Features
Breast Cancer rate on the rise!!!
Worldwide report indicates that Breast cancer is one of the diseases that is causing alarming mortalities with an estimate of over 2.3 million cases recorded globally in the year 2020 (WHO).
Research has shown that Breast Cancer is the most common cancer among women. Although men also get affected with the disease – it’s estimated that one per cent of cases recorded worldwide (WHO) were reported by males.
It has also been estimated that over 685,000 women died from Breast Cancer in the year 2020 (WHO). Additional statistical report has revealed that, at the end of the year 2020, there were 7.8 million women alive who were diagnosed with breast cancer five years ago.
While breast cancer rates are higher among women in more developed countries, they have lower mortality rates due to the fact that Breast Cancer cases are detected in the early stages and immediately holistic treatment is given with effective continuity of care even to the involvement of a psychologist (good support system) which is very much key.
However, in low and middle-income countries like Ghana, breast cancer mortality rates are significantly higher though the prevalence is lower as compared to the developed countries.
The reason for the soaring mortalities of breast cancer in sub-Saharan Africa specifically Ghana, is partly associated with people’s erroneous beliefs of the disease. Other significant factors such as cost of treatment, accessibility to screening machines, irregular education and publicity of the disease are issues which need to be addressed immediately.
Unfortunately, about 60-70 per cent patients seek for medical attention at the very late stage of the disease where little or nothing can be done for them. Sadly, this is one of the factors that is causing defeat in our quest to reduce deaths amongst breast cancer patients.
Narrowing the discourse to our immediate environment Ghana specifically, Korle-Bu Teaching Hospital, our main referral centre has the following statistics on Breast Cancer cases.
In the year 2018, 400 new cases were recorded. Out of that, 2.4 per cent were found to be males while the remaining 97.6 per cent were females. Also, out of 2,260 cumulative cases studied over five years, 1,021 people died from the disease.
Isn’t it sad that, just within five years, more than 1,000 souls perished because they probably failed to seek for medical attention at the early stage of their sickness?
Or possibly, they were not self-aware of what was happening to them?
Hitherto, the age group that was mostly affected was between 40 and 49 years.
Surprisingly the age bracket keeps reducing gradually with incidences occurring between 25 and 29 years due to adaptation of the western and sedentary lifestyle.
Breast Cancer as we all know has no known cause but there are risk factors that can precipitate it.
Sex: The fact that one is a female automatically puts you at risk of Breast Cancer because women have more breast tissue than men do, hence the increased risk of getting breast cancer.
Age: Usually women above 45 years are prone to Breast Cancer but now the age bracket is reducing. Now, there are records of Breast Cancer patients between the ages of 25 and 29 as a result of westernisation in terms of diet and sedentary lifestyle
Exposure to Estrogen Hormone: Early menarche (first occurrence of menstruation) latemenopause, nulliparity (when a woman has never given birth to a child, or has never carried a pregnancy) and giving birth after age 30.
All of the above situations cause increased exposure to estrogen hormone which can cause Breast Cancer.
Family History: When one’s aunt, mother, sister, grandmother has had Breast Cancer, it puts one at a risk of getting the disease. However, recent medical investigations posit that, it is when a first-degree family member gets the disease, that can put one at a risk.
Interestingly, it has also been discovered that when any primary male relative, has been diagnosed with even prostate cancer, it can put you at risk of getting Breast Cancer.
Hence, the need to be keen with regular screening, visiting women wellness clinics, and the need to conduct personalise routine breast examination, etc.
Also, increased fatty diet, obesity, alcohol, smoking, lack of exercise; these are but some of the known risk factors that can precipitate Breast Cancer.
Nonetheless, there are many ways to reduce the incidence of an individual getting breast cancer.
Keep your weight in check, by being physically active and undertaking regular exercises.
It’s also important to incorporate fruits and vegetables in your diet.
At risk persons should avoid the following: Alcohol (Zero is Best), forsake smoking, avoid birth control pills, particularly after age 35 or if you smoke. Almost every woman is at risk of getting Breast Cancer hence the need to adopt the best lifestyle as a preventative measure.
Breast feeding is also another sure way to reduce the risk of getting breast cancer as a woman. Hence women are encouraged to breastfeed their infants, especially working-class mothers. There is this notion that breast feeding is old fashioned. Sadly, some women now resort to formula feeding for their infants which they think is fashionable and trendy.
