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ELECTION FEVER, TODAY’S FEVER & OTHER FEVERS

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The dust has almost settled in the USA after their historic election that scored many firsts. I choose to say no more lest I am misquoted again so let me dwell on where my vote counts. Now, the eyes of the whole world is focused on a much smaller country on the coast of West Africa, a country that has a great potential to be a super-power in its own right, a country that is a haven of peace in a chaotic region.

Ghana continues to baffle the world with our own rendition of democracy and despite all the hue and cry before elections, we always stand out tall after the exercise. There is anxiety, expectation and mixed emotions as we approach Election Day. I can bet on my last Ghana pesewa that some people have developed diarrhoea that does not seem to resolve with medication, others have known no sleep for weeks and a few others jump out of bed daily with a galloping heart and drenched in sweat. This is election fever and I doubt the thermometer will be of any help when it comes to this type of fever.

These days people who had never held a thermometer in their hands suddenly hold the mandate to give you access into a facility or not. Sometimes they obviously have no idea what they are doing but COVID-19 has made it necessary that screening may include temperature checking to determine if one has a fever. Fever is one of the first symptoms/signs that heralded the new era of COVID.

There is the other fever that is extremely common and “lives” with us all year round. This fever does not occur once every four years neither did it just explode unto the scene unannounced, instead it is one of the commonest complaints that healthcare professionals are faced with daily. Let me make one point crystal clear; fever is NOT a synonym for malaria and neither are all fevers due to malaria even if you live in a malaria endemic area like ours.

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A fever also referred to as pyrexia means the body temperature is above the normal of 37 degrees Celsius. It is a warning that something out of the ordinary is going on in your body. Though fever in an adult may be uncomfortable, it is usually not dangerous unless it is extremely high but for young children and infants, a slightly elevated temperature may indicate a serious condition. In newborns and elderly, temperatures below normal should also be of concern.

Our temperature may vary due to our clothing, menstrual cycle, meals, level of activity and time of day, being lowest in the morning. Some of us may find that we are often slightly warmer than others. The degree of fever does not indicate the seriousness of the underlying condition. Sometimes a serious illness may cause a low fever whereas a condition of no significance may cause a high fever. This point has a lot in common with election fever where some people who appear most excited and do all the shouting may not even be registered voters.

Remember that you may take your temperature in different parts of your body such as your armpit, mouth, ears, anus and forehead and the temperatures vary slightly at each point.

CAUSES OF FEVER

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You may be gripped by election fever for different reasons; some people love the power, others a desire to be on the winning team, a few have a genuine interest to help the country and hopefully the majority of people suffering from election fever want to see a change for the better. In the same vein “medical” fever may be caused by many conditions including:

  1. Infections
    1. Viruses such as those causing the common cold or bacteria causing throat, ear infections and diarrhoea. Malaria and HIV are also culprits. You do not need any prompting to remember that the novel corona virus may also cause a fever.
  2. Medication
    1. Antibiotics, blood pressure medications and drugs for treating seizures are examples. These may cause “drug fever” due to adverse reactions, withdrawal or by the drug’s design.
  3. Trauma or Injury
    1. Heart attack, stroke and burns fall into this broad category
  4. Immunisation
  5. Others
    1. Gout, osteoarthritis (wear and tear disease), thyroid disease and certain cancers.

Fever may be associated with sweating, shivering, headache, muscle aches and when the fever is extremely high one may develop hallucinations, confusion, convulsion and dehydration.

HEAD FOR THE HOSPITAL

If a baby has a temperature of 38.3 degrees Celsius or above, refuses food and drinks, is irritable and unresponsive you have no business staying at home.

An adult with a fever associated with severe headache, stiff painful neck, confusion, unusual sensitivity to light should be talking to a healthcare professional.

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In this day if you have a fever with a headache and cough and any of the other symptoms that may point to COVID-19, do stay at home and seek the necessary assistance first by telephone. If that is not available to you then go to the nearest health facility.

Your doctor will ask you questions about your fever, examine you, probably request for some tests and then give you medication if required.

