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Political Vision and its Enemies in Botswana: the Argument against

Tedzani Thapelo

Botswana novelist, poet, historian, researcher, biographer, writer of short stories, travelogue and human rights campaigner, Teedzani Thapelo*, advances the critical argument that Vision 2016 failed principally because we failed right from the beginning of this political project to diagnose the nature and severity of our national crisis and then compounded the situation by tailoring it to subverted, blighted and meaningless public policies. To give Vision 2030 a better chance of success we should this time around try to do things the proper way. More important we should make sure political vision does not morph into a baiting gimmick for political catastrophe; blighting the fortunes and future of our children.

First things first, political vision is by tradition an intellectual inquiry into the problem of social order. It is rightly regarded as Plato’s greatest political programme, perhaps his greatest contribution to political art. Scholars are agreed about its centrality to political philosophy as we understand it today. I should, however, confess I’m rather surprised Botswana has become so much besotted with this thing.

First it was Vision 2016: Towards Prosperity for All, and we all know what happened to that little pet project. Now it’s Vision 2036: Beyond Tomorrow, Beyond the Stars. What next? Well, I suppose we should try to do something about the sociological landscape of our nation. Why not? We are a member of the global village. We have got neither our own philosophical tradition nor do we have philosophers to chart our way into the future; a future I should sadly admit, that looks rather bleak and perilous. It’s also interesting to find one’s country so suddenly head-over-heels in love with something so purely intellectual. Oh, yes, Botswana is charmed by Plato, it’s a first rate love affair!

But do we know what we are doing? No, Batswana, these vision things do not come from Government Enclave; ga se mananeo a goromente. The visions come from some obscure offices and corridors in the UN, very far away. We only talk about them here because we belong to that beastly old creature, and our political education cannot, of course, be anything but western. So let’s fall in love with this thing from the canon of Western political philosophy as we please, but I do think we should try at least to be certain we really do know what it is we are doing.

Utopian ideas can be dangerous in politics. We all know about the sparkling fire of communist rhetoric and what came of it. Look at Russia. Look at Zimbabwe. Remember what happened to Muamur Gadaffi and his little Green Book, and Mao Zedung and his little Red Book. Words that look too beautiful and too promising in politics generally lead to dangerous disasters.

Let’s hope these fantastic little visions that Government Enclave is embracing with so much romantic enthusiasm don’t take us the same road. 2036 is not very far. From Rwanda I understand Paul Kigame will still be in power. Mugabe is threatening to rule on earth and right on to heaven, if he does get past Saint Paul at the Golden Gate, and so he probably will still be around.

My eldest son who just started working in Canada will be a family man and the two little ones, Davis and Rabasi, will still be in school if they are foolish enough to spend twenty-one uninterrupted years collecting useless certificates from universities all over the world like their father did. Why, one might ask, am I saying these things? It’s because politics is a deeply personal thing. Many people don’t realize this, but there can never be thriving human life and happiness where there’s no politics.

This is why I am asking: do we know what we are planting in our political system and tradition by adding these little poetic visions into it? Are Batswana ready to contend with the Platonic vision? Are our institutions and belief systems ready for it? Do we have the resources, ingenuity and moral fortitude to see these visions through? Aren’t we baiting political catastrophe?

I am told Ian Khama sent out an eminently distinguished team of professors to teach Batswana about these things, hear their views and write up our next political vision. I can only hope these professors too knew what they were doing. Did Batswana know they were talking to Plato, the greatest philosopher known to mankind? Did they know this thing is not a joke? I can hear an impressed Motswana at Sekondomboro village lamenting, like Faust, “sweet analytics, thou hast ravished me.” Good work. Remember Faust wanted all the things that Botswana wants: prosperity, power, peace, immortality. We all know what happened to him.

