Ivan Toms
Encyclopedia
Ivan Toms was a South African
South Africa
The Republic of South Africa is a country in southern Africa. Located at the southern tip of Africa, it is divided into nine provinces, with of coastline on the Atlantic and Indian oceans...

 physician
Physician
A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...

, who battled the Apartheid era government as a prominent anti-Apartheid and anti-conscription
Conscription
Conscription is the compulsory enlistment of people in some sort of national service, most often military service. Conscription dates back to antiquity and continues in some countries to the present day under various names...

 activist. At the time of his death in 2008, Toms was serving as the Director of Health for the city of Cape Town, South Africa.

Early life

Ivan Toms was born in Cape Town on July 11, 1952. He received his medical degree
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 from the University of Cape Town
University of Cape Town
The University of Cape Town is a public research university located in Cape Town in the Western Cape province of South Africa. UCT was founded in 1829 as the South African College, and is the oldest university in South Africa and the second oldest extant university in Africa.-History:The roots of...

 in 1976.

Conscription

Toms was drafted into the national service
National service
National service is a common name for mandatory government service programmes . The term became common British usage during and for some years following the Second World War. Many young people spent one or more years in such programmes...

 in the South African Defence Force
South African Defence Force
The South African Defence Force was the South African armed forces from 1957 until 1994. The former Union Defence Force was renamed to the South African Defence Force in the Defence Act of 1957...

 (SADF), as a non-combatant
Non-combatant
Non-combatant is a term in the law of war describing civilians not taking a direct part in hostilities, as well as persons such as medical personnel and military chaplains who are regular soldiers but are protected because of their function as well as soldiers who are hors de combat ; that is, sick,...

 doctor in 1978. He opposed the goals of the SADF, but refused to leave South Africa. He spent much of his six months as a doctor in Namibia
Namibia
Namibia, officially the Republic of Namibia , is a country in southern Africa whose western border is the Atlantic Ocean. It shares land borders with Angola and Zambia to the north, Botswana to the east and South Africa to the south and east. It gained independence from South Africa on 21 March...

, which was then known as South West Africa
South West Africa
South-West Africa was the name that was used for the modern day Republic of Namibia during the earlier eras when the territory was controlled by the German Empire and later by South Africa....

 and was controlled by South Africa.

Once he returned to Cape Town, Toms set up a medical clinic in the squatter settlement of Crossroads, which is located about 15 km outside of the city in the Cape Flats
Cape Flats
The Cape Flats is an expansive, low-lying, flat area situated to the southeast of the central business district of Cape Town. To many people in Cape Town, the area is known simply as 'The Flats'....

 area. He was the only doctor who served the Crossroads' population of approximately 60,000 people. In September 1983, Toms witnessed a three week long confrontation between the Crossroads community and the South African police and security forces, who were trying to tear down "illegal" buildings in the settlement. After witnessing the violence and brutality of the raid, Toms vowed never to serve in the SADF again, even in a non-combatant capacity. He went public with his opinions on what he had witnessed and became a founding member of the End Conscription Campaign
End Conscription Campaign
The End Conscription Campaign was an anti-apartheid organisation allied to the United Democratic Front and composed of conscientious objectors and their supporters in South Africa...

 (ECC) in 1983. Toms' co-founders of the ECC included other prominent anti-conscription activists including Nan Cross
Nan Cross
Nan Cross was a South African anti-apartheid and anti-conscription activist.-Early life:...

.

Toms went on a three week long hunger strike
Hunger strike
A hunger strike is a method of non-violent resistance or pressure in which participants fast as an act of political protest, or to provoke feelings of guilt in others, usually with the objective to achieve a specific goal, such as a policy change. Most hunger strikers will take liquids but not...

 in February 1985 to protest the government's decision to buldoze the Crossroads shanty town
Shanty town
A shanty town is a slum settlement of impoverished people who live in improvised dwellings made from scrap materials: often plywood, corrugated metal and sheets of plastic...

. The destruction of Crossroads resulted in violence and the deaths of several people as residents tried to resist the destruction. Toms commented during his hunger strike that, "As a Christian
Christian
A Christian is a person who adheres to Christianity, an Abrahamic, monotheistic religion based on the life and teachings of Jesus of Nazareth as recorded in the Canonical gospels and the letters of the New Testament...

