Tag: Cancer

  • 11 Ways to Reduce Your Risk of Cancer

    11 Ways to Reduce Your Risk of Cancer

    Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread.

    Cancer is one of the world’s leading causes of death, but fortunately about 33% cases can be prevented, according to the World Health Organization. There’s no magic pill to keep you from getting cancer, but you can do some things to improve your odds.

    Wear Sunscreen

    Harmful rays from the sun can give you more than a sunburn. Ultraviolet radiation can cause skin cancer, the most common kind of cancer in the U.S. Most cases are curable if they’re found and treated early. Sunscreen with a sun protection factor (SPF) of 30 or higher can help protect you.

    Risk of CancerEat More Vegetables

    Vegetables and fruits can help lower your risk of a range of cancers in your mouth, throat, windpipe, and esophagus. These foods have things that help your cells prevent damage that may lead to cancer later. You should get at least 2 1/2 cups of fruits and vegetables a day.

    Get cancer screenings

    Different types of cancer screenings and tests can check for different types, like breast, colon, prostate, or skin. Consult your doctor to know which of these screenings you really need.

    Don’t Reckon With Supplements

    It’s better to get nutrients from whole foods than supplements.
    A diet rich in vegetables, fruits, and whole grains is better than nutritional supplements to lower your risk of cancer. Supplements may help with certain conditions, but don’t bet on them to prevent cancer.

    Reduce Your Intake of Sugar

    Too much of sugar consumption enhances the risk of obesity and cancer.
    Foods or drinks with a lot of sugar tend to have more calories per ounce. You don’t have to avoid the sugar entirely, but watch out for food and drinks with added sweeteners.

    Get Vaccinated for HPV

    Human papillomavirus (HPV) is the most common sexually transmitted infection (STI).
    Many people with HPV don’t develop any symptoms but can still infect others through sexual contact. Symptoms may include warts on the genitals or surrounding skin.
    There’s no cure for the virus and warts may go away on their own. Treatment focuses on removing the warts. A vaccine that prevents the HPV strains most likely to cause genital warts and cervical cancer is recommended for boys and girls.Girls can get the vaccine between the ages of 9 and 26, and boys from 9 to 21. Using condoms can also lower your chances of getting HPV.

    Exercise a Lot

    Exercise reduces your risk of several cancers and other health problems.
    People who a lot exercise are less likely to get cancer of the colon, breast, or uterus. Being active also can help head off other health problems like heart disease or diabetes.

    Avoid Using Tobacco

    Do you smoke? It causes various kinds of cancer, as well as heart and lung disease. Tobacco use remains a major preventable cause of cancer.

    Drop the Weight

    Obesity is a preventable risk factor for cancer.
    Nearly 70% of Americans are overweight or obese — and those extra pounds drive up your chances of several types of cancer, including in your esophagus, pancreas, colon, kidneys, and thyroid gland.

    Eat Less of Red Meat

    Reduce your consumption of red meat along with cured meats like bacon, hot dogs, and lunchmeat, to reduce your risk of colon and stomach cancers.

    Reduce Your Intake of Alcohol

    Excess alcohol consumption can raise your risk of cancers of the digestive system — your stomach, liver, and colon, among others — as well as breast and throat cancer. It can hurt tissues in your body, damage your liver, and mix with other chemicals to harm your cells.

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  • The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale

    The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale

    Lawyers
    Lawyers

    “Those who make peaceful revolution impossible will make violent revolution inevitable.”
                                                   – President John F. Kennedy (1962)

    This week may be one of the worst weeks for Nigerian judiciary and they might have made the much vaunted Sowore’s revolution inevitable. The first salvo was the list of judges released by the National Judicial Council replete with the names of their sons and daughters as well as hangers on. Second is the farcical decision in EFCC vs Kalu where the Supreme Court “suo motu” created a new section to the constitution of Nigeria by vacating a conviction duly given under an extant law. The strange rationale by the Supreme Court is that the presiding judge, now elevated to the Court of Appeal should not have pronounced the sentence. The Court conveniently ignored the fact that the accused counsel had invited the judge to come back and continue the hearing by a formal letter!

    Gone are the days when Nigerian judiciary is famously celebrated as the last bastion of defense for the common man. The days of Kayode Esho, Chukwudifu Oputa, Muhammed Uwais is long gone. Our judiciary is no more like Caesar’s wife, above board. The problem however is not necessarily down to the hydra headed monster of corruption alone but a more sinister evil called, nepotism. It is my humble opinion that an opaque process for selection of judges led us to where we found ourselves this week. And the problem did not start with the current chief justice. The dysfunction and bastardization have been long in coming, and as we will find out in this piece, the cancer has eaten deep into the fabric of this nation. The revolution is inevitable. 

    The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale 1Lawyers


    What precipitate this write up is a social media post by a good friend of mine and I obtained his permission to repost his comment with my personal edits:
    “It took Orji Kalu only 4 months including Covid lockdown challenge to move from the High Court to Supreme Court to get his so called sound judgment from Supreme Court while it took ten years to get his case completed at the High Court level. Ten good years! And we are told justice in Nigeria is not cash and carry? The Supreme Court is preparing the ground for a revolution and very soon something extraordinary will take place. The same Supreme Court that will give 2021 and 2022 court date for poor defendants, sat and summarily decide a case within 4 months while cases of those facing a life sentence languish in the labyrinth of jungle justice!”

    My first response to the post, is to retort that the problem did not start with judiciary, but they seem to have led the “nunc dimitis” for the internment of democracy in Nigeria. The judiciary may have pushed us to the praecipe but they were not the only one. We all recalled the impunity days of PDP rule and how they ride roughshod on people’s right, celebrating acquisition of jets obtained from corrupt practices while hordes of masses suffer the indignity of scrapping for foods from the gutter. Towards the end of that era, we all thought, if we can just get a man of integrity into Aso Rock, someone who will brook no atom of corruption, we will change the country. The election of 2015 seems to have lulled Nigerians into thinking that all we need is someone or a duo with integrity, so we elect Buhari and Osinbajo, a puritan and a pastor and went home satiated. What we were not prepared for or more appositely choose to ignore is the fact that the vehicle that brought them into governance is none other than the decrepit system that PDP used to feather their nest. In the first 4 years, we were told that the problem is with the National Assembly where the legistlooters shifted their control of the vortex of power in Abuja, opposing every anti-corruption moves of the executives. Then come the last election where the ruling party now controls the executive and legislative arm, but corruption runs through the gamut of the judiciary and Aso Rock looks the other way while nepotism festers in its rank.

    It is as if the cancer has completely swallowed up the entire fabric of the nation. Cases involving the poor dragged on for years while those who can afford senior advocate can get quick justice. Many warned that this will sound the death knell of democracy in Nigeria. Every attempt to even build on free and fair election has been truncated by the judiciary. What with the recent confounding judgment from Imo and Bayelsa. Our two gargantuan political parties now owned our judiciary lock, stock and barrel. They sit in smoke filled rooms to determine who will be governors, legislators and judges, and those who will play ball are readily appointed as pawns in the chest board of the Nigerian ruling class, wives, nephews, cousins, sons and daughters are made judges and senior advocates overnight without recourse to any modicum of meritocracy. A friend of mine recently quipped that the problem of nepotism is not just that it defeats meritocracy and breeds mediocrity but that it infects the entire body politics and renders it comatose. Corruption can be traced, and ill-gotten wealth recovered but nepotism is more sinister. Those who obtain position of power and authority through nepotism hold fealty only to their masters who appointed them. Such appointee will readily twist the constitution, made up section that does not exist all at the behest of their “godfather”. It is insidious and evil.

    I graduated from Nigerian Law School 30 years ago, after an excellent stint at Great Ife. My class at Ife, drawn from the north, east, west middle belt and south-south has in its rank some of the best legal minds any country will be proud of. We graduated with high hopes to take on the world and change the land. Few of us found ourselves abroad on scholarship where we flourish and excel. Those in legal practice in Nigeria, either at the federal or state ministry of justice or private practice are the ones my heart bleeds for, especially those without access to members of the National Judicial Council. I have had the privilege to advance my career abroad as an attorney and public defender. I frequently sit on panels that recommend colleagues for appointment as judges in a fair, open and transparent process; something my colleagues in Nigeria could only dream of.

    When I look at the state of Nigerian legal practice my heart bleeds. The career growth of colleagues in the legal profession in Nigeria is stunted not for lack of excellence but influence in the right place. Influence peddling is an art form in Nigeria and politicians used to have the exclusive preserve of selling it to the highest bidder, but our Judicial Council seems to have mastered the art. The problem will not be this pronounced if the sons and daughters they are foisting on Nigerian judiciary are steeped in the Nigerian experience or have a modicum of merit. As many of my colleagues are apt to complain, majority of the recent appointees hardly spend few years in Nigeria. They all went to schools abroad. Totally devoid of the Nigerian experience, and constantly removed from the everyday life Nigerians suffers under. Majority of them lives in the gilded mansions of their forbears in Abuja and other state capitals, where they are rarely touched by the “better angels of our nature” to use the phrase coined by Abraham Lincoln. It is therefore no surprise that they care only for what their “godfather” demand.

    Let me however warns that the biggest mistake we could make is to think that the rot is only in the heart of our judiciary. Think again. Nepotism is next door, next street, next town and everywhere in Nigeria. It rampages through the land, be it North, East or West. Just look at our churches and mosques, who do you see minister or lead the prayers when the founder/visioner is not around? You guess right,  if you say their sons and daughters. Gone are the days when Pa Fadayomi push to have a meritorious doctor of aerodynamics succeed him. Gone are the days when the leader of the faithful in Nigeria is selected by their aptitude in the knowledge of the Quaran. Nowadays, the exit of the leader is the beginning of the reign of the progeny. It has infected our colleges and universities, scholarship and opportunities that used to be available on merit are now exclusive preserve of the vice chancelor’s children and family members. Woe betide the school senate members that dare ask questions. Advertisement for jobs that has already been reserved for the children of the privileged are means to extort money in the form of application fees a la Abba Moro immigration recruitment scheme. A recent recruitment without advertisement at our apex bank reported by Sahara Reporters shows that successful applicants names were picked out of the rolodex of the governor. Commercial Banks staff are not an exemption, they are either recruited based on sex appeal or influential ministers/senators’ “recommendation” which doesn’t come easy for the educated but less privileged applicants.

    A friend concluded an animated discussion on social media on this issue with a distinctively Nigerian resignation: “It is clear that those who do not want things to work properly in Nigeria are more powerful than those who are working towards finding solutions to our problems.” Again, my response is what do we have to lose if we embrace Omoyele Sowore’s revolution, even with its youthful disdain for experience? Especially when our current experienced leadership seems to treat the Nigerian masses with contempt. Look at it this way: They do not need our votes to win election, as they could procure midnight judgment in Abuja a la Bayelsa and Imo. They do not need to legislate to fill any lacunae in our constitutional experience as the Supreme Court proved in Kalu’s case. In fact, as long as oil flows and they have the means to fill their Cayman Island bank accounts, we may as well not exist. Greed and avarice have become the directive principle of Nigerian ruling class. To rescue ourselves from their vice grip, we need revolution now!

