Health Essentials
Dancing with the rain

“Once AGAIN, torrential rains have hit the Accra Metropolis, creating heavy floods in various parts that have caused great havoc to lives and property. The team of ministers, the Mayor of Accra, officials of the National Disaster Management Organisation (NADMO) and the security agencies are going round to ascertain the impact” –GNA, 2009
I have highlighted “ONCE AGAIN” for obvious reasons. The scenario above is almost a ritual. As soon as the sun shines consistently, and the land dries up, you can be sure that we will lay down our pens, take off our boots, jump into our budget crippling SUVs, return to discussing “more pressing issues” and pretend it was all just a dream. How many more warnings do we need as a nation before we sit up? Maybe 70 X 7! If God was human he definitely would have been fed up with us by now and that will mean we would have been left to our fate. We are all to blame. NO EXCEPTIONS!
Even die-hard optimists are beginning to show signs of fatigue. I haven’t written about floods in Accra in a while now and I was inspired to reproduce this after reading Emmanuel J. K. Arthur’s Accra is “celebrating” its Annual Flooding Festival and I quote him “traditionally the Festival is celebrated by Accra residents who live in low-lying areas, also known as Flood Prone Areas. It is “celebrated” from March and climaxed in June every year since 1960s. During the period, the sitting Works and Housing Minister and the Regional Minister are joined by District and Municipal Assembly Heads to tour “celebrating areas” to reiterate the commitment of Government to end the perennial flooding…………This year’s “celebration” is on the theme Blaming all for our collective actions.” What else can I add to this masterpiece? We seem to enjoy this and have no plan to “dig” ourselves out of this hole. Maybe we should get rid of a number of our army of ministers and appoint a Flood Prevention Minister.
I hate to have to do this again but once started at least let us remind ourselves of some of the challenges floods cause to our fragile economy.
CAUSES OF FLOODS
- Urbanisation
- Migration of people from the rural areas to the large cities such as Accra and Kumasi has led to an explosion in their population. We have outstripped the already poorly planned facilities available
- The urban poor in the capital of Accra are especially (but everyone feels the pinch) vulnerable to the effects of flooding due to poorly and often illegally built structures, (many across the paths of water bodies) overcrowded living conditions, and inadequate sewage and drainage systems that are often clogged with refuse. Scarcity of land has also forced many people to occupy low lying areas and are prone to floods
- Decreased Capacity of Drainage Channels
- our drains are choked with refuse or are silted up as are our rivers and streams
- Incapacity of Drains and Culverts
- Drains are absent in many places, unfortunately in privileged areas where we may find some semblance of drains, their capacity is woefully inadequate. In some areas open gutters compete for honours as to which of them is able to reclaim the sand/silt skillfully dug out and lined on their edges. Really do we expect nature to find a way of leaving them along the edges of the drains till the rapture? How ridiculously NEGLIGENT can we be as a people. Is someone being paid to take care of these? They had better come out clearly to say they are and have been on STRIKE since they were appointed instead of claiming to be at work and doing absolutely nothing.
- Impact of Climate Change
- Extreme changes in weather are here to stay, so we had better find practical solutions to keep us safe. The rains are erratic, the sea levels are rising above many inhabited land and it’s only a matter of time.
- Human Attitude
- Probably the most important. All the factors listed above are directly linked to our activities. Drains serve as our garbage disposal areas, edges of gutters are ideal for leaving heaps of sand and deforestation and exhaust fumes are adversely impacting our climate. We sow INDISCIPLINE and one of the many things we reap is flooding.
EFFECT OF FLOODING
- Economic Loss
- Destruction of property can be extreme and in many situations it can bring economic activity to its knees. People are busy taking care of their homes, factories are shut because of the havoc caused by the water and several hours to days, weeks, months and even years of economic activity are lost
- Resources that could have been used to develop the country will now be used for reconstruction – what an absolute waste!
- Environmental
- Our already ridiculous traffic situation will graduate to another level totally unheard of. This is caused by damaged roads (if the roads even exist), destroyed bridges and workmen trying hard to intervene.
- Damaged farmlands will bring about economic hardships for our farmers as stored food and farm produce may be destroyed. Certainly these losses will eventually hit the pockets of even those who live many miles away. Can you imagine the strain on our already over-burdened pockets?
