Features
Keta under siege
The decision to live in Keta, was entirely mine. As a four-year old, I was put in the Queen Elizabeth Nursery in Koforidua. Papa would come get me in his black Morris with registration number AR 1429 when we closed. But there was a day Papa did not come for me and I decided to walk home because I knew the route. The nursery was behind the present GCB Bank building, but on getting to the main street in Koforidua there was no way a toddler would be minded to watch out for vehicular traffic, so I just had to walk across.
Then out of nowhere came a cyclist who knocked me off my feet and I reckon I might have landed with a thud. He was elderly in my estimation then and he picked me up and asked if I knew where I was going. I said yes and directed him to my home just about 150 metres away. It turned out my jawline was twisted from the impact and I had a big wound on my left foot.
I took quite some time to fully recover. Then the issue of going back to school came up. And that was when the rebel in me was woken up. To be knocked down again? Not me. Nothing would make me go to school; not even a ride on my granduncle’s black Chevrolet. Finally, I decided that if I was to go to school I would prefer to go live with my maternal grandparents who I had visited at Peki with Mother a couple of months earlier. It turned out that Grandpa Demanya had retired and had relocated to Keta.
That was how, sometime after Ghana’s independence in 1957, I arrived in Keta. As to whether it was easy to get me to go to school again is for another edition. But I did go finally. We lived very close to the main arterial road in the town, just a kilometre and half or so to the East of Fort Prinsensten, built by the Danes in 1784. The sea was about two kilometres south of our home. Grandpa forbade us children from going to the beach by ourselves.
Keta simply means vast land of sand. When the Danes built Prinsensten it was very close to the ocean because it was good for trade and shipment of slaves across the Atlantic. With time the sea receded leaving sand behind for a few kilometres. Over decades the people started building houses on the sand. I remember Grandpa saying at a point that the sea might one day come to reclaim its sand. Prophetic, if you asked me.
One day in November of 1961, I went to school as usual and when I got home for lunch, I saw my grandmother waist-deep in water trying to salvage the cooking pots that were floating on the water. The ducks we had in the house were having a field day on the water. Our goats and a couple of fowls were saved earlier; the building broke in two with the southern end tilted into the sea. As a nine-year old I had no appreciation of the magnitude of the problem.
All our belongings were packed by the side of the road where the whole family spent the night. It was a moon-lit night so we knew where everyone was as we awaited the break of dawn. School was on my mind at daybreak, but Grandpa got a Bedford truck to load the eight-member family and our belongings to the landing of the Keta Lagoon near the main Keta market where we were loaded on to a canoe that was to take us to our hometown of Anyako where I was to spend the next six years in basic school.
Just last week, the tidal waves struck the coastal areas one more time. And during the week I heard people make all manner of analyses of the situation. I overheard one person described as an expert postulating that the people of the area relocate. Ghana’s media landscape has become one giant avenue for people who know next to nothing carrying themselves as experts in areas they have little knowledge about. And there are equally illiterate people behind studio microphones who have no interviewing techniques asking very silly questions.
This posture is akin to asking the people of Louisiana, Texas, Florida, Alabama and other southern states in the US to relocate because of the annual hurricanes that assail those areas. Even in the great America,no one suggests to the people to relocate. Simply put, they do not run away from nature. They manage to live with nature. How have we as a people managed our coastal erosion?
Keta has become a strip of land between the Atlantic Ocean and the Lagoon named after the town. If nothing is done about saving the coast from further damage and the sea washes Keta, and its environs along the coast and hits the Lagoon, almost all towns around the Lagoon will be consumed by the sea. Seva, Anyako. Aborlorve-Nolopi, Afiadenyigba, Atiavi, Alakple and, indeed, 90 per cent of Anlo will vanish from Ghana’s map.
I remember some iron planks were used back in those days as a barrier between the sea and land. Now I realise that they were not effective for long because the engineers overlooked or underestimated the salinity of the ocean. The salt gnawed at the metals rendering them useless. With Polar Ice melting fast as a result of climate change, thus increasing sea levels, our situation can only get worse.
A comprehensive, yet quick action is needed to tackle this phenomenon. We can learn from how the United States deals with hurricanes. Better still, Cuba will be ready to teach us how they do it, willy-nilly. All we need is a responsible leadership to the needs of all our people. The “can do” spirit is all that is needed. Tackling issues of national importance is not a cold intellectual process.
Writer’s e-mail address
akofa45@yahoo.com
BY DR. AKOFA K. SEGBEFIA
Features
The global challenge of medical malpractice
Introduction
Medical malpractice is a significant concern worldwide, with far-reaching consequences for patients, healthcare providers, and the overall healthcare system.
It is defined as a deviation from the standard of care that results in patient harm, and can take many forms, including misdiagnosis, surgical errors, medication mistakes, and inadequate patient care.
This article provides a comprehensive overview of the issues surrounding medical malpractice, its consequences, and potential solutions.
The prevalence of
medical malpractice.
