Category: General Interest

Mercy Ships Supports National Response Following Cyclone Gezani in Madagascar

Cyclone Gezani caused extensive damage across the region, displacing thousands and severely affecting homes, public infrastructure, and healthcare facilities

Following the devastating cyclone that struck Madagascar’s east coast, Mercy Ships (www.MercyShips.org) has joined with national disaster response efforts in Toamasina (Tamatave) through the provision of essential relief supplies, in coordination with the government’s disaster management authorities.

Cyclone Gezani caused extensive damage across the region, displacing thousands and severely affecting homes, public infrastructure, and healthcare facilities.“In moments like these, partnerships and solidarity matter most,” said Nicholas Ahadjie, Country Director of Mercy Ships in Madagascar. “We are committed to supporting the national response and ensuring that assistance reaches communities where the needs are greatest.”

As part of its own immediate response, Mercy Ships has delivered 537 bags of rice, 1000 roofing sheets, and 1000 ready-to-eat meals. These supplies arrived in Toamasina and were officially handed over to the government’s Designated Disaster Response Coordination Body for distribution to affected communities.

The roofing materials will enable families, schools, and community health facilities to begin urgent repairs. The rice will be distributed to households impacted by the storm that still have functional cooking facilities, while ready-to-eat meals will provide immediate support to individuals and displaced families.Although the Mercy Ships hospital vessel Africa Mercy®, is currently undergoing scheduled maintenance in South Africa, preparations are underway for her return to Madagascar. Sometime this May, she is expected to resume surgical services and medical training programs in collaboration with the Ministry of Health.

“Our presence in Madagascar is on-going,” added Nicholas Ahadjie. “While the ship is in maintenance, our engagement with partners continues. We stand with the Malagasy people today and remain dedicated to strengthening healthcare capacity for the future.

”For several years, Mercy Ships has partnered with Madagascar to provide free specialised surgeries, professional medical training, and infrastructure support. The recent disaster will not stop the organisation’s ongoing support for the Malagasy people as it continues to help reinforce their national health systems.Distributed by APO Group on behalf of Mercy Ships.

ABOUT MERCY SHIPS:

Mercy Ships operates hospital ships that deliver free surgeries and other healthcare services to those with little access to safe medical care. An international faith-based organisation, Mercy Ships has focused entirely on partnering with African nations for the past three decades. Working with in-country partners, Mercy Ships also provides training to local healthcare professionals and supports the construction of in-country medical infrastructure to leave a lasting impact.  Each year, more than 2500 volunteer professionals from over 60 countries serve on board the world’s two largest non-governmental hospital ships, the Africa Mercy® and the Global Mercy™. Professionals such as surgeons, dentists, nurses, health trainers, cooks, and engineers dedicate their time and skills to accelerate access to safe surgical and anaesthetic care. Mercy Ships was founded in 1978 and has offices in 16 countries as well as an Africa Service Center in Dakar, Senegal. For more information, visit www.MercyShips.org and follow @MercyShips on social media. 

‘What’s Your Epic?’ Gathers Momentum as Amputee Riders Prepare for the 2026 Cape Epic

Movement is a Right, not a Privilege

Since launching late last year, Össur South Africa’s ‘What’s Your Epic?’ campaign has gained strong traction, with six amputee athletes now deep into training for the 2026 Cape Epic (15–22 March). As preparations intensify, the campaign continues to rally South Africans around a powerful belief: that access to mobility is fundamental to dignity, independence, and opportunity.

Three amputee teams will line up at one of the world’s most demanding mountain biking events, not only to test their physical limits, but to raise awareness and funds for three South African non-profit organisations restoring mobility and independence to people living with limb loss or disability: Jumping Kids, Rejuvenate SA, and Zimele.

Over the past few weeks, the riders have been balancing rigorous training schedules with advocacy, fundraising, and community engagement, using the build-up to the Cape Epic to shine a spotlight on the everyday barriers faced by thousands of South Africans who lack access to basic mobility solutions.

“Since launching ‘What’s Your Epic?’, the response has been incredibly encouraging,” says Blignaut Knoetze, Managing Director of Össur South Africa. “What’s been most powerful is seeing how this campaign has resonated beyond sport. It’s sparked conversations about access, inclusion, and what mobility truly means in people’s lives.”

