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"title": "‘I wouldn’t wish for anyone to experience this’ — the listeriosis outbreak and a mother’s heartbreak",
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"description": "Daily Maverick is an independent online news publication and weekly print newspaper in South Africa.\r\n\r\nIt is known for breaking some of the defining stories of South Africa in the past decade, including the Marikana Massacre, in which the South African Police Service killed 34 miners in August 2012.\r\n\r\nIt also investigated the Gupta Leaks, which won the 2019 Global Shining Light Award.\r\n\r\nThat investigation was credited with exposing the Indian-born Gupta family and former President Jacob Zuma for their role in the systemic political corruption referred to as state capture.\r\n\r\nIn 2018, co-founder and editor-in-chief Branislav ‘Branko’ Brkic was awarded the country’s prestigious Nat Nakasa Award, recognised for initiating the investigative collaboration after receiving the hard drive that included the email tranche.\r\n\r\nIn 2021, co-founder and CEO Styli Charalambous also received the award.\r\n\r\nDaily Maverick covers the latest political and news developments in South Africa with breaking news updates, analysis, opinions and more.",
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"contents": "<span style=\"font-weight: 400;\">‘When I started falling ill, I was pregnant with Baby T*. I was sick and limping for the entire nine months, not knowing what was wrong with me. When I gave birth to her, the paediatrician was the one that diagnosed her when she was 18 days old and that is when I found out that this entire time I had been suffering from listeriosis,” Iris recalls. </span>\r\n<h4><b>The origins of the outbreak</b></h4>\r\n<span style=\"font-weight: 400;\">South Africa witnessed the world’s largest listeriosis outbreak, characterised by a progressive increase in cases of the disease from January 2017 to July 2018. Of the 1,065 laboratory-confirmed cases of listeriosis reported by the National Institute for Communicable Diseases (NICD), 218 deaths were recorded. </span>\r\n\r\n<span style=\"font-weight: 400;\">Through contact tracing, whole-genome sequencing, epidemiological investigations and other scientific techniques, the NICD traced the bacteria which caused the outbreak back to an Enterprise Foods factory in Polokwane, Limpopo</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">The factory produced ready-to-eat meat products</span><span style=\"font-weight: 400;\">. </span>\r\n\r\n<strong>Also read:</strong> <a href=\"https://www.dailymaverick.co.za/article/2020-01-28-life-after-listeriosis/\">Life After Listeriosis <span style=\"font-weight: 400;\">—</span> Photo Essay</a>\r\n<h4><b>How Baby T was diagnosed</b></h4>\r\n<span style=\"font-weight: 400;\">W</span><span style=\"font-weight: 400;\">hen Baby T was 18 days old, she fell sick and her mother took her to a paediatrician. “The paediatrician said that her head looks bigger, and it’s not how the head should look, ” Iris said. </span>\r\n\r\n<span style=\"font-weight: 400;\">Baby T had contracted </span><span style=\"font-weight: 400;\">listeriosis in her mother’s womb and developed a condition called hydrocephalus, a build-up of fluid in the brain. A ventriculoperitoneal (VP) shunt </span><span style=\"font-weight: 400;\">— a thin plastic tube that helps drain </span><span style=\"font-weight: 400;\">the fluid from her brain </span><span style=\"font-weight: 400;\">— was</span><span style=\"font-weight: 400;\"> inserted into Baby T’s head to manage her condition and, ultimately, save her life. </span>\r\n\r\n<span style=\"font-weight: 400;\">“If she doesn’t have the VP shunt then the head will swell and the brain will be damaged,” her mother explained. </span><span style=\"font-weight: 400;\">Baby T will always have a shunt and it will have to be replaced periodically as she grows. </span>\r\n\r\n<span style=\"font-weight: 400;\">“She’s only five years old, but she has already had six operations replacing the VP shunt because it can block at any time,” she said. </span>\r\n\r\n<span style=\"font-weight: 400;\">“</span><span style=\"font-weight: 400;\">There will be scars on her head and even on the stomach because the pipe goes to the stomach, and when you hold her, you have to be extra careful not to hurt her. </span>\r\n\r\n<span style=\"font-weight: 400;\">“The healing and recovery process is very painful. Very painful. I wouldn’t wish for anyone to experience this. No one. Not even my worst enemy. Not even Tiger Brands [the owner of Enterprise Foods at the time