    Francis Adewale
    Tioluwanimi@gmail.com

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    The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale
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  • New estimates highlight need to step up the response to hepatitis D

    Lyon, France, 29 April 2020 – In a study published in the Journal of Hepatology, 1 Professor Anna Maria Geretti and Dr Alexander Stockdale from the University of Liverpool (United Kingdom), in collaboration with researchers
    from the World Health Organization (WHO) and the International Agency for Research on Cancer (IARC), estimate that worldwide, hepatitis D virus (HDV) affects nearly 5% of people who have a chronic infection with hepatitis B virus (HBV) and that HDV
    co-infection could explain about 1 in 5 cases of liver disease and liver cancer in people with HBV infection..

    To map the epidemiology of HDV infection in the world, Professor Geretti and Dr Stockdale joined forces with the WHO Global Hepatitis Programme and IARC, alongside investigators in Germany, Malawi, and the United Kingdom. “Infection with HDV occurs
    in about 1 in 22 cases of chronic HBV infection in the world,” Dr Stockdale says. “More high-quality data are needed, but we have identified several geographical hotspots of high prevalence of HDV infection: in Mongolia, the Republic of
    Moldova, and countries in Western and Middle Africa.”

    “Although it is less common than hepatitis B, hepatitis D is a serious disease that often affects underprivileged and vulnerable populations,” says Dr Meg Doherty, Director of the WHO Global Hepatitis Programme. Those who are more likely to
    have HBV and HDV co-infection include people who inject drugs and people with hepatitis C virus or HIV infection. The risk of co-infection also appears to be higher in recipients of haemodialysis, men who have sex with men, and commercial sex workers.
    Dr Doherty points out, “This information helps in identifying the groups with HBV among whom we should be looking for HDV.”

    HDV (formerly known as the Delta agent) is a small virus – one of the smallest that is known to cause disease in humans – and can replicate only in the presence of HBV, from which HDV borrows some of its structures. Compared with people with
    HBV infection alone, those who have a chronic infection with both HBV and HDV have a much higher risk of developing disease in the form of cirrhosis and liver cancer. “HDV is a significant contributor to severe liver disease and liver cancer,”
    says IARC scientist Dr Catherine de Martel. “The findings from this study inform our work on the association between viral infections and cancer, which is focused on developing improved prevention strategies.”

    Professor Geretti concludes, “HDV has long been neglected, because for decades the prevalence of infection remained uncertain and effective treatment was lacking. Mapping the epidemiology of the infection is just the first step. More efforts are
    needed to reduce the global burden of chronic hepatitis B and develop medicines that are safe and effective against hepatitis D and are affordable enough to be deployed on a large scale to those who are most in need.”

    1 Stockdale AJ, Kreuels B, Henrion MYR, Giorgi E, Kyomuhangi I, de Martel C, Hutin Y, Geretti AM (2020). The global prevalence of hepatitis D virus infection: systematic review and meta-analysis. J Hepatol. Published online 23 April 2020;
    https://doi.org/10.1016/j.jhep.2020.04.008

    For more information, please contact

    Véronique Terrasse, Communications Group, at +33 (0)6 45 28 49 52 or terrassev@iarc.fr or IARC Communications, at com@iarc.fr

    The International Agency for Research on Cancer (IARC) is part of the World Health Organization. Its mission is to coordinate and conduct research on the causes of human cancer, the mechanisms of carcinogenesis, and to develop scientific strategies for
    cancer control. The Agency is involved in both epidemiological and laboratory research and disseminates scientific information through publications, meetings, courses, and fellowships. If you wish your name to be removed from our press release emailing
    list, please write to com@iarc.fr. 

    About University of Liverpool

    Founded in 1881 as the original ‘red brick’, the University of Liverpool is one of the UK’s leading research-intensive higher education institutions. Consistently ranked in the top 200 universities worldwide, we are a member of the prestigious
    Russell Group and have a global reach and influence that reflects our academic heritage as one of the country’s largest civic institutions. For more information please visit us at www.liverpool.ac.uk

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  • New FAQs address healthcare workers questions on breastfeeding and COVID-19

    New FAQs address healthcare workers questions on breastfeeding and COVID-19

    Mothers and healthcare workers who support them have many questions and concerns about whether it is safe for mothers with confirmed or suspected COVID-19 to be close to and breastfeed their babies during the pandemic.

    To address their questions, WHO has released a list of Frequently asked questions: Breastfeeding and COVID-19. The FAQ complements the WHO interim guidance: Clinical management of severe acute respiratory infection when COVID-19 is suspected and draws upon other WHO recommendations on infant and young child feeding.

    The FAQs aim to provide information to healthcare workers supporting mothers and families in maternity services and community settings, and communicate how the interim guidance should be implemented. Additionally, the FAQs provide information about the protective effects of breastfeeding and skin-to-skin contact, and the harmful effects of inappropriate use of infant formula milk.

    Accompanying the FAQs is a decision tree which provides step-by-step guidance to health workers on how to support mothers with confirmed or suspected COVID-19 to breastfeed. It provides advice on what to do if mothers are not well enough to breastfeed, as well as appropriate hygiene measures for mothers, including wearing a medical mask if available, to reduce the possibility of the COVID-19 virus being spread to her infant.

    Benefits of breastfeeding outweigh potential risks

    The COVID-19 virus has not been detected in the breastmilk of any mother with confirmed and suspected COVID-19 and there is no evidence so far that the virus is transmitted through breastfeeding. Researchers continue to test breastmilk from mothers with the infection.

    WHO recommends that all mothers with confirmed or suspected COVID-19 continue to have skin-to-skin contact and to breastfeed. In all socio-economic settings, breastfeeding improves survival and provides lifelong health and development advantages to newborns and infants. Breastfeeding also reduces the risk of breast and ovarian cancer for the mother. Skin-to-skin contact, including kangaroo mother care, reduces neonatal mortality, especially for low birth weight newborns.

    While infants and children can contract COVID-19, they are at low risk of infection. The few confirmed cases of COVID-19 in young children to date have experienced only mild or asymptomatic illness.

    WHO’s recommendations on the care and feeding of infants whose mothers have confirmed or suspected COVID-19 aim to improve the immediate and lifelong survival, health and development of their newborns and infants. These recommendations consider the likelihood and potential risks of COVID-19 in infants and also the risks of serious illness and death when infants are not breastfed or when infant formula milk are used inappropriately.

    WHO’s Q&A on breastfeeding and COVID-19 also provides additional infection prevention advice to mothers with confirmed or suspected COVID-19.

    New FAQs address healthcare workers questions on breastfeeding and COVID-19
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  • Why African Americans are dying at higher rates from Covid-19

    Why African Americans are dying at higher rates from Covid-19

    Why African Americans are dying at higher rates from Covid-19 2

    WASHINGTON: The new coronavirus isn’t biased about who it infects – so why does data emerging from some states suggest that African Americans are bearing the brunt of the pandemic in the US?

    Experts say blacks are disproportionately impacted by underlying health conditions linked to poverty, face discrimination in medical care, and are more likely to work jobs that require them to leave their home.

    “We know that blacks are more likely to have diabetes, heart disease, lung disease,“ the nation’s top doctor, Surgeon General Jerome Adams told CBS News on Tuesday.

    These chronic illnesses, which are in turn linked to poverty and structural racism, can lead to more serious forms of the COVID-19 disease.

    Adams, who is himself black and has high blood pressure and asthma, added: “I represent that legacy of growing up poor and black in America.

    “And I, and many black Americans, are at higher risk for COVID.”

    – Emerging trend –

    There is no nationwide data available on COVID-19 cases by race, but a pattern of over-representation by black Americans has emerged in states or jurisdictions that are sharing the numbers.

    Sixty-eight percent of coronavirus deaths in Chicago have been among African Americans, who make up just 30 percent of the city’s population.

    “Those numbers take your breath away,“ the city’s mayor Lori Lightfoot said Monday at a coronavirus briefing. “This is a call to action for all of us.”

    The trend is repeated in North Carolina, Louisiana, Michigan, Wisconsin and the capital Washington.

    Doctor Georges Benjamin, executive director of the American Public Health Association, told AFP the issue was also linked to social class, with black people more likely to work jobs deemed essential that expose them to potential infection.

    “That population is more public facing,“ he said. “More bus drivers, more people taking public transportation to work, more people providing services in nursing homes, more folks working in grocery stores.”

    – Structural bias –

    The problem is compounded by implicit and explicit bias that African Americans face in the medical system.

    Doctor James Hildreth, president of the historically black Meharry Medical College in Nashville, Tennessee told AFP that in his city, most of the initial testing took place at Vanderbilt University Medical Center.

    Most of the patients who go to hospital systems like these have insurance, and it was only recently that three assessment centers run by the city of Nashville were built for the underprivileged and minority communities — one of them located at Meharry’s campus and run by its staff.

    “My point is, depending on which community you live in, and whether or not you have insurance… the chances for getting assessed are much less,“ he said.

    What’s more, it’s well documented that when black people seek care, they are less likely to have their symptoms believed or get adequately treated, Doctor Ebony Hilton, an anesthesiologist at the University of Virginia Medical Center told AFP.

    For example, black women are less likely to have their breast cancer mammograms seen by a specialist as opposed to a general radiologist, according to a 2015 Duke University study.

    Black heart patients who present with elevated levels of a group of proteins indicating cardiac injury are also less likely to be seen by specialists, per a 2018 study.

    A civil rights group wrote this week to the US health secretary, Alex Azar, calling on him to “release daily racial and ethnic demographic data related to COVID-19 testing, disease burden and patient outcomes.”

    This, said the Lawyers’ Committee for Civil Rights Under Law, was necessary to ensure a robust public health response, and to make certain care and testing aren’t being administered in a discriminatory manner.

    The group said the Centers for Disease Control and Prevention (CDC) was already collecting the information but deliberately withholding it.

    Hilton stressed that it was in the interests of Americans as a whole to address the problem, because — unlike high rates of heart disease or cancer — a wave of coronavirus spreading through the black and Hispanic population will ultimately impact everyone else.

    “When you have a system that’s not treating these people of lower social economic status and these minority groups, they are then not being tested, they’re sent back home to infect their community,“ she said.

