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ELECTION FEVER, TODAY’S FEVER & OTHER FEVERS
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.
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
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:
- Infections
- 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.
- Medication
- 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.
- Trauma or Injury
- Heart attack, stroke and burns fall into this broad category
- Immunisation
- Others
- 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.
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
- Drink plenty of fluids, it will control the associated risk of dehydration
- Rest – this will help you recover while the reduced physical activity also reduces the chance of increasing your temperature further
- Stay cool by dressing in light clothing and avoid hot areas
- Soak yourself in lukewarm water. This reduces the fever. Using cold water could cause shivering raising your temperature even higher.
- 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.
- 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)
*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:
- www.mayoclinic.com
- What is fever? By Peter Crosta for Medical News Today
GREETINGS from Korkorti and from Kofi Owuo, alias Death-By-Poverty. When this column took a short break, the two friends summoned me. They wanted to know whether the column had gone on pension or was just on strike. I explained that the column was not on retirement and neither was it on a hunger strike. Rather, the column was of the habit of falling into coma for four weeks or thereabout every year.
Kwame Korkorti and Kofi Owuo (who is addicted to poverty and has sworn not to prosper) are two of my former classmates I cherish so much. And it was great fun to be a Nino in those days. In fact, on the first day on campus, Korkorti was bold enough to bully his own mates who tragically mistook him for a senior.
In fact, when the first-years arrived, Korkorti was one of them but quickly pretended he was in Form 2. So he began pulling the noses of his mates and brushing their faces when the real seniors were not quite in sight. It was when classes began that his victims realised the so-called nose-pulling senior was in fact their own classmate.
So Korkorti got famous for that gimmick. But his English was poor.
The English master was a tall, bombastic young man who claimed he was a former soccer star. In fact, he swore he had a magical left foot that was comparable to that of the legendary Pele. And his grandiloquence par excellence clearly distinguished him from other members of staff.
He did not quite like Korkorti because although the boy was stubborn and his head did not have a nice shape, the girls adored him. Moreover he never did his English Language assignments.
Stand up, you tall fool, the English master often ordered. Korkorti wouldn’t stand up but would just smile broadly.
“I say stand up” the teacher would bark now like a dog suffering from rabies “Get up and let me measure your stupidity.”
Korkorti would stand up this time round and yawn.
Certainly, lunchtime has been long in coming and a good yawn often relieved the young student’s stomach of gastronomic stress.
Invariably, the English guru did not like it when Korkorti yawned. For one thing, the boy opened his mouth too widely. For another, he yawned a bit too audibly and that caused laughter among his mates.
Certainly, the master must have figured out that the boy’s height was proportional to his stupidity. But there were no school rules against yawning
Merari Alomele’s
• A female student walking away from some male students
or wide mouth. In fact, there was freedom of yawning and snoring and Korkorti exercised both freedoms judiciously and democratically.
“Do you know when you yawn you look like a hungry crocodile,” the master once asked him.
“Yes sir, I am aware sir,” Korkorti confirmed and yawned again. This time he nearly swallowed the whole class. There was an uproar and the whole class reverberated in good laughter.
The English master shook his head and then nodded it like an agama lizard. This Korkorti boy was a real character, a phenomenon, a one-man thousand. Meanwhile lessons had to continue.
It was in those days when school was exciting and we often gathered and talked about girls. I had often dreamt of having a girl from Holy Child School because I had heard very saintly and curious things about them, I had learnt from a guy from Saint Augustine’s College that Holy Child girls were of a special breed, in fact a hybrid between the cultured home-bred variety and those of inner holiness. They were born of the Holy Spirit. The only thing was that they didn’t suffer under Pontius Pilate.
In short, they were angels in human form, spoke in a special way, walked with a unique and danced with heavenly steps. They were taught by Holy Nuns and so were quite different from us who had no hope of making any spirito-culturo-scholastic progress.
I confessed to Korkorti that I wanted a girl from Holy Child, not for immoral purposes but to partake of their saintly ways so that when it was time for going to heaven, Kwame Alomele could also be considered.
