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The Tincture Press
          Official Newsletter of the Pharmaceutical Society of South Africa (CWP) Branch
          Amptelike Nuusbrief van die Aptekersvereniging van Suid-Afrika (KWP) Tak
          TEL 021 683 7313 § FAX 021 683 5759 § EMAIL admin@pssacwp.co.za § P O BOX 375, CAPE TOWN, 8000

          The opinions expressed in this magazine are those of the writers and not necessarily of the editor or the
                      official view of the CWP Branch of the Pharmaceutical Society of South Africa.

                                        Vol 45 December 2017

                            Senate Dinner 2017

                                                                                                     Photo Tracey Adams

   Seated, l–r: Dr N Finkelstein, Prof SF Malan (President of the PSSA and guest speaker),
                 Ms A Patel (Senate Chairman), Mr W Bannatyne, Mr J Morris
Middle, l–r: Ms L Turner, Mr R Volks, Mrs J Maimin, Ms A Wege, Mr PJ le Roux, Ms C de Beer,
                       Mr M Lester-Olivier, Prof N Butler, Mr D Mader
  Back, l–r: Mr M Ackermann, Mr SP White, Mr E Smit-Wright, Mr GS Black, Ms R Boshoff,
                                  Mr G Malan, Mr L Röntgen
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TP Noticeboard
                         Dates to Diarise

Season’s Greetings
                                                                                

On behalf of all of us at the Branch Office, I would like to wish all members a peace-
ful, joyful festive season and a successful 2018. We hope that you will be able to take
some time out of your busy schedule to enjoy with family and friends.

Thank you for all the good wishes and encouragement we have received. We trust
you will continue to make use of the services we offer. Be assured that we will strive
to assist you in every way possible. May you enjoy every success, peace and happi-
ness in 2018. We remain ‘The PSSA, your Society, working for you’.

Dankie vir jul ondersteuning deur die jaar. Ons sien uit daarna om julle van diens te
wees in die nuwe jaar.

Gary S Black and staff

                           OFFICE CLOSURE

      Please note that the office will be closed from Friday
 22 December 2017 and will re-open on Tuesday 2 January 2018.

     Mr Black, the Director, will be contactable on his cell phone 082 895 6064.
The Tincture Press - MM3 Admin
The Tincture Press
               Official Newsletter of the Pharmaceutical Society of South Africa (CWP) Branch
               Amptelike Nuusbrief van die Aptekersvereniging van Suid-Afrika (KWP) Tak
               TEL 021 683 7313 § FAX 021 683 5759 § EMAIL admin@pssacwp.co.za § P O BOX 375, CAPE TOWN, 8000

               The opinions expressed in this magazine are those of the writers and not necessarily of the editor or the
                           official view of the CWP Branch of the Pharmaceutical Society of South Africa.

                                                                                                          Vol 45
                                                                                                   December 2017

CONTENTS

1.   Editorial                                                                Bill Bannatyne
     Is pharmacy in South Africa sitting on a time bomb that will explode anytime now?

3. Season’s Greetings                                                                       Sarel Malan
			                                                                                         Joggie Hattingh
			                                                                                         Ivan Kotzé
			                                                                                         Aleta Wege
			                                                                                         Donald Black

4.   Pharmacist Interns Research Day 2017

5.   I am the very model of a modern pharmacologist                                         James Parry
     Attendance: FIP World Congress in Seoul
6.   Reportback from FIP                                                                    Aleta Wege

12. PSSA CWP & SAACP combined AGM 2017
    12. Notice of Meeting
    13. 2017 Annual Report on the Activities of the PSSA (CWP) Branch
20. Minutes of a Combined PSSA and CPS AGM

editor   Billy Bannatyne § executive editor Gary S Black § classifieds Elize Fick typesetting User Friendly
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Editorial

                 Bill Bannatyne

Is pharmacy in South Africa sitting on
a time bomb that will explode anytime now?

How much to tell patients                                     This board was constituted in terms of the Medical,
Let me start by repeating an anecdote which I wrote           Dental and Pharmacy Act of 1928. In 1928, the fast-
in a previous TP. But, as the late Bertie Stewart             est means of transport was by passenger train. This
would have put it, ‘it was before the coming of the           meant that it took approximately two days travel
rinderpest.’ If anyone reads it this time round it will       between the major cities. For this reason, the Board
probably be for the first time. The story is about a          did not work through specialist sub-committees as
meeting of the CWP branch in a community hall in              the Pharmacy Council operates but everything, in-
Vredehoek. At the end of the meeting a pharmacist             cluding formal inquiries, was done at a full board
remarked that when he dispensed a prescription in             meeting.
his pharmacy, his customers often asked a lot of ques-          This procedure continued after World War 2 so
tions about it. His problem was that he was uncertain         this was when I first came across the members of
about how much information about the medicine he              the legal profession who specialised in defending
should give to the relevant customer and whether              pharmacists accused of malpractice. Knowing how
the prescribing doctor might object.                          careless the average person is in answering questions,
   The late Mr Hymie Barnett, the doyen of local              how poor our memory of the finer details of previous
pharmacy, stood up and, in a rather haughty voice,            incidents can be, and how our memories of these
stated that he was only prepared to explain to the            events ­become infused with ideas and comments
customer what the doctor’s directions for the medi-           of others, they are particularly skilled in ­destroying
cine were and if there were any other questions, he           the evidence of anyone who opposes them as being
would inform the customer that he or she should               unreliable and unacceptable.
discuss them with the doctor who prescribed the
medicine.                                                     US doctors’ fear of malpractice
   Immediately, a young lady pharmacist stood up              They are particularly active in the USA. There are
and in a sweet tone that a caring mother would use            numerous incidents of their work in this regard. One
when dealing with a stubborn child, said ‘No, Mr              of them, who was later a candidate for the US presi-
Barnett, you are wrong. A modern-day pharmacist               dency, argued that a child born with a malformed
must answer every question that a customer asks               brain would not have been so damaged had the baby
about a prescribed medicine and ensure that the cus-          been born by caesarean section. The entire obstet-
tomer fully understands what it is all about and feels        ric profession of the country disagreed with him but
quite comfortable about taking the medicine.’ Mr              he had this contention accepted by the courts. For
Barnett, who could be devastating in public debate,           many years thereafter, obstetricians were reluctant
never said a word but sat quietly with a slightly per-        to attend the birth of an infant unless it was by the
plexed if not amused look on his face. I have always          caesarean method.
felt that if this young lady ever got bored with phar-           I think it was a Readers Digest report that recorded
macy she could have a most enjoyable and successful           an incident where a passenger plane, travelling be-
career in the Diplomatic Corps.                               tween the UK and USA carried a large number of
                                                              US medical doctors returning from a conference in
Legal challenges                                              ­Europe. High over the Atlantic, the pilot, through
Before I was elected to the Pharmacy Council, I was            the public address system, enquired whether there
elected in a by-election to serve the last two-and-            was a doctor on board who could assist the cabin crew
a-half years as a member of the Pharmacy Board.                in dealing with a passenger who had taken ill. Not