For the six riders, the road to the Cape Epic is as much mental as it is physical. Long training rides, strength work, and recovery sessions are all undertaken with a deeper purpose in mind.

“Training for the Cape Epic is intense, but every ride reminds me why this matters,” says Rentia Retief, artist and amputee athlete. “With the right prosthetic and support, I’ve been able to reclaim the life I knew before losing my leg. Through this campaign, we’re trying to help make that same freedom possible for others.”

Mhlengi Gwala, international para-triathlete and African champion, adds, “This race is about more than endurance. It’s about representation and showing what’s possible when people are given the tools and support to move forward.”

Representing the third team, Brian Style, a passionate cyclist who rebuilt his life through mountain biking, says, “Preparing for the Cape Epic is both challenging and incredibly rewarding. Being part of this campaign gives real meaning to the training, knowing that every kilometre ridden helps create opportunities for others to regain their independence and confidence.”

Funds raised through the campaign will support:

  • Jumping Kids, which provides prosthetic limbs, education access, and sport opportunities to children with limb loss.
  • Rejuvenate SA, which supplies mobility aids to adults who cannot afford them, restoring dignity and independence.
  • Zimele, which supports adults with physical disabilities to regain independence, reintegrate into society, and build economic self-sufficiency.

Together, these organisations are changing lives every day, from helping a child take their first steps to enabling adults to return to work and participate fully in their communities.

“The riders may be the face of the campaign, but the real heroes are the organisations working on the ground,” says Knoetze. “Our role is to amplify their impact and encourage South Africans to get involved in any way they can.”

As race day draws closer, Össur South Africa is calling on individuals, corporates, and communities to support the campaign through donations, fundraising initiatives, partnerships, or simply by sharing the message.

“‘What’s Your Epic?’ asks a simple but powerful question,” says Knoetze. “How can each of us help remove barriers and create access? When we support mobility, we support inclusion, opportunity, and futures.”

Donate, fundraise, or get involved as an individual or company. Your support can help someone stand, walk, work, play, or believe in possibility again.

Donations: Össur Donations, ABSA Bank, Account number: 4123 215 542, Branch code: 632005, Reference: Company name and contact number. For more information or Section 18A certificates, please contact Amelda Potgieter at apotgieter@ossur.com.

This is more than a race. It’s a movement.
What’s your Epic?

Rare Disease Day 2026 Puts Equity for Patients in the Spotlight

Photo by Cottonbro on Pexels

Rare diseases each affect relatively small numbers of people, but collectively they impact more than 300 million individuals worldwide across over 7000 known conditions, with 70% of these starting in childhood.1 For many patients and families, the reality is often long diagnostic journeys, uncertainty and ongoing challenges in accessing treatment and support.

This year’s global Rare Disease Day theme: “More Than You Can Imagine,” highlights the often unseen challenges faced by rare disease communities and the need for more equitable healthcare systems for people living with rare conditions worldwide.

Ahead of Rare Disease Day 2026, observed globally on 28 February, Sanofi South Africa is reaffirming its commitment to improving outcomes for people living with rare diseases through ongoing research, collaboration to improve access to treatment, and engagement in policy and advocacy discussions that support patients and caregivers.

According to Monique Nel, Medical Adviser for Rare Diseases at Sanofi South Africa, rare diseases demand a long-term mindset. “Patient populations may be small, but that makes every data point even more valuable. Building evidence takes time, yet each insight brings us closer to understanding these conditions and the unique needs of patients – enabling us to deliver better care.”

Research remains essential in rare diseases, where evidence is often limited and every patient experience matters. Global disease registries, such as the Global Gaucher Registry, allow clinicians and researchers to collect real-world data that deepens understanding of how conditions present across different regions and healthcare settings. Participation from South African patients helps ensure local experiences are reflected in global research.

“For me, equity starts with representation,” says Nel. “Patients are not the same everywhere. Genetics, environment, and healthcare systems all shape how a disease presents and progresses. If our research doesn’t reflect the diversity of the populations we serve, we risk missing a critical part of the picture.”

From scientific progress to real-world access

Innovation can transform outcomes for people living with rare diseases, but scientific progress only matters if patients can actually reach and stay on treatment.

Rare disease therapies are often complex and highly specialised, which means access depends on collaboration across clinicians, funders, policymakers and industry. The focus is increasingly on sustainable solutions that support affordability, continuity of care and long-term patient support.

