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Coronavirus – Are the Numbers of Cases Reliable?

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Right now, we are being told that the novel coronavirus that causes the Covid-19 disease is such an existential threat to all of us that we need extreme measures to deal with it.  More than half the world’s population is bunkered down at home under effective house arrest; a form of medical martial law prevails of the streets; most “nonessential” shops and businesses are closed; and trust and social contact between people has almost completely broken down.  So is the threat from the new disease worthy of these unprecedented consequences?

Let’s take a close look at the figures.  A good source of official data which is updated regularly is the Worldometers Coronavirus page..  The latest figures here as of the time of writing (25th April 2020) are shown by the following summary snapshot from the site:

So, at this time we have more than two and a quarter million cases and more than 150,000 deaths.  That sounds pretty bad, right?  But we can only put this into context if we compare with the numbers for deaths and cases from other, broadly similar diseases and, for deaths, by comparing with global death rates as a whole.

I will return to the subject of death rates later, but firstly let’s concentrate on case numbers: how are these numbers being calculated?  We hear a lot about testing of suspected cases, but what do we know about these tests?

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The first thing to note is that, perhaps contrary to popular belief, there is not one standard test being used around the world to test for coronavirus infection; each country is more or less using its own methodology.

Also, as I have discussed in a previous post, tests are not a magic 100% reliable indicator of whether someone has a disease or not.  Some of them are really quite unreliable indeed.  It’s actually quite a technical challenge to make accurate tests for common diseases, particular those caused by viruses.  If it were that easy, the shops would be full of such test kits.  Do you not think there would be a huge market for a simple, accurate home test for, say, the flu?  And the market would undoubtedly be much bigger for home tests for embarrassing viral diseases such as herpes and sexually transmitted infections.

And even if it were possible to manufacture a fairly accurate test for a disease, if the disease you are testing for is uncommon (as is currently the case with Covid-19 despite all the media hype to the contrary) then the rate of false positives this test will give you will be really high.  I will go into more detail on this later to illustrate that the world is largely suffering from a pandemic of false positives for Covid-19 rather than of the disease itself.

The general approach to testing for Covid-19 can be gauged from the US Centre for Disease Control’s (CDC’s) web pages on testing  and their information for laboratories doing Covid-19 testing.  So, let’s take a look at the two main types of testing that are being done for Covid-19 around the world right now: polymerase chain reaction (PCR) based tests and serology/antibody-based tests.

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PCR Based Tests

Many SARS-CoV-2 tests are based on what is called “Reverse Transcription Polymerase Chain Reaction” or RT-PCR.  This is a type of more general process called the polymerase chain reaction (PCR).  Wikipedia gives good general explanations of the principles of PCR testing as a whole, as well as the type of RT-PCR tests used for Covid-19 testing.

Without going into too many technical details here, the general idea of a PCR test is to take a sample from a patient and multiply up all the target DNA in the sample (using the polymerase chain reaction, PCR).  The target DNA sequence used is designed to try and uniquely identify the target virus or bacteria so that if this sequence is found you can be reasonably sure you have found the target organism.

Serology/Antibody Based Tests

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Given all the problems with PCR based testing, some companies and countries are investigating the use of antibody-based tests instead.  The idea here is to try and detect antibodies – proteins produced by the body to fight infection – against the SARS-CoV-2 virus in the blood or other bodily fluids of a patient. The UK is working on getting antibody tests available in bulk for their population.  The CDC in the US is also looking at developing such tests.

I won’t discuss these kinds of tests in so much detail because most countries including our own Ghana and health care systems are still mainly reliant on RT-PCR based testing.  This is partly because accurate antibody tests are not widely available, being both difficult and time consuming to prepare in great numbers.  But suffice to say that antibody tests, even when they have been successfully manufactured, are also subject to many problems too.

BY RISK OFORIWAA DAUDA

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Musicians, the Whiteman’s toilet and MEGASTAR

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Carlos Sakyi

I have often been saddened by the condition of Sikaman musicians. Of course, some are not musicians. They are jokers who think anybody who can sing a hymn is a musician. And why wouldn’t they think so when people think that every man wearing a rasta hair is a reggae musician?