                                                          1
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Editorial continued

a single US doctor responded. They were all afraid           members dispensed each prescription, separately on
of possible malpractice charges. A doctor from Paki-         their own. It would also ensure that all the details
stan assisted the crew. A fairly recent Carte Blanche        were attended to.
programme had a story about a South African ob-
stetrician who was attending his last confinement            Avoiding potential malpractice
as the premium for an insurance policy providing             There is an additional item which I think cannot be
support against malpractice charges was going to be          found in a normal patient’s medical details. That is
over a million rand for the following year. One of           their immunity-building ability and their resistance
my daughters who resides in Gauteng tells me that            to adverse drug reactions. The Merck Manual classi-
her gynaecologist will not accept anyone as a patient        fies adverse drug reactions as being either mild or
who is below the age of 40 years.                            moderate or severe or lethal. Whilst the mild variety
                                                             can often be accepted and even ignored, moderate
South Africa at risk                                         can often be rectified by change of medicine or dos-
This brings me to the title and subject of this edito-       age; severe can be serious often resulting in hospital-
rial. My concern is that pharmacy in South Africa,           isation, and lethal is the end of the line but is often
particularly at community and hospital out-patient           hidden in its origins by the resulting disease which
dispensary level, is at risk of malpractice charges. I       does not respond to treatment.
think we may find the profession in a Ford Kuga situ-           A further complication is that our lifestyle encour-
ation. The Kuga was not an isolated incident. It only        ages and recommends that we should always try hard
hit the headlines when the driver of the car was un-         in our life’s endeavours and should not be defeated
able to get out of the car fast enough and was killed.       by setbacks but should always try again. Very often
From some personal observations and a discussion             people who start out in life with very healthy bod-
I had with our executive director, there is a concern        ies lose their resistance through hard work and con-
that some pharmacists are more interested in the             stant endeavour as well as resurrecting themselves
number of scripts they dispense and counselling is           from setbacks. Because of modern medicine they are
something of a forgotten art.                                able to survive despite their minimal resistance to
   At a previous Senate Dinner, much to the audi-            adverse reactions and suchlike emergencies.
ence’s apparent disapproval, I delivered a speech,              I think this is an unexplored area of research. We
based on some time and motion principles that                should be able to identify high-risk patients. I think
dispensing a prescription should not be the sole re-         we can avoid possible malpractice charges if patients
sponsibility of a single pharmacist but should be a          who are at high risk as a result of hard work, con-
team effort. I believe that in a busy pharmacy with          stantly facing adverse situations, and recovering and
the public crowded around the open dispensary,               surviving adverse setbacks are known to us so that
usually all of whom are in a hurry, attending to all         they can receive the additional care and considera-
the detail required to dispense a prescription that          tion to avoid situations which have the potential for
is safe for the patient to use is far too much for a         malpractice charges. It could be the less expensive,
single person to continuously perform. A team effort         less traumatic and less worrying route.
would accomplish more dispensing than if the team

                                                 —oOo—

                                                         2
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Season’s
          
    Greetings
             
Dear friends and colleagues                                   To all our members
It is that time of the year again where we look back          Thank you for your loyal support and your commit-
at what has been accomplished, what we still wanted           ment to our profession. At this time of the year we
to do and what we neglected to do. We always strive           should remind ourselves of the purpose of life and
for more, but within our changing environment and             fill our hearts with joy and happiness, thankful for
limitations, the achievements for pharmacy in South           friends and families. May 2018 bring you all success
Africa outweigh the failures, moving the profession           and satisfaction.
ever forwards. I trust that this is true for all of us           IVAN KOTZÉ
individually as well, and that looking back on the               Executive Director PSSA
year, the triumphs and good experiences are what’s
remembered. For me a highlight was surely the com-
ing together of all spheres and practice settings of
pharmacy to work together on defining the place
                                                                                     
and value of pharmacy in the current and future               What an amazing year 2017 was!
healthcare system of our country. Our future is in            Please take a moment to reflect on all the blessings
our hands.                                                    you experienced over the course of the year. This
   I would like to wish you a blessed festive season          was the year of my first FIP World Congress. It was
and a 2018 full of achievements and highlights.               a wonderful experience and I urge you to add FIP
   SAREL MALAN                                                World Congress to your bucket list. I hope you all
   PSSA President                                             have a blessed Festive Season and are able to spend
                                                              valuable time with family and friends. Come back in
                                                             January re-energised and ready for the year that lies
                                                              ahead. Expect to be amazed in 2018.
Colleagues and Friends                                          ALETA WEGE
With the festive season and end of the year upon                SAAHIP WC Chair
us, I want to extend my heartfelt thanks tone and
all who contributed to make 2017 a memorable
year, through membership, through contributions
and through service to the people of our wonderful                                   
country. May we all enjoy life to the fullest with fam-
ily and friends and may we always have a thankful             Dear Colleagues
heart.                                                        All too soon Christmas is here with us again and we
   To those who are privileged to take a holiday, may         see the end of another year.
you enjoy your well-earned rest and return to work               Thank you to those of you who unselfishly gave of
rejuvenated. To those who hold the fort, thanks for           your time and commitment to our Profession.
giving your colleagues the opportunity to take a                 Christmas is a very precious time to spend and
break and when your turn comes, make the best of it.          enjoy with family and friends and I wish you a fruit-
   I want to extend my best wishes to our colleagues          ful and prosperous New Year. May the year that
who observe Christmas. May you have a blessed fes-            lies ahead be filled with good health, peace and
tive season in Christ our Lord.                               happiness!
   I wish all of you a wonderfully blessed New Year              If you are going to be travelling at this time, may
with good health, wealth and happiness.                       you return home safely!
   JOGGIE HATTINGH                                               DONALD BLACK
   SAAHIP President                                              PSSA/ SAACP Chairman

                                         ***********
                                                          3
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Pharmacist Interns Research Day 2017

