PREGNANCY AWARENESS WEEK A Huge Success! › LUWMH › news11.pdf · ING TIPS : BY: Lauren Pietersen, Heart and Stroke Foundation South Africa. To Snack or Not To Snack? Snacking

INSIDE THIS

EDITION

M M‟s Message 2

Hospital CSI 3

Blood Donor Clinic 5

CANSA Shavathon 6

Productive new year 8

Occupational Health 9

TB Awareness 11

Hard at Work 12

Hospital Board 12

BAMBINO NEWS 1st Quarter Issue - 2011

PREGNANCY AWARENESS WEEK A Huge Success!

I t is not easy to explain the joy of anticipating mother-hood. Pregnancy completely alters a woman‟s life, giving her a miracle in her arms and making her the guardian of a helpless infant. But the journey is not always easy, physical discomfort and ride on

emotional roller coaster are part of the process. During this crucial time, it is vital that expecting mothers eat correctly, live responsibly and go for regular checkups. That was one of the reasons we did the awareness. A team of experts addressed over 200 women at three informative sessions, providing guidance on a number of pregnancy related issues. The importance of birth companionship was emphasized. Dr Khanyile addressed them on the benefits of breast-feeding even while on ARV‟s. A rep from SANCA warned them of the dangers of subsistence abuse while pregnant. A word of gratitude goes out to all who assisted in ensuring that the campaign is executed as planned. The following sponsors also made it possible that our guests receive nice goody bags and lucky draw prizes… Bless-the-Baby Ministries, Pigeon Baby, Bio-oil, Bennettes, Carriwell, Bayers Healthcare & SAN-CA Zululand. A Big Thank you to them as well!!

See more PAW pics on page 13

Sr. N.P. Mhlongo - addressing Moms-to-be on the

importance of early booking and family planning.

GAGASI 99.5 FM OB IN OUR PREMISES! Lower Umfolozi Hospital played host to the Department of Health‟s Breastfeeding awareness campaign on the 20th of February 2011. the event was aimed at creating awareness that HIV positive mothers can still breast feed their new-born babies without risk of infecting them, provided they follow the appropriate antiretroviral treatment Programme, and they are actually encouraged to do so for the benefit of their babies. The department recommends breast milk over formula, as it contains protective nutrients that are essential for baby‟s health. The campaign was directed by the Nutrition team from Head Office and from our local District Office, and it proved to be a great success!

More Photos on page 5

Official Newsletter of

LOWER

UMFOLOZI

DISTRICT

WAR

MEMORIAL

HOSPITAL

Bambino News 1st issue—2011 2

LOWER UMFOLOZI DISTRICT WAR MEMORIAL HOSPITAL Official Newsletter of

MESSAGE FROM THE MEDICAL MANAGER

Maternal and Child health is one of our Government‟s priorities - so, working in a Maternity Hospital calls to all staff members to work together towards achieving this millennium goal. Another very important Programme is HIV and AIDS (HCT Cam-paign), and our role as an institutions is to ensure that patients are started on time with ARV‟s as per prescribed deadlines and conditions. I must say, currently we are doing all that is in our power to prevent mother-to-child transmission. I therefore would like to thank all staff for the

support and hard work so far and commend you for your commitment. Last but not least is my call to all staff members to work together as a team in all that we do, and with that, we can achieve a lot. Dr I Popa

“The difference between „perseverance‟ and

„obstinacy‟ is that, one often comes from a strong

„will‟ and the other from a strong „wont‟ - Henry Ward

Words of Wisdom

LOWER UMFOLOZI DISTRICT WAR MEMORIAL HOSPITAL Staff showed its support by participating in the Cancer Awareness that was organized in the hospital foyer. Loriete Engelbrecht educated staff about the dangers of exposing oneself to the sun and the symptoms of skin, breast and cervical cancer. The staff members were also encouraged to do self-examinations for breast cancer. On this day we also showed support by collecting over 140 signatures for the declaration of a

Cancer Free Day. Would like to take this opportunity to relay a word of gratitude to all who supported the awareness and who took their time to be part of the information sharing on the day. Loriete, giving the awareness on precautions to prevent cancer.