Let’s hope the same thing does not happen to us. Let’s also hope our distinguished professors taught Batswana well. There must be a reason why Batswana accept these things. Much of Africa does not care about these visions. We have better things to do than excite the passions and interests of already highly restive populations is what one writer friend of mine said to me. Too cynical? I don’t know. What am I saying here? Let me explain.

A political vision is by definition not an easy thing. But we don’t have to resurrect Plato to understand what it is all about. The vision documents that have become the fundamental sub-texts of our political strategy, survival and destiny in the last twenty years, including the now discredited Vision 2016 Document, are products of a political imagination going back at least 2000 years. The original purpose of political vision as a project of political philosophy was aimed at addressing a set of perennial issues afflicting ancient civilizations.

I want to focus on only a few most pertinent ones; moral corruption and degeneration in civilization, and political decay and collapse of civilizations. Political vision sought to speak literally to these menacing concerns at certain levels; beginning, degeneration, end, and revival, as well as discernable moments of truth that could be recovered, and provide the necessary means for political redemption. In short political vision is born of political crisis.

This must sound familiar to any Motswana who has been watching BTV the last couple of weeks. Vision 2016 calls for a moral, compassionate, educated and informed, innovative and productive, safe and secure, democratic and accountable, and tolerant and united nation. The issue of pride is nothing but political jingoism and for the most part sentimental foolishness. The operative concepts for our purposes here are moral, educated, innovative and productive, and safe and secure. As for democracy and national unity these I critiqued in a recent widely published article concerning a public lecture by former president Ketumile Masire (Ref. 16-22 July, Weekend Post/15 July, 2016, Botswana Guardian).

More problematical, research shows that totalitarian regimes tend to deal with national crisis better than democratic ones; and that they often thrive and endure longer in moments of historical stress than democratic ones do under the same circumstances, sad but true enough. The issue is, however, still open to debate. Even Plato did address this issue in his famous political dialogues. To sum up, political vision always speaks to contemporary political crisis and the possibilities of political redemption. And here lies the greatest problem.

When Botswana authored this vision twenty years ago what political crisis did it seek to address? Was there any historical stress in the republic? If political crisis did exist, what political redemption has been accomplished?  I’ve already said the vision programme came from the UN; never mind what Madomkrag say. Our business was only to domesticate and own it. But did we do this thing well? I don’t think so. When this global discourse was first mooted I was a graduate student in the economics department at SOAS. I knew right away it would create policy problems for African countries and said so at our weekly student’s seminar.

To my surprise everybody present disagreed with me, arguing it was a great opportunity for Africans to rethink their politics and policy instruments. I was staggered. So far as I understood the debate what was at stake was the possible ruin of two phenomena: western civilization and the capitalist international economy. Africa’s existential problem at the time was located elsewhere: structural adjustment programmes and the debt trap. Our problem was one of underdevelopment and perennial political crisis; and that of the West, corpulent affluence run amuck, and institutional complacence.

We were failing to adjust to postcolonial modernity and trauma; and Europe struggling to adjust to globalization and the triumph of capitalism. How could we lump the two development trajectories together? I was furious, so implacably furious my thesis advisor, the distinguished Marxist-Leninist scholar and philosopher, Ben Fine, decided I should write a development theory paper on the subject for the next seminar. I can’t say I entirely convinced my classmates about the merits of my argument. But that was to be expected. I was the only African student in that seminar. But my supervisor was delighted when two years later my thesis examiner, an oxford economics professor, brought up the question on the day I was defending my PhD and intellectual integrity, and I calmly stood up and gave the don that document word for word; from nothing short of an astonished memory and anguished temper. One hour later I was awarded my doctorate and only a week later I arrived home a free man.

To my surprise I found Batswana here agog about the same vision thing. I did try to make a contribution but my proposition seems not to have sat well with better minds at Government Enclave so I let the thing run. No one can deny today the whole thing is a scandalous failure. Just look at the crisis in education, and productivity, and the problem of political intolerance. Consider the continuing radical income inequalities, and the political anxiety gripping the entire country. Are we really as safe and secure as we think? Are we compassionate? Are we truly educated? Are we prosperous? Are we democratic and accountable? Are we a moral and united nation? Did we properly diagnose the real problems facing this country twenty years ago?