     An important highlight of the year for the interns
     working for the Western Cape DoH is an opportunity
     to present their research projects to their colleagues
     and peers at Pharmacist Interns Research Day. Sincere
     thanks to, in particular, Denise Frieslaar and her team
     for organising this event.
       Aleta Wege, Chairperson of SAAHIP, was one of the
     adjudicators and presented the prizes to the winners.
     The prizes are sponsored by the Branch and SAAHIP.
     The winner receives free membership of PSSA for one
     year, attendance of the next SAAHIP Conference where
     she will present her work again, a book voucher and a             Winner Lee-Anne Andrews (Bishop Lavis
     commemorative plaque.                                            Community Health Centre) with Aleta Wege
                                                                                and Denise Frieslaar
This year the winner was Lee-Anne Andrews from               Results
Bishop Lavis Community Health Centre. We pub-                A total of 1558 folders were included for review in
lish here a synopsis of her winning project.                 this study. In April 2017, 16 of 271 people that were
                                                             screened were diagnosed with diabetes. In May and
A retrospective study to determine the necessity             June 2017, 271 and 203 people were screened with
of the H65/2016 health circular to screen non-­              only six and seven people being diagnosed respec-
diabetic patients for diabetes at Bishop Lavis Com-          tively. After the H65/2016 circular was emphasised
munity Health Centre                                         to the clinical nurse practitioners and doctors, 471
Andrews L,1 Champanis E,1 Bedeker W,1 & Sayed F1             patients were screened but only five patients were
                                                             diagnosed which amounts to only 3.45%. In August
Introduction                                                 2017, 332 patients were screened for diabetes; how-
Hyperglycaemia is a common, serious and costly               ever, only 13 patients were diagnosed. This amounts
healthcare problem. Glucose testing has become               to 3.92% which is a fraction of patients seen at
standard procedure in many primary healthcare                BLCDC.
facilities and is often unnecessary. An investigation
regarding the frequency of Accu-Chek strips used             Conclusion and Recommendations
for non-diabetic screening and the rationale for this        Adhering to the H65/2016 health circular does not
screening was compared to the criteria as stated in          have a drastic effect on the number of patients being
the H65/2016 circular. Based on this we can investi-         diagnosed with diabetes. The results indicated that
gate whether adhering to this circular is a necessity        adhering to the circular is not a necessity and can
and if it is beneficial to our practice as healthcare        save time and resources. To save time, money and
professionals working for the benefit of the patient.        resources that have been proven to be limited in the
                                                             public sector, the Society for Endocrinology, Metab-
Objectives                                                   olism and Diabetes of South Africa Type 2 Diabetes
To establish if adhering to the H65/2016 circular is a       Guidelines are recommended.
necessity and is beneficial to our practice as health-
care providers and make recommendations based on             The other winners were:
results.                                                     • 1st Runner-up: Zaahid Parker of Lady Michaelis
                                                               Community Health Centre
Methods                                                        Topic: Medicine use evaluation of methylpheni-
The study was a quantitative, retrospective folder              date at Lady Michaelis Community Health Centre
review investigation conducted at Bishop Lavis CDC           • 2nd Runner-up: Mawande Golozana of Eerste
between April 2017 and ­    August 2017. Only non-­             River Hospital
diabetic adult patients (~18 years old) of varying              Topic: Mapping evidence- based application to the
characteristics folders were retrieved and reviewed at           Provincial Pharmacy and Therapeutic Committee
the pharmacy; data collected, captured and analysed.             (PPTTC) for the inclusion of phenylephrine
                                                                 minims and fibrin sealant injection on the
                                                                 ­
1 Bishop Lavis Community Health Centre                           provincial code list.

                                                         4
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I AM THE VERY MODEL OF A MODERN                         Attendance: FIP World
         PHARMACOLOGIST                                  Congress in Seoul
       (With apologies to W.S. Gilbert)

I am the very model of a modern pharmacologist.
The scope of practice in my head would surely            Congratulations to Aleta Wege, SAAHIP (WC)
   stun an alchemist                                     Chairperson who earlier this year had the opportu-
I am very well acquainted with the tenets of the         nity to present her poster, ‘Paracetamol Poisoning:
   formulary                                             ­Rational use of N-Acetylcysteine’ at the FIP Con-
But often seek the counsel of my colleagues in            gress in Seoul.
   dispensary                                               The Branch assisted in making it possible for her
Klarithran and Aspavor, Glucophage and                    to attend the Congress and she writes as follows:
   Atropine
Madopar and Noortropil, Glycomin and Stelazine           I herewith would like to convey my gratitude for the PSSA
But oh, in matters medicinal, ethical, and               CWP Branch’s contribution towards my attendance of the
   pertinent                                             FIP World Congress during September 2017.
I am the very model of a modern pharmacologist!             This was an amazing experience and I learned such a
                                                         lot. As I was listening to colleagues from around the world
I’m very well acquainted, too, with the constant         I realised that pharmacists all face similar challenges, all
   quest for Methadone                                   go the extra mile for their patients and work around those
And often asked for doctor’s calls upon the              obstacles in resource limited environments – all of this for
   dispensary telephone.                                 the best interest of our patients. We are truly a borderless
Allergic rashes, hammer toes, aches and pains
                                                         profession.
   are stock in trade
                                                            I want to recommend attendance of the FIP World Con-
As is a great appreciation of methods how the
                                                         gress to all our members. The 2018 conference will be held
   meds are made
                                                         in Glasgow, 2019 in Abu Dhabi and 2020 in Seville,
But oh, in these and other matters medicinal and
                                                         Spain. Just go and be blown away.
   pertinent
                                                            Regards
I am the very model of a modern pharmacologist!
                                                            Aleta Wege
I have a goodly knowledge of stomach cramps
                                                           See report below.
   and diarrhoea
And have an understanding of coughs and colds
   and panacea
I’m very good at formulas, both liquid and
   encapsulated
I know the Latin names of all the medicinals
   intabulated;
Side effects and interactions, claiming things and
   telephones
Interruptions, counselling, dispensing meds and
   other clones
In short, in matters medicinal, ethical, and
   pertinent
I am the very model of a modern pharmacologist!

For my pharmaceutics knowledge, though I have
   a goodly memory,
It has only been about from the beginning of the
   century;
But still in matters medicinal, ethical, and
   pertinent
I am the very model of a modern pharmacologist!

         © 2017 James Parry Dip.Pharm. (S.A.)

                                                     5
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It was with great excitement that I boarded my                • Paracetamol poisoning: Rational use of
Emirates flight to Seoul, South Korea. I have never             N-Acetylcysteine – A Wege, Helderberg Hospital
travelled that far East. After crossing seven timelines       • Clostridium difficile: infection, risk factor and
during my 19 hours flying from Cape Town to                     management among hospitalised patients in South
Incheon Airport, Seoul via Dubai, I arrived at my hotel         Africa – Laurel Legenza, University of Wisconsin
on Saturday, 9 September, at 1 am in the morning. It
was only Friday, 8 September, 6 pm in South Africa. I         It was difficult to decide which of the sessions to
was ready for FIP 2017:                                       attend, but I chose as best I could. Here follows
                                                              feedback on those sessions I attended.
    Medicines and beyond! The Soul of Pharmacy
                                                              1.   First Timers Meeting
The Opening Ceremony on 10 September was
impressive. The Korean hosts did themselves proud.            First Timers were introduced to FIP. Who is FIP and
We were entertained by, amongst others, students              what does FIP do. FIP (International Pharmaceutical
from the different Korean Pharmacy Schools. Of                Federation) is an NGO with an official relationship
course they performed the popular hit Gangnam                 with World Health Organization (WHO).
Style, much to the delight of the audience. A famous             The three pillars of FIP are:
Korean group, Red Velvet, also performed and I was            • Pharmacy practice sections
introduced to K-Pop.                                          • Special interest groups
   The theme of the congress referred to the new              • Pharmaceutical sciences
challenges and changes the pharmacy profession
is facing worldwide. The soul of pharmacy has to              2. Plenary Session: The Soul of Pharmacy
be nurtured and preserved, based on tradition,                2.1	The soul of pharmacy and its core purpose in
education, innovation and dedication. In her                       healthcare
address, the President of FIP, Señor Carmen Peña,             William Zellner (USA) spoke about the values of the
reminded the delegates that education should no               profession and the principles underlying professional
longer be considered a burden, but must be seen as an         practice. Pharmacy practice is in the process of
investment. Education is essential because we need a          transforming from primarily a supply function to a
healthcare workforce that can provide the necessary           patient-care function.
services as the world moves toward
universal healthcare.                                                         2.2 Pharmacy in a world of limited
   The sessions were divided in five                                               resources
streams:                                                                      Leonila Ocampo (Philippines) de­
• Nurturing the soul of pharmacy                                              scribed the situation in her country.
• Precision pharmacotherapy                                                   It is a low income country, geo­
• Pharmacy services: Going beyond                                             graphic­ally an archipelago with
   prescription                                                               village clinics to provide healthcare
• Smart pharmacy                                                              to the population in these
• Targeting special interests                                                 remote areas. I could relate to the
                                                                              challenges the pharmacists in the
The Hospital Sector Poster Session                                            Philippines have to deal with as we
took place over two days: Monday                                              have similar challenges in South
11 and Tuesday 12 September.                                                  African healthcare.
Western Cape Government Health
featured in two posters:

                                                          6
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FIP: Medicines and beyond! The Soul of Pharmacy … continued

2.3 Pharmaceutical science and innovation
Leslie Benet (USA) reminded us from where we
have come. Through innovation we have moved
from manufacturing emulsions and poultices to
controlled and extended release formulations, to
nano-medication and bio-equivalent and bio-similar
drugs and lately to precision medication.
   The profession is now changing from product-
orientated training to patient-orientated training.

