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Siyayinqoba Beat It! Episode 15 -
Cervical cancer and HIV
In this weeks episode of Siyayinqoba Beat It! 2006 we learnt about cervical cancer and HIV. About half a million women are diagnosed with this disease every year. It's the most common cancer amongst black and coloured South African women. This is an important topic for all women, but it is especially important for those living with HIV to know about cervical cancer, because they have higher chances of getting the disease. The good news is that cervical cancer is preventable if diagnosed early. We were joined by Dr Nomonde Mbatani a gynaecologist from Groote Schuur Hospital and Prof. Lynette Denny who talks to us about cervical cancer.
Shalom Ncala: Molweni siyani amukela kwi beat It! support group. Ingama lami ngingu Shalom Ncala. Ku Beat It! support group sonke siphila negciwane le HIV. Njalo nge viki, siyahlanga ukuze sixoxe ngezinkinga ezithitha izimphilo zethu kungaba yidlela yokuphila noma yikuthola ulwazi olusanda kuphuma ngemithi. Wamukelekile ukube ubekhona. uSiyayinqoba nguhlelo lwakho lokhu phila kangcono neHIV. Uma uphila negciwane le HIV, noma unomlingani, ilunga lomdeni noma umngani ophila negciwane leHIV uSiyayinqoba ungowakho. Namhlanje sifundunda ngomuhlavuza wesibelento kanye ne HIV. Abasefazani ihalf yesingindi emhlabeni wonke bahlola bathole banelesifo minyaka yonke. Futhi loluwuhlobo elivame kakhulu lomuhlavuza kwabasifazane abantsudu nabamacoloured emuningizimu Afrika. Lesi yisihloko asibalulekile kubo bonke abantu besifazane kodwa kubalulekile kakhule kwabantu besifazane abaneHIV ukuba bazi ngemuhlavuza wesibelento, ngoba sinabathuba amaningi woluthola. Izindaba izihle ukuthi umhlavuza wesibelento uyavimbeka futhi uyalapheka umewasheshe watholakala. {IsiZulu} [Hello and welcome to the Siyayinqoba Beat It! Support Group. My name is Shalom Ncala. In the Beat It! Support Group, we are all living positively with HIV. Welcome everybody. Each week, we get together to talk about issues that affects our lives, from lifestyle issues to getting the latest information on medication. Welcome to the group. Siyayinqoba is your guide to guide better living with HIV/AIDS. If you are living with HIV, or you have a partner, a family member or friend who is living with HIV, Siyayinqoba is for you! Today we are learning about cervical cancer and HIV. About half a million women are diagnosed with this disease every year. It’s the most common cancer amongst black and coloured South African women. This is an important topic for all women, but it is especially important for those living with HIV to know about cervical cancer, because we have higher chances of getting the disease. The good news is that cervical cancer is preventable if diagnosed early.]
Question: Yinto ni i-pap smear, kutheni umntu ongumama kubalulekile nje enze ipap smear. {IsiXhosa} [What is a pap smear and why do I have to do it?]
Shalom Ncala: Ukuhlola ukulula okubizwa ukuthi yi-pap smear kusebeziselwa ukubona ukuthi kukhona amacells womuhlavuza na? Ukuze wesifazane athole ukulwatshwa ngaphambi ukuthi umhlavuza ukhule. Lapha sizoxoxa nodokotela Nomonde Mbatani ungungcwepheshe wezifo besifazane ovela esibhedlela sase Groote Shuur. Siyakwemukela doctor Nomonde, ninjani mama. Kodwa okukhokuqala iqembe lesiyayinqoba lihlangane no dokotela Lynne Denny uphethe umthola philo wokuhlola uhlavuza wesibelento eKhayelitsha. {IsiZulu}
[Pap smear is a test used to determine pre-cancer cells, so that treatment begins before the cancer can grow. To help us understand, we are joined by Dr Nomonde Mbatani a gynaecologist from Groote Schuur Hospital. Welcome Dr Nomonde. How are you? Welcome to the show. First, the Siyayinqoba team met up with Prof. Lynne Denny, who runs a cervical cancer screening clinic in Khayelitsha.]