Top left: Staff doing

their self-xamination

Left: P Ngema, Loriete,

P Ntombela and T Zulu

(from PMTCT)

Top Right: Dana

worked hard to get

s i g n a t u r e s f r o m

Community members

Right: N Ngubane, R

Mchunu, N Mlungwana

& P Nxele (GOPD)

3

LUDWM HOSPITAL IN THE COMMUNITY

HEALTHY EAT-ING TIPS BY: Lauren Pietersen, Heart and Stroke Foundation South Africa.

To Snack or Not To Snack? Snacking as part of weight management Nothing is worse than that burning feeling of hunger in your stomach, especially when you are trying to lose weight. The good news is that snacking between meals can be of great benefit to not only stabilize your blood glu-cose (sugar) and energy lev-els, but also to prevent you from overeating at main

meals. The trick is to make the right choice of snack to balance your energy intake while helping to provide that feeling of fullness. This ulti-mately helps excess weight come off quicker! Chips, chocolates and sweets may be the first options that come to mind (especially as they are so convenient), but we all know we have to compro-mise somewhere for results. The right choice of snack would be one that provides vitamins, minerals and suffi-cient energy to keep you go-ing without contributing to an excess in daily energy in-take. Stock your pantry with wholegrain crackers, fresh fruits and tasty protein op-tions to prepare quick, easy and nutritious snack combi-

nations that still please your palate and help those kilos disappear.

Here are some great ideas to try at home: One medium fruit (about the size of a tennis-ball) or ½ cup of fresh fruit salad with low fat/fat free, smooth, un-sweetened yoghurt. For ex-tra taste, add a teaspoon of crushed nuts or seeds. One apple sliced and thinly covered with peanut butter One slice of whole wheat/brown bread OR three Pro-vitas OR two Ryvita thinly spread with peanut butter, low fat hummus, soft marga-rine, mashed avocado pear, low fat cheese spread or a small block of low fat cheese or cottage cheese with sliced Tomato Two cups of air-

popped popcorn with a pinch of grated parmesan cheese Raw vegetables (e.g. carrot and celery sticks) with cherry tomatoes dipped in low fat hummus, tzatziki or plain, low fat yoghurt One cup of low fat/lite vege-table soup or one egg (boiled to your liking) with a slice of whole wheat/brown bread cut into dippers (with/without thinly spread soft margarine) One medium baked potato (easily micro waved in 5 minutes) filled with a table-spoon of low fat/fat free cot-tage cheese Fruit smoothie: ½ small banana, ½ cup fresh straw-berries and 1 cup low fat/fat-free plain yoghurt. Add ice and

RENOWNED

DOCTOR VISIT OUR HOSPITAL

Internationally renowned South African Doctor, Professor Hugh Phillpott visited our hospital and our doctors and Intern doctors were honoured to have him in their morning meeting, as he shared his sound knowledge and wisdom with them. Prof Phillpott designed the labour partogram which is now used worldwide to identify abnormally slow labour.

Pictured left is Mr C. Myeza (CEO), Ms M. Mbambo (Care Centre) & Mrs T. Pewa (NM), at the hand-over of the donations that were collected during the World AIDS Day coin-laying project. The events committee met and agreed on giving the donation of R1000, 00 to “Women Like These Community Care” project, which is local and situated in Ndabayakhe, about 8 km from the Hospital.

They cook for about 150 destitute kids everyday, and they do home-based care with the little they have for the sick individuals in the community.



ON THE REVITE!!

I t is now 6 months since the contractors started their job of expansion project of LUDWM and

the progress is visible. The project is set to result to additional wing and the upgrade of existing facilities, over the next 3 years. The development comprises construction of a new „four floor‟ building adjacent to the existing building with a new Mothers‟ Lodge and parking area, upgrading of the helipad, new ARV Clinic, Staff Wellness Centre et cetera.

OUT-GOING BOARD MEMBERS

Artist’s impression: the multi-million upgrade will bring the 90 year-old hospital to the 21st century.

WISE CORNER…!!

“Every new beginning

comes from some other

beginning‟s end”

The hospital M a n a g e m e n t acknowledged and appreciated the services that were rendered by the out-going Board Members. Mr J. Kubheka and Mr T. Singh have been the board members since 2002, and have resigned these services end 2010.

5

GIVING THE GIFT OF LIFE - OUR HEROES Our big-hearted staff again participated in Blood Donor Clinic that was held on the 25 February 2011, to donate in this quarter‟s Blood Donor Clinic. SANBS have sent a letter of appreciation and on their behalf, I am relaying their gratitude to all who donated!