of the outbreak].” </span>\r\n<h4><b>Life for Baby T now </b></h4>\r\n<span style=\"font-weight: 400;\">Doctors have told Iris that Baby T’s development milestones will be significantly delayed. Baby T only started speaking when she was three and she frequently forgets things she learned the previous day. </span>\r\n\r\n<span style=\"font-weight: 400;\">“If she can write 1, 2, 3, I will be the happiest woman ever, because she can write them today but then tomorrow she will have forgotten,” Iris said. </span>\r\n\r\n<span style=\"font-weight: 400;\">“This condition is very serious, and it is very painful.” </span>\r\n\r\n<span style=\"font-weight: 400;\">A neurosurgeon explained to Iris that the part of Baby T’s brain that controls her bladder is only partially working. </span>\r\n\r\n<span style=\"font-weight: 400;\">“She cannot feel when she needs to go to the bathroom and she is a laughing stock at school because when she wets her pants, the other kids laugh at her,” Iris said. </span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-1927816\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2023/11/a6959fd0-1b75-4f39-ac27-6e6e43efc8f5.jpeg\" alt=\"\" width=\"720\" height=\"410\" /> <em>Iris also contracted listeriosis and had to have a bilateral hip replacement. 'A lot of people obviously forgot about listeriosis. If you weren't infected or affected you will obviously forget, but that shouldn’t be the case,' said Iris. (Photo: Supplied)</em></p>\r\n\r\n<span style=\"font-weight: 400;\">She sends Baby T to school with extra clothing in case of an accident. </span>\r\n\r\n<span style=\"font-weight: 400;\">When an accident does happen, the teachers call Baby T’s older sister to come and help.</span>\r\n\r\n<span style=\"font-weight: 400;\">“They also laugh at her sister. I remember the other day I was so heartbroken, her sister also didn’t want to go to school because she said, ‘I’m also the laughing stock at school because of my little sister.’ ”</span>\r\n\r\n<span style=\"font-weight: 400;\">Baby T is aware that she is different from other children. “Every time when she comes back from school with her wet pants, I will ask, ‘Baby T, what's wrong?’ She will show me the VP shunt and say, “It is because of this, Mommy. I cannot feel that I want to go to the bathroom and it is because of this.’ ”</span>\r\n<h4><b>Surgery, debt, blame and relocation </b></h4>\r\n<span style=\"font-weight: 400;\">Iris also contracted listeriosis and had to have a bilateral hip replacement — the surgical replacement of both hips — on 4 February 2019. </span>\r\n\r\n<span style=\"font-weight: 400;\">“I am still working with my condition, but it is not easy. I can feel that my hips are aching and sometimes the pain is so severe, all I can do is just lay down,” she said. </span>\r\n\r\n<span style=\"font-weight: 400;\">Iris has to go to the doctor every six months for a checkup and takes medication daily.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Sometimes I struggle to walk. Even now, I can feel the pain on my left-hand side. It’s painful. That’s my life since I got listeriosis, that will be my life of taking pills each and every day,” she said. </span>\r\n\r\n<span style=\"font-weight: 400;\">Iris has two other children aged 11 and 13, and said she and her husband had fallen into debt trying to manage both her and Baby T’s medical bills. The pair both have loans at the bank, with Iris owing roughly R60,000.</span>\r\n\r\n<span style=\"font-weight: 400;\">The financial situation became so bad, that they were forced to sell their beloved family home and relocate to a rural area of Polokwane in March 2023.</span>\r\n\r\n<span style=\"font-weight: 400;\">“I am not coping and I’m trying to hold on for these kids because if I can show them that I’m not coping, then for them it will be worse,” she said tearfully. </span>\r\n\r\n<span style=\"font-weight: 400;\">Iris still blames herself for Baby T’s infection and said sometimes when she had an accident, she would yell at her. “I saw that there is no point in shouting at her because she’s not the one who infected herself, I am the one to be blamed,” she said.</span>\r\n\r\n<span style=\"font-weight: 400;\">Despite the challenges, Iris’s love for her children is unwavering.</span>\r\n\r\n<span style=\"font-weight: 400;\">“It has all been very difficult but I have to stand up for my kids. I have to do what’s right for them,” she said. </span><b>DM</b>\r\n\r\n<i><span style=\"font-weight: 400;\">*Not their real names.</span></i>\r\n\r\n<i><span style=\"font-weight: 400;\">In </span></i><a href=\"https://www.dailymaverick.co.za/article/2023-11-07-listeriosis-victims-long-wait-for-justice-while-class-action-lawyers-gather-evidence/\"><i><span style=\"font-weight: 400;\">Part Two</span></i></a><i><span style=\"font-weight: 400;\"> of this story, we look at the class action launched by human rights lawyers to help victims of listeriosis like Iris and Baby T.</span></i>",