- Humans
- Once again, I will separate the number one culprit. Lives are lost (including through drowning) as well as homes, businesses, vehicles and many more
- Diseases
- Floods will always leave a myriad of diseases in its trail, both immediate and long term. Infectious diseases will have a field day and these include; common cold, food poisoning (especially when there is no electric power), cholera, typhoid and hepatitis A. Remember when everything settles, malaria will rear its ugly head.
- The physical and mental impact on our health is often ignored but anyone who has been a victim of the effects of a flood will tell you that they experience; shock, anxiety, fear, sadness, anger and physical symptoms such as headaches and general body pains. It sounds to me as Post Traumatic Stress Disorder, what about you? Your guess is as good as mine; the effects are most devastating in children.
LOOK OUT FOR THESE AFTER A FLOOD
After a flood, it’s time to clean up and put the pieces back together. Life will go on and those paid to address such situations will go back to sleep.
For those of us who have to do the “dirty” work, take note of the following:
- Electrocution – put off power sources.
- Broken bottles, nails and other sharp objects that may injure you.
- Avoid contact with insects and animals (there may be many stray animals with diseases such as rabies)
- Wash your hands thoroughly with soap and water as often as needed and wear protective gloves and other clothing, if possible
- Get rid of all the mud and use disinfectants
STEPS TO AVOID FUTURE FLOODS
I won’t even venture into this terrain again. Let us all FIX our ATTITUDES. That is all it takes; DO THE RIGHT THING wherever you find yourself and maybe just maybe we will be able to look back one day and say Accra would have been flooded by now.
I hope that in my lifetime, I will not have to write again “so long a letter” because we will be on top of our flood avoidance and preparedness programme.
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.
Thought for the week – “It does not need one with a high IQ to “guess” that building in the wrong places, building without drains, throwing rubbish in gutters, not having a plan to desilt water bodies or clean out drains will eventually lead to flooding’
References:
- The Holy Bible – Mathew 18:21
2“Impact of floods in Ghana and the way out” – Bentil Asafo-Duho
3. Journal of Water and Health -2009
4. WHO – Flooding and Communicable Diseases
5. Centers for Disease Control and Prevention (USA)
6. Accra is ‘celebrating’ its Annual Flooding Festival – Emmanuel J.K. Arthur
By Dr. Kojo Cobba Essel
Health Essentials
The impact of air quality on health
Air quality plays a significant role in our overall health and well-being. The air we breathe can contain various pollutants, including particulate matter, ozone, nitrogen dioxide, and sulfur dioxide, which can have adverse effects on our health.
In this article, we will explore the impact of air quality on our health and discuss ways to protect ourselves.
The health effects of poor air quality
Poor air quality can have serious health consequences, including:
Respiratory problems: Air pollutants can irritate the lungs, exacerbate conditions like asthma, and increase the risk of respiratory infections.
Cardiovascular disease: Exposure to air pollution has been linked to an increased risk of cardiovascular disease, including heart attacks, strokes, and other cardiovascular conditions.
Neurological effects: Some air pollutants, such as particulate matter and ozone, have been linked to neurological effects, including cognitive impairment and neurodegenerative diseases.
Who is most affected?
Certain groups are more susceptible to the adverse effects of poor air quality, including:
Children: Children’s lungs are still developing, and they breathe more air per pound of body weight than adults, making them more vulnerable to air pollution.
Older adults: Older adults may be more susceptible to the adverse effects of air pollution due to age-related declines in lung function and other health conditions.
People with pre-existing health conditions: Individuals with pre-existing health conditions, such as asthma or cardiovascular disease, may be more susceptible to the adverse effects of air pollution.
Protecting yourself from poor air quality
There are several steps you can take to protect yourself from poor air quality, including:
Monitoring air quality: Check the air quality index in your area to plan your activities accordingly.
Reducing exposure: Avoid heavily trafficked areas, and limit your time outdoors when air quality is poor.
Using air purifiers: Consider using air purifiers in your home to reduce indoor air pollution.
Conclusion
Air quality plays a critical role in our overall health and well-being. By understanding the health effects of poor air quality of air, we can take steps to protect ourselves and reduce our exposure to pollutants.
By being aware of the air quality in our area and taking proactive measures, we can help to mitigate the adverse effects of air pollution and promote better health.
References
1. Environmental Protection Agency. (2022). Air Quality Index (AQI).
2. American Lung Association. (2022). State of the Air 2022.
3. World Health Organization. (2018). Air Pollution.
Health Essentials
Aging is magic

About half a decade ago, many of my friends hit that “magical age” and it’s extremely exciting. I have clients who have lived in excess of four scores and are still doing extremely well.