NEXT CLINIC AT LUDWM

HOSPITAL 13 May 2011

“See you there”

Right: Dancing to the music played by “Phindi Gule” of Gagasi fm were PMTCT‟s Lungile Dlamini and Velile Zungu & Sqeda. Bottom right: Linda Mbatha (Gagasi fm), & LUDWM‟s Qaphe-lani‟ Nxele (Finance) and Nathi Mtshali (Stores).

uSkhumbuzo no Sqeda, bahlulwa ukuzibamba injabulo bebona abasakazi beGagasi.

...FROM PAGE 1...



TURNING HEADS FOR CANSA SH

AVATHON..!

LOWER UMFOLOZI HOSPITAL took part in this year’s CANSA Shavathon. The event took place on the 4th of March 2011 and it proved to be a huge success, packed with loads of fun and laughter. Although some were having a bit of a scare that the spray may not wash off easily , but because of excitement, they joined in and enjoyed going wild for CANSA. Some went really wild, spraying even facial hair (amadoda ke lawo). Well done to you all, I could just see that some of you cannot wait for the next year‟s event to come!!!

THANK YOU ALL FOR YOUR

INVALUABLE SUPPORT!!!

Fun-filled day was enjoyed by all. A big thank you to the volunteers, Jacky, Qaps, Bongani, Nathi, Mabonga, Nkululeko and to all who donated even though did not shave or spray, especially the DOCTORS!

7

1ST QUARTER ISSUE 2010 HR NEWS

New Appointments: Jan – March 2011

Welcome on board!! Hope your stay with us will be fruitful to you and

the Hospital at large... JANUARY 2011 AN Mngadi H&S Officer N Sotondoshe Occ Health Nurse MH Mpungose Staff Nurse WT Dlamini Staff Nurse SP Langa Staff Nurse NP Dube Nursing Assistant LM Mothibeli Nursing Assistant MN Majola Nursing Assistant PW Zwane Nursing Assistant NP Makhanya Nursing Assistant LE Ngcobo Nursing Assistant TC Nyuswa Nursing Assistant SG Nkosi Nursing Assistant LSP Ngcobo Nursing Assistant LS Blose Radiographer WR Makhoro Pharmacist AX Kunene Comm Service Prof Nurse MW Mabaso Comm Service Prof Nurse NN Mthabela Comm Service Prof Nurse PN Tembe Comm Service Prof Nurse T Motsema Comm Service Medical Officer S Madlala Comm Service Medical Officer S Pule Comm Service Medical Officer FEBRUARY 2011 NT Mdluli Staff Nurse PP Shezi Staff Nurse NF Madela Lay Councellor S Madi Nursing Assistant ZF Sibiya Nursing Assistant V Ashokumar Sessional Specialist MARCH 2011 LS Mthethwa Staff Nurse

During the months between January and March we were joined by new staff members and we wish them a warm welcome. We also bade farewell to our loyal employee who was going for retirement. wishing her a good rest.

APPOINTMENTS AND RETIREMENTS

RETIREMENTS JANUARY 2011 M Nene General Orderly

CELEBRATE HEALTHY LIFESTYLE MONTHS - MARCH / APRIL

THE HOUSE CALLED BODY

Hiding behind my genes feasting on junk food cooking is overrated

in my own world I share my joy with the BIG and SEXY

I pretend not to care of my short breaths and the running out of clothes I fear not

the obesity diseases because I think I‟m in control

When I see others worse than me with

Wobbly arms and big pot bellies I console myself

That at least I‟m average yet I‟m at risk of sugar diabetes, high blood pressure,

heart condition and possible kidney failure the works

but I still ignore the calling because I‟m used to the fast food fast living Stress levels punch up it pains me

To the core am I too late to resort to something else because what I grew up to know turns out to be my own

worst enemy

As I journey further with my life Lessons of turning my life into shape

I‟m taught Efforts taken diets underwent and

Here I stand 6 months later lite proud and confident about my body mind and soul

Here I am not to heavy to carry in my Down and out days not ashamed of

taking off my

t-shirts in the beach as it burns in summer time I worry less about stretch marks and unpleasant skin because lately I feel good