Khayelitsha – Western Cape
Prof. Lynette Denny, Department (Obstetrics and Gynecology, UCT): Cancer is an abnormal growth. It’s were cells have lost the normal control mechanism of life and death of the cell. Now the cervix is also known as the mouth of the womb. It’s a little bit of tubeless structure that sits at the top of the vagina and is covered by a layer of skin and in the inside it secretes mucus. Now cancer of the cervix is an abnormal growth of that structure. What we understand about cervical cancer is that it’s caused by a viral infection. In fact about 15 to 20% of all cancers from different parts of the body are known to 
have a strong viral association, virus being like a flu virus and that is one type of virus, HIV is another type of virus. The virus associated with cervical cancer is known as the human papillomavirus. The HPV is transmitted by skin to skin contact, so whenever there is skin to skin contact that risk exists. Now if you are using a condom and it covers the shaft there will be prevention transmission from the shaft to the vagina because that area is covered by the condom but the areas that are not covered by the condom such as the scrotum which is in contact with the valve or the outside area or the anus, will be skin to skin contact and therefore the virus can be still transmitted. Women who are HIV positive as well as men in fact are at greater risk of developing the cancer manifestations of human papillomavirus infection and that is because the HIV suppresses the immune system as we all know and that repression of the immune system makes HPV infection more likely to be persistence and therefore more likely to set off the cancer path which starts at pre-cancer. It’s the same HIV positive women disease process is the same persistence with HPV, develop pre-cancer lesions develop into cancer. The traditional method of preventing cervical cancer which is 50 years old, is the pap smear and what that means is that you pass something to the vagina. You visualise the cervix which sits at the top of the vagina, take a little wooden spatula, we scrape the cells off - it’s painless, we put it on the slide we spray it to fix it and then we send it to the lab and at the lab they stain it and they look under the microscope looking at the individual cells; by looking at the individual cells they can decide if it’s normal or not. If that is abnormal they get referred to someone like me who is a specialist - cancer specialist - and we do something called colposcopy we actually look down with binocular, binoculars on the stand we illuminate the magnification of the cervix, we wash it with vinegar, vinegar changes these cancerous lesions it makes them white and then we study them and then we decide if the patient has a pre-cancer lesion or not. If she does we then excise it; we remove it. We do simple, under steady local anesthetic in the clinic very quick no big deal. Removing those pre-cancer changes prevents her from developing cancer in the future. So it’s entirely cancer prevention. When you think that cervical cancer is a preventable disease with very simple interventions, it becomes an outrage that women are still dying from this disease.
Support Group
Shalom Ncala: Mina [Me] when I started to be sexually active I heard ukuthi [that] the earlier you start sexually active you are highly to have cervical cancer. U-Professor on the insert ukhuluma ngeHPV (human papillomavirus) [The professor in the insert was talking about HPV (human papillomavirus),] saying that it’s a type of virus that is sexually transmitted. Can you explain further? {IsiZulu}
Dr Nomonde Mbatani Groote Schuur Hospital: Yiyoke into efumanisiweyo ukuthi i-cancer izininsi 95% yabantu abane cancer yemulomo yesibeloko I cervical cancer iyino i-cause. Now zikhona izizathu zokuba umuntu abane cancer yi-HPV eyona i-virus eyenzakayo kube khona nezinye izinto i-lifestyle factors nazo mhlambe ubena early sexually intercourse, nokuba nabatwana abanitsi, zikhona izinye izinto ze-lifestyle ukushaya kufumanisekile ukuba ku contrubutor ku-cervical cancer. {IsiXhosa} [It’s the biggest cause of cervical cancer, with 95% of infections starting from HPV. There are other causes of cervical cancer, but HPV is the main one. Other lifestyle factors such as early sexual activity; starting sex early and having many kids. Smoking has been also been found to be a contributing factor.]