    “Those workers who are now infected are going to the grocery store, and when the upper echelon of America are going to get their food, they will get infected too.” – AFP

    Why African Americans are dying at higher rates from Covid-19
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  • Woman Suffrage

    Woman Suffrage

    31. The Crowning Victory

    It is my honest hope that nothing I’ve right here exhibited can be mistaken by the the Aristocracy and gentry for ethical indignation. No such feeling, in fact, is in my coronary heart. Moral judgments, as outdated Friedrich used to say, are international to my nature. Setting apart the huge herd which exhibits no definable character in any respect, it appears to me that the minority distinguished by what is often thought to be an extra of sin could be very far more admirable than the minority distinguished by an extra of advantage. My expertise of the world has taught me that the typical wine-bibber is a much better fellow than the typical prohibitionist, and that the typical rogue is healthier firm than the typical poor drudge, and that the worst white, slave dealer of my acquaintance is a decenter man than the very best vice crusader. In the identical manner I’m satisfied that the typical lady, no matter her deficiencies, is tremendously superior to the typical man. The very ease with which she defies and swindles him in a number of capital conditions of life is the clearest of proofs of her normal superiority. She didn’t receive her current excessive immunities as a present from the gods, however solely after a protracted and sometimes bitter combat, and in that combat she exhibited forensic and tactical skills of a really admirable order. There was no weak point of man that she didn’t penetrate and make the most of. There was no trick that she didn’t put to efficient use. There was no system so daring and inordinate that it daunted her.

    The newest and biggest fruit of this female expertise for fight is the extension of the suffrage, now common within the Protestant international locations, and even advancing in these of the Greek and Latin rites. This fruit was garnered, not by an assault en masse, however by a mere foray. I imagine that almost all of ladies, for causes that I shall presently expose, weren’t anticipating the extension, and regard it as of small worth at the moment. They know that they will get what they need with out going to the precise polls for it; furthermore, they’re out of sympathy with many of the brummagem reforms advocated by the skilled suffragists, female and male. The mere assertion of the present suffragist platform, with its lengthy listing of quack sure-cures for all of the sorrows of the world, is sufficient to make them smile sadly. In specific, they’re sceptical of all reforms that rely on the mass motion of immense numbers of voters, massive sections of whom are wholly devoid of sense. A standard lady, certainly, no extra believes in democracy within the nation than she believes in democracy at her personal fireplace; she is aware of that there should be a category to order and a category to obey, and that the 2 can by no means coalesce. Nor is she vulnerable to the inventory sentimentalities upon which the entire democratic course of is predicated. This was proven very dramatically within the United States on the nationwide election of 1920, during which the late Woodrow Wilson was introduced all the way down to colossal and ignominious defeat—the primary normal election during which all American ladies might vote. All the sentimentality of the state of affairs was on the facet of Wilson, and but absolutely three-fourths of the newly-enfranchised ladies voters voted in opposition to him. He is, regardless of his skills for deception, a poor well-liked psychologist, and so he made a clumsy effort to fetch the women by tear-squeezing: each connoisseur will keep in mind his bathos about breaking the center of the world. Well, only a few ladies imagine in damaged hearts, and the trigger isn’t far to hunt: virtually each lady above the age of twenty-five has a damaged coronary heart. That is to say, she has been vastly upset, both by failing to nab some fairly fellow that her coronary heart was set on, or, worse, by truly nabbing him, after which discovering him to be a bounder or an imbecile, or each. Thus strolling the world with damaged hearts, ladies know that the harm isn’t critical. When he pulled out the Vox angelica cease and commenced sobbing and snuffling and blowing his nostril tragically, the discovered physician merely drove all the ladies voters into the arms of the Hon. Warren Gamaliel Harding, who was too silly to invent any points in any respect, however merely took detrimental benefit of the mistrust aroused by his opponent.

    Once the ladies of Christendom grow to be comfortable in using the poll, and eliminate the preposterous harridans who obtained it for them and who now search to inform them what to do with it, they’ll proceed to a scotching of lots of the sentimentalities which at the moment corrupt politics. For one factor, I imagine that they’ll provoke measures in opposition to democracy—the worst evil of the present-day world. When they arrive to the matter, they’ll actually not ordain the extension of the suffrage to youngsters, criminals and the insane briefly, to these ever extra inflammable and knavish than the male hinds who’ve loved it for therefore lengthy; they’ll attempt to result in its restriction, little by little, to the small minority that’s clever, agnostic and self-possessed—say six ladies to at least one man. Thus, out of their larger intuition for actuality, they’ll make democracy protected for a democracy.

    The curse of man, and the reason for almost all his woes, is his stupendous capability for believing the unbelievable. He is endlessly embracing delusions, and every new one is worse than all which have gone earlier than. But the place is the delusion that ladies cherish—I imply habitually, firmly, passionately? Who will draw up an inventory of propositions, held and maintained by them in sober earnest, which are clearly not true? (I allude right here, in fact, to real ladies, to not suffragettes and different such pseudo-males). As for me, I mustn’t prefer to undertake such an inventory. I do know of nothing, the truth is, that correctly belongs to it. Women, as a category, imagine in not one of the ludicrous rights, duties and pious obligations that males are endlessly gabbling about. Their superior intelligence is on no account extra eloquently demonstrated than by their ironical view of all such phantasmagoria. Their recurring angle towards males is considered one of aloof disdain, and their recurring angle towards what males imagine in, and get into sweats about, and bellow for, is considerably the identical. It takes twice as lengthy to transform a physique of ladies to some new fallacy because it takes to transform a physique of males, and even then they halt, hesitate and are filled with mordant criticisms. The ladies of Colorado had been voting for 21 years earlier than they succumbed to prohibition sufficiently to permit the person voters of the state to undertake it; their very own majority voice was in opposition to it to the top. During the interval the boys voters of a dozen non-suffrage American states had gone shrieking to the mourners’ bench. In California, enfranchised in 1911, the ladies rejected the dry revelation in 1914. National prohibition was adopted throughout the struggle with out their votes—they didn’t get the franchise all through the nation till it was within the Constitution—and it’s with out their assist at the moment. The American man, regardless of his status for lawlessness, is definitely very a lot afraid of the police, and in all of the areas the place prohibition is now truly enforced he makes excuses for his poltroonish acceptance of it by arguing that it’ll do him good in the long term, or that he must sacrifice his personal needs to the widespread weal. But it’s virtually unattainable to search out an American lady of any tradition who’s in favour of it. One and all, they’re against the turmoil and corruption that it entails, and resentful of the invasion of liberty underlying it. Being realists, they haven’t any perception in any program which proposes to remedy the pure swinishness of males by laws. Every regular lady believes, and fairly precisely, that the typical man could be very very like her husband, John, and he or she is aware of very properly that John is a weak, foolish and knavish fellow, and that any effort to transform him into an archangel in a single day is certain to come back to grief. As for her view of the typical creature of her personal intercourse, it’s marked by a cynicism so penetrating and so damaging {that a} clear assertion of it might shock past endurance.

    32. The Woman Voter

    Thus there’s not the slightest likelihood that the enfranchised ladies of Protestantdom, as soon as they grow to be comfortable in using the poll, will give any heed to the ex-suffragettes who now presume to guide and instruct them in politics. Years in the past I predicted that these suffragettes, tried out by victory, would grow to be idiots. They are actually onerous at work proving it. Half of them dedicate themselves to advocating reforms, mainly of a sexual character, so totally preposterous that even male politicians and newspaper editors snort at them; the opposite half succumb absurdly to the blandishments of the old-time male politicians, and so enroll themselves within the nice political events. A lady who joins considered one of these events merely turns into an imitation man, which is to say, a donkey. Thereafter she is nothing however an obscure cog in an historical and creaking machine, the only intelligible function of which is to keep up a horde of scoundrels in public workplace. Her vote is immediately set off by the vote of some sister who joins the opposite camorra. Parenthetically, I could add that all the girls to take to this political immolation appear to me to be frightfully plain. I do know these of England, Germany and Scandinavia solely by their portraits within the illustrated papers, however these of the United States I’ve studied at shut vary at numerous massive political gatherings, together with the 2 nationwide conventions first following the extension of the suffrage. I’m certainly no fastidious fellow—the truth is, I choose a sure melancholy decay in ladies to the loud, circus-wagon brilliance of youth—however I provide you with my phrase that there have been not 5 ladies at both nationwide conference who might have embraced me in digital camera with out first giving me chloral. Some of the chief stateswomen on present, the truth is, had been so downright hideous that I felt faint each time I had to have a look at them.

    The reform-monging suffragists appear to be equally devoid of the extra caressing items. They could also be full of altruistic ardour, however they actually have dangerous complexions, and never a lot of them know costume their hair. Nine-tenths of them advocate reforms aimed on the alleged lubricity of the male-the single normal, medical certificates for bridegrooms, birth-control, and so forth. The motive right here, I imagine, is mere rage and jealousy. The lady who isn’t pursued units up the doctrine that pursuit is offensive to her intercourse, and needs to make it a felony. No genuinely engaging lady has any such want. She likes masculine admiration, nevertheless violently expressed, and is kind of capable of maintain herself. More, she is properly conscious that only a few males are daring sufficient to supply it and not using a plain invitation, and this consciousness makes her extraordinarily cynical of all ladies who complain of being harassed, beset, storied, and seduced. All the extra clever ladies that I do know, certainly, are unanimously of the opinion that no woman in her proper senses has ever been truly seduced for the reason that world started; at any time when they hear of a case, they sympathize with the person. Yet extra, the traditional lady of vigorous charms, roving about amongst males, all the time tries to attract the admiration of those that have beforehand admired elsewhere; she prefers the skilled to the novice, and estimates her talent by the attractiveness of the huntresses who’ve hitherto stalked it. The iron-faced suffragist propagandist, if she will get a person in any respect, should get one wholly with out sentimental expertise. If he has any, her crude manoeuvres make him snort and he’s repelled by her lack of pulchritude and amiability. All such suffragists (save a couple of miraculous beauties) marry ninth-rate males after they marry in any respect. They need to put up with the kind of castoffs who’re virtually able to fall in love with girl physicists, embryologists, and embalmers.

    Fortunately for the human race, the campaigns of those indignant viragoes will come to naught. Men will carry on pursuing ladies till hell freezes over, and ladies will hold luring them on. If the latter enterprise had been deserted, the truth is, the entire recreation of affection would play out, for not many males take any discover of ladies spontaneously. Nine males out of ten can be fairly glad, I imagine, if there have been no ladies on the planet, as soon as they’d grown accustomed to the quiet. Practically all males are their happiest when they’re engaged upon actions—for instance, consuming, playing, looking, enterprise, journey—to which ladies usually are not ordinarily admitted. It is ladies who seduce them from such celibate doings. The hare postures and gyrates in entrance of the hound. The strategy to put an finish to the gaudy crimes that the suffragist alarmists speak about is to shave the heads of all the gorgeous ladies on the planet, and pluck out their eyebrows, and pull their enamel, and put them in khaki, and forbid them to wriggle on dance-floors, or to put on scents, or to make use of lip-sticks, or to roll their eyes. Reform, as ordinary, errors the fish for the fly.