I feel healthier as if I‟ve just served my prison sentence

I‟m now more productive more focused Its amazing how exercising and eating

Healthy can do

Living well weight less a dream fulfilled stress less I live through workout

LIVING FREE MY LIFE ILL KEEP. By Thamsanqa Ntshangase



Our nurses had their hands full with Christmas and New year‟s Babies. On Christmas day 35 newborn babies made their debut into the world. The first born in our hospital was a pre-term and she arrived at fifty-five minutes past midnight. Thanks to Bless-the-baby Ministry, they all received nice gift hampers. On New Year‟s day, we had over 20 babies. The first baby, a little boy named Bandile Sithole arrived at 3h20am, weighing 3.300kg. Bless-the-baby Ministry was once again at the hospital to celebrate with us and to welcome the little ones into the new year.

Crazy Corner...!! The Medical Bloopers

By the time the patient was admitted, his rapid heart had stopped, and he was feeling

much better… -----------------------

The patient is a 79 year-old widow who no longer lives

with her husband. ------------------------

He had a left toe amputation a month ago, he also had a left

knee amputation last year.

TWIN BABY CUPIDS FOR LUDWM Double to love - The first babies born on Valentine’s day in our hospital were a set of female twins. Left: Proud Mother, Londiwe

Dube, holding the first twin to

arrive, and they named her

‘Valentine Mngomezulu and the

second twin Dimpho weighed

1,5kg and was still in the incu-

bator when we took the photo.

1. Sr. Y.H Kunene with

some of the bundles of

joy that came on

Christmas Day.

2. Bless-the-Baby Minis-

try representative shower-

ing one Mom with baby

clothes.

3. With the happy moth-

ers is Doreen Mbuyazi

who ensured that our Crib

looks beautiful. Thanx!

4. Devi Moodley with

staff and happy moms on

new year’s day. 3

1

2

4

See Valentine’s Poem

on page 13

9

The mandate of Occupational Health & Safety Services (OHSS) is to prevent Illnesses and injuries and promote health, safety and well being of LUDWM Hospital patients, visitors and employees while at work, following profes-sional standards of practice and complying with legislation that protects personal health information. OHSS is part of the Human Resource Portfolio and consist of the following programme areas:

Occupational Safety Occupational Health

1. Occupational Safety The ultimate objective of the Occupational Safety is the healthy, safe and satisfactory work environment and healthy active and productive worker, free from occupational diseases. SERVICES

Facilitating compliance with Occupational Health and Safety Legislation.

Developing Occupational Health and Safety policies, guidelines and programmes.

Conducting Occupational Health and Safety Risk Assessments and investigation.

Recommending the correct use of Personal Protective Equipment (PPE).

Promoting measures to reduce risks.

Rolling out Health and Safety Training programmes, orientation and induction. Ensuring Health and Safety committee is functional.

2 . Occupational Health The occupational Health Clinic is staffed by Occupational Professional Nurse Practitioner and an Enrolled Nurse. Staff can receive assistance with health concerns and services such as:

Primary Health Care clinic Vaccination administration Needle stick and Biological Exposure management Health education and counseling Medical surveillance

Occupational Health Nurse Practitioner (Nonkazimlo Sotondoshe) Enrolled Nurse (Khayelihle Mngomezulu) Health & safety Officer (Nokukhanya Mngadi)

LUDWMH SOCIAL SERVICES PROJECT C o m m u n i t y O u t r e a c h Programme Problem Statement Social Work department has a very high number of teenage pregnancy cases referred by Post Natal, Nursery ward and Outpatient department. On top of teenage pregnancy cases, this department has observed that sexual abuse cases are reported late after 72 hours has lapsed. Social Work department felt that there is a need to introduce a preventative

approach where by local schools are visited in order to deal with the above issues.

Objectives

To create awareness among

the school children on teenage pregnancy

To encourage school children

to report sexual abuse cases within 72 hours To empower them on decision –making School visits started in November last year and there was a break

due to school vacation in December and January. Visits for 2011 resumed in March. The Social workers visit school twice a month. In primary schools grade 6 and 7 while in high schools all grades are seen. So far two primary schools have been visited namely, Phesheya where 250 learners were reached and Ngongodo with 67 learners. Next visit will be next term

Compiled by Gugu Mpanza Social Work Supervisor



Crazy Corner…!!! Yhoo... must be the “pothole of the year”

DO

CT

OR

S’ W

OR

KS

HO

P (

S) COMPLIMENTS

Above was at the second laparoscopic training workshop that the Doctors had this year at LUDWMH. It was held in conjunction with Johnson and Johnson, and Dr K.T Subrayen (private specialist from Durban). In addition to 4 of our staff there were 2 doctors from Ngwelezane 3 from Stanger hospital and 1 from Prince Msheyeni and 2 from private practice. Below was during the workshop that was held on Mar 11, where Professor Tim Draycoat, the visiting Simms Black lecture gave a talk on the use of drills in training in obstetrics.

