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"contents": "<span style=\"font-weight: 400;\">For the past four years, Florentina Branot has been living in squalid conditions on the streets of Cape Town.</span>\r\n\r\n<span style=\"font-weight: 400;\">Branot tells </span><i><span style=\"font-weight: 400;\">Spotlight</span></i><span style=\"font-weight: 400;\"> she ended up on the streets after “mixing with the wrong crowd” and getting hooked on drugs in Retreat, a suburb in the southern areas of Cape Town, where she hails from.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695991\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight.jpg\" alt=\"\" width=\"1775\" height=\"1185\" /> Inside the Culemborg shelter in Cape Town. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">Sitting on a bed inside the Culemborg Site 2 shelter, Branot says life wasn’t always like this. She once had a wonderful life, and was married with four children.</span>\r\n\r\n<span style=\"font-weight: 400;\">She is 33 but looks much older. </span>\r\n\r\n<span style=\"font-weight: 400;\">Her husband, who she says was a gangster, was sentenced to two life terms for the murder of a traffic officer in 2016.</span>\r\n\r\n<span style=\"font-weight: 400;\">“That was when my life went on a downward spiral and I found myself being isolated by my family. They tried to talk me out of drugs, but I was hooked already. Then I decided to go and live on the streets where no one would judge or rebuke me,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">To feed her drug habit, she says she often spent cold nights begging at traffic lights.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695989\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_14.jpg\" alt=\"\" width=\"1725\" height=\"923\" /> One of the dorms at The Haven shelter accommodating homeless people living on the streets. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">“Life on the streets was very tough. But I’m glad that today I have found a home here (Culemborg). I am grateful for the roof over my head and the hot meals,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">Branot is among a group of 96 homeless people living at Culemborg Site 2 in Cape Town’s inner city. Many are finding it hard to come to terms with the Covid-19 disaster regulations which, among others, encourage people to stay at home and avoid crowded places.</span>\r\n\r\n<span style=\"font-weight: 400;\">The </span><a href=\"https://www.gov.za/sites/default/files/gcis_document/202004/43258rg11098gon480s.pdf\"><span style=\"font-weight: 400;\">regulations for Level 4</span></a><span style=\"font-weight: 400;\">, released in April, tasked the government with providing “temporary shelters for homeless people that comply with the necessary health protocols and adequate spacing standards”. Four months down the line, </span><i><span style=\"font-weight: 400;\">Spotlight</span></i><span style=\"font-weight: 400;\"> visited some shelters in Cape Town to assess measures put in place to protect the health and safety of the homeless.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695988\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_13.jpg\" alt=\"\" width=\"974\" height=\"1733\" /> Personal hygiene to limit transmission of Covid-19 is taken seriously at The Haven shelter. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695982\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_8.jpg\" alt=\"\" width=\"1798\" height=\"1225\" /> Disinfectant to improve hygiene at the Culemborg Shelter. (Photo: Nasief Manie/Spotlight)</p>\r\n\r\n<b>Health on the streets</b>\r\n\r\n<span style=\"font-weight: 400;\">Before Covid-19, the question of homeless people living on the street was framed as a social and housing problem and less so as a health issue. The pandemic, however, has, for the time, shifted the focus to the health and safety of vulnerable populations – which includes the homeless.</span>\r\n\r\n<span style=\"font-weight: 400;\">One recent</span><a href=\"https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-5061-6\"> <span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\"> quotes figures estimating that by 2008 there were between 100,000 and 200,000 homeless people in South Africa. Besides housing, various other social determinants such as nutrition, substance abuse and access to water and sanitation, impact the health of homeless people.</span>\r\n\r\n<span style=\"font-weight: 400;\">For those like Branot, survival depends on being out on the streets, mostly begging and living from hand to mouth. While they are allowed out during the day, many of the homeless at the shelter say they miss their “normal” lives.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695977\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_3.jpg\" alt=\"\" width=\"1228\" height=\"1768\" /> Meitjie Maans survived TB while living on the streets of Cape Town. She says she was a ‘heavy drinker’ but took a break from alcohol during the Covid-19 pandemic. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">“It is not easy to stay here all day long, because most of us are used to life on the streets. But we have to tolerate living here because on the streets the risks of contracting the virus are high,” says Meitjie Maans, 42. </span>\r\n\r\n<span style=\"font-weight: 400;\">“People still continue to share cigarettes or drugs and put themselves at risk. I [deal with] the boredom by watching TV and sleeping. The temptations to get out of here and return to the streets are sometimes there, but I try to remain positive at all times.” Maans is originally from Ceres.