“Access isn’t only about availability,” says Nel. “It’s also about what happens after treatment starts – whether patients can continue therapy, feel supported, and navigate their care with confidence.”

Strengthening policy and advocacy

Policy and legislative frameworks play an important role in shaping diagnosis, treatment pathways and long-term patient support. Ongoing engagement between stakeholders is essential to strengthen South Africa’s rare disease landscape and ensure decisions reflect real patient needs.

Patient voices are becoming increasingly important in policy and reimbursement discussions, offering insights that clinical data alone cannot provide.

“Patients and caregivers become experts through their own lived experiences,” says Nel. “Listening to their voices is what enables us to design better systems and ultimately deliver better care.”

“When we say rare diseases impact lives more than you can imagine, we’re talking about the invisible barriers patients face before they ever receive care,” says Nel. “Healthcare systems matter because they determine how quickly families find answers, how care is funded, and whether patients are truly included.”

She notes that South Africa’s constitutional commitment to healthcare, together with opportunities created through National Health Insurance, presents an important moment to strengthen support for rare disease communities.

South Africa’s support for the May 2025 rare diseases resolution at the World Health Assembly followed advocacy by Rare Diseases South Africa, which engaged the Department of Health and Health Minister Aaron Motsoaledi, calling for rare diseases to be recognised as a national health priority.

“Progress comes from sustained advocacy, partnership and action. Strong policy needs partners who understand that acting for patients means helping build systems that work for them,” says Nel.

Working with patient communities

As part of Rare Disease Day 2026, Sanofi South Africa is once again partnering with Rare Diseases South Africa (RDSA) to raise awareness around rare disease equity and amplify the lived experiences of patients and families. The collaboration focuses on education, awareness and encouraging meaningful dialogue around patient needs.

“Healthcare is a constitutional right in South Africa,” says Kelly du Plessis, CEO & Founder of Rare Diseases South Africa. “The opportunity now is to ensure rare disease patients are fully included in that promise. Equity means policies that don’t simply acknowledge rare diseases but actively prioritise them.”

RDSA remains an independent patient advocacy organisation, while the partnership supports awareness initiatives and responsible collaboration that strengthens patient-centred advocacy.

“We remain committed to working for patients, but we’ve learned to do that more effectively by collaborating with patient societies,” says Nel. “That partnership approach is essential. Equity means ensuring every patient is heard, every voice contributes, and every partnership has the opportunity to drive better care.”

The partnership with RDSA aims to:

  • Increase understanding of rare diseases and their impact
  • Support patient-centred advocacy and awareness
  • Encourage informed dialogue across healthcare stakeholders
  • Highlight the importance of equity in research, access and policy

Both organisations agree that meaningful progress in rare diseases depends on collective action across patients, healthcare professionals, policymakers and industry partners.

Reference:
1. World Health Organization (WHO). Rare diseases: a global health priority for equity and inclusion. Seventy-eighth World Health Assembly, Draft Resolution A78/51, Fifth report of Committee A, 24 May 2025. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA78/A78_51-en.pdf

SA Medical News Roundup 20th February

Photo by Hush Naidoo Jade Photography on Unsplash

This week saw the launch of a new, far-reaching court case against NHI, protest action planned over GEMS premium increases, Gauteng doctors’ complaints over MRI machine purchases, and a new tuberculosis dashboard.

Another NHI Court Case

Yet another court case has been initiated against NHI, this time from AfriForum. Unlike previous court cases which took aim at various parts of the NHI legislation, Afriforum describes theirs as launching a “comprehensive attack” on the NHI Act. This includes summons being served on President Cyril Ramaphosa and Health Minister Aaron Motsoaledi, among others.

According to court documents, Afriforum “foresees material factual disputes” and expects there to be cross-examination and experts. The organisation cited constitutional violations, while the Department of Health contends that NHI has been through the legislation process and cannot be altered. Experts have warned that continuing legal action will bog down NHI, kicking its decades-long implementation even further down the road. Read the full story in BusinessTech.

