Health Essentials
‘Bad roads, deadly car tyres’(2)

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• Our road could be discribed as death trap
[This is the final part of the article we carried on page 14 of The Spectator on Saturday, March 11, 2023. The first part of the article basically talked about the vital part of our road safety that we so often take for granted. Below is the rest of the article]
ii. Balance & Alignment: This ensures the safety of the driver and the performance of the vehicle.
Unbalanced tyres cause road vibration, which leads to driver fatigue, premature tyre wear. Tyres should be balanced when they are mounted on wheels for the first time or when they are remounted after a repair. They should be rebalanced at the first sign of a vibration or shimmy, and should be balanced at least once a year, regardless. A vehicle is said to be properly aligned when all suspension and steering components are sound and when tyre and wheel assemblies are running straight and true. Proper alignment is necessary for even tread wear and precise steering.
iii. Regular Rotation: Regular rotation is necessary to maintain even tread wear.
There are several methods of rotation. For most vehicles on the road, tyres from the rear axle are moved to the drive axle and crossed to opposite sides of the vehicle. The tyres from the drive axle are moved to the rear, but remain on the same sides. This is known as the “modified X” pattern.
For four-wheel-drive vehicles, it is recommended to switch all four tires, both from side-to-side and in axle position.
If no rotation period is specified on the vehicle owner’s manual for the manufacturer’s rotation recommendations, tyres should be rotated every 5,000 – 8,000 miles. Four-wheel-drive vehicles may require rotation as soon as every 4,000 miles.
iv. Visual Inspection/Tread Depth: Take a look at the treads for any sharp objects that may have punctured the tyres. Even if the puncture is not deep enough to flatten the tyres immediately, the cracking and pitting caused by smaller punctures can eventually worsen and lead to problems down the road.
Look at the wear patterns on the treads as well. Excessive shoulder wear can indicate under-inflation, while wear to the center of the tread can mean over-inflation.
Tyres have tread wear indicator bars moulded into the tread. When the tread is worn down to where you can see a solid bar of rubber across the width of the tread, it is time to replace the tyre. Another method for checking tread depth is to place a coin (20 pesewa) in the tread groove, a tyre with a good tread depth should admit about half of the width of the coin.
Tyre pressure should be checked when the tyres are cold, at least once a month and before long journeys or when carrying heavy loads.
v. Repairs: It is important to know when to repair a tyre and when it should be replaced. If a tyre loses its air pressure, it must be removed from the wheel for a complete internal inspection to be sure it is not damaged.
Most punctures, nail holes or cuts up to 1/4 inch can be repaired by trained Technicians as long as the damage is confined to the repairable tread. DO NOT repair tyres with tread punctures larger than 1/4 inch, or any sidewall puncture. Also, never repair tyres which are worn below 1/16 inch of tread depth.
Replacement of tyres: Tyre age is also crucial to safety on the road. Even though tyre life generally depends on service conditions and the environment in which tyres operate, some vehicle manufacturers recommend that tyres be replaced every four to six years regardless of use. Always, check the owner’s manual for specific recommendations for your vehicle.
Can you tell when your tyres were made? The date tyres were manufactured are indicated on the sidewall of the tyres in the form of four numbers usually preceded by the letters DOT. The four letters represents the week and year of manufacture. In most instances, there are 12 numbers after the DOT but the first four numbers are considered in identifying the age of the tyre. For example, DOT 1015 or DOT 1015 243/47R18 means 10th week of the year 2015.
KCE: Are you willing to meet with companies, groups of people etc. to promote this campaign on safe tires?
AA:Oh yes! I cannot keep this to myself. Safety on our roads is a shared responsibility and as long as individuals, groups of people and companies are willing to get more of such knowledge, I am willing to steer them towards road safety. I intend to work in collaboration with National Road Safety Commission too.
KCE: Is there a slogan on Tyre Safety you would like to leave us with?
AA:Tyre Smartness Saves Lives, Play Your PART (P- Pressure, A- Alignment, R- Rotation, T-Tread)!
KCE: What are your final words on tyre safety?
AA: We all sit in cars, be it our own or as passengers. Cars move with tyres and the safety of tyres plays a significant role in reaching our destinations in time, delayed, dead or alive. Hence, let us all be tyre safety conscious and always remember to play your PART in order to be tyre smart!
KCE: Thank you very much Abenaa. Almost everyone comes into contact with a car tyre on a daily basis and will find these tips extremely beneficial.
AA:Thank you for hosting me! Let us all join hands to promote tyre safety in order to save lives, properties, disabilities, avoid litigations and compensations. Let us always remember that generally, Safety, Health and Environment incidents are rare but they have huge impacts, when they hit us, they hit us badly. Thank you.
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/Mobissel
(www.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 – “Whatever you practice grows stronger. What will you like to see grow stronger in your life?”
Resource Person: Abenaa Antwiwaa Adusei
Her References:
1. Basic Tyre Fundamentals, GOOD YEAR PLUS, www.goodyearplus. com
2. ABC News: http://abcnews. go.com/Blotter/story?id=4988518
3. Rubber Manufacturers Association: http://ww.rma.org
4. The telegraph, www.telegraph. co.uk
Abenaa may be reached on: healthandsafetygh@gmail.com or 0500777 775.
Our road could be discribed as death trap
By Dr. Kojo Cobba Essel
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




