ISSUE 2 SUMMER 2020
COVID-19 and mental health
Find the perfect
PICNIC SPOT
Working from home
DO‘S AND DON‘TS Coping with allergies during a pandemic
Focus on
MALARIA
Prescription vs over-the-counter medications
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CONTENTS
IN THIS ISSUE FEATURES
UPFRONT
HEALTHY AND HAPPY
6
2
From the editor
16 Working from home Adjusting to the new normal
3
Message from Head Office
COVID-19 and mental health Survey reveals SA’s stresses and mental health red flags
4 11 What's the buzz? Focus on malaria
18 An inevitable collision When asthma, hay fever, and COVID-19 collide
22 Fun and games Word search, Sudoku and more
Everyday health Read all about the latest health news and views
24 Summer picnics Tips for a worry-free afternoon
32 Last word Gift-wrapping ideas
28 Travel Picnic spots in South Africa
BODY WISE
30 Recipe Pack your basket with these picnic eats
14 Prescription vs over-the-counter medicine Understanding the difference
COVID-19 and mental health 6
Allergies during a pandemic Focus on malaria 11
18
Adjust to working from home 16
Summer picnics 24
UPFRONT
advice This represents expert advice from one of your Local Choice pharmacists.
PUBLISHER Health Bytes PUBLISHING EDITOR Christa Grobler christa@health-bytes.co.za Tel: 021 913 0504 GRAPHIC DESIGNERS Anke Marais and Bernette Becker PROOFING Albert Buhr PRINTING Business Print INDEMNITY: The information contained in The Local Voice is intended for general informational and educational purposes only, and not to replace professional medical advice. Persons requiring any medical advice or treatment should consult their relevant qualified healthcare professional. The publisher cannot accept any responsibility for any act, omission, loss, damage, or the consequences thereof caused by reliance by any person upon the information contained in the publication. COPYRIGHT: The information included in The Local Voice is subject to copyright and all rights are reserved. The information may not be sold, resold, transmitted or otherwise made available or disseminated in any manner via any media to third parties unless the prior written consent of the publisher has been obtained. ADVERTISING ENQUIRIES Tel: 021 913 0504 Email: advertise@health-bytes.co.za
HEALTH BYTES PUBLISHING
@thelocalchoicepharmacy www.thelocalchoice.co.za
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Hello! TOGETHER, WE CAN BE OUR HEALTHIEST Welcome to the summer edition of The Local Voice, your source of local inspiration and information supporting healthy and resilient living. Our magazine provides information that can empower you to take an active role in your health care. We include helpful tips and tools, along with information about conditions, treatments, and resources to help you live your healthiest. In this issue, you can learn the facts about malaria; find tips on how to adjust to working from home; try a picnic-friendly pasta salad recipe; and hear from the experts on how allergy sufferers can manage their condition better during the pandemic, as well as the difference between OTC and prescription medicine. Plus much more. We welcome another South African summer with open arms. So, to wishing all of you brighter days ahead‌ Get outside, stay safe, stay sane and go do something you absolutely love. Until next time, the warmest of wishes from our family to yours. Together is a wonderful place to be.
The Health Bytes Team
CONTRIBUTORS JANDRI BARNARD is a registered dietician and diabetic educator in private practice in Newcastle, and is currently busy with her PhD in dietetics at the University of KwaZuluNatal. She is an award-winning health, food and travel writer, and has written numerous articles for various publications and other media platforms.
MARETHA OPPERMAN currently holds the position of Head of the Functional Foods Research Unit at CPUT. She obtained her PhD in dietetics at North-West University in 2005, and also recently her MBA at the University of Stellenbosch. Her field of speciality is in clinical nutrition, micronutrient malnutrition and clinical research. She also has a keen interest in the innovation of functional foods, and has received a number of awards for her work.
OUR MESSAGE TO YOU
STRONGER TOGETHER. Living well during a pandemic. During this past year, the COVID-19 pandemic has turned our lives upside down and changed not just the way we live and work but also how we think and behave. Every part of the world has been affected, and every aspect of life has been impacted. Our everyday routines were brought to a stop, and any sense of normalcy was lost. While we stop and look at the world around us, I cannot help but realize what I used to take for granted. If anything, perhaps there are some life lessons to take away from this pandemic: + We are in this together. Despite the differences and distance between places, we are battling the same virus and having the same struggles. + We need each other. The COVID-19 pandemic has highlighted the importance of social interaction and human contact within almost every aspect of our lives, including education, employment, entertainment, and recreation. + We are stronger than we think we are. This pandemic has been a testament to just how resilient we are as humans and our ability to be flexible and creative in the face of uncertainty. + There is goodness in everyone, even in the darkness. Feel-good stories and acts of kindness from community members who gathered together to sew masks, volunteering to bring groceries to the elderly, and donating food made me believe again in the goodness of people.
Our #HereForYou masks were proof that everybody is looking out for each other. I’m protecting you, you’re protecting me. + Life is a gift. Be grateful for what we have. With close to 20 thousand lives lost to the pandemic in South Africa to date (and over 1.2 million worldwide), this pandemic has made us all re-think our priorities and remember how precious life is. This breath you just took is a gift. This moment is a gift. This life is a gift. Our thoughts are with all those affected by the global outbreak of COVID-19. Now is the time for us all to take hands (figuratively, of course), and stand united against this virus. We thank you for your continued support. Remember: Your pharmacy teams are here for you, today and every day to support you and your family’s health and wellbeing. Hit the refresh button. Enjoy the holidays. Stay healthy. Stay motivated. Laugh out loud.
Until next time Rachelle Campbell Group Marketing Manager
NEWS AND VIEWS
EVERYDAY Health Eggcellent! Eggs are an excellent source of protein and ideal for any meal of the day. Easy to prepare, readily available and inexpensive. It was once thought that eating eggs increases your cholesterol levels, but it is now known that foods high in saturated fats (meats, pastry, commercial baked goods, highfat cheeses) rather than dietary cholesterol raises your blood cholesterol levels. Eggs are low in saturated fats and higher in heart-healthy mono- and polyunsaturated fats and can be taken as part of a balanced diet to have a positive effect on your heart health.
TOP TIP: Several obesity studies have reported that starting your day with eggs for breakfast as part of a reduced energy (kilojoule) diet, can help overweight adults feel fuller for longer, feel more energetic and lose more weight.
Sources: South African Poultry and Egg Association: www.sapoultry.co.za; The Egg Book, The Vitamins and Minerals Bible; www.washingtonpost. com/blogs/wonkblog/wp/2015/02/10/feds-poised-towithdrawlongstanding-warningsabout-dietary-cholesterol/
FIVE
SURPRISING FACTS ABOUT ASTHMA AND SEASONAL ALLERGIES
1. There’s no “hay” or “fever” in seasonal allergies as hay (dried alfalfa or grass) does not produce pollen, and seasonal allergies do not generate a fever. 2. A third of the population will suffer from some kind of allergic disease in their lifetime. 3. 17.5 million South Africans suffer from nasal allergies.
4. Not all plant pollen causes allergy. Pollen that triggers allergic symptoms is called “allergenic”. Big bright flowers like those from jacaranda or acacia trees, which are large, sticky and insect-pollinated are NOT allergenic. Wind-borne pollens are mostly allergenic. They usually come from small, insignificant plants like grasses. Grasses release millions of wind-borne pollen grains in spring.