</span>\r\n\r\n<span style=\"font-weight: 400;\">Diagnosed with tuberculosis a few years ago and having just recently recovered in April, Maans is grateful to be staying at the shelter and escaping the winter chills on the streets. Before arriving at the shelter she was a heavy drinker, but says after the Covid-19 outbreak she decided to “take a break” from alcohol. Maans</span><span style=\"font-weight: 400;\"> says due to withdrawal from alcohol and drugs, most of the homeless people are often “grumpy” and fights break out.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695983\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_9.jpg\" alt=\"\" width=\"1777\" height=\"1209\" /> Masks hang over a bed rail. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">One</span><a href=\"https://www.tandfonline.com/doi/abs/10.1080/03768350903519358?journalCode=cdsa20\"> <span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\"> published in the journal </span><i><span style=\"font-weight: 400;\">Development Southern Africa </span></i><span style=\"font-weight: 400;\">investigated the health and well-being of homeless adults and children living on the streets in provinces such as the Western Cape and Gauteng. It found that </span><span style=\"font-weight: 400;\">sexually transmitted infections, tuberculosis, drug and alcohol abuse, HIV and malnutrition were prominent among this group. </span>\r\n\r\n<span style=\"font-weight: 400;\">In another</span><a href=\"https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-5061-6\"> <span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\"> published by BMC Health Services Research, it was found that homeless people living on the street are “more prone to communicable, respiratory and cardiovascular diseases and are less likely to access healthcare services”. Despite this, the study states “there are no specific public healthcare services tailored to the needs of these communities, particularly if they are immigrants”.</span>\r\n\r\n<b>Health services for the homeless</b>\r\n\r\n<span style=\"font-weight: 400;\">Spokesperson for the Western Cape Health Department, Mark van der Heever, says that working with the City [of Cape Town], the department provided a full clinic service at the Strandfontein temporary emergency shelter and “continues to deliver health services to the homeless at primary healthcare facilities”. The Strandfontein site has since been closed.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We continue ensuring that temperatures are taken daily and if there is a need, the homeless people are transported to our nearest health facilities for services and collection of chronic medications,” van der Heever said.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695981\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_7.jpg\" alt=\"\" width=\"1286\" height=\"1747\" /> Marius Abrahams also found shelter at the Culemborg site.( Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">Mayco member for community services and health, Zahid Badroodien, says they have daily screenings at the Culemborg shelter.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Any person who screens positive for Covid-19 [symptoms] is referred to a public quarantine facility, or an isolation facility if they test positive,” says Badroodien.</span>\r\n\r\n<span style=\"font-weight: 400;\">Earlier, the City of Cape Town came under fire from opposition parties in the Western Cape for “dumping” homeless people under a bridge. But Badroodien disputes this happened.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We strongly object to all allegations that the City has dumped the homeless under a bridge in the CBD. This group of homeless individuals, who were part of the Strandfontein camp, steadfastly refused accommodation at smaller shelters and opted to return to the CBD to be closer to the expanded Culemborg safe space,” says Badroodien.</span>\r\n\r\n<b>Grateful, but give us hot water</b>\r\n\r\n<span style=\"font-weight: 400;\">Michael Fassie, 52, says as much as he is grateful for the food and shelter at the Culemborg shelter, the living conditions are “terrible”.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695980\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_6.jpg\" alt=\"\" width=\"1229\" height=\"1584\" /> Some among the homeless, like Michael Fassie, complain about having no hot water to wash with at the Culemborg shelter. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">Fassie complains about sleeping on a mattress on the floor and the lack of access to hot water for a bath during these cold and wet winter days.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We take a bath in these buckets with cold water every day,” he says, pointing to a five-litre bucket.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Yes, someone will say we should be grateful for the roof over our heads. But what about our dignity? They should have provided a bathroom so that we can bath in warm water. Now we are risking catching flu and this Covid-19,” says the father of two from Philippi.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fassie says he was working at the harbour as a fisherman but began living on the street after he lost his job due to the Covid-19 outbreak.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695978\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_4.jpg\" alt=\"\" width=\"1702\" height=\"1054\" /> At the Culemborg shelter the homeless have access to a television, but what they really want is hot water. (Photo: Nasief Manie/Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">“I was renting a shack in a yard and my landlord kicked me out and took all my belongings, including my ID, after I couldn’t afford to pay rent. I had no choice but to come and live on the streets of Cape Town. Now I can’t even access the R350 relief grant for the unemployed because I don’t have an ID. Many of us here don’t have IDs and we’ve been calling on the City authorities to assist us, to no avail,” Fassie says.