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"name": "Iris also contracted listeriosis and had to have a bilateral hip replacement. “A lot of people obviously forgot about listeriosis. If you weren't infected or affected you will obviously forget, but that shouldn’t be the case” said Iris. (Photo: Supplied)",
"description": "<span style=\"font-weight: 400;\">‘When I started falling ill, I was pregnant with Baby T*. I was sick and limping for the entire nine months, not knowing what was wrong with me. When I gave birth to her, the paediatrician was the one that diagnosed her when she was 18 days old and that is when I found out that this entire time I had been suffering from listeriosis,” Iris recalls. </span>\r\n<h4><b>The origins of the outbreak</b></h4>\r\n<span style=\"font-weight: 400;\">South Africa witnessed the world’s largest listeriosis outbreak, characterised by a progressive increase in cases of the disease from January 2017 to July 2018. Of the 1,065 laboratory-confirmed cases of listeriosis reported by the National Institute for Communicable Diseases (NICD), 218 deaths were recorded. </span>\r\n\r\n<span style=\"font-weight: 400;\">Through contact tracing, whole-genome sequencing, epidemiological investigations and other scientific techniques, the NICD traced the bacteria which caused the outbreak back to an Enterprise Foods factory in Polokwane, Limpopo</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">The factory produced ready-to-eat meat products</span><span style=\"font-weight: 400;\">. </span>\r\n\r\n<strong>Also read:</strong> <a href=\"https://www.dailymaverick.co.za/article/2020-01-28-life-after-listeriosis/\">Life After Listeriosis <span style=\"font-weight: 400;\">—</span> Photo Essay</a>\r\n<h4><b>How Baby T was diagnosed</b></h4>\r\n<span style=\"font-weight: 400;\">W</span><span style=\"font-weight: 400;\">hen Baby T was 18 days old, she fell sick and her mother took her to a paediatrician. “The paediatrician said that her head looks bigger, and it’s not how the head should look, ” Iris said. </span>\r\n\r\n<span style=\"font-weight: 400;\">Baby T had contracted </span><span style=\"font-weight: 400;\">listeriosis in her mother’s womb and developed a condition called hydrocephalus, a build-up of fluid in the brain. A ventriculoperitoneal (VP) shunt </span><span style=\"font-weight: 400;\">— a thin plastic tube that helps drain </span><span style=\"font-weight: 400;\">the fluid from her brain </span><span style=\"font-weight: 400;\">— was</span><span style=\"font-weight: 400;\"> inserted into Baby T’s head to manage her condition and, ultimately, save her life. </span>\r\n\r\n<span style=\"font-weight: 400;\">“If she doesn’t have the VP shunt then the head will swell and the brain will be damaged,” her mother explained. </span><span style=\"font-weight: 400;\">Baby T will always have a shunt and it will have to be replaced periodically as she grows. </span>\r\n\r\n<span style=\"font-weight: 400;\">“She’s only five years old, but she has already had six operations replacing the VP shunt because it can block at any time,” she said. </span>\r\n\r\n<span style=\"font-weight: 400;\">“</span><span style=\"font-weight: 400;\">There will be scars on her head and even on the stomach because the pipe goes to the stomach, and when you hold her, you have to be extra careful not to hurt her. </span>\r\n\r\n<span style=\"font-weight: 400;\">“The healing and recovery process is very painful. Very painful. I wouldn’t wish for anyone to experience this. No one. Not even my worst enemy. Not even Tiger Brands [the owner of Enterprise Foods at the time of the outbreak].” </span>\r\n<h4><b>Life for Baby T now </b></h4>\r\n<span style=\"font-weight: 400;\">Doctors have told Iris that Baby T’s development milestones will be significantly delayed. Baby T only started speaking when she was three and she frequently forgets things she learned the previous day. </span>\r\n\r\n<span style=\"font-weight: 400;\">“If she can write 1, 2, 3, I will be the happiest woman ever, because she can write them today but then tomorrow she will have forgotten,” Iris said. </span>\r\n\r\n<span style=\"font-weight: 400;\">“This condition is very serious, and it is very painful.” </span>\r\n\r\n<span style=\"font-weight: 400;\">A neurosurgeon explained to Iris that the part of Baby T’s brain that controls her bladder is only partially working. </span>\r\n\r\n<span style=\"font-weight: 400;\">“She cannot feel when she needs to go to the bathroom and she is a laughing stock at school because when she wets her pants, the other kids laugh at her,” Iris said. </span>\r\n\r\n[caption id=\"attachment_1927816\" align=\"alignnone\" width=\"720\"]<img class=\"size-full wp-image-1927816\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2023/11/a6959fd0-1b75-4f39-ac27-6e6e43efc8f5.jpeg\" alt=\"\" width=\"720\" height=\"410\" /> <em>Iris also contracted listeriosis and had to have a bilateral hip replacement. 