Sources: The Real Pollen Count at pollencount.co.za; The Allergy Foundation SA
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5. Pollen can kill! An unusual thunderstorm occurred in Melbourne, Australia on November 21, 2016, during the peak of grass pollen season. Within 30 hours there were more than 8000 excess chest-related presentations to emergency departments, 35 intensive care admissions and 10 asthma-related deaths. According to the Allergy Foundation SA, our country has the third highest asthma death rate in the world.
GOOD NEWS ABOUT COVID-19!
Infections are less deadly as doctors gain practice. There are signs that Covid-19 infections are becoming less deadly for hospitalised people as doctors gain experience and new drugs become available for use. The gains may be marginal but taken together they matter for the Covid-19 fatality rate and overall outcomes.
KEEP IN MIND: The story is focusing on individual risk. The overall risk of dying from COVID-19 depends greatly on the spread and control of the virus. Source: www.coronavirus.medium.com
HOW TO PICK THE PERFECT WATERMELON
1.
Choose a watermelon that feels heavy for its size.
2.
Look for a vibrant medium-green colour and a symmetrical shape.
3.
There should be a creamy/yellow spot on the bottom, not white.
4.
The green stripes should be broken and disconnected in places.
NOW?
DID YOU K
A watermelon is classified as both a fruit and vegetable.
Source: vegantrash-blog.tumblr.com
THE LOCAL VOICE 5
FEATURE
THE IMPACT OF COVID-19 ON MENTAL WELLNESS SURVEY REVEALS SA’S STRESSES AND MENTAL HEALTH RED FLAGS. 6
SOUTH AFRICANS’ STRESS LEVELS HAVE SHOT UP BY 56% SINCE THE START OF THE PANDEMIC. Maintaining good mental health has emerged as a major challenge for South Africans this year, in large part due to the ongoing COVID-19 pandemic. A national survey conducted by Pharma Dynamics, a leading pharmaceutical firm and advocate for mental wellness, has revealed a significant increase in psychological and emotional stress among South Africans as a result of the COVID-19 pandemic. More than 1 200 South African adults were polled across the country to gain an insight into how they have been impacted by the pandemic. Abdurahman Kenny, Mental Health Portfolio Manager at Pharma Dynamics says:
Many people who previously coped well are now less able to manage due to multiple stressors generated by the pandemic, while those with pre-existing mental health conditions may have experienced a worsening of symptoms.
A broad range of psychosocial effects related to the pandemic affected a large majority of the population in the following ways: • More than half (53%) of respondents either lost their job, had to take a pay-cut or were forced to close a business • 56% have higher levels of psychological and emotional distress than before the pandemic • 81% turned to unhealthy food, 20% to alcohol, 18% to cigarettes, 6% to smoking cannabis and 22% to antidepressant or anti-anxiety medication to help them cope with the stressors of the last few months • 65% admitted to neglecting their health • 52% have trouble sleeping • 20% of couples are quarrelling more than before physical spousal abuse has also increased by 5% • 68% are worried about the impact of the pandemic on society and the economy • 44% struggle to relax • 49% feel anxious, 48% frustrated, 31% depressed and a significant 6% have contemplated suicide
To deal with the stress of the pandemic, many have resorted to junk food, alcohol, smoking and other addictive substances, which doesn’t bode well for physical or emotional well-being. Kenny says as the effects of the pandemic take hold on daily life in the coming months, mental health professionals need to be prepared for an increase in substance abuse. He says the majority of respondents have also had personal experiences with COVID-19 that have exacerbated anxiety levels. The survey found that 6% caught the virus, among 27% a family member was diagnosed with COVID-19, and 50% knew someone who passed away from the Coronavirus."
Symptoms typically associated with depression and anxiety were also found to be more common among respondents:
22%
35%
33%
28%
Feel a sense of loss
Feel easily annoyed
Trouble concentrating
Feel restless
14%
19%
38%
Feel hopeless
Lonely
Feel tired
>>
Kenny says given the far-reaching emotional and financial consequences of the COVID-19 pandemic, it is important that adequate attention is given to the mental health needs of the population as it could have long-term implications. The disruptions in routine and economic activity that the pandemic has caused, has had a devastating impact on mental health. Record high unemployment levels, economic uncertainty – both locally and abroad – having to social distance and isolate ourselves, taking on additional childcare responsibilities (home schooling) while juggling work and the constant fear of contracting the virus are all factors that increase anxiety and stress. We are likely to see much higher rates of mental illness among South Africans post the pandemic and need to increase psychosocial support efforts to avoid a COVID-19 related mental health crisis.
The fact that nearly half (49%) of respondents wanted to reach out to a therapist for help during the pandemic, but couldn’t due to limited financial resources or access, highlights decades of neglect and underinvestment in mental health services in our country.
“Due to the sheer size of the problem, most mental health needs remain unaddressed and have been hindered by a lack of funds in mental health promotion, prevention and care. Much more needs to be done to protect those facing mounting mental pressure. The psychological well-being of our communities and society at large requires immediate attention,” comments Kenny. Those who are most at risk include the elderly, frontline health workers, teens, women and those with pre-existing mental health illnesses. “It’s important that the country builds the human resource capacity to deliver quality mental health and social care in communities,” emphasises Kenny.
Through policy reform, a proper system can be put in place to ensure the widespread availability of health and psychosocial support services. Secondly, shifting care away from institutions to community services will improve access to care even in remote areas and thirdly, prioritising funds and research towards mental health will be central to successfully navigate the mental health consequences of the pandemic. “However, it is encouraging to see that 33% have sought comfort from family and friends and made exercise a daily priority in order to fend off negative thoughts. While 40% have stayed home exclusively up until now, 26% are starting to venture out and resume normal societal activities, which is important,” he says.
Source: Press release issued by Meropa Communications on behalf of Pharma Dynamics.
The impact of COVID-19 on mental wellness has far-reaching emotional consequences. There are a lot of things you can do to take care of your mental health and avoid the blues. See page 10 for a list of self-care tips and activities.
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THINGS TO DO TO AVOID THE BLUES 10
FEATURE
WHAT'S THE BUZZ ABOUT MALARIA? Although the world's attention is currently focused on COVID-19, other viruses that recently emerged, such as Zika and chikungunya, are continuing to circulate and cause problems. WHAT IS MALARIA? Spread by mosquitos, malaria is one of the most common infectious diseases and a global public health challenge. Malaria is a life-threatening disease caused by a parasite that is transmitted through the bite of infected female Anopheles mosquitoes. The parasite that causes malaria is a microscopic, single-celled organism called Plasmodium. Malaria is predominantly found in the tropical and sub-tropical areas of Africa, South America and Asia. If not detected and treated promptly, malaria can be fatal. However, with the right treatment, started early enough, it can be cured. Around 95% of deaths are in children under the age of five living in Sub-Saharan Africa. However, death rates have fallen globally by 47% since 2000 (WHO). There are more than 100 kinds of Plasmodium that can infect many animal species such as reptiles, birds and mammals. There are six different species of malaria parasite that cause malaria in humans. Plasmodium falciparum and Plasmodium vivax are the most common types of malaria parasite that infect humans. Plasmodium falciparum causes the most serious, life-threatening infections in humans.
