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"contents": "<span style=\"font-weight: 400;\">In Snake Park, the evidence of sickness is written in gold dust. Its source towers over the Soweto neighbourhood: a mine dump, loaded with toxic metals, relics of an era when South Africa </span><a href=\"https://www.episodes.org/journal/view.html?doi=10.18814/epiiugs/2016/v39i2/95771\"><span style=\"font-weight: 400;\">produced about a third</span></a><span style=\"font-weight: 400;\"> of gold ever mined on Earth.</span>\r\n\r\n<span style=\"font-weight: 400;\">The mining companies left behind what’s known as mine tailings, hazardous waste that has damaged the health of nearby communities. And now, with climate change, the dump is even more dangerous, leaving residents caught between an environmental disaster of the past and the gathering storms of the future.</span>\r\n\r\n<span style=\"font-weight: 400;\">Community activist Thokozile Mntambo is gearing up for battle. Her weapons of war: a laptop and a questionnaire. She and her fellow volunteers have gone door to door in Snake Park, interviewing their neighbours; young and old, people living with disabilities, parents who have children with disabilities and those with chronic illnesses like asthma and lung cancer.</span>\r\n\r\n<span style=\"font-weight: 400;\">For her, the evidence of sickness is painfully personal. </span>\r\n<h4><b>The science behind the sickness </b></h4>\r\n<span style=\"font-weight: 400;\">“My sister gave birth to a child with cerebral palsy,” she told Bhekisisa’s TV programme, Health Beat. Mntambo works with </span><a href=\"https://www.bench-marks.org.za/\"><span style=\"font-weight: 400;\">the Bench Marks Foundation</span></a><span style=\"font-weight: 400;\">, a nonprofit that monitors multinational companies, on community training and workshops. </span>\r\n\r\n<span style=\"font-weight: 400;\">“My mom passed away because she had breathing problems. My brother has asthma. I’m also asthmatic.” Every time Mntambo goes to the clinic, they ask if she smokes. “I don’t smoke, but they can see when they’re doing X-rays, there’s a lot of dust in my lungs ... and it’s not only happening to me, it’s happening to everyone.”</span>\r\n\r\n<span style=\"font-weight: 400;\">Years of scientific </span><a href=\"https://www.sciencedirect.com/science/article/pii/S0048969722052573\"><span style=\"font-weight: 400;\">research</span></a> <a href=\"https://www.tandfonline.com/doi/full/10.1080/0376835X.2017.1419857#abstract\"><span style=\"font-weight: 400;\">support</span></a> <a href=\"https://journals.co.za/doi/abs/10.10520/EJC161446\"><span style=\"font-weight: 400;\">her</span></a> <a href=\"https://www.mdpi.com/1660-4601/18/13/6838\"><span style=\"font-weight: 400;\">concerns</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">“It’s a gold mine dump, and scientists that have measured the contents of those mine dumps have found arsenic, lead, mercury,” says </span><a href=\"https://www.samrc.ac.za/research/intramural-research-units/EnvironmentHealth-angela-mathee\"><span style=\"font-weight: 400;\">Angela Mathee</span></a><span style=\"font-weight: 400;\">, chief specialist</span> <span style=\"font-weight: 400;\">of the South African Medical Research Council’s environment and health research unit. </span>\r\n\r\n<span style=\"font-weight: 400;\">Lead exposure alone, she explains, has been associated with cognitive issues such as </span><a href=\"https://pubmed.ncbi.nlm.nih.gov/28350927/\"><span style=\"font-weight: 400;\">reductions in IQ scores</span></a><span style=\"font-weight: 400;\">, difficulties in </span><a href=\"https://www.cdc.gov/lead-prevention/symptoms-complications/?CDC_AAref_Val=https://www.cdc.gov/nceh/lead/prevention/health-effects.htm\"><span style=\"font-weight: 400;\">learning</span></a><span style=\"font-weight: 400;\"> and </span><a href=\"https://www.sciencedirect.com/science/article/abs/pii/S0014498316300109?via%3Dihub\"><span style=\"font-weight: 400;\">violent behaviours</span></a><span style=\"font-weight: 400;\">. But it also damages the </span><a href=\"https://www.cdc.gov/lead-prevention/symptoms-complications/?CDC_AAref_Val=https://www.cdc.gov/nceh/lead/prevention/health-effects.htm\"><span style=\"font-weight: 400;\">kidneys</span></a><span style=\"font-weight: 400;\">, and because of that, says Mathee, “there’s a higher risk of high blood pressure, and in turn a higher risk of cardiovascular disease”.</span>\r\n\r\n<span style=\"font-weight: 400;\">A 2024 </span><a href=\"https://pubmed.ncbi.nlm.nih.gov/38980674/\"><span style=\"font-weight: 400;\">Canadian</span></a><span style=\"font-weight: 400;\"> study of about 1.5-million mother-baby pairs backs up Mntambo’s belief about the polluted air and her niece’s cerebral palsy. Researchers found a link between the mother’s exposure to air pollution during pregnancy and cerebral palsy in the baby.