Features
DIABETES AND COVID-19
It came from a student in health care training. I have diabetes increases the severity of COVID-19. I have a strong family history of diabetes. Kindly throw more light on the subject. In responding to this, I found a fine paper by Singh et al titled “Diabetes in COVID-19: Prevalence, pathophysiology, prognosis and practicalConsiderations and published in Diabetes& Metabolic Syndrome: Clinical Research & Reviews (2020).
The disease burden of coronavirus infectious disease 2019 (COVID-19) caused by
Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2) has been
Increasing continuously with more than five million confirmed patients and more than 350,000 deaths globally. With a high prevalence of diabetes, it is important to
understand the special aspects of COVID-19 infection in people with diabetes.
This becomes even more important, as most parts of the world introduced
restrictions on mobility of patients in order to contain the pandemic even though they are being eased in some countries.
Diabetes and associated complications can increase the risk of morbidity and
mortality during acute infections due to suppressed immune
functions. The levels of glycated haemoglobin (HbA1c) greater than 9% have been linked to a60% increased risk of hospitalization and pneumonia-related severity duringbacterial infection. Past viral pandemics have witnessed the association of
diabetes to increased morbidity and mortality. Diabetes was considered as
independent risk factor for complications and death during 2002-2003 outbreak of
Severe Acute Respiratory Syndrome (SARS-CoV-1). Similarly, the presence
of diabetes tripled the risk of hospitalization and quadrupled the risk of intensive
care unit (ICU) admission during Influenza A (H1N1) infection outbreak in 2009.During the 2012 outbreak of Middle East Respiratory Syndrome Coronavirus
(MERS-CoV), diabetes was prevalent in nearly 50% of population. Mortality rate in patients with MERSwho had diabetes was 35%.
Emerging data suggests that COVID-19 is common in patients with diabetes,hypertension, and cardiovascular disease (CVD). Evolving data also suggest that patients of COVID-19 with diabetes are more oftenassociated with severe or critical disease varying from 14-32% in different studies. SARS CoV-2, like SARS CoV utilises angiotensin converting enzyme 2 (ACE-2) as receptor for entry into cell.ACE2 is expressed not only in the type I and II alveolar epithelial cells in the lungsand upper respiratory tract, but also several other locations like heart, endothelium,renal tubular epithelium, intestinal epithelium, and pancreas.
S-glycoprotein on thesurface of SARS CoV2 binds to ACE-2 and causes conformational changes in the ACE-2 receptors are expressed in pancreatic islets. Infection with SARSCoV has been seen to cause hyperglycaemia in people without pre-existingdiabetes.
Hyperglycaemia was seen to persist for 3 years after recovery fromSARS indicating a transient damage to beta cells.
Metformin, a common medication used in diabetes, was significantly
associated with a decreased risk of mortality in patients with chronic lower
respiratory diseases. In a study of 4321 patients with a follow up of 2-
year period, metformin users had a significantly lower risk ofdeath compared with non-metformin users. Patients with coexistent chronic obstructive pulmonary disease and diabetes.
Glycaemic control is important in any patient who has COVID-19. Though data is still evolving, data from other infections like SARS and influenza H1N1
has shown that patients with poor glycaemic control have increased risk of
complications and death. Most patients with mild infection and with
normal oral intake can continue the usual antihyperglycaemic medications.
However, it is advisable to discontinue sodium glucose transporters (SGLT-2) inhibitors because of the risk ofdehydration and euglycaemic ketosis. Metformin may also need to be stopped ifthere is vomiting or poor oral intake. Doses of other antihyperglycemic drugs likesulfonylureas and insulin may have to be altered depending upon the blood glucoselevels.
Blood glucose monitoring poses a special challenge in COVID-19 as it necessitates frequentvisits to patient’s bedside, especially if the patient is critically ill and receiving insulin.
There are several studies about the protective effect of statins in pneumonia.
Statins are known to increase ACE-2 levels and may protect against viral entry of
SARS CoV2. Also, statins are known to inhibit Nuclear factor kappa B
(NFκB) activation and might help in blunting the cytokine storm- a causative factor in COVID-19 complications.
Calcium channel blockers (CCB) have been shown to reduce severity of disease
and mortality in patients with pneumonia, presumably by inhibiting calcium influx
into the cell. It is therefore safe to continue these drugs for control of blood pressurein hypertensive patients. Since CCB has no effect on ACE2 expression, someresearchers have proposed its preferable use in patients with COVID-19 and
hypertension.
