as cold-drinks. Add your name to join the campaign. Let’s come together and force Minister Godongwana to put the health of the public before the greed and profits of sugary drinks companies. [1] Is Fruit Juice as Unhealthy as Sugary Soda?, Alina Petre, MS, RD for Healthline December 2019 [2] World Health Organization lowers sugar intake recommendations, Ryan Jaslow for CBSNEWS March 2014 [3] LETTER: Sugar tax is killing jobs, Rex Talmage for Business Day February 2020 [4] World Diabetes Day: There’s no winning without family, Dr Zweli Mkhize for Health E November 2019

Last year, when Dr Zweli Mkhize was appointed as our new Minister of Health, we ran a welcome campaign to help ensure the fight against non-communicable diseases (NCDs) was high on his agenda. Late last year Minister Mkhize attended a Diabetes awareness event where he was asked if he supports the World Health Organisation’s recommended 20% sugary drinks tax. His spokesperson Dr Lwazi Manzi responded stating that Minister Mkhize supports the principle of the sugary drinks tax. Dr Manzi said that: “The minister cannot proclaim on the actual number as that is the business of Treasury [but] he supports the principle of the sugar tax,” [1]. So what does this mean for our campaign? The good news is that the minister has not only acknowledged that diabetes needs to be priority, but he has also stated that reducing sugar in drinks and consumable foods is important. This sends a message that the minister of health could be an ally. We need all the allies we can find because we are up against greedy companies like Coca Cola who want to protect their profits and are fighting against the sugary drinks tax. Minister Mkhize may do more to support a stronger sugary drinks tax if we show him that there is enough public support. If enough of us come together and send messages of support, it could help convince him to use his position as a member of Cabinet to call on Treasury to increase the sugary drinks tax to 20%. With Finance Minister Tito Mboweni preparing to deliver his Budget Speech on the 26th of February, we have a window of opportunity to recruit Health Minister Mkhize to convince Treasury to put our nation's health first. In the words of the Health Minister, “Every South African has been affected by diabetes- whether directly or indirectly. For those who have experienced or witnessed the complications of this deadly disease, it can be devastating and disruptive for families and communities.” [2] Let’s make sure Minister Mkhize knows that if he’s serious about fighting NCDs, he will have to implement a stronger sugary drinks tax. [1] https://health-e.org.za/2019/11/19/health-minister-supports-the-reduction-of-sugar-in-sweetened-beverages/ [2] https://health-e.org.za/2019/11/14/world-diabetes-day-2019/

Right now right-wing groups like Afriforum and some people with medical aids, are mobilising in large numbers to try to stop the NHI. We can’t afford to let the rich try to stop the NHI which could improve the lives of the majority. We also can’t afford an NHI that fails our people. The NHI is not perfect, as seen in the pilot sites. This is why it is more important than ever to make our voices heard and with enough public submissions, shape the NHI to serve the health needs of the majority of people in South Africa. If enough of us come together, our public submissions could help ensure that the NHI is not captured by medical aids or greedy capital. While also demanding the NHI is accountable and provides quality health services free from corruption, patronage and mismanagement. The amandla.mobi team are not health experts. But what we have done is read expert submissions and identified key recommendations that reflect the values of the amandla.mobi community. That’s why we have created this progressive submission you can use when sending in your own submission. https://youtu.be/ccfj30DK0wc

In 2017 thousands of us came together to stop the likes of Coca-Cola trying to stop the sugary drinks tax. While the beverage industry watered down the sugary drinks tax, we won our campaign to get the tax implemented. With a new Health Minister, Dr Zweli Mkhize, we have an opportunity to get his attention and call on him to take strong action against Non-Communicable Diseases through supporting our call to increase the sugary drinks tax to 20%. Let’s get Minister Mkhize’s attention. If enough of us come together and send him welcome messages, it could get the new Minister to make protecting the sugary drinks tax from industry a priority and increase it to 20%. It only takes a minute to send the pre-written message to Minister Mkhize, but if you could add a personal message, our welcome will be even more powerful. Excessive sugar intake causes increased risk of diabetes, liver and kidney damage, heart disease, and some cancers. Tackling Non-Communicable Diseases needs to be a national priority, and increasing the tax on sugary drinks is a first step in addressing this national epidemic. The new Minister of Health, Dr Zweli Mkhize, has a history of doing important life-saving work on HIV in KZN. He could be an important ally if he pledges his support to increase he sugary drinks tax and could help protect it from industry. Send a direct welcome message to Minister Mkhize and make sure he joins us in our fight to make the food we eat healthy. If we flood his mailbox with welcome messages, he’ll have no choice but to prioritise protecting the sugary drinks tax from industry and increase it to 20%. When Coca-Cola tried to stop the Sugary Drinks Tax from happening with dodgy research on job losses and pressuring our elected leaders - we came together and stood against their bullying. From fighting greedy corporations to lobbying MPs to protect the tax- we’ve shown that our people power works. Let’s come together again and make sure the Sugary Drinks Tax is here to stay. [1] Junk food, junk status cause skyrocketing medical costs, Health-e News for The Daily Maverick April 24 2017

