From the moment Mpho Putsoenyane’s daughter Hlompho was born in Zamdela, a South African township beside the smokestacks and gas flares of Sasol’s oldest coal-to-liquid refinery, the baby struggled to breathe. Last year, when she was four months old, she turned purple and started gasping. Her parents rushed the baby to hospital, where medics only just revived her heart with a defibrillator, Putsoenyane recalls.