</span>\r\n\r\n<span style=\"font-weight: 400;\">Kevin Pillay, also homeless, works as a monitor at the Culemborg shelter.</span>\r\n\r\n<span style=\"font-weight: 400;\">“One thing that often annoys me about how the homeless are perceived out there,” he says, “is that [people think] we are just some clueless druggies and papsak-suip(ing) okes. But there’s more to the homeless people than that. There are lawyers, engineers, teachers and doctors among us. But because of different situations, we are finding ourselves on the streets. I just hope people would think twice before judging the homeless.”</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695979\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_5.jpg\" alt=\"\" width=\"1583\" height=\"1290\" /> Someone’s source for spiritual sustenance on a makeshift bedside table at the Culemborg shelter. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">The Culemborg shelter can accommodate 250 homeless people, but because of the Covid-19 regulations, they are only accommodating 96.</span>\r\n\r\n<span style=\"font-weight: 400;\">It is a freezing evening in Cape Town when </span><i><span style=\"font-weight: 400;\">Spotlight</span></i><span style=\"font-weight: 400;\"> visits the site. Looking out of the window, Pillay says he and most of the homeless people there would be shivering with cold on the streets had it not been for the shelter.</span>\r\n\r\n<b>Supporting shelters for the homeless</b>\r\n\r\n<span style=\"font-weight: 400;\">Badroodien says the City has no direct role, or even oversight, in the establishment and running of shelters.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695985\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_11.jpg\" alt=\"\" width=\"1529\" height=\"989\" /> Getting ready for dinner at the Culemborg shelter. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">“That said, we partner with NGOs who operate shelters and provide funding and resources where possible, particularly during winter when the demand for shelter space increases due to the inclement weather. So far, in this financial year, we have disbursed R50-million to organisations working with vulnerable groups, including street people,” he says.</span>\r\n\r\n<span style=\"font-weight: 400;\">“The money will go towards building extra capacity that should sustain the organisations for at least six months. The City has also established safe spaces which act as pre-shelters to rough sleepers,” says Badroodien.</span>\r\n\r\n<span style=\"font-weight: 400;\">The City works through a ‘Grant-in-Aid’ (GIA) policy, which is a process that allows the council to identify organisations to deliver services on behalf of the City.</span>\r\n\r\n<b>Who keeps an eye on the aid?</b>\r\n\r\n<span style=\"font-weight: 400;\">Badroodien says all organisations funded through the GIA policy are required to provide monthly expenditure reports. “In addition, each shelter is visited at least once a month to monitor the work being done. A separate meeting is set up with the resident social worker to determine progress with the individual development plan for each of the residents. The quality of food provided is also regularly assessed to ensure that the standards required by the City are maintained,” he says.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695984\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_10.jpg\" alt=\"\" width=\"1551\" height=\"1230\" /> Soup and bread for dinner at The Haven Night Shelter in Woodstock. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">He stresses that the City of Cape Town is not involved in the health and hygiene protocols for independently run shelters.</span>\r\n\r\n<span style=\"font-weight: 400;\">“As indicated, at our safe spaces we conduct daily screenings. We have also implemented social distancing protocols, hence the lower than normal capacity, and have made soap, masks and sanitisers available at the sites to ensure that the occupants can abide by health and hygiene protocols to mitigate the risk of Covid-19 exposure,” he explains. “We have provided funding for sanitary packs and cleaning materials as part of the humanitarian relief.”</span>\r\n\r\n<span style=\"font-weight: 400;\">In a joint response from the Western Cape departments of social development and health, DSD spokesperson, Esther Lewis, tells </span><i><span style=\"font-weight: 400;\">Spotlight </span></i><span style=\"font-weight: 400;\">the departments provided PPE to the various shelters and continue to do so. </span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695976\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_2.jpg\" alt=\"\" width=\"1228\" height=\"1644\" /> Food packs at the Culemborg shelter as part of the Ubuntu project for ‘Restoring Human Dignity’. ( Photo: Nasief Manie/Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">“The PPE includes sanitisers and face shields. The DSD doesn’t own or directly manage shelters.” According to Lewis, there are also social workers at the shelters who provide individual counselling, referral and support services.</span>\r\n\r\n<b>What about hot water?</b>\r\n\r\n<span style=\"font-weight: 400;\">Responding to the lack of hot water at Culemborg, executive support officer for Badroodien, Pierre Gertenbach, says they were aware of the concerns and “the matter would be addressed in due course”.</span>\r\n\r\n<span style=\"font-weight: 400;\">Carlos Mesquitta, the spokesperson for the outreach organisation, the Homeless Action Committee, says they are aware of the challenges homeless people face at some shelters in the City. </span>\r\n\r\n<span style=\"font-weight: 400;\">“That people are not provided with hot water to bathe, and that they have to use buckets, is a violation of their human dignity,” says Mesquitta, adding that there is still a long way to go before the “real” issues affecting homeless people in Cape Town can be addressed.