    33. A Glance Into the Future

    The current public prosperity of the ex-suffragettes is mainly as a consequence of the truth that the old-time male politicians, being naturally very silly, mistake them for spokesmen for the entire physique of ladies, and so present them politeness. But quickly or late—and possibly disconcertingly quickly—the good mass of smart and agnostic ladies will flip upon them and depose them, and thereafter the girl vote can be now not on the disposal of bogus Great Thinkers and messiahs. If the suffragettes proceed to fill the newspapers with nonsense, as soon as that change has been effected, will probably be solely as a minority sect of tolerated idiots, just like the Swedenborgians, Christian Scientists, Seventh Day Adventists and different such fanatics of at the moment. This was the historical past of the extension of the suffrage in all the American states that made it earlier than the nationwide enfranchisement of ladies and will probably be repeated within the nation at massive, and in Great Britain and on the Continent. Women usually are not taken in by quackery as readily as males are; the hardness of their shell of logic makes it troublesome to penetrate to their feelings. For one lady who testifies publicly that she has been cured of most cancers by some swindling patent drugs, there are no less than twenty masculine witnesses. Even such frauds because the favorite American elixir, Lydia Pinkham’s Vegetable Compound, that are ostensibly treatments for particularly female ills, anatomically unattainable within the male, are mainly swallowed, so an clever druggist tells me, by males.

    My personal perception, based mostly on elaborate inquiries and lengthy meditation, is that the grant of the poll to ladies marks the hid however none the much less actual starting of an enchancment in our politics, and, in the long run, in our complete idea of presidency. As issues stand, an clever grappling with a few of the capital issues of the commonwealth is nearly unattainable. A politician usually prospers underneath democracy, not in proportion as his rules are sound and his honour incorruptible, however in proportion as she excels within the manufacture of sonorous phrases, and the invention of imaginary perils and imaginary defences in opposition to them. Our politics thus degenerates right into a mere pursuit of hobgoblins; the male voter, a coward in addition to an ass, is endlessly taking fright at a brand new one and electing some mountebank to put it. For 100 years previous the folks of the United States, probably the most horrible current democratic state, have scarcely had a political marketing campaign that was not based mostly upon some preposterous concern—first of slavery after which of the manumitted slave, first of capitalism after which of communism, first of the outdated after which of the novel. It is a peculiarity of ladies that they don’t seem to be simply set off by such alarms, that they don’t fall readily into such facile tumults and phobias. What begins a male assembly to snuffling and trembling most violently is exactly the factor that may trigger a feminine assembly to smell. What we’d like, to beat back mobocracy and safeguard a civilized type of authorities, is extra of this sniffing. What we’d like—and in the long run it should come—is a sniff so highly effective that it’ll name a halt upon the navigation of the ship from the forecastle, and put a reliable employees on the bridge, and lay a course that’s describable in intelligible phrases.

    The officers nominated by the male citizens in fashionable democracies earlier than the extension of the suffrage had been normally chosen, not for his or her competence however for his or her mere expertise for idiocy; they mirrored precisely the male weak point for no matter is rhetorical and mawkish and feeble and unfaithful. Consider, for instance, what occurred in a salient case. Every 4 years the male voters of the United States selected from amongst themselves one who was put ahead as the person most match, of all resident males, to be the primary citizen of the commonwealth. He was chosen after interminable dialogue; his {qualifications} had been totally canvassed; very massive powers and dignities had been put into his arms. Well, what did we generally discover after we examined this gentleman? We discovered, not a profound thinker, not a frontrunner of sound opinion, not a person of notable sense, however merely a wholesaler of notions so childish that they need to wants disgust a sentient suckling—briefly, a spouting geyser of fallacies and sentimentalities, a cataract of unsupported assumptions and hole moralizings, a tedious phrase-merchant and platitudinarian, a fellow whose noblest flights of thought had been flattered after they had been known as understandable—particularly, a Wilson, a Taft, a Roosevelt, or a Harding.

    This was the male champion. I don’t enterprise upon the cruelty of evaluating his bombastic flummeries to the clear reasoning of a lady of like fame and place; all I ask of you is that you simply weigh them, for sense, for shrewdness, for clever grasp of obscure relations, for mental honesty and braveness, with the concepts of the typical midwife.

    34. The Suffragette

    I’ve spoken with some disdain of the suffragette. What is the matter along with her, essentially, is straightforward: she is a lady who has stupidly carried her envy of sure of the superficial privileges of males to such a degree that it takes on the character of an obsession, and makes her blind to their worthless and sometimes mainly imaginary character. In specific, she centres this frenzy of hers upon one particular privilege, to wit, the alleged privilege of promiscuity in amour, the trendy droit du seigneur. Read the books of the chief girl Savonarolas, and you can find working by means of them an hysterical denunciation of what’s known as the double normal of morality; there’s, certainly, a complete literature devoted completely to it. The existence of this double normal appears to drive the poor ladies half frantic. They bellow raucously for its abrogation, and demand that the frivolous male be visited with much more idiotic penalties than these which now go to the aberrant feminine; some even advocate gravely his mutilation by surgical procedure, that he could also be pressured into rectitude by a bodily incapacity for sin.

    All this, in fact, is hocus-pocus, and the considered usually are not deceived by it for an immediate. What these virtuous bel dames truly want of their hearts isn’t that the male be decreased to chemical purity, however that the franchise of dalliance be prolonged to themselves. The most basic acquaintance with Freudian psychology exposes their secret animus. Unable to ensnare males underneath the current system, or in any respect occasions, unable to ensnare males sufficiently appetizing to arouse the envy of different ladies, they leap to the idea that it might be simpler if the foundations had been much less exacting. This idea exposes their deficiency within the chief character of their intercourse: correct statement. The reality is that, even when they possessed the liberty that males are supposed to own, they might nonetheless discover it troublesome to attain their ambition, for the typical man, no matter his stupidity, is no less than eager sufficient in judgment to choose a single wink from a genuinely engaging lady to the final delirious favours of the everyday suffragette. Thus the idea of the whoopers and snorters of the trigger, in its esoteric in addition to in its public side, is unsound. They are merely ladies who, of their tastes and processes of thoughts, are two-thirds males, and the actual fact explains their failure to attain presentable husbands, and even consolatory betrayal, fairly as successfully because it explains the prepared credence they offer to political and philosophical absurdities.

    35. A Mythical Dare-Devil

    The reality is that the image of male carnality that such ladies conjure up belongs virtually wholly to fable, as I’ve already noticed in coping with the sophistries of Dr. Eliza Burt Gamble, a paralogist on a considerably increased airplane. As they depict him of their fevered treatises on illegitimacy, white-slave buying and selling and ophthalmia neonatorum, the typical male grownup of the Christian and cultured international locations leads a lifetime of gaudy lubricity, rolling magnificently from one liaison to a different, and with an virtually limitless queue of ruined milliners, dancers, charwomen, parlour-maids and waitresses behind him, all dying of poison and despair. The lifetime of man, as these furiously envious ones see it, is the lifetime of a number one actor in a boulevard revue. He is a polygamous, multigamous, myriadigamous; an insatiable and unconscionable debauche, a monster of promiscuity; prodigiously untrue to his spouse, and even to his associates’ wives; fathomlessly libidinous and fantastically glad.

    Needless to say, this image bears no extra relation to the information than a dissertation on main technique by a navy “expert” promoted from dramatic critic. If the chief suffragette scare mongers (I communicate with none embarrassing naming of names) had been engaging sufficient to males to get close to sufficient to sufficient males to know sufficient about them for his or her function they might paralyze the Dorcas societies with no such cajoling libels. As a matter of sober reality, the typical man of our time and race is kind of incapable of all these incandescent and intriguing divertisements. He is way extra virtuous than they make him out, far much less schooled in sin, far much less enterprising and ruthless. I don’t say, in fact, that he’s pure in coronary heart, for the possibilities are that he is not; what I do say is that, within the overwhelming majority of instances, he’s pure in act, even within the face of temptation. And why? For a number of major causes, not to enter minor ones. One is that he lacks the braveness. Another is that he lacks the cash. Another is that he’s essentially ethical, and has a conscience. It takes extra sinful initiative than he has in him to plunge into any affair save probably the most informal and sordid; it takes extra ingenuity and intrepidity than he has in him to hold it off; it takes extra money than he can conceal from his consort to finance it. A person might power his precise spouse to share the direst poverty, however even the least vampirish lady of the third half calls for to be courted in what, contemplating his station in life, is the grand method, and the bills of that grand method scare off all save a small minority of specialists in deception. So lengthy, certainly, as a spouse is aware of her husband’s revenue precisely, she has a positive technique of holding him to his oaths.

    Even more practical than the fiscal barrier is the barrier of poltroonery. The one character that distinguishes man from the opposite increased vertebrate, certainly, is his extreme timorousness, his simple yielding to alarms, his incapacity for journey and not using a crowd behind him. In his regular incarnation he’s no extra able to initiating an extra-legal affair—in any respect occasions, above the mawkish harmlessness of a flirting match with a cigar woman in a cafe-than he’s of scaling the battlements of hell. He likes to consider himself doing it, simply as he likes to consider himself main a cavalry cost or climbing the Matterhorn. Often, certainly, his self-importance leads him to think about the factor carried out, and he admits by winks and blushes that he’s a nasty one. But on the backside of all that tawdry pretence there’s normally nothing extra materials than an oafish smirk at some disgusted shop-girl, or a scraping of shins underneath the desk. Let any lady who’s disquieted by stories of her husband’s derelictions determine to herself how lengthy it might have taken him to suggest to her if left to his personal enterprise, after which let her ask herself if that’s the case pusillanimous a creature may very well be imaged within the position of Don Giovanni.

    Finally, there’s his conscience—the amassed sediment of ancestral faintheartedness in numerous generations, with imprecise spiritual fears and superstitions to leaven and mellow it. What! a conscience? Yes, expensive associates, a conscience. That conscience could also be imperfect, inept, unintelligent, brummagem. It could also be indistinguishable, at instances, from the mere concern that somebody could also be wanting. It could also be shot by means of with hypocrisy, stupidity, play-acting. But nonetheless, as consciences go in Christendom, it’s genuinely entitled to the identify—and it’s all the time in motion. A person, keep in mind, isn’t a being in vacuo; he’s the fruit and slave of the atmosphere that bathes him. One can not enter the House of Commons, the United States Senate, or a jail for felons with out changing into, in some measure, a rascal. One can not fall overboard with out transport water. One can not cross by means of a contemporary college with out carrying away scars. And by the identical token one can not dwell and have one’s being in a contemporary democratic state, 12 months in and 12 months out, with out falling, to some extent no less than, underneath that ethical obsession which is the hall-mark of the mob-man let out. A citizen of such a state, his nostril buried in Nietzsche, “Man and Superman,” and different such superior literature, might caress himself with the notion that he’s an immoralist, that his soul is stuffed with soothing sin, that he has reduce himself free from the revelation of God. But all of the whereas there is part of him that continues to be a sound Christian, a moralist, a proper considering and forward-looking man. And that half, in instances of stress, asserts itself. It might not fear him on unusual events. It might not cease him when he swears, or takes a nip of whiskey behind the door, or goes motoring on Sunday; it might even let him alone when he goes to a leg-show. But the second a concrete Temptress rises earlier than him, her nostril snow-white, her lips rouged, her eyelashes drooping provokingly—the second such an deserted wench has at him, and his lack of prepared funds begins to conspire together with his lack of braveness to assault and wobble him—at that exact second his conscience flares into operate, and so finishes his enterprise. First he sees problem, then he sees the hazard, then he sees improper. The result’s that he slinks off in trepidation, and one other vampire is baffled of her prey.

