Health Essentials
Christmas is here again; let your hair down responsibly

When you are lucky enough to have those who make your heart tick close by do make the best out of the time especially now that it’s proven that enjoying life does benefit the heart. At the same time act responsibly at all times; if you have to meet with family who do not live with you, let us do it outdoors. Encourage everyone you know to get vaccinated against COVID-19 so that life can return to what we knew only a few years ago.

Like all other years, a lot has happened in 2021; COVID-19 continues to ask more questions than we can answer but the world has come a long way, many businesses are slowly getting back to pre-COVID levels but others could not make it. Many lives have been lost through heart and blood vessel diseases, economies of most countries including our motherland continue to struggle yet the world moves on and we still have smiles on our faces. No matter what life will go on so never assume life will grind to a halt without you.
Our roads are in a big mess. The traffic continues to amaze me and roads not worthy of cars still exist. Do our taxes mean anything at all? We have our country to develop and we just do not have time. Anyway it’s Christmas so I should not digress, let us make merry.
During holiday seasons there is always talk of watching what one eats and getting in some physical activity. Yes these are very important but a healthy life is not just about getting one’s numbers right (very important though), it also involves making time to relax, play, have fun, love and laugh like you have no cares in the world.
Enjoying life, however, should not be reserved for Christmas only. Plan your life such that you can have fun throughout the year, and it does not have to cost you loads of money. Start off this Christmas and make a conscious effort to enjoy life often knowing that your heart will be singing a melodious tune.
This Christmas and beyond I plan to tackle the areas below in addition to getting my numbers right;
- I will strengthen my social support network
- I will spend more time doing volunteer work. Touching more lives in a positive way
- I will join a new club or participate more in club activities
- I will spend more time with church and church-related activities
- I will learn to be a better listener and show more appreciation
- I will relax and have fun often
- I have a number of novels I have not read, this is the time to schedule reading time every week. You may choose another way to relax such as listening to music or dancing. Even a five-minute break a day as “me-time” can be life changing
- Practising relaxation techniques such as deep breathing exercise will be part of my life and I hope to squeeze in some good massage often. What about you?
- Laughter will be a priority in my life. Hello to comedy shows, funny movies and sharing jokes with friends. I will learn to laugh even if it means forcing it. I aim to laugh no matter what for the first two hours of my wakeful hours and I believe it will carry me through the day. I will not be bothered by the careless driving on the streets of Accra neither will the early morning traffic spoil my morning; I will laugh no matter what. Will you do the same?
- I will aim at reducing stress
- Stress is consistently being blamed for many disease conditions. We seem to be rushing in life every day and I am no exception. Time to scale back and sniff the morning air.
- I will get fitter so I can do more in less time and be able to do more of the things I love also.
- I will organise my time and avoid being caught up in social media excesses when it’s not time to engage in that.
- I will plan ahead, that will save me a lot of time
- I will be flexible and set realistic goals
- If I am unable to achieve all my health, spiritual, professional and relationship goals, I will not consider myself a failure. Life is not an all or nothing game neither is achieving heart-health.
Enjoy yourself but avoid excesses while you keep an eye on your numbers. Do not forget it is Christ’s Birthday not yours so share the fun with Him.
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/St. Andrews Clinic
(www.healthessentialsgh.com)
*Dr. Essel is a Medical Doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.
Thought for the week – “Studies have shown that intense and unresolved anger increases the risk of heart attack .The good news: Laughing has been found to be beneficial for your heart.”
References:
- Mayo Clinic “Essential Heart Guide’ 2012
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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