</span>\r\n\r\n<span style=\"font-weight: 400;\">“It is not about the Covid-19 pandemic and feeling sorry for them. Government needs to find a solution to address the challenges faced by homeless people post the Covid-19 pandemic. They are also human beings and need to be heard and have their human rights respected.”</span>\r\n\r\n<b>The Haven: No positive cases</b>\r\n\r\n<span style=\"font-weight: 400;\">At the Haven night shelter in Woodstock, the situation is different and less crowded than at the Culemborg site. Isaac Hendricks, who works as a duty manager at the shelter, says they can accommodate 90 homeless people.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695986\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_12-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1877\" /> Isaac Hendricks, the duty manager at The Haven Night Shelter. (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">Hendricks is proud of the fact that they have not yet recorded a Covid-19 positive case since the lockdown started.</span>\r\n\r\n<span style=\"font-weight: 400;\">Working with both the DOH and DSD, they regularly liaise about Covid-19 measures.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We are doing our best to follow the regulations, and I must say we are fortunate to work with the homeless people who are very disciplined and grateful to have meals and a roof over their heads,” he says.</span>\r\n\r\n<span style=\"font-weight: 400;\">The Haven night shelter is one of the shelters funded by the City of Cape Town.</span>\r\n\r\n<span style=\"font-weight: 400;\">Since the start of lockdown, Howard Ishmail, 75, has been given shelter at The Haven.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We are wearing our masks all the time and practising social distance. Life is way much better here,” he says.</span>\r\n\r\n<b>Will improvements be sustained?</b>\r\n\r\n<span style=\"font-weight: 400;\">With the country moving to lockdown Level Two from 18 August, the City of Cape Town says it has no plans to take down the Culemborg shelter. Instead, it plans to make it a permanent residence for the homeless.</span>\r\n\r\n<span style=\"font-weight: 400;\">A spokesperson for the City’s homeless agency committee, Ncumisa Mahangu, says it is “their wish that the site can be turned into a permanent residence”.</span>\r\n\r\n<span style=\"font-weight: 400;\">“A decision will be taken after lockdown to determine how more homeless people can be accommodated at the shelter,” says Mahangu.</span>\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-695990\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_15.jpg\" alt=\"\" width=\"1533\" height=\"1023\" /> Shaun Julies is a painter who is now homeless. Julies says life was good when he could sell paintings and support himself. ‘But then one day the tourists bought all my stuff and I made R74,000. I was so excited that I went on a drinking spree and had women competing for my bed. I then soon found myself penniless and living on the streets.’ (Photo: Nasief Manie / Spotlight)</p>\r\n\r\n<span style=\"font-weight: 400;\">For homeless people like Shaun Julies, it is a relief to hear there are plans in the pipeline.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Of course the treatment here (Culemborg) is not five-star, but it’s better than living on the streets. I will be happy if they can make this our permanent residency,” says Julies.</span>\r\n\r\n<span style=\"font-weight: 400;\">But while some solutions are being found at local and municipal level, there appears to be little direction or help from a national level. Recently, Minister of Social Development, Lindiwe Zulu, in an</span><a href=\"https://pmg.org.za/committee-question/14090/\"> <span style=\"font-weight: 400;\">answer to a parliamentary question</span></a><span style=\"font-weight: 400;\">, admitted </span><span style=\"font-weight: 400;\">that there “is currently no clarity at national level in terms of the lead department dealing with homelessness”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Zulu said in provinces such as Gauteng, there is no specific budget in DSD for homeless people, and no specific social workers assigned to work with the homeless, other than those using shelters. There is also no official consolidated register for homeless people besides the register individual shelters usually keep. </span><b>DM/MC</b>\r\n\r\n<i><span style=\"font-weight: 400;\">This article was produced by</span></i><a href=\"http://www.spotlightnsp.co.za/\"> <i><span style=\"font-weight: 400;\">Spotlight</span></i></a><i><span style=\"font-weight: 400;\"> – health journalism in the public interest. </span></i><a href=\"https://www.spotlightnsp.co.za/subscribe-to-our-newsletter/\"><i><span style=\"font-weight: 400;\">Sign up</span></i></a><i><span style=\"font-weight: 400;\"> for our newsletter.</span></i>",
"teaser": "Shelter from the storm: Some homeless people get refuge from Cape Town’s brutal winter",
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"name": "Shaun Julies is a painter who is now homeless. Julies says life was good when he could sell paintings and support himself. ‘But then one day the tourists bought all my stuff and I made R74,000. I was so excited that I went on a drinking spree and had women competing for my bed. I then soon found myself penniless and living on the streets.’ (Photo: Nasief Manie / Spotlight)",
