National Health Laboratory Service
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The National Health Laboratory Service (NHLS) is a South African national government institution established in 2001. It was created by merging the South African Institute for Medical Research (SAIMR), the National Centre for Occupational Health and the National Institute for Virology. It also absorbed various provincial health department and university-run pathology laboratories. The NHLS is the diagnostic pathology service for the public sector in South Africa. A network of 265 laboratories service all public hospitals and clinics in the country.


Divisions and subsidiaries

Besides the network of pathology laboratories operated by the NHLS the institution also has a number of specialist divisions:


National Institute for Communicable Diseases

The
National Institute for Communicable Diseases The National Institute for Communicable Diseases (NICD) is the national public health institute of South Africa, providing reference to microbiology, virology, epidemiology, surveillance and public health research to support the government's re ...
(NICD) was created by combining various structures inherited from the NHLS's parent organisations. The former National Institute for
Virology Virology is the Scientific method, scientific study of biological viruses. It is a subfield of microbiology that focuses on their detection, structure, classification and evolution, their methods of infection and exploitation of host (biology), ...
was combined with the former SAIMR's specialist laboratories of
microbiology Microbiology () is the scientific study of microorganisms, those being unicellular (single cell), multicellular (cell colony), or acellular (lacking cells). Microbiology encompasses numerous sub-disciplines including virology, bacteriology, prot ...
,
parasitology Parasitology is the study of parasites, their hosts, and the relationship between them. As a biological discipline, the scope of parasitology is not determined by the organism or environment in question but by their way of life. This means it fo ...
, and
entomology Entomology () is the science, scientific study of insects, a branch of zoology. In the past the term "insect" was less specific, and historically the definition of entomology would also include the study of animals in other arthropod groups, such ...
to create a communicable diseases institute with a public health orientation, comparable to the
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
of the United States.


National Institute for Occupational Health

The National Institute for Occupational Health (NIOH) investigates occupational diseases and performs occupational environment analysis through a variety of services which include statutory autopsy, advisory and information services, health hazard evaluation and specialist laboratory services. The services and units of the NIOH are: * Analytical Services *
Asbestos Asbestos () is a naturally occurring fibrous silicate mineral. There are six types, all of which are composed of long and thin fibrous crystals, each fibre being composed of many microscopic "fibrils" that can be released into the atmosphere b ...
Information, Identification, Counting, Monitoring and Evaluation Services * Autopsy Examination Services * Bioaerosol Monitoring Unit * Compensation Service * Diagnostic Services *
Electron Microscopy An electron microscope is a microscope that uses a beam of accelerated electrons as a source of illumination. As the wavelength of an electron can be up to 100,000 times shorter than that of visible light photons, electron microscopes have a hi ...
Service *
Epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
Surveillance *
Ergonomics Human factors and ergonomics (commonly referred to as human factors) is the application of psychological and physiological principles to the engineering and design of products, processes, and systems. Four primary goals of human factors learnin ...
Unit *
Genotoxicity Genotoxicity is the property of chemical agents that damage the genetic information within a cell causing mutations, which may lead to cancer. While genotoxicity is often confused with mutagenicity, all mutagens are genotoxic, but some genotoxic sub ...
Assessment Unit * Health Risk Assessment Unit * Industrial
Toxicology Toxicology is a scientific discipline, overlapping with biology, chemistry, pharmacology, and medicine, that involves the study of the adverse effects of chemical substances on living organisms and the practice of diagnosing and treating expo ...
Information Services * Library Services * Micro and Nano - Particle Sizing * Occupational
Allergy Allergies, also known as allergic diseases, refer a number of conditions caused by the hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include hay fever, food allergies, atopic derma ...
Unit * Occupational Health Risk Assessments * Occupational Hygiene Audits * Occupational Hygiene Surveys * Occupational Medicine Referral Clinic * Particle Toxicology/Nanotoxicology Unit * Query Handling Service *
Toxicogenomics Toxicogenomics is a subdiscipline of pharmacology that deals with the collection, interpretation, and storage of information about gene and protein activity within a particular cell or tissue of an organism in response to exposure to toxic substan ...
Unit * Waterborne Pathogens Unit


National Cancer Registry

The NIOH also manages the National Cancer Registry which is responsible for analysing newly diagnosed cancer cases and to report annual cancer incidence rates. The NCR collects data from public and private
histopathology Histopathology (compound of three Greek words: ''histos'' "tissue", πάθος ''pathos'' "suffering", and -λογία '' -logia'' "study of") refers to the microscopic examination of tissue in order to study the manifestations of disease. Spe ...
,
cytology Cell biology (also cellular biology or cytology) is a branch of biology that studies the structure, function, and behavior of cells. All living organisms are made of cells. A cell is the basic unit of life that is responsible for the living and ...
and
haematology Hematology ( always spelled haematology in British English) is the branch of medicine concerned with the study of the cause, prognosis, treatment, and prevention of diseases related to blood. It involves treating diseases that affect the produc ...
laboratories across the whole country.


South African Vaccine Producers

South African Vaccine Producers (SAVP) is a subsidiary of the National Health Laboratory Service (NHLS) responsible for manufacturing vaccines and
antivenom Antivenom, also known as antivenin, venom antiserum, and antivenom immunoglobulin, is a specific treatment for envenomation. It is composed of antibodies and used to treat certain venomous bites and stings. Antivenoms are recommended only if th ...
s. SAVP's Antivenom Unit is the only manufacturer of antivenom for a number of venomous snakes found in Africa as well as scorpion and spider antivenom.


Training

The NHLS is involved in training all pathologists in South Africa through its partnerships with all nine of the medical schools at South African universities.


Research

The NHLS is involved in pathology and health surveillance research through the pathology laboratories it runs at the medical schools. The partnerships with universities concentrate on a few priority areas;
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...
,
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...
,
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
,
occupational health Occupational safety and health (OSH), also commonly referred to as occupational health and safety (OHS), occupational health, or occupational safety, is a multidisciplinary field concerned with the safety, health, and welfare of people at wor ...
,
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues a ...
prevention,
cervical cancer Cervical cancer is a cancer arising from the cervix. It is due to the abnormal growth of cells that have the ability to invade or spread to other parts of the body. Early on, typically no symptoms are seen. Later symptoms may include abnormal ...
screening and pneumococcal infections.


Controversy

During 2011 the
Treatment Action Campaign The Treatment Action Campaign (TAC) is a South African HIV/AIDS activist organisation which was co-founded by the HIV-positive activist Zackie Achmat in 1998. TAC is rooted in the experiences, direct action tactics and anti-apartheid background ...
, an HIV/AIDS
non-governmental organization A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in h ...
criticized the national government for allowing the financial viability of the NHLS to be threatened due to the failure of the health departments of
Gauteng Gauteng ( ) is one of the nine provinces of South Africa. The name in Sotho-Tswana languages means 'place of gold'. Situated on the Highveld, Gauteng is the smallest province by land area in South Africa. Although Gauteng accounts for only ...
and
Kwa-Zulu Natal KwaZulu-Natal (, also referred to as KZN and known as "the garden province") is a province of South Africa that was created in 1994 when the Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu) and Natal Province were merged. It is locate ...
to pay the NHLS for services rendered. The financial problems continued into 2012.


References


External links

* {{authority control Medical research institutes in South Africa 2001 establishments in South Africa Government agencies established in 2001