So to recap high prevalence of diabetes is seen in patients with SARS-CoV-2 (COVID-19)and the presence of diabetes is a determinant of severity and mortality. Diabetes might facilitate infection by COVID-19 due to increased viral entryinto cell and impaired immune response.Blood glucose control is important for all patients who have diabetes andCOVID-19 infection.Telemedicine can be very useful for the management of patients with diabetes inpresent times with limited access to healthcare facilities.
Once again, make sure you regularly/daily consume polyphenol-rich cocoa to among others reduce your blood glucose, reduce your blood pressure and strengthen your immune system.
DR. EDWARD O. AMPORFUL
CHIEF PHARMACIST
COCOA CLINIC
Features
Artificial Intelligence in Ghanaian workplaces: Opportunities, concerns, and the way forward
Artificial Intelligence (AI) is no more a remote concept for organisations in Ghana. Recent research has highlighted the significant impact AI is having in remodelling workplaces in Ghana, unveiling a mix of opportunity, anxiety, and a pressing call for coordinated national response. A study focusing on a Ghanaian service organisation in the advertising industry investigated how AI influences employee skills development. The results paint a picture of a technological shift that is rapidly gaining ground in the local workplace, albeit with mixed implications for the workforce.
AI and employee upskilling: A double-edged sword
The study found a statistically significant, though moderate, positive relationship between AI deployment and employee upskilling. Employees exposed to AI technologies were more likely to enhance their capabilities—particularly in areas such as data analysis, digital literacy, and continuous learning. This finding aligns with global trends where AI is facilitating learning adaptation and professional growth.
However, the research also pointed out a sobering reality that AI adoption often comes together with workforce downsizing. The data showed a strong correlation between AI implementation and employee redundancies, raising red flags about job security for many Ghanaians.
“While AI can help employees do their jobs more effectively, it also automates tasks that previously required human effort”, the author noted. “This duality—simultaneously empowering and displacing workers—is at the heart of the AI debate.”
Organisational relevance and the AI imperative
Despite these challenges, organisations embracing AI are seeing positive results in terms of relevance and competitive advantage. The study confirmed a statistically significant relationship between AI adoption and organisational effectiveness, though the influence was not overwhelmingly strong. This suggests that while AI can enhance efficiency, it must be strategically integrated into business models to be fully effective.
Yet, many Ghanaian companies, especially SMEs, remain hesitant. Barriers such as lack of technical infrastructure, fears of losing control to algorithms, and low digital literacy rates hamper widespread adoption. This is echoed in South African and broader African contexts, where similar patterns of resistance and slow uptake prevail.
Current AI issues in the Ghanaian workplace
Ghana faces several unique challenges in integrating AI into its workplaces:
Unlike Kenya or Rwanda, Ghana lacks a clear national AI policy or roadmap. This absence of legal frameworks and guidelines hinders sustainable, responsible AI implementation.
The study revealed that while some staff have received training— primarily on Microsoft 365 Copilot— many are limited in their exposure. This creates a lopsided workforce where a few benefit, and many lag behind.
The largest demographic in the study (27.5 per cent) was aged 18–25. Without deliberate interventions, this youth cohort faces a high risk of being left behind by AI-driven changes.
Employee sentiment toward AI is mixed—13 per cent expressed enthusiasm, while over 20 per cent were wary or pessimistic. This shows the emotional toll and uncertainty surrounding AI’s future role in jobs.
The way forward
To harness AI’s benefits while minimising its risks, Ghana must adopt a strategic, inclusive approach:
The government should develop a comprehensive AI framework that supports innovation while protecting workers’ rights. Such a policy should include data protection laws, ethical AI guidelines, and incentives for private sector adoption.
Organizations must invest heavily in upskilling and reskilling employees. These programmes should not just focus on technical skills but also foster soft skills such as critical thinking, adaptability, and digital literacy.
Educational institutions should embed AI and digital economy topics into basic, secondary, and tertiary curricula. Producing AI-literate graduates is key to future-proofing the workforce.
Collaboration between government, industry, and academia is essential to pool resources, share expertise, and drive AI readiness across sectors.
As AI transforms work, employers must provide psychological support and foster inclusive environments. Change management strategies are essential to guide employees through this transition.
Conclusion
AI is here to stay, and Ghanaian workplaces are beginning to feel its presence. While the promise of enhanced productivity and competitiveness is real, so are the threats of job loss and exclusion. The research findings make it clear: the future of work in Ghana must be one where technology and human development evolve together. Without deliberate, inclusive policies and strategic foresight, the country risks widening inequality and stifling innovation. But with the right investments and political will, Ghana can turn AI from a threat into an engine of inclusive economic growth.
