The ballot vote as embedded ritual: a radical critique of liberal-democratic approaches to media and elections in Africa

A significant part of scholarship on media in Africa has adopted the normative ideal of liberal democracy, which defines democracy primarily as electoral democracy. Media institutions, in this regard, are considered to play an important role in strengthening the democratic process and making government more accountable to its citizens. Media are seen as constituting a discursive space or Habermasian public sphere where issues of public concern can be deliberated. Audiences are treated as citizens engaged in public dialogue in and through the media. In this approach, a major task of modern mass media is to offer information in order to enable citizens to participate meaningfully in political life such as providing fair and ‘objective’ coverage on all major candidates in elections that would allow citizens to make a well-informed choice. This article critiques the tendency in work on media in Africa to equate democracy with a form of electoral democracy. First of all, the article advocates a more substantive definition of democracy which goes beyond merely the regular conduct of free and fair elections, a multi-party system, respect for human rights and press freedom. Adopting radical democracy as a normative ideal reveals the crucial role of media – beyond merely elections – in democratising power relations and correcting structural inequalities. Secondly, the article argues that liberal-democratic approaches to media and elections presuppose a universal meaning of elections, hereby ignoring the particular embedded meaning that elections obtain in the African context. Instead of treating media as the neutral arbiters of information on election candidates, I offer an alternative, critical research agenda that considers the engagement between media institutions and political actors as a symbiotic relationship that ultimately seeks to legitimise certain election candidates and condone election rituals as democratic events par excellence

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population