Health Essentials
Turning our roads into battlefields

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Potholes on the road
I am so optimistic about Ghana making major positive gains by making small changes that people have often misinterpreted my passion for our dear country.
I have been excited by the War Against Indiscipline (#WAI) initiated by CitiFM; without a doubt by favourite media house. It is a tedious process and it’s not surprising that my folks are on a short “break”.
As part of my contribution to the “struggle” I am re-producing an article I wrote about a decade ago after an ambulance ride with a client from Aburi to a hospital in Accra.
It is often said that “all is fair in love and war” but have you not heard of people who have been tried and punished for war crimes? Love birds who have allowed jealousy to rule them have had to exchange their beds at home with that of a cell. After an ambulance ride across Accra I have concluded that “all is fair on our roads.”
Our roads are competing with war zones for honours. Which one kills more? Which one maims more? The list of atrocities is endless. Ghana loses over $230million every year to road traffic accidents and 60 percent of these accidents are caused by over-speeding and drunk driving.
Some of our roads may have potholes or pits and in a few areas we have huge crevices with roads in between them but after all is said and done our attitude is probably our greatest setback.
During my ambulance ride with a patient I realised that from the ‘trotro’ driver who found himself behind the wheels of a vehicle through a miraculous act, the apparently well-educated middle-aged young lady driving an SUV who felt it was her right to keep driving despite the obviously blaring siren of the ambulance, to the policeman who kept directing traffic totally oblivious of his surroundings and of course the cyclist who felt it was okay to cross an ambulance, we all need to get back to the basics of road use
Using the road can be likened to a stint on the battlefield. There is chaos! Drivers stop, turn and move at will without signaling and if you should complain you will be greeted with a barrage of insults. I pity anyone who lives more than four miles from their place of work.
You will often arrive at work drained by the stress and you return home cursing. That mood is certainly not good for innocent family members.
We will not be able to control road traffic accidents and its effects only by wearing seatbelts, making sure our vehicles are road worthy and our streets well lit. We need to take a close look at changing our attitude and we will look at a few areas.
1. THE POLICE
a. I like the police, they protect us and I have many friends in the unit but I worry a lot when I see an “arrest” being made of a car with a DVLA plate or some other trivial reason right in the middle of the Kwame Nkrumah Circle. Please keep the traffic moving and let other colleagues at vantage points deal with such issues. Of course there may be instances when the crime is so unpardonable that you will need to stop them even if it requires creating traffic by getting someone to move all the way out of the inner lane. I hope the police have a means of communicating with their colleagues.
2. ROAD SIGNS
a. The George Bush Highway is beautiful but certainly incomplete. Road markings and directional signs are rare. Quite often the turning you need to use will just creep up on you. The busy drivers who think waiting is a crime will not think twice before crossing three lanes of fast moving cars to get to the turning. I think we should have several directional signs starting at least two miles from each turning to help us choose the appropriate lane. I guess those in-charge expect us to learn over time but that is disastrous.
3. KNOWLEDGE OF REGULATIONS
a. I do not think even 50 percent of our road users have a clue about regulations and ethics on the road. Most of us are limited. I see trucks moving at snail pace in the inner lanes all the time. Why can’t we have signs that read “inner lane only for overtaking?”
b. The folks driving the bullion vans are real bullies. Why do they think they have the right to switch their hazard lights on and drive facing oncoming traffic? It is so scary.
I think there is a law that prevents them from doing that. I think they rather draw attention to themselves. Really! Do they always have money in there?
c. These days anyone riding a beautiful luxury car thinks he should not stay in traffic. They often behave just like the bullion van drivers. If you need to engage in any antics on the road, please keep us safe and request for police escort.
4. ROAD CONSTRUCTION (POT HOLES AND PITS)
a. I always cringe when I have to use a road at night especially when I have not used it in over 24 hours. There are huge pits at several junctions and you definitely will need to visit the mechanic when you accidentally fall into one. You will be lucky if your car does not need bodyworks after such an encounter. Yes we will always leave such pits uncovered and with no warning signs.
b. Why don’t we maintain our roads? We only do some work when there is a problem or one of the amenity providers decides to lay a cable right across the road. Certainly we cannot spare time to cover up this mess properly.
c. We dodge speed ramps (or hills), potholes etc. with total disregard for oncoming vehicles. It does not matter to us that we are moving into their lanes and need to wait till the time is right. How can you, with an impatient taxi driver hooting his horn behind you.