Now, let’s consider Breast Cancer myths. Myths are misbeliefs or false ideas, so breast cancer myths are false beliefs that people have concerning breast cancer. In our Ghanaian society, people have the mindset that breast cancer is a “cursed” disease. The unfortunate belief is that, a person may have offended the gods, hence the repercussion of their actions.
Again, there is a belief of witches “buying” the sickness in the spiritual realm to infect innocent people. Due to this notion, most people seek spiritual help than going for medical treatment.
Hence, 70 per cent of cases recorded at Korle-Bu report at very late stages due to social stigma of this disease leaving little or nothing to be done for the patient except palliative care.
Other myths concerning breast cancer are wearing a brassiere can cause Breast Cancer. The usage of underarm antiperspirant, carrying your cell phone in your brassiere and many others are sheerly make beliefs that are clearly untrue.
In light of these misconception and superstitious beliefs, Breast Cancer awareness creation remains one of the effective ways to educate and screen people against possible Breasts Cancer.
October is the month set aside worldwide for breast cancer awareness celebration termed Pink October. This pink month celebration is catching on well with Ghanaians. The good news is that, many organisations have sprung up the quest to fight this vile disease called Breast Cancer.
One of such is the Ladybits Health and Wellness Foundation which is determined to help build the “Quintessential Woman‚ in our contemporary Ghanaian society. The organisation reaches out to all women found in various endeavours especially the rural and less deprived areas where we educate them on breast cancer with effective screening and diagnosis of the disease.
Our aim is to empower women especially in deprived areas to be in charge of their health and take precautionary measures where necessary. In the end, I reiterate that Breast Cancer is very treatable especially when detected early.
Some aspects of the treatment of Breast Cancer is covered by NHIS. In addition, members of GNAT have access to free medical treatment of all cancer diseases including breast cancer.
Nevertheless, I look forward to a time where the government and for that matter NHIS will absorb the full treatment cost of Breast Cancer so that the screenings that we do in the rural areas will be more impactful and effective
By Dr. Victoria Partey-Newman
Features
Tears of Ghanaman, home and abroad
The typical native of Sikaman is by nature a hospitable creature, a social animal with a big heart, a soul full of the milk of earthly goodness, and a spirit too loving for its own comfort.
Ghanaman hosts a foreign pal and he spends a fortune to make him very happy and comfortable-good food, clean booze, excellent accommodation and a woman for the night.
Sometimes the pal leaves without saying a “thank you but Ghanaman is not offended. He’d host another idiot even more splendidly. His nature is warm, his spirit benevolent. That is the typical Ghanaian and no wonder that many African-Americans say, “If you haven’t visited Ghana. Then you’ve not come to Africa.
You can even enter the country without a passport and a visa and you’ll be welcomed with a pot of palm wine.
If Ghanaman wants to go abroad, especially to an European country or the United States, it is often after an ordeal.
He has to doze in a queue at dawn at the embassy for days and if he is lucky to get through to being interviewed, he is confronted by someone who claims he or she has the power of discerning truth from lie.
In short Ghanaman must undergo a lie-detector test and has to answer questions that are either nonsensical or have no relevance to the trip at hand. When Joseph Kwame Korkorti wanted a visa to an European country, the attache studied Korkorti’s nose for a while and pronounced judgment.
“The way I see you, you won’t return to Ghana if I allow you to go. Korkorti nearly dislocated her jaw; Kwasiasem akwaakwa. In any case what had Korkorti’s nose got to do with the trip?
If Ghanaman, after several attempts, manages to get the visa and lands in the whiteman’s land, he is seen as another monkey uptown, a new arrival of a degenerate ape coming to invade civilized society. He is sneered at, mocked at and avoided like a plague. Some landlords abroad will not hire their rooms to blacks because they feel their presence in itself is bad business.
When a Sikaman publisher landed overseas and was riding in a public bus, an urchin who had the impudence and notoriety of a dead cockroach told his colleagues he was sure the black man had a tail which he was hiding in his pair of trousers. He didn’t end there. He said he was in fact going to pull out the tail for everyone to see.
True to his word he went and put his hand into the backside of the bewildered publisher, intent on grabbing his imaginary tail and pulling it out. It took a lot of patience on the part of the publisher to avert murder. He practically pinned the white miscreant on the floor by the neck and only let go when others intervene. Next time too…
The way we treat our foreign guests in comparison with the way they treat us is polar contrasting-two disparate extremes, one totally incomparable to the other. They hound us for immigration papers, deport us for overstaying and skinheads either target homes to perpetrate mayhem or attack black immigrants to gratify their racial madness
When these same people come here we accept them even more hospitably than our own kin. They enter without visas, overstay, impregnate our women and run away.