Some were not easy to scan because of the writing… “Cha Bandla mina ngiphatheke kahle kakhulu lapha ku les isbhed le la, ang ikhumbul i nangolulodwa usuku bengiphatha kabi noma bekhuluma nami kabi” Ms PK “The service is good” Xoli (Esikhawini)

11

Are in order for Dr Vuyo Makhanya, who recently presented his research outcome on the rising rate of Caesarian Section in LUDWM. Below is the abstract of his topic and findings:

Title: Trends in caesarean section births at Lower Umfolozi District War Memorial

Hospital (LUDWMH)

Author: Dr Vuyo Makhanya (Medical Officer, LUDWMH.

Abstract:

Aim: to analyze the Robson’s criteria at a secondary/ tertiary/ rural hospital in order to determine the main contributors to the rising caesarean section (c/s) rate.

Method: The Robson’s criteria divide women into ten groups according to parity, past obstetric history, single or multiple pregnancy, fetal presentation, gestational age and mode of onset of labour. The Robson’s criteria was applied retrospectively to the women that delivered at LUDWMH between 1st May to 31st July 2010.

Results: During the study period, a total of 2613 women gave birth to 2621 babies. A total of 1136 women 43, 5% had a c/s birth. The c/s rate ranged from 21, 6% (Robson’s criteria group 1 and 10) to 0, 13% (group 9). Women in group 1 and 10 were the greatest contributors to the emergency c/s rate at 21, 6% each. Women in these groups were also the greatest contributors to both the elective c/s rate and the total c/s rate.

Conclusion: The Robson’s criteria was successfully implemented at the LUDWMH. The Robson’s criteria analysis is ongoing, enabling monitoring of c/s rates. Our results demonstrate that we need to focus on the care of women in Robson’s groups 1 and 10, if c/s rates are to be reduced.

Dr Jeremy Blackeny also presented his research results to the Perinatal team and he is also congratulated for his success in the topic he researched on. The hospital will surely utilize the recommendations by both Doctors to improve on the gaps identified.

TB IS A KILLING DISEASE, BUT IT CAN BE CURED!! A new report by Medicins Sans Frontieres (MSF) has revealed that Drug-Resistant TB (DR-TB) is spreading at an alarming rate. The MSF report released on the eve of World TB Day reveals that over the last decade, roughly five million peo-ple worldwide developed

DR VUYO MAKHANYA

DR-TB, of which barely 0.5% had access to appropriate treatment and 1.5 Million died… and the drug to treat it is costing South Africa dearly. The report revealed that the SA government has been paying up to three times more for these already pricey medicines. This is the reason TB Clinic Staff at LUDWM took it to themselves to conduct

educational session to staff on World TB Day. The team later asked the questions to check whether the class was attentive. The pictures tell the story - everybody wanted to show that they understood the teacher of the day!! Story extract: Zululand Observer

CRAZY CORNER OUTSTANDING PERFORMANCE RECOGNISED...

Finance and Sys-tems team held the i r m onth l y meeting and the staff members that have gone an ex-tra mile were rec-ognized. Those were: P.B Khuma-lo, Q Nxele, R.Hlabisa, Mr Mlambo & B Mhlongo.



M aintenance staff was highly commended for their prompt service when they were called to paint in High Care (Labour Ward). The Doctors were impressed with

their hard work and the quick response to the request. Keep up the good work guys!!!