Public Sector Unions to Protest over GEMS Increases

This weekend, public sector unions are set to take to the streets in protests over the 9.8% increase in Government Employee Medical Scheme (GEMS) premiums. This increase is far above the 3.3% increase recommended by the Council for Medical Schemes (CMS), and above the private sector increases, which range from 4.7% for Genesis to a weighted average of 8.8% for Bonitas, according to Moonstone. All of this comes in the wake of 2025’s unprecedented 10.1% average increase, with a 13.4% increase for GEMS. The nationwide protests are set to culminate in a march to GEMS’ offices next week Thursday. SABC News has more on the protests.

Gauteng Doctors Criticise Choice of MRI Machine

Doctors at Charlotte Maxeke Academic Hospital have questioned a Gauteng Health Department decision to override their choice of a Philips MRI machine. The scanner is part of a R304-million rollout of eight scanners across Gauteng public hospitals. The original choice of a Philips machine is about R10 million cheaper than the Chinese alternative, and the doctors said that it was technically superior. and the head of the hospital’s supply chain management committee warned that the change could increase costs, downtime, and clinical risk. The dispute comes amid mounting diagnostic backlogs at Gauteng hospitals, including some 2600 cancer patients at Charlotte Maxeke. GroundUp covers the story, which has also been republished on QuickNews.

New Tuberculosis Dashboard

Spotlight has launched a new tuberculosis dashboard and graph generator. Based on the latest Thembisa model data, it is the counterpart to the HIV Dashboard which was launched in November last year. Users can look backward and forward in time on a range of TB parameters, with future modelling currently out to 2030. Check out Spotlight’s tuberculosis dashboard here.

SAHPRA Fast-Tracks Access to Critical Foot and Mouth Disease Vaccines to Protect SA’s Livestock

Photo by Gabriela Cheloni

The South African Health Products Regulatory Authority (SAHPRA) confirms that it has granted Section 21 authorisation for the importation of the Dollvet Foot and Mouth Disease (FMD) vaccine with conditions and is currently assessing an additional application for the same vaccine.

Foot and Mouth Disease is a highly contagious viral disease affecting cloven-hoofed animals such as cattle, pigs, sheep, and goats. It causes fever and painful blister-like sores in the mouth, on the teats, and between the hooves. While many animals recover, outbreaks can result in severe production losses, high mortality in young animals, and significant economic consequences for the agricultural sector.

Speaking on the authorisation, Dr Boitumelo Semete-Makokotlela, Chief Executive Officer of SAHPRA, said:

“The health of our livestock is critical to South Africa’s food security, economic stability, and the livelihoods of our farmers. By granting Section 21 authorisation for the importation of FMD vaccines, SAHPRA is ensuring that veterinarians and farmers have timely access to safe, effective, and scientifically approved tools to protect animals against this highly contagious and devastating disease”.

Section 21 of the Medicines and Related Substances Act provides a mechanism for the controlled importation of medicines and vaccines not yet registered in South Africa, under strict regulatory oversight. This pathway enables SAHPRA to respond rapidly to urgent public and animal health outbreaks while maintaining rigorous standards of quality, safety, and efficacy. Authorisations granted under this provision are temporary and subject to ongoing review.

All imported vaccines undergo strict regulatory controls and quality assurance processes. Distribution will be coordinated by the Department of Agriculture: Animal Health, which is responsible for implementing national disease control measures.

FMD spreads rapidly through direct contact with infected animals, contaminated equipment, vehicles, clothing, feed, and even via wildlife carriers. Outbreaks can lead to movement restrictions, quarantines, trade limitations, and increased compliance costs for farmers. Loss of South Africa’s FMD-free status can trigger immediate export bans on livestock and related products, affecting foreign revenue losses and market stability.

The Department of Agriculture has emphasised that FMD is a controlled disease and that vaccination must take place only within officially approved programmes. Unregulated vaccination may mask infections, weaken surveillance systems, and delay the country’s ability to regain its FMD-free status under international standards set by the World Organisation for Animal Health (WOAH).

“Our collaboration with SAHPRA reflects the importance of partnerships in safeguarding animal health. The South Africans farming community can be assured that every vaccine authorised for use in the country undergoes careful evaluation  for safety, efficacy, especially against locally circulating strains and quality and we are optimistic that the disease will be contained” said Dr Bothle Modisane, Chief Director for Animal Health at the National Department of Agriculture.

SAHPRA remains committed to transparency and will continue to update stakeholders on developments related to veterinary vaccine import authorisations for FMD control.