"description": "<span style=\"font-weight: 400;\">For the past four years, Florentina Branot has been living in squalid conditions on the streets of Cape Town.</span>\r\n\r\n<span style=\"font-weight: 400;\">Branot tells </span><i><span style=\"font-weight: 400;\">Spotlight</span></i><span style=\"font-weight: 400;\"> she ended up on the streets after “mixing with the wrong crowd” and getting hooked on drugs in Retreat, a suburb in the southern areas of Cape Town, where she hails from.</span>\r\n\r\n[caption id=\"attachment_695991\" align=\"aligncenter\" width=\"1775\"]<img class=\"size-full wp-image-695991\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight.jpg\" alt=\"\" width=\"1775\" height=\"1185\" /> Inside the Culemborg shelter in Cape Town. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">Sitting on a bed inside the Culemborg Site 2 shelter, Branot says life wasn’t always like this. She once had a wonderful life, and was married with four children.</span>\r\n\r\n<span style=\"font-weight: 400;\">She is 33 but looks much older. </span>\r\n\r\n<span style=\"font-weight: 400;\">Her husband, who she says was a gangster, was sentenced to two life terms for the murder of a traffic officer in 2016.</span>\r\n\r\n<span style=\"font-weight: 400;\">“That was when my life went on a downward spiral and I found myself being isolated by my family. They tried to talk me out of drugs, but I was hooked already. Then I decided to go and live on the streets where no one would judge or rebuke me,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">To feed her drug habit, she says she often spent cold nights begging at traffic lights.</span>\r\n\r\n[caption id=\"attachment_695989\" align=\"aligncenter\" width=\"1725\"]<img class=\"size-full wp-image-695989\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_14.jpg\" alt=\"\" width=\"1725\" height=\"923\" /> One of the dorms at The Haven shelter accommodating homeless people living on the streets. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">“Life on the streets was very tough. But I’m glad that today I have found a home here (Culemborg). I am grateful for the roof over my head and the hot meals,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">Branot is among a group of 96 homeless people living at Culemborg Site 2 in Cape Town’s inner city. Many are finding it hard to come to terms with the Covid-19 disaster regulations which, among others, encourage people to stay at home and avoid crowded places.</span>\r\n\r\n<span style=\"font-weight: 400;\">The </span><a href=\"https://www.gov.za/sites/default/files/gcis_document/202004/43258rg11098gon480s.pdf\"><span style=\"font-weight: 400;\">regulations for Level 4</span></a><span style=\"font-weight: 400;\">, released in April, tasked the government with providing “temporary shelters for homeless people that comply with the necessary health protocols and adequate spacing standards”. Four months down the line, </span><i><span style=\"font-weight: 400;\">Spotlight</span></i><span style=\"font-weight: 400;\"> visited some shelters in Cape Town to assess measures put in place to protect the health and safety of the homeless.</span>\r\n\r\n[caption id=\"attachment_695988\" align=\"aligncenter\" width=\"974\"]<img class=\"size-full wp-image-695988\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_13.jpg\" alt=\"\" width=\"974\" height=\"1733\" /> Personal hygiene to limit transmission of Covid-19 is taken seriously at The Haven shelter. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n[caption id=\"attachment_695982\" align=\"aligncenter\" width=\"1798\"]<img class=\"size-full wp-image-695982\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_8.jpg\" alt=\"\" width=\"1798\" height=\"1225\" /> Disinfectant to improve hygiene at the Culemborg Shelter. (Photo: Nasief Manie/Spotlight)[/caption]\r\n\r\n<b>Health on the streets</b>\r\n\r\n<span style=\"font-weight: 400;\">Before Covid-19, the question of homeless people living on the street was framed as a social and housing problem and less so as a health issue. The pandemic, however, has, for the time, shifted the focus to the health and safety of vulnerable populations – which includes the homeless.</span>\r\n\r\n<span style=\"font-weight: 400;\">One recent</span><a href=\"https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-5061-6\"> <span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\"> quotes figures estimating that by 2008 there were between 100,000 and 200,000 homeless people in South Africa. Besides housing, various other social determinants such as nutrition, substance abuse and access to water and sanitation, impact the health of homeless people.</span>\r\n\r\n<span style=\"font-weight: 400;\">For those like Branot, survival depends on being out on the streets, mostly begging and living from hand to mouth. While they are allowed out during the day, many of the homeless at the shelter say they miss their “normal” lives.</span>\r\n\r\n[caption id=\"attachment_695977\" align=\"aligncenter\" width=\"1228\"]<img class=\"size-full wp-image-695977\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_3.jpg\" alt=\"\" width=\"1228\" height=\"1768\" /> Meitjie Maans survived TB while living on the streets of Cape Town. She says she was a ‘heavy drinker’ but took a break from alcohol during the Covid-19 pandemic. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">“It is not easy to stay here all day long, because most of us are used to life on the streets. But we have to tolerate living here because on the streets the risks of contracting the virus are high,” says Meitjie Maans, 42. </span>\r\n\r\n<span style=\"font-weight: 400;\">“People still continue to share cigarettes or drugs and put themselves at risk. I [deal with] the boredom by watching TV and sleeping. The temptations to get out of here and return to the streets are sometimes there, but I try to remain positive at all times.” Maans is originally from Ceres.</span>\r\n\r\n<span style=\"font-weight: 400;\">Diagnosed with tuberculosis a few years ago and having just recently recovered in April, Maans is grateful to be staying at the shelter and escaping the winter chills on the streets. Before arriving at the shelter she was a heavy drinker, but says after the Covid-19 outbreak she decided to “take a break” from alcohol. Maans</span><span style=\"font-weight: 400;\"> says due to withdrawal from alcohol and drugs, most of the homeless people are often “grumpy” and fights break out.