</span>\r\n\r\n<span style=\"font-weight: 400;\">This research, of course, doesn’t mean there’s proof that Mntambo’s niece’s cerebral palsy was, without a doubt, caused by the mine tailings dams in her community. But it does confirm that there’s a link between dirty air and babies being born with the condition in these environments — and underscores the urgent need for research like this to be sped up. </span>\r\n\r\n<span style=\"font-weight: 400;\">And the extreme heat that comes with climate change is increasing these health risks. </span>\r\n<h4><b>Asthma</b></h4>\r\n<span style=\"font-weight: 400;\">“For example, in someone who has asthma, an attack is often triggered by air pollution,” </span><a href=\"https://www.youtube.com/watch?v=Gq_Gh3Kzous\"><span style=\"font-weight: 400;\">says Caradee Wright</span></a><span style=\"font-weight: 400;\">, a public health specialist who leads the climate change and health research programme at the Medical Research Council. “When it’s very hot, the body’s ability to deal with heat is compromised because the person faces an existing health challenge.”</span>\r\n\r\n<a href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC9704834/#:~:text=Measurements%20and%20Main%20Results,larger%20over%20age%2075%20years.\"><span style=\"font-weight: 400;\">Studies</span></a><span style=\"font-weight: 400;\"> show that air pollution alone is associated with a 5% increase in death rates, while heatwaves are associated with a 6% increase. </span>\r\n\r\n<span style=\"font-weight: 400;\">“You might naturally expect that if the two are combined — so if you are exposed to air pollution during a heatwave — you'd have an 11% increase in mortality,” Mathee told Health Beat. “But what those studies in Europe show, unexpectedly, is that instead, you have a 21% increase. So it’s just this shocking, unexpected mortality rate that just shows the cumulative impact of those two scenarios on health.”</span>\r\n\r\n<span style=\"font-weight: 400;\">The changing climate also threatens the physical stability of these toxic sites. </span>\r\n\r\n<span style=\"font-weight: 400;\">Eric Mokuoa from the Bench Marks Foundation warns of catastrophe. </span>\r\n\r\n<span style=\"font-weight: 400;\">“We have global warming, this environmental catastrophe that is now happening, where you have extreme heat, extreme rains,” he said, pointing to a crack that has already formed in a tailings dam, something that could be further damaged by flooding. “The worst case scenario with the extreme weather is for it to entirely break into that community.”</span>\r\n<h4><b>New era, new threats</b></h4>\r\n<span style=\"font-weight: 400;\">The answer should be to clean up the dumps. That’s what Mntambo and her friends tried to do by planting sunflowers that would soak up toxins from the soil. But now, she says, they’re not allowed on the dump, and the sunflower project has died.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Companies are not consulting (our) communities, but they receive mining licences while communities are being affected by the environmental degradation,\" Mntambo says, pointing to Pan African Resources, which is listed on the London Stock Exchange, and now holds a licence to re-mine the site.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Our concurrent environmental rehabilitation of these historic tailings deposits is already improving air and water quality in the area,” the company touts </span><a href=\"https://www.youtube.com/watch?v=0L9vb6V1F8M\"><span style=\"font-weight: 400;\">on its website</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">Company spokesperson Hethen Hira told Health Beat that the rehabilitation process began in October 2024, and that it was planning a health check later this year to see if there was any risk from radiation. Hira also said that independent reports, of which Bhekisisa has seen copies, found that “the facility was assessed to be safe and not in danger of collapsing”.</span>\r\n\r\n<span style=\"font-weight: 400;\">For Mathee, the urgency is clear: “We’re living in a new era with new threats, and so we need new standards, and we need new approaches to the protection of public health.”</span>\r\n\r\n<span style=\"font-weight: 400;\">In Snake Park, those new approaches will need to include the community’s voice. </span>\r\n\r\n<span style=\"font-weight: 400;\">“We want change, and we want people in communities to be involved in decision-making,” Mntambo told us. “You don’t just come with a jargon of papers and expect people who are illiterate to read 100 copies of the environmental assessment. It doesn’t make sense. Make it simple for communities to understand.”