Source: SAHPRA

Discovery Abandons R170 Million Clawback over Medicines Reimbursement Glitch

Photo by Scott Graham on Unsplash

Discovery Health has recently abandoned its efforts to reclaim roughly R170 million from 16 507 members following a widespread administrative error in processing medical claims. This happened after the successful intervention of the advocacy group MediCheck, which argued that the affected members were being unfairly penalised for a technical glitch which they had nothing to do with.

The glitch, which happened last year, resulted in over-reimbursement of certain medicine costs that occurred throughout 2025. Several specific technical and procedural issues were involved which caused the problem to grow undetected for nearly a year, as detailed by Moonstone.

The main error was that certain claims were incorrectly reimbursed at 100% of the Discovery Health Rate, regardless of the specific benefit limits that should have applied to those categories, when they should have been reimbursed at a lower rate.

Because these claims were incorrectly reimbursed at higher rates, they were inaccurately accumulated towards members’ benefit thresholds. This caused members who had Above-Threshold Benefit (ATB) as part of their plan to reach it prematurely. Upon reaching the ATB, subsequent medical claims were funded by the scheme. Normally, these claims would have been covered by the members’ medical savings accounts or out-of-pocket contributions.

Delayed detection allowed the problem to grow. The error was particularly difficult to identify because it was a “second-order impact”. The systemic failure only became apparent late in the year when members began reaching the ATB and the financial discrepancies were finally flagged.

This snowballing error eventually affected some 16 507 members on specific Executive, Comprehensive, and Priority plans. While Discovery Health initially sought to recover these funds, ranging from thousands of rand to as much as R80 000 per member, the Council for Medical Schemes stepped in to exert pressure amid widespread media coverage of the situation. Discovery gave in and committed to refunding any recovered funds and absorbing the total financial loss itself – estimated between R130 million and R170 million.

Hyundai Automotive South Africa Reaffirms Disability Inclusion and Mobility for All

Photo by Ivan S

Hyundai Automotive South Africa reaffirmed its commitment towards embedding disability inclusion into its operations, through continuous  disability-related employee training, improving dealership layouts and vehicle modifications. 

The aim is to foster a culture that recognises disability as part of human diversity rather than a limitation.  “Mobility is not just about getting from one point to another, rather, about access and dignity,” said Stanley Anderson, CEO of Hyundai Automotive South Africa. 

“Our commitment is to ensure our vehicles and dealerships are adequately prepared to support the needs of all customers, including those with disabilities.  More importantly, we want to empower our customer-facing employees with deeper understanding of disability, dismantle misconceptions.  By so doing, we will ensure that customers with disabilities feel welcomed, respected and supported when visiting any Hyundai dealership.”

It has also implemented a range of practical measures to ensure its dealerships are physically accessible and welcoming to persons with disabilities.  This includes improving dealership layouts for ease of movement, ensuring wheelchair-friendly access points. 

The company works closely with a range of specialised suppliers who modify some of its vehicles to suit the mobility needs of persons with disabilities.  “These partnerships ensure that more South Africans can access safe, reliable and custom-adapted mobility solutions suited to their lifestyles and independence,” stated Christine Masinga, Human Resources Director at Hyundai Automotive South Africa.

The national disability prevalence rate in South Africa is estimated at around 7.5%.  Despite national government targets for 2% representation of persons with disabilities in workplaces, recent reports indicate that they comprise less than 1% of the total employees across both government and private companies.

According to the Department of Employment and Labour, eight out of ten disabled persons are unemployed nationally, which is significantly higher than the general unemployment rate.

Össur South Africa Launches 2026 ‘What’s Your Epic?’ Campaign

Movement is a Right, not a Privilege

Inspiring South Africa to Support Mobility, Inclusion and the Power of Possibility

Össur South Africa‘s Team 1: Rentia Retief & Travis Warwick-Oliver

Össur South Africa is proud to announce the launch of the 2026 ‘What’s Your Epic?’ campaign, an initiative that champions one simple truth: everyone deserves the freedom to move. As the world turns its attention to the Cape Epic from 15 – 22 March 2026, Össur is once again harnessing this global stage to drive awareness, spark action, and rally support for mobility access across South Africa.

