The South African flag sign (SAFS) is an acute, dynamic electrocardiographic (ECG) finding typically associated with first diagonal (D1) artery occlusion. We report the case of a 47-year-old woman who exhibited this pattern but subsequently revealed the dreaded "widow-maker" lesion (100% occluded proximal left anterior descending [LAD] artery) and severe multivessel disease (90% stenosis of the posterior left ventricular [PLV] artery and 80% stenosis of the left circumflex artery [LCx]).

According to official South African government information, the South African flag is "a synopsis of principal elements of the country's flag history." Although different people may attribute personal symbolism to the individual colours or colour combinations, "no universal symbolism should be attached to any of the colours." The only symbolism in the flag is the V or Y shape, which can be interpreted as "the convergence of diverse elements within South African society, taking the road ahead in unity".[4] Frederick Gordon Brownell who created the flag has said that the green Y-shaped part of the flag was influenced by the chasubles worn by Anglican priests, and stated that he was influenced to include it as he grew up Anglican.


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The Second Anglo-Boer War between 1899 and 1902 ended with the Treaty of Vereeniging on 31 May 1902 and resulted in what is now South Africa falling under the British Union Flag. The former Boer Republics of the Orange Free State and the Zuid-Afrikaanse Republiek (Transvaal) became British colonies along with the existing Cape and Natal colonies. Each was also entitled to a colonial flag following in the British tradition.

On 31 May 1910 these four colonies came together to form the Union of South Africa and the individual colonial flags were no longer used and new South African flags came into being. Once again, as a British dominion the British Union Flag was to continue as the national flag and the standard British ensign pattern was used as a basis for distinctive South African flags.

As was the case throughout the British Empire, the Red and Blue Ensigns were the official flags for merchant and government vessels at sea, and the British Admiralty authorised them to be defaced in the fly with the shield from the South African coat of arms.[6][7] These ensigns were not intended to be used as the Union's national flag, although they were used by some people as such. Although these ensigns were primarily intended for maritime use, they were also flown on land.

Finally, a compromise was reached that resulted in the adoption of a separate flag for the Union in late 1927 and the design was first hoisted on 31 May 1928. The design was based on the so-called Van Riebeeck flag or "Prince's Flag" (Prinsenvlag in Afrikaans) that was originally the Dutch flag; it consisted of orange, white, and blue horizontal stripes. A version of this flag had been used as the flag of the Dutch East India Company (known as the VOC) at the Cape (with the VOC logo in the centre) from 1652 until 1795. The South African addition to the design was the inclusion of three smaller flags centred in the white stripe. The miniature flags were the British Union Flag (mirrored) towards the hoist, the flag of the Orange Free State hanging vertically in the middle and the Transvaal Vierkleur towards the fly. The position of each of the miniature flags is such that each has equal status. However, to ensure that the Dutch flag in the canton of the Orange Free State flag is placed nearest to the upper hoist of the main flag, the Free State flag must be reversed. The British Union Flag, which is nearest to the hoist and is thus in a more favoured position, is spread horizontally from the Free State flag towards the hoist and is thus also reversed. Although placed horizontally furthest from the hoist, to balance the British Union Flag, the Vierkleur is the only one of the miniature flags which is spread in the same direction as the main flag. This compensates for its otherwise less favourable position. In this arrangement, each of the miniature flags enjoy equal precedence.[11] Note that the miniature flags of the Transvaal Republic and the Orange Free State both contain miniature flags of the Netherlands, while the miniature flag of the United Kingdom is a composition of the flags of England, Scotland and the Anglo-Irish people, making the old South African flag the only former national flag in the world containing five flags within three flags within a flag.

The choice of the Prinsenvlag (which was believed to be the first flag hoisted on South African soil by Jan van Riebeeck of the VOC) as the basis upon which to design the South African flag had more to do with compromise than Afrikaner political desires, since the Prinsenvlag was politically neutral, as it was no longer the national flag of any nation. A further element of this compromise was that the British Union Flag would continue to fly alongside the new South African national flag over official buildings. This dual flag arrangement continued until 1957 when the British Union Flag lost its official status per an Act of Parliament.