KEY FACTS • Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. It is preventable and curable. • In 2018, there were an estimated 228 million cases of malaria worldwide. • The estimated number of malaria deaths stood at 405 000 in 2018. • Children aged under 5 years are the most vulnerable group affected by malaria; in 2018, they accounted for 67% (272 000) of all malaria deaths worldwide.
WHAT ARE THE SYMPTOMS OF MALARIA? Usually the incubation time for malaria is seven to 18 days. With some species of malaria, such as Plasmodium vivax and Plasmodium ovale, the parasite can lie dormant in the liver. It can therefore take up to a year for symptoms to develop. Once inside the body, the malaria parasites grow and multiply inside the red blood cells. When the red blood cells burst releasing merozoites (usually every 48–72 hours), it results in an attack of flu-like symptoms such as fever, sweating, shivering and shaking, muscle aches, nausea and headache. These attacks last 6–10 hours. >>
THE LOCAL VOICE 11
The type and severity of symptoms depends on which type of malaria parasite someone is infected with. For example, the most serious type of malaria is caused by the parasite Plasmodium falciparum.
DOES A GIN AND TONIC A DAY KEEP MALARIA AWAY?
QUESTIONS TO ASK
Malaria is a serious tropical disease spread by mosquitoes. If it isn’t diagnosed and treated promptly, it can be fatal. Quinine has long been used as an antimalarial drug, although how it works is not entirely clear. It is a compound originally found in the bark of the cinchona tree, native to South America, which was used to treat malaria from as early as the 1600s. It was also discovered that the bark could prevent the disease.
These questions will help you start a conversation with your doctor about how to best manage malaria. About Symptoms • How long after returning home from travel could I develop malaria? • What are the symptoms of malaria? • What should I do, both while travelling and at home, if I have symptoms that I think are from malaria? About Causes and Risk Factors • Is there a chance of contracting malaria in the area to which I’m travelling? • What kind of insect repellent can I use on clothing or on bed nets to repel mosquitos? • What medication(s) should I use to prevent malaria while travelling? • How long do I need to take the antimalarial medication(s) before leaving and after returning home? • Are there any potential side effects to the medication(s) and how can I manage them? • What should I do if I am bitten by a mosquito during travel to an area where there is malaria? • How should malaria prevention be managed during pregnancy? About Diagnosis • How is malaria diagnosed? • Does treatment depend on which type of parasite is involved, or if there are multiple types?
Travelers often joke about drinking gin and tonic to prevent malaria, but is there any truth to it?
By the early 19th century, chemists had isolated quinine from the bark, and this formed an essential ingredient in tonic water, giving it its bitter taste. Quinine remained the mainstay of malaria treatment until the 1920s, when more effective, synthetic antimalarial drugs became available. The genius idea to add gin to tonic water originated in India during the 19th century, when British officers began mixing gin with their daily ration of quinine tonic, and eventually lemon and lime, creating the iconic drink. Winston Churchill once stated: “The gin and tonic has saved more Englishmen’s lives, and minds, than all the doctors in the Empire.” Nowadays the quinine content of tonic water is minimal, and more effective antimalarial drugs have been developed. The therapeutic dose of quinine to treat malaria is about 500mg every 8 hours for up to 10 days. This would mean drinking up to 20 G&Ts every eight hours. There are definitely easier ways to prevent malaria. It’s best to stick to tried and tested strategies including antimalarial drugs, applying mosquito repellent, using a bed net or avoiding outbreak areas altogether. Source: www.sarooibos.co.za
About Treatment • What is the treatment for malaria? • Are there potential side effects from malaria treatments? • Does treatment eradicate the malaria parasites? • Can malaria recur even after treatment?
DID YOU KNOW? Most malaria-spreading mosquitos prefer to feed at night. And some even prefer feeding indoors rather than outdoors.
WHAT IS MALARIA?
Mosquito carries parasite
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Parasites are transmitted to people through the bites
Malaria parasites grow and multiply inside red blood cells
HOW TO PREVENT MALARIA?
An attack of flu-like symptoms
Bed nets
Antimalarial drugs
Mosquito repellent
Avoid outbreak areas
MALARIA
BODY WISE
PRESCRIPTION VS OVER-THE-COUNTER medicine UNDERSTANDING THE DIFFERENCE Many think OTC medicines are safer than prescription medicines, but all medicines can cause harm if not used appropriately.
Prescription (Rx) and over-the-counter (OTC) medications each have their place in improving the health and wellness of patients throughout the world. Many of the medicines that people use to treat common problems ranging from allergies to insomnia to pain relief, are available in OTC and prescription forms. Understanding the difference between OTCs and prescription medications can help patients make better decisions regarding their use.
The biggest difference between prescription and over-the-counter medicines is that OTC medicines do not require a prescription and can be bought off the shelf, whereas prescription medications require a doctor’s prescription.
HERE ARE SOME KEY AREAS WHERE THESE MEDICINES ARE COMPARED: DISTRIBUTION Rx: Prescription medications are only available with a valid prescription from a healthcare professional. In South Africa, prescription medications require a prescription from a doctor or other medical professional authorised to write prescriptions. These medicines are heavily regulated and require a visit to a doctor, a diagnosis and monitoring by the prescriber to ensure the medication is working and that it is working safely.
14
OTC: Over-the-counter medications do not require a doctor’s prescription. This is usually due to the fact that the OTC medicines have more general effects that can be used to treat symptoms and normally have milder side effects.
ACCESSIBILITY Rx: Prescription medications are purchased through a pharmacy and dispensed by a licensed pharmacist. OTC: Consumers can buy OTC medications off-the-shelf in pharmacies, supermarkets, convenience or other retail stores, making them much easier to access.
USAGE Rx: Prescription medications are specially tailored for use by a specific person for a specific use. When doctors write prescriptions, they take into consideration a lot of information about their patients, including their current condition, other medications they may be taking, their vital statistics, and medicine allergies they may have. That’s why a prescription medication that is safe and effective for one person may be dangerous for another. OTC: OTC medications are considered safe for just about everyone and may have a variety of intended purposes. OTC medications are not intended for a specific individual, although depending on the medication, such as creams, eye drops or nasal sprays, the user may want to be the only consumer of the medication.
STRENGTH Rx: Prescription medications are stronger, have individual dosages and could have serious side effects. When receiving a prescription medication, you will be given all the information on the time and quantity you need to take by your pharmacist. OTC: Over-the-counter medicines are often less potent than prescription medicines, but they have a wider margin of safety. OTC medications present dosage information on labels and use weight or age ranges to recommend dosage. There are quite a few prescription medicines that are available as OTC medicines because, when sold overthe-counter, the dosage is much lower than it is in the medication’s prescription form.
DIAGNOSIS Rx: Use of prescription medications require a diagnosis by a healthcare professional. OTC: OTC medications generally rely on self-diagnosis. If you are experiencing mild symptoms such as simple fever, pain, or heartburn, medicines available over the counter may provide relief. If the symptom is new, severe, or worrying, you should see a healthcare professional. Although OTC drugs are available without consulting with a prescriber or pharmacist, the patient needs to be aware these drugs still carry a risk. Some OTC drugs could cause drug interactions with prescription medications or cause more adverse effects. It is important to mention to a prescriber or pharmacist about all of the OTC medications being used and to follow the recommended dosing instructions on the label.