Following the success of last year’s inaugural campaign, Össur South Africa has entered three amputee teams into the 2026 Cape Epic, one of the world’s most iconic and demanding mountain biking events. These six remarkable riders embody grit, courage, and the unbreakable belief that mobility transforms lives. Their mission is bigger than the race: to unlock meaningful support and funding for three exceptional non-profit organisations: Jumping Kids, Zimele and Rejuvenate SA.

“Movement is a fundamental right, not a privilege reserved for the few,” says Blignaut Knoetze, Managing Director of Össur South Africa. “Whether you’re an elite athlete, a child receiving their first prosthetic or an adult rebuilding independence; mobility unlocks dignity, participation, and potential. ‘What’s Your Epic?’ is our call to South Africa to stand with us in supporting organisations who make this freedom possible.”

The 2026 campaign aims to raise funds and awareness for four organisations driving mobility access and inclusion:

  • Jumping Kids: Providing quality prostheses, education access, and sport opportunities to children living with limb loss, giving them the tools to build confident, successful futures.
  • Rejuvenate SA: Founded on the belief that movement is a basic human right, Rejuvenate SA supplies mobility aids to those who cannot afford them, restoring dignity and independence.
  • Zimele: Meaning “independence” in Xhosa, Zimele supports adults with physical disabilities to regain control over their lives, reintegrate into society and build economic self-sufficiency.

Together, these six athletes across three teams are redefining what’s possible.

  • Team 1: Rentia Retief & Travis Warwick-Oliver

Rentia (33, Somerset West), an artist and amputee athlete, who survived a cycling accident in 2023. Her journey is a testament to courage and the belief that mobility is a right every person deserves. Partnering with her is Travis (32, Durban), founder of Rejuvenate SA, adaptive athlete, and two-time UTMB finisher who has transformed his own amputation into a mission to help others move freely and live without limitations.

  • Team 2: Mhlengi Gwala & Kean Dry

Mhlengi (34, Durban), an international para-triathlete and multiple African champion who continues to defy all odds after a 2018 attack that led to the amputation of his right leg. Riding alongside him is Kean (30, Cape Town), a dedicated endurance athlete and community motivator whose story of resilience inspires thousands to believe that adversity does not define possibility.

  • Team 3: Brian Style & Rudi Joubert

Brian (40, Springs), a passionate cyclist who has rebuilt his life through mountain biking, uses sport as a platform for giving back. He rides with Rudi (42, Secunda), a determined amputee athlete known for his positivity, teamwork, and commitment to raising funds for mobility solutions.

“These riders are not just racing, they are raising their voices for those who cannot and shining a spotlight on organisations that restore dignity, independence, and hope,” says Knoetze. Össur South Africa is inviting the public, corporates, partners, and communities to be part of this extraordinary movement. Whether through donations, corporate partnerships, fundraising initiatives, or simply sharing the message, every contribution helps someone stand, walk, run, play, work, or dream again.

“‘What’s Your Epic?’ is about pushing boundaries; not just on the bike, but in society,” adds Knoetze. “When we support mobility, we support access. We support inclusion. We support futures. We are asking South Africa to back our riders, our NPOs, and the belief that everyone deserves the freedom to move.”

Donate, fundraise, or get involved as an individual and/ or company. Your support can help someone take their first step, return to work, join a sport, or believe in possibility again.
Össur Donations, ABSA Bank, Account number: 4123 215 542, Branch code: 632005
Reference: company name and contact number

Please contact Amelda Potgieter (apotgieter@ossur.com) for more information and/ or Section 18A certificates.

This is more than a race. It’s a movement. What’s your Epic?

Volcanic Eruptions Set off a Chain of Events that Brought the Black Death to Europe

Catalan Atlas, 1375. Credit: Bibliothèque Nationale de France, via Wikimedia Commons

Clues contained in tree rings have identified mid-14th-century volcanic activity as the first domino to fall in a sequence that led to the devastation of the Black Death in Europe.

Researchers from the University of Cambridge and the Leibniz Institute for the History and Culture of Eastern Europe (GWZO) in Leipzig have used a combination of climate data and documentary evidence to paint the most complete picture to date of the ‘perfect storm’ that led to the deaths of tens of millions of people, as well as profound demographic, economic, political, cultural and religious change.

