Health Essentials
A new year and a fresh start@ 2025
In 2025 nothing new will happen in terms of New Year Resolutions. Even a change in government will not impact our resolutions. As has been the practice in years gone by, about 50 per cent of the resolutions will be based on a healthy lifestyle.
We all know them: Exercise more, lose weight, get a medical checkup, quit smoking and drinking. Almost invariably we give up by the end of the first quarter and for some as soon as the holiday season is over. Do not despair if this scenario sounds all too familiar – YOU ARE IN THE MAJORITY!
Definitely behavioural change is difficult and since we are not adequately prepared for the change, we have actually set ourselves up for failure even before we started.
As far as humans know, there is no magic wand to ensure you stick to your NEW YEAR RESOLUTIONS be it health, spiritual, moral etc. but together we will work on a blueprint that may help our new choices become habits eventually. The worst thing that can happen is for you not to have tried. January 1, 2025 can be a fresh start, and you have the power to make a difference in your life and that of many others.
Over the past few years my New Year Message has remained the same and I will continue along the same path till we can all benefit.
1. Prepare, Prepare, Prepare
How true it is that “when we fail to prepare, we prepare to FAIL”. 1ST of January is no fairytale day. If we wish to make changes from that day we have to work at it.
• We have to psyche ourselves up that we will hang in there no matter what
• You cannot keep healthy if you don’t even have the right attire to exercise. If you plan to use a gym, get your clothes, trainers, towel and water bottle and pack them in a bag ready for the action. Even if you plan to walk, get a good pair of footwear. It is worthwhile to invest some money in your basic requirements
• Knowledge definitely is power – we have to know well ahead of time what we plan to do and why. If it’s walking, map out your route before the 1st of January. If you intend to sweat it out in a gym, choose one before December 31. It is still not late.
• It is vital to get a professional to help you sometimes. The plan is to improve your health and not to harm yourself and learning to do things right is essential.
• Choose the time and days you plan to exercise. You may not be able to have a single stretch of thirty minutes at a time, so do the next best thing, put in ten (10) – minute sessions thrice a day. Yes, you can “snack” on exercise.
• If eating well is a problem for you, seek help. Even if you think you are in control of your meals that may be a good reason to seek professional help so that you can show off.
• If you are forty (40) years and above, pregnant, have multiple disease states, get tired easily or have not exercised in more than one (1) year get clearance from a healthcare professional well before the last day of the year. We want to hit the New Year with a blast.
• Find an ACCOUNTABILITY partner; someone with similar goals who will check in or you will update periodically. Most times we do not want to let that person down, so we go the extra mile to keep our lifestyle resolutions on track.
2. Be Patient
Patience, my dear reader is a virtue. It can move even mountains so improving your health or flattening the mound around your midsection is not beyond its capability.
• Start slowly. No need to squeeze all that you should have done over the past five years in your first workout
• Pushing yourself too hard may end up causing you so much pain that like many people I have interacted with you spend the next few days-weeks nursing injuries. That could be the end of your new year resolution
• No need complicating matters with “I will lose 50kg by December 31” The risk? You may lose focus by mid-April. What if we say “…..1kg by February 28” (I hope you know by now that I am not a big fan of the scale, this example is purely to explain the point). Better still we could do something as fuzzy as “I should be able to go up two flights of stairs without stopping to catch my breath by March 1.
Dear sisters, trying to run up the stairs in high heels may make life uncomfortable for your knees. Unfortunately, there are no spares for your knees. I am a great fan of wedge shoes-excellent for the back and knees.
• Finally, you are a unique individual. You may start your health quest on the same day with someone else who will appear to be making faster progress. Remember we are all different. The important factor in this case is to keep breaking your own records.
3. Write it down
The smart people in research have discovered that whenever we write down our goals, we are more likely to succeed. No need re-inventing the wheel, lets write down our goals and go a step further, discuss your goals with someone whom you will hate to disappoint.
This person may check up on you during the year and the “fear of losing face” will keep you on track long after the NEW YEAR tunes have died down.
Your written goals should be Specific, Measurable, Attainable, Realistic and Time bound (SMART) and they act as a blueprint to follow throughout the year.
Log or write down what you do each fitness day e.g. I ran for 10 minutes and had to stop twice to catch my breath. My thighs and calves ached so badly I had to get a cold compress and take some painkillers (not a smart thing to do). Imagine what you do to your ego when three weeks later you run at an even faster pace for 30 minutes, do some strength training and take a quick shower so that you can get to work before 8am. Hmmm no pain at all.
Logging your workout is good. It boosts your ego, alerts you when you slack and if you hit a plateau your instructor may be able to help you by simply analyzing your logbook.