</span>\r\n\r\n[caption id=\"attachment_695983\" align=\"aligncenter\" width=\"1777\"]<img class=\"size-full wp-image-695983\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_9.jpg\" alt=\"\" width=\"1777\" height=\"1209\" /> Masks hang over a bed rail. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">One</span><a href=\"https://www.tandfonline.com/doi/abs/10.1080/03768350903519358?journalCode=cdsa20\"> <span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\"> published in the journal </span><i><span style=\"font-weight: 400;\">Development Southern Africa </span></i><span style=\"font-weight: 400;\">investigated the health and well-being of homeless adults and children living on the streets in provinces such as the Western Cape and Gauteng. It found that </span><span style=\"font-weight: 400;\">sexually transmitted infections, tuberculosis, drug and alcohol abuse, HIV and malnutrition were prominent among this group. </span>\r\n\r\n<span style=\"font-weight: 400;\">In another</span><a href=\"https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-5061-6\"> <span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\"> published by BMC Health Services Research, it was found that homeless people living on the street are “more prone to communicable, respiratory and cardiovascular diseases and are less likely to access healthcare services”. Despite this, the study states “there are no specific public healthcare services tailored to the needs of these communities, particularly if they are immigrants”.</span>\r\n\r\n<b>Health services for the homeless</b>\r\n\r\n<span style=\"font-weight: 400;\">Spokesperson for the Western Cape Health Department, Mark van der Heever, says that working with the City [of Cape Town], the department provided a full clinic service at the Strandfontein temporary emergency shelter and “continues to deliver health services to the homeless at primary healthcare facilities”. The Strandfontein site has since been closed.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We continue ensuring that temperatures are taken daily and if there is a need, the homeless people are transported to our nearest health facilities for services and collection of chronic medications,” van der Heever said.</span>\r\n\r\n[caption id=\"attachment_695981\" align=\"aligncenter\" width=\"1286\"]<img class=\"size-full wp-image-695981\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_7.jpg\" alt=\"\" width=\"1286\" height=\"1747\" /> Marius Abrahams also found shelter at the Culemborg site.( Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">Mayco member for community services and health, Zahid Badroodien, says they have daily screenings at the Culemborg shelter.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Any person who screens positive for Covid-19 [symptoms] is referred to a public quarantine facility, or an isolation facility if they test positive,” says Badroodien.</span>\r\n\r\n<span style=\"font-weight: 400;\">Earlier, the City of Cape Town came under fire from opposition parties in the Western Cape for “dumping” homeless people under a bridge. But Badroodien disputes this happened.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We strongly object to all allegations that the City has dumped the homeless under a bridge in the CBD. This group of homeless individuals, who were part of the Strandfontein camp, steadfastly refused accommodation at smaller shelters and opted to return to the CBD to be closer to the expanded Culemborg safe space,” says Badroodien.</span>\r\n\r\n<b>Grateful, but give us hot water</b>\r\n\r\n<span style=\"font-weight: 400;\">Michael Fassie, 52, says as much as he is grateful for the food and shelter at the Culemborg shelter, the living conditions are “terrible”.</span>\r\n\r\n[caption id=\"attachment_695980\" align=\"aligncenter\" width=\"1229\"]<img class=\"size-full wp-image-695980\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_6.jpg\" alt=\"\" width=\"1229\" height=\"1584\" /> Some among the homeless, like Michael Fassie, complain about having no hot water to wash with at the Culemborg shelter. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">Fassie complains about sleeping on a mattress on the floor and the lack of access to hot water for a bath during these cold and wet winter days.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We take a bath in these buckets with cold water every day,” he says, pointing to a five-litre bucket.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Yes, someone will say we should be grateful for the roof over our heads. But what about our dignity? They should have provided a bathroom so that we can bath in warm water. Now we are risking catching flu and this Covid-19,” says the father of two from Philippi.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fassie says he was working at the harbour as a fisherman but began living on the street after he lost his job due to the Covid-19 outbreak.</span>\r\n\r\n[caption id=\"attachment_695978\" align=\"aligncenter\" width=\"1702\"]<img class=\"size-full wp-image-695978\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_4.jpg\" alt=\"\" width=\"1702\" height=\"1054\" /> At the Culemborg shelter the homeless have access to a television, but what they really want is hot water. (Photo: Nasief Manie/Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">“I was renting a shack in a yard and my landlord kicked me out and took all my belongings, including my ID, after I couldn’t afford to pay rent. I had no choice but to come and live on the streets of Cape Town. Now I can’t even access the R350 relief grant for the unemployed because I don’t have an ID. Many of us here don’t have IDs and we’ve been calling on the City authorities to assist us, to no avail,” Fassie says.