Sikaman Palava
Sikaman Palava

Well, these days, almost everybody is dreaming of becoming a musician, even some ministers and parliamentarians. And it is never too late for them to begin learning the solfas and composing songs like “If You Do Good You Do For Yourself,” after all, life begins at 60 these days. If you die three years later, that’s your luck.

For the jobless, becoming a musical star is an everyday dream. They think when you are a music maker, you automatically break alliance with poverty. They are often mistaken.

I know people who claim they are musicians but are always fasting not because they are devout moslems or are on a hunger strike, but because even one square meal a day is a perpetual wahala. And the only drink they can afford is the poor man’s holy whisky which has a thousand names including ‘Nyame Bekyere’.

Even most of the popular musicians we see in town claiming they are foreign-based stars are more of hustlers than musicians. When they tell you they are going on tour abroad, it is a careful way of saying they are going overseas to scrub the whiteman’s toilet or pick tomato or apples to save their neck from musical poverty.

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When they are back to Sikaman, they appear quite flamboyant with chains hanging all over them. They change the few dollars they have scraped, spread it around and promptly get broke. Then they can organise another ‘tour’. In between tours, they struggle to release an album and that levels them up a bit on the financial balance.

It all points to the fact that the life of the average musician isn’t quite organised. He has no calendar, no programme and no concentration on the job. He has to wash plates, become a waiter, janitor and toilet scrubber while finding time to make music. No musician succeeds in life that way.

One musician I’ll always respect, who thinks deeper than the ordinary Sikaman musicians is Carlos Sakyi. He is not like the Kokoase guitar musicians who see the world just in terms of bitters, a willing girlfriend, constant supply of kokonte and jot.

Carlos, often loved for his percussive overtones in gospel music, and once a gospel-rock star, has studied the life of Sikaman musicians and has evolved a blue-print for a great improvement in their lives work, finances and comfort.

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In short, he has simulated a Motown-style environment for musicians and his formula is working with accuracy with the five musicians he has started with. The blue-print is what has brought MEGASTAR into being.  It was launched on September 15, 1995 at the National Theatre.

When it got launched, many probably thought Carlos was “too know or was dreaming more than he should and won’t think about himself. Anyhow, the MEGASTAR is now an institution musicians can look up to, a big phenomenon with lots of promise for struggling musicians.

Music business in the developed world is not the way we regard it cheaply here. A musician is never distracted by how his finances go; his contracts are entered, his engagements made, his interviews arranged, his personal security guaranteed.

Music is his business and that is where his mind is and his attention focuses. Other aspects of his life are programmed for him by his managers. They hire who has to light his cigarettes, massage him, drive his car and the one who will say “Good Luck” when he sneezes.

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A bodyguard whose face is exactly like that of the devil is hired to scare off muggers, psychopaths and criminals in general. Sometimes his girls are organised for him.

So the only thing the musician does apart from sleeping and snoring is to concentrate on making music, and true to it, no one can succeed in any venture when he is distracted.

This is how the Michael Jacksons, Lionel Richies, Dolly Patons and Whitney Houstons have made it with dollars packed and over-flowing. They aren’t any better than Sikaman musicians. The only difference is that they know how to organise their lives.

I managed to corner Carlos Sakyi and asked him to tell me how MEGASTAR was doing. He is the Managing Director of Megastar Limited, a music company that has a board of directors and a chairman. Carlos Sakyi shares the proprietorship with a partner. Carlos himself was one great musician who played for a band that beat Eddy Grant on the charts.

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“Megastar is in fact a concept born out of the idea that the future security of the Ghanaian musician which has always been in jeopardy can now be guaranteed. Artistes spend too much of their time doing things on their own, chasing money and not concentrating on music. So their full potential is never realised. Some are in fact producing at quarter-rate. That is why they aren’t making much headway,” he told me.

“Megastar is now giving them the chance of the lives.  We handle the interviews of Megastar artiste, their press releases, costume, engagements and everything they hitherto used to do themselves. We get them exposed on M-Net and we have contacted BB to get on their programmes. We handle their finances pay them salaries and bonuses, so they only have to concentrate on music

“Most importantly,” he continued, “we do not make all the decisions. Management always meet with the musicians to take the decisions that affect them.”