OTC MEDICATIONS SHOULD ONLY BE USED TO TREAT MINOR AILMENTS. MAJOR ILLNESSES AND DISEASES REQUIRE THE USE OF MORE POWERFUL PRESCRIPTION MEDICINES AND OTHER MEDICAL TREATMENTS.
advice Over-the-counter and prescription medicine can help and heal us. But some can be addictive and dangerous if they’re used the wrong way. Whether you’re taking prescription or non-prescription medication, it’s important that you follow the directions and use the medication only for its intended purpose. Keeping up with expiration dates will also help you avoid taking ineffective drugs. • Any medicine can cause harm if you use too much of the medicine or use it incorrectly. This is true for both prescription and over-the-counter medicines. • Never share your prescription with someone else. Never use someone else’s prescription medicine. • For all medicines, you must read and follow the directions carefully and correctly. • Children should use medicine only with permission and under the direction of a parent or guardian. • If you have questions about a medicine, you can ask a doctor, pharmacist, or nurse.
THE LOCAL VOICE 15
HEALTHY AND HAPPY
For many people, working from home is a bonus under normal circumstances. As we find ourselves working from home during the coronavirus pandemic, you may find it difficult to adjust.
1
Maintain a normal work routine. Get dressed before work every morning to ease your transition into work mode.
Schedule breaks for lunch or to stretch your legs.
2
Exercise and eat healthy.
Avoid frequent trips to the kitchen. If you need a snack, think healthy.
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Limit distractions.
Select a workspace in your home. Avoid a shared space like a living room.
Go for a walk during lunch or after work.
Stream workout videos that can be done in a small space without special equipment.
Music or nature sound apps might help you concentrate.
If you have downtime, use it for housekeeping-type projects that are hard to get to in the office. Source: www.adamequipment.co.za
7
Use your time wisely.
Talk to your manager or colleagues to see if they need help on their projects.
Adding normalcy to your day helps to relieve some stress. Make your home office setup as comfortable as possible.
6
Stay informed, but don’t stay glued to the news.
Let go of the things you can’t control.
Concentrating on what you don’t have just causes more stress without resolving anything.
Colleagues who live alone may feel more isolated. A quick message may mean more than you realise.
It’s frustrating if you have to use equipment at home that isn’t as good as what we’re used to at the office.
5
Accept your limited technology.
Maintain connections with your office mates. Send an email, a message or pick up the phone.
4
Reach out to your colleagues. Boundaries are important. Make sure everyone knows that working from home means working. THE LOCAL VOICE 17
FEATURE
An Inevitable Collision
When asthma, hay fever, and COVID-19 collide If there’s one thing that’ll ruin those warm, sunny days it’s allergies. And now there’s COVID-19 too. As COVID-19 is likely to be with us for a long time, it’s important to learn about the risks and how to keep allergies under control to prevent asthma episodes. There has never been a more important time to know what is in the air we are breathing. This year’s pollen season could prove more troublesome during the pandemic as tree pollen counts start to surge throughout most of the country. While the spring and summer allergic burden escalates, patients’ immune and inflammatory pathways will be primed for hyper-reactivity as they are compounded by the additional challenges of the COVID-19 pandemic. Prof Jonny Peter, who leads the UCT Lung Institute’s Allergy and Immunology Unit says the coronavirus could make allergy sufferers hyperaware of every sneeze and sniffle as some symptoms overlap. Allergies occur when the body’s immune system sees a substance (also known as an allergen) harmful and overreacts to it. Hay fever is activated by airborne allergens, such as pollen, which leads to a runny and itchy nose, scratchy throat, as well as allergic conjunctivitis in the eyes. While COVID-19 and hay fever share certain symptoms, there are some key differences. In COVID-19, fevers, body aches and headache are common, but these are rarely associated with seasonal allergies. In contrast, an itchy nose or eyes and sneezing signal allergy symptoms and are not common in coronavirus infections. Shared symptoms may include a runny nose or nasal congestion, an intermittent cough, sore throat and fatigue. In asthmatics, very high pollen counts may trigger exacerbations with shortness of breath or difficulty breathing in some individuals.
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Fortunately, coronavirus does not commonly trigger worsening asthma. If your symptoms do worsen, it’s advisable to consult your doctor, especially if you have a known sensitivity to pollen. It’s also likely to have symptoms of both COVID-19 and seasonal allergies at the same time, which will affect each person differently. Some may experience mild symptoms, while others could have more severe symptoms. SA’s pollen seasons vary across the country’s biomes, which is why the UCT Lung Institute is trying to establish pollen monitoring stations in all the provinces. Pollen allergy sufferers who are allergic to both trees and grasses usually have the toughest time in September and October as it’s the time of year when grass and tree pollen overlap. That means a double dose of misery for people who are allergic to both. The grass pollen season can last for up to nine months of the year in certain parts of the country like the highveld, which only comes to an end in May.
GOOD TO KNOW If you are among the 17.5 million South Africans that suffer from nasal allergies, visit pollencount.co.za for the latest pollen counts countrywide to help you better manage your condition during the pollen season. Also visit saaqis.environment.gov.za for real-time information on air pollution across South Africa. Be sure to address your allergies, so you can make the most of this beautiful time of year and enjoy the weather!
Q & A WITH PROF JONNY PETER Prof Peter answers some of the burning questions allergy sufferers have that will help them to manage their condition better during the pandemic:
SEASONAL ALLERGIES OR CORONAVIRUS? The coronavirus outbreak is happening at the same time as many seasonal allergies. How can you tell the difference?
Q: Does having hay fever/allergic rhinitis pose an increased risk of severe COVID-19 complications? A: No. Current research does not indicate that allergic rhinitis or even well-controlled asthma increases either the risk of being infected with Coronavirus or the chance of developing severe disease. In fact, there have been reports that allergic rhinitis and some treatments used for allergic diseases may be protective, although the data is still emerging.
Q: Will wearing a mask reduce hay fever symptoms? A: Perhaps. I think it is going to be an interesting aspect of the current pandemic and maybe a silver lining. Masks may offer some protection against seasonal allergies since they can prevent larger particles from being inhaled. However, smaller pollen particles are still likely to get through the covering, therefore masks should not be your only form of protection. Keep in mind that pollen is a fine powder, microscopic in size, and can travel deep into the nose and lungs. The higher the concentration of pollen in the air, the greater the chance of an allergic reaction. It’s also important to wash your mask after each use, because it could be carrying pollen.
Q: Does COVID-19 exacerbate asthma symptoms? A: Emerging data suggests that this is unlikely. There are several viral infections that are a common cause for asthma exacerbations, including the common cold rhinoviruses and the respiratory syncytial virus (RSV). Interestingly, the SARS-CoV-2 or COVID-19 virus does not seem to be a major driver of asthma exacerbations. However, always remember to wear a mask in public to prevent the transmission of the Coronavirus.
Q: Is there a way to reduce hay fever symptoms during the pandemic? A: It is impossible to completely avoid exposure to pollen. However, there are several options available both over-the-counter, and by prescription to manage allergies during the pandemic. Your doctor might prescribe a combination of medicines and treatment options such as antihistamines, corticosteroid nasal sprays and inhalers to keep your symptoms controlled.