</span>\r\n\r\n<span style=\"font-weight: 400;\">Kevin Pillay, also homeless, works as a monitor at the Culemborg shelter.</span>\r\n\r\n<span style=\"font-weight: 400;\">“One thing that often annoys me about how the homeless are perceived out there,” he says, “is that [people think] we are just some clueless druggies and papsak-suip(ing) okes. But there’s more to the homeless people than that. There are lawyers, engineers, teachers and doctors among us. But because of different situations, we are finding ourselves on the streets. I just hope people would think twice before judging the homeless.”</span>\r\n\r\n[caption id=\"attachment_695979\" align=\"aligncenter\" width=\"1583\"]<img class=\"size-full wp-image-695979\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_5.jpg\" alt=\"\" width=\"1583\" height=\"1290\" /> Someone’s source for spiritual sustenance on a makeshift bedside table at the Culemborg shelter. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">The Culemborg shelter can accommodate 250 homeless people, but because of the Covid-19 regulations, they are only accommodating 96.</span>\r\n\r\n<span style=\"font-weight: 400;\">It is a freezing evening in Cape Town when </span><i><span style=\"font-weight: 400;\">Spotlight</span></i><span style=\"font-weight: 400;\"> visits the site. Looking out of the window, Pillay says he and most of the homeless people there would be shivering with cold on the streets had it not been for the shelter.</span>\r\n\r\n<b>Supporting shelters for the homeless</b>\r\n\r\n<span style=\"font-weight: 400;\">Badroodien says the City has no direct role, or even oversight, in the establishment and running of shelters.</span>\r\n\r\n[caption id=\"attachment_695985\" align=\"aligncenter\" width=\"1529\"]<img class=\"size-full wp-image-695985\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_11.jpg\" alt=\"\" width=\"1529\" height=\"989\" /> Getting ready for dinner at the Culemborg shelter. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">“That said, we partner with NGOs who operate shelters and provide funding and resources where possible, particularly during winter when the demand for shelter space increases due to the inclement weather. So far, in this financial year, we have disbursed R50-million to organisations working with vulnerable groups, including street people,” he says.</span>\r\n\r\n<span style=\"font-weight: 400;\">“The money will go towards building extra capacity that should sustain the organisations for at least six months. The City has also established safe spaces which act as pre-shelters to rough sleepers,” says Badroodien.</span>\r\n\r\n<span style=\"font-weight: 400;\">The City works through a ‘Grant-in-Aid’ (GIA) policy, which is a process that allows the council to identify organisations to deliver services on behalf of the City.</span>\r\n\r\n<b>Who keeps an eye on the aid?</b>\r\n\r\n<span style=\"font-weight: 400;\">Badroodien says all organisations funded through the GIA policy are required to provide monthly expenditure reports. “In addition, each shelter is visited at least once a month to monitor the work being done. A separate meeting is set up with the resident social worker to determine progress with the individual development plan for each of the residents. The quality of food provided is also regularly assessed to ensure that the standards required by the City are maintained,” he says.</span>\r\n\r\n[caption id=\"attachment_695984\" align=\"aligncenter\" width=\"1551\"]<img class=\"size-full wp-image-695984\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_10.jpg\" alt=\"\" width=\"1551\" height=\"1230\" /> Soup and bread for dinner at The Haven Night Shelter in Woodstock. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">He stresses that the City of Cape Town is not involved in the health and hygiene protocols for independently run shelters.</span>\r\n\r\n<span style=\"font-weight: 400;\">“As indicated, at our safe spaces we conduct daily screenings. We have also implemented social distancing protocols, hence the lower than normal capacity, and have made soap, masks and sanitisers available at the sites to ensure that the occupants can abide by health and hygiene protocols to mitigate the risk of Covid-19 exposure,” he explains. “We have provided funding for sanitary packs and cleaning materials as part of the humanitarian relief.”</span>\r\n\r\n<span style=\"font-weight: 400;\">In a joint response from the Western Cape departments of social development and health, DSD spokesperson, Esther Lewis, tells </span><i><span style=\"font-weight: 400;\">Spotlight </span></i><span style=\"font-weight: 400;\">the departments provided PPE to the various shelters and continue to do so. </span>\r\n\r\n[caption id=\"attachment_695976\" align=\"aligncenter\" width=\"1228\"]<img class=\"size-full wp-image-695976\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_2.jpg\" alt=\"\" width=\"1228\" height=\"1644\" /> Food packs at the Culemborg shelter as part of the Ubuntu project for ‘Restoring Human Dignity’. ( Photo: Nasief Manie/Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">“The PPE includes sanitisers and face shields. The DSD doesn’t own or directly manage shelters.” According to Lewis, there are also social workers at the shelters who provide individual counselling, referral and support services.</span>\r\n\r\n<b>What about hot water?</b>\r\n\r\n<span style=\"font-weight: 400;\">Responding to the lack of hot water at Culemborg, executive support officer for Badroodien, Pierre Gertenbach, says they were aware of the concerns and “the matter would be addressed in due course”.