, I am obliged to say no, to say never again will I put on that SADF uniform."

The SADF officially took control of Toms' health clinic in 1986. The following year, in July 1987, Toms defied the SADF when he was called up for one month of compulsory service. He was sentenced to 21 months in prison in 1988 for defying the order and ultimately served nine months in Pollsmoor Prison
Pollsmoor Prison
Pollsmoor Prison, officially, Pollsmoor Maximum Security Prison is a prison in the Cape Town suburb of Tokai in South Africa. Nelson Mandela was the most famous inmate of the prison...

.

Post-Apartheid

Ivan Toms became the national co-ordinator of the National Progressive Primary Healthcare Network in 1991 at the end of the Apartheid era. The AIDS
AIDS
Acquired immune deficiency syndrome or acquired immunodeficiency syndrome is a disease of the human immune system caused by the human immunodeficiency virus...

 virus was beginning to sweep through South Africa at the time. Toms, as the national co-ordinator, began to implement a series of programs to combat the spread of AIDS and HIV
HIV
Human immunodeficiency virus is a lentivirus that causes acquired immunodeficiency syndrome , a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive...

 in the country. He was considered a pioneer in the advocacy of the use of antiretroviral drugs to fight the disease. He became director of the Students' Health and Welfare Centres Organisation in 1993, which is a non-governmental organization which runs medical clinics staffed by students in poor areas. He continued to work for non-governmental charities until 1996, when he became the Health Director in the City of Cape Town.

South African President Thabo Mbeki
Thabo Mbeki
Thabo Mvuyelwa Mbeki is a South African politician who served two terms as the second post-apartheid President of South Africa from 14 June 1999 to 24 September 2008. He is also the brother of Moeletsi Mbeki...

 awarded Ivan Toms with the Order of the Baobab
Order of the Baobab
The Order of the Baobab is a South African honour. It was instituted on 6 December 2002, and is granted by the president of South Africa for service to South Africa in the following fields: business and the economy, science, medicine and technological innovation, and community service...

 in 2006 for his stance against Apartheid and his public service
Community service
Community service is donated service or activity that is performed by someone or a group of people for the benefit of the public or its institutions....

 for South Africans in need.

Death

Ivan Toms died unexpectedly of meningitis
Meningitis
Meningitis is inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges. The inflammation may be caused by infection with viruses, bacteria, or other microorganisms, and less commonly by certain drugs...

 at his home in Mowbray
Mowbray, Cape Town
Mowbray is one of the Southern Suburbs of Cape Town, South Africa. Its original name was Driekoppen .-Geography:Mowbray is bounded on the west by the M3 freeway, beyond which lies Devil's Peak, and on the north by the N2 freeway, beyond which lies the suburb of Observatory...

 on March 25, 2008, at the age of 54. He was honored by prominent South African political figures, including Archbishop Emeritus Desmond Tutu
Desmond Tutu
Desmond Mpilo Tutu is a South African activist and retired Anglican bishop who rose to worldwide fame during the 1980s as an opponent of apartheid...

 and the Mayor of Cape Town
Mayor of Cape Town
The Mayor of Cape Town is the head of the local government of Cape Town, South Africa; currently that government takes the form of the City of Cape Town Metropolitan Municipality. In the past, the position of Mayor has varied between that of an executive mayor actively governing the city and that...

, Helen Zille
Helen Zille
Helen Zille is the Premier of the Western Cape, a member of the Western Cape Provincial Parliament, leader of South Africa's opposition Democratic Alliance political party, and a former Mayor of Cape Town.Zille is a former journalist and anti-apartheid activist, and famously exposed the truth...

. Archbishop Tutu described himself as "devastated" by the news of Toms' death and paid tribute to him saying, "I thank God that I knew him. Knowing him makes (one) feel proud. This is a prime example of someone who had ubuntu. He was utterly selfless." His funeral, which was attended by hundreds of people including Archbishop Tutu, was held at St. George's Cathedral
St. George's Cathedral, Cape Town
St George's Cathedral is the Anglican cathedral in Cape Town, South Africa. It is the seat of the Archbishop of Cape Town....

in Cape Town.
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