Last year thousands of amandla .mobi members came together and sent the Department of Health submissions in support of the Draft Tobacco Control Bill to ban public smoking, regulate e-cigarettes and other tobacco control regulations. The Department of Health is finished reading our submissions and the process has slowed down once again. But, with the appointment of a new Minister of Health, we have an opportunity now to put pressure on the department. We can make sure one of the first decisions the new Health Minister makes is prioritising the bill. Let’s get Minister Mkhize’s attention. If enough of us come together and send him welcome messages, it could get the new Minister to help make these overdue anti-smoking laws a reality. Sign the petition to send Minister Mkhize a message. It only takes a minute to send the pre-written message but if you could add a personal message, our welcome will be even more powerful. Each year South Africa spends more than R59 billion to address tobacco related illnesses like lung cancer, emphysema, asthma and bronchitis [1]. At the same time the country only collects between R11 billion and R13 billion from tobacco taxes [2]. This means the South African taxpayer is paying for the healthcare bill of tobacco-related harm while the tobacco industry collects the profits. Our queues at clinics and hospitals keep getting longer and government keeps cutting the healthcare budget while cigarette companies make billions. But, the new Minister of Health, Zweli Mkhize, has a history of doing important life-saving work on HIV in KZN. He could be an important ally in our fight against big cigarette companies. Sign the petition to send Minister Mkhize a welcome message and make sure he joins us in our fight to keep South Africans safe from second-hand smoke. If we flood his mailbox with welcome messages, he’ll have no choice but to support and prioritise the new anti-smoking laws. We’ve taken the Draft Tobacco Control Bill from sitting on a shelf collecting dust, to nearly being implemented by the Department of Health. The people power we’ve built has brought us this far but it’s important we keep up the pressure until the bill is signed. [1] The Tobacco Atlas - South Africa [2] BAT revenue rises but profit and market share fall, Robert Laing for Bizcommunity July 2017

KwaZulu-Natal is South Africa’s second most densely populated province [5]. King Edward VIII Hospital is a tertiary level hospital providing services to the whole of KwaZulu-Natal and parts of the Eastern Cape [6]. The hospital currently does not offer any transgender programs with free distribution and access of hormones. Our objective is for them to do so by making it accessible to people as it currently only available in two provinces (Gauteng and Western Cape) in South Africa. Transgender people are defined as those whose personal identity and gender does not correspond with their birth sex [4]. Implementation of gender-affirming services proves to be scarce and difficult in our country [2]. Section 9 of the Constitution prohibits discrimination, among others on the grounds of gender [1]. The Alteration of Sex Description and Sex Status Acts (2003) corresponds with our constitutions laws which permits one to change the sex description on their birth record under certain circumstances [4]. Hormone replacement therapy (HRT) acts as a very vital part for transgender people to feel more like themselves. Since transgender men and woman will never be able to produce these hormones naturally, HRT is a lifelong treatment that needs to be used recurrently, similarly to chronic medication. People take either the hormone Oestrogen or testosterone with other drugs to help them attain the physical characteristics that society ascribes to the gender they identify with. Examples of this treatment include the development of breasts for transgender woman by taking the hormone Oestrogen whilst Testosterone aids masculinity advances for transgender men [3]. Trans South African you-tube Vlogger Glow Mamiii shares her personal journey on the struggles of gaining access to HRT. She began seeking treatment at Chris Hani Baragwanath (Soweto) but was told she would have to wait 3 months for them to administer the HRT. She then opted to seek treatment from a private doctor which not many people can afford as medical aids don’t cover gender-affirming treatments such as HRT and surgeries. She reveals her struggle of finding a trans-friendly private practitioner as well as her personal details regarding the bodily changes, psychological and emotional distresses she experienced on HRT [7]. During her psychiatric consultations and psychotherapy meetings she speaks out against being diagnosed with gender dysphoria as transgenderism is classified as a gender dysphoria disorder [8]. Johannesburg based media-advocacy organization Iranti published a press release from the World Health Organization which removes mental illness from Trans Diagnoses [9]. Medical aid schemes don’t cover gender-affirming treatments such as HRT and surgeries as they are considered “lifestyle choices” which leaves trans people with the burden of covering these costs [1]. HRT can cost up to R800 a month adding up to almost a quarter of a million rand on medication [3]. 15% of transgender people are living in poverty compared to 4% of the general population. 19% of transgender people report lacking any form of health insurance including medical aid [6]. Studies show that access to gender-affirming treatment helps reduce thoughts of self-harm and suicide among transgender people. The only public hospitals that offer trans-specific healthcare services in South Africa are [4]: • Chris Hani Baragwanath (Soweto) • Steve Biko (Pretoria) • Groote Schuur (Cape Town) • Helen Joseph (Johannesburg) Treatments are often limited and dependent on how close you live to the facility and the lengths of their waiting lists. The treatment entails regular check-ups and to ensure correct dosage. Withdrawals from HRT lead to severe psychological and emotional distress like gender dysphoria, depression, anxiety and fatigue. [1] https://www.2oceansvibe.com/2018/10/26/healthcare-medical-aid-and-the-transgender-struggle-in-south-africa/ [2] https://bhekisisa.org/article/2018-10-26-00-tips-for-finding-a-trans-friendly-healthcare-provider [3] https://bhekisisa.org/article/2018-10-26-00-the-high-cost-of-being-yourself-transgender-healthcare-and-private-medical-aids [4] https://www.sowetanlive.co.za/s-mag/2019-04-05-conversations-transgender-healthcare-in-crisis/ [5] https://www.southafricanmi.com/population-density-map.html [6] http://www.kznhealth.gov.za/kingedwardhospital.htm [7] https://youtu.be/WXYiZK0l6mc [8] https://youtu.be/CpCwS177WhU [9] http://www.iranti.org.za/