By Esther J.K. Attiogbe (PhD)
Features
Obituaristic and marital nonsense

It was a yearly ritual. Every year, on the day her husband died, she dressed up beautifully, went on top of his grave and danced to her satisfaction. For several hours, she’d boogie up and down, style after style, until she could dance no more. She’d then descend the grave and walk home panting yet contented.
When asked by reporters why she had taken to the yearly open-air disco dancing, the widow said it was in honour of DEATH which took away her husband. “When he was alive. I never had a moment’s peace,” she said.
What an honest confession about a dead person. She minced no words. The man gave her no peace, and that was exactly what she was saying. A widow in Sikaman would dare not say that of her deceased husband. His family members would procure pick-axes, hoes and cutlasses and descend on her with red eyes and tear her to pieces.
It is traditionally not proper to speak ill of people when they are dead, but some people are beginning to feel that the custom of speaking well about even dead criminals at funerals is not helping society either.
They claim that if the living know that all their misdeeds will be recounted at their funeral when they are dead, they will endeavour not to misconduct themselves while alive. I think that is a valid point, because the dead have had it too easy.
When someone volunteered to say that a deceased fellow died of alcohol, his neck was nearly twisted. What right did he have to air the cause of death even if it was true that the guy had died of too much bitters? In any case, did he perform any post mortem to ascertain the cause of death? And for what earthly or heavenly reason did he have to associate their loved one with an evil called ALCOHOL? “Next time you talk nonsense, we shall physically weaken your jaw.
It was at a funeral when a pastor undertook to say nice words about a dead common criminal that he was corrected by the deceased’s own professional comrade.
He raised his right hand to signify that he wanted to chip in a point of order as the resident pastor spoke of how exemplary the dead man’s ways were. When no one bothered to give him the chance, he stood up and raised both hands, meaning that he had the constitutional right to slot in a rejoinder before the lies became over-whelming.
He was heavily drunk. Asked what he wanted to say, he broached the subject that first and fore-most, he would recommend that the pastor be ex-communicated from the church because he was a congenital liar, a quality unbecoming of a clergyman. He then proceeded to say the deceased was a criminal just like himself and deserved no praises in any church.
He intimated that the deceased, when he was alive, cheated him out of a booty, not once or twice, but many times, for which he never forgave him till he died. He said such a person’s body should not be brought to contaminate the holiness of a church room. Before church elders could drag him out, he had spoken his mind.
I guess if the dead man had a soul that was present where he was laid in state, the soul would have repented right in the church room.
Well there are many problems associated with modern-day funerals. One of them which is getting solved gradually is the wake-keeping palaver. The Akyem Abuakwa Traditional Council has banned wake-keepings as a means of cutting down cost of funerals in the traditional area. The Presbyterian Church is also not encouraging its members to opt for wake- keeping in any event of death of a member.
What are wake-keepings for anyway? When there were no mortuaries in the past, wake was kept because family members could not leave their dead bodies and go to bed. Keeping wake has, therefore, outlived its usefulness in present day circumstances.
A wake-keeping today is an occasion where you can get a married woman drunk and seduce her, where young girls elope with married men for amorous purposes, and where people either get married or lose their spouses. Everything is under the cover of darkness, supervised by Jimmy Satan.
A funeral that is without an elaborate wake-keeping can save at least a lot of money. A funeral that is without frivolous eating and boozing can also save a fortune. The dead must not be a burden for the living, just like getting married shouldn’t be any big deal.
The average Sikaman bride is married at least three times without any sane reason. Her Caucasian or Anglo-Saxon counterpart gets married just once in a very simply ceremony.
Why are many young men unable to marry? The fact is that they can’t. They don’t have the dough. They must KNOCK DOOR, ENGAGE and WED-three in one. By the time they are through, they are in debt to a tune of 5 million. No marriage is stable when the foundation is built on a $5 million debt.
I guess my great grandfather married his loving wife with two bottles of akpeteshie, five tubers of yam and a bottle of zomi. Check out how much I have to spend when I want wife. You can’t get a woman with akpeteshie, yam tubers and palm oil anywhere in Sikaman today. Even in the remotest cottage, they ask you to “do wedding”. It is a command, not a suggestion.
The result is that the young men can’t get married, and once they are virile and not impotent, they continue impregnating the young and unmarried girls, littering communities with kids born out of wedlock, many ending up as the street kids we see everywhere hawking barefoot instead of studying in school.
This article was first published
on Saturday, April 18, 1998