Why were we so shy to talk about HIV/AIDS at the time and its possible spill-over consequences in the areas of human capital, market integration and growth? Why didn’t we worry about its decimation of the finest educated and trained professional elites this country ever possessed; the very people whose mass deaths and anguished existence was soon to orphan and traumatize an entire generation of our national youth? Why were we so coy to concede our own environmental weaknesses? Why didn’t we talk about our ruinous maladjustment to diamond liquidity capital? Why didn’t we talk about the cancer of corruption in public life? Why didn’t we worry about donor fatigue and departure? 

Why did we not talk about the yawning cultural vacuum that was already threatening to eat out our national soul and vitality at the time? And the question of national unity: why didn’t we realistically talk about the things that held us together and go out of our way to cement and solidify them while doing away with those that continue to divide us, eating at the heart of our national consciousness? Why didn’t we talk about these things? Why did we settle for empty borrowed words that were mostly irrelevant to our situation? Why did we borrow other people’s problems instead of acknowledging our own and trying to do something urgently about them? Look again at Vision 2016.

Even today we could give that blasted thing to Burundians, or the South Sudanese. They need it. We don’t; or at least we didn’t need it twenty years ago. We failed, dismally, to author our own destiny as a nation and a people in 1997, to seek political redemption to the crisis facing us at the time, and what a missed opportunity. We have got fewer resources today, fewer friends in the international community who really count for something, and we have got far less energy and fire in us. It’s terrible the way things are going on in this country.

But maybe we still have a chance. I see now Ian Khama has just received the Vision 2030 Document. Once again its origin is the UN, and Western philosophical disquisition. I said it was compiled by Botswana’s finest intellectuals. Well, I won’t step on their decorated feet this time. I do see, however, the UN has this time diagnosed our national crisis fairly well; social and human development, sustainable growth, and environmental protection. Yes, governance, peace and security as well. This is all proper. International relations have changed profoundly in the last twenty years. The mandate of political philosophy is now somewhat different; thanks to the third wave of globalization, the forth industrial revolution in the West, the crisis of capitalism and the 2008 world recession, climate change and crazy imans in the Middle East. In general, right now we are not a safe world. Botswana must share these extraordinary and extreme concerns and these things must be reflected in our political agenda and calendar.

But what really is our current national crisis? How should we seek to explain our contemporary politics?  And what are the possibilities of political redemption going into the future; to 2030? These are issues that require serious research and rigorous analysis. I see the professors tasked to prepare this document had clear terms of reference; to mobilise Batswana to define their national dream and aspirations, to review background materials on the subject, to produce a document built from national consultation and consensus. I am sure the experts did this competently.

What baffles me, though, are the questions put to Batswana. The kind of country they want to see built by 2030? The kind of person a Motswana should look like in terms of social standing in 1930? The first question is open to too much irrelevant waffling. The second, well, one would have to look for something between Darwin’s evolution of species theory and Dickens’s Great Expectations. It’s a most singular question to put to any person; and ridiculous questions always get ridiculous answers. This is the major problem with Batswana. We never take ourselves seriously.

I remember the questions for Vision 2016. They were just as bad. I don’t even care if these questions-God forbid!-come from the UN as well. They are bad research questions. Then; what should be done to accomplish this dream? A good political question, but the who part is suspect. Why not how, given our poor work ethic, diminishing resources, education crisis, the malice of nature on the land, possibilities for political caprice, etc.? That way you enter the province of political philosophy where the political vision project originates.

