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SAMJ: South African Medical Journal

versión On-line ISSN 2078-5135
versión impresa ISSN 0256-9574

SAMJ, S. Afr. med. j. vol.98 no.7 Cape Town jul. 2008




Dr Ivan Toms - a true hero



J T Nel

Department of Obstetrics and Gynaecology University of the Free State Bloemfontein



To the Editor: I was shocked to read in the SAMJ of the unexpected death of Dr Ivan Toms,1,2 who served as a doctor in 3 Medical Battalion Group (3 Med Bn Gp), a citizen force unit, during the time that I was the officer commanding (OC).

I made an appointment to see him, since I was aware of rumours originating from the state security hierarchy that he was to be made an example of because of his well-known stance against any form of military duty. I was also aware of his sterling work at the SA Christian Leadership Assembly (SACLA) clinic in Crossroads - he was at that time the only doctor taking responsibility for the health of more than 40 000 people.

I was immediately struck by his ready smile and friendliness. We had a long discussion, during which he informed me that he was not willing to do any form of military duty, not even in a medical unit or in the unit for conscientious objectors (whose members did gardening work, without being required to wear a uniform). He was clearly committed to serving poor people. Although not a religious devotee, he was a true believer in the principles taught by Jesus Christ.

My response was that I truly believed that he would serve South Africa best by continuing with his work in Crossroads. However, the limits of my authority extended to preventing 3 Med Bn Gp from calling him up for camps or border duty.

We got away with this for three years, during which time I stayed in contact with him. In April 1987, I resigned as OC 3 Med Bn Gp. In July 1987, the state security hierarchy charged and tried Dr Toms under compulsory conscription legislation. At his trial, I testified that he was truly committed to his work in Crossroads and that I believed that he served South Africa best in that capacity. The judge expressed the same sentiments before sentencing him.

The appalling experiences which he suffered in prison would have broken a lesser man. His subsequent appointment as Cape Town's Health Director and receipt of the Presidential Award of the Order of the Baobab were well deserved. I salute one of the most courageous men that I have had the privilege of knowing.


1. Van Niekerk JPdeV. Ivan Toms: Political and gay activist (Editor's Choice). S Afr Med J 2008; 98: 329.         [ Links ]

2. Bateman C. Ivan Toms - A selfless model of social conscience. S Afr Med J 2008; 98: 338-340.         [ Links ]

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