But who are the Megastar musicians? One is the great Amakye Dede, a star from birth delivered onto the earth with music on his lips; he is the man who feeds hungry ears with musical salad and harmonic sausages. He is the recipient of many national awards.

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Next is Naana Frimpong, a latter-day Carlos-groomed songbird with the voice of an angel. She sings to kill. Her beauty has charmed her audience and they stare and stare at her.

The sensational and fantalising Tagoe Sisters are the next. The twin music machine is one that has produced the cream, arguably the very best, of gospel music all these years. I hear they are inseparable; not even their better-halves can keep them apart. Are they Siamese? They dance, and when on stage, they move the crowd.

Then comes Reverend Yawson who is a known songwriter. He is imbued with the Holy Spirit, speaks in tongues and of course sings in tongues. He is God’s representative on the group.

What about my good friend and super-heavyweight, Jewel Ackah?  He is a star figure. His appearance is awe-inspiring, his voice golden. A great delight to be-hold when at his best in stage-craftsmanship, he has beaten his contemporaries to it both on land and on sea.

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They are the pioneers of the Motown idea. They are all releasing new albums this year. Let’s see how it all goes.

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The rise of female rage: Unpacking the complexity of women’s anger

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In recent years, the term “female rage” has gained significant traction, symbolising a collective shift in how women’s emotions are perceived and addressed.

 This phenomenon is not merely a fleeting trend but a profound movement rooted in centuries of systemic injustices, personal betrayals, and societal expectations.

As women increasingly reclaim their anger, it is imperative to understand the multifaceted nature of female rage, its causes, and its implications for individuals and society at large.

The historical context of female anger

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Historically, women’s emotions have been subject to dismissal, ridicule, and pathologisation. The term “hysteria,” originating from the Greek word for uterus, was used to describe women’s emotional states as irrational and uncontrollable.

This legacy of silencing and shaming has contributed to a culture where women’s anger is often suppressed or stigmatised.

However, with the rise of feminist movements, women are challenging these narratives, asserting their right to express anger and demand change.

The anatomy of female rage

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Female rage is not a monolith; it is a complex and multifaceted emotion driven by various factors, including:

1. Societal expectations: The pressure to conform to traditional roles of passivity, politeness, and emotional labour.

2. Gender inequality and pay gaps: Frustration stemming from systemic discrimination in the workplace and beyond.

3. Sexual harassment and abuse: Trauma and anger resulting from pervasive violence and objectification.

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4. Emotional labour and burnout: The unsustainable burden of managing emotions and responsibilities in personal and professional spheres.

5. Hormonal fluctuations: The impact of hormonal changes on emotional states, often overlooked or dismissed.

The power of anger: Reclaiming female rage

Far from being a destructive force, female rage can be a catalyst for change. When acknowledged and channelled constructively, anger can drive advocacy, policy reform, and resistance against inequality.

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The #MeToo movement, women’s marches, and increased representation in politics are testaments to the power of collective female anger.

Addressing the Stigma: Towards a more inclusive dialogue

To fully harness the potential of female rage, society must address the stigma surrounding women’s anger. This involves:

1. Validation and recognition: Acknowledging women’s emotions as legitimate and worthy of attention.

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2. Creating safe spaces: Providing platforms for women to express anger without fear of backlash.

3. Education and awareness: Challenging stereotypes and promoting understanding of women’s experiences.

4. Support systems: Offering resources and support for women dealing with trauma and systemic injustices.

Conclusion

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The age of female rage is a moment of profound transformation, where women’s anger is no longer silenced but celebrated as a force for justice.

By understanding the roots of female rage and addressing the societal structures that fuel it, we can move towards a more equitable and compassionate world.

The journey is complex, but the destination-a society where women’s emotions are respected and their voices are heard is worth the struggle.

References:

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[1] Chemudupati, P. (2022). _The Rage of Women: A Historical Perspective_.

[2] Traister, R. (2018). _Good and Mad:

By Robert Ekow Grimond-Thompson

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