    It is, certainly, the key scandal of Christendom, no less than within the Protestant areas, that almost all males are trustworthy to their wives. You will a journey a great distance earlier than you discover a married man who will admit that he’s, however the information are the information, and I’m certainly not one to flout them.

    36. The Origin of a Delusion

    The origin of the delusion that the typical man is a Leopold II or Augustus the Strong, with the amorous expertise of a guinea pig, isn’t far to hunt. It lies in three elements, the which I rehearse briefly:

    1. The idiotic self-importance of males, resulting in their everlasting boasting, both by open mendacity or sinister hints.

    2. The notions of vice crusaders, nonconformist divines, Y. M. C. A. secretaries, and different such libidinous poltroons as to what they might do themselves if they’d the braveness.

    3. The ditto of sure suffragettes as to ditto.

    Here you may have the genesis of a generalization that offers the much less vital kind of ladies a substantial amount of pointless uneasiness and vastly augments the pure conceit of males. Some pornographic outdated fellow, within the discharge of his duties as director of an anti-vice society, places in a night ploughing by means of such books as “The Memoirs of Fanny Hill,” Casanova’s Confessions, the Cena Trimalchionis of Gaius Petronius, and II Samuel. From this perusal he arises with the conviction that life amid the purple lights should be one stupendous whirl of deviltry, that the clerks he sees in Broadway or Piccadilly at evening are out for revels that may have brought about protests in Sodom and Nineveh, that the typical man who chooses hell leads an existence akin to that of a Mormon bishop, that the world outdoors the Bible class is packed like a sardine-can with betrayed salesgirls, that each man who would not imagine that Jonah swallowed the whale spends his complete leisure leaping by means of the seventh hoop of the Decalogue. “If I were not saved and anointed of God,” whispers the vice director into his personal ear, “that is what I, the Rev. Dr. Jasper Barebones, would be doing. The late King David did it; he was human, and hence immoral. The late King Edward VII was not beyond suspicion: the very numeral in his name has its suggestions. Millions of others go the same route…. Ergo, Up, guards, and at ’em! Bring me the pad of blank warrants! Order out the seachlights and scaling-ladders! Swear in four hundred more policemen! Let us chase these hell-hounds out of Christendom, and make the world safe for monogamy, poor working girls, and infant damnation!”

    Thus the hound of heaven, arguing fallaciously from his personal secret aspirations. Where he makes his mistake is in assuming that the unconsecrated, whereas sharing his longing to debauch and betray, are free from his different weaknesses, e.g., his timidity, his lack of resourcefulness, his conscience. As I’ve mentioned, they don’t seem to be. The overwhelming majority of those that seem within the public haunts of sin are there, to not interact in overt acts of ribaldry, however merely to tremble agreeably upon the sting of the abyss. They are the identical skittish experimentalists, exactly, who throng the halfway at a world’s honest, and go to smutty exhibits, and soak up intercourse magazines, and browse the kind of books that our vice crusading pal reads. They prefer to conjure up the charms of carnality, and to assist out their considerably sluggish imaginations by precise peeps at it, however with regards to taking a forthright header into the sulphur they normally fail to muster up the braveness. For one clerk who succumbs to the houris of the pave, there are 5 hundred who succumb to lack of means, the warnings of the intercourse hygienists, and their very own miserable consciences. For one “clubman”—i.e., bagman or suburban vestryman—who invades the ladies’s outlets, engages the love of some harmless miss, lures her into infamy after which sells her to the Italians, there are one thousand who by no means get any additional than asking the worth of cologne water and discharging a couple of furtive winks. And for one husband of the Nordic race who maintains a blonde refrain woman in oriental luxurious across the nook, there are ten thousand who’re as true to their wives, 12 months in and 12 months out, as so many convicts within the death-house, and can be no extra able to any such loathsome malpractice, even within the face of free alternative, than they might be of slicing off the ears of their younger.

    I’m sorry to explode a lot romance. In specific, I’m sorry for the suffragettes who specialize within the double normal, for after they get into pantaloons eventually, and have the brand new freedom, they’ll uncover to their sorrow that they’ve been pursuing a chimera—that there’s actually no such animal because the male anarchist they’ve been denouncing and envying—that the wholesale fornication of man, no less than underneath Christian democracy, has little extra precise existence than trustworthy promoting or sound cooking. They have adopted the porno maniacs in embracing a bit of buncombe, and when the day of deliverance comes it is going to flip to ashes of their arms.

    Their error, as I say, lies in overestimating the braveness and enterprise of man. They themselves, barring mere bodily valour, a top quality during which the typical man is way exceeded by the typical jackal or wolf, have extra of each. If the implications, to a person, of the slightest descent from virginity had been one-tenth as swift and barbarous as the implications to a younger woman in like case, it might take a division of infantry to dredge up a single male flouter of that lex talionis in the entire western world. As issues stand at the moment, even with the percentages so tremendously in his favour, the typical male hesitates and is thus not misplaced. Turn to the statistics of the vice crusaders should you doubt it. They present that the weekly receipts of feminine recruits upon the wharves of sin are all the time greater than the demand; that extra younger ladies enter upon the vermilion profession than could make respectable livings at it; that the stress of the temptation they maintain out is the chief consider corrupting our undergraduates. What was the primary act of the American Army when it started summoning its younger clerks and faculty boys and plough arms to conscription camps? Its first act was to mark off a so-called ethical zone round every camp, and to safe it with trenches and machine weapons, and to place a variety of volunteer termagants to patrolling it, that the assembled jeunesse is likely to be protected of their rectitude from the immoral advances of the adjoining milkmaids and poor working ladies.

    37. Women as Martyrs

    I’ve given three causes for the prosperity of the notion that man is a pure polygamist, bent eternally upon recent dives into Lake of Brimstone No. 7. To these one other must be added: the thirst for martyrdom which exhibits itself in so many ladies, significantly underneath the upper types of civilization. This unhealthy urge for food, the truth is, could also be described as considered one of civilization’s ailments; it’s virtually exceptional in additional primitive societies. The savage lady, unprotected by her impolite tradition and compelled to heavy and relentless labour, has retained her bodily power and with it her honesty and self-respect. The civilized lady, steadily degenerated by a larger ease, and helped down that hill by the pretensions of civilized man, has turned her infirmity right into a advantage, and so impacts a feebleness that’s truly far past the truth. It is by this route that she will be able to most successfully disarm masculine mistrust, and get what she desires. Man is flattered by any acknowledgment, nevertheless insincere, of his superior power and capability. He likes to be leaned upon, appealed to, adopted docilely. And this tribute to his would possibly caresses him on the psychic airplane in addition to on the airplane of the clearly bodily. He not solely enjoys serving to a lady over a gutter; he additionally enjoys serving to her dry her tears. The result’s the huge pretence that characterizes the relations of the sexes underneath civilization—the double pretence of man’s crafty and autonomy and of lady’s dependence and deference. Man is all the time in search of somebody to boast to; lady is all the time in search of a shoulder to place her head on.

    This female affectation, in fact, has steadily taken on the power of a hard and fast behavior, and so it’s got a sure assist, by a well-recognized technique of self-delusion, in actuality. The civilized lady inherits that behavior as she inherits her crafty. She is born half satisfied that she is actually as weak and helpless as she later pretends to be, and the prevailing folklore gives her limitless corroboration. One of the resultant phenomena is the enjoyment of martyrdom that one so usually finds in ladies, and significantly within the least alert and introspective of them. They take a heavy, unhealthy pleasure in struggling; it subtly pleases them to be onerous put upon; they prefer to image themselves as slaughtered saints. Thus they all the time discover one thing to complain of; the very situations of home life give them a superabundance of medical materials. And if, by any likelihood, such materials exhibits a falling off, they’re uneasy and sad. Let a lady have a husband whose conduct isn’t moderately open to query, and she’s going to invent legendary offences to make him bearable. And if her invention fails she can be plunged into the utmost distress and humiliation. This reality most likely explains many mysterious divorces: the husband was not too dangerous, however too good. For public opinion amongst ladies, keep in mind, doesn’t favour the girl who is stuffed with a placid contentment and has no masculine torts to report; if she says that her husband is wholly passable she is seemed upon as a numskull much more dense that he’s himself. A person, talking of his spouse to different males, all the time praises her extravagantly. Boasting about her soothes his self-importance; he likes to fire up the envy of his fellows. But when two ladies speak of their husbands it’s primarily atrocities that they describe. The most esteemed lady gossip is the one with the longest and most numerous repertoire of complaints.

    This craving for martyrdom explains one of many generally famous characters of ladies: their keen aptitude for bearing bodily ache. As now we have seen, they’ve truly a very good deal much less endurance than males; large accidents shock them extra severely and kill them extra rapidly. But when acute algesia is unaccompanied by any profounder phenomena they’re undoubtedly capable of bear it with a far larger present of resignation. The motive isn’t far to hunt. In ache a person sees solely an invasion of his liberty, power and shallowness. It flooring him, masters him, and makes him ridiculous. But a lady, extra refined and devious in her processes of thoughts, senses the dramatic impact that the spectacle of her struggling makes upon the spectators, already full of compassion for her feebleness. She would thus a lot somewhat be praised for dealing with ache with a martyr’s fortitude than for devising some technique of eliminating it–the first considered a person. No lady might have invented chloroform, nor, for that matter, alcohol. Both medicine supply an escape from conditions and experiences that, even in aggravated kinds, ladies relish. The lady who drinks as males drink—that’s, to boost her threshold of sensation and ease the agony of dwelling—almost all the time exhibits a deficiency in female characters and an undue preponderance of masculine characters. Almost invariably you can find her useless and boastful, and filled with different marks of that bombastic exhibitionism which is so sterlingly male.

    38. Pathological Effects

    This female yearning for martyrdom, in fact, usually takes on a downright pathological character, and so engages the psychiatrist. Women present many different traits of the identical type. To be a lady underneath our Christian civilization, certainly, means to dwell a life that’s heavy with repression and dissimulation, and this repression and dissimulation, in the long term, can not fail to provide results which are indistinguishable from illness. You will discover a few of them described at size in any handbook on psychoanalysis. The Viennese, Adler, and the Dane, Poul Bjerre, argue, certainly, that womanliness itself, as it’s encountered underneath Christianity, is a illness. All ladies endure from a suppressed revolt in opposition to the inhibitions pressured upon them by our synthetic tradition, and this suppressed revolt, by well-known Freudian means, produces a posh of psychological signs that’s acquainted to all of us. At one finish of the size we observe the suffragette, along with her grotesque adoption of the male perception in legal guidelines, phrases and talismans, and her hysterical demand for a sexual libertarianism that she couldn’t put to make use of if she had it. And on the different finish we discover the snuffling and neurotic lady, along with her bogus martyrdom, her extravagant pruderies and her pathological delusions. As Ibsen noticed way back, it is a man’s world. Women have damaged a lot of their outdated chains, however they’re nonetheless enmeshed in a formidable community of artificial taboos and sentimentalities, and it’ll take them one other era, no less than, to get real freedom. That that is true is proven by the deep unrest that but marks the intercourse, regardless of its latest progress towards social, political and financial equality. It is nearly unattainable to discover a man who actually needs that he had been a lady, however virtually each lady, at a while or different in her life, is gnawed by a remorse that she isn’t a person.

