Browsing by Author "Coetzee, D."
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- ItemGemeenskapspsigiatrie en die algemene praktisyn(Health & Medical Publishing Group, 1979) Coetzee, D.As part of the development of a comprehensive community-oriented psychiatric service, a questionnaire with multiple-choice answers was sent to 244 general practitioners in the catchment area of Stikland Hospital. The attitudes and opinions expressed regarding certain principles of community psychiatry are analysed and discussed.
- ItemMeasles vaccination coverage in high-incidence areas of the Western Cape, following the mass vaccination campaign(Health and Medical Publishing Group (HMPG), 2013-03) Bernhardt, G. L.; Cameron, N. A.; Willems, B.; Boulle, A.; Coetzee, D.Background. Despite significant advances in measles control, large epidemics occurred in many African countries in 2009 - 2011, including South Africa. South Africa’s control strategy includes mass vaccination campaigns about every 4 years, the last of which was conducted nationally in April 2010 and coincided with the epidemic. Aim. A community survey was conducted in the Western Cape to assess measles vaccination coverage attained by routine and campaign services, in children aged 6 to 59 months at the time of the mass campaign, from high-incidence areas. Methods. Households were consecutively sampled in high-incidence areas identified using measles epidemic surveillance data. A caregiver history of campaign vaccination and routine vaccination status from the child’s Road to Health card were collected. Pre- and post-campaign immunity was estimated by analytical methods. Results. Of 8 332 households visited, there was no response at 3 435 (41.2%); 95.1% (1 711/1 800) of eligible households participated; and 91.2% (1 448/1 587; 95% confidence interval 86 - 94%) of children received a campaign vaccination. Before the campaign, 33.0% (103/312) of 9 - 17-month-olds had not received a measles vaccination, and this was reduced to 4.5% (14/312) after the campaign. Of the 1 587 children, 61.5% were estimated to have measles immunity before the campaign, and this increased to 94.0% after the campaign. Discussion. Routine services had failed to achieve adequate herd immunity in areas with suspected highly mobile populations. Mass campaigns in such areas in the Western Cape significantly increased coverage. Extra vigilance is required to monitor and sustain adequate coverage in these areas.
- ItemPsychosocial stress factors and the prevention of depressive illness in the elderly(Health & Medical Publishing Group, 1981) Coetzee, D.An intensive investigation was launched to determine the relationship between psychosocial factors and depressive illness in the elderly. A group of known psychiatric patients with a history of depressive illness was compared with a control group of clients of welfare organizations. The aim was to determine guidelines for preventive psychogeriatric services, particularly with regard to depressive illness, which would then give an indication as to which one of two hypothetical propositions would probably be most applicable to the specific elderly population for which Stikland Hospital, Bellville, is formulating a preventive programme. It was found that psychosocial factors play a relatively unimportant role in the genesis of depressive illness in the senium. Constitutional predispositon probably plays a larger or at least equally important role. A well-planned selective programme of secondary prevention, i.e. the early finding and treatment of depressed elderly persons, combined with a programme of primary prevention with regard to psychosocial stress factors and confined to elderly people at high risk for depressive illness, would probably yield better results at lower cost.