Their evidence suggests that a volcanic eruption – or cluster of eruptions – around 1345 caused annual temperatures to drop for consecutive years due to the haze from volcanic ash and gases, which in turn caused crops to fail across the Mediterranean region. To avoid riots or starvation, Italian city-states used their connections to trade with grain producers around the Black Sea.

This climate-driven change in long-distance trade routes helped avoid famine, but in addition to life-saving food, the ships were carrying the deadly bacterium that ultimately caused the Black Death, enabling the first and deadliest wave of the second plague pandemic to gain a foothold in Europe.

This is the first time that it has been possible to obtain high-quality natural and historical proxy data to draw a direct line between climate, agriculture, trade and the origins of the Black Death. The results are reported in the journal Communications Earth & Environment.

The Black Death was one of the largest disasters in human history. Between 1347 and 1353, it killed millions of people across Europe. In some parts of the continent, the mortality rate was close to 60%.

While it is accepted that the disease was caused by the bacterium Yersinia pestis, which originated from wild rodent populations in central Asia and reached Europe via the Black Sea region, it’s still unclear why the Black Death started precisely when it did, where it did, why it was so deadly, and how it spread so quickly.

“This is something I’ve wanted to understand for a long time,” said Professor Ulf Büntgen from Cambridge’s Department of Geography. “What were the drivers of the onset and transmission of the Black Death, and how unusual were they? Why did it happen at this exact time and place in European history? It’s such an interesting question, but it’s one no one can answer alone.”

Büntgen, whose research group uses information stored in tree rings to reconstruct past climate variability, worked with Dr Martin Bauch, a historian of medieval climate and epidemiology from the Leibniz Institute for the History and Culture of Eastern Europe, on the study.

“We looked into the period before the Black Death with regard to food security systems and recurring famines, which was important to put the situation after 1345 in context,” said Bauch. “We wanted to look at the climate, environmental and economic factors together, so we could more fully understand what triggered the onset of the second plague pandemic in Europe.”

Together, they combined high-resolution climate data and written documentary evidence with conceptual reinterpretations of the connections between humans and climate to show that a volcanic eruption – or series of eruptions – around 1345 was likely the first step in a sequence that ultimately led to the Black Death.

The researchers were able to approximate this eruption through information contained in tree rings from the Spanish Pyrenees, where consecutive ‘Blue Rings’ point to unusually cold and wet summers in 1345, 1346 and 1347 across much of southern Europe. While a single cold year is not uncommon, consecutive cold summers are highly unusual. Documentary evidence from the same period notes unusual cloudiness and dark lunar eclipses, which also suggest volcanic activity.

This volcanically forced climatic downturn led to poor harvests, crop failure and famine. However, the Italian maritime republics of Venice, Genoa and Pisa were able to import grain from the Mongols of the Golden Horde around the Sea of Azov in 1347.

“For more than a century, these powerful Italian city-states had established long-distance trade routes across the Mediterranean and the Black Sea, allowing them to activate a highly efficient system to prevent starvation,” said Bauch. “But ultimately, these would inadvertently lead to a far bigger catastrophe.”

The ships that carried grain from the Black Sea most likely also carried fleas infected with Yersinia pestis, as previous research has already pointed out. But why grain was so urgently needed by the Italians has now become much clearer. It is still unknown exactly where this deadly bacterium originated, but ancient DNA has suggested there may have been a natural reservoir in wild gerbils somewhere in central Asia.

Once the plague-infected fleas arrived in 14th-century Mediterranean ports on grain ships, they became a vector for disease transmission, enabling the bacterium to jump from mammalian hosts – mostly rodents, but potentially including domesticated animals – to humans. It rapidly spread across Europe, devastating the population.

“In so many European towns and cities, you can find some evidence of the Black Death, almost 800 years later,” said Büntgen. “Here in Cambridge, for instance, Corpus Christi College was founded by townspeople after the plague devastated the local community. There are similar examples across much of the continent.”

“And yet, we could also demonstrate that many Italian cities, even large ones like Milan and Rome, were most probably not affected by the Black Death, apparently because they did not need to import grain after 1345,” said Bauch. “The climate-famine-grain connection has potential for explaining other plague waves.”

The researchers say the ‘perfect storm’ of climate, agricultural, societal and economic factors after 1345 that led to the Black Death can also be considered an early example of the consequences of globalisation.