The tailing dump contains highly radioactive chemicals like uranium, which can break down into radon gas. This can cause lung cancer , miscarriage and organ failure. our community is exposed to this radioactivity everyday giving us a short life span. Mbali Zulu a 35 year old woman she is a mother who gave birth to a child with cerebral palsy, her child was born with deformities and mental disorder. Her child cannot talk or take her self to the toilet ,she has to buy nappies for the rest of her life. She took her child for adoption because she only survives with grant money and it was not enough for her and the baby.[2] They are many children with cerebral palsy in our community .This is because if a pregnant woman swallows or breathes in radioactive materials , these may be absorbed into her blood stream. from the blood they may pass to the umbilical cord or near the womb and expose the fetus to radiation.[3] Many children are inclined to show symptoms of asthma like having a wheezing chest along with a running nose. The is a higher prevalence of asthma symptoms ( 21,9% and 32,9%) compared to the studies of Vusimuzi (south african national medical research council) [4] Durban roodepoort deep mine began operations more than a century ago in 1895. DRD gold mine sold the tailing dump to mintails limited mine in 2007. Mintails limited assumed full responsibility for its environmental management and rehabilitation. At that time the dump infrastructure was sound and fully contained it did not cause any pollution. In 2010 mintails limited did not maintain the dump, its infrastructure began to fail. Dust and water effluent began to occur. Because mintails limited is now liquidated. It is now within the powers of the department of mineral resource to allow and direct for the rehabilitation of the tailing dump in snake park soweto. [1] water research commission report no 100/02/03 (guidance for rehabilitation of contamination of gold tailing dam foot print) [2]https://youtu.be/0xIVCeIFmLw [3] bench-marks.org [4]www.theconversation.com [5]james duncan/adviser james [email protected]