    Two of the toughest issues that ladies need to bear are (a) the silly masculine disinclination to confess their mental superiority, and even their equality, and even their possession of a standard human gear for thought, and (b) the equally silly masculine doctrine that they represent a particular and ineffable species of vertebrate, with out the pure instincts and appetites of the order—to adapt a phrase from Hackle, that they’re transcendental and virtually gaseous mammals, and marked by a whole lack of sure salient mammalian characters. The first imbecility has already involved us at size. One finds traces of it even in works professedly dedicated to disposing of it. In one such guide, for instance, I come across this: “What all the skill and constructive capacity of the physicians in the Crimean War failed to accomplish Florence Nightingale accomplished by her beautiful femininity and nobility of soul.” In different phrases, by her possession of some recondite and indescribable magic, sharply separated from the unusual psychological processes of man. The idea is unsound and preposterous. Miss Nightingale completed her helpful work, not by magic, however by onerous widespread sense. The drawback earlier than her was merely considered one of group. Many males had tackled it, and all of them had failed stupendously. What she did was to convey her female sharpness of wit, her female clear-thinking, to bear upon it. Thus attacked, it yielded rapidly, and as soon as it had been dropped at order it was simple for different individuals to hold on what she had begun. But the opinion of a person’s world nonetheless prefers to credit score her success to some mysterious angelical high quality, unstatable in lucid phrases and having no extra actuality than the divine inspiration of an archbishop. Her terribly acute and correct intelligence is thus conveniently put upon the desk, and the amour propre of man is stored inviolate. To confess frankly that she had extra sense than any male Englishman of her era can be to utter a reality too harsh to be bearable.

    The second delusion generally exhibits itself within the idea, already mentioned, that ladies are devoid of any intercourse intuition—that they undergo the odious caresses of the lubricious male solely by a strong effort of the need, and with the only object of discharging their responsibility to posterity. It can be unattainable to enter this delusion with correct candour and at due size in a piece designed for studying aloud within the home circle; all I can do is to refer the scholar to the books of any competent authority on the psychology of intercourse, say Ellis, or to the confidences (if they’re obtainable) of any complaisant bachelor of his acquaintance.

    39. Women as Christians

    The glad tidings preached by Christ had been clearly extremely beneficial to ladies. He lifted them to equality earlier than the Lord when their very possession of souls was nonetheless doubted by the vast majority of rival theologians. Moreover, He esteemed them socially and set worth upon their sagacity, and one of the crucial disdained of their intercourse, a girl previously in public life, was amongst His common advisers. Mariolatry is thus on no account the invention of the mediaeval popes, as Protestant theologians would have us imagine. On the opposite, it’s plainly discernible within the Four Gospels. What the mediaeval popes truly invented (or, to be exact, reinvented, for they merely borrowed the weather of it from St. Paul) was the doctrine of ladies’s inferiority, the exact reverse of the factor credited to them. Committed, for sound causes of self-discipline, to the celibacy of the clergy, they needed to assist it by depicting all visitors with ladies within the mild of a hazardous and ignominious enterprise. The consequence was the deliberate group and improvement of the idea of feminine triviality, lack of duty and normal looseness of thoughts. Woman turned a kind of satan, however with out the admired intelligence of the common demons. The look of ladies saints, nevertheless, provided a continuing and embarrassing criticism of this idiotic doctrine. If occasional ladies had been match to take a seat upon the appropriate hand of God—and so they had been usually proving it, and forcing the church to acknowledge it—then certainly all ladies couldn’t be as dangerous because the books made them out. There thus arose the idea of the angelic lady, the pure vestal; we see her at full size within the romances of mediaeval chivalry. What emerged in the long run was a kind of double doctrine, first that ladies had been devils and secondly that they had been angels. This preposterous dualism has merged, as now we have seen, right into a compromise dogma in fashionable instances. By that dogma it’s held, on the one hand, that ladies are unintelligent and immoral, and alternatively, that they’re free from all these weaknesses of the flesh which distinguish males. This, roughly talking, is the notion of the typical male numskull at the moment.

    Christianity has thus each libelled ladies and flattered them, however with the load all the time on the facet of the libel. It is subsequently, at backside, their enemy, as the faith of Christ, now wholly extinct, was their pal. And as they steadily throw off the shackles which have certain them for a thousand years they present appreciation of the actual fact. Women, certainly, usually are not naturally spiritual, and they’re rising much less and fewer spiritual as 12 months chases 12 months. Their unusual devotion has little if any pious exaltation in it; it’s a routine apply, power on them by the masculine notion that an look of holiness is correct to their lowly station, and a masculine feeling that church-going in some way retains them so as, and out of doings that may be much less reassuring. When they exhibit any real spiritual fervour, its sexual character is normally so apparent that even the vast majority of males are cognizant of it. Women by no means go flocking ecstatically to a church during which the agent of God within the pulpit is an aged asthmatic with a watchful spouse. When one finds them pushed to frenzies by the deserves of the saints, and weeping over the sorrows of the heathen, and dashing out to haul the entire vicinage as much as grace, and spending hours on their knees in hysterical abasement earlier than the heavenly throne, it’s fairly protected to imagine, even with out an precise go to, that the ecclesiastic who has labored the miracle is a good and toothsome fellow, and a very good deal extra aphrodisiacal than discovered. All the good preachers to ladies in fashionable instances have been males of suave and ingratiating behavior, and the good majority of them, from Henry Ward Beecher up and down, have been taken, quickly or late, in transactions way more appropriate to the boudoir than to the footstool of the Almighty. Their well-known killings have all the time been made among the many silliest kind of ladies—the type, briefly, who fall so wanting the traditional acumen of their intercourse that they’re bemused by mere magnificence in males.

    Such ladies are in a minority, and so the intercourse exhibits a very good deal fewer spiritual lovers per mille than the intercourse of sentiment and perception. Attending, a number of years in the past, the gladiatorial exhibits of the Rev. Dr. Billy Sunday, the celebrated American pulpit-clown, I used to be always struck by the good preponderance of males within the pen dedicated to the saved. Men of all ages and in monumental numbers got here swarming to the altar, loudly bawling for assist in opposition to their sins, however the ladies had been something however quite a few, and the few who appeared had been mainly both chlorotic adolescents or pathetic outdated Saufschwestern. For six nights working I sat straight beneath the gifted exhorter with out seeing a single feminine convert of what statisticians name the child-bearing age—that’s, the age of most intelligence and attraction. Among the male simpletons bagged by his yells throughout this time had been the president of a railroad, half a dozen wealthy bankers and retailers, and the previous governor of an American state. But not a lady of comparable place or dignity. Not a lady that any self-respecting bachelor would care to chuck underneath the chin.

    This cynical view of non secular emotionalism, and with it of the entire inventory of ecclesiastical balderdash, might be accountable, no less than partially, for the reluctance of ladies to enter upon the sacerdotal profession. In these Christian sects which nonetheless bar them from the pulpit—normally on the imperfectly hid floor that they don’t seem to be equal to its alleged calls for upon the morals and the mind—one by no means hears of them protesting in opposition to the prohibition; they’re fairly content material to depart the degrading imposture to males, who’re higher fitted for it by expertise and conscience. And in these baroque sects, mainly American, which admit them they present no eagerness to placed on the stole and chasuble. When the primary clergywoman appeared within the United States, it was predicted by alarmists that males can be pushed out of the pulpit by the brand new competitors. Nothing of the type has occurred, neither is it in prospect. The complete corps of feminine divines within the nation is likely to be herded into one small room. Women, when literate in any respect, are far too clever to make efficient ecclesiastics. Their sharp sense of actuality is in limitless opposition to the entire sacerdotal masquerade, and their cynical humour stands in opposition to the snorting that’s inseparable from pulpit oratory.

    Those ladies who enter upon the spiritual life are virtually invariably moved by some motive distinct from mere pious irritation. It is a commonplace, certainly, that, in Catholic international locations, ladies are pushed into convents by financial concerns or by disasters of amour far oftener than they’re drawn there by the hope of heaven. Read the lives of the feminine saints, and you will notice what number of of them tried marriage and failed at it earlier than ever they turned to faith. In Protestant lands only a few ladies undertake it as a occupation in any respect, and among the many few a secular impulse is nearly all the time seen. The woman who’s out of the blue overcome by a want to minister to the heathen in international lands is almost invariably discovered, on inspection, to be a woman harbouring a idea that it might be agreeable to marry some heroic missionary. In level of reality, she duly marries him. At house, maybe, she has discovered it unattainable to get a husband, however within the remoter marches of China, Senegal and Somaliland, with no white competitors current, it’s equally unattainable to fail.

    40. Piety as a Social Habit

    What stays of the alleged piety of ladies is little greater than a social behavior, bolstered in most communities by a paucity of different and extra inviting divertissements. If you may have ever noticed the ladies of Spain and Italy at their devotions you needn’t be advised how a lot the worship of God could also be a mere excuse for rest and gossip. These ladies, of their each day lives, are surrounded by a formidable community of mediaeval taboos; their regular human want for ease and freedom in intercourse is opposed by masculine mistrust and superstition; they meet no strangers; they see and listen to nothing new. In the home of the Most High they escape from that vexing routine. Here they might brush shoulders with a crowd. Here, so to talk, they might crane their psychological necks and stretch their non secular legs. Here, above all, they might come into some kind of contact with males comparatively extra affable, cultured and charming than their husbands and fathers—to wit, with the rev. clergy.

    Elsewhere in Christendom, although ladies usually are not fairly so relentlessly watched and penned up, they really feel a lot the identical want of selection and pleasure, and each are likewise on faucet within the temples of the Lord. No one, I’m positive, want be advised that the typical missionary society or church stitching circle isn’t primarily a non secular group. Its precise function is exactly that of the absurd golf equipment and secret orders to which the decrease and least resourceful lessons of males belong: it gives a way of refreshment, of self-expression, of non-public show, of political manipulation and boasting, and, if the pastor occurs to be attention-grabbing, of discreet and virtually lawful intrigue. In the course of a life largely dedicated to the research of pietistic phenomena, I’ve by no means met a single lady who cared an genuine rattling for the precise heathen. The attraction of their salvation is all the time virtually purely social. Women go to church for a similar motive that farmers and convicts go to church.