Shalom Ncala: To think ukuthi mina I haven’t been as regular as suppose ukuya, I would like to know kwamanye amaladi lana are we all regulars attenders zama kliniki nxa kufika ama pap smear ethu. {IsiZulu} [To think that I haven’t had a pap smear as often as I’m supposed to, I would like to know from ladies are we all regulars at the clinic when it comes to our pap smear?]
Nokhwezi Hoboyi: Mna ebomini bami I only had two pap smears and kwezi Pap smear eziyi two endibenazo ndiziyenze ekliniki, in a public clinic. I never receiced results, first time ndaya ndayoyiyenza kwathwa ama-results azobuya in six weeks time. Nxa ndibuyela kwathwa alahlekile ndiphinde ndibuye bazoya ukuyowafuna. So nda endup ndingasayi. Last year ndiyile again it was last in July I never got those results Ndathi nxa ndibuyala ukuyobuza nakhona kwathwa awakabuya amaresults andazi ukuba ndirigth okanye kwenzakalani. {IsiZulu} [All my life I’ve only had two pap smears and both were done at a clinic, in a public clinic. I’ve never received ama-results. The first time I went, they told me the results would be back in six weeks. When I went back, they said they would look for them. I just gave up and never went back. I went again last year around July; I never got those results either. When I followed up they told me the results were not yet back. I don’t know whether I’m fine or not.]
Busisiwe Maqungo: I don’t think mnhlambe alahlekile okanye atheni. Because ngokwazi kwami, nxa ungazifumani i-results ze Pap smear it’s when bengakange bayifumane {IsiXhosa} [I don’t think they are lost or not ready. As far as I know, that’s when they can’t find what they are looking for,] that is the signs of cervical cancer and they don’t bother to call you back for the results, but when the detect something abnormal in your pap smear then they will call you.
Nokhwezi Hoboyi: Kodwa ke uhlala umthwalo une worrie because awuzazi ukuthi unayo na? I think kufuneka ukuthi nxa wu test bakuxazele ukuthi bawubona zingakuphizi u right masikubiza kusho ukuthi….{IsiXhosa} [But why must you carry that burden, not knowing whether you have it or not? They should tell you that if they don’t get back to you, it means you fine.]
Dr Nomonde Mbatani: Okay i polisi apha kwi Western Cape yikakhulu ukuba i-pap smear yakho ibuya inormal that is kungeko into iwrongo ne pap smear yakho kuye osister bakuxelele intoyokuba ukungabana I results zakho ziohume zi-rigth awuzobizwa for i-result ezo, but ukungaba ubiziwe and kubalulekile ukuba uphinde ubuye ngoba kukho into ewrongo abayibonile ku-pap smear yakho. {IsiXhosa} [The Western Cape’s policy is that if the pap test results are normal, then the nurses should tell you that you do not need to return. But if you are called back, then it’s imperative that you go for a follow up.
Thami Mthembu: Yini le pap smear enikhuluma ngayo and what does the process entail and ubuzo wami wesibili [What is pap smear and what is HPV? Is also available, what I wish to know how does - because in women we know it progresses into cervical cancer, How does it manifest itself, Ngiyibona kanjani ukuthi nginayo i-human papillomavirus. {IsiZulu} [How does a man know if he has it?]
