Health Essentials
Eating ourselves to the grave
We eat to live, right? A good, balanced and healthy diet, we are told, keeps the doctor away. Food is the only natural and most effective medicine known to Man. The only adverse medical conditions that I know could cause death are bulimia and anorexia. I cook; and I love cooking. Being a vegetarian even makes it more imperative for me to be mindful of what I eat. As a result I frequent the market for my groceries.
What I see in the market these days gives me the creeps. I have taken my time to figure out how some of the foodstuffs we buy are treated, and my findings reveal an astonishing array of ignorance and downright evil intent from some of the traders in our markets.
Let me deal with the easy consumables. In order to maximise profits some traders resort to mixing groundnut paste with cassava powder, locally called kokonte. This gives a bigger volume to the paste and the customer is none the wiser. Assuming you were a diabetic who must avoid starch at all costs, what do you think this will do to your health? Avocado seed is chopped into little bits, dried, ground and mixed with powdered pepper. I am told avocado seed contains medicinal properties, but that cannot be the reason traders do this.
Palm oil is mixed with a toxic red dye to give it a more attractive red colour. Paradoxically, palm oil is one of the healthiest consumable vegetable oils in our parts. The others are groundnut oil, coconut oil, palm kernel oil and Shea butter oil. Similar colouring is done to salted lamb chunks (popularly called tolo-bifi) by the market women for whatever reasons known only to them. That I am a vegetarian does not mean I should not be concerned with what others consume. When my daughters were in the University, and because I had no right to impose my diet on them, I would go to the market to get condiments to prepare soups and stews for them.
Why do these traders do this? Is it because they are ignorant of the consequences of their actions or it is just a diabolic, evil intent to harm their clients/consumers? I once asked a woman who sold salted mutton chunks at the Kaneshie market in Accra if she ate the dyed meat at home. Her response was that because she sold it, it was like she had seen too much of it so it ceased to be a part of her diet.
I bought veal, mutton, crabs, salmon, tuna, tilapia and other smoked fish to cook for my children. Having been brought up near the coast, I knew good fish when I saw one. The only thing I excluded from the meals to my children was cow-hide (wele) because it has no nutritional value whatsoever. It was a delicacy for them though.
Let me take on the cooked food sellers briefly: Personally, I hardly eat from outside my home. However, occasionally I go for sinkafa-da-waakye (cooked rice and beans), but to save firewood, the women add too much of saltpeter (they call it kanwe) to soften the beans fast. Now, kenkey, another staple has joined the fray for saltpeter application, to the extent that kenkey has become so soft you can hardly leave it without refrigeration for a day without it going bad. Just a decade and a half ago I could leave kenkey on my dining table for a week,then heat it up for consumption. Kenkey cannot stay in the fridge for a week nowadays. It turns mouldy rather quickly.
Then is all manner of poisonous seasoning all over the place in the guise of spices. Potassium glutamate readily comes to mind. Some of these things add a false appetising aroma to the cooked food just to entice the consumer. Some of these come in the form of cubes, the favourite of lazy housewives. What has happened to the natural spices of garlic, onion/shallot, kpakposhitor, ginger, nutmeg and cloves blended together?
A health consultant tells me that excessive saltpeter consumption corrodes the mucus that lines the intestinal walls, thus slowing down movement of what we ingest down the digestive track. This, according to her, causes pain as the food rubs against the exposed walls of the intestine. Sadly, our health authorities are more interested in checking the health status of the food vendors not the quality of the food they sell to the public.
Do we blame the poor food vendor? Less than two decades ago Ghana flared Liquefied Petroleum Gas (LPG) into the atmosphere. Then some smart alec decided we could encourage our countrymen to stop cutting down trees for firewood so they could use the LPG for domestic use instead. The reason was to prevent deforestation. Ghanaians bought into the idea and started patronising the LPG, realising it was cheaper than firewood. As I write, LPG is beyond the reach of the ordinary Ghanaian. Petroleum products have become the cash-cow for tax revenue.
Now, back to the traders. In fact, they can be forgiven for some of the stuff they sell. A few years ago I used to buy tomatoes in bulk, spread them out on newsprint on the floor and use them as and when I needed them. Right now, ripe tomatoes cannot last three days in the fridge. Same goes for many vegetables. You cannot keep okra for more than a day; it will develop dark blotches on the skin. Same goes with green pepper, cauliflower and many of the green leafy vegetables.
We used to keep yams for weeks, but if you take a tuber of yam now you have to ensure you cook the whole tuber else it gets rotten the very next day. Even if the rest is refrigerated it must be cooked within 48 hours. Our agriculture scientists are not telling us what is going on. Is anything wrong with the soil? Does this phenomenon have to do with the agro-chemicals used by the farmers? Why is no one telling us anything?
I saw a video clip of lettuce being washed with detergent. I watched another where what looked like spinach is soaked in some chemical solution so it would look fresh to the consumer. Mango, avocado, orange and papaya are doused with chemicals to speed up their ripening.
I hear there is an Authority on food and drugs. Can someone please tell me what they do? I ask because methinks we are eating ourselves to the grave and no one seems to care about us. Let me also ask if we have standards for the food we eat or the stuff we purchase? Do we have those? We are constantly admonished to eat healthy, yet the things we buy to put together as a meal give us cause for worry. Is it any wonder cases of diabetes are on the rise? Liver and kidney ailments are on the increase. What do the people we put in charge of our very existence do with statistics from our health facilities? Until they wake up to the reality and save us, shall we continue to eat ourselves to the grave?
akofa45@yahoo.
By Dr. Akofa K. Segbefia
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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