We live in an era where the digital world influences the lives of many people, especially young black communities from poor backgrounds. We see something, we digest it, we want to duplicate it. Institutions such as the SABC should not have a negative impact, or allow negative airing. As the national broadcasting company, content that is of harmful nature or influence should not be aired, if not controlled. It is no secret that alcohol ads are flooding television. What is more saddening is that these ads glamourise alcohol consumption, and associate it with being successful. In the ads, you will see young people in an environment ‘where successful people belong’ consuming the alcohol, and promoting and encouraging those who are watching to go buy and drink it. According to a special issue on alcohol advertising by the Southern African Alcohol Policy Alliance (SAAPA), research has linked exposure to portrayals of alcohol use in the mass media with the development of positive drinking expectancies by children and adolescents. Young people with more positive affective responses to alcohol advertising hold more favourable drinking expectancies, perceive greater social approval for drinking, believe drinking is more common among peers and adults, and intend to drink more as adults. [3] Another research conducted by the Soul City Institute of Social Justice indicate that young people’s views on alcohol advertising, marketing and availability have a direct influence on their drinking patterns and sexual behaviour. Conducted in a rural village in Mpumalanga and an urban township, where young people were encouraged to capture their experiences through photographs and captions, including participating in focus-group discussions, young males believed that drinking a particular brand would lead to them being successful and young women said flavoured drinks were targeted at them. [4] While there are a number of regulations against alcohol adverting that have passed, such as airing alcohol ads between 2pm - 5 pm on weekday and before 12pm on weekends on TV; and 6am - 9am and 2pm - 5pm on weekdays and no advertising before 12pm on weekends on radio, the laws need revisiting. In 2010, the World Health Assembly of the World Health Organisation endorsed a Global Strategy to Reduce the Harmful Use of Alcohol that countries needed to adopt. Ten policy options were identified, one of them being to reduce the impact of marketing, especially on young people and adolescents. While not explicitly calling for a complete ban of alcohol advertising the Global Strategy calls for strong regulation of the various forms of advertising and marketing and for a “precautionary approach to protecting young people against these marketing techniques”[5] If alcohol ads are never going to be banned, we strongly believe that not only the SABC, but other broadcasting channels as well, need to adopt the above strategy; • Do not use settings that associate alcohol products with status and success. • Avoid using young people in the advertisements, or implement a law that only adults from the age of 40 and so, can be in alcohol ads. • Refrain from using influential words such as “Boss, The Man, Good Life, etc. Why we should act now We are what we consume! South Africa has a peculiar drinking profile, and is currently dealing with a large community from the age 15, who are struggling with alcohol abuse. Even though there are hundreds of organisations and campaigns raising awareness about the dangers of alcohol abuse, it does not make it right to have such ads, which are promoting the very same thing that our young black women, men and non gender conforming society are struggling with. We know that advertising causes younger people to drink sooner and in greater quantities. It also creates an environment that normalises drinking and it typically only portrays positive sides of drinking and not any negatives.[6] If we act now, we can have the power to control what we consume on TV, and by doing that, we will be saving ourselves, and the lives of young people. #WeDontNeedAlcoholToBeSuccessful [1] SABC Could Lose Half a Billion Rand If Alcohol Ads Are Banned. Zodidi Dano for IOL. 16 April 2018 [2] Banning Advertising Alcohol Can Save SA R1.9 Billion. Zeenat Vallie for IOL. 2 March 2018. [3] Impact of Alcohol Advertising and Media Exposure on Adolescent Alcohol Use. Peter Anderson, Avalon de Bruijn, Kathryn Angus, Ross Gordon & Gerard Hastings. SAAPA. 14 January 2009. [4] Alcohol Ads Luring SA Youth to Drink. Noni Mokati for IOL and Soul City Institute For Social Justice. 24 February 2017. [5] Alcohol Advertising In South Africa: A Trend And Comparative Analysis. Corne van Walbeek & Michael Daly for School of Economics, University of Cape Town. January 2014. [6]Proposed New Liquor Law Needs Revisiting. Marvin Charles for IOL. 16 August 2017. Image: Pexels

The big cigarette company British American Tobacco (BAT) have been fighting hard against new anti-smoking laws and taxes by shifting focus onto the illicit cigarette trade and tax evasion. They are funding a misleading campaign to convince government not to increase taxes on cigarettes so they can protect their profits [1]. Even companies like PricewaterhouseCoopers (PwC) are repeating industry claims that increasing taxes drives the illicit trade [2], even though industry has been caught over estimating and funding research into illicit trade [3]. Now Sars say BAT themselves are guilty of tax fraud and evasion and owe R143 million [4]. Clearly, they have been dishonest and shady in their tactics. But big companies like BAT rely on their brand and public image so they are vulnerable to us exposing their hypocrisy. If enough of us come together and shine a spotlight on their shady business and demand they pay what they owe- they will have no choice but to pay the R143 million. Join the campaign to demand BAT stop tax evading and pay what they owe. Each year South Africa spends more than R59 billion to address tobacco related illnesses like lung cancer, emphysema, asthma and bronchitis [5]. At the same time the country only collects between R11 billion and R13 billion from tobacco taxes [6]. This means the South African taxpayer is paying for the healthcare bill of tobacco-related harm while the tobacco industry collects the profits. Our queues at clinics and hospitals keep getting longer and government keeps cutting the healthcare budget while cigarette companies make billions. But, if enough of us come together and demand they pay what they owe, they will have no choice but to pay the R143 million. Government can use this money to help our struggling healthcare system. References [1] Did Big Tobacco buy Twitter? Joan van Dyk for Mail & Guardian 7 Sept 2018 [2] What to expect from the budget: Small tax increases, lower tax collection. Muhammad Hussain for City Press 13 Feb 2019 [3] Are the tobacco industry's claims about the size of the illicit cigarette market credible? The case of South Africa. 2014 Corné van Walbeek, Lerato Shai [4] Sars faces off with British American Tobacco over R143m tax bill, Graeme Hosken for Sunday Times April 2019 [5] The Tobacco Atlas - South Africa [6] BAT revenue rises but profit and market share fall, Robert Laing for Bizcommunity July 2017