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DR ERNEST SIMELA. This is an educational and information site. medical, academic, Africa, travel and social issues.

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Coronavirus disease (COVID-19)

Posted by edsimela on March 30, 2020
Posted in: Uncategorized. Leave a comment

Coronavirus Disease 19 (COVID-19)

What is it:
COVID-19 is a respiratory disease caused by a new (novel) Corona virus. The family of Corona viruses has been around for a long time. It is known to cause things like the common cold. COVID-19 is new. This disease causes a respiratory illness with Flu – like symptoms.
Where does the name come from:
The virus belongs to the family of viruses known as coronaviruses because of their crown-like appearance under the microscope. This one was identified in 2019, hence the name initially given to it was “2019 novel coronavirus”. The disease that it causes is now widely known as “coronavirus disease 19” or just COVID-19.
What are the symptoms:
In general the symptoms include cough, fever and in severe cases, difficulty breathing. It affects the lungs, causing pneumonia. The symptoms vary from person to person depending upon the severity of the disease.
How is it spread:
It is primarily airborn. When someone coughs or sneezes the droplets are sprayed into the air. The people within a short distance from that individual can breathe those droplets into their system and catch the disease. The droplets containing the virus can land on a surface and remain there for sometime. A person who touches that surface and then touches their nose, eyes or mouth can inhale or introduce the virus into their system and get the disease.
How do can you prevent the spread of the disease:
1. Cover your cough or sneeze to stop spraying the droplets containing the virus into the air that other people can breathe. Cough or sneeze into your flexed elbow or disposable tissue.
2. Wash your hands for 20 seconds with soap and water frequently. If available, use an alcohol based hand sanitizer frequently.
3. Avoid touching your face, eyes, nose and mouth if your hands are not clean.
4. Avoid close contact with people, especially if they are not well; or if you are not well.
5. Stay at home. Protect yourself and those around you.
THIS IS A VERY SERIOUS DISEASE.
Ernest D Simela, M.D.

Coronavirus disease (COVID-19)

Posted by edsimela on March 30, 2020
Posted in: Uncategorized. Leave a comment

Coronavirus Disease 19 (COVID-19)

What is it:
COVID-19 is a respiratory disease caused by a new (novel) Corona virus. The family of Corona viruses has been around for a long time. It is known to cause things like the common cold. COVID-19 is new. This disease causes a respiratory illness with Flu – like symptoms.
Where does the name come from:
The virus belongs to the family of viruses known as coronaviruses because of their crown-like appearance under the microscope. This one was identified in 2019, hence the name initially given to it was “2019 novel coronavirus”. The disease that it causes is now widely known as “coronavirus disease 19” or just COVID-19.
What are the symptoms:
In general the symptoms include cough, fever and in severe cases, difficulty breathing. It affects the lungs, causing pneumonia. The symptoms vary from person to person depending upon the severity of the disease.
How is it spread:
It is primarily airborn. When someone coughs or sneezes the droplets are sprayed into the air. The people within a short distance from that individual can breathe those droplets into their system and catch the disease. The droplets containing the virus can land on a surface and remain there for sometime. A person who touches that surface and then touches their nose, eyes or mouth can inhale or introduce the virus into their system and get the disease.
How do can you prevent the spread of the disease:
1. Cover your cough or sneeze to stop spraying the droplets containing the virus into the air that other people can breathe. Cough or sneeze into your flexed elbow or disposable tissue.
2. Wash your hands for 20 seconds with soap and water frequently. If available, use an alcohol based hand sanitizer frequently.
3. Avoid touching your face, eyes, nose and mouth if your hands are not clean.
4. Avoid close contact with people, especially if they are not well; or if you are not well.
5. Stay at home. Protect yourself and those around you.
THIS IS A VERY SERIOUS DISEASE.
Ernest D Simela, M.D.

Coronavirus disease(COVID-19) hits Southern Africa.

Posted by edsimela on March 30, 2020
Posted in: Uncategorized. Leave a comment

A letter to my fellow countrymen, brothers and sisters.

This coronavirus disease is very serious business. Please take it seriously.

If there was ever a time when we needed to take responsibility for our health and that of our fellow citizens, this is the time.

If ever there was a time when we needed to care about ourselves and those around us, this is the time.

If  there was ever a time when our governments needed to act to protect their citizens from an invisible enemy, this is the time.

This is not the time for violence and brutality from soldiers and the police. It is time for compassionate guidance and direction.

Let us follow these minimum guidelines and be safe.