2.4 Pharmacy caring for patients
Warren Meek (Canada) reminded us that every
patient has a story and we need to listen better. He
reported on pharmacists caring for patients in East
Africa, Tanzania, Lebanon and Iran. In 2015, 1.28          Speakers from Korea, Australia (2) and Canada
million people were displaced and these people are         discussed the global challenge of non-adherence
in need of assistance and humanitarian support. His        to treatment. In 2003 the WHO reported 50% non-
closing message was: ‘Say what you do, Do what you         adherence rate by patients with chronic diseases.
Say and Do it well’.                                       Research shows a non-linear relationship between
                                                           health literacy and adherence. The consequences of
2.5 Educating pharmacists for the future                   non-adherence are:
William Charman (Australia). Pharmacy is a highly          • Clinical – poor outcomes
regulated competency-based profession. The focus           • Humanistic – poor quality of life
is on WHAT is taught rather than WHY and HOW. To           • Economic – $500 million wasted
fulfil our role with regard to the WHO Sustainable
Developmental Goals 3, 4 and 9, to attain universal        Pharmacists are part of the solution. We need to
healthcare we need to develop a healthcare work­           understand the difference between, and reasons
force – by educating future pharmacists and by             for, intentional and non-intentional non-adherence.
enabling the current workforce.                            Research done shows five categories of reasons why
   Without a healthcare workforce there will be no         patients are non-adherent:
healthcare.                                                • Socioeconomic, e.g. affordable treatment
   As Carmen Peña, FIP President, stated in her            • Healthcare professional, e.g. trust, language
opening address, education is not a burden, but an           barriers
investment.                                                • Condition, e.g. severity of illness
                                                           • Therapy, e.g. side effects, complicated regimes
                                                           • Patient, e.g. health literacy

                                                           $500 million could be saved annually if responsible
                                                           use of medicines is achieved.
                                                             We, the pharmacists of the world, must adapt to
                                                           our new role. The focus is on patient care and we
                                                           must hand over the supply function to the pharmacy
                                                           technicians and other support personnel.

                                                           4. How to deal with low health literacy
                                                           Speakers from Australia, Korea and the Netherlands
3. Improved Outcomes, Better Health                        discussed health literacy and its impact on health
The WHO defines adherence as                               outcomes. Patient characteristics were associated
                                                           with their level of health literacy. Patients do not
  The extent to which a person’s behaviour – taking        want to show their ignorance by asking questions.
  medicine, following a diet, or making healthy            Pharmacy is an environment where we use specialised
  lifestyle changes – corresponds with agreed upon         skills and equipment and have our own language.
  recommendations from a healthcare provider.              This is an intimidating environment to the patient.

                                                       7
FIP: Medicines and beyond! The Soul of Pharmacy … continued

   When we consider maternal mortality figures we
find that worldwide 830 women die every day from
preventable diseases. Even in countries with a high
literacy rate the level of health literacy can be low. In
Korea, 32.7% of highly literate individuals could not
understand medicine directions.
   Pharmacists should be aware of the consequences
of low health literacy and should endeavour to
ensure their patients understand the doctor’s
and the pharmacist’s instructions. We should not
assume that the patient understands, but should use
different methods of communication to ensure we
communicate in a way that the patient understands.
Ask the patient to explain to you how he or she
would be taking the medicine. Use pictograms to
explain to the patients.
   Carmen Peña reminded the audience that health
literacy is a basic human right and pharmacists have
an important role to play to improve health literacy.

5. Hot Topic – The Refugee Crisis and the role of
    pharmacy
Pharmacists from Lebanon and Jordan shared their
challenges when caring for Syrian refugees.
   The influx of refugees to Lebanon places an                  parents. This no longer is the case. At the beginning
increased demand on the healthcare system. Twenty-              of the 1960s Korea was one of the poorest countries
seven per cent of Lebanese already live below the               in the world. Life expectancy of Koreans has increase
poverty line. The population has now doubled.                   due to:
This has a great impact on the host community.                  • Improved nutrition
Pharmacists are seeing new diseases emerging in                 • Expanded access to healthcare
their country, e.g. leishmaniasis.                              • New medical technology
   Language barriers and cultural differences are also          • Lower health inequalities
challenges pharmacists have to deal with. Refugees
suffer from post-traumatic stress disorder and social           The projection is that life expectancy of Korean
exclusion. Children can’t attend schools as they are            people in 2030 will be the highest in 35 industrialised
not legal residents of the host country.                        countries with women 90.8 years and men 84.9
   Sweden, a high income country, integrated refugee            years. The Korean government would like to improve
pharmacists from Bosnia, Syria and Romania into                 income security for retired persons and wants to
their healthcare system. These pharmacists boosted              provide expanded medical cover for these citizens.
the Swedish healthcare system and they are able to              The challenges are:
assist refugee patients.                                        • How to fund the extended cover and income
   This once again confirms that pharmacy is a                    security
borderless profession.                                          • How to ensure sustainability in the long term

6. Healthy Ageing                                               Alpana Mair (Scotland) reminded the audience
Healthy ageing is well-being in older age, enjoying             that our systems are not designed to care for the
health and happiness; it is not only the absence of             elderly. However 50% of the world population is
disease.                                                        over 50 years of age. We need systems to allow the
   Heung-Bong Cha (Korea), former Korean Minister               retired person to maintain his or her ability to live
of Social Development, spoke on population ageing               independently. The public health challenge of ageing
in Korea and a new vision of health ageing. Korea               requires development and design of:
is developing a new policy to enable people over                • Health systems for the population we serve
65 years to continue living independently. In a pre-            • Systems of long-term care
industrial age children used to look after ageing               • Age friendly environments