Political vision presupposes ideological purpose. It is a symbolic character of human activity. It speaks to the philosopher’s city that is at work. It presupposes rule by those who profess to know the ground of justice. It implies the end of tension between truth and politics. It is rooted in the dilemmas and social tensions of society and the disillusioning experiences of a known and lived world (Ref. my article The Trouble with Botswana: a poet speaks, in 15 July, 2016 vol. 33, No. 106, Mmegi and subsequent publication). In some cases it originates from the failure of political experience. It is a therapeutic vehicle for the possible failures of nationhood and human civilization.

It seeks answers to the problems of human order and historical existence. It is key to the fundamental understanding, not only of human beings, but of the world as well. Its greatest concern is the problem of social order and man’s relation to his natural resource base; the environment. It seeks and desires to create a cultural world that conditions historical existence. For man it seeks perfect orientation and intellectual disposition, and politics, the authority to order society. Its creative transformation draws power and strength from agreed upon political symbols. It is, in the poetic language of Heidegger, the house of Being; a beautiful thing. But like all things beautiful it is not immortal. It can be destroyed with deliberate vehemence which, sadly, I believe, is what happened to Vision 2016.

What is required for a political vision to succeed? I refuse to answer this question. It would be the height of arrogance to try to tutor the best and brightest at Government Enclave, and a possible invitation of unnecessary personal harm and humiliation. But I do think Batswana know exactly what it is they ought to do.

First, identify the national crisis to be addressed, and then go all way out to seek political redress. Word of advice, take heed of the wise words of that great poet, the author of Paradise Lost, John Milton; “there is no art that has been more cankered in her principles, more soiled, and slobbered with aphorizing pedantry than the art of policy,” and all will proceed well, bearing in mind, of course, all the time, that politics imply a certain idea of man, and not always a good idea.

 

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Appendicitis: Recognising the Signs

29th March 2022

Many a times I get clients casually walking into my room and requesting to be checked for “appendix”.  Few questions down the line, it is clear they are unaware of where the appendix is or what to expect when one does have it (appendicitis). Jokingly (or maybe not) I would tell them they would possibly not be having appendicitis and laughing as hard as they are doing. On the other hand, I would be impressed that at least they know and acknowledge that appendicitis is a serious thing that they should be worried about.

So, what is Appendicitis?

Appendicitis is an inflammation of the appendix; a thin, finger-like pouch attached to the large intestine on the lower right side of the abdomen. Often the inflammation can be as a result of blockage either by the faecal matter, a foreign body, infection, trauma or a tumour. Appendicitis is generally acute, with symptoms coming on over the course of a day and becoming severe rapidly. Chronic appendicitis can also occur, though rarely. In chronic cases, symptoms are less severe and can last for days, weeks, or even months. 

Acute appendicitis is a medical emergency that almost always ends up in the operating theatre. Though the appendix is locally referred to as “lela la sukiri”, no one knows its exact role and it definitely does not have anything to do with sugar metabolism. Appendicitis can strike at any age, but it is mostly common from the teen years to the 30s.

Signs to look out for

If you have any of the following symptoms, go and see a Doctor immediately! Timely diagnosis and treatment are vital in acute appendicitis;

Sudden pain that starts around the navel and shifts to the lower right abdomen within hours

The pain becomes constant and increases in severity (or comes back despite painkillers)

The pain worsens on coughing, sneezing, laughing, walking or deep breaths

Loss of appetite

Nausea and vomiting

Fever

Constipation or diarrhoea

Abdominal bloating/fullness

Diagnosis

The doctor often asks questions regarding the symptoms and the patient’s medical history. This will be followed up by a physical examination in which the Doctor presses on the abdomen to check for any tenderness, and the location of the pain. With acute appendicitis, pressing on and letting go of the right lower abdomen usually elicits an excruciatingly unbearable pain. Several tests may be ordered to determine especially the severity of the illness and to rule out other causes of abdominal pain. The tests may conditions include: blood tests, a pregnancy test, urinalysis, abdominal  “How do ultrasound scans work?” ultrasound (scan), CT scan or MRI Scan.