For your meals don’t forget to chart when (time), where (location), who you ate with, your mood during the meal and whether you ate with or without alcohol. You will have to include two weekend days in the recommended 4-day initial Diet Log.
4. Choice Is King
“Variety is the spice of life” It is the rule of thumb that you pick exercises, sports or fitness quests that you love or enjoy. When we love something, we tend to keep doing it. Always remember though that we need to spice up things a bit and sometimes challenge ourselves with those we may dislike at first sight.
You may love walking. Keep walking but vary it: use weights sometimes or even resistance bands. Intersperse brisk walking with short bursts of jogging (interval training). Walk in a hilly area and sometimes on level ground. Occasionally ride a bike, swim, play tennis or even join an aerobic class.
5. Identify the limiting factors
A limiting factor is that demon that prevents you from getting the result you expect or should achieve because you are doing everything else right.
• Nutrition is often our enemy numero uno. You will be short-changing yourself if you do not get your nutrition right. Seek professional help.
• Motivation Sometimes we need to have an exercise buddy. We tend to workout longer as we chat or make more effort to go to the gym or meet outside to walk together. We just hate to disappoint our buddies.
• Time If only we could set aside a few minutes a day to take care of our health. “Time and tide wait for no man” but how true it is that by failing to invest in our health now, we may be hit by an illness that may leave us like the river bird “…… sitting all day long……” A Stroke for instance may leave us in this state. Time is scarce, if you have to use the gym, do not go there more than five days a week. You will only be setting yourself up for gym fatigue/burn out and alas a lost dream
6. Reward Yourself
No matter how little you may think your achievement is, give yourself a pat on the shoulder. Buy yourself a smaller size dress or belt. Go out with your exercise buddy to celebrate. Make a big fuss. Your brain just recognized your excitement and will help you attain more milestones.
If through sheer coincidence you find that in June you are back to your old ways, this is no time for blame games. You need not wait till January; your new calendar starts on that day.
You have what it takes to make it. Get going NOW!!!!
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 (HE&W Group)
(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 – “drinking bitter (pure) Cocoa daily as part of a healthy lifestyle may reduce your risk of a stroke by improving blood circulation”
SOURCES:
• Random thoughts of kojo essel
• www.healthessentialsgh.com
• Webmd.com
• Abcnews.com
By Dr. Kojo Cobba Essel
Health Essentials
The Prostate Has Found Its Voice

The prostate gland, a small but essential organ found only in men, plays a key role in reproductive health. It produces fluid that nourishes, protects, and transports sperm, yet many focus only on its connection to prostate cancer.
Location & Function
- Situated between the bladder and penis, with the rectum behind it.
- The urethra passes through the prostate, carrying urine and semen.
Common Prostate Conditions
1. Prostatitis – Infection of the prostate:
- Symptoms: chills, fever, pus-like urethral discharge, painful urination, groin/testicular pain, painful orgasms, erectile dysfunction.
- Advice: Seek professional help; do not self-medicate.
2. Benign Prostatic Hyperplasia (BPH) – Non-cancerous enlargement of the prostate:
- Symptoms: frequent urination (especially at night), urge incontinence, difficulty starting urination, weak stream, painful urination, blood in urine, terminal dribbling, and in severe cases, inability to urinate.
- BPH can be extremely painful, sometimes compared to labor pains.
3. Prostate Cancer – Common among men, especially black men, often aggressive and with earlier onset:
- Risk Factors: older age, African descent, family history, obesity.
- Symptoms: frequent urination, straining, blood in urine/semen, weak urine flow, new erectile dysfunction; advanced stages may include fatigue, weight loss, and bone pain.
Diagnosis
- Digital rectal examination – checks for irregular or hard areas.
- PSA test, biopsy, ultrasound, CT/MRI/PET scans, bone scan.
Management
- Holistic approaches include watchful waiting, medication, surgery, and radiation (external & brachytherapy).
- Always discuss all options with your healthcare provider.
Risk Reduction Tips
- Regular screening
- Healthy, varied diet rich in fruits and vegetables (carrots, tomatoes, broccoli, kale, cauliflower)
- Maintain a healthy weight
- Exercise at least 5 days a week
Final Advice
- Share this information – the prostate needs support!
- Maintain good hygiene, walk and exercise daily, pray, and know your numbers (blood sugar, blood pressure, cholesterol, BMI).
Thought for the Week:
“There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
Dr. Essel invites readers to the La Palm Royal Beach Hotel Wellness Festival on Saturday, November 29, 2025, at 6 a.m., to walk, exercise, network, and share ideas to stay healthy.
