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
Your Chair Could ‘Kill’ You! Really?

IF you truly love yourself, you had better read this piece while standing!
The other “inactivity” that rivals sitting for long periods when it comes to poor health and untimely death is LONLINESS! Sitting and Loneliness are the new Smoking.
It is often common to hear a parent tell a child, “Sit quietly and watch television and I will make a quick dash to town.” Well, this harmless and well-meaning statement is now being vilified. That parent could have said “smoke a few sticks of cigarettes while I dash off to town.” Yes “sitting is the “new” smoking.”
Scientists: they keep coming up with many weird findings and unfortunately, we realise after much ado that they may be right. People with sitting jobs have twice the rate of cardiovascular (heart & blood vessel) diseases as those with standing jobs – the bankers are cringing in their seats I bet.
It appears that compared to sitting,
• Sitting continuously brings similar challenges that smoking poses a gossip team. After an hour of sitting, if you walk for a minute or two.
Standing is hard work. Imagine that you need to engage many muscles to stand upright, and this burns energy. Sitting on the other hand is extremely relaxing.
When we sit, the “physiology of inactivity” kicks in and when we think we are relaxing in a chair made from heaven, our body instead rewards us with many bad things; enzymes that break down fat may drop by about 90 per cent calorie burning drops to frightening low levels and soon good cholesterol that protects us also drops. If you sit long enough even your insulin effectiveness drops and you will be courting diabetes in the long run.
I sincerely believe in getting a workout during the day, but you should not think that it gives you a license to sit at your desk for hours on end. We should ensure that we get up from our desk to walk briefly or even stretch. I am not giving you an excuse for loitering around your office or forming ings. When you have a meeting with a handful of people you could lace your boots and start walking while you talk. Who knows being out of a box (office etc) could help you think “out of the box” or even think like “there is no box”. The best aspect of such a meeting is people are more attentive since they are unable to fidget with their smart phones and other gadgets.
All lectures and classes (children are really suffering in school these days) should have a “Heart Preserving” five-minute break after every hour. Spend that time walking and stretching.
All long movies should have commercial breaks that should be used to at least stand
Whenever in doubt, at least stand for a while.
Well some people are trying innovative ways of even having small treadmills at their desk that keeps them moving, others are adopting a new chair design that essentially makes you stand at your desk, a few others sit on exercise balls that forces them to adjust their positions all the time but for the rest of us simply taking breaks and using every opportunity to move is just what the doctor prescribed.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERY DAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials/Medics Clinic
(www.healthessentialsgh.com)
Dr. Essel is a medical doctor with a keen interest in Lifestyle Medicine, He 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 – For good heart health; exercise often, eat healthy, do not smoke, minimise alcohol and sit less
By Dr. Kojo Cobba Essel
Join our WhatsApp Channel now!
https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27

Health Essentials
Laughter; prescribed daily by the best doctors

I have on several occasions referred to laughter as the “best medicine” just as many others do and over the years, I have expanded my knowledge on the benefits of laughter. We all need to laugh daily and that’s the prescription given by the best doctors all over the world.
I came across the quote “Laughter is the best medicine. Unless you’re laughing for no reason….then you need medicine.” It sounds great and will get you laughing or at least smiling yet I beg to differ. My advice: find a reason to laugh no matter what and if you find none laugh anyway.
A few years ago, I decided to spend my first three hours of being awake laughing or smiling no matter what. It set the tone for a successful day. I did not bother about the early morning traffic, neither did I scream or honk at careless drivers but I guess as the years dragged on and the reality of fuel price hikes, electricity challenges and an ailing Ghana economy among many others hit home, the smile and laughter faded but I ALWAYS get back once I realise I am “short-changing” myself. No matter the struggles you may be facing, remember laughing or smiling will surely make your day so much better.
My prescription for you and myself is “Laugh at least five minutes in the morning and five minutes at the end of the day” no matter what. Do it even if you have no reason to.
Now what does science say about laughter?
1. It helps make the world a better place
a. Laughter is contagious so set the ball rolling by laughing and many others will join in the fun.
2. You learn better
Well, no need to get all serious and mean while you learn something new. A good dose of laughter while you learn may actually make the process more efficient. Word of caution, DO NOT distract others by laughing in an annoying way.
3. You get a health boost
a. We know this, right? I found out that laughter may actually increase good cholesterol while lowering inflammation. We do need more data on this but really, keep laughing, it can’t possibly harm you.
4. Makes you more robust
a. A nervous laughter when your back is against the wall? Laughter helps regulate your emotions in a difficult situation. Crying or frowning is unlikely to have positive returns.
5. Lowers stress and improves memory
a. Stress hormones, especially in the elderly, is reduced by laughter and one’s ability to remember gets a much-needed spike.
6. Makes you more attractive
a. People are always attracted to a “smiling face” or someone who laughs often. They make the party come alive.
7. Improves your relationship
a. Whether you are negotiating a deal at work, interacting with family or friends; laughter creates stronger bonds leading to better outcomes and building stronger relationships.
8. May help burn off some calories
Now I may be pushing this too much, but truth is laughter does raise your energy expenditure and heart rate. Though the calories you burn may be fewer per bout of laughter, every positive thing adds up for our good.
9. Boosts immune function and enhances sleep
a. Say goodbye to frequent common colds and laying in bed for long hours listening to the dogs in the neighbourhood “chitchatting”, a leaking tap dripping or worse still a snore within earshot that will compete with Louis Armstrong on the trumpet.
b. Combine laughter with your daily dose of exercise, and your winning combination is a reality.
10. May improve blood pressure and relax muscles
a. I will not advise you to drop your medication for all day laughter but I am sure laughter will play a positive role in reducing stress, giving you a feeling of wellbeing, relaxing your muscles in the process and your blood pressure may be sending you a thank you beat sooner than later.
Good health, improved learning ability and an enviable memory packaged with an attractive personality and a penchant to build strong relationships sounds like a team player who is destined for success in all fields. That you may agree will make your trips to the bank exciting and of course cause you to laugh all the way to the bank. The cycle repeats itself.Have you had your daily dose of laughter yet?
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
(www.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 – “laughter is contagious – Laugh and the whole world laughs with you.”-
References:
1. Fulfillment Daily -7 science-backed reasons why laughing is good for you (2016)
2. Stanford Business
3. Someecards
By Dr. Kojo Cobba Essel