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STOP THE SNEEZING More symptoms shouldn't mean reliance on more medication. The best way to combat allergies is to find out exactly what’s sparking them, take charge, and reduce your exposure to the allergen when possible. In some cases, over-the-counter medications and reducing exposure aren’t enough. You should make an appointment to see your doctor for any persistent allergy symptoms that do not respond to over-the-counter antihistamines. >>
advice
SEASONAL ALLERGIES The best way to combat seasonal allergies is by enlisting the help of over-the-counter medications, such as antihistamines. Or, if you use antihistamines frequently, it may be time to switch up the routine and try a steroid nasal spray. These sprays reduce inflammation, making it harder for allergens to reach the receptors in your nasal tissue that trigger reactions.
Sources: • Press release Issued by Meropa Communications on behalf of the UCT Lung Institute • The Real Pollen Count at www.pollencount.co.za • www.nps.org.au/consumers/managing-hay-fever#breastfeeding-andantihistamines • www.cheshiremed.org/health-wellness/article/dealing-spring-pollenallergies • www.everydayhealth.com/coronavirus/allergies-or-covid-19-here-show-to-tell-the-difference/ • www.canadiem.org/spring-is-here-differentiating-covid-19-fromseasonal-allergies/ • www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/peoplewith-seasonal-allergies-faqs
THE LOCAL VOICE 19
You can take these 8 steps to reduce your exposure to tree pollen: • Start taking allergy medicine before pollen season begins. • Learn about the trees in your area and when they produce the most pollen. For example, oak tree pollen is highest in the morning. If you are allergic to oak pollen, save your outdoor activities for later in the day. • Check the pollen counts for your area. The Real Pollen Count (www.pollencount.co.za) is a website updated weekly by SA palynologists, people who study particles in the air, and is part of UCT’s Lung Institute of Allergy and Immunology Clinic. The lowest pollen counts are usually in the late afternoon to early evening. • Limit time outdoors when pollen counts are high and avoid activities such as moving the lawn or raking leaves that will stir up pollen. • Keep windows and doors closed in the morning to midday when pollen counts rise. • Using a portable air filter in one or more rooms in your home will also help to filter pollen and dust. Use a high efficiency particulate filter (HEPA) for best results. • Rather use a tumble dryer to dry clothes and bedding as pollen can stick to sheets and towels when hung outside. • Change and wash clothing you’ve worn during outdoor activities and wash your skin and hair to remove pollen.
20
ADVERTORIAL
WATCH THAT RASH. Protect your health. Your skin acts as a barrier; protecting you from extremes of temperature, damaging sunlight, harmful chemicals or organisms, and injuries.
WHAT IS A FUNGAL SKIN INFECTION? Fungal infections of the skin are common. They affect more than 20-25% of the world’s population.1,2,3 There are millions of species of fungi. They live in the dirt, on plants, on household surfaces, and on your skin.4 Fungal skin infections can happen anywhere on your body. WHAT ARE THE MOST COMMON FUNGAL SKIN INFECTIONS? Some of the most common are ringworm, athlete's foot, jock itch and yeast infections.4 • Ringworm gets its name because of its appearance although no actual worm is involved. Ringworm develops on the top layer of the skin and normally begins as a flat scaly area, which may be red and itchy. The ring may be uneven, resembling the wavy outline of a worm.5,6 • Athlete’s foot is contagious and can also spread to other parts of your body. Athlete’s foot usually occurs
between toes causing soggy, scaly skin that can split, but it can also occur on the soles of feet, where it may cause blisters or thickened skin, or the skin may even be scaly, dry, red and flaky.7,8,9 • Jock itch is usually found in the inner thigh, buttocks or groin area, and is more common in adult males but can also occur in females. Jock itch causes a red, scaly, itchy and often ring-shaped rash. The border may include small, raised blisters. Jock itch is contagious and can spread from person to person or be picked up from contaminated clothes and towels.7,10,11 • Skin thrush and Pityriasis versicolor are yeast infections. Skin thrush usually appears as a flat, red rash with sharp, scalloped edges and possible small blisters, with smaller patches of similar rash nearby. This infection is often hot and itchy or painful and the skin may become cracked and sore. It is usually found in skin folds such as the armpit, groin, under breasts or between fingers. Pityriasis versicolor is pink
or pale to dark brown, sometimes scaly patches, which develop gradually and may eventually form larger patches. These itchy patches are pale on dark skin and dark on light skin and usually found in adolescents and young adults on the trunk, shoulders, neck, upper arms or back.12-17 To treat all of the above fungal infections, use a topical antifungal cream such as Terbane cream – available from your Local Choice pharmacy without prescription.18 The active ingredient in Terbane cream is fungicidal, i.e. it kills the fungus, as opposed to fungistatic, i.e. inhibits the growth of the fungus, like some other antifungal creams. Terbane Cream works within a short treatment period (once or twice daily for usually 1 – 2 weeks), is effective and well tolerated and can maintain the cure over many months reducing the risk of recurrence.18-23 For more information visit www.terbane.co.za
References: 1. Skin. National Geographic Society [online]. Accessed Sep 2020. Available at: www.nationalgeographic.com/science/health- and-human-body/human- body/skin/ | 2. Anatomy of the skin. National Cancer Institute – SEER training [online]. Accessed Sep 2020. Available at: training.seer.cancer.gov/melanoma/anatomy/ | 3. Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008;51(Suppl 4):2-15 | 4. Fungal Infections of the Skin. WebMD [Online]. Accessed Sep 2020. Available at: www.webmd.com/skin-problems-and- treatments/guide/fungal-infections-skin#4 | 5. BMJ Best Practice. Patient information from BMJ. Ringworm of the body [online]. Accessed Sep 2020. Available at: bestpractice.bmj. com | 6. Ringworm (body). Mayo Clinic Patient care and Health information [online]. Updated 17 Nov 2017. Accessed Sep 2020. Available at: www.mayoclinic.org/diseases - conditions/ringworm/home/ovc - 20232303 | 7. BMJ Best Practice. Dermatophyte infections [online]. Accessed Sep 2020. Available at: bestpractice.bmj.com | 8. BMJ Best Practice. Patient information from BMJ. Athlete’s foot. Accessed Sep 2020. Available at: bestpractice.bmj.com | 9. NHS Choices. Athletes foot [online]. Updated April 2017. Accessed Sep 2020. Available at: www.nhs.uk/conditions/Athletes-foot | 10. Mayo Clinic: Patient care and health information. Jock itch [online]. Updated Dec 2018. Accessed Sep 2020. Available at: www.mayoclinic.org/diseases-conditions/jock-itch/ symptomscauses/syc-20353807 | 11. US Pharmacist. Cutaneous Fungal Infections [online]. Updated Nov 2016. Accessed Sep 2020. Available at: www.uspharmacist.com/article/cutaneous-fungal-infections | 12. Yeast Infection Skin Rash. Emedicine.Health [online]. Reviewed Nov 2017. Accessed Sep 2020. Available at: www.emedicinehealth.com/yeast_infection_skin_rash/article_em.htm | 13. Candidiasis of the skin (Cutaneous candidiasis). Healthline Medical. Reviewed Oct 2016. Accessed Sep 2020. Available at: www.healthline.com/health/skin/cutaneous-candidiasis | 14. Tinea versicolor. Mayo Clinic Patient care and Health information [online]. Reviewed Nov 2017. Accessed Sep 2020. Available at: www.mayoclinic.org/diseases-conditions/tinea-versicolor/basics/ definition/con-20024674 | 15. Pityriasis versicolor. NHS Choices [online]. Reviewed July 2015. Accessed Sep 2020. Available at: www.nhs.uk/conditions/pityriasis-versicolor/ | 16. British Association of Dermatologists. Pityriasis versicolor. Patient information leaflets. Updated Nov 2017. Accessed Sep 2020. Available at: bad.org.uk/leaflets | 17. BMJ Best Practice. Pityriasis versicolor. Accessed Sep 2020. Available at: bestpractice.bmj.com | 18. Terbane cream approved Package Insert, Feb 2016 | 19. Korting HC, Tietz HJ, Brautigam M, et al. One week terbinafine 1% cream (Lamisil®) once daily is effective in the treatment of interdigital tinea pedis: a vehicle controlled study. Med Mycol. 