                                                            8
FIP: Medicines and beyond! The Soul of Pharmacy … continued

She also spoke on polypharmacy in elderly patients.          We must utilise communication skills and tools
Due to co-morbidities elderly patients take more             available, e.g. pictograms, with patients with low
than one type of medication.                                 literacy and low health literacy to improve health
• Adverse drug reactions and drug interactions due           communication with patients. However, first we have
  to polypharmacy results in 8.6 million unplanned           to learn to listen better. We must be aware of the non-
  hospital admissions in Europe every year                   verbal communications and factors that contribute to
• 50% of hospital admissions due to ADR are                  non-adherence. During this period of change, where
  preventable                                                the profession is moving from a supply function to a
• 70% of these ADR are in patients >65 years of age          patient-care function, pharmacists must listen better
  who are taking five or more medicines                      and talk better to improve adherence and ultimately
• This has a tremendous impact on the healthcare             result in better health outcomes.
  budget of a country
                                                             9. Ethics
Pharmacists must be equipped to better serve the             9.1 Healthcare Reform in Taiwan
ageing population and to intervene to decrease               Fei-Lin Wu (Taiwan) spoke about the reform of
adverse events. Pharmacy staffing models also need           healthcare systems in Taiwan. Previously, due to poor
to be such that pharmacists have the capacity to deal        policy and poor control, they had to deal with highly
with polypharmacy.                                           unethical practices in Taiwan. All aspects of their
                                                             healthcare system went through a period of reform,
7. Hospital Pharmacy Sector Meeting                          which also included reform of pharmacy education
I attended the sector meeting where feedback on a            and educating the public. The key to reform was
number of projects was given:                                to improve the quality of pharmacy practice in
• Antimicrobial stewardship and global solutions             the community through collaboration between
• Medication shortages                                       government, pharmacies, hospital pharmacists
• Counterfeit medication                                     and community pharmacists. Today the healthcare
• Opioid abuse                                               system in Taiwan is of high quality and adhering to
• Lack of access to analgesics in certain parts of the       ethical standards.
   world
• Basel statements 2015 on the future of hospital            9.2  Ethical issues related to intellectual property
   pharmacy practice.                                              and personalised therapy
   See www.fig.org/baselstatements                           Wilma Göttgens (Netherlands) spoke about Per-
• Biologicals                                                sonalised Pharmacotherapy where standard ­dosage
                                                             ­regimes are no longer applicable, A number of
8.	Listen Better, Talk Better – Skills to improve            ­ethical questions arises:
      medicines taking                                         • Is this patient-centred care or is it technology?
Parisa Aslani (Australia), Ash Soni (UK) and Marion            • Who owns the data?
Schaefer (Germany) spoke on communication and                  • What about patient confidentiality?
its influence on medicine taking. Non-adherence to             • Who may use the data?
treatment remains a worldwide challenge. In the UK             • Limiting access to data hampers continuity of
£400 million worth of medication is wasted annually.             pharmaceutical care
As much as 30%–50% of medicines are not taken as               • Which ethical rules, and which legal rules, are
prescribed. We must identify where we have done                  applicable?
well and also what we can improve on.
   Can we improve adherence by improving our
listening skills and our communication skills? As
Warren Meek said earlier in the conference: ‘Every
patient has a story’. We must differentiate between:
• Intentional non-adherence
• Non-intentional non-adherence
• Patients’ knowledge (or lack of knowledge) and
   perception of safety and risk
• Information contributes to intentional
   non-adherence

                                                         9
FIP: Medicines and beyond! The Soul of Pharmacy … continued

• Access to BIG DATA is in the best                                         10. Closing Ceremony/Dinner
  interest of progress in treatment Then                                    The closing event was the formal
  we have another ethical dilemma:                                          dinner on Thursday night. Our hosts,
  Two pharmacists, same situation and                                       The Pharmaceutical Society of Korea
  different interpretation of ethical                                       (PSK) and the Korean Pharmaceutical
  standards, different behaviours and                                       Association (KPA) once again treated
  different routes of action – who is                                       their guests to a spectacular show and
  right? Is one wrong and one right?                                        a delicious meal.
                                                                               It was time to greet our colleagues
9.3 Emergency contraception                                                 from all over the world. South Africa is
Arijana Meštrovič (Croatia) spoke on                                        one of the bidders for FIP 2021 and we
the moral dilemma of emergency                                              invited our colleagues to join us in Cape
contraception in a country with 75%                                         Town should our bid be successful.
of the population Roman Catholic.                                              The Korean hosts handed over the
What about patient care? Do you sell                                        baton to the organising committee for
the morning after pill, but not an IUD,                                     FIP 2018, which will be held in Glasgow.
because of different modes of action?
Do you base your decision on when you believe life             11. In Closure
begins? Is it when two cells fuse or when these fused          Attending the conference was an amazing experience.
cells are implanted in the uterus?                             I have learned so much! It was terrific to see how
   Are you, as a pharmacist, entitled to conscientious         Western Cape Government Health Healthcare 2030
refusal? Your conduct should not be a danger to the            is aligned with WHO vision for universal healthcare,
health, welfare or safety of a patient.                        as is FIP.
                                                                  I want to recommend that WCG Health allows
9.4	Ethical dimensions of pharmacogenetics and                candidates to attend the annual FIP World Congress.
     personalise therapy                                       FIP 2019 will be held in Abu Dhabi and FIP 2020 in
Farshad Shirazi (Iran) once again had a discussion on          Spain.
the BIG DATA issue, intellectual property and patient             To learn from pharmacists around the world and
confidentiality. He is of the opinion that it is in the        realise that they have similar or bigger challenges than
best interest of the patient to share the information.         us, and that we all share the same vision of patient-
Human life in the 21st century is becoming more                centred care, renewed my energy to contribute to
and more impersonalised. To share the data is for              the process of change,
the benefit of the patients. To discover each patient’s        allowing pharmacists to
genetic code and treat him/her accordingly is the              step into the new roles
ultimate goal. The patient could carry the data on             expected of them.
a flash drive (USB) and decide who to share the
information with.                                              Thank you for your
   Careful observation and control of the present              support! This has been a
transitional phase of extensive personalised                   life changing experience!
information disclosure for scientific purposes is
mandatory. International regulations and laws are              Aleta Wege
required to prevent any use of personal data for               Pharmacy Supervisor
unethical purposes.                                            Helderberg Hospital

                                                          10
10 | P a g e

11
NOTICE OF AN ANNUAL GENERAL MEETING

Notice is hereby given of the combined Annual General Meeting of
the Cape Western Province Branch of the Pharmaceutical Society of
South Africa and the SA Association of Community Pharmacists (CWP)
Branch

to be held
at Pharmacy House, ‘S’ Block, Greenford Office Estate,
Punters Way, Kenilworth
on Wednesday, 7 February 2018
at 7:00 pm for 8:00 pm

The meeting will be preceded by a finger supper. Wives, husbands
and partners are most welcome, but to facilitate catering, kindly RSVP
by Friday 2 February 2018
ELIZE/BAHIA – TELEPHONE 021 683 7313

     KENNISGEWING VAN ’N ALGEMENE JAARVERGADERING

Hiermee word kennis gegee van die gekombineerde Algemene Jaar­
vergadering van die Kaap Westelike Provinsie Tak van die Aptekers­
vereniging van Suid-Afrika en die Gemeenskapsaptekers Sektor (KWP)
Tak

wat gehou sal word
te Farmasiehuis, ‘S’ Block, Greenford Office Estate,
Puntersweg, Kenilworth
op Woensdag, 7 Februarie 2018
om 7:00 nm vir 8:00 nm

Die vergadering sal deur ’n vinger ete voorafgegaan word. Gades en
metgeselle is baie welkom, maar om verversings te voorsien sal ’n
antwoord waardeer word. RSVP teen Vrydag, 2 Februarie 2018
ELIZE/BAHIA – TELEFOON 021 683 7313