Treatment

The gold standard treatment of acute appendicitis is surgical removal of the appendix known as appendectomy. Luckily, a person can live just fine without an appendix! Surgical options include laparoscopy or open surgery and the type will be decided on by the Surgeon after assessing the patient’s condition. Painkillers and antibiotics are also given intravenously usually before, during and after the surgery.

Complications

Appendicitis can cause serious complications such as;

Appendicular mass/abscessIf the appendix is inflamed or bursts, one may develop a pocket of pus around it known as an abscess. In most cases, the abscess will be treated with antibiotics and drained first by placing a tube through one’s abdominal wall into the abscess. The tube may be left in place for a few hours or days while the infection is clearing up but ultimately one would still have surgery to remove the appendix.

Peritonitis – without treatment, the appendix can rupture/burst. The risk of this rises 48–72 hours after symptoms start. A ruptured appendix spreads the infection throughout the abdomen (peritonitis). This is life threatening and requires immediate surgery to remove the appendix and clean the abdominal cavity.

Death – The complications of appendicitis (and appendectomy) can be life threatening, only if the diagnosis has been missed and no proper treatment has been given on time. This is rare though with the evolved medical care.

If you need further advice or treatment please call 4924730, email  HYPERLINK “mailto:info@themedicscentre.co.bw” info@themedicscentre.co.bw or visit www.themedisccentre.co.bw

Antoinette Boima, MBBS, BMedSci, PgDip HIV/AIDS, Cert Aesth Med is the Managing Director of The Medics Centre in Palapye.

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A degree of common sense

7th February 2022

Here’s a news item from last month you may have missed. In December 2021 the University of Staffordshire announced it would be offered a degree course in pantomime! Yes, that’s right, a degree in popular festive entertainment, the Christmas panto.

We used to have one here, put on by the Capitol Players, though it seems to have fallen away in recent times, but the spectacle is still alive and well in the UK, both in local ad-dram (amateur dramatic ) societies and on the London stage and most of the major cities, these latter productions usually featuring at least one big-draw name from the world of show business with ticket prices commensurate with the star’s salary.

In case you’re unfamiliar with the pantomime format, it consists of a raucous mixture of songs and comedy all based around a well-known fairy or folk tale. Aladdin and His Magic Lamp, Cinderella, Jack & The Beanstalk & Dick Whittington are perennial favourites but any well-known tall tale goes. There is no set script, unlike a play, and storyline is just a peg to hang a coat of contemporary, often bawdy, gags on, in what should be a rollicking production of cross dressing – there has to be at least one pantomime dame, played by a man and always a figure of fun, and a Principal Boy, ostensibly the male lead, yet played by an attractive young woman.

As an art form it can trace its roots back to 16th century Italy and the Commedia Del’Arte which used a mélange of music, dance, acrobatics along with a cast of comic stock characters so it has a long and proud theatrical tradition but you have to wonder, does that really qualify it as a suitable subject for a university? Further, what use might any degree be that can be acquired in a single year? And last but not least, how much standing does any degree have which comes from a jumped-up polytechnic, granted university status along with many of its ilk back in 1992, for reasons best known to the government of the time? Even more worrying are the stated aims of the course.

Staffordshire University claims it is a world first and the masters course is aimed at people working inside as well as outside the industry. Students on the course, due to start in September 2022, will get practical training in the art form as well as research the discipline.

“We want to see how far we can take this,” Associate Professor of Acting and Directing Robert Marsden said. The role of pantomime in the 21st Century was also going to be examined, he said, “particularly post Me Too and Black Lives Matter”. Questions including “how do we address the gender issues, how do we tell the story of Aladdin in 2021, how do we get that balance of male/female roles?” will be asked, Prof Marsden added.