  1. Wash your hands for 20 seconds with soap and water frequently.
  2. Do not touch your face, nose, eyes and mouth with dirty hands.
  3. Avoid crowds as much as possible.
  4. “Stay at home”, “Shelter in place” as much as possible, especially when you are not feeling well.

This disease does not discriminate. Whether you are rich or poor, white or black, no matter what your social or political status is, it knows no boundaries. We are all in this together.

If we do not get it right, the results could be disastrous.

Sizakufa siphele du!

Ernest D. Simela, M.D.

Religion and Education In Africa

Posted by edsimela on May 21, 2018
Posted in: Uncategorized. Leave a comment

Education and Religion in Africa.

The role of religion in educating the youth of Africa.

In the years before independence in Southern Rhodesia which is today Zimbabwe racial segregation was the law of the land. Practically everything was segregated, from where you lived, where you worshiped, where you went to school down to where you went to the bathroom. Black people lived at the mercy of their white colonizers.

The rural areas where I grew up did not have any government schools. There were no white children there to educate. So the government of the day saw no need to build schools for black children. These areas became fertile ground for missionaries to spread their religion. Different denominations built churches everywhere in these rural areas. Western religion soon spread all over the place. It did not matter whether one could read the bible or not, they memorized the verses and songs and prayed better than the preacher.

Here is the historical fact that intrigues me. While these missionaries were spreading western religion, western values and dismantling our customs and traditions they filled an educational void left open by the government. The churches went hand in hand with schools which provided an invaluable education to most of us. They taught math, science, English, religion, history (not necessarily the history I would have liked to learn) and a whole lot of other subjects. Children went to church on Saturday or Sunday depending upon the denomination they belonged to. They spent Monday to Friday going to school to learn. In retrospect that was not a bad partnership.

Today in my hometown of Bulawayo children spend hours in church. There are traditional church buildings, tents, churches under trees and even some closed industrial factory buildings have become churches. Meanwhile the education system has hit rock bottom. Grades at O-level, especially Math and Science are a disaster. Whatever happened to that partnership between education and religion? Can religion once again be the catalyst that propels our children to master Math and Science so that they can be the pillars of development and nation builders of tomorrow?

Ernest D. Simela, M.D.

Matebeleland Team Goes To London

Posted by edsimela on February 4, 2018
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Matabeleland Select Football Team
Football is the most universal sport in the world. It has the potential to unite us all. The Matabeleland Select football team (nicknamed Ingqungqulu Zika Mthwakazi) is made up of talented players from all over the regions of Midlands and Matabeleland in Zimbabwe. It prevailed over many great teams from many parts of Africa to win a coveted spot in the Confederation of Independent Football Associations (CONIFA) games in London from May 31 – June 10, 2018. They made us proud. They put Matabeleland in the brightest spotlight for the world to see what they are made of. They deserve our wholehearted support.

Save Matabeleland Coalition (SAMACO) is the administrative organization that is sponsoring this great team in conjunction with CONIFA. They have done a great job in putting this team together. This is only the beginning. There is a lot of work to be done to prepare this team so that it will be ready to play, compete and WIN in London next June. That is where you come in. We need all hands on deck. This amazing team of talented young players needs and deserves your moral support and more importantly your FINANCIAL support. It will cost US$35000.00 to get the squad to London. Any little bit goes a long way and simple math shows that with the support of 1000 people we can raise this amount with each person contributing US$35.00. Please spread the word and give generously. You can easily donate through our campaign page at:
https://gogetfunding.com/matabeleland-to-world-football-cup-london-2018/

If you have any questions please feel free to contact either:
B. Sibindi at: (263)-733-056-828 or sibindibusani3@gmail.com
E. D. Simela at: (516)-707-2912 or by email edsimela@gmail.com
J. Nyathi at: (425)-919-4172 or by email jnyathi@ewu.edu

The World Football Cup offers us a rare opportunity to showcase our identity, culture strength, talent, unity and the will to succeed as a people. The participation of Matabeleland in the London games can unite us, strengthen us, build us and most importantly propel us into the limelight and build pillars of recovery in dignity and self-respect.