Dr Nomonde Mbatani: I HPV i-changes iyiyanzayo asiyo cancer kuphela. I HPV zine types ne type’s zi few i-HPV iziyanza i-cervical cancer. Zikhona ezinye ichanges eziyenziwayo, into izinje nge ntsumpa that is i-warts. So most of the time abantu naba HIV positive bane problem ye warts ezibakhona emulonyeni wesibeleko, ku vagina, zingaba khona nalapha ngaphandle around ianus alapha abawazini nasemadodeni. So those are probably the sings umuntu angazifumana. Ezibonisa ukubana u-HPV infected. Intsumpa ngaphandleli if umuntu azofumana icancer yesibeletho. I Pap smear unfortunately yenziwa ebafazini kuphela, into iyenzakayo ku scratch off iskin kujongwe under imicroscope. Icaphephe isiya elab kujongwe ukuba zikhona na izi changes iziselifeleni kumlomo wesibelekho. So i idea yoku yenza ipap smear yintobana sithi nagona skin semlomo wesibeletho sikhangeleka si normal zi chekhisiwe intobana izikabi khona ichanges ezilapha kuskin.{IsiZulu} [Not all HPVs cause cancer. There are many types of HPVs, only a few of these cause cervical cancer. You may get other things such as warts. Sometimes people living with HIV can get warts around the mouth of the womb, on the vagina and around the anus, in both men and women. Those are the signs that will show that you are HPV infected. So besides cervical cancer, warts are also a sign of HPV. Unfortunately a pap smear is only for women. We take a sample of the skin to the labs for observation. They try to see if there are any changes in the mouth of the womb. Pap smear is to check for any unnatural developments in the woman’s womb.
Thami Mthembu: How readily available are these kinds of testing or pap smear at primary health facilities?
Dr Nomonde Mbatani: I pap smear ideally should be done kuzonke iprimary care levels that is ezi klinikini so you have every right ucela ukwenza ipap smear as umama isiklinikini nesibhedlela kuze zonke {IsiXhosa} [Ideally, pap smear should be done at all primary care levels. You have every right to ask for a pap smear at any hospital or clinic.]
Shalom Ncala: Umasiphuma emakhethe sizokhuluma futhi ngohlavuza wesibeletho ne HIV, ungayakazi. {IsiZulu} [We talk more about cervical cancer and HIV after the break. Don’t go anywhere.]
Shalom Ncala: Welcome back to the Siyayinqoba Beat It! support group – uhlelo lwabo bonke abanegciwane leHIV nabanezihlobo ezinalo. Namhlanje sikhuluma ngohlavuza wesibeletho ne HIV, ungayakazi.Iqembu leSiyayinobq Beat It! lehambe layohlanana no Nomanono Mrobo, owasinda, owaye nomhlavuza wesibeletho wase Khayelitsha e Cape Town {IsiZulu} [the programme for everyone infected and affected by HIV. We are talking about cervical cancer and HIV. The Siyayinqoba team met with Nomanono Mrobo, a cervical cancer survivor from Khayelitsha, Cape Town.]
Cervical Cancer
Khayelitsha, Cape Town
Nomanono Mrobo: Igama lami ndingu Nomanono Mrobo. Ngokwephangelo ndiphangela e-Observatory, ndiphangelela u-Doctor Robison, ndihlala eKhayalitsha. Ndiqale ndinga phili ngo 2001 ngo April, ekupheleni kwa April. Ndaziva ukuba ndinesinqe apha ngaphambili kukho i-pains but zingekho bad as pains. Wa hamba uMay kwalile ukupheleni kwa May ndaqalisa ukublida, ndablida and ndi blida kakhulu. {IsiXhosa} [My name is Nomanono Mrobo. I work in Observatory for Dr Robertson. I live in Khayelitsha. I started feeling sick at the end of April 2001. I had pains in my waist and also in my womb, but not severe pains. Then at the end of May I started bleeding a lot.]
Prof. Lynette Denny: The symptoms of cervical cancer are abnormal bleeding, bleeding in an irregular fashion, bleeding after sex, bleeding after the menopause; you had your change of life or your change in your monthly cycle becoming an irregular cycle.
Nomanono Mrobo: Wandibuza umntu ondimusebenzelayo ukuba yintoni ingxaki yami, bandibona apha ebusweni. Ndamuxelela ukuba ndiyablida andiyeki okho ndiblida. Ngokho ke nangokho wathi uzandiyenzela i-appointment eGroote Schuur ngo-June. Sayakhe ndabe ndifikile eGroote Shuur ndandiboniswa nogqirha ndeziwa i-pap smear. Zaphuma i-results kwathwa ndine growth. {IsiZulu} [My employer noticed that I wasn’t feeling well. I told her that I am bleeding uncontrollably. She immediately made an appointment at Groote Schuur for June. We went there, the doctor did a pap smear and results showed that I had a growth.]