'A lot of people obviously forgot about listeriosis. If you weren't infected or affected you will obviously forget, but that shouldn’t be the case,' said Iris. (Photo: Supplied)</em>[/caption]\r\n\r\n<span style=\"font-weight: 400;\">She sends Baby T to school with extra clothing in case of an accident. </span>\r\n\r\n<span style=\"font-weight: 400;\">When an accident does happen, the teachers call Baby T’s older sister to come and help.</span>\r\n\r\n<span style=\"font-weight: 400;\">“They also laugh at her sister. I remember the other day I was so heartbroken, her sister also didn’t want to go to school because she said, ‘I’m also the laughing stock at school because of my little sister.’ ”</span>\r\n\r\n<span style=\"font-weight: 400;\">Baby T is aware that she is different from other children. “Every time when she comes back from school with her wet pants, I will ask, ‘Baby T, what's wrong?’ She will show me the VP shunt and say, “It is because of this, Mommy. I cannot feel that I want to go to the bathroom and it is because of this.’ ”</span>\r\n<h4><b>Surgery, debt, blame and relocation </b></h4>\r\n<span style=\"font-weight: 400;\">Iris also contracted listeriosis and had to have a bilateral hip replacement — the surgical replacement of both hips — on 4 February 2019. </span>\r\n\r\n<span style=\"font-weight: 400;\">“I am still working with my condition, but it is not easy. I can feel that my hips are aching and sometimes the pain is so severe, all I can do is just lay down,” she said. </span>\r\n\r\n<span style=\"font-weight: 400;\">Iris has to go to the doctor every six months for a checkup and takes medication daily.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Sometimes I struggle to walk. Even now, I can feel the pain on my left-hand side. It’s painful. That’s my life since I got listeriosis, that will be my life of taking pills each and every day,” she said. </span>\r\n\r\n<span style=\"font-weight: 400;\">Iris has two other children aged 11 and 13, and said she and her husband had fallen into debt trying to manage both her and Baby T’s medical bills. The pair both have loans at the bank, with Iris owing roughly R60,000.</span>\r\n\r\n<span style=\"font-weight: 400;\">The financial situation became so bad, that they were forced to sell their beloved family home and relocate to a rural area of Polokwane in March 2023.</span>\r\n\r\n<span style=\"font-weight: 400;\">“I am not coping and I’m trying to hold on for these kids because if I can show them that I’m not coping, then for them it will be worse,” she said tearfully. </span>\r\n\r\n<span style=\"font-weight: 400;\">Iris still blames herself for Baby T’s infection and said sometimes when she had an accident, she would yell at her. “I saw that there is no point in shouting at her because she’s not the one who infected herself, I am the one to be blamed,” she said.</span>\r\n\r\n<span style=\"font-weight: 400;\">Despite the challenges, Iris’s love for her children is unwavering.</span>\r\n\r\n<span style=\"font-weight: 400;\">“It has all been very difficult but I have to stand up for my kids. I have to do what’s right for them,” she said. </span><b>DM</b>\r\n\r\n<i><span style=\"font-weight: 400;\">*Not their real names.</span></i>\r\n\r\n<i><span style=\"font-weight: 400;\">In </span></i><a href=\"https://www.dailymaverick.co.za/article/2023-11-07-listeriosis-victims-long-wait-for-justice-while-class-action-lawyers-gather-evidence/\"><i><span style=\"font-weight: 400;\">Part Two</span></i></a><i><span style=\"font-weight: 400;\"> of this story, we look at the class action launched by human rights lawyers to help victims of listeriosis like Iris and Baby T.</span></i>",
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"summary": "Five years after the world’s largest listeriosis outbreak, which killed more than 200 people and caused severe illness in many others, Iris* tells the heartbreaking story of her five-year-old child’s suffering.",
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