2001;39(4):335-40 | 20. Medical definition of Fungicidal. MedicineNet [online]. Accessed Sep 2020. Available at: www.medicinenet.com/script/main/art.asp?articlekey=25387 | 21. Definition of fungistatic. The Free Dictionary [online]. Accessed Sep 2020. Available at: medical- dictionary.thefreedictionary.com/fungistatically | 22. Evans EG. A comparison of terbinafine (Lamisil) 1% cream given for one week with clotrimazole (Canesten) 1% cream given for four weeks, in the treatment of tinea pedis. Br J Dermatol. 1994;1,30(suppl 43):12-14 | 23. Elewski B, Bergstresser PR, Hanifin J, et al. Long-term outcome of patients with interdigital tinea pedis treated with terbinafine or clotrimazole. J Am Acad Dermatol. 1995;32(2 Pt 1):290-2 TERBANE® 10 mg (cream); Reg. No.: A39/20.2.2/0009. COMPOSITION: Each 1 g Terbane cream contains 10 mg terbinafine hydrochloride; 1,0 % m/m benzyl alcohol (preservative). PHARMACOLOGICAL CLASSIFICATION: A 20.2.2. Antimicrobial (chemotherapeutic) agents. Fungicides. For more information visit: www.terbane.co.za NOTE: For full prescribing information refer to the package insert approved by the Medicines Regulatory Authority. Sandoz SA (Pty) Ltd, Reg. No. 1990/001979/07. The Novartis Building, Magwa Crescent West, Waterfall City, Jukskei View, Gauteng, 2090. Tel: 011 347 6600. SAN.TER.2020.09.69
FUN AND GAMES
FIND 10 DIFFERENCES
See all the answers on page 32.
WORD SEARCH
TONGUE TWISTER
Summer Holiday Words
Growing gray goats graze great green grassy groves.
Beach Braai Camp Family Festive
Friends Fun Gifts Hat Holidays
Lemonade Memories Play Relax Summer
Sunny Surf Swimming Towel Umbrella
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HEALTHY AND HAPPY
Summer Picnics, Coronavirus-Style Take a look at our picnicking tips to have yourself a worry-free afternoon. 24
As summer brings warm days and later evenings, many of us head outdoors for good fun and food, sunshine, braais and picnics. A picnic is the perfect solution, allowing us to have a fun time while staying safe during a pandemic, if we take the right precautions. Enjoy a picnic in your neighbourhood, a local beach, nature reserve, botanical gardens or even in your own backyard. It won’t be hard to find the perfect place for you to set up lunch and spend a day in the sun. (See our suggestions on p26.)
DO: Picnic in your backyard or on the patio and practise social distancing.
DON‘T: Picnic in a crowded park.
DON‘T: Expose yourself to unnecessary risk. Wearing a mask, using hand sanitiser and social distancing in public helps protect everyone. By now, we’ve heard it a million times, but washing your hands is one of the best ways to prevent the spread of COVID-19, and a large percentage of foodborne illnesses can be prevented if people wash their hands before cooking, after handling raw meat and before eating or serving food.
DO: Bring hand sanitiser or have access to a source of clean water to wash your hands. Rub the sanitiser all over your hands, including between your fingers and around your nails. This is especially important to do before eating or after handling any raw meat that you plan to grill.
Avoiding crowds helps protect you from exposure to the coronavirus.
DON‘T: Handle food if you haven’t
When you are relaxing with family and friends (or at this point frenemies), it is easy to get caught up in the fun of a get-together. But in the time of COVID-19, certain traditions need to be rethought so that you can have fun without risking infection from the coronavirus – or a foodborne germ. Unfortunately, with warmer temperatures, a small error can expose your loved ones to foodborne illnesses or more. For a COVID-conscious picnic, while being outside presents a lower risk than gathering indoors, it’s still important to take some extra precautions, such as following social distancing (spacing chairs, dining areas, or picnic blankets at least 1.5m apart), wearing face masks and not sharing utensils.
TOP TIP: Create a hand-washing station. Hand sanitiser is a start, but if you have an outdoor tap or hose, provide soap and paper towels for guests to wash and dry their hands (using the paper towel to turn off the tap).
DO: Wear a mask. Remember that wearing a mask when you're in public helps protect those around you.
cleaned your hands properly.
DON’T: Cross-contaminate. Even if you can’t wash plates, tongs and serving utensils at the picnic site, rather bring two sets. It is more hygienic to handle raw meats with one and cooked meat with another. Even using the same container for raw and cooked foods can lead to contamination and foodborne illnesses.
DO: Separate foods. Keep ready-to-eat foods like bread rolls, fruit, vegetables and cold meats away from contaminated serving utensils. Also pack your cooler with care by separating the foods as much as possible. Pack hot and cold foods apart. Rather consider packing beverages in a separate cooler box.
DO: Keep cold foods cold and cooked foods hot to reduce risk of food poisoning. Be sure to use an insulated cooler and ice packs to help keep perishable food at a safe temperature. Your insulated cooler usually can’t keep your food cool enough on its own. Only pack your cooler three quarters full of food and reserve one quarter of the space for ice packs. Whenever possible, freeze or chill foods before packing them in your cooler.
DO: Start with a clean slate.
DON‘T: Repurpose ice.
Your hands should not only be kept clean, but also your cooler and food containers. Juices from raw meat and poultry can drip into your cooler, which can become a breeding ground for bacteria. Pack your food in clean, tightly sealed containers. Sanitise your cooler, and wash reusable bags you will use to transport food in. Wash fruit and vegetables at home first, even if you plan on peeling it, as bacteria can transfer from the knife to the edible portion.
Whenever you bring along ice in a cooler box to use in drinks, and not only to keep food cold, you need to pack it in a separate sealed bag. Don’t open ice bags into your cooler box and use these ice blocks in your drinks. The ice blocks can pick up odourless, invisible bacteria from the surface of your cooler box, which can be consumed by you if it is in your drinks and cause foodborne illnesses. >>
THE LOCAL VOICE 25
Picnic Checklist n pe
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Ice Packs
sitting outside in the heat too long, i.e. food that’s been sitting out for longer than two hours (or after one hour if the outdoor temperature is 32°C or higher). Be careful with foods with dairy-based ingredients and salads containing egg and tuna.