Prof. Lynette Denny: If you have cervical cancer treatment options in early stages when it’s confined in the cervix we can do radical hysterectomies; we can actually cut it out with very good outcome. In a true stage one, on what we call stage one early stage disease is confined to the cervix and that what we call a 90% five year survival rate. In other words 90% of women who have cancer will be alive in five years time. In other words instead of associating cancer with death, you associate cancer with life.
Nomanono Mrobo: Ne treatment yami ayalinda lo July ndayiqala before u-July, bandenza i-radiation therapy. {IsiXhosa} [My treatment started before July, and they started with radiation therapy.]
Prof. Lynette Denny: In the more advanced stages when it has grown outside from the cervix, the pelvis and other parts you can’t do surgery, those patients; those we treat with chemotherapy and radiation therapy and it depends how advanced it is, you know the success rate ranges to 70 to 30% will be alive in five years time. The more advanced the diseases and about 80% of the patients we see at my gynaecologist cancer clinic have advanced diseases, so your cure rates go right down.
Nomanono Mrobo: Ndinabakho ukubaxelela abantu ndinakho ndithethe ngalento like I friends zam, ndiye ndisho kuzo ukuba hambani niyoyeza ipap smear sometimes omunye athi oyika elacephe, ndimuxelele ukuba ilacephe liyavaleka nxalifika apha ngaphakathi liyavalekha.{IsiZulu} [I advise my friends to go for a pap smear, but some say they are scared of the spoon. I tell them the spoon only opens outside, but when it’s inside it closes.]
Prof. Lynette Denny: Why do women come so late? It’s a mixture of them not interpreting their symptoms correctly, it’s a mixture of poor access to healthcare, it’s a mixture of poor quality healthcare, and then all of the stigmatisation and taboo, because cervical cancer involves the woman’s genitalia, it becomes like HIV, it becomes stigmatised. And what we really need is for society to grow up and stop stigmatising the genital tract.
Nomanono Mrobo: Ndingaba cebisa abantu ukuba mabaye ikliniki, umntu angathi ndiphilile ayikho into endinayo, makhaye elkiniki umntu ayakwenza iPap smear kuthathwe lamucus ichekwe. Ngoba ungathi uphilile kanti yona iyakhusebenza lapha ngaphakathi. {IsiXhosa} [I advise people to go to the clinic even if they don’t feel sick. Go for a pap smear and get the mucous tested. You might think you’re fine, while it’s destroying you inside.]
Support Group
Lihle Dlamini: Since I’m HIV positive what are the signs and symptoms, kumina ke ingiwafilishawo or engiwafilayo ukuze ngi suspector ukuthi maybe ke before ngiya kwi-pap smear. {IsiZulu} [that make me suspect there is something wrong that’ll make me go for a pap smear?]
Dr Nomonde Mbatani: Ngelishwa kwakhona i-CIN ne cancer esaqalayo , okuphi zi symptoms azibonakalayo, nxa kuqala i-symptoms kuma nama symptoms isuka iadvance yi andele icancer leyo. I signs ozifumanayo ufamanisa ukuba uyopha kakhulu, uthi mawu mestruata or uthi mawu mestruatile ufanise ukuba uya blinda in between okanye ufumane idischarge enukayo everytime umuntu abane discharge ndibga cabisa ukuba ahambe andibane noma ngu nesi or ugqirha achekitshwe ukhonto iwrong emulomeni wesi beleto, but icancer yona I progressive idlule ibeyicancer ithatha a long {IsiXhosa} [Unfortunately CIN (cervical cancer) has no clear symptoms in the early stage. When you see something, it means the cancer has advanced. Some of the symptoms are heavy bleeding before and after menstruation or a discharge. I’d advise anyone who gets a discharge to seek medical advice. This takes a long time to develop into normal cancer.]
