October Health – 2025 Report

Chronic illness in South Africa

The leading cause of chronic illness stress in South Africa at the population level is socioeconomic factors, including high unemployment, poverty, and inequality. These stressors contribute significantly to mental health issues such as anxiety and depression, which exacerbate chronic physical illnesses like hypertension, diabetes, and cardiovascular diseases. Workplace stress due to job insecurity and poor working conditions also plays a significant role. Integrating mental health support like October's digital group sessions in workplaces can help mitigate this stress.

Chronic illness Prevalence
8.28%
Affected people
4,554,000

Impact on the people of South Africa

Effects of High Chronic Illness Stress on Health and Personal Life

  • Physical Health Impact

    • Weakened immune system, increasing vulnerability to infections
    • Exacerbation of existing medical conditions (e.g., diabetes, hypertension)
    • Increased risk of cardiovascular diseases
    • Chronic pain and fatigue
  • Mental Health Impact

    • Heightened anxiety and depression symptoms
    • Increased feelings of helplessness and frustration
    • Reduced ability to cope with daily stressors
    • Sleep disturbances
  • Personal Life Impact

    • Strained relationships due to emotional exhaustion and irritability
    • Reduced social engagement and isolation
    • Difficulty maintaining work-life balance
    • Decreased productivity and work absenteeism

Workplace Recommendation:
Utilize digital group sessions and assessments from services like Panda to support employees managing chronic illness stress. Such resources can enhance coping strategies, foster social support, and improve overall mental well-being at work.

Impact on the South Africa Economy

Effect of High Chronic Illness Stress on an Economy

  1. Reduced Workforce Productivity
    Chronic illness stress leads to absenteeism, presenteeism, and reduced work efficiency, lowering overall productivity.

  2. Increased Healthcare Costs
    Higher stress levels exacerbate chronic conditions, increasing healthcare spending for both employers and public health systems.

  3. Higher Disability and Unemployment Rates
    Stress-related chronic illnesses can contribute to long-term disability and job loss, impacting labor market participation.

  4. Decreased Economic Growth
    A less healthy workforce slows innovation and economic output, impeding national economic expansion.

  5. Strain on Social Support Systems
    Increased demand for social welfare and disability benefits puts pressure on government budgets.


Workplace mental health support, such as that offered by October and digital group sessions by October, can mitigate chronic illness stress impacts by improving employee wellbeing and productivity.

What can government do to assist?

  • Promote Workplace Wellness Programs
    Encourage employers to implement wellness initiatives focused on stress management, healthy lifestyles, and chronic illness prevention.

  • Improve Access to Mental Health Services
    Expand affordable mental health care and counseling, including digital group sessions like those offered by October, to support employees managing chronic illness stress.

  • Public Health Education Campaigns
    Raise awareness about the link between chronic illness and stress, and teach coping strategies through accessible media and community outreach.

  • Supportive Labor Policies
    Implement flexible working hours, sick leave, and reasonable accommodations to reduce workplace stress for employees with chronic illnesses.

  • Encourage Physical Activity and Healthy Nutrition
    Create community programs promoting exercise and balanced diets, which help manage chronic conditions and reduce stress.

  • Early Screening and Intervention
    Facilitate regular health assessments to detect and manage chronic illnesses early, lowering associated stress levels.

These combined efforts can significantly lower chronic illness-related stress at a population and workplace level.

What can businesses do to assist their employees?

Strategies to Lower Chronic Illness Stress in the Workplace

  1. Flexible Work Arrangements
    Allow flexible hours or remote work to accommodate medical appointments and fluctuating health conditions.

  2. Employee Education and Awareness
    Conduct workshops about chronic illness and stress management to foster understanding among colleagues and reduce stigma.

  3. Access to Mental Health Support
    Provide access to counseling services or digital group sessions, such as those offered by October, to help employees manage stress related to chronic illness.

  4. Reasonable Workplace Adjustments
    Modify tasks, provide ergonomic equipment, or adjust workloads to reduce physical and mental strain.

  5. Regular Check-ins
    Managers should maintain supportive communication to address any emerging challenges and offer assistance promptly.

  6. Promote Healthy Lifestyle Programs
    Encourage initiatives like mindfulness, exercise, and nutritious eating to improve overall well-being.

Implementing these can significantly reduce stress related to chronic illnesses and promote a healthier, more supportive workplace.