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City Health responds to recent disease outbreaksThe City of Cape Town’s Health Department remains on high alert as concurrent disease outbreaks run their course. <p>This summer, health officials are not only contending with the annual diarrhoea season, but also face an increase in cases of other communicable diseases including pertussis and typhoid. Read more below:</p><p>Summer in Cape Town often sees a surge in diarrhoea cases which affect children under five years of age most severely.</p><p>'Due to increased efforts and the diligence of health practitioners, we have in recent years noted a decline in the number of diarrhoea-related deaths, and diarrheoa with dehydration during the season. Sadly, this drop in diarrhea cases was followed by an increase in pneumonia in this age group over the same period. Health officials now call this period the surge season,’ said the City of Cape Town’s Mayoral Committee Member for Safety and Security; and Social Services, Alderman JP Smith.</p><p>Health officials remain vigilant as the City faces a number of other concurrent disease outbreaks. </p><p>‘In August 2017 we saw diphtheria and measles cases occurring and by now we have all heard about the national listeria outbreak. In addition to these, we have also had an increasing number of cases of pertussis and typhoid reported. </p><p>‘These diseases present a significant and costly challenge to the City. Not only are staff and resources under pressure, but the outbreak of any disease also puts lives and livelihoods at risk,’ said Alderman Smith.</p><span> <figure class="subtopic-fullsize-img"> <img class="responsive" src="" alt="" style="width:948px;" /> </figure>​​</span>The diseases that City health officials are currently keeping track of are listed below.<br><p><strong>Typhoid </strong><br>In 2017, 26 cases of typhoid fever were reported in the City. Typhoid is caused by the bacterium <em>Salmonella typhi</em>. Individuals infected with the bacteria can spread it through contaminated food or drink. Water which has been exposed to sewerage containing the bacteria can also spread the disease. Typhoid presents with fever, stomach pains and sometimes a rash. Prevention of typhoid centres around good hand hygiene and safe food preparation.</p><p>City clinics have regular health talks about the prevention of water- and food-borne diseases and diarrheoa danger signs. Healthcare facilities ensure that individuals who are sick and dehydrated (especially children) are fast-tracked to prevent disease progression.</p><p><strong>Diphtheria and pertussis – vaccine preventable diseases</strong><br>A cluster of three diphtheria cases was reported in August 2017 and was successfully contained. Diphtheria is spread from person to person through ‘droplet spread’ of an infected person. Patients have flu-like symptoms, a sore throat and/or swollen neck. Swallowing and breathing may also be obstructed. </p><p>The number of pertussis cases in the city increased from 42 in 2016 to 101 in 2017. Pertussis (also known as whooping cough) is an extremely contagious respiratory illness caused by bacteria which affect the upper airways causing swelling and the distinct “whooping” cough. </p><p>Both diphtheria and pertussis can be life threatening illnesses especially to infants and those who are immune-compromised. The two can be prevented with vaccines which are included in the South African Expanded Programme on Immunisation (EPI) and are available to all children, at no cost, at their nearest healthcare facility.</p><p>‘With advancements in healthcare and the current immunization programme, the seriousness of these illnesses has dropped out of public memory and there is a growing trend to not immunize. The rise in these two diseases can be, in part, attributed to this. When immunization coverage drops below a certain level in a community, the number of individuals who are susceptible to these forgotten diseases increases to the point of sustaining an outbreak. I encourage parents and caregivers to be vigilant and ensure that all children who require immunizations receive them. The City will continue to promote childhood vaccinations at all its healthcare facilities,’ said Alderman Smith.</p><p>In addition, the City of Cape Town’s environmental health practitioners identify hotspots and drive prevention activities in the communities which are most affected. Prevention activities include educating communities through public events, distributing posters, training residents on maintaining good hand washing practices without wasting water, oral rehydration solution recipes and the five key food safety tips, which are particularly relevant to the listeria outbreak. </p><p><strong>Listeria</strong><br>Listeria is a food-borne disease caused by the bacteria <em>Listeria monocytogenes</em>. It is spread through the consumption of contaminated food. The most common foods it can be found in are vegetables, raw or unpasteurized milk and soft cheeses, processed foods and smoked fish. </p><p>‘Listeria crosses income and race boundaries. It can be present in anyone's fridge. As a caring City, we are doing what we can to identify the source of contamination and ensure food safety across Cape Town, both at formal and informal food vendors. Listeria has been associated with certain types of foods, but it can be present in a wide range of food types. For this reason, the City’s environmental health department is sampling the entire fridge contents of persons who have contracted the disease in order to find the source. The City is now prepared to include testing for listeria in the routine checks on food samples from food retailers,’ said Alderman Smith.</p><span> <figure class="subtopic-fullsize-img"> <img class="responsive" src="" alt="" style="width:948px;" /> </figure></span><p>As of 11 January 2018, a total of 748 cases have been identified nationally since 1 January 2017, with the majority of cases being from Gauteng (61%) and the Western Cape (13%). Thus far 67 of the reported cases have been fatal. </p><p>The City of Cape Town has seen a total of 47 cases of listeriosis since August 2017. </p><p>The five key food safety tips are:</p><ul><li>Wash your hands thoroughly</li><li>Separate raw and cooked food</li><li>Cook food thoroughly </li><li>Keep food at safe temperatures</li><li>Use clean water and fresh food</li></ul><p>‘While the outbreaks are not directly related to the drought, we need to ensure that health and hygiene standards are retained through creative methods and devices such as using squeeze bottles for hand washing. Providing quality healthcare is in line with the City’s Organisational Development and Transformation Plan (ODTP). The City is committed to providing basic primary healthcare to ensure the health and well-being of all our residents,’ said Alderman Smith.</p>2018-01-16T22:00:00Z1