    Finally, there’s the aesthetic lure. Religion, in most components of Christendom, holds out the one bait of magnificence that the inhabitants are ever cognizant of. It gives music, dim lights, comparatively formidable structure, eloquence, formality and thriller, the caressing meaninglessness that’s on the coronary heart of poetry. Women are way more conscious of such issues than males, who’re ordinarily fairly as devoid of aesthetic sensitiveness as so many oxen. The angle of the everyday man towards magnificence in its numerous kinds is, the truth is, an angle of suspicion and hostility. He doesn’t regard a murals as merely inert and silly; he regards it as, in some indefinable manner, positively offensive. He sees the artist as knowledgeable voluptuary and scoundrel, and would no extra belief him in his family than he would belief a colored clergyman in his hen-yard. It was males, and never ladies, who invented such sordid and literal faiths as these of the Mennonites, Dunkards, Wesleyans and Scotch Presbyterians, with their antipathy to stunning ritual, their obscene buttonholing of God, their nice expertise for decreasing the ineffable thriller of faith to a mere bawling of idiots. The regular lady, in as far as she has any faith in any respect, strikes irresistibly towards Catholicism, with its poetical obscurantism. The evangelical Protestant sects have a tough time holding her. She can no extra be an precise Methodist than a gentleman is usually a Methodist.

    This inclination towards magnificence, in fact, is dismissed by the typical male blockhead as not more than a feeble sentimentality. The reality is that it’s exactly the other. It is definitely not sentimentality to be moved by the stately and mysterious ceremony of the mass, and even, say, by these timid imitations of it which one observes in sure Protestant church buildings. Such proceedings, no matter their defects from the standpoint of a pure aesthetic, are in any respect occasions vastly extra stunning than any of the personal acts of the people who participate in them. They raise themselves above the barren utilitarianism of on a regular basis life, and no much less above the maudlin sentimentalities that males search pleasure in. They supply a way of escape, handy and alluring, from that sordid routine of thought and occupation which ladies revolt in opposition to so pertinaciously.

    41. The Ethics of Women

    I’ve mentioned that the faith preached by Jesus (now wholly extinct on the planet) was extremely beneficial to ladies. This was not saying, in fact, that ladies have repaid the praise by adopting it. They are, the truth is, detached Christians within the primitive sense, simply as they’re dangerous Christians within the antagonistic fashionable sense, and significantly on the facet of ethics. If they really settle for the renunciations commanded by the Sermon on the Mount, it’s only in an effort to flout their substance underneath cowl of their look. No lady is actually humble; she is merely politic. No lady, with a free selection earlier than her, chooses self-immolation; probably the most she genuinely needs in that route is a spectacular martyrdom. No lady delights in poverty. No lady yields when she will be able to prevail. No lady is actually meek.

    In their sensible ethics, certainly, ladies pay little heed to the precepts of the Founder of Christianity, and the actual fact has handed into proverb. Their gentleness, just like the so-called honour of males, is seen solely in conditions which provide them no menace. The second a lady finds herself confronted by an antagonist genuinely harmful, both to her personal safety or to the well-being of these underneath her safety—say a baby or a husband—she shows a bellicosity which stops at nothing, nevertheless outrageous. In the courts of legislation one sometimes encounters a male extremist who tells the reality, the entire reality and nothing however the reality, even when it’s in opposition to his trigger, however no such lady has ever been on view for the reason that days of Justinian. It is, certainly, an axiom of the bar that ladies invariably lie upon the stand, and the entire effort of a barrister who has one for a shopper is dedicated to protecting her inside bounds, that the obtuse suspicions of the male jury is probably not unduly aroused. Women litigants virtually all the time win their instances, not, as is often assumed, as a result of the jurymen fall in love with them, however merely and solely as a result of they’re clear-headed, resourceful, implacable and with out qualms.

    What is right here seen within the halls of justice, within the face of an unlimited technical gear for combating lying, is ten instances extra apparent in freer fields. Any man who’s so unlucky as to have a critical controversy with a lady, say within the departments of finance, theology or amour, should inevitably carry away from it a way of getting handed by means of a harmful and virtually ugly expertise. Women not solely chew within the clinches; they chew even in open combating; they’ve a dental attain, so to talk, of fantastic size. No assault is so determined that they won’t undertake it, as soon as they’re aroused; no system is so unfair and horrifying that it stays them. In my early days, needing to enhance my prose, I served for a 12 months or in order reporter for a newspaper in a police courtroom, and through that point I heard maybe 4 hundred instances of so-called wife-beating. The husbands, of their defence, virtually invariably pleaded justification, and a few of them advised such tales of studied atrocity on the home fireplace, each psychic and bodily, that the discovered Justice of the Peace discharged them with tears in his eyes and the very catchpolls within the courtroom needed to blow their noses. Many extra males than ladies go insane, and lots of extra married males than single males. The reality puzzles nobody who has had the identical alternative that I needed to discover out what goes on, 12 months in and 12 months out, behind the doorways of apparently glad properties. A lady, if she hates her husband (and lots of of them do), could make life so bitter and obnoxious to him that even loss of life upon the gallows appears candy by comparability. This hatred, in fact, is usually, and maybe virtually invariably, fairly justified. To be the spouse of an unusual man, certainly, is an expertise that should be very onerous to bear. The hollowness and self-importance of the guy, his petty meanness and stupidity, his puling sentimentality and credulity, his bombastic air of a cock on a dunghill, his anaesthesia to all whispers and summonings of the spirit, above all, his loathsome clumsiness in amour—all these items should revolt any lady above the bottom. To be the article of the oafish affections of such a creature, even when they’re trustworthy and profound, can’t be anticipated to present any real pleasure to a lady of sense and refinement. His efficiency as a gallant, as Honor de Balzac way back noticed, unescapably suggests a gorilla’s efforts to play the violin. Women survive the tragicomedy solely by dint of their nice capability for play-acting. They are capable of act so realistically that always they deceive even themselves; the typical lady’s contentment, certainly, is not more than a tribute to her histrionism. But there should be innumerable revolts in secret, even so, and one generally wonders that so few ladies, with the factor so facile and so protected, poison their husbands. Perhaps it’s not fairly as uncommon as important statistics make it out; the deathrate amongst husbands could be very a lot increased than amongst wives. More than as soon as, certainly, I’ve gone to the funeral of an acquaintance who died out of the blue, and noticed a curious glitter within the eyes of the inconsolable widow.

    Even on this age of emancipation, regular ladies have few critical transactions in life save with their husbands and potential husbands; the enterprise of marriage is their dominant concern from adolescence to senility. When they step outdoors their recurring circle they present the identical alert and keen wariness that they exhibit inside it. A person who has dealings with them should hold his wits about him, and even when he’s most cautious he’s usually flabbergasted by their sudden and unconscionable forays. Whenever lady goes into commerce she rapidly will get a status as a pointy dealer. Every little city in America has its Hetty Green, every sweating blood from turnips, every the phobia of all of the male usurers of the neighbourhood. The man who tackles such an amazon of barter takes his fortune into his arms; he has little extra likelihood of success in opposition to the female approach in enterprise than he has in opposition to the female approach in marriage. In each arenas the benefit of ladies lies of their freedom from sentimentality. In enterprise they deal with themselves wholly to their very own revenue, and provides no thought no matter to the hopes, aspirations and amour propre of their antagonists. And within the duel of intercourse they fence, to not make factors, however to disable and disarm. A person, when he succeeds in throwing off a lady who has tried to marry him, all the time carries away a maudlin sympathy for her in her defeat and dismay. But nobody ever heard of a lady who pitied the poor fellow whose trustworthy ardour she had discovered it expedient to spurn. On the opposite, ladies take enjoyment of such clownish agonies, and exhibit them proudly, and boast about them to different ladies.

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  • Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 3

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 4


    A lot of legal issues are bound to arise as an aftermath of the outbreak of Coronavirus otherwise referred to as COVID-19.  There is therefore a need to shed light on some of the issues that may arise and how to navigate them. This article will x-ray the rights of patients, the rights of health workers and the basic minimum obligations of the government.

    The Code of Medical Ethics in Nigeria 2008 lists acts that constitute professional negligence. Rule 29.4 of the Code outlines some of these acts as follows:-

    a)      Failure to attend promptly to a patient requiring urgent attention when the practitioner was in a position to do so;

    b)     Manifesting incompetence in the assessment of a patient;

    c)      Making an incorrect diagnosis particularly when the clinical features were so glaring that no reasonable skillful practitioner could have failed to notice them; 

    d)     Failure to advise, or proffering wrong advice to  a patient on the risk involved in a particular operation or course of treatment, especially if such an operation or course of treatment is likely to result in serious side effects like deformity or loss of organ, or function;

    e)      Failure to obtain the informed consent of the patient before proceeding on any surgical procedure or course of treatment when such consent was necessary; 

    f)       Making a mistake in treatment e.g. amputation of the wrong limb, carelessness that results in the termination of a pregnancy, prescribing the wrong drug, or dosage in error for a correctly diagnosed ailment, etc;

    g)     Failure to refer, or transfer a patient in good time, when such a referral or transfer was necessary;

    h)     Failure to do anything that ought reasonably to have been done under any circumstance for the good of the patient;

    i)       Failure to see a patient as often as his medical condition warrants or to make appropriate comments in the case notes of the practitioner’s observations and prescribed treatment during such visits. It also includes failure to communicate with the patient or with his relatives as may be necessary with regards to any developments, progress or prognosis in the patient’s condition.

     

    Rule 11.2 of the 2008 Code of Medical Ethics in Nigeria provides that, “A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.”

                 Rule 44 of the Code of Medical Ethics has extensive provisions on Confidentiality and when disclosure of information can be made. The Rule provides in part that:

    “Disclosure of information on the patient by the doctor can only be made following an informed consent of the patient in writing. It is clear that the ethic covers even such information as induced abortion, venereal disease, attempted suicide, concealed birth and drug dependence but would exclude situations in which a discretionary breach of confidentiality is necessary to protect the patient or the community from danger and this must be made clear to the patient at the time of the confidential disclosure. Where statutory notification of disease is involved, the consent of the patient is not required.”            

                Confidentiality: To Disclose Identity Of Covid-19 Patients Or Not To Disclose?

    COVID-19 is an infectious disease caused by a newly discovered coronavirus. Most people infected with the COVID-19 will experience mild to moderate respiratory illness and recover without requiring special treatment.  Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.[1]

    The Federal Ministry of Health confirmed the first case of COVID-19 in Nigeria on the 27th of February 2020. It is the case of an Italian citizen who works in Nigeria and returned from Milan, Italy to Lagos, Nigeria on the 25th of February 2020. In reaction to the report, the social was divided between those who want the name of the Italian disclosed and those that preferred it remains confidential. The outcry was even more when the Chief of Staff to the President tested positive according to reports from various media houses[2], but the Minister of Health decided to keep mute on the identity of the President’s aide who contacted the virus, citing confidentiality.