And last but not least, don’t forget the sunscreen…
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temperature. Especially in summer when temperatures are soaring, you need to be careful to keep food at a safe temperature. The temperature danger zone for food is between 5˚C to 60˚C. Exposure at these temperatures can cause bacteria numbers to double every 20 minutes. Unfortunately, you can’t see, smell or taste it if food has been exposed to harmful bacteria with toxins growing in it. Rather keep the food in a wellinsulated cooler with enough ice or ice packs to keep the temperature below 5˚C. Transport the cooler inside your car, on your back seat where the air conditioner is on, rather than in the hot boot. At the picnic site, cover the cooler with a blanket and place it in the shade.
Sunscreen
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See our easy picnic food recipes on page 28. Our picnic ideas are quick to make and easy to transport to your favourite outdoor spot.
Happy picnicking! Source: news.lvhn.org/dos-and-dontssummer-picnics-coronavirus-style/
26
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ADVERTORIAL
Be Sun Smart! Are you ready for this year’s summer holiday? Be safe in the sun and make sure that your sunscreen has not expired before using it! If you’ve bought sunscreen and opened the bottle more than a year ago, you'll have to throw it out. You can hold on to an unopened bottle for a little longer. It usually only expires after three years. Ingredients may become degraded over time, which renders the sunscreen less potent, and potentially may not exert the full SPF that it claims on the label. You may be less protected against sunburn and skin cancer.
advice STAY PROTECTED! But rather be safe than sorry (or badly sunburned) and check for an expiration date. Using an expired sunscreen is almost like not using one at all. Talk to our friendly team at a Local Choice pharmacy about putting your health first.
HEALTHY AND HAPPY
FAVOURITE PICNIC SPOTS No matter where you are in South Africa, you can have a picnic in your own backyard or drive less than an hour in yourarea for a hidden gem as the ideal picnic spot. A few suggestions in the different areas in South Africa include:
WESTERN CAPE AND THE WINELANDS
28
• • • •
Oudekraal Beach, Cape Town Clifton Beach, Cape Town Llandudno Beach, Cape Town Kirstenbosch National Botanical Gardens, Cape Town (www.sanbi.org) – pack a picnic basket and walk leisurely around the Botanical Gardens • Newlands Forest, Table Mountain National Park
• Tokai Forest, Table Mountain National Park • Green Point Urban Park, Cape Town (www.gprra.co.za) – free entry close to the city and sea with Table Mountain as your backdrop • Silvermine Nature Reserve, Cape Town (www.sanparks. org) – pair a hike among the fynbos with a family picnic near the Silvermine dam
• Kirstenbosch Tea Room, Newlands – pre–order a picnic basket to enjoy the views and sunshine on the lush lawns • Twelve Apostles, Camps Bay – book a romantic picnic for two with breathtaking views of Table Mountain and panoramic views of the sea • The Picnic Company & Mustard Catering, City Bowl and surrounds – order a variety of picnic baskets delivered to you • Cape Point Vineyards, Noordhoek – picnics provided when pre–ordered with a panoramic view • Cellars–Hohenhort, Constantia – have a choice of three different types of pre–booked picnics • Simon’s at Groot Constantia, Constantia – pre– order a basket of delectable treats and take in this historical venue • Boschendal, Franschoek (www.boschendal.com/ eat–and–drink/picnics) – pre–book a Rhone Rose picnic basket to enjoy in the Rose Garden • Mont Rochelle Hotel & Vineyard, Franschoek – order a picnic for two to enjoy by the dam • Morgenhof Estate, Franschoek – pre–order from a variety of picnic baskets
• Hartenberg Wine Esteate, Franschoek – a picnic basket available with local produce to enjoy on the lawns of Hartenberg or on the estate’s wetland walk • The Bakery at Jordan, Stellenbosch (www.thebakery.co.za) – order a picnic for two on the lawns overlooking the stunning Stellenbosch Kloof Valley • Blaauwklippen Estate, Stellenbosch (www.blaauwklippen. com) – book a picnic basket or buy food supplies at their markets to eat at your leisure on the lawns • Hazendal Wine Estate, Stellenbosch – pre–order a picnic basket with all your favourites • Mooiplaas Wine Estate, Stellenbosch – pre–book a basket for two in the historic gardens at Mooiplaas • Spier Farm Kitchen, Stellenbosch – pre–book a picnic with packaging that is 100% biodegradable and compostable • Zorgvliet Wines, Stellenbosch – enjoy a picnic basket under the oak trees • Rhebokskloof Wine Estate, Paarl – for a picturesque picnic in the historic Paarl Valley • Bistro Allee Bleue, Groot Drakenstein – enjoy mountain views when you pre–order a picnic basket • Groote Post, Darling – escape the city for a packed R400 Groote Post picnic basket
• • • •
• • • •
Amanzimtoti Bird Sanctuary, Amanzimtoti Chris Saunders Park, Umhlanga Ridge Umhlanga Beach and La Lucia Beach, Umhlanga Rain Farm Game Lodge, Ballito – a wildlife sanctuary offering picnics to day visitors, with the option of a game drive Jameson Park, Durban Durban Botanic Gardens, Musgrave Kloof Falls Picnic Site Inanda Dam & Resort, Hillcrest
• Deli at Makaranga, Kloof (www.makaranga.com) – a peaceful oasis where you can pre–order your own picnic with assistance of the staff at the deli
FREE STATE • Free State National Botanical Garden, Bloemfontein (www.sanbi.org ) – this picnic spot is described as “a wildlife haven on the edge of the city” between dolerite koppies • Gariep Dam Nature Reserve, near Colesberg (www.forevergariep.co.za) • Golden Gate Highlands National Park, near Clarens
Oliewenhuis, Bloemfontein (www.nasmus.co.za) – this neo–Cape Dutch–style mansion is regarded as the Free State’s top picnic spot, where you can enjoy a picnic and visit the art museum featuring some of South Africa’s top artists’ work
PIETERMARITZBURG AND THE MIDLANDS • KwaZulu–Natal Botanical Gardens, Pietermaritzburg • Midmar Dam, Howick
Piggly Wiggly, Lions River (www.pigglywiggly.co.za) – pack your own picnic from The Pantry on 103 or order thin–crust pizzas to enjoy outdoors for the whole family • The Lion’s River Brewery, Lions River – enjoy craft beer with a picnic and even get the chance to see the technique behind craft beer • Swissland Cheese, Balgowan – a cheese farm in the Midlands with the option of enjoying a picnic and going back to the shop to stock up on more cheese • Hartford House, Mooi River (www.hartford.co.za) – when doing the Midlands Meander you can pre–order gourmet picnics to enjoy with views of Giant’s Castle
GAUTENG AREA • Walter Sisulu Botanical Gardens, Roodepoort (www.sanbi.org) – go on an educational walk after your picnic or look out for the famous waterfall here • Florida Lake, Roodepoort • Johannesburg Botanical Gardens, Johannesburg • Emmarentia Dam, Randburg • Modderfontein Nature Reserve • Rietvlei Lifestyle Centre, Alberton • Walkhaven Dog Park, Muldersdrift • Zoo Lake, Saxonworld
• Fat Olive, Lanseria (www.thefatolive.co.za) – pre– order a picnic by the water or under the trees • Lethabo Estate, Lanseria (www.lethaboestate.com/ picnics) – choose from the picnics available inside the Crocodile River Reserve • Greensleeves Deli Picnics, Sterkfontein (www.greensleeves.co.za) – design your own picnic basket at this medieval–themed spot in Gauteng • Toadbury Hall, Elandsfontein (www.toadbury.co.za) – for a gourmet picnic at the heart of Muldersdrift in the Cradle of Humankind • Stonehaven on Vaal, Vanderbijlpark (www.stonehaven. co.za) – have a picturesque picnic on the banks of the Vaal River with a pre–ordered picnic basket • Van Gaalen Kaasmakerij, Magaliesberg (www.vangaalen.co.za) – at Skeerpoort, a village at the foot of the Magaliesberg mountains, it has long been a popular picnic spot for city slickers as a day out on the banks of the Skeerpoort river • Afro–boer, Die Wilgers in Pretoria – start with a “wake up shake up” breakfast picnic or a keto or vegan option for later in the day • The Blades, Roodeplaat – choose a picnic for up to 10 people overlooking the Roodeplaat Dam • The Rose Kitchen at Ludwig’s Roses, Haakdoornlaagte – picnic among the beautiful Ludwig’s rose farm and even pre–order a take– home bouquet of roses for your picnic spot • Rosemary Hill, Boschkop – three picnic offerings ideal for couples, functions and small gatherings
LEGEND
DURBAN AND THE COAST
Pack your own picnic basket. Places to go for picnics without packing your own food.