Medical malpractice is a widespread problem that affects patients in many countries. According to a study published in the Journal of Patient Safety, medical errors are the third leading cause of death in the United States, resulting in an estimated 251,000 deaths per year. Similarly, a study published in the British Medical Journal found that medical errors are a significant cause of morbidity and mortality in the UK.
Types of medical
malpractice
Medical malpractice can take many forms, including:
1. Misdiagnosis: Failure to accurately diagnose a patient’s condition, leading to delayed or inappropriate treatment.
2. Surgical errors: Mistakes made during surgery, such as operating on the wrong body part or leaving instruments inside a patient.
3. Medication errors: Prescribing or administering the wrong medication, dose, or route of administration.
4. Inadequate patient care: Failure to provide adequate care, including neglecting to monitor patients, provide necessary treatment, or respond to patient concerns.
Consequences of medical malpractice:
Medical malpractice can have severe consequences for patients, including:
1. Physical harm: Patients may experience pain, suffering, and long-term health consequences.
2. Emotional trauma: Patients and their families may experience anxiety, depression, and post-traumatic stress disorder (PTSD).
3. Financial burden: Patients may incur significant medical expenses, lost wages, and other costs.
Solutions to medical malpractice:
To address the issue of medical malpractice, many countries have implemented reforms aimed at reducing the number of claims and improving patient safety. Some potential solutions include:
1. Tort reform: Limiting the amount of damages that can be awarded in medical malpractice cases.
2. Alternative dispute resolution: Using mediation or arbitration to resolve disputes outside of court.
3. Communication and Resolution Programs (CRPs): Encouraging open communication between healthcare providers and patients, and providing fair compensation for injuries.
Conclusion
Medical malpractice is a complex issue that requires a multifaceted approach to address.
By understanding the prevalence, types, and consequences of medical malpractice, we can work towards creating a safer and more compassionate healthcare system.
Potential solutions, such as tort reform, alternative dispute resolution, and CRPs, offer promising approaches to reducing medical malpractice claims and improving patient safety.
References:
[1] Makary, M. A., & Daniel, M. (2016). Medical error—the third leading cause of death in the US. BMJ, 353, i2139.
[2] Vincent, C., Neale, G., & Woloshynowych, M. (2001). Adverse events in British hospitals: preliminary retrospective record review. BMJ, 322(7285), 517-519.
By Robert Ekow Grimmond-Thompson
Features
Life is like a quiz competition
I watched a quiz show on TV last Sunday, between two schools, Okuapeman and I think University Practice. After the first round, University Practice was leading with about 30 points and Okuapeman had nothing.
Then comes the second round of the intended four rounds of competition and at the end of the round, surprise, surprise, Okuapeman had 60 points and University Practice had either zero or 10.
In the final analysis, Okuapeman won the competition with 95 points to University Practice’s 90 or 93 points. Such is life and the mysteries of life, are difficult to fathom.
There are classmates that we thought could not amount to much in life and yet we become pleasantly surprised as time passed, about the vast improvement in their lives.
There were other mates who were obviously destined for the top, based on their academic prowess but became complete failures later on in life.
When I was in the primary school, there was a classmate who most of the time came first in the end of term exams. He was very brilliant and so he going further up the academic ladder through Secondary school, Sixth form and ending up at the University was a forgone conclusion.
However, life’s mystery set in and he ended up as a teacher in a technical school owned by his brother-in-law. He did not amount to much, became an alcoholic and eventually passed away.
The day I heard that he had passed away and his general circumstances, I felt so sad. Such is life and sometimes it is like the quiz competition I witnessed, full of uncertainties.
There was another senior in Middle School, who also was very brilliant. In fact he got a score of 254 out of 300 in the Common Entrance Examination. Many years later, in my early years at the University, I met this guy at the Tarkwa Train Station and got the shock of my life. This guy was wearing a dirty, loosely fitting singlet and his state was pitiful.
Naturally after expressing pleasantries, I asked him what he was doing in Tarkwa after telling him that I was a student at the university. He then narrated how he was dismissed from the most prestigious Secondary School in the Kwahu area after some smoking and going out without exeat issue.
He further indicated that as a result, he was then hustling and doing Galamsey to make ends meet. I would have had a hard time believing that he was doing Galamsey and not working in a reputable organisation or institution if it was told me by someone. Indeed life can sometimes be like a quiz competition, if God is not involved.
Since we are not God and therefore do not have knowledge of what the future holds, we need to treat people who come across our paths well because you never know.
When I went for the funeral of one of my aunties, on my father side, with my SUV many years ago, a lot of my relatives were surprised because they never imagined that.
When it comes to say wealth, it has nothing to do with one’s academic qualifications. We have some of the wealthiest people who were school dropouts and so we need to be careful how we treat people, because life is like a quiz competition and you never know until the competition comes to an end.
I have seen someone who was not that nice looking, the nose being flat and all, and then 12 years later, such a huge natural transformation; so never write anybody off, because life is like a quiz competition. God bless.
NB: ‘CHANGE KOTOKA INTERNATIONAL AIRPORT TO KOFI BAAKO INTERNATIONAL AIRPORT’
By Laud Kissi-Mensah