5. SPEED LIMITS
a. We speed unnecessarily in residential areas, in congested urban slums and in places you can never imagine. What is the hurry? Can we have signs with speed limits please!
b. I have seen vehicles (including myself) stopped for over-speeding on a quiet but good highway but not once in a residential area.
6. RIDERS
a. I thought all road users; and this includes pedestrians and riders (cyclists, bikers) had to obey traffic regulations. The riders will flout the law and ride boldly through a red light even in the full glare of uniformed men. Pardon me but not once have I (emphasis on I) seen one of such riders being arrested. Not only do they put their own lives at risk but they also cause accidents when oncoming vehicles have to brake suddenly to avoid hitting them.
7. POLLUTION
a. Don’t we have any laws restricting the honking of horns? We need to stop this noise pollution. Some drivers think it is fun to toot their horns and they will even do this while they are parked or even in the vicinity of a hospital.
b. The exhaust fumes do not need any further introduction.
8. LITTERING OUR ROADS
a. Riding in a vehicle does not give you the mandate to throw rubbish onto the street. We need to keep our roads clean
b. To the drivers of trucks that transport our garbage. Why do you punish us for paying you to provide us with a service? Do these people intentionally drop garbage on the road so that they can create space to load more? I know those in charge are reading.
Our roads are sending us to our graves instead of making us more comfortable and we all need to work together to save lives that contribute meaningfully to nation building.
We can win this battle against Indiscipline on our roads and all others will be added!!
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
By Dr. Kojo Cobba Essel
Health Essentials Ltd/ Mobissel
(dressel@healthessentialsgh. com)
*Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
THOUGHT FOR THE WEEK – Join me on Saturday
Health Essentials
Cancer; a burning desire to reduce risk

When it comes to cancer risk factors; ALL RISK FACTORS ARE NOT CREATED EQUAL. Someone may have several risk factors but remain perfectly fine while another may have only one or none yet end up with breast cancer or other cancers.
We cannot say with certainty that we can do all it takes to prevent cancer BUT we can do a lot to reduce our risk.
TEN (10) TIPS TO CANCER RISK REDUCTION
- Weight Control – being overweight or obese increases risk to SEVERAL cancers.
- Smoking – cigarette smoking predisposes one to several cancers including lung cancer. Other forms of air pollutants serve as risks too.
- Alcohol – limit intake or avoid. It has the power to expose one to several cancers as well especially when we can’t apply brakes to how much we consume.
- Healthy Eating
- Limit intake of processed food and sugar
- Limit intake of red meat
- Fruits and vegetables should be a mainstay of our diet.
- An antioxidant rich food like cocoa should be part of our food. The purer the cocoa, the better
- Fibre in your food is crucial.
- Exercise – on its own reduces risk for breast and colon cancers directly and many others through weight control.
- Also increases immunity.
- Cancer Screening – be regular so cancers can be detected early and managed aggressively.
- Vaccinations – take vaccines where needed e.g. Hep B vaccine or vaccine against HPV (human papilloma virus accounts for the majority of cervical cancers)
- Know your Family History
- Anyone in your family with a cancer? Necessary to be on your guard but also remember that you may be the first person in your family with a particular cancer.
- Start your family early and breast feed for as long as possible to reduce risk of breast cancer.
- Check exposure to Ultraviolet Light and other forms of radiation. Protect your skin.
- Practice SAFE SEX
- HPV infection leading to cervical cancer is commoner when one is exposed to sex early, directly or indirectly has multiple partners but NOT everyone follows this rule. As in many situations, outliers do exist.
- Conditions such as HIV/AIDS may suppress your immune system if not managed appropriately.
Do add two (2) others of your choice and send to me via email. Together we can protect ourselves.
Will treating H. Pylori infections be a game changer too?
ALWAYS remember that CANCER PREVENTION HAS NO QUICK FIX – we need to follow these points over and over.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/ Medics Clinic
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO
By Dr. Kojo Cobba Essel
Health Essentials
DUMP these medicines; Save lives!

Accidental poisoning of children at home, starting point of drug abuse by teenagers at home and uninformed self-medication have one thing in common; in all three unused or unwanted medicines are likely culprits. The harm we cause when we fail to properly dispose of medicines we do not need is crippling.
So many people have out of fear or anxiety converted their homes into mini-pharmacies where medicines that are supposed to keep us alive are stocked. COVID-19 worsened this practice and no-bed syndrome also plays a role.
Some of these medications may end up complicating our conditions as we self-diagnose and treat ourselves with what “the all-knowing “social media curb-side doctors prescribe.