Dial-A-Picnic can be used for various occasions in most bigger cities to pre-order a picnic basket, if you don’t want to pack your own. (www.dialapicnic.co.za/picnic-areas)
THE LOCAL VOICE 29
RECIPES
Best PICNIC EATS
Our easy picnic food ideas are quick to make and easy to transport to your favourite outdoor spot.
Caprese Salad Sandwiches
Crunchy Cabbage Slaw with Apple
Serves 8 – 10 people
Serves 6 – 8, as a side salad with other food
For this crowd pleaser choose a long French baguette. This crispy-on-the-outside, and soft-on-the-inside, giant bread roll can be eaten fresh or grilled on the braai to melt the cheese and enhance the flavours. All the freshness of a Caprese salad, but on a sandwich – ripe sundried tomatoes, creamy mozzarella cheese, fragrant basil leaves and pesto. • 1 long French loaf • 1/4 cup basil pesto • 400 – 500g fresh mozzarella cheese, cut to 1/2 cm thick slices • 240g sundried tomatoes • 1 cup fresh basil leaves 1. Cut the bread in half horizontally. 2. Spread the cut sides of the bread with the basil pesto. 3. Layer half the mozzarella slices, half the sundried tomatoes and half the basil leaves on the bottom half of the bread. Repeat with the remaining mozzarella, tomatoes and basil leaves. 4. Place the top on the sandwich and wrap tightly with two layers of plastic wrap. Refrigerate for at least 1 hour or up to 1 day. 5. Cut the sandwich in portions to eat as is, or grill on the braai until the cheese is melted.
• • • • •
1 small bunch baby spinach, thinly sliced 1/2 medium head red cabbage, thinly sliced into ribbons 2 green apples, cored and cut into cubes Freshly ground salt and pepper, to taste 2 cups almonds
For the dressing • Juice of 2 medium lemons • 1/2 cup Parmesan cheese • 1 tbsp wholegrain mustard • 1 tsp garlic paste • Ground black pepper • 1/4 cup avocado oil 1. Mix the sliced spinach and red cabbage. Add the salt, pepper and almonds. 2. For the dressing, whisk together the lemon juice, Parmesan cheese, mustard, garlic and ground pepper. 3. Add the dressing firstly over the apple cubes and then mix it with the cabbage and spinach mix. 4. Divide in smaller containers for later – it can be stored in an airtight container in the refrigerator for up to 1 week.
Pesto Pasta Salad
No-Bake Oats and Coconut Treats
Serves 8
Makes 24 small treats
This green salad can be made up to a day in advance and then refrigerated. Add the cucumber, tomatoes and Feta before serving. Divide the salad into smaller containers. • • • • • • • • • • •
/ medium lemon 140g baby spinach (about 5 cups) 1/2 cup basil pesto 1/4 cup mayonnaise 1/2 teaspoon salt 1/4 teaspoon freshly ground black pepper 500g dried short pasta – fusilli or macaroni 1/2 medium English cucumber 300g cherry tomatoes 4 feta cheese wheels Fresh basil leaves, for serving 1 2
1. Bring 1.5 litres of salted water to boil. When it boils add the dry pasta and cook until al dente for 12 to 15 minutes. Then drain the water. 2. Meanwhile, juice 1/2 lemon for 1 tablespoon juice. Chop the baby spinach finely, then add the lemon juice, basil pesto, mayonnaise and salt and pepper. Mix it all together. 3. Mix the drained, cooked pasta with the spinach mixture. 4. Cut the cucumber lengthwise, then slice thinly crosswise. Halve the cherry tomatoes. Cut the feta cheese wheels into smaller blocks. 5. Add the cucumber, tomatoes and Feta cheese to the spinach–pasta mix.
• • • • • • • •
3 cups dry oats 1/2 cup coconut 1 cup smooth peanut butter 2 cups sugar 1/2 cup cocoa 125g butter 1/2 cup milk 1 teaspoon vanilla essence
1. Mix together the sugar, cocoa, butter and milk in a pot and melt for 5 minutes. 2. Add the peanut butter and melt together. 3. Stir in vanilla essence and remove from the heat. 4. Mix in the oats and coconut and form small treat balls. Put these spoonfuls on wax paper or baking sheets and cool for 30 minutes. 5. Store in an airtight container for up to 5 days and leave in your cooler box when taking out for a picnic treat. All these recipes can be prepared the night before. Source: www.thekitchn.com
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THE LOCAL VOICE 31
LAST WORD
ANSWERS
There are so many fun and creative ideas for wrapping gifts, but most of them are geared more towards adults. Usually, kids probably prefer you to wrap their presents in wrapping paper with their favourite TV character on it. Here are a few fun interactive gift-wrapping ideas and ways to make the outside of their gifts almost as entertaining as the inside.
FIND THE DIFFERENCES
Wrapping 2020 up like...
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2. “Colour Me” wrapping paper Wrap your gift in simple white paper. Write the words “colour me” on a corner of the box, and attach crayons with tape instead of a bow. Make sure the gift inside isn’t too breakable or delicate, and let the child tear off the crayons and colour all over the box, decorating it in any way he or she wants. 3. “Decorate Me” Christmas Tree Wrapping Wrap your gift in simple brown craft paper. Cut out the shape of a Christmas tree from green paper, and glue it to the front. Get sheets of stickers, roll them, secure them with tape, then place them along the tree. Write the words “decorate me” on the box, and let the child decorate their tree with stickers before opening their gift. Source: www.linesacross.com/2012/12/interactive-gift-wrap-for-kids
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SUDOKU
1. “Vroom!" Wrap your gift in simple brown craft paper, but instead of ribbon and a bow, add a toy car and a road. These small toy cars are a creative and exciting decoration on the outside of a gift. Use strips of black paper and a white chalk board pen or white paint to create the road. Attach the road and the car to the gift. You can attach the cars with a hot glue gun or adhesive gum (Prestik). It allows the car to stay on the box at any angle, but it still easily peels off after the gift is opened. Write the word “vroom” on the box.
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