In a non-descript face brick house in Kagiso, an extraordinary battle is being waged against impossible odds. A 38 year old single mother, Nosipho Mgoma is fighting for her life. Her body is swollen and sluggish. On her bedside table are a handful of pills that might, momentarily, dull the excruciatingly pain shooting through every cell in her being. But, just reaching for them requires all of her willpower. “Struggling. Struggling. It’s not nice this disease. It’s not nice at all. Every day. Some days are worst that this. Some days when I stand up and try to do something I just collapse in the kitchen. They will have to come and take me and put me back in bed.” Two years ago Nosipho was diagnosed with breast cancer. She had seen several doctors and gone to countless clinics to find out why she had been feeling ill and was in severe pain, but was always sent home with some Panado’s and no answers. It was only when she collapsed on her way to work that further tests were done. By the time her cancer was discovered, it had already spread to her brain, spine, liver and kidneys.

“You get pain, especially when it has spread this far. You get pains every day. You know, sometimes you don’t feel like talking, you know. You are just tired. You get angry at other people. If someone tries to do something for you, you just feel like a burden.” Breast cancer is the biggest killer of women in South Africa, and 1 in 29 women will get the disease during their life times. The American Cancer Society believes that the number of cancer-related deaths in Africa will double by 2030. If diagnosed early, breast cancer can be successfully treated. But, if you are poor and reliant on the public health system, it can be a death sentence. For people like Nosipho, ignorance a lack of regular check-ups allowed her cancer to go undetected, until it was too late. Now, every day she lives is precious. It is a day longer with her nine-year old daughter, Gugulethu. “I am scared. Maybe if I didn’t have child, I wouldn’t be scared. But, because I have a child, I’m scared. No one is going to love my child like I love her.” I tell her, “Mummy’s sick and Mummy is going to die. Some day, you will be alone and then you will have to do things for yourself. So that is why I’m teaching you now.” Cancer is a one of the leading non-communicable diseases, commonly known as chronic or life-style related diseases, which include diabetes, cardiovascular and chronic respiratory diseases. These are responsible for more deaths than all other causes combined and have emerged relatively unnoticed, while the international community has focused on communicable infections, like as HIV/AIDS, malaria and tuberculosis. The WHO believes that non-communicable diseases are a massive cause for concern and will – in the future – financially cripple developing nations. While world leaders are gathering in New York on 19 – 20 September 2011, for a historic UN Summit to decide a global strategy to address Non-Communicable Diseases, Special Assignment brings you the story of Nosipho Mogoma, a courageous mother whose life hangs in the balance. “I tried to fight this cancer. I tried. I tried very hard, but I’m still not giving up. If there’s a chance, I’m going to take it.”

Produced by: Fathima Simjee Health-e News Service Tel: 011 403 0565 E-mail: fathima@health-e.org.za Production Coordinator: Menatalie Van Rooyen – 011 714 6757/083 241 7670 Executive Producer: Johann Abrahams – 011 714 6719/082 416 3759

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