The Team Seeding for the games in 2018 was completed in Northern Cyprus on January 5, 2018 and the Matabeland Select is in a group with Padania, Szekely Land and Kiribati. The complete draw appears below.
Matabeleland Select in Action Against Highlanders Reserves

Below is a Picture Before a Friendly Match with FMSA UMGUZA FC

Overweight and obesity: lessons for the developing world

Posted by edsimela on February 19, 2017
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Overweight and obesity are an international epidemic that is wrecking havoc to the health of millions of people around the world. The consequences of overweight and obesity are enormous in terms of  lives lost(death); people incapacitated(poor health, limitations in activity like sports, military  etc ) and huge health care costs.

Overweight is here defined as a BMI (body mass index) greater than or equal to 25.

Obesity is defined as a BMI (body mass index) greater than or equal to 30.

The world health organization(WHO) estimates that world wide overweight and obesity have doubled since 1980. In 2014, more than 1.9 billion adults over the age of 18 years were overweight. In 2014, 41 million children under the age of 5 years were overweight. The consequences of overweight and obesity include diabetes, heart disease, high blood pressure and stroke.  Fortunately, overweight and obesity are preventable.

The western world introduced processed foods to the world and they are paying a price for it. The processed food products were touted as delicious, nutritious and finger-licking good. Supersized refined juices and sugary drinks(sodas or soft drinks) hit the market places like a tidal wave. People just rode the wave and gobbled these products down. The weight gain steadily rose, and the end result was this international epidemic.

So what can the developing world learn from this. More importantly what can they do about it.

1. Curb the appetite for processed foods like sweets(candies), sugary drinks(soft drinks or sodas, artificial juices). Encourage people to eat fruits, vegetables and drink water.

2.Curb the huge appetite for bread, especially white bread and sweet pastries. Encourage people to eat natural whole grain products–like what grandma used to make.

3.Cut down on meat, meat products and eggs. High cholesterol is not good for the heart.

4 Cut down on excessive use of salt. Salt is not good for blood pressure.

5. Curb the consumption of sugar and sugary drinks especially by young people. Encourage people to drink water.

6.There is an abundance of fruits and vegetables, domestic and wild, out there. The developing world would be better served if they encourage people to eat them instead of the processed foods. Governments should help people to grow their own fruits and vegetables. It would not only be good for their health but cost effective.

Follow a simple 5210 guide  to nutrition and good health habits.

5-is for 5 fruits and vegetables a day

2-is for 2 hours or less of recreational screen time( i.e.TV, Computer ,games etc)

1-is for at least 1 hour of physical activity per day

.    0-is for zero sugary drinks. Drink more water or low fat milk.

7.Encourage women to breast feed their children. It has enormous health benefits.

8. Finally, get people moving. A sedentary life style is almost as deadly as a bad diet. Encourage people to exercise, walk and play sports

Obesity and overweight are preventable.

Ernest D. Simela, M.D.

 

Fundraising Challenge

Posted by edsimela on February 12, 2017
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Hope For Mtshabezi is a nonprofit organization that sponsors Outreach health clinics in Zimbabwe, Southern Africa. HFM is a 501(c) (3) organization with 12 years of service. It has been providing healthcare to disadvantaged citizens in rural areas of Mtshabezi, a part of the Gwanda district for many years.

After 12 years of sponsoring clinics the organizations has decided to build an actual brick and mortar clinic at an area called Mayezane in the Gwanda district. This clinic will enable people of Mtshabezi to have a medical home. With your help the organization hopes to build a Full Service clinic including but not limited to:

a. Health services for adults and children

providing immunization to children to eliminate preventable diseases like measles,polio etc.

b. Services for Women’s health including a maternity clinic

c. Services for HIV/AIDS patients

d. dental and eye care and much more.

To this end, Lindani Sibanda, founder of the organization and others will be walking 30 miles from St Lukes to Lupane in Zimbabwe to raise funds towards building the clinic. Be a part of the building process. Sponsor her for every mile that she walks.

go to:

http://www.HopeForMtshabezi.org

and donate via  Paypal/credit card

or  send a check to:

Hope For Mtshabezi

P.O.Box  536

Crownpoint, NM 87313

Any amount will be greatly appreciated.

Ernest Simela, M.D.

Chairman of the Board

 

 

 

 

 

Hope For Mtshabezi Fundraiser Walk April 2015

Posted by edsimela on May 23, 2015
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Hope for Mtshabezi is a non profit organization that provides free health care to the under served rural communities in the Gwanda district, in Zimbabwe. The organization plans to build a free standing health clinic at Mayezane,one of the rural communities that it has served. Lindani Sibanda has just completed a sponsored walk from Mayezane to Bulawayo, the second largest city in Zimbabwe to raise money to build this clinic.Please listen to her talking about the walk. Your donation would be very much appreciated.