Sometimes your fever may last for more than 3 weeks and your doctor may not be able to determine the cause after extensive evaluation. This condition is referred to as pyrexia or fever of unknown origin (PUO).

LIFESTYLE MODIFICATIONS

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  1. Drink plenty of fluids, it will control the associated risk of dehydration
  2. Rest – this will help you recover while the reduced physical activity also reduces the chance of increasing your temperature further
  3. Stay cool by dressing in light clothing and avoid hot areas
  4. Soak yourself in lukewarm water. This reduces the fever. Using cold water could cause  shivering raising your temperature even higher.
  5. Reduce incidence of fever; by living a healthy lifestyle, keeping your surroundings clean and washing your hands thoroughly with soap and water (often), you will reduce the incidence of contracting some of the common causes of fever.
  6. Do not forget the other Ws; Wear your mask and Watch your distance (physical distancing) wherever you go especially as you go to cast your vote.

Remember no matter how high your election fever may be, only PEACE can ensure good health and development.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd/Mobissel/St. Andrews Clinic

(www.healthessentialsgh.com)

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*Dr. Essel is a Medical Doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.

Thought for the week –“fever persisting for more than three days may need a health professional’s care. Do not assume it is malaria.”

Note that ELECTION CAMPAIGNS & VOTING; NOT AN EXCUSE TO ABANDON COVID-19 PROTOCOLS

Reference:

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  1. www.mayoclinic.com
  2. What is fever? By Peter Crosta for Medical News Today
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This sanitation issue!

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Some things do not change in this country.  The rains shall fall in May, and June and even July.  That is out of our control.  It is an act of God and he decides how often and the intensity.  Who are we to question God? 

However, there is something man-made that is gradually becoming something that is also not changing and it is worrying.  A week ago the President initiated a national clean up campaign to address the issue of sanitation in the country, especially in Accra. 

Citizens enthusiastically got involved and engaged in cleaning their environment and other places but afterwards, the issue that is becoming a permanent feature resisting change, reared its ugly head again. 

The rubbish and the silt that were dug out of the drains, were heaped on the shoulders of the drains and left there.  Any little rain will render the whole effort futile because the rubbish and silt will be washed right back into the drains. 

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This is what is not changing in the country and the various assemblies must ensure that this issue is dealt with and must become a thing of the past.

There is the need to engage the citizenry across board, in connection with mindset change, as far as sanitation is concerned.  At this juncture, I must acknowledge the thoughtful initiative of the current crop of Abenfo (i.e. students both present and past) of SUTESCO of Suhum, with support of the school administration for decorating the area under the overpass on the Accra Kumasi highway, near the school, with fascinating paintings.  This is an example worthy of emulation and makes me proud as one of the Abenfo. 

An example not worthy of emulation is an eyesore currently existing behind a cemetery along the Atta Mills link as you branch left, off the main Accra-Cape Coast road at Old barrier and head towards the beach through Aplaku, Bortianor, Oshiyie, Korobite through to Tuba and beyond. 

The drain along the walls of the cemetery also lying astride the road, is choked with silt and rubbish.  This has created a problem near the end of the cemetery wall just before you enter Bortianor. 

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Water has accumulated at that point, creating potholes and also gradually creating a channel across the road, creating a nightmare for motorists using that route.  This route is the main link between parts of Kasoa and the Accra – Cape Coast road and whenever it rains and the Atala stretch of the road is blocked, that is the route most motorists from Kasoa uses.

It is also the route used by tourists going to the beaches along the sea of the towns stretching from Bortianor to Kokrobite and so it does not speak well of us, as a nation at all.

A few days ago, I had to pass through Tema Station, the place where a major clean up exercise was conducted just fews days ago and it was very shocking to see the level of wanton littering that had taken place. 

One begins to wonder if this whole exercise initiated by the President was worth it.  People just do not care and are not willing to change their attitude towards sanitation. 

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We cannot continue like this and to win this battle against insanitary conditions in our environment, the NCCE must be resourced to embark on a serious educational drive.  The MMDCEs must also be held accountable for sanitation lapses in their administrative areas, by making sanitation part of their KPIs among other innovative policies.  This is one of the surest ways to overcome this sanitation challenge confronting us. God bless.

