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Nutrition

Dietary management of rheumatoid arthritis

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Green-cabbage

In this new chapter, we will be discussing how we can manage rheumatoid arthritis with our diet.

Rheumatoid arthritis (RA) is an autoimmune inflammatory disease of the joints. Autoimmune means that the body’s disease fighting system at­tacks the person’s own body cells.

The main cause is unknown. Rogue mol­ecules cause the cartilage to break down, and the result is throbbing, warm, stiff, and swollen joints. Over time, it even ex­ceeds the joints and damage the bones.

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Rheumatoid arthritis is more common in women and has several features that makes it different from other kinds of arthritis. For example, a person with rheumatoid arthritis may feel tired, have occasional fevers, and generally not feel well. And unlike osteoarthritis, pain and stiffness is worse in the morning while pain and swelling of osteoarthritis is worse in the evening.

Management is mostly pain medications and immunosuppressant but the role of diet cannot be over looked.

Foods to include

Anthocyanin rich foods such as; red grapes, cran­berries, cherries and cabbage.

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Copper rich foods such as; crab, mushroom, spin­ach, and beans.

Omega-3 fatty acid rich foods such as; salmon, flaxseed, anchovies, and sardines.

Vitamin E rich foods such as; almonds, avocado, red bell peppers, and peanut butter.

Foods to avoid

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Red meat such as; beef, mutton, and chevon.

Gluten containing products such as; wheat.

Refined carbohydrates and processed foods such as; pastries, certain cereals, and white rice.

Lifestyle modification

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Modifying our lifestyle from a predominantly sedentary lifestyle to incorporating exercises like going for walks, jogging, and riding bicycles, as well as avoiding late-night high-calorie meals, excessive alcohol intake, and cigarette smoking will serve to prolong our healthy life and prevent rheumatoid arthritis from being our burden.

In conclusion, rheumatoid arthritis can be difficult to cope with psychologically, due to its autoimmune nature. But let us always remain steadfast with the simple ways of managing it; a balanced diet rich in anti-inflammatory nutrients, alongside regular exercise and healthy lifestyle choices, will help manage symptoms and reduce the impact of rheumatoid arthritis.

The writer Dr Bernice Korkor Asare is the CEO of Holistic Health Consult

“Your diet your health, your health your wealth”

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E-mail: holistichealthconsultgh@gmail.com

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Nutrition

When floodwaters rise, nutrition and food safety should not be ignored

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Disacard food with of contamination

The recent floods across parts of Ghana have disrupted lives, displaced families, and damaged homes and livelihoods. While rescue efforts and rebuilding understandably take centre stage, another urgent issue deserves equal attention, nutrition and food safety, both during the flood and long after the water recedes.

Floods contaminate water sources, destroy crops, interrupt food supplies, and increase the spread of foodborne disease. These challenges place young children, pregnant and breastfeeding women, older adults, and people living with chronic illness at far greater risk of malnutrition. The scale of this threat is not hypothetical: in June 2025 alone, floods displaced nearly 90,000 people across seven regions, according to Ghana’s National Disaster Management Organisation (NADMO). Past flood-drought cycles show why displacement of this kind matters for nutrition following a similar disaster in Ghana’s three northern regions, the World Food Programme documented chronic malnutrition among children ranging from 34 to 48 per cent, alongside acute malnutrition of 8 to 12 percent, in the hardest-hit areas. As Ghana faces more frequent extreme weather events, protecting nutrition must become a core part of disaster preparedness, not an afterthought.

Floods affect more than food availability

Floodwaters wash away farms, destroy stored food, and make it difficult for farmers and traders to move produce to market. As supplies shrink, prices of nutritious foods such as fruits, vegetables, fish, and eggs increase. For households already stretched by the rising cost of living, that often means choosing cheaper, less nutritious food just to feel full. Over time, diets narrow, and the risk of vitamin and mineral deficiencies grows.

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The hidden danger: unsafe food

Floodwater is rarely clean. It carries sewage, chemicals, animal waste, and other contaminants into homes, farms, and food stores. Eating food that has touched floodwater, or drinking unsafe water, can trigger diarrhoea, cholera, typhoid, and other infections, illnesses that block nutrient absorption and cause rapid weight loss, especially in children. The danger doesn’t end when the water goes down; improperly stored or damaged food can still make people sick weeks later.

What every household can do

  • Drink only safe or treated water where supplies have been affected.
  • Wash fruits and vegetables thoroughly with clean water.
  • Discard any food that has been exposed to floodwater, even if it looks fine.
  • Cook food thoroughly and never eat spoiled food.
  • Keep breastfeeding infants: breast milk remains the safest source of nutrition in an emergency.
  • Seek medical care promptly if a child develops persistent diarrhoea or shows signs of dehydration.

Recovery needs more than a full stomach

Emergency food aid tends to focus on energy-dense staples like rice and maize. Important, yes but not enough on their own. Recovering families also need protein, healthy fats, vitamins, and minerals, especially the most vulnerable groups. A nutrition-smart response includes fortified foods, beans and other legumes, safe drinking water and fresh produce where possible.

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Recovery shouldn’t stop at food distribution, either. Communities need help rebuilding farms, markets, and livelihoods so families can go back to sourcing diverse, nutritious food on their own, not depending indefinitely on aid.

A call for leadership

Floods will keep testing Ghana’s resilience. The first call is to find innovative ways to reduce the impact of the floods. The response, however, has to go beyond emergency relief to actively protect nutrition and food safety through safe water provision, food safety education, trained health workers who can spot malnutrition early, and recovery programmes that help farmers get growing again quickly.

When communities are protected from hunger, disease, and poor nutrition at every stage of a disaster, they don’t just survive floods, they recover from them faster and stronger.

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Feature article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition project 

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Nutrition

How to prepare sausage rolls

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Sausage rolls

Ingredients  

-2 onion sliced

– One pack of sausage

– 2 tablespoonful of salt

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-1 tablespoonful of nutmeg

-One tin of milk

– 2 large eggs

– 2 kilograms of flour

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Method

-Pre-heat oven to keep it warm

-Put saucepan on the fire and heat oil

-Add onions and cook until soft and golden brown and spread out on a plate to cool

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-Add onions, nutmeg and sausage and mix together

– Roll the pastry out into a big rectangle as thick as a pound coin and cut it length ways into two long, even rectangles

-Roll mixture into sausage shapes with your hands and lay along the centre of each rectangle

-Mix the egg and milk and brush the pastry with the mixture, then fold one side of the pastry over, wrapping the filling inside. Press down with your fingers or the edge of a spoon to seal the joint

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Cut the long rolls into the sizes you want and space them out on a baking tray. Brush with the rest of the egg wash and bake in the pre-heated oven for 25 minutes or until puffed, golden and cooked through

By Linda Abrefi Wadie

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