    It will ordinarily be wrong to disclose the medical status of someone infected with COVID-19, for instancethe case of the Italian who was the index case. However in view of the proviso to Rule 44 of the Code of Medical Ethics 2008 which provides that a discretionary breach of confidentiality is necessary in order to protect the community from danger, I am of the view that the test results of popular figures who hold strategic offices like the Chief of Staff to the President or a Governor must be disclosed to guaranty public safety. This is necessary in view of the countless number of people from all works of life they come in contact with on a daily basis.  It will be correct to have made their status public in the overriding interest of the public, since it will enable those who have come in contact with them isolate, just like we have seen in the cases of the British Prime Minister, the Bauchi State Govenor, Prince Charles, the First Lady of Canada and many more. We must commend those who announced their status in public themselves-it is the best thing to do in the interest of humanity

    The World Health Organization (WHO) provides additional guidelines for the management of coronavirus patients specifically.[3]

    Health workers should:

    •follow established occupational safety and health procedures, avoid exposing others to health and safety risks and participate in employer-provided occupational safety and health training; 

    •use provided protocols to assess, triage and treat patients; 

    •treat patients with respect, compassion and dignity; 

    •maintain patient confidentiality; 

    •swiftly follow established public health reporting procedures of suspect and confirmed cases; 

    •provide or reinforce accurate infection prevention and control and public health information, including to concerned people who have neither symptoms nor risk;

    •put on, use, take off and dispose of personal protective equipment properly;

    •self-monitor for signs of illness and self-isolate or report illness to managers, if it occurs; 

    •advise management if they are experiencing signs of undue stress or mental health challenges that require support interventions; and 

    •report  to  their  immediate  supervisor  any  situation  which  they  have  reasonable  justification  to  believe presents an imminent and serious danger to life or health.

     

    Doctors and health workers in Nigeria must endeavor to digest the guidelines in the Code of Medical Ethics as well as the WHO Guidelines for management of Coronavirus victims and ensure they work strictly by their provisions. A breach of these duties have dire consequences. 

    Options Available To Covid-19 Patients Who Are Victims Of Medical Negligence

    A Coronavirus patient who has suffered medical negligence has a number of options:

    1. He could file a complaint with the regulatory body (e.g. the Medical and Dental Council of Nigeria, in the cases involving a Doctor). The Doctor will in the first instance be investigated by the Medical and Dental Practitioners Investigation Panel, after which he will be tried by the Medical and Dental Practitioners Disciplinary Tribunal. If found culpable,  the Doctor may be warned, suspended from practicing for a period not exceeding 6 months or in very serious cases, have his name can be removed from the Register of Medical Practitioners. The Medical and Dental Practitioners’ Disciplinary Tribunal does not award monetary damages.

    2. A suit can be filed against the Medical Doctor, the Hospital, Agency or Government in the High Court for Medical Negligence and monetary damages will be awarded if the Defendant(s) are found culpable.

          3.  If there is an element of Crime, a report could be made to the Police who would conduct Criminal Investigation and where the investigation reveals gross negligence, recklessness or wanton disregard for life of the victim, the police can prosecute or forward the case file to the office of the Attorney General of the State for possible prosecution in deserving cases.  

    A Need To Do More For Doctors And Other Professionals In The Health Sector

    Health workers are at the front line of any outbreak response and as such are exposed to hazards that put them at risk of infection with an outbreak pathogen (in this case COVID-19). Hazards include pathogen exposure, long working  hours,  psychological  distress,  fatigue,  occupational  burnout,  stigma,  and  physical  and  psychological violence. 

    During the outbreak of Ebola more than 500 health care workers died in Guinea, Liberia and Sierra-Leone alone. We also lost some of our finest doctors and health workers to the disease in Nigeria, the most prominent being Dr. Stella Adadevoh, who is credited with having curbed a wider spread of the Ebola virus in Nigeria by placing the index patient, Patrick Sawyer, in quarantine despite pressures from the Liberian  government. As we speak, The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks. In Spain 13.6% (6500) of those affected with the coronavirus are health workers and in Italy 10% (7400) of those affected with the virus are health workers. [4] In New York dozens of health workers have been affected with the virus, while hundreds are in quarantine.[5] According to reports filtering in as the time of concluding this article, three health workers have been infected with COVID-19 in Abuja, Nigeria.[6]

    Human Rights Watch research into health system collapse in Hungary and Venezuela suggests the nations’ mismanaged, underfunded, and understaffed public healthcare system is poorly equipped to handle a COVID-19 outbreak. Patients and medical experts described a lack of basic hygiene protocol, lack of isolation rooms, and a shortage of health professionals, doctors and nurses, and medical supplies in general.

    The situation is not too different in Nigeria at the moment and except something drastic is done we might be witnessing a devastating effect of the pandemic. Nigeria’s, public health capacity has been diminished by large scale public sector corruption. Medical personnel lack surgical masks and local supplies have been diverted and shipped to other markets partly due to corruption. Many states are ill-prepared to combat the impeding surge in patients. A senior health worker with a government hospital in Abuja, in an interview with Sahara Reporters, lamented the lack of quality Personal Protective Equipment for them, adding that government must invest in the protection of health workers at the frontline of the battle against the virus. He said, “The unfortunate thing is that the government is not providing us with what to work with. It is sad that our PPE are not up to the world standard and can be penetrated by viruses. Some of us (health workers) have to use our personal funds to purchase gloves as we do not trust the ones government supplied. Nigerians should please remember us in their prayers and government should provide us with what we really need to work.” [7]

    There was report that in Bauchi State a Coronavirus patient rejected the isolation centre at the Bauchi Specialist Hospital and went back home while describing it as “too dirty”.[8]  

    It is disappointing to hear that the hazard allowance for doctors and health workers is N5,000 per month in Nigeria. The amount is very paltry compared to the risks and the attendant emotional and psychological stress suffered by the health-care workers (HWCs) particularly during monumental outbreaks like this. Unfortunately, when a patient is mismanaged, these doctors and health workers bear the burden of paying huge compensation and sometimes losing their jobs. More importantly, the brain-drain in the health sector is monumental, almost all my friends who are doctors, work abroad. Unfortunately, there are concerted efforts by the US Government to engage foreign Doctors to further fortify its health work force as COVID-19 ravages. Many young Nigerian doctors are already considering the offers because the Nigerian government has paid little attention to their welfare and the welfare of the general health workforce. To stop the exodus of our doctors, who are already in short supply, the government must act fast by improving their welfare packages in line with acceptable international standards.

    The psychological needs of doctors and health workers are also often ignored. Unsafe working conditions contribute to health worker attrition in many countries due to work-related illness and injury and the resulting fear of health workers of occupational infection, including from HIV and Tuberculosis. The 2006 World Health Report – Working Together for Health reported on a severe health workforce crisis in fifty-seven countries, most of them in Africa and Asia. [9]

    Protecting the occupational health of health workers is critical to having an adequate workforce of trained and healthy health personnel. Governments at the Federal and State levels are urged to do more by complying fully with the World Health Organization’s guidelines regarding the Rights of Health Workers while combating COVID-19. Some of the rights are:

    ·         assume overall responsibility to ensure that all necessary preventive and protective measures are taken to minimize occupational safety and health risks;

    ·         provide information, instruction and training on occupational safety and health, including; Refresher training on infection prevention and control(IPC); and Use, putting on, taking off and disposal of personal protective equipment(PPE);

    ·         provide adequate IPC and PPE supplies (masks, gloves, goggles, gowns, hand sanitizer, soap and water, cleaning supplies) in sufficient quantity to healthcare or other staff caring for suspected or confirmed COVID-19 patients, such that workers do not incur expenses for occupational safety and health requirements;

    ·         not be required to return to a work situation where there is continuing orserious danger to life or health, until the employer has taken any necessary remedial action;

    ·         allow workers to exercise the right to remove themselves from a work situation that they have reasonable justification to believe presents an imminent and serious danger to their life or health. When a health worker exercises this right, they shall be protected from any undue consequences; 

    ·         honour the right to compensation, rehabilitation and curative services if infected with COVID-19 following exposure in the workplace. This would be considered occupational exposure and resulting illness would be considered an occupational disease,

    ·         provide access to mental health and counselling resources; and 

    ·         enable co-operation between management and workers and/or their representatives. Etc.

    In conclusion, professional care givers for COVID-19 patients should uphold four basic principles formulated by Beauchamp and Childress in their book ‘Principles of Biomedical Ethics’ in order to protect themselves from liability for negligence. The four basic principles are autonomy, beneficence, non-maleficence and justice.

    Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.

    Beneficence: All healthcare providers must strive to improve their patient’s health, to do the most good for the patient in every situation. But what is good for one patient may not be good for another, so each situation should be considered individually. And other values that might conflict with beneficence may need to be considered.

    Non-maleficence: “First, do no harm” is the bedrock of medical ethics. In every situation, healthcare providers should avoid causing harm to their patients. You should also be aware of the doctrine of double effect, where a treatment intended for good unintentionally causes harm. This doctrine helps you make difficult decisions about whether actions with double effects can be undertaken.

    Justice: The fourth principle demands that you should try to be as fair as possible when offering treatments to patients and allocating scarce medical resources. You should be able to justify your actions in every situation. For instance, it will amount to a professional misconduct for a Health-care Worker to remove a poor man from the ventilator because a Senator was rushed in. 

    Ahmed Adetola-Kazeem is a partner in Adetola-Kazeem Legal Practice and specializes in Medical and Health Law

    Email: aadetolakazeem@gmail.com;aadetolakazeem@gaklp.com

    [1] https://www.who.int/health-topics/coronavirus#tab=tab_1(Accessed on the 28th of March 2020)

    [2] https://businessday.ng/coronavirus/article/abba-kyari-tests-positive-for-coronavirus-buhari-negative/

    https://www.channelstv.com/2020/03/24/buharis-chief-of-staff-abba-kyari-reportedly-tests-positive-for-coronavirus/ (Accessed on the 28th of March 2020)

    [3] Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities Of Health workers, Including Key Considerations For Occupational Safety And Health”. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0   (Accessed on the 26th of March 2020)

    [4] https://abcnews.go.com/Health/wireStory/collapsing-virus-pummels-medics-spain-italy-69789413 (Accessed on 26th March 2020)

    [5] https://www.washingtonpost.com/health/covid-19-hits-doctors-nurses-emts-threatening-health-system/2020/03/17/f21147e8-67aa-11ea-b313-df458622c2cc_story.html (Accessed on 28th of March 2020)

    [6] http://saharareporters.com/2020/03/28/exclusive-two-nurses-one-doctor-infected-coronavirus-abuja-hospital

    [7] Supra

    [8] https://www.dailytrust.com.ng/coronavirus-patient-rejects-bauchi-isolation-centre-returns-home.html (Accessed on 28th March 2020)

    [9] https://www.who.int/occupational_health/topics/hcworkers/en/(Accessed on 26th March 2020)

     

    Opinion

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