Busisiwe Maqungo: Mhlabe mandiyenza iworkshops, umntu abuze ukuba mandine HIV ndingabona ngeziphi iphawu, So I always say abatwini sukulinda iphawu go and get tested that is the only way. So we need to take ucanduva lwezimpilo zethu u HIV positive ungakho HIV positive. Especially izinto iziqondane nezimpilo zethu zingayibeka impilo zethu engozini. [Sometimes when we do workshops, people ask what signs will show if they are HIV positive. So I always say don’t wait for signs, go and get tested. That’s the only way. You need to take responsibility for your life, whether you are HIV positive or not, especially when it comes to things that might put our health at risk.] The last time I had a pap smear was in 1992 when I was pregnant with my first child. That was a very long time ago – about 14 years Okhokugala bendingazi ukuba ikhona into abayibiza i-Pap smear [I never even knew there was something called a pap smear, but because] I was pregnant, I went to a clinic for the first time. Ndaphinde ndahlala emvani kwekho ndingayazi importance that is ukubaluleka khokweza i-Pap smear yintoni and I never bothered my self ngokuphinda ndiyoyizenza. Until recently nxa ndifumanisa ukuba i-Pap smear umuthetho wayo yenzelwe intobana kubonwe nxa unayo icance yesibelento. Eyenye izibulala Bantu ababincileyo.Kufuneka uyeza kangakanani i-Pap smear because mina the last time I had cervical cancer, yo i-Pap smear. {IsiXhosa} [For a long time I didn’t know the importance of a pap smear. I never bothered myself about going back. Until recently when I found out that it was to check for cervical cancer. Which is one of the things that kills a lot of women?]
Dr Nomonde Mbatani: Kubantu abanegculaze that is HIV positive, I recommendation yokuba umntu aye for I pap smear yakhe kanye ngo nyaka that is every year to make sure seyihambele ngaphambili na,iyenze icervacal cancer leyo. Ukuba kubantu abaHIV positive inyanisile ukubana I pregression ukuqubheka ibeyi cancer iyakhawulezisa kunomuntu ongekho HIV positive. {IsiXhosa} [If you are living with HIV, you must go for a pap smear at least once a year, just to make sure that it hasn’t progressed to cervical cancer. It’s has been found to grow faster if you are HIV positive than if you are not.]
Lihle Dlamini: I go for a pap smear and the they discover that I have CIN and then I go for treatment for that CIN and then we continue having sex, me and my partner with a condom of course, it means I’m at risk of getting the very same virus again.
Dr Nomonde Mbatana: So, it still means you must go for regular pap smear, even long after you have been treated for CIN. The treatment is not the treatment HPV that is the virus, U fumana i-HPV and i-HPV yenza i-changes emulomeni wesibelokho and ezi chngaes can be so sereve at the end zinga end up ziyi cancer. Into esiyi treathayo si-treater i-cancer or HPV but si-treater i-changes iziyenzekileyo emlomeni we sibelekho. {IsiXhosa} [you get HPV, then it makes changes to the mouth of the womb. These changes can be so severe that they can cause cancer. We don’t treat the cancer or HPV, we treat the changes on the mouth of the womb.]
Shalom Ncala: Umasiphuma emakhethe sizokhuluma futhi ngohlavuza wesibeletho ne HIV, ungayakazi. {IsiZulu} [We talk more about cervical cancer and HIV after the break. Don’t go anywhere.]
Shalom Ncala: Nahlanje sikhuluma ngohlavuza wesibeletho ne HIV. Uyazi ngiphende iphepheni ngathi sokhu khona ivaccine itholakele. [We are talking about cervical cancer and HIV. I read in the papers that they’ve found a vaccine.] It will protect women from having cervical cancer. My worry is that it’s so isadura okwamanje [expensive at the moment.] I’m thinking maybe we should try by all means to advocate, to push for it to be cheaper as much as we did for ARVs. Maybe these are the things we should be fighting for, as women. Ukuthi ivaccine le itholakale at a cheaper price cost wonke ubuntu azokwazi ukuba protected ku] {IsiZulu} [This vaccine should be available at a cheaper cost so that everyone is protected from this deadly virus.]