Eek! Sounds like Prof. Marsden wants to rob it of both its history and its comedic aspects – well, good luck with that! Of course that isn’t the only bizarre, obscure and frankly time and money-wasting degree course available. Staying with the performing arts there’s Contemporary Circus and Physical Performance at Bath Spa University. Sounds like fun but why on earth would a circus performer need a university degree?

Or how about a Surf Science and Technology degree at Cornwall College (part of the University of Plymouth). Where the one thing you don’t learn is….how to surf!

Then there is a  degree in Floral Design at University Centre Myerscough. No, I hadn’t heard of it either – turns out it’s a college of further education in Preston, a town that in my experience fits the old joke of ‘I went there once…..It was closed’ to a ‘T’!

Another handy (pun intended) art is that of Hand Embroidery BA (Hons), offered at the University for the Creative Arts. Or you could waste away sorry, while away, your time on a course in Animal Behaviour and Psychology. This degree at the University of Chester teaches you about the way animals think and feel. Cockroaches have personalities according to the subject specs– you couldn’t make it up.

Happily all these educational institutes may have to look to their laurels and try to justify their very existence in the near future. In plans announced this week, universities could face fines of up to £500,000 (P750m), be stripped of their right to take student loans or effectively shut down if they cannot get 60 per cent of students into a professional job under a crackdown on ‘Mickey Mouse’ courses. Further, at least 80 per cent of students should not drop out after the first year, and 75 per cent should graduate.

The rules, published by the Office for Students (OfS), aim to eliminate ‘low-quality’ courses by setting new standards & requiring courses to improve their rating in the TEF, the official universities ratings system. Universities not meeting the new standards will not be able to charge full annual fees of £9,250. Unconventional courses that could fall victim to the new rules could include the University of Sunderland’s BA in Fashion Journalism, where students learn essential’ skills such as catwalk reporting and the history of Chanel.  They have only a 40 per cent chance of entering highly skilled work 15 months after leaving.

At University College Birmingham, BSC Bakery and Patisserie Technology students – who learn how to ‘make artisan bread’ – have a 15 per cent chance of a professional job within 15 months. Universities minister Michelle Donelan welcomed the move, saying ‘When students go to university, they do so in the pursuit of a life-changing education, one which helps pave their path towards a highly skilled career. Any university that fails to match this ambition must be held to account.’

OfS found that at 25 universities, fewer than half of students find professional work within 15 months.  Business and management courses at the University of Bedfordshire (14.8 per cent) were among the least likely to lead to graduate-level jobs.  Asked to comment, the University of Sunderland said it always looked ‘to find ways to improve outcomes’; University College Birmingham said data on graduates and definition of ‘professional work’ was limited. I’ll bet it is! As the saying goes, ’what the eye doesn’t see, the heart doesn’t grieve over’. What a pantomime!

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Why regular health checks are important!

7th February 2022

With the world still reeling from the negative impact of the Coronavirus disease-19 (COVID-19), and the latest Omicron variant (which is responsible for the ongoing global forth wave) on everyone’s lips, we should not forget and neglect other aspects of our health.

While anyone can get infected with corona virus and become seriously ill or die at any age, studies continue to show that people aged 60 years and above, and those with underlying medical conditions like hypertension, heart and lung problems, diabetes, obesity, cancers, or mental illness are at a higher risk of developing serious illness or dying from covid-19.

It is a good habit to visit a doctor regularly, even if you feel healthy. Regular health checks can help identify any early signs of health issues or assess your risk of future illness hence prompting one to take charge and maintain a healthy lifestyle. Heart disease, diabetes, some cancers and other non-communicable diseases (even communicable) can often be picked up in their early stages, when chances for effective treatment are high.

During a health check, your doctor will take a thorough history from you regarding your medical history, your family’s history of disease, your social life and habits, including your diet, physical activity, alcohol use, smoking and drug intake. S/he will examine you including measuring your weight, blood pressure, feeling your body organs and listening to your heart and lungs amongst the rest. Depending on the assessment, your doctor will notify you how often you need to have a health check. If you have a high risk of a particular health condition, your doctor may recommend more frequent health checks from an early age.