Mr. Zulu, hard @ Work in ICU

MEET DANIE - HOSPITAL PAINTER

Q: Your Full name Danie? A: I am Danie Van Heerden Q: Where are you from? A: I am from East London Q: When did you join LUDWMH? A: Since 1999, it is 12 years this year. Q: Before that? A: I was with Spoornet for 19 years, then I came here. Q: What do you like the most about life? A: Peaceful life; I believe in prayer cause I don’t like to be in trouble Q: Any Hobbies? A: I use to do sport, but I am old now. Tennis was my favourite. Q: Do you have children? A: Yes, 3 boys. Q: Describe yourself in two words? A: Too Naughty…

...Then we have “the rose among the thorns” in maintenance section Zinhle Gumede. She is the Tradesman Aid La-dy, or should we call her “Tradeswoman Aid”, I don‟t think HR will be able to pay her then, as they do not have such Job title on Persal.

HOSPITAL BOARD MEMBERS

O ur Hospital Board Members held their first meeting for this year on Friday 25 March 2011, with manage-ment.

Pictured from Left: Cllr M. Mnqayi, Dr CQ Madlopha, Mr D. Chonco (Treasurer), Mrs N Zulu (Chairperson) and Mrs B Mthembu. Other members not in the picture: Dr M Madondo & Mr M. Patterson

MEDITATION Do not be anxious about anything, but in everything, by prayer and petition, with thanks giving, present your requests to God. And the peace of God which transcends all under-standing, will guard your hearts and your minds in Christ Jesus - Philippians 4:6 - 7

13

Mrs D Paliam Quality Assurance/

Mrs M Hlope Social Services/Para Medical

Mrs G Z Dube Human Resource

Sr M Moodley/A Mouton

Nursing

Dr N Mayat/J Turner

Medical

Mr W B Mhlongo Admin/Finance and

Mrs C Fourie General Admin

Mrs Z. Zikalala Editor (P.R.O)

From the Editorial Team This is your newsletter. Own it by sending your articles to any of the following team members

From page 8...

As the clock passes a second after twelve o‟clock AM I‟m inspired to share my gift of words with my ever hard working colleagues for the love& care they are to mothers & children around Zululand Each and every split second I appreciate The effort given by you to this hospital If there was no you there wouldn‟t be any LABOUR WARD, ANTI-NATAL, POST-NATAL, GYNAE, ICU, THEATRE OR NURSERY Doctor, Nurse 4 years, 2 years, 1year, General orderly, Admin or not it really doesn‟t matter because your contribution plays a very huge role in the running of this institute God brought us here for a specific reason That we sometimes question due to the work Load & unsatisfactory working conditions But because of love & togetherness it all Becomes another day at work & by that Spirit millions of lives are saved

So on Valentine‟s Day, id like to send my heart, To every civil servant because you are dear to me & I want you to know how much you individually add value to life whenever you are near. You are always a total joy such a pleasant company I very much appreci-ate our team spirit (togetherness) I LOVE YOU ALL

By Thami Ntshangase

FROM PAGE 1… PREGNANCY WEEK!


MAKE ME LOOK LIKE A HOSPITAL PROJECT’S CLIENT SATISFACTION SURVEY Lower Umfolozi Hospital conducted the survey on the 28 March 2011

OBJECTIVES: 1. To determine client experiences at Outpatients Department with regard to:

Caring attitudes

Cleanliness of Facility

Safety

Availability of medicines

Infection Prevention and Control

Waiting time

General experiences

3. To make recommendations to incrementally improve on the quality of Health Service Delivery to improve client experiences, so as to fulfill clients‟ expectations and to improve hospital performance to meet the standards outlined in the “Make Me Look Like a Hospital Project.”

ACKNOWLEDGEMENTS Six surveyors assisted enthusiastically and conducted the survey at the exit points (High Risk Clinic, Pharmacy and

Main Gate.) NG Mazibuko; LS Mtshali; Z Mngadi; TD Zulu; MN Ntuli and RB Xulu.

The surveying group before the survey checking out the forms that they were going to work with.

FAREWELL MOM NENE

Neonatal staff threw a huge farewell function for Miriam Nene - who retired this year in January. M i r i a m s t a r t e d working for LUDWM in December 1988, and that is what we call loyalty. With her 9 grandchildren she will be with, she won‟t have any lonesome.

uMiriam edlulisa awokuzibongela after she was showered with lots of gifts by her colleagues

With the results from the survey, the action plans have been developed to work on improving the identified gaps, and these will be guiding the institution though out this financial year.

PREGNANCY AWARENESS WEEK A Huge Success! › LUWMH › news11.pdf · ING TIPS : BY: Lauren Pietersen, Heart and Stroke Foundation South Africa. To Snack or Not To Snack? Snacking

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