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2019: Botswana’s worst political year!

Ndulamo Anthony Morima
Eagle WATCH

Inarguably, the year 2019 will go down in Botswana’s political history as the worst year ever, or at least the most eventful political year this country has ever endured. I say worst because several tendencies came to the fore which are inimical to the democratic ideal that our country has become internationally acclaimed for.

Such of our values and virtues as tolerance, inclusiveness and abhorrence of such ills as tribalism and sexism were, this year, tested to the core. In my view, it is the feud between his Excellency the President, Dr. Mokgweetsi Eric Keabetswe Masisi, and his predecessor, Lieutenant General Dr. Seretse Khama Ian Khama, which made this year the nightmare it was. For the first time in our history, we witnessed public spats between the current president and the former, with the Permanent Secretary to the President (PSP) joining the fray in support of the current.

In an unprecedented development, the former president’s staff were pulled from his residence and/or offices without his knowledge and/or consent; the former president was, in some instances, denied the privilege to travel by air; the former president was denied the privilege to determine who is employed as his private secretary. Not only that. Dr. Khama was barred from using obstacles at the Botswana Defence Force (BDF) range and several positions were taken from him, including the chancellorship for the Botswana University of Agriculture and Natural Resources (BUAN) and the Vision 2036 patronship.

Of course, some of these decision (e.g. the refusal to appoint former Director General of the Directorate on Intelligence & Security Services(DISS), Isaac Kgosi, as Dr. Khama’s private secretary) by government were appropriate, but because of the feud they were done in a combative manner which sometimes led to mistakes, which resulted in government retracting from some.

On the international stage, the feud caused embarrassment to Botswana when Dr. Khama was not accorded full diplomatic protocols when he visited the Tibetan leader, the Dalai Lama, contrary to government’s preference because of its One China policy. This incident dented relations between Botswana and South Africa because the latter granted Dr. Khama a diplomatic passage in his capacity as former head of state.

Recently, it was reported that this feud escalated to unprecedented levels when Dr. Khama was denied VIP protocols and courtesies at Sir Seretse Khama International Airport. Reportedly, he was not allowed to use the VIP gates and he queued like everybody else and walked to the aero plane, something which was not only embarrassing, but also put his security at risk.

It is disconcerting that there are allegations that the public service and law enforcement and security agencies, especially the DISS, are used to fight these political battles. If true, it is regrettable since this is an abys from which we may never recover. Dr. Khama himself is not without blemish. Against tradition, he has spoken ill of not only his party, the BDP, but also the government as though he has not been part of them for the past twenty years or so.

This he did not only locally, but also internationally when he gave interviews to international media houses during which he gave a negative account of the government he once led, which is currently led by his chosen successor, Dr. Masisi. Of course, Dr. Khama, like every citizen, has the right to the freedom of conscience and expression. But, he, as former head of state, is no ordinary citizen. Not only that. The world over, tradition dictates that former heads of state, especially when they are succeeded by a head of state from their own political party, stay out of politics and do not openly criticize their successor after they have left office.

 
It is also unheard of, and it is almost taboo, for a former head of state to use international fora or platform to criticize his or her government. The Masisi/Khama feud has given rise to several unpleasantries which marred the year 2019. One such was the response Dr. Pelonomi Venson-Moitoi got from Dr. Masisi and the Botswana Democratic Party (BDP) simply because she decided to challenge Dr. Masisi for the party presidency.

In the eyes of Dr. Masisi and the BDP, Dr. Venson-Moitoi’s decision to challenge Dr. Masisi was a sin which warranted her dismissal as a cabinet minister. While Dr. Venson-Moitoi’s dismissal from cabinet may be understandable because ministers serve at the President’s pleasure, it is not understandable why some in the BDP became as intolerant as to question her nationality, claiming she holds dual citizenship since she is also a Malawian citizen.

Worse still, others became as personal as to depict her as not only ugly, but also a bully. Others brought in the tribal card, claiming that the reason Dr. Khama supported her candidature is that she is a MoNgwato. The tribal card was also used against one of Dr. Venson-Moitoi’s ardent supporters, former Member of Parliament (MP) for Tati East and former BDP Chairperson, Sampson Guma Moyo, who has since fled the country to South African claiming his life was at risk.

Suddenly, Dr. Venson-Moitoi’s credentials as one of the longest serving Parliamentarians and cabinet ministers, who Dr. Masisi himself supported during her campaign for the chairpersonship of the African Union, counted for nothing simply because she exercised her democratic right to stand for political office.

The Opposition has also played a role in making this year the worst in Botswana’s political history.

The Umbrella for Democratic Change (UDC)’s failure to deal decisively and timeously with the Botswana Movement for Democracy (BMD) saga resulted in the UDC expelling the BMD in the eve of the general elections, something which could only spell electoral doom for the Opposition.

Subsequent to the expulsion, instead of spending time and resources on the campaign trail, the UDC and the BMD spent time and much needed resources in the courts, fighting a battle which, as the Court of Appeal held, was, for all intents and purposes, academic and based not on pragmatism, but on mere principle, if at all.

Also, just like in 2014, the Opposition’s vote was split because the Alliance for Progressives (AP), as if it did not learn from the Botswana Congress Party (BCP)’s 2014 lesson, contested the elections outside the UDC.

It is because of this that many, especially workers, trade unions, the unemployed and the poor believe that the Opposition reversed the gains of 2014 and handed victory to the BDP on a silver platter.

For the first time in our electoral history, there have been allegations of massive vote rigging and fraud, with allegations that the DISS, the state president and the Independent Electoral Commission (IEC) were involved.

As we speak, the High Court is seized with at least sixteen (16) petitions for Parliamentary elections, something which is unprecedented by any measure.

If true, this would be a serious indictment on our democracy, one of whose invaluable tenets has been free and fair elections. Given the history of the DISS, many may not be surprised about allegations of its involvement.

But the same cannot be said about the IEC, an institution which has, so far, been almost beyond reproach. It would indeed cause an irretrievable damage to our democracy if it were to be found that the IEC or its officials were involved in vote rigging and fraud as alleged by the UDC.

Granted, the state president is a politician who desires political victory at all costs. But, never before has a state president been accused of participating in vote rigging in our country. Therefore, if it were to be found that he was indeed involved as alleged, our country’s reputation will suffer irreparable harm.

The BDP and Dr. Masisi’s response to the UDC’s petitions have not been clothed with grace. As if filing a petition is a crime, some have accused the UDC of lack of patriotism, treason and sabotage.

This cannot be correct, and it should be frowned upon by all who believe in democracy. Electoral petitions, just like any form of litigation, are a constitutional remedy which is available to any person who feels aggrieved by the electoral results.

In countries where this remedy is thwarted, people resort to unconstitutional and/ or unlawful measures which invariably put the peace and security of the country in jeopardy. 

One, therefore, prays that this be the last year our country suffers such political turmoil for if this continues, the good governance, peace and stability our country has become internationally acclaimed for may be in jeopardy.

Given the size of our economy, our meagre population and the fact that we are a landlocked country, if we suffer an attrition on good governance, peace and stability, we are guaranteed to go down the drain. What a waste that will be! 

Ndulamo Anthony Morima

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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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