“Although the coincidence of factors that contributed to the Black Death seems rare, the probability of zoonotic diseases emerging under climate change and translating into pandemics is likely to increase in a globalised world,” said Büntgen. “This is especially relevant given our recent experiences with Covid-19.”

The researchers say that resilience to future pandemics requires a holistic approach to address a wide spectrum of health threats. Modern risk assessments should incorporate knowledge from historical examples of the interactions between climate, disease and society.

The research was supported in part by the European Research Council, the Czech Science Foundation and the Volkswagen Foundation.

Reference:
Martin Bauch and Ulf Büntgen. ‘
Climate-driven changes in Mediterranean grain trade mitigated famine but introduced the Black Death to medieval Europe.’ Communications Earth and Environment (2025). DOI: 10.1038/s43247-025-02964-0

Republished from University of Cambridge under a Creative Commons licence

Read the original article.

Hope Blooms in Durban – A Spring High Tea with Purpose

Photo by Joanna Kosinska on Unsplash

October is Breast Cancer Awareness Month, and what better way to celebrate than with floral elegance, an exquisite high tea, motivational speakers, and a live auction – all in the spirit of hope and healing.

On Saturday morning, 25th October 2025, at 11 am, PinkDrive will host their Hope Blooms High Tea at the Radisson Blu Hotel, Durban Umhlanga, a time of spring celebration and impactful fundraising.  And you’re invited!

PinkDrive is a non-profit organisation (NPO) committed to prolonging lives through early detection of gender-related cancers. They operate mobile health units – those iconic pink trucks – that travel to rural and township areas to provide essential screenings to those who lack or have limited access to adequate healthcare.

Recent Rio Tinto outreach statistics highlight the urgent need for such interventions. In just one week in KwaZulu-Natal, 2251 health services were rendered, including 146 mammograms and 141 clinical breast examinations.

PinkDrive receives no government funding, relying entirely on donations, corporate partnerships, and community support to sustain its essential work. Among these partners is Lee-Chem Laboratories through their Mandy’s brand.

“This cause is deeply important to us – we’ve proudly supported PinkDrive for many years as a long-term corporate partner because of the difference they make in communities that need it most,” says Bhavna Sanker, Marketing Manager at Lee-Chem Laboratories. “It is a privilege to stand alongside them in their efforts to promote early detection and prolong lives. The Hope Blooms fundraiser perfectly reflects our shared commitment to raising awareness, providing crucial screening, and ultimately bringing hope where it’s needed most,” she explains. “We therefore want to encourage the public to also get involved by purchasing a ticket and enjoying an uplifting morning in support of PinkDrive’s vital work.

According to Janice Benecke from PinkDrive, corporate sponsors and partnerships, like that of Mandy’s, enable them to deliver this essential community service. “Mandy’s has been a proud supporter of PinkDrive for many years, generously providing branding, hampers, and product samples, along with an annual donation,” she says. “Through sponsored events like Hope Blooms, we hope to inspire further partnerships and support for our mission.”

Dr Marion Algar, Clinical Oncologist at Hopelands Cancer Centre specialising in breast cancer treatment, and Advocate Pria Hassan, founder of Women of Africa and champion of accessible healthcare through initiatives like iBreast, will share their insights as guest speakers. The elegant affair will be hosted by the lovely Delia Kroll, Mrs SA 2024 finalist, and attendees can also look forward to a welcome drink, networking opportunities, raffle prizes, gift bags, and an exciting live auction. Proceeds will go towards supporting PinkDrive’s free services, including clinical breast examinations, education, pap smears, and funding toward a new mammogram truck. Last year’s event raised R25 000; this year’s goal is to double that amount through your support.

“Hope Blooms reflects the courage, resilience, and renewal that come with a breast cancer journey,” notes Benecke. “Just like flowers that bloom after winter, it’s a reminder that through awareness, support, and love, hope always finds a way to grow.”

She concludes: “We want everyone to leave with this key message, and it’sa motto that I live by: ‘Only Believe, All Things Are Possible.’ Just look at me, I am a walking miracle.”

Tickets are R695 per person with a floral dress code. 10% of proceeds go directly to PinkDrive, and bookings can be made at info.durban.umhlanga@radissonblu.com. So why not consider purchasing a corporate table, inviting members from your sports or social club, or coming along with friends to enjoy a morning of elegance and purpose?

We look forward to welcoming you.