                                    12
2017 ANNUAL REPORT ON
                  THE ACTIVITIES OF THE PSSA (CWP) BRANCH

Introduction                                                      Young Pharmacist’s Sub-committee
This serves as a brief summary of the many activities of          The Young Pharmacist’s sub-committee was chaired by
the Branch and its Committees.                                    Gawie Malan. Activities included the following:
                                                                  • The Branch facilities were used by the Western Cape
2017 PSSA Branch Committee                                          DoH for orientation of their interns (30 January) and
The following members served on the Committee:                      community service pharmacists (13 and 14 February).
Chairperson     Mr DG Black                                         On both occasions the Society was afforded an
Vice-Chairman Mrs J Maimin                                          opportunity to address these young pharmacists.
Treasurer       Dr N Finkelstein                                    Colleen Whitelaw, Chairperson of SAAHIP WC
Elected Committee members                                           Branch spoke to the interns about the benefits of
Ms C de Beer              Mr KA Johnson                             membership of the PSSA.
Mr PJ le Roux             Mr GG Malan                             • Membership application forms and the leaflet
Ms B Macauley             Mr PW Meissenheimer                       explaining the Vision and Mission of the Society were
Mr MS Sattar              Mr HHD van Dyk                            distributed on both occasions. Interns were asked to
                                                                    pay just R100 towards their membership for the year
Immediate Past Chairperson Ms A Patel                               with the balance being sponsored by the Branch.
                                                                  • The Young Pharmacist Group, with assistance from
PSSA National Executive Members                                     UWC, has launched a new initiative. They are currently
Ms R Boshoff, Prof NC Butler, Ms A Patel                            setting up their own version of an app called ‘Quiz
                                                                    Up’ which can be downloaded on mobile phones.
PSSA president Prof SF Malan                                        This is a game whereby pharmacists can test their
Sector representatives                                              knowledge of pharmacy practice, latest treatments
Academy Dr K Ward                                                   and guidelines.
SAACP chairman Mr DG Black                                        • Other planned activities for the year included
SAACP vice-chairman Mr K Patel                                      assistance to the interns on submitting their CPD
SAAHIP chairman Ms C Whitelaw                                       port­folios and a tutorial in preparation of the intern
SAAHIP vice-chairman Ms A Wege                                      exams. Unfortunately, due to lack of response, the
SAAPI Ms A Patel                                                    tutorial was not held.
                                                                  • A call for applications for the PSSA Young Pharmacists’
In attendance Mr GS Black (CWP) Branch Director                     Group (YPG) Professional Innovation Project 2017
                                                                    was sent out by e-newsletter and nationally by news­
The following Committee meetings were held:                         letter, the website and Facebook.
  25 January, 8 February (AGM),                                   • The SAPC held a tutor/intern information seminar on
  1 March, 14 June,                                                 17 March.
  28 November                                                     • A number of young pharmacists serve as elected
                                                                    members on the PSSA, SAACP and SAAHIP Branch
Financial Advisory Committee                                        committees.
This Committee consisted of the Treasurer, Dr N Finkel­
stein, Mr DG Black, Mr KA Johnson and Mr K Patel. This            PSSA National Executive Committee
Committee was tasked to oversee and control the                   Branch Committee members serve on the PSSA National
­finances of the Branch.                                          Executive Committee as follows:
    Whilst the Treasurer will deliver a full report at the        • Prof Sarel Malan was re-elected President of the PSSA
 annual general meeting, we can report that certain               • Mr Joggie Hattingh, President of SAAHIP, serves as a
 changes to the investment portfolio were made to                   Vice-President of the PSSA
 secure better investments and more income for the                • Current elected members are: Ms A Patel, Mr DG Black
 running of the Branch.                                             Mr Gawie Malan and Ms R Boshoff

                                                             13
2017 ANNUAL REPORT ON THE ACTIVITIES OF THE PSSA (CWP) BRANCH continued

Mr Hattingh and Ms Patel serve on the NHI Portfolio              • Practice information, promotional material, guide­
Committee.                                                         lines and patient information leaflets
   The Director, Mr Black is the nominated Director              • Assistance to members with submissions to and
serving the Constitution Portfolio Committee. Having               liaison with SAPC and DoH
scrutinised the Constitution, Mr Black submitted                 • Liaison with SAPC on behalf of members regarding
proposals for amendments and commented on the                      registration numbers, correspondence, etc.
proposed articles of association for the YPG group. He
also assisted SAACP, SAAHIP and the other Branches               Labour Relations
with constitutional matters                                      The Branch continues to pay the retainer for our Labour
                                                                 Relations consultant, Mr Gerald Jacobs. This service is
Honours                                                          provided by the Branch to all members nationwide.
Members of our Branch have achieved high ­honours                  Queries are regularly referred to Mr Jacobs. Matters
within the profession during the past year and d ­ eserve        addressed included:
our congratulations and support.                                 • Workman’s Compensation for pharmacists
• Prof Sarel Malan, re-elected as President of the PSSA          • Sick certificates for pharmacists
• Members of the SAPC:                                           • Tax deductions
   —— Mr JA Raats                                                • Dismissal due to incapacity
   —— Mrs J Maimin, chairman of the Practice                     • Working conditions of RP (2)
       Committee                                                 • Locum pharmacist – salary issues
   —— Mr D Defty, Vice-President of SAPC                         • Disciplinary issues
   —— Ms H Hayes                                                 • Rights of pharmacists re working hours
• Numerous Branch members won awards at the                      • Employment contracts
  SAAHIP National Conference as noted in the SAAHIP
  report below. We congratulate them all.                        Gerald also presented a CPD workshop titled ‘Handling
                                                                 Grievances at Work’’.
Membership
We welcomed 106 new members from 1 October                       Legal Advice
2016 to date. The Branch sponsored 20 interns as new             After consultation with the Director, Mr Black, and on
members of the Society and 10 CSPs also joined as                advice by the Peer Review Committee, legal assistance
members.                                                         on practice or ethical issues is made available to
                                                                 members. In these instances, the Branch pays for the
Membership statistics                                            first consultation with our legal advisers. These matters
 Academy                   66                                    are kept strictly confidential.
 General                  215
 SAACP                    601                                    Confidential Ethical Matters
 SAAHIP                   460                                    Members are encouraged to consult confidentially with
 SAAPI                    119                                    the Director, Mr Black, regarding confidential matters
 Total membership        1467                                    such as disputes with the public, colleagues or other
                                                                 healthcare professionals, charges by the SAPC, ethical
Membership Support                                               dilemmas, etc. Many members have been assisted and
General Services                                                 disputes resolved.
Through the Branch offices, many pharmacy practice
requirements are made available to members including:            Professional Practice Matters
• Preferentially priced reference books                          An important aspect of the work of the Director, Mr
• Professional Indemnity insurance                               Black, is to assist members with professional practice
• Notification of stolen/fraudulent prescriptions                matters. Telephonic and emailed queries are followed
• Labour relations consultancy – provided nationally             by written confirmation which includes reference
• Legal assistance on practice or ethical issues                 ­sources and relevant guidelines. The topics of these
• Intervention in patient/pharmacist disputes                     queries vary greatly.
• General information such as contact details, registra­            We list here some of the approximate 100 different
  tion of doctors, etc.                                           topics that were covered in the past year.

