Thursday, April 17, 2014
FAIRFIELD-SUISUN, CALIFORNIA
99 CENTS

Mandela battles lung infection, a chronic ailment

JOHANNESBURG — Military doctors are treating South Africa’s former President Nelson Mandela for a recurring lung infection, an ailment the 94-year-old anti-apartheid leader remains susceptible to because of his age and his 27 years in prison.

Government officials acknowledged for the first time Tuesday that the illness forced soldiers to admit Mandela to a military hospital on Saturday, though they said the politician was responding to treatment.

Mandela fought off a similar infection in 2011 and once contracted tuberculosis while imprisoned. Medical experts say respiratory illnesses like pneumonia striking a man his age are a serious matter that require care and monitoring.

“They call pneumonia ‘the old man’s friend’ because it is the thing that ultimately carries many people off,” said Dr. Peter Openshaw, the director of the Center for Respiratory Infection at Imperial College’s National Heart and Lung Institute in London. “What I guess they’ll be doing is trying to find out exactly which type of infection it is and then to give it the most appropriate treatment. With modern antibiotics and investigation, then there’s no reason a chest infection by itself should be untreatable.”

The announcement ended speculation about what was troubling the ailing Mandela. His ongoing hospitalization has caused growing concern in South Africa, a nation of 50 million people that largely reveres Mandela for being the nation’s first democratically elected president who sought to bring the country together after centuries of racial division.

The tests Mandela underwent at 1 Military Hospital near South Africa’s capital, Pretoria, detected the lung infection, presidential spokesman Mac Maharaj said in a statement.

“Madiba is receiving appropriate treatment and he is responding to the treatment,” Maharaj said, referring to Mandela by his clan name as many do in South Africa in a sign of affection.

In January 2011, Mandela was admitted to a Johannesburg hospital for what officials initially described as tests but what turned out to be an acute respiratory infection. The chaos that followed Mandela’s stay at that public hospital, with journalists and the curious surrounding it and entering wards, saw the South African military take charge of his care and the government control the information about his health. In recent days many in the press and public have complained about the lack of concrete details that the government has released about Mandela’s condition.

Mandela has a history with lung problems. He fell ill with tuberculosis in 1988 toward the tail-end of his prison years, after he had been moved from the notorious Robben Island and to another jail to ease the apartheid government’s efforts to negotiate with him about a possible release. At first, doctors were uncertain why Mandela had a persistent cough that ultimately caused him to collapse during a meeting with his lawyer. After being taken to a Cape Town hospital, a doctor told him he had water in his lungs.

Mandela initially refused to believe the doctor, he wrote in his autobiography “Long Walk to Freedom.”

“With a hint of annoyance, (the doctor) said, ‘Mandela, take a look at your chest,’” Mandela recounted. “He pointed out that one side of my chest was actually larger than the other.”

Surgeons immediately cut into Mandela’s chest and removed two liters (half a gallon) of liquid from his lungs, which tested positive for tuberculosis. Doctors at the time suggested Mandela contracted the disease from his damp prison cell.

About 1.4 million people worldwide die each year from tuberculosis, a bacterial infection which can stay dormant for years. It also can cause permanent lung damage, though in his autobiography Mandela says doctors caught it in time. However, tuberculosis can return to trouble those previously infected, properly treated or not, and previous damage could have been missed, Openshaw said.

Openshaw, who has not seen Mandela’s medical records and spoke generally about treating patients, said pneumonia is the most likely respiratory illness to affect an elderly person, though others can strike as well. Doctors typically use antibiotics to treat such infections, though there needed to be care made in deciding how much of a dose to give an older patient.

And there’s the challenge of treating a patient that a nation and many around the world remain anxiously worried about.

“It’s particularly difficult if it’s in a special patient, where you really have to be very careful to try not to overreact, but just to treat them as if they were any other patient,” Openshaw said.

But the doctor later acknowledged the obvious: “It’s very hard to the balance right (for) a special, special patient.”