About half of foreigners in this country do not have valid resident permits and was not a bother until recently when fire was put under the buttocks of the Immigration Service
In fact, until recently I never knew Sikaman had an Immigration Service. The problem is that although their staff look resplendent in their green outfit, you never really see them anywhere. You’d think they are hidden from the public eye.
The first time I saw a group of them walking somewhere, I nearly mistook them for some sixth-form going to the library. Their ladies are pretty though.
So after all, Sikaman has an Immigration Service which I hear is now alert 24 hours a day tracking down illegal aliens and making sure they bound the exit via Kotoka International. A pat on their shoulder.
I am glad the Interior Ministry has also realised that the country has been too slack about who goes out or comes into Sikaman.
Now the Ministry has warned foreigners not to take the country’s commitment to its obligations under the various conditions as a sign of weakness or a source for the abuse of her hospitality.
“Ghana will not tolerate any such abuse,” Nii Okaija Adamafio, the Interior Minister said, baring his teeth and twitching his little moustache. He was inaugurating the Ghana Refugee and Immigration Service Boards.
He said some foreigners come in as tourists, investors, consultants, skilled workers or refugees. Others come as ‘charlatans, adventurers or plain criminals. “
Yes, there are many criminals among them. Our courts have tried a good number of them for fraud and misconduct.
It is time we welcome only those who would come and invest or tour and go back peacefully and not those whose criminal intentions are well-hidden but get exposed in due course of time.
This article was first published on Saturday March 14, 1998
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Features
Decisions have consequences
In this world, it is always important to recognise that every action or decision taken, has consequences.
It can result in something good or bad, depending on the quality of the decision, that is, the factors that were taken into account in the decision making.
The problem with a bad decision is that, in some instances, there is no opportunity to correct the result even though you have regretted the decision, which resulted in the unpleasant outcome.
This is what a friend of mine refers to as having regretted an unregretable regret. After church last Sunday, I was watching a programme on TV and a young lady was sharing with the host, how a bad decision she took, had affected her life immensely and adversely.
She narrated how she met a Caucasian and she got married to him. The white man arranged for her to join him after the marriage and processes were initiated for her to join her husband in UK. It took a while for the requisite documentation to be procured and during this period, she took a decision that has haunted her till date.
According to her narration, she met a man, a Ghanaian, who she started dating, even though she was a married woman.
After a while her documents were ready and so she left to join her husband abroad without breaking off the unholy relationship with the man from Ghana.
After she got to UK, this man from Ghana, kept pressuring her to leave the white man and return to him in Ghana. The white man at some point became a bit suspicious and asked about who she has been talking on the phone with for long spells, and she lied to him that it was her cousin.
Then comes the shocker. After the man from Ghana had sweet talked her continuously for a while, she decided to leave her husband and return to Ghana after only three weeks abroad.
She said, she asked the guy to swear to her that he would take care of both her and her mother and the guy swore to take good care of her and her mother as well as rent a 3-bedroom flat for her. She then took the decision to leave her husband and return to Ghana.
She told her mum that she was returning to Ghana to marry the guy in Ghana. According to her, her mother vigorously disagreed with her decision and wept.
She further added that her mum told her brother and they told her that they were going to tell her husband about her intentions.
According to her, she threatened that if they called her husband to inform him, then she would commit suicide, an idea given to her by the boyfriend in Ghana.
Her mum and brother afraid of what she might do, agreed not to tell her husband. She then told her husband that she was returning to Ghana to attend her Grandmother’s funeral.
The husband could not understand why she wanted to go back to Ghana after only three weeks stay so she had to lie that in their tradition, grandchildren are required to be present when the grandmother dies and is to be buried.
She returned to Ghana; the flat turns into a chamber and hall accommodation, the promise to take care of her mother does not materialise and generally she ends up furnishing the accommodation herself. All the promises given her by her boyfriend, turned out to be just mere words.
A phone the husband gave her, she left behind in UK out of guilty conscience knowing she was never coming back to UK.
Through that phone and social media, the husband found out about his boyfriend and that was the end of her marriage.
Meanwhile, things have gone awry here in Ghana and she had regretted and at a point in her narration, was trying desperately to hold back tears. Decisions indeed have consequences.
NB: ‘CHANGE KOTOKA INTERNATIONAL AIRPORT TO KOFI BAAKO INTERNATIONAL AIRPORT’
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