During vacations we met girls from Mawuli, Ola, Accra Girls, St. Roses, Wesley Girls but none from Holy Child. Then one day, Kwame Korkorti whispered into my ear that a Holy Child babe was in town and that he was sure my dreams had come true.
Korkorti organised it and we positioned at a spot, knowing the girl would traverse en route to the library or the market. After a boring period of waiting, Korkorti suddenly espied the child coming. I looked at her face and saw of an angel. What! This was the kind I always wanted. God bless my soul! This was really my chance and Korkorti had prophesied it.
“Hello Sister,” Korkorti called her when about to leave us.
The girl slowed down and looked at us. My heartbeat increased in tempo. What really was I going to tell this angel? Wouldn’t she think Korkorti was Satan and me a common red-eyed demon? I gathered courage.
“What do you want?” she asked in a sweet voice. My heart melted instantly. Spotless beauty with voice that did something to me. Good gracious!
“Eh-h, my friend says he likes you,” Korkorti to her bluntly.
At that very moment I felt as if a sledge-hammer had hit my chest with the force of a dynamite. What a blunder! What a shock! I felt dizzy instantly. My bosom friend had balked the whole agenda. Before I could recover from the shock, the girl had walked away. From that day. I never met another holy child.
In January, this year, I miraculously received a letter from an 18-year old Holy Child student who said she was my fan.
It was a nicely written letter and I enjoyed reading it. I then relived the Korkorti incident and laughed aloud to myself.
So when Korkorti and Kofi Owuo summoned me, I reminded them of the day my heart melted at the sight of the angel; that angel which disappeared before my eyes and made me go back home not crying and yet not laughing.
Proofread
Searching for the Holy Child
GREETINGS from Korkorti and from Kofi Owuo, alias Death-By-Poverty. When this column took a short break, the two friends summoned me. They wanted to know whether the column had gone on pension or was just on strike.
I explained that the column was not on retirement and neither was it on a hunger strike. Rather, the column was of the habit of falling into coma for four weeks or thereabout every year.
Kwame Korkorti and Kofi Owuo (who is addicted to poverty and has sworn not to prosper) are two of my former classmates I cherish so much. And it was great fun to be a Nino in those days. In fact, on the first day on campus, Korkorti was bold enough to bully his own mates who tragically mistook him for a senior.
In fact, when the first-years arrived, Korkorti was one of them but quickly pretended he was in Form 2. So he began pulling the noses of his mates and brushing their faces when the real seniors were not quite in sight. It was when classes began that his victims realised the so-called nose-pulling senior was in fact their own classmate
So Korkorti got famous for that gimmick. But his English was poor.
The English master was a tall, bombastic young man who claimed he was a former soccer star. In fact, he swore he had a magical left foot that was comparable to that of the legendary Pele. And his grandiloquence par excellence clearly distinguished him from other members of staff.
He did not quite like Korkorti because although the boy was stubborn and his head did not have a nice shape, the girls adored him. Moreover he never did his English Language assignments.
Stand up, you tall fool, the English master often ordered. Korkorti wouldn’t stand up but would just smile broadly.
“I say stand up” the teacher would bark now like a dog suffering from rabies “Get up and let me measure your stupidity.”
Korkorti would stand up this time round and yawn.
Certainly, lunchtime has been long in coming and a good yawn often relieved the young student’s stomach of gastronomic stress.
Invariably, the English guru did not like it when Korkorti yawned. For one thing, the boy opened his mouth too widely. For another, he yawned a bit too audibly and that caused laughter among his mates.
Certainly, the master must have figured out that the boy’s height was proportional to his stupidity. But there were no school rules against yawning or wide mouth. In fact, there was freedom of yawning and snoring and Korkorti exercised both freedoms judiciously and democratically.
“Do you know when you yawn you look like a hungry crocodile,” the master once asked him.
“Yes sir, I am aware sir,” Korkorti confirmed and yawned again. This time he nearly swallowed the whole class. There was an uproar and the whole class reverberated in good laughter.
The English master shook his head and then nodded it like an agama lizard. This Korkorti boy was a real character, a phenomenon, a one-man-thousand. Meanwhile lessons had to continue.