Contact: dressel@healthessentialsgh.com
By Dr. Kojo Cobba Essel
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Health Essentials
Stop the silent killer: Breaking myths to prevent sudden deaths from high blood pressure

Every week in Ghana, a life is cut short, sometimes in the middle of traffic, sometimes at a desk, sometimes in the quiet of sleep. A father doesn’t come home. A sister doesn’t wake up.
A colleague slumps at work and never gets back up. Families are left asking why and you will hear statements like what happened? Was he sick? I just saw him, he has not shown signs of ailment, what a shock and so on.
Behind many of these sudden tragedies is a quiet, invisible force: high blood pressure, or hypertension. It doesn’t scream for attention. It doesn’t always show symptoms. But it tightens its grip silently on hearts, on brains, on lives.
This is not just a medical issue. It is a human one, it is about behaviour, it is about ignorance and it is about lifestyle. It is the grandmother who never got her blood pressure checked because she felt “fine.”
It is the taxi driver, the statistician, the nurse who ignored his pounding headaches, thinking it was just stress. It is the young lady who was so vibrant at church and no one suspected she could fall and die. Because it shows no symptoms.
The alarming numbers we cannot ignore
The Ghana’s 2023 STEPS Survey on Non-Communicable Diseases conducted by The World Health Organisation, Ghana Health Service and Ghana Statistical Service has revealed findings that should push for action.
According to the report, 21.7 per cent of adults aged 18 to 69 in Ghana are living with high blood pressure. Even more alarming is that 51.1 per cent of those with hypertension are not aware of their condition.
This means that more than half of the people with dangerously high blood pressure are walking around without knowing it until tragedy strikes. That is the real danger of this silent killer.
Literature has shown that hypertension is preventable and manageable. But only if we treat it like the threat, it is. That means regular checkups; that means understanding the risks and that means talking about it openly, urgently, and with compassion.
The deadly power of myths
Why are so many Ghanaians untested or untreated? Is it out of ignorance, or the pervasive myths about hypertension and its treatment?
• Some believe blood pressure medicine “weakens the body” or “shortens life.”
• Some believe blood pressure medicine “weakens the penis and kills sexual drive”
• Others think once you start taking medication, you are “dependent for life.”
• Many say, “I feel fine, so I must be fine.”
These beliefs are not only false, but they are also deadly. The truth, according to the World Health Organisation, is that effective treatment can reduce the risk of stroke by up to 40 per cent and heart attack by 25 per cent. Avoiding treatment does not prevent dependence rather, it accelerates death.
As Dr Patrick Kuma-Aboagye, former Director-General of the Ghana Health Service, has noted, “Hypertension is preventable and treatable, but our biggest battle is misinformation and late detection.”
A national conversation we must have
This is not just a health issue it is a national emergency. Sudden deaths rob families of breadwinners, communities of leaders, and the country of its productivity. In every obituary notice caused by hypertension, there is a story of loss that could have been prevented with a simple blood pressure check and treatment.
Behind every life saved is a moment of awareness, a decision to act, therefore, the media must rise to the challenge.
Radio and television programmes should dedicate regular airtime to demystify hypertension. Newspapers should carry survivor stories, expert interviews, and practical lifestyle advice.
Social media influencers should spread awareness in local languages, reaching young people who assume they are safe.
Public health experts also have a responsibility. Screening must move beyond hospitals into churches, mosques, markets, schools, and workplaces. People should not have to wait for illness to know their BP status.
What we can do together
To stop the silent killer, we need a collective response:
• Check your blood pressure regularly, even if you feel healthy.
• Follow medical advice faithfully if diagnosed because treatment saves lives.
• For healthy lifestyle, eat less salt, reduce alcohol, reduce starchy, fat and oil intake, avoid smoking, and exercise at least 30 minutes daily.
• Encourage one another talk about blood pressure in families, communities, and workplaces.
Conclusion: Silence is killing us
What kills is not just the disease, but the silence, fear, and myths that surround it. The STEPS 2023 report has sounded the alarm: nearly one in five Ghanaian adults has high blood pressure, and more than half don’t even know it.
This is the time for bold conversation, public education, and decisive action. The media, health professionals, policymakers, and ordinary citizens must join forces to expose the myths, spread the facts, and save lives. Let us not wait for another headline.
Let us make blood pressure a national conversation before it becomes a personal tragedy. With awareness, treatment, and collective will, Ghana can stop the silence and stop the sudden deaths from the silent killer.
Written by: Ansah Moses Teye-Akam – Senior Statistician, Sociologist/Scientific Research Organisational Expert.
Email: moses.ansah@ statsghana.gov.gh/ansahmosesteyeakam@ gmail.com.gh Contact: 0244539034 / 0204359034
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