                                                            14
2017 ANNUAL REPORT ON THE ACTIVITIES OF THE PSSA (CWP) BRANCH continued

•   Absence from pharmacy                  •   Info generic substitution              •   Reference sources
•   Abuse of medicines                     •   Inspections – grade C pharmacy         •   Regulations regarding CDU
•   Administration of injections           •   Labelling                              •   Repeat prescriptions
•   Advertising                            •   Labour law (3) and incompetent         •   Re-use of medicines
•   Anti-inflammatories                        pharmacist due to sickness             •   S6 medicines
•   Authorised prescribers                 •   Licensing of pharmacy                  •   Salary scales
•   Cold chain management                  •   Locums                                 •   Sale of S1 & S2 medicines
•   Confidentiality                        •   Logistics of a down referral process   •   Schedule 3 without script
•   Consultant pharmacy                        for Schedule 6 items                   •   Scope of practice PA
•   Dentist prescribing                    •   Medicine distribution                  •   Ships’ medicine
•   Destruction of medical waste           •   Medicine schedules – glucosamine       •   Sick certificates by pharmacist
•   Dispensing fee                         •   Nurse prescribing                      •   SOPs
•   Dispensing of scripts from Vets        •   PA working in PHC                      •   Specified S5 register
•   Doctors dispensing                     •   Payment collection of medicines at     •   Substances requiring special
•   Doctors prescribing for family and         till point                                 handling
    himself                                •   Personal tax query                     •   Temperature monitoring
•   Doctors’ prescriptions deteriorating   •   Pharmacist signature                   •   Travel medicine
    rapidly                                •   Pharmacist’s assistant                 •   Tryptophan
•   Electronic – faxed prescriptions       •   Pharmacy licence                       •   Website advertising
•   Expired stock                          •   PPIs and H2 antagonists                •   Wholesale distribution of medicine
•   Fraudulent prescriptions               •   Prescription processing protocols      •   Workmen’s compensation –
•   ICSP online system for mid-year        •   Professional fees                          pharmacists
    registration                           •   Recommending of Schedule 2s by
•   Immunisation                               Clinic Sister

Community Service Pharmacists                                       • 02/11/2016 – ‘Understanding Professional Indemnity
The Director, Mr Black also dealt with a number of                                  Insurance’ by Dr Jessica Wiggill
enquiries regarding Community Service.                              • 09/03/2017 – ‘Handling Grievances at Work’ by Gerald
   A document regarding Community Service Pharma­                                   Jacobs, labour lawyer and consultant to
cists was prepared and forwarded to the National Office.                            the Society
This document details the legal process required for the            • 06/04/2017 – ‘Accidental Poisoning’ by Linda Curling
MOH to amend Regulations in order to enable those                   • 23/05/2017 – Five SAAHIP Conference Presentations
pharmacists who have not been placed in a CSP post,                 • 20/07/2017 – ‘Antibiotic Stewardship – Who Cares?’
to register and work as pharmacists. It emphasises the                               by Dr Helen van der Plas
right for such pharmacists to practise their profession.            • 23/08/2017 – ‘Maternal Depression and Infant Mental
                                                                                    Health’ by Dr Anusha Lachman
PSSA Website                                                        • 19/09/2017 – ‘Vaccines and Cold Chain Management’
A number of the articles first published in My Little Black                         by Sisanda Mtatambi and Sonia Botha
Book of Pharmacy Practice by the Director are available             • 23/10/2017– ‘Accidental Poisoning’ by Linda Curling
in the Practice Info section on the PSSA website, www.                             – in George
pssa.org.za. Recently all these articles were reviewed
and updated in the light of the latest legislative changes.         All members who participated in the programmes
                                                                    were issued with certificates of attendance. These were
Continuous Professional Development                                 emailed to all attendees after each lecture.
The following CPD functions were held:
• 01/11/2016 – CPD evening was heldin George for all               Communication and Liaison
                PSSA members:                                       Communication
                ‘Understanding Professional Indemnity               Communication with members was maintained through
                Insurance’ by Dr Jessica Wiggill                    The Tincture Press, the PSSA website, faxing/emailing,

                                                               15
2017 ANNUAL REPORT ON THE ACTIVITIES OF THE PSSA (CWP) BRANCH continued

e-newsletters and broadcast SMSs. Members receive               • a Pharmacist’s Oath-taking Ceremony for graduates
an electronic version of The Tincture Press, including a          and sponsorship of membership of FIP.
number of members living overseas.
                                                                Oath-taking Ceremony
Liaison                                                         Mrs E Fick assisted in organising a successful
• Aadila Patel (immediate Past Chairperson of the               Pharmacist’s Oath-Taking Ceremony on 7 April 2017. In
   Branch) represents the PSSA on the Board of                  taking the Oath, the graduates were led by Mr Donald
   Directors of MedicAlert who use our boardroom for            Black, Chairperson of the CWP Branch. The Deputy
   their quarterly Board meetings.                              Dean (Teaching and Learning), Faculty of Science, Prof
• The Director attends the Public Private Health Forum          David Holgate addressed the Graduands. The Academy
   meetings called by the Provincial DoH, all PSSA              medals were presented by Dr Kim Ward and the Branch
   Nat Exco meetings and serves on the Constitution             Student Awards by the Chairperson, Mr Donald Black.
   Sub-committee. The Director represents the PSSA
   National office at various meetings/events in Cape           UWCAPS
   Town when called upon to do so.                              The Branch again sponsored UWCAPS to attend the
                                                                SAPSF Conference.
Special Interest Groups
The Director has also been involved in assisting the YP         School of Pharmacy, University of Western Cape
group and the PCDT group.                                       • The Branch continued to work closely with UWC.
                                                                • Profs Malan, Butler and Dr Kim Ward serve on the
Student and Academic Support                                      Branch Committee and Dr Renier Coetzee on the
Students                                                          SAAHIP committee.
Involvement with UWC Pharmacy School included:                  • The Branch assisted in sponsoring membership of FIP
• student loans (CPPSA Student Loan Fund),                        for the School of Pharmacy
• two FPE bursaries,                                            • The Director was invited to address the final year
• prizes for deserving students, and                              students on the topic of professionalism.

              SA ASSOCIATION OF COMMUNITY PHARMACISTS
              OF THE PSSA (CWP) BRANCH

Introduction                                                    Elected Committee members
The CWP Branch of SAACP continues to make an                    Mr KA Johnson              Mr J Kariem
important contribution to the affairs of the Society. A         Mr PJ le Roux              Mr HHD van Dyk
number of our members play important leadership                 Immediate Past Chairman Mr J Raats
roles in the Society at a National level and in various         In attendance Mr GS Black, Director CWP Branch
business forums.
   During the year a number of joint meetings were held         Activities
with the PSSA (CWP) Branch Committee. This enabled              National projects
us to arrive at consensus on many issues and to prepare         Through our representatives on the National Executive
a balanced viewpoint on matters such as legislative             of the SAACP and the Director, Mr Black, the Branch
changes and motions to Conference.                              continues to have an influence at a national level. The
                                                                Branch Director continues to assist the SAACP Director,
SAACP (CWP) Branch Committee                                    Mr Jan du Toit, whenever necessary.
Chairman      Mr DG Black                                         The Director and members of the Committee have
Vice-Chairman Mr K Patel                                        given input on a number of matters, including strategic
Treasurer     Dr N Finkelstein                                  planning and restructuring, Constitution, professional
Secretary     Mr GG Malan                                       fees, and professional practice.