</span>\r\n\r\n<span style=\"font-weight: 400;\">Carlos Mesquitta, the spokesperson for the outreach organisation, the Homeless Action Committee, says they are aware of the challenges homeless people face at some shelters in the City. </span>\r\n\r\n<span style=\"font-weight: 400;\">“That people are not provided with hot water to bathe, and that they have to use buckets, is a violation of their human dignity,” says Mesquitta, adding that there is still a long way to go before the “real” issues affecting homeless people in Cape Town can be addressed.</span>\r\n\r\n<span style=\"font-weight: 400;\">“It is not about the Covid-19 pandemic and feeling sorry for them. Government needs to find a solution to address the challenges faced by homeless people post the Covid-19 pandemic. They are also human beings and need to be heard and have their human rights respected.”</span>\r\n\r\n<b>The Haven: No positive cases</b>\r\n\r\n<span style=\"font-weight: 400;\">At the Haven night shelter in Woodstock, the situation is different and less crowded than at the Culemborg site. Isaac Hendricks, who works as a duty manager at the shelter, says they can accommodate 90 homeless people.</span>\r\n\r\n[caption id=\"attachment_695986\" align=\"aligncenter\" width=\"2560\"]<img class=\"size-full wp-image-695986\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_12-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1877\" /> Isaac Hendricks, the duty manager at The Haven Night Shelter. (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">Hendricks is proud of the fact that they have not yet recorded a Covid-19 positive case since the lockdown started.</span>\r\n\r\n<span style=\"font-weight: 400;\">Working with both the DOH and DSD, they regularly liaise about Covid-19 measures.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We are doing our best to follow the regulations, and I must say we are fortunate to work with the homeless people who are very disciplined and grateful to have meals and a roof over their heads,” he says.</span>\r\n\r\n<span style=\"font-weight: 400;\">The Haven night shelter is one of the shelters funded by the City of Cape Town.</span>\r\n\r\n<span style=\"font-weight: 400;\">Since the start of lockdown, Howard Ishmail, 75, has been given shelter at The Haven.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We are wearing our masks all the time and practising social distance. Life is way much better here,” he says.</span>\r\n\r\n<b>Will improvements be sustained?</b>\r\n\r\n<span style=\"font-weight: 400;\">With the country moving to lockdown Level Two from 18 August, the City of Cape Town says it has no plans to take down the Culemborg shelter. Instead, it plans to make it a permanent residence for the homeless.</span>\r\n\r\n<span style=\"font-weight: 400;\">A spokesperson for the City’s homeless agency committee, Ncumisa Mahangu, says it is “their wish that the site can be turned into a permanent residence”.</span>\r\n\r\n<span style=\"font-weight: 400;\">“A decision will be taken after lockdown to determine how more homeless people can be accommodated at the shelter,” says Mahangu.</span>\r\n\r\n[caption id=\"attachment_695990\" align=\"aligncenter\" width=\"1533\"]<img class=\"size-full wp-image-695990\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Shelters-Spotlight_15.jpg\" alt=\"\" width=\"1533\" height=\"1023\" /> Shaun Julies is a painter who is now homeless. Julies says life was good when he could sell paintings and support himself. ‘But then one day the tourists bought all my stuff and I made R74,000. I was so excited that I went on a drinking spree and had women competing for my bed. I then soon found myself penniless and living on the streets.’ (Photo: Nasief Manie / Spotlight)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">For homeless people like Shaun Julies, it is a relief to hear there are plans in the pipeline.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Of course the treatment here (Culemborg) is not five-star, but it’s better than living on the streets. I will be happy if they can make this our permanent residency,” says Julies.</span>\r\n\r\n<span style=\"font-weight: 400;\">But while some solutions are being found at local and municipal level, there appears to be little direction or help from a national level. Recently, Minister of Social Development, Lindiwe Zulu, in an</span><a href=\"https://pmg.org.za/committee-question/14090/\"> <span style=\"font-weight: 400;\">answer to a parliamentary question</span></a><span style=\"font-weight: 400;\">, admitted </span><span style=\"font-weight: 400;\">that there “is currently no clarity at national level in terms of the lead department dealing with homelessness”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Zulu said in provinces such as Gauteng, there is no specific budget in DSD for homeless people, and no specific social workers assigned to work with the homeless, other than those using shelters. There is also no official consolidated register for homeless people besides the register individual shelters usually keep. </span><b>DM/MC</b>\r\n\r\n<i><span style=\"font-weight: 400;\">This article was produced by</span></i><a href=\"http://www.spotlightnsp.co.za/\"> <i><span style=\"font-weight: 400;\">Spotlight</span></i></a><i><span style=\"font-weight: 400;\"> – health journalism in the public interest. </span></i><a href=\"https://www.spotlightnsp.co.za/subscribe-to-our-newsletter/\"><i><span style=\"font-weight: 400;\">Sign up</span></i></a><i><span style=\"font-weight: 400;\"> for our newsletter.</span></i>",
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"summary": "Siyabonga Kamnqa visited shelters in Cape Town and spoke to homeless people about their lives during Covid-19 and under lockdown. He also asked local authorities what they had done to help these vulnerable members of society.",
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