Cape Town residents must reduce consumption to avoid Day ZeroToday I want to call on all Capetonians to do more to save water. There are only 95 days left before we reach Day Zero.<p>Day Zero has moved a day closer this week to 21 April 2018. Day Zero is when the City will be forced to turn off most of the taps and every resident will have to queue for 25 litres of water per day.</p><p>The only way Cape Town can avoid Day Zero is if every single resident saves water. But this is not the case.</p><p>During the past week only 39% of Cape Town’s residents used less than 87 litres of water per person per day – compared to 54% during the first week of January. I want to thank those residents who are saving.</p><p>Cape Town’s average daily collective consumption is still too high. It has increased to 618 million litres per day, up from 578 million litres per day.</p><p>For each day that Cape Town uses more than 500 million litres, the city moves closer to Day Zero. </p><p>Dam levels have dipped to 28,7% percent this past week – down by one percentage point. Only about 18,7% of this water is usable as the last 10% is difficult to abstract from the dams. </p><p>The City has ramped up pressure management to drive down consumption – aiming to stretch our water supply past the winter rainy season. </p><p>We have identified 25 areas across the city that could benefit from this pressure management technology over the next three months, and contractors have been brought in to speed up the programme.</p><p>Level 6 water restrictions, effective from 1 January 2018, aim to drive down consumption. All households that use more than 10,5 kilolitres per month will have a water management device fitted to their property’s water supply. This is part of the City’s commitment to work with residents to avoid Day Zero.</p><p>In addition, the City continues its work around the clock to bring additional water sources into our supply network. These projects include groundwater abstraction from the three aquifers around Cape Town, the three desalination plants at Monwabisi, Strandfontein and the V&A Waterfront, and the recycling of waste water. </p><p>These projects, however, will only ensure water security in the long run and we cannot relax our water saving efforts for one day. We must stay committed to saving water. It is the only way Cape Town can avoid Day Zero.</p><p>The City will continue working with residents to ensure that Cape Town’s taps don’t run dry. It is up to every resident to do his and her part to save water while we still have water to save. </p><p>The full dashboard can be viewed here: <a href=""></a></p><p>Please see <a href=""></a> for more water-related information.<br></p>2018-01-15T22:00:00Z1
City Manager tenders his resignation​I hereby wish to inform the residents and staff of the City of Cape Town that Achmat Ebrahim has resigned as the City Manager. <span> </span> <p>Mr Ebrahim tendered his resignation with effect from Friday 12 January 2018. His last working day was 12 January 2018.</p><p>In his resignation letter, Mr Ebrahim made it clear that he is able to quite easily defend the allegations made against him in the Bowman Gilfillan Inc report.</p><p>He further stated that, in terms of the ongoing investigations, he would furnish my office with copies of all the evidence files as they pertain to his involvement in these allegations which have already been handed to Bowman Gilfillan Inc and which clearly show that the allegations against him are baseless.</p><p>After almost 40 years of dedicated and loyal service with an unblemished record, he stated in his letter that his obvious primary consideration at this stage of his life was that of his personal and his family’s wellbeing.</p><p>Mr Ebrahim expressed his thanks for the excellent leadership and political guidance stating it was a tremendous honour for him to serve with me as the Executive Mayor.</p><p>He also paid tribute to all of the many excellent staff in the City who contributed to make Cape Town the well-run and beautiful city that it is.</p><p>Mr Ebrahim has an untarnished and remarkable track record of nearly 40 years as a public servant, most recently having served as the City Manager for more than 12 years during the past three terms of office.</p><p>Mr Ebrahim is highly respected in the Muslim community. He has a good family name and his family is filled with respected professionals.</p><p>He started his career as a public servant in the City in 1977 as a lowest level clerk.</p><p>In addition to his formal qualifications and nearly four decades of experience in local government administration, he served more than 26 years at the senior level.</p><p>He was employed at the Executive Management level for more than 20 years with responsibilities for various portfolios since 1997.</p><p>Mr Ebrahim has an impeccable and proven track record and, for the period during which he had served as City Manager, the City earned numerous achievements and accolades including unqualified and clean audits.</p><p>He has been instrumental in leading the City administration to be the best in the country.</p><p>His resignation is indeed a great loss to the City of Cape Town and its residents.</p><p>I have come to know and respect Mr Ebrahim as a principled, hardworking public servant. His experience has been invaluable. It was an honour for me to work with him as a like-minded individual who always saw the need to act with urgency and in the best interests of the residents of our city.</p><p>I wish Mr Ebrahim well for the future and thank him for his commitment and outstanding service to the people of Cape Town.</p><p>I also thank his family for their constant support of Mr Ebrahim and the sacrifices they made over many years to ensure that he performed his duties with distinction.</p>2018-01-14T22:00:00Z1