                                                           16
2017 ANNUAL REPORT ON THE ACTIVITIES OF THE PSSA (CWP) BRANCH continued

            SOUTH AFRICAN ASSOCIATION
            OF PHARMACISTS IN                                              THE ACADEMY OF
            INDUSTRY                                                       PHARMACEUTICAL SCIENCES

Most activities of SAAPI are organised at a National            The Academy is represented on the Branch Committee
level and take place in Gauteng, which has the                  by Dr Kim Ward who keeps the Branch well informed
largest concentration of SAAPI members. Aadila Patel            about the activities of the Academy. The Academy had
represents SAAPI on the Branch Committee and keeps              their annual conference in 6–9 July 2017.
members well informed of all matters affecting the
industry.

            SAAHIP WESTERN CAPE BRANCH

SAAHIP (WC) Branch Committee (2016/2017)                        Presentations:
Chairman         Colleen Whitelaw                               There were 15 presentations from the Western Cape:
Vice Chair       Aleta Wege                                     1. Renier Coetzee (Podium Presentation)**
Treasurer        Bhavna Harribhai                               	  What if students could be transformational
Secretary        Carrie de Beer                                     resources for pharmacy practice?
Elected Committee members                                       2. Carrie de Beer (Podium Presentation)
Ronel Boshoff                                                   	Patient care experience student rotation at Kleinvlei
Dr Renier Coetzee                                                   Community Day Clinic (CDC): A novice preceptor’s
Joggie Hattingh                                                     reflection
Mahmooda Mohamed                                                3. Renier Coetzee (Podium Presentation)**
Mthabisi Ncube                                                  	  International clinical pharmacy rotation at the
Dr Paul Voigt                                                       University of the Western Cape
                                                                4. Mthabisi Ncube (Podium Presentation)
Immediate Past Chairperson Mrs Shani Dames                      	  A case for pharmacy business process re-
                                                                    engineered at a primary health care centre
Sean Honeyborne (Southern Cape representative)                  5. Jacqui Jooste (Podium Presentation)
In attendance PSSA Director Mr GS Black                         	  Systems and experience gained in managing
                                                                    the non-communicable disease load of the Eden
The activities of SAAHIP Western Cape were com­                     District, Western Cape Province
prehensively reported on in the Chairperson’s Report            6. Nicole Hoffman (Podium Presentation)**
which was distributed to all SAAHIP members prior to                Medicine use evaluation: Nystatin oral drops
their Annual General Meeting.                                   7. Laurel Legenza (Podium Presentation)**
  A number of highlights of activities in 2017 include          	  Qualitative assessment of Clostridium difficile
the following:                                                      infection treatment barriers and facilitators in
                                                                    South Africa
SAAHIP Conference 2017                                          8. Daniel Ekar (Poster Presentation)
A full delegation of the Branch attended the 31st SAAHIP        	Antibiotic stewardship in a level 1 rural setting
National Conference held at the Champagne Sports                    hospital
Resort in March 2017, which was most successful.                9. Wendy Wilson (Podium Presentation)
   Twenty-four delegates, one ­observer, three guests           	  Medication service delivery for chronic non-
and the SAAHIP President attended from the Western                  communicable diseases: The Albertina Clinic story
Cape.                                                               from diagnosis through to parcel collection

                                                           17
2017 ANNUAL REPORT ON THE ACTIVITIES OF THE PSSA (CWP) BRANCH continued

10. Aleta Wege (Podium Presentation)**
	Paracetamol poisoning: Rationale use of
    N-acetylcysteine
11. Jacqui Jooste (Poster Presentation)
	Applying a ‘4-pillar’ gatekeeping model to drive
    antimicrobial stewardship by pharmacists at
    regional and district level hospitals in the Eden
    District
12. Aleta Wege (Pearl Presentation)
    Attack! Kill that virus!
13. Carrie de Beer (Pearl Presentation)
                                                                                 The Interns group 2017
    Breaking the mold
14. Wendy Wilson (Pearl Presentation)
    Death by prescription!                                       On this occasion, the SAAHIP Chairperson, Aleta Wege
15. Colleen Whitelaw (Pearl Presentation)                        attended and acted as one of the judges.
    Perfect packs for pill poppers                                  SAAHIP WC Branch would like to thank PGWC and
                                                                 the PSSA CWP Committee for their continued support
**These five presentations were accepted for presenta­          in this endeavour.
   tion at the FIP conference in Seoul in September 2017.
                                                                 Social Responsibility
Awards                                                           The Committee decided to support Leliebloem House
• Nicole Hoffman won the prize for the best podium               this year by means of donating school stationery,
  presentation.                                                  toiletries and school clothes. The house provides a
• Renier Coetzee was co-recipient (with Andy Gray) of            home away from home to 60 children from troubled
  the best academic presentation award.                          families. These children are in need of specialist care
• Western Cape Branch won the Spirit Trophy.                     and intervention as they experience trauma, abuse and
• Keaton Harris and Saajida Momath had won the                   neglect at home.
  SAPSF Clinical Skills Competition. Their prize included           They collected stationery as well as R1000 at the
  attendance to SAAHIP Conference.                               Combined PSSA & SAACP (CWP) Branch AGM. The
                                                                 money will be used to buy additional stationery for
The Western Cape Branch was again responsible for                the children. R1810 was donated to Leliebloem House
organising the 2017 conference.                                  for their Fair and R800 towards their High Tea function.
Conference organising committee members                          Other donations included cakes to the home, knitted
Convener         Ronel Boshoff                                   beanies, scarves and gloves for children, goody bags for
Committee        Renier Coetzee, Carrie de Beer, Bhavna          their Sports Day and their children’s Christmas party.
Harribhai, Joggie Hattingh, Sean Honeyborne, Aleta                  SAAHIP continues to Support Operation Smile. At
Wege, Colleen Whitelaw                                           conference this year R49 500 (enough to pay for nine
                                                                 smiles!) was raised for Operation Smile. On 23 August,
A very big thank-you must be said to Gary Black and              Western Cape Branch (as conference organisers)
Elize Fick for their valuable support.                           handed over the money to Operation Smile on behalf
                                                                 of SAAHIP National.
SAAHIP / PGWC Intern Award
The 12th Annual SAAHIP / PGWC Intern Research Award              Public Relations and Communication
event took place on 8 November 2017. The winning                 Activities included:
presentations were:                                              • Regular communications to members via email,
                                                                   newsletters and Facebook
Winner Lee-Anne Andrews, Bishop Lavis Community                  • Contributions to Tincture Press
Health Centre                                                    • Communication to non-SAAHIP members to inform
1st Runner-up Zaahid Parker, Lady Michaelis Community              them of the benefits of being a member and to
Health Centre                                                      encourage interest in SAAHIP activities
2nd Runner-up Mawande Golozana, Eerste River Hospital

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