Please go to our website and learn more about the organization and its activities

http://www.hopeformtshabezi.org/

Thank you .

Ernest Simela, M.D

Here she is in her own words

https://www.youtube.com/watch?v=iXkFBa9y_XI

Breast feeding and Poverty

Posted by edsimela on April 18, 2014
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Humans and all kinds of creatures have been breast feeding their offspring since creation. To me the idea that people have to be taught how to breast feed does not sound right. It seems to me that something has broken the natural chain by which creation intended to perpetuate itself. In nature the young are born, raised on breast milk, and then grow up only to repeat the process themselves. They learn the art of breast feeding in the school of nature. That is true unless something has interfered with the chain in such a way that the knowledge is not passed on to the offspring. Is it possible that advancement, civilization or education or economic success or whatever you want to call it has broken that natural chain?

Poor people from the so called third world have maintained higher rates of breast feeding than the new advanced world. They have done so because it is the natural way in which children have been fed for as long as human beings have been around. But they have also done so because they could not afford the alternative.  Artificial or commercial infant formula is either beyond their financial means or it is simply not available where they live. In the country side where I grew up there were no supermarkets or corner stores where one could run to and get infant formula. There were no programs like WIC which provided formula to those that could not afford it.  Practically every woman breast fed her baby.  She learned the art of breast feeding at her mother’s side. Women did not run and hide behind closed doors to breast feed their infants. In fact if a woman was traveling in a public bus and her infant cried because it was hungry people would yell at her if she did not breast feed the baby.

In my book ,”Struggle to the Top of the mountain”, I write about how staying at home until I was a little older helped me to learn about our culture and tradition. Breast feeding was not one of those traditions that I learned about during those years. It was such an integral part of life that it was unimaginable that any woman could even think of not breast feeding their infant.

The medical community has miraculously discovered that breast feeding is actually good for babies. So now this age old natural thing is being aggressively pushed in every maternity ward. Breast milk provides great nutrition even as it provides immunity to all kinds of diseases to the baby. Breast feeding specialists are everywhere in hospitals and clinics of the advanced world. The poor people have done this for centuries without the help of specialists.

Have we paid a high price for advancement? Have we broken the natural chain by which humans and other creatures have always raised their offspring? I believe that those poor people who have held on to the natural art of breast feeding deserve our respect. What do you think?     Ernest Simela

Organic Food and Poverty

Posted by edsimela on March 8, 2014
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I am always amused when I go to a supermarket and see that products labelled “organic” are more expensive than regular products. In my book “ Struggle to the top of the Mountain” I write about the fact that I grew up in the arid reservations of Southern Rhodesia(present day Zimbabwe). I grew up among peasant farmers who tilled the land by hand because they could not afford tractors and all the fancy agricultural equipment used by big commercial farmers. They could not afford the fertilizers and all the synthetic products used to “improve” the quality of farm products. Incidentally most people in that part of the world still work the land by hand. They barely produce enough food to eat.
If I understand it correctly, “organic food is that which is produced without the use of synthetic chemicals, irradiation, growth hormones and all that good stuff”. These are things that help farmers to get their products to the market faster. The peasant farmers where I grew up were too poor to afford any of these products. So they produced their food using all the natural things available to them. The cattle, goats and sheep grazed in the unspoiled pastures available to the community. They ate wild grass that had never been touched by any chemical except whatever nature put out there. They drank water from rivers that were as far from any development as you can get. Whatever sipped into the water was whatever came from the forests and surrounding mountains. We ate meat and drank milk from these cows. These products were as organic as anything can be.
The cattle, goats, sheep and donkeys were kept in the kraal at night. Here they produced manure overtime. It was this manure that was used to fertilize the fields. There was no irrigation system. The crops were watered entirely by rain water. So there was no chance that harmful chemicals could be introduced into the food chain. Those that could afford chickens kept them cage-free and free range. They fed them corn that was produced in the fields free of chemicals. The free range chicken produced eggs that were as natural as how nature intended them to be. These were the wholesome organic eggs that should have been sitting on the shelves of supermarkets.
And so it was that out of poverty the peasant farmers of my childhood years produced “wholesome organic food” without knowing it. Over the years those that have become successful have introduced fertilizers and pesticides into their fields. Their chickens are treated with antibiotics to keep them healthy. These chemicals sip into the soil and drinking water and end up in our bodies. What a price to pay for progress!
Ernest D. Simela,M.D.

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