It was in those days when school was exciting and we often gathered and talked about girls. I had often dreamt of having a girl from Holy Child School because I had heard very saintly and curious things about them,
I had learnt from a guy from Saint Augustine’s College that Holy Child girls were of a special breed, in fact a hybrid between the cultured home-bred variety and those of inner holiness. They were born of the Holy Spirit. The only thing was that they didn’t suffer under Pontius Pilate.
In short, they were angels in human form, spoke in a special way, walked with a unique and danced with heavenly steps. They were taught by Holy Nuns and so were quite different from us who had no hope of making any spirito-culturo-scholastic progress.
I confessed to Korkorti that I wanted a girl from Holy Child, not for immoral purposes but to partake of their saintly ways so that when it was time for going to heaven, Kwame Alomele could also be considered.
During vacations we met girls from Mawuli, Ola, Accra Girls, St. Roses, Wesley Girls but none from Holy Child. Then one day, Kwame Korkorti whispered into my ear that a Holy Child babe was in town and that he was sure my dreams had come true.
Korkorti organised it and we positioned at a spot, knowing the girl would traverse en route to the library or the market. After a boring period of waiting, Korkorti suddenly espied the child coming. I looked at her face and saw of an angel. What! This was the kind I always wanted. God bless my soul! This was really my chance and Korkorti had prophesied it.
“Hello Sister,” Korkorti called her when about to leave us.
The girl slowed down and looked at us. My heartbeat increased in tempo. What really was I going to tell this angel? Wouldn’t she think Korkorti was Satan and me a common red-eyed demon? I gathered courage.
“What do you want?” she asked in a sweet voice. My heart melted instantly. Spotless beauty with voice that did something to me. Good gracious!
“Eh-h, my friend says he likes you,” Korkorti to her bluntly.
At that very moment I felt as if a sledge-hammer had hit my chest with the force of a dynamite. What a blunder! What a shock! I felt dizzy instantly. My bosom friend had balked the whole agenda. Before I could recover from the shock, the girl had walked away. From that day. I never met another holy child.
In January, this year, I miraculously received a letter from an 18-year old Holy Child student who said she was my fan. It was a nicely written letter and I enjoyed reading it. I then relived the Korkorti incident and laughed aloud to myself.
So when Korkorti and Kofi Owuo summoned me, I reminded them of the day my heart melted at the sight of the angel; that angel which disappeared before my eyes and made me go back home not crying and yet not laughing.
This article was first published on Saturday, March 18, 1996
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Androgenetic alopecia, commonly known as male/female pattern baldness, is a prevalent condition characterised by progressive hair thinning and loss. It affects millions worldwide, with significant impacts on self-esteem and quality of life.
Pathophysiology
Androgenetic alopecia involves a complex interplay of genetic, hormonal, and environmental factors. Dihydrotestosterone (DHT), a potent androgen, plays a key role in the condition’s pathogenesis. DHT binds to androgen receptors in hair follicles, leading to:
1. Hair Miniaturisation: Gradual reduction in hair follicle size
2. Follicular Shrinkage: Progressive shrinkage of hair follicles
3. Hair Cycle Disruption: Alteration of the anagen (growth) phase
Clinical Presentation
Men: Hair loss typically begins at the temples and vertex, progressing to a characteristic “M” shape
Women: Diffuse thinning over the crown, with preservation of the frontal hairline
Risk Factors
1. Genetics: Family history is a significant predictor
2. Hormonal Imbalance: Androgen excess or sensitivity
3. Age: Increasing prevalence with age
Treatment Options
1. Minoxidil: Topical application stimulates hair growth
2. Finasteride: Oral medication inhibiting DHT production
3. Low-Level Laser Therapy: Promotes hair growth through photobiomodulation
4. Hair Transplantation: Surgical relocation of hair follicles
Prevention and Management
1. Early Intervention: Timely treatment can slow progression
2. Lifestyle Modifications: Balanced diet, stress management, and gentle hair care
3. Regular Monitoring: Follow-up with a dermatologist or trichologist
Androgenetic alopecia is a manageable condition with available treatments. Early intervention, personalised approaches, and ongoing care can help individuals maintain hair health and confidence.
Consult a dermatologist or trichologist for tailored advice and treatment.
By Robert Ekow Grimmond-Thompson
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