A violent altercation at the trauma unit of Uitenhage Provincial Hospital in Kariega on the night of 24 October 2026 has sparked urgent calls for enhanced security measures at the facility. The incident erupted when a patient attempted to enter the trauma unit accompanied by several relatives, violating the hospital’s strict one-escort rule, according to Hospersa, the health workers’ union.
The Eastern Cape Department of Health was notified of the clash at about 01:10 on 24 October, said spokesperson Siyanda Manana. Police were called to the scene but neither party initially wished to open a case. However, a man later admitted in an affidavit that he and his wife caused damage to the hospital’s doors and windows during the confrontation.
“There’s a rule within the hospital that says one escort per patient,” said Thembisa Witbooi, Eastern Cape provincial labour relations organiser of Hospersa. “Staff come to work with fear,” she added, highlighting ongoing concerns about safety at the hospital.
Hospersa has demanded the acting district manager implement urgent security upgrades, including increasing the number of security personnel and tightening entry screening procedures at the hospital’s main entrance. Currently, two security officers are stationed at the trauma unit, but the union says this is insufficient.
The department confirmed the use of periodic security audits, CCTV cameras, panic buttons and a 24-hour armed response service at its healthcare facilities. Manana emphasised the need for community cooperation, stating, “The Eastern Cape Department of Health is calling upon members of society and the community at large to respect health facilities and be in the forefront of protecting health institutions.”
Possible charges against those involved include assault, malicious damage to property, and contravening the Control of Access to Public Premises and Vehicles Act, the department added. The man involved has committed to reimbursing the hospital for damages.
Uitenhage Provincial Hospital has faced security challenges in the past, with previous incidents involving staff safety and operational disruptions, underscoring the long-standing need for improved security measures. This latest event deepens union calls for tighter controls and better protection for healthcare workers and facilities.
Police and hospital authorities are expected to open a formal case following the affidavit admission. Cape Flats journalist will continue to monitor developments and report on progress toward security upgrades at the hospital.