</span>\r\n\r\n<span style=\"font-weight: 400;\">After </span><a href=\"https://bhekisisa.org/bhekisisa-tv/health-beat/2024-11-25-will-sas-new-climate-change-laws-save-our-beaches-and-our-health/\"><span style=\"font-weight: 400;\">Health Beat</span> </a><span style=\"font-weight: 400;\">aired in November, representatives from Pan African met with Mntambo and Mariette Liefferink, </span><span style=\"font-weight: 400;\">the founder of the Federation for a Sustainable Environment (FSE) which has been fighting for the rights of communities affected by mining for 18 years,</span><span style=\"font-weight: 400;\"> at a coffee shop in Krugersdorp. They promised to hold community workshops, conduct health tests and work on better controlling the dust that ends up in the homes and lungs of the residents.</span>\r\n\r\n<span style=\"font-weight: 400;\">Since taking over, Pan African says it has cleared the channels around the tailings to help direct excess rainwater away from spilling into nearby homes.</span>\r\n<h4><b>Improvements</b></h4>\r\n<span style=\"font-weight: 400;\">On 13 January 2025, Pan African hosted a follow-up visit from the </span><a href=\"https://www.churchofengland.org/sites/default/files/2024-06/coepensionsboard_stewardship_2024_published.pdf\"><span style=\"font-weight: 400;\">Church of England Pensions Board</span></a><span style=\"font-weight: 400;\"> and other investment partners in the mine, along with Liefferink, to check on the improvements on the site.</span>\r\n\r\n<span style=\"font-weight: 400;\">The next step in the process to re-mine the area is an environmental impact assessment (EIA) — a detailed investigation of how mining will affect the environment and nearby communities.</span>\r\n\r\n<span style=\"font-weight: 400;\">But Pan African says it won’t re-mine the Snake Park area for a few years because it’s so far away from its plant. “However, the ongoing remedial work will ensure rehabilitation is maintained and minimal impact to the environment,” said Hira.</span>\r\n\r\n<span style=\"font-weight: 400;\">Mntambo said that in January she was invited to a “capacity-building” workshop hosted by Pan African’s representative, where several local nonprofits were trained on how to formally register their groups and raise funds for their work. The health problems caused by mining were not discussed.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We eat your dust. We find it in our food. We find in our houses each and every day, and since you have started building the sand walls and cutting the trees, the dust has become more effluent in the community.” </span><b>DM <img loading=\"lazy\" src=\"https://syndicate.app/st.php\" /></b><script async=\"true\" src=\"https://syndicate.app/st.js\" type=\"text/javascript\"></script>\r\n\r\n<i><span style=\"font-weight: 400;\">This article is based on Bhekisisa’s </span></i><a href=\"https://bhekisisa.org/bhekisisa-tv/health-beat/2024-11-25-will-sas-new-climate-change-laws-save-our-beaches-and-our-health/\"><i><span style=\"font-weight: 400;\">Health Beat programme</span></i></a><i><span style=\"font-weight: 400;\"> on climate change, which was broadcast on eNCA on 24 November 2024, as well as follow-up interviews conducted by our team in March 2025. The quote from the MRC’s Caradee Wright is from a 29 October 2023 </span></i><a href=\"https://www.youtube.com/watch?v=Gq_Gh3Kzous\"><i><span style=\"font-weight: 400;\">Health Beat programme</span></i></a><i><span style=\"font-weight: 400;\"> on lung disease and air pollution. </span></i>\r\n\r\n<i><span style=\"font-weight: 400;\">This story was produced by the</span></i><a href=\"http://bhekisisa.org./\"><i><span style=\"font-weight: 400;\"> Bhekisisa Centre for Health Journalism</span></i></a><i><span style=\"font-weight: 400;\">. Sign up for the</span></i><a href=\"http://bit.ly/BhekisisaSubscribe\"><i><span style=\"font-weight: 400;\"> newsletter</span></i></a><i><span style=\"font-weight: 400;\">.</span></i>\r\n\r\n<img loading=\"lazy\" class=\"alignnone size-full wp-image-791463\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Bhekisisa-Logo.jpg\" alt=\"\" width=\"2076\" height=\"463\" />",
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"summary": "As climate change intensifies, a toxic legacy grows more dangerous in Soweto. Residents living beside an old mine dump face health problems as more floods and heatwaves worsen the dangers of mining pollution.",
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"social_description": "<span style=\"font-weight: 400;\">In Snake Park, the evidence of sickness is written in gold dust. Its source towers over the Soweto neighbourhood: a mine dump, loaded with toxic metals, relics of an er",
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