Following a referendum the country became a republic on 31 May 1961, but the design of the flag remained unchanged. However, there was intense pressure to change the flag, particularly from Afrikaners who still resented the fact that the British Union Flag was a part of the flag. In 1968, the then Prime Minister, John Vorster, proposed the adoption of a new flag from 1971, to commemorate the tenth anniversary of the declaration of a republic but this never materialised.[12]

Since 2019, public display of this flag in South Africa is considered hate speech (for being a potential symbol of apartheid and white supremacy) and therefore prohibited, with exceptions for artistic, academic and journalistic purposes, as well as for museums & places of historical interest.[13]

The present South African national flag was first flown on 27 April 1994,[14] the day of the 1994 election. However, the flag was first intended to be an interim flag only, and its design was decided upon only a week beforehand.[15]

The choice of a new flag was part of the negotiation process set in motion when Nelson Mandela was released from prison in 1990. When a nationwide public competition was held in 1993, the National Symbols Commission received more than 7,000 designs.[16] Six designs were shortlisted and presented to the public and the Negotiating Council, but none elicited enthusiastic support. A number of design studios were then contacted to submit further proposals, but these also did not find favour. Parliament went into recess at the end of 1993 without a suitable candidate for the new national flag.

In February 1994, Cyril Ramaphosa and Roelf Meyer, the chief negotiators of the African National Congress and the National Party government of the day respectively, were given the task of resolving the flag issue. A final design was adopted on 15 March 1994, derived from a design developed by the State Herald Fred Brownell,[17][note 1] who had also claimed to have previously designed the Namibian flag.[citation needed] This interim flag was hoisted officially for the first time on 27 April 1994, the day when the nation's first fully inclusive elections commenced which resulted in Nelson Mandela being inaugurated as South Africa's first democratically elected president on 10 May 1994.[18] The flag was well received by most South Africans, though a small minority objected to it; hundreds of Afrikaner Volksfront members in Bloemfontein burned the flag in protest a few weeks before the April 1994 elections.[14]

The proclamation of the new national flag by South African President F. W. de Klerk was only published on 20 April 1994,[5] a mere seven days before the flag was to be inaugurated, sparking a frantic last-minute flurry for flag manufacturers. As stated in South Africa's post-apartheid interim constitution, the flag was to be introduced on an interim probationary period of five years, after which there would be discussion about whether or not to change the national flag in the final draft of the constitution. The Constitutional Assembly was charged with the responsibility of drafting the country's new constitution and had called for submissions, inter alia, on the issues of its various national symbols. It received 118 submissions recommending the retention of the new flag and 35 suggesting changes to it. Thus on 28 September 1995 it decided that the flag should be retained unchanged and accordingly it was included as Section One of the Constitution of South Africa which came into force in February 1997.[19]

The South African government published guidelines for proper display of the flag at designated flag stations, in Government Notice 510 of 8 June 2001 (Gazette number 22356). These rules apply only to official flag stations and not to the general public.

The Southern African Vexillological Association (SAVA), a non-official association for the study of flags, published their own guide for proper display of the flag in 2002. This guide has no official authority but was drawn up with generally accepted vexillological etiquette and principles in mind.[20]

The National flag shall be rectangular in the proportion of two in the width to three to the length; per pall from the hoist, the upper band red (chilli) and lower band blue, with a black triangle at the hoist; over the partition lines a green pall one fifth the width of the flag, fimbriated white against the red and blue, and gold against the black triangle at the hoist, and the width of the pall and its fimbriations is one third the width of the flag.

The national flag was designed by a former South African State Herald, Mr Fred Brownell, and was first used on 27 April 1994. The design and colours are a synopsis of principal elements of the country's flag history. Individual colours, or colour combinations represent different meanings for different people and therefore no universal symbolism should be attached to any of the colours. e24fc04721

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