Let's paint this city greenToday the City launches its water map and calls on all Capetonians to paint Cape Town green with their water saving efforts.<p>​We thank all of our water savers who are working hard to avoid Day Zero which is estimated to kick in on 22 April 2018.</p><p>Some 54% of our consumers are saving water to avoid Day Zero. We need absolutely everyone to come on board because the prospect of queuing daily for an allocation of 25 litres per person is a reality and we must do more to avoid it at all cost. Day Zero comes when our dam levels reach 13.5% and most taps will be turned off.</p><p>Our water map marks residential properties using less than 10 500 litres per month with green dots. The map is a transparent tool and will assist in actively managing and reducing consumption to avoid Day Zero. The greener we go, the more we push Day Zero away. The map shows that many households across Cape Town are working hard to save water as part of the effort to get us through our worst drought. </p><p>While consumers save, the City is pulling out all the stops to deliver additional water as fast as possible from groundwater, desalination and water reuse sources. </p><p>At this critical stage, water consumption remains too high for too many homes. The residential sector uses approximately 65% of our water allocation. This sector holds the key to helping us avoid Day Zero. </p><p> Each household must reduce their consumption within the water restriction limits. Please check your consumption and ensure everyone in your householdis using less than 87 litres per person per day. </p><p>Consumption is indicated on the map as follows:</p><p>• Dark green dot: household using less than 6 000 litres per month<br>• Light green dot: household using between 6 000 and 10 500 litres per month<br>• Grey dot: estimated readings when the water meter is not read for some reason; or if no information is available for the property<br><br>Households with higher consumption may have many people living on the property or may have an undetected water leak. The City continues its interventions with these users. </p><p>The map only shows consumption for free-standing houses and not cluster housing, flats or other land uses. In addition, the map shows consumption for the previous month and is updated around the third week of the following month. For example, January 2018 consumption information will be available in the third week of February 2018. </p><p>Households using more than 10 500 litres per month are not shown on the map. It has been found that high consumers are often unaware of their consumption but are willing to change their behavior once approached. At this stage, each household should know their monthly consumption and we ask that they take the right action and join Team Cape Town’s water savers. Neighbourhoods should have constructive engagements with one another to ensure that their neighbourood is painted green. Mobilise groups in your area in order to collectively manage water consumption.</p><p>By making consumption information available, we believe it will assist residents and communities to better manage water consumption. It is crucial for everyone to play their part. The City will continue with extensive enforcement but it is not possible to police consumption at every household. </p><p>If we do not change our behavior more, we are likely to face Day Zero. We can only change our current trajectory if everyone is on board. </p><p>The table below provides a guide to how much water your household should be using based on the number of occupants. As most people also consume water at work, school or elsewhere, your household consumption should be lower than the maximum amount indicated in the table.  </p><span><div class="mobile-scroll"> ​ ​<table><caption><strong>Level 6 water consumption per household</strong></caption> <thead><tr><th colspan="1">Occupants</th><th>Litres per day</th><th colspan="1">​Litres per month</th></tr></thead><tbody style="text-align:center;"><tr><td style="text-align:center;">1</td><td>87</td><td colspan="1">​2 600</td></tr><tr><td>2</td><td>174</td><td colspan="1">​5 300</td></tr><tr><td>3</td><td>261</td><td colspan="1">​7 900</td></tr><tr><td rowspan="1">​4</td><td rowspan="1">​348</td><td rowspan="1" colspan="1">​10 500</td></tr><tr><td rowspan="1">​5</td><td rowspan="1">​435</td><td rowspan="1" colspan="1">​13 200</td></tr><tr><td rowspan="1">​6</td><td rowspan="1">​522</td><td rowspan="1" colspan="1">​15 900</td></tr><tr><td rowspan="1">​7</td><td rowspan="1">​609</td><td rowspan="1" colspan="1">​18 500</td></tr><tr><td rowspan="1">​8</td><td rowspan="1">​696</td><td rowspan="1" colspan="1">​21 200</td></tr></tbody></table></div></span><p> </p><p><br>Monthly consumption for a four-person household, all using a maximum of 87 litres per person per day, should be less than 10 500 litres (i.e. a light green dot). A two-person household should have consumption of less than 5 300 litres (i.e. a dark green dot). </p><p>Consumption higher than 10 500 litres per month (no green dot) does not necessarily indicate water abuse. There are many legitimate reasons for this: <br><br>• High number of occupants or guests in the house<br>• Water leaks that the occupants are unaware of (this happens frequently)<br>• The operation of a home business or B&B on the property<br>• Recently completed building work<br>• Consumption is not shown for group housing or properties with an estimated water reading of over 10 500 litres, or where information is not available<br><br>Visit <a href=""></a> to view the map.</p>2018-01-14T22:00:00Z1





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