Mandela was a leader in the struggle against racist white rule in South Africa and once he emerged from 27 years in prison in 1990, he won worldwide acclaim for urging reconciliation. He won South Africa’s first truly democratic elections in 1994, serving one five-year term. The Nobel laureate later retired from public life to live in his remote village of Qunu, in the Eastern Cape, and last made a public appearance when his country hosted the 2010 World Cup soccer tournament.

Mandela disengaged himself from the country’s politics over the last decade but continued campaigning against AIDS. He has grown increasing frail in recent years.

The Associated Press

The Associated Press

LEAVE A COMMENT

Discussion | No comments

The Daily Republic does not necessarily condone the comments here, nor does it review every post. Read our full policy

.

Solano News

Supervisor candidates square off at forum

By Barry Eberling | From Page: A1, 5 Comments | Gallery

 
Carli takes oath, now Vacaville’s 14th police chief

By Susan Winlow | From Page: A1 | Gallery

 
Huge jump in Solano median home price

By Brad Stanhope | From Page: A1, 3 Comments | Gallery

Donate a car, help build a house

By Amy Maginnis-Honey | From Page: A3

 
Solano DA hosts workshop to fight human trafficking

By Ian Thompson | From Page: A3, 1 Comment | Gallery

Suisun water rates won’t rise this year

By Ian Thompson | From Page: A3

 
 
Fairfield town hall on crime delayed

By Ryan McCarthy | From Page: A4, 4 Comments

Railway museum offers wine-tasting rides

By Adrienne Harris | From Page: A4

 
 
Drugs topic of cardiac class

By Adrienne Harris | From Page: A4

Weather for April 17, 2014

By Daily Republic | From Page: B12

 
Fairfield police log: April 15, 2014

By Susan Hiland | From Page: A12

Suisun City police log: April 15, 2014

By Susan Hiland | From Page: A12

 
Fairfield police log: April 14, 2014

By Susan Hiland | From Page: A12

Suisun Police log: April 14, 2014

By Susan Hiland | From Page: A12

 
.

US / World

Armed robber was never told to report to prison

By The Associated Press | From Page: A1

 
Body of California man who jumped into river found

By The Associated Press | From Page: A4

Lost sea lion in California found mile from water

By The Associated Press | From Page: A4

 
Seabird from Atlantic spotted on Alcatraz

By The Associated Press | From Page: A5

Ex-Bell city leader gets 12 years in prison

By The Associated Press | From Page: A5, 1 Comment

 
California delays decision on protecting gray wolf

By The Associated Press | From Page: A5

Court rules for environmentalists in water fight

By The Associated Press | From Page: A5

 
Governor calls special session on rainy day fund

By The Associated Press | From Page: A5, 1 Comment

Denver police eye 911 response time after killing

By The Associated Press | From Page: A10, 1 Comment

 
Man charged with marathon hoax is held on bail

By The Associated Press | From Page: A10

Geneva talks on Ukraine face steep hurdles

By The Associated Press | From Page: A10

 
Pro-Russian insurgents seize armored vehicles

By The Associated Press | From Page: A10

Ferry sinks off South Korea; 6 dead, 290 missing

By The Associated Press | From Page: A10

 
NATO ups military presence amid Russian threat

By The Associated Press | From Page: A10, 1 Comment

.

Opinion

In support of Pam Bertani

By Letter to the Editor | From Page: A11, 6 Comments

 
Parenting demands responsibility

By Ruben Navarrette | From Page: A11, 1 Comment

 
Let’s stop Fairfield’s future thugs

By Kelvin Wade | From Page: A11, 6 Comments

Obamacare news you probably missed

By Martin Schram | From Page: A11, 2 Comments

 
Editorial Cartoons for April 17, 2014

By Kim Durbin | From Page: A11

.

Living

A lesson in household budgeting

By Chris Erskine | From Page: A2

 
Today in History for April 17, 2014

By The Associated Press | From Page: A2

Community Calendar: April 17, 2014

By Susan Hiland | From Page: A2

 
Horoscopes for April 17, 2014

By Holiday Mathis | From Page: A9

 
.