By Laud Kissi-Mensah

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Disqualified — Part 1

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THE discussion lasted only ten minutes. Mr Philip Sampson, Eunice’s father, had asked to see him, and he was led to the sitting room for the first time. Mr Sampson indicated that he should sit down.

‘Yes, Kakraba. I know that you have been, er, friends with Eunice for some months now, and naturally, as her father, I thought it would be important to meet you, and to reach an understanding with you on, er, some basic issues. So, I hear you are a graduate in building technology. Now, tell me about what you do’.

‘Okay. I worked with the Electricity Company for two years after National Service. During that time I interacted with some lawyers and land surveyors on our project sites, so I suggested to some of them that we take some dilapidated buildings in some parts of Accra, rehabilitate them and find new owners. Soon after starting that I got a job as Project Manager with a group of development agencies who are executing projects in the Northern Region, so I have been balancing the two positions’.

‘I see. That sounds like a bold step. So is it going well, financially?’

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‘Well, sir, I absolutely enjoy what I’m doing now. Financially, I would only say that I am a work in progress. A lot of what I’m doing now involves some risk taking, as it involves trust issues with land and property owners.

I am partnering with prominent lawyers and land surveyors, so I am not taking any serious risks. So currently I am doing okay financially, but it will take me some time before I reach the level where I can say I am comfortable financially.’

‘Okay. Now tell me about your parents’.

‘My father was an Agricultural Extension Officer, so we spent some time at several locations with him. He is now enjoying his retirement. And my mother is a retired nurse. I have three elder sisters, all married’.

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‘So you live with your parents?’

‘Yes and no. My dad built his home on one acre at Pokuase, so he gave me one plot, and I have done a three-bedroom house, where I live’.

‘Okay, fine. Thanks for the answers. You see, in addition to my position socially, I spent many years in the diplomatic service, so I’m sure you will understand that I need to ensure that my kids, especially my daughters, maintain suitable relationships. For now I think it is fine that you and Eunice are friends. I’m sure you understand what I mean’.

‘Yes sir. I understand perfectly well.’

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‘Great, okay, that would be all.’

Kakraba stood up, bowed and said thank you to Mr Sampson, and walked to the garden where his girlfriend Eunice, her mother Mrs Elaine Sampson and her two elder sisters, Yvonne and Emma, were seated, busily discussing some dresses being offered for sale online.

‘So,’ Mrs Elaine asked him, ‘you and Daddy had a good discussion?’

‘Yes, Ma. We certainly did. I really appreciate Dad for the discussion. It was really good.’

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‘Great. Although he has met you here on quite a number of occasions, I think it is good that you have met for a chat.’

‘Yes indeed, Ma, and I really appreciate it. So Eunice, I will be on my way. I will call.’

Eunice led him to his car, and after driving off he exhaled and shook his head. Although he had long concluded that Eunice’s family were so snobbish that a future relationship with her would be problematic, this discussion, or was it interrogation, had virtually cancelled any likelihood.

Mr Sampson just told him, in no uncertain terms, that the Sampson family was so prominent and socially connected that a union between his daughter and him was undesirable.

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He had a good relationship with Eunice. They shared some beautiful moments together, and often went out to entertainment joints, often with her three friends Marian, Patricia and Amanda. But Kakraba was often uncomfortable with their preferences.

Eunice regularly spoke about her family’s experiences during her father’s postings in Europe and Asia, and her three friends were always discussing the latest fashion trends, always noting the importance of placing themselves among the best-dressed ladies in town.

Eunice, her mother and siblings had indicated in several ways that he did not quite fit into their social standing. They had only said a mild ‘thank you’ when he brought them a goat or sheep and a generous amount of foodstuffs from the north every month.

But Kakraba did not really take it to heart, because they were quite inexpensive up north. Moreover, he always went to the food market and arranged with the truck drivers for a big package which was picked up by his buddy Paa John and delivered to his family and a few others, including the Sampsons.

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By Ekow de Heer

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