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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.

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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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Features

 Old folks and human suffering

• The aged

The aged

Grey hair is an honour from God, says my uncle, Kofi Jogolo, whose moustache the world ad­mires. Unfortunately, his moustache is not grey. However, my dear, uncle who is a petty bourgeoisie is greying at the temples, which according to him is a sign of wisdom, reverence and honour. To me, it is also an indication that he is gradually nearing ‘home’ to render a comprehensive account of his life to his Creator.

Indeed, the principles of account­ability and probity transcend grey hairs and moustache, and wind up in St Peter’s Heaven.

Anyone who is getting close to the age of 60 can rightly claim the grey hair status. But in Sikaman for in­stance, to be a living member of the grey hair fraternity is a privilege and not a right. This is because the aver­age life span of humans today is 49 years, and the average in Third World countries is much lower. Poverty alone can kill you at 27.

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It is also of interest to note that journalists have the lowest average lifespan vis- a-vis other professional groups, according to a proven re­search.

In any case, the human species are better off than insects and animals. A mosquito lives for only six days and decides to call it quits. Most birds live for five years; and when a dog lives up to 10 years, it automatically becomes a liberal democrat. Why? Because it becomes so weak that it can no longer be a leftist watchdog of its master’s home. The poor dog becomes rather liberal to thieves and burglars.

So is it with human beings who clock 65 and above, especially when they have not eaten good for over six decades. According to the Bible, the human limit which has been divinely decreed is three score and 10, that is, 70. This appears discriminatory when we consider that Methuselah for instance lived for 969 years before agreeing to die.

CURSE

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Back to Sikaman, anyone who flies past the age of 65 is considered an old- man (woman) whether he is well- nourished or takes ‘quarter’ on a regular basis.

To many, however, to be called an old person is rather a curse than a blessing. And of course nobody wants to be a pensioner for obvious reasons. So you see workers who are clearly over 70 years claiming to be 50 just to avoid retirement and its associated mon­ey palaver. But somehow, they are justified.

Fact is that, these days, nobody cares for the aged, and so they have to care for themselves. It was the quest to avoid this unfortunate situation that the HelpAge Ghana was formed last year as a voluntary organisation aimed at promoting the well-being of the aged and ageing in Sikaman.

When the second HelpAge Week was launched last weekend, I felt so sad to see on television, old men and wom­en, some of whom could hardly work their rickety heels to help themselves about. Some really had to be assisted to walk.

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HelpAge has come so timely, at a time when no one respects or cares for the aged. In times’ past, old folks were regarded as useful mem­bers of the society, imparting knowl­edge and wisdom to the younger generation, telling Ananse stories to enliven the evenings of little children.

But today, old people are regard­ed as nuisance. They are accused of being talkatives, always complaining of kooko, waist-pains, constipation, diarrhea, chronic catarrh and lack of good diet.

Their physical and mental infirmities associated with senescence, coupled with the high cost of fending for them, makes them unwanted in a rat-race society where man must live by sweet.

Some people really want their aged relatives to die quickly to relieve them of the burden of caring for them. They can’t afford to be feeding them every day like that! So unfortu­nate.

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PROBLEMS

In the developed countries, how­ever, because of problems that go with caring for the elderly in society, homes for the elderly are established in many communities, where the aged can live comfortably to enjoy their last days on earth. They are cared for, nourished and entertained.

In fact, there is a branch of med­icine called GERONTOLOGY which is concerned with the processes of growing old, and there is what we call (GERIATRICS) which is the med­ical care of old people. Scholars are specialise in these fields because their society cares for the welfare of the aged.

HelpAge Ghana is a laudable idea and Sikaman natives must be awak­ened to their responsibility to the elderly. Those who also handle their pension claims must avoid the un­necessary delays. I remember, my old man had to go up and down for months before he was put on his right­ful scale.

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Now, instead of wishing our aged mothers, fathers and grand-parents to die so that we can get enough money to drink beer, let us contribute to Hel­pAge Ghana to get it firmly instituted.

That way when we are lucky to reach the three score and ten mark, we could also benefit from it. No one knows what the future has in store.

Sometime last year, I was privileged to attend a get-together of pensioners of UAC and management staff at the Ambassador Hotel. I am not a pension­er though. It was quite an interesting scene to see old men and women all over chatting animatedly, and remi­niscing their good old days.

I was also quite impressed with how some of them attended to the gin, brandy and beer at the reception.

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In contrast to this, it is so pathetic to see many old people in the capital of Sikaman begging for money to buy kenkey. They look dirty and unkempt carrying aloft their grey hairs. Let us find a means of helping out these elderly folks so that when our turn comes the good old Lord will have mercy upon us.

This article was first written was on Saturday October 6, 1990

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Features

The anxiety of parents

 I had a call from my daughter and addressing me in her rather unusual but affec­tionate way, by my official name as usual, she greeted me and asked about how I was doing and I responded and we exchanged the usual pleasant­ries.

Then her next statement caused my heart to start pounding. She said “Daddy, I am going out on a date.” This is one of the moments every parent becomes filled with anxiety. It is just like when your adult child comes to tell you that “I have met someone I would like to marry”.

I then started asking about when she met him, how long she had known him etc. Then she said “Daddy, I am just pulling a prank on you” and I heaved a sigh of relief. Every parent will tell you that one of their fears is who their chil­dren will marry in future.

Fear of the unknown, is the issue that brings the anxi­ety. Will this man be a good husband to my daughter? Is there a terrible hereditary disease in his family? What are his parents like and would they be caring in-laws to my daughter etc. etc.

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Most parents do not worry too much when their child is a man as opposed to a female child. Furthermore, boys do not bring pregnancy home so if they go out and come home late, parents do not worry too much compared to when Maggie or Agatha or Lucy goes out and comes home late.

Our culture makes it easier for men to opt out of rela­tionships so parents do not worry too much when a male children come to introduce their would-be spouses to them and there is no need to add that spouse here refers to a female, since our culture does not tolerate the insane antisocial behaviour affect­ing some societies including African ones.

Marriage must be between a male and a female, a man and a woman, as God who institut­ed and ordained it. The girls fall in love easily compared to the boys who mostly walk into love. I have not conducted a survey but I strongly believe that females suffer from heartbreaks more than males because of their emotional nature.

Another dimension to this anxiety of parents is the issue of mental problems which in some instances can lead to suicidal tendencies. Mental cases resulting from mental breakdowns abound in our communities and the victims are mostly female.

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A woman I met while walk­ing with a friend was a victim of a mental breakdown. The friend I was walking with, ex­changed pleasantries with the said lady and it was apparent that they knew each other very well.

My friend, after we had parted company with the woman, narrated how her husband was engaged in womanising which compelled the woman to take a revenge on him.

She decided that the best way to also hurt her hus­band’s feelings was to have an affair with the husband’s driver. The affair became known to the husband and she was divorced. The dress she was wearing and her general appearance when we met her on the street showed clearly that all was not well mentally with her.

It was so sad and as a parent I started praying into the future of my children that they would get the right partners, God-fearing people to marry.

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Another anxiety of parents is the character of their chil­dren’s life partners. Would they be kind people? Will they be people with bad tempers? Will they be wife beaters?

Domestic abuse is common in our society and you will be surprised at the calibre of the perpetrators. Some are well educated people, nicely dressed, when you meet them in public places you will never suspect that they are wife beaters.

Some are even pastors and yet they ignore the teachings of the Bible and maltreat their spouses. It is not only men who abuse their spouses but some women are abusers as well.

May God grant us and our children the gift of spirit of discernment so our children will make the right choices for us to also endorse.

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By Laud Kissi-Mensah

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