Diet – a healthy diet improves one’s general health and wellbeing. It is recommended that we have at least two serves of fruit and five serves of vegetables daily. Physical activity – regular physical activity has significant health benefits on one’s body, mind & soul. It contributes to preventing and managing non-communicable diseases such as cardiovascular diseases, cancers and diabetes, reduce symptoms of depression and anxiety, enhances thinking, learning, and judgment skills and improves overall well-being. According to the world health organisation (WHO), people who are insufficiently active have a 20% to 30% increased risk of death compared to people who are sufficiently active. Aim for 30 minutes to an hour of moderate physical activity at least four days in a week. Examples of moderate physical activity include brisk walking, gentle swimming and social tennis.

Weight – maintaining a healthy weight range helps in preventing long-term complications like cardiovascular disease, diabetes and arthritis. It is also vital for one’s mental wellbeing and keeping up with normal activities of daily living. Ask your doctor to check your body mass index (BMI) and waist circumference annually. If you are at a higher risk, you should have your weight checked more frequently and a stern management plan in place.

Alcohol – as per WHO reports, alcohol consumption contributes to 3 million deaths each year globally as well as to the disabilities and poor health of millions of people. Healthy drinking entails taking no more than two standard drinks per drinking day with at least two alcohol-free days in a week.

Smoking –Nicotine contained in tobacco is highly addictive and tobacco use is a major risk factor for cardiovascular and respiratory diseases, many different types of cancer, and many other debilitating health conditions. Every year, at least a whopping 8 million people succumb from tobacco use worldwide. Tobacco can also be deadly for non-smokers through second-hand smoke exposure. It is not ‘fashionable’ if it is going to cost you and your loved ones lives! If you are currently smoking, talk to your doctor and get help in quitting as soon as possible to reduce the harm.

Blood pressure: Hypertension is a serious medical condition and can increase the risk of heart, brain, kidney and other diseases. It is a major cause of premature death worldwide, with upwards of 1 in 4 men and 1 in 5 women – over a billion people – having the condition. Have your blood pressure checked annually if it is normal, you are aged under 40 and there is no family history of hypertension. You might need to have it checked more frequently if you are over 40, your blood pressure is on the high side, or you have a personal or family history of high blood pressure, stroke or heart attack. Your doctor will be there to guide you.

Dental care – eating a low-sugar diet and cleaning and flossing the teeth regularly can reduce one’s risk of tooth decay, gum disease and tooth loss. Visit a dentist every six months for a dental examination and professional cleaning, or more frequently as per your dentist’s advice.
Blood tests – annual to five-yearly blood tests may be done to further assess or confirm risk of disease. These may include blood sugar levels, cholesterol levels, kidney function, liver function, tumour markers, among other things. They may be done frequently if there is already an existing medical condition.

Cancer screening – various screening techniques can be done to detect different cancers in their early or pre-cancer stages. These include; skin inspections for any suspicious moles/spots, two-yearly mammograms for those at risk of developing breast cancer, Pap smear or the new Cervical Screening Test (CST) every five years, stool tests and colonoscopy (every five years) for those at most risk of bowel cancer, prostate cancer screening for those at risk (over 45 years of age, family history of cancers etc.). Discuss appropriate tests with your doctor.

Vaccinations – You should discuss with your doctor about the necessary routine immunisation, in particular; the Covid-19 vaccines, an annual flu shot, a five-yearly pneumococcal vaccine if you have never had one or you are immunocompromised and any other boosters that you might need.

If you need further advice or treatment please call 4924730, email HYPERLINK “mailto:info@themedicscentre.co.bw” info@themedicscentre.co.bw or visit www.themedisccentre.co.bw

Antoinette Boima, MBBS, BMedSci, PgDip HIV/AIDS, Cert Aesth Med is the Managing Director of The Medics Centre in Palapye.

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