We are all aware of the risks that many people also face as they age; family, friends and neighbours may treat them badly and some are even branded as witches and wizards. How unfortunate!! A ripe old age should be celebrated daily.
For many of us years of cigarette smoking, excessive use of alcohol, too little exercise and too much food especially fats and sugars do physical damage that is often wrongly attributed to age.
I think we are always in a hurry to give age a bad name and hang it. There are many misconceptions about aging that tend to let many people “give up” as they celebrate several birthdays.
The arguments continue; humans can live for three-scores and ten as stated in the Bible, others say 120 years is the magic ceiling. Many people will resist spending a day on earth past their seventieth birthday till they are sixty-nine years old and realise that there is really no need to hurry.
With all apologies to Methuselah, Abraham and their age-mates but currently the longest well-documented life on record belongs to Jeanne Calment who died in France in August 1997 at the ripe age of 122 years (I stand to be corrected).
Are we all destined or programmed to live that long? I doubt that but we can do much more than we have been made to believe at ages even in excess of 70 years. I know many people will start challenging the 122 years I have put out but please hold your horses; my grand-aunt is alleged to have died after spending over 130 years on earth. Do I believe that? Well, that is another story.
1. “To be old is to be sick”
a. If you are like 99.9 per cent of us, you will have major issues with your health if you do not take the right steps to protect yourself but if you adopt the right lifestyle, you will rake in several years yet feel well.
b. You can age gracefully and remain independent for several years. Many elderly people especially women can easily perform activities of daily living and beyond with ease well past their 80th birthdays.
2. “You can’t teach an old dog new tricks”
a. You must have heard this several times over. It has forced footballers who could salvage the country’s ego to retire prematurely, politicians have bade goodbye at the peak of their career and many adults even in churches have taken a backseat all because of the erroneous impression that they will not be able to learn the new trends in their trade.
Surely, if you spend all day watching television and avoid even reading and basic walking then you are setting the stage for major deterioration otherwise you have all it takes to continue serving the world in various categories.
I am not encouraging elderly people to stay indefinitely in positions at the detriment of young minds, far from that; I believe we often allow people to fall into the shadows too soon.
b. The belief among the young and the old that the elderly can’t sharpen or broaden their minds creates a disturbing cycle of mental inactivity and decay. The less people are challenged the less they can perform. The limits of learning and especially the pace of learning are more restricted in the aged than in the youth but research shows that older people can and do learn new things and they learn them well.
3. “Your horse is out of the barn”
a. We need to dispel the false and discouraging claim that old age is too late for efforts to reduce risk and promote health. Many adults feel that what they have lost is gone forever, but that is not exactly true. It is better to start healthy habits early and sustain them for a lifetime but for those of us who have strayed there is good news; we happen to be in the majority and nature is remarkably forgiving.
b. All too often when I ask patients with lifestyle diseases to start exercising I hear “I am too old to exercise.” Few things can be further from the truth than that, no matter how late you start exercising or modifying your life, you will be better off. The important point to note is to start slowly and avoid competing with people much younger than yourself. Regular and appropriate exercise for your age, gender and level of fitness is the way to go.
4. “Your secret to successful aging is to choose your parents wisely”
a. Some countries would probably be empty if this were possible. How easy it would be for people to say “everyone in my family dies of a heart attack by age 30 so I will not bother to work hard. Fortunately for us life does not work that way.
b. The role of genetics in aging is important but it has been exaggerated. We should be able to distinguish familial habits and experiences from genes. So if all members of a family enjoy eating large loaves of bread, several balls of kenkey, greasy fast foods and spend long hours in couches watching television, it has to be habits we have picked up as a family and has nothing to do with our genes.
c. We know that diet, exercise and even medications may delay or completely eliminate the emergence of disease. Genes play a key role in promoting disease, but they are certainly less than half the story.
I believe I have made it crystal clear that you have more control over what you can do or not do as you age than you ever thought. Beyond the exercises, healthy eating and avoiding excesses, it is important that you ensure active mental stimulation (solving puzzles, reading), keeping up relationships with friends and relatives (relationships where there is mutual respect can be priceless) , putting your finances in order and do not downplay spirituality.
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 – “Aging is not lost youth but a new stage of opportunity and strength.” –B Friedan
Reference:
1. “Successful Aging” by John W. Rowe, MD and Robert L. Kahn, Ph.D.
• Many people face risks as they age
• Talking to God has a way of calming nerves