Entertainment

TVGrid

By Daily Republic Syndicated Content | From Page: B4

 
Daniel Radcliffe on why New York audiences rock

By The Associated Press | From Page: A7

Alicia Silverstone out with book ‘Kind Mama’

By The Associated Press | From Page: A7

 
Jenny McCarthy announces engagement on ‘The View’

By The Associated Press | From Page: A7

Ailing Malcolm Young taking break from AC/DC

By The Associated Press | From Page: A7

 
Disney Channel’s ‘Jessie’ breaks romantic ground

By The Associated Press | From Page: A7

.

Sports

Vacaville’s Peralta to wrestle at San Francisco State

By Daily Republic staff | From Page: B1

 
Angels beat A’s 5-4 on Iannetta’s HR in 12th

By The Associated Press | From Page: B1 | Gallery

MEL, SCAC tangle in hoops all-star games

By Paul Farmer | From Page: B1

 
Sharks take goalie questions into rematch vs Kings

By The Associated Press | From Page: B1

 
Crawford’s 41 points leads Warriors over Nuggets

By The Associated Press | From Page: B1 | Gallery

IndyCar driver Saavedra fined $10K

By The Associated Press | From Page: B2

 
Sandoval’s single lifts Giants past Dodgers, 2-1

By The Associated Press | From Page: B2 | Gallery

Officer: Sharper’s DNA found on 1 Arizona victim

By The Associated Press | From Page: B2

 
Jets sign former Titans RB Chris Johnson

By The Associated Press | From Page: B2

Spieth ready for more after Masters success

By The Associated Press | From Page: B2

 
Backup QB Matt Flynn returns to Packers

By The Associated Press | From Page: B2

Atlanta lands MLS expansion team for 2017

By The Associated Press | From Page: B2

 
Bucks owner Herb Kohl reaches deal to sell team

By The Associated Press | From Page: B2

Sidney Rice agrees to terms with Seahawks

By The Associated Press | From Page: B2

 
Goodwin helps Suns to 104-99 win over Kings in finale

By The Associated Press | From Page: B2 | Gallery

 
.

Business

Yellen: Fed stimulus still needed for job market

By The Associated Press | From Page: B4

 
Some exempted from minimum wage, increased or not

By The Associated Press | From Page: B4

Fed survey: Growth picks up across most of US

By The Associated Press | From Page: B5

 
Bank of America posts loss, hurt by legal charges

By The Associated Press | From Page: B5

IBM posts lower 1Q earnings amid hardware slump

By The Associated Press | From Page: B5

 
Google’s 1Q earnings disappoint as ad prices slip

By The Associated Press | From Page: B5

.

Obituaries

.

Comics

Sally Forth

By Daily Republic Syndicated Content | From Page: A8

 
Peanuts

By Daily Republic Syndicated Content | From Page: A8

Wizard of Id

By Daily Republic Syndicated Content | From Page: A8

 
Beetle Bailey

By Daily Republic Syndicated Content | From Page: A8

For Better or Worse

By Daily Republic Syndicated Content | From Page: A8

 
Zits

By Daily Republic Syndicated Content | From Page: A8

Blondie

By Daily Republic Syndicated Content | From Page: A8

 
Get Fuzzy

By Daily Republic Syndicated Content | From Page: A8

Baldo

By Daily Republic Syndicated Content | From Page: A8

 
Dilbert

By Daily Republic Syndicated Content | From Page: A8

Frank and Ernest

By Daily Republic Syndicated Content | From Page: A8

 
Garfield

By Daily Republic Syndicated Content | From Page: A8

Rose is Rose

By Daily Republic Syndicated Content | From Page: A8

 
B.C.

By Daily Republic Syndicated Content | From Page: A8

Baby Blues

By Daily Republic Syndicated Content | From Page: A8

 
Pickles

By Daily Republic Syndicated Content | From Page: A8

Crossword

By Daily Republic Syndicated Content | From Page: A9

 
Sudoku

By Daily Republic Syndicated Content | From Page: A9

Word Sleuth

By Daily Republic Syndicated Content | From Page: A9

 
Cryptoquote

By Daily Republic Syndicated Content | From Page: A9

Bridge

By Daily Republic Syndicated Content | From Page: A9