Lihle Dlamini: If singa advocatela ukuthi ivaccine isheshwe itholakala, [We should advocate for the vaccine to be found,] because it’s only now registered in America, and in SA it’s not yet registered. And siyazi ukuthi ipharmaceutical company iyi produsile is a brand producing company, whereas if singa advocatela kube nama generics bangabi nalento kuzova ne patent will take 20 years. [We know that it is produced by a brand name pharmaceutical company whereas we can advocate for generics to be available. There shouldn’t be a patent that will take 20 years.] How many women will have died by then? And I think ukuba khona kwe vaccine kuzopreventor ukufa ekuzoba khona abantwini besifazane. [the availability of the vaccine will prevent the death of many women,] especially for us women who are living with HIV. And I think kuzokwenzeka singabi nengxala siyokwenza I pap smear sibe sazi ukuthi si immunised ngoba ngeke singene yigciwane leHPV.{isiZulu} [we won’t need to rush for pap smear if we are immune against HPV.]
Dr Nomode Mbatani: Zizihlobo hlobo zikhona eziprophylactic ezinqanda iHPV. Zibekhona izi therapeutic eziyenza ukuba sowunayo i-HPV. Now ziyi three. Le HPV vaccine ekhoyo ngoku ye prevetor iHPV, so if so wunayo i-HPV I doubt ukuthi izakucenda. Its aimde at ebatewanene abancinci that is nine year ten years. They are targeting ipopulation angakaphi ne HPV.{IsiXhosa} [There are prophylactic vaccines that prevent HPV. There are also therapeutic ones which treat the HPV. The one thing you are talking about is the one that prevents HPV. So if you already have HPV, I doubt it can be of any use to you. It’s aimed at little kids between the ages of nine and ten. They are targeting people who don’t have HPV.]
Busisiwe Maqungo: That’s something.
Dr Nomonde Mbatani: Ndi funa ukuclarify, ndikubonisa they are different types so the one eroller out it has been approve yiFDA is a phophylatic vaccine. I eyime abantwini abangakabi nayo i-HPV. {IsiZulu} [I’m just clarifying that there are different types. The one being rolled out by the FDA is a prophylactic vaccine. It’s aimed at people who haven’t contracted HPV.]
Lihle Dlamini: So it means if you want this prophylactic vaccine you should be tested for HPV first before the give you this vaccine.
Dr Nomonde Mbatani: If possible.
Shalom Ncala:Namhalnje sifunde ukuthi, abesifazane abaphila ne HIV basengozini yokuthola umhlavuza wesibeletho. Uhlavuza wesi beletho ubangelwa yigciwane elibizwa ukuthi yi human papillonmavirus. Singawu vimbela lomuhlavuza umasiyenza ipap smear njolo nganyaka. Kukhona umugomo otholakhalayo kodwa kubiza ngaphuzulu kuka R2000.00 kanti awukatholakali eminingizimu Afrika. Kumele silwelwe ukutholakalo wayo ngamanana aphansi. Siyabonga ngezi ncwadi zenu, sicela niqubekhe ngonisibhalela, siyayazisa imibono yenu nemibuzo. Sithemba ukuthi siyijabulele leshow futhi niyawuzwa umoya lesiyayinqoba, sisonke singayinqoba. Yibanathi futhi ngeviki elizayo, kuSiyayinqoba Beat It! support group. Kuze kube yileso sikhathi, hlala unephilo, hlala unumubono umuhle.Bye-bye {IsiZulu} [Today we’ve learnt that women living with HIV are in danger of getting cervical cancer. Cervical cancer is caused by a virus called human papillonmarirus (HPV). It can be stopped if we go for a pap smear once a year. There is a vaccine, but it costs over R2 000. However, because of the cost it’s still not rolled out in South Africa. We must make efforts to make them available at low costs. Thank you for all the letters you’ve sent, and keep them coming. We hope you enjoyed the show and you are feeling the Siyayinqoba spirit. Together we can Beat It! Join us again next week in the Siyayinqoba Beat It! Support Group. Until then, stay healthy positive.
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