Many of the problems link back to the prevalence of illegal shebeens, or drinking houses, where homemade, highly addictive and damaging alcohol is sold cheaply. For about two rand (14p), you can buy a litre of kah-kah as the locals call it.

“If I don’t drink this, I’m like someone who is sick,” Ruth tells us swigging from a transparent bottle containing kah-kah. “I can’t sleep, and I cant think straight but when I have this then I am better and I can do anything.”

Within two sips Ruth (not her real name) was slurring and dribbling. She staggered up to the door to try to change her baby’s nappy before plonking the child on her lap, letting the baby breastfeed while she carried on drinking the toxic liquid.

She told me she drank about “five or six bottles a day” and that this started from “about nine o’clock” in the morning.