From “blood-thinners” including aspirin to steroids, antibiotics, assorted supplements, ivermectin, hydroxychloroquine and even tanks filled with oxygen have found their way into homes. People including children will now “consume” some of these medicines and any left-overs may be accidentally taken, given out to family and friends with “similar” symptoms etc.
We all run the risk of abusing drugs and unfortunately some may end up indulging in “hard drugs.”
Prior to COVID-19 many of us had turned our homes into dumping sites for medicines and we have now expanded our range of supplies. We seem to develop “unholy” attachments to drugs and end up keeping them for years even when they have long expired. I have had several unpleasant requests to identify a drug that is partly decomposed and has no name on its container. Unfortunately I have on all occasions refused to even make an attempt. My trade may teach me many things about humans and medicines but it also teaches me to be wary whenever I attempt to play Sherlock Holmes especially with medicines that are not labelled.
I took another look at “DUMP”, which is acronym for “disposal of unused/unwanted medicines programme.” I must admit I was extremely impressed with the usefulness of the DUMP. Many countries have tried a variety of approaches including self-disposal but I think the option that is being promoted in Ghana by Dr Edward Amporful, Cocoa Clinic and other patrons is exceptional. In my candid opinion every hospital, company and home should adopt this programme.
All you need to do is to return all unused/unwanted or even expired medicines to participating hospitals. Put these medicines in labelled receptacles or bins that are provided. You do not need to disclose your identity, just walk away because your work is done. The necessary arrangements have been made with the relevant regulatory bodies for the safe disposal of such medicines.
Sounds absolutely simple yet this has the potential to save lives; that baby who could have accidentally swallowed some of these medicines is still alive and the teen who would eventually have been hooked on stronger drugs is spared the agony.
I think bins should be in all offices so that staff could drop off their medicines and the appropriate steps taken. Market places could also have these bins available and locked and properly secured to prevent people taking the boxes away. Even homes can have a similar bin for discarding and then periodically taken to participating hospitals/clinics. Unused or unwanted medicines should not find their way into a First Aid Box, they don’t belong there.
How do we amass “riches” in unused, unwanted or even expired medicines?
• We may not adhere to the right dose of the medicine thus we end up accumulating medicines at home.
• Sometimes our healthcare provider may make changes to medicines especially when we have chronic diseases such as high blood pressure but we do not return the old ones to the hospital but instead keep them at home.
• Sometimes we react to a drug and stop taking it, leaving the excess at home. I am not sure why we keep these at home when we are aware we are no longer going to use them.
• …and now we stock medicines for fear that we may not have access to some when we have an emergency. Our excuse is that many people are hoarding social-media proposed life-saving medication. After all we are all still learning.
In support of ‘DUMP’
• A frequent cause of accidental poisoning of children at home is having unused/unwanted or expired medicines within their reach. I have seen children rushed to the emergency room for this reason. Some were lucky to live while others had their exciting life cut short. Start DUMP today and help save lives. Even adults sometimes end up with complications because they assumed a drug was used for something completely different.
• People tend to play doctor or pharmacist at home because they pass on unused medicines to family and friends. This is often the starting point of uninformed self-medication. Many people are unaware that doses and types of medicines needed do not depend only on having an illness that appears similar to what another person on a particular medicine was given.
• When unused or unwanted medicines are improperly disposed of, they may eventually end up polluting water bodies etc. Start DUMP and make a statement on protecting our water bodies.
• Drug resistance is often a consequence of abuse of medicines such as antibiotics and anti-malarias. Kofi starts medicine required to be taken for one week and feels better after three days so he stops. A few days or weeks later Awo appears to have a similar illness so Kofi gives her the medicines left for four days. The process of developing drug resistance has just taken off.
• Keeping expired medicines at home may lead to unsuspecting people taking them and they may end up with additional problems.
• Improper storage of medicines may affect its potency. A typical example is keeping medicine that needs to be refrigerated in a hot room instead. Return these medicines.
We could jeopardise our health or that of others just because we are keeping unused or unwanted medicines. STOP. THINK. JOIN DUMP TODAY! You will be saving lives.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/ Medics Clinic
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week –“IN CASE OF AN EMERGENCY you may need someone to be alerted. Since majority of us own cellphones, plan your own rescue by saving this person’s phone number preceded with “ICE.” An example is ICE Kojo Essel.The more people we have who know about “ice” the better for us all. Spread the news!!”
References/Credit:
• Dr. Edward Amporful, Cocoa Clinic.
• www.healthessentialsgh.com




