Features
Hepatitis B wahala
When I first wrote this article, it was dedicated to the memory of Merari Alomele, a true legend. My first editor when I started this column almost a decade ago. There will never be another Alor – humour, wit, relevant information and many more all rolled into one being. Yet who can begrudge The Almighty, He knows best.
July 28 as always, was World Hepatitis Day, and this year’s theme was, “Finding the Missing Millions.” The goal is to create awareness of Hepatitis, find the undiagnosed and link them to care. I will however focus on Hepatitis B today.
These days it is common knowledge that a good way to make quick and easy money in “Sikaman” is to put fear in unsuspecting victims. Mushroom churches hyping witchcraft, herbalists and health professionals diagnosing doom at the least provocation, politicians painting opponents as the devil’s brigade and investment consultants in three-piece suits that will be the envy of Merari’s friend Kofi Kokotako, insisting that you will outlive your current savings unless…Life was much simpler in the “good old days”.
People are screening for Hepatitis B in churches, market places, train stations, fetish shrines and every imaginable and unimaginable place. The most criminal aspect of this is that there is NO PRIOR COUNSELING in many of these situations. Some people in white coats even take advantage of people who test positive for Hepatitis B (the surface antigen) and charge exorbitant fees to “treat” them.
Can you imagine what goes through the minds of people who may test positive at a screening with neither pre nor post test counseling and may have to wait for several hours or days before seeing a doctor? They often enter the consulting room with one foot in the new world. Some would have started a new fast without the element of prayer, a few will be competing with cholera patients for the use of the “small room” and others develop a penchant to pray in tongues that even the apostles at Pentecost would have been envious of.
I know we are not screening enough people at the hospitals but if you need to do any form of screening please ensure that you have people adequately trained to counsel participants before and after the tests. Such a simple thing will reduce the number of people who develop instant diarrhoea, sleeplessness, loss of appetite and generalised anxiety disorder long before their liver will even sense it has a problem.
Yes, Hepatitis B is common in “Sikaman” but not everyone is dying from it. Seek early medical advice and in most cases you will live long enough to enjoy fufu and palm nut soup for many many years to come.
An acute episode of Hepatitis B, like many viral infections may present as:
Loss of appetite
Nausea
Vomiting
Fatigue
Headache
Fever
These symptoms may be followed by jaundice, an abnormal accumulation of the chemical bilirubin in the blood, which causes yellowing of the eyes, skin and body fluids (such as tears), as well as a darkening of the urine.
This sounds almost like malaria, doesn’t it? So you may be harming your liver if you continue to take medication to treat malaria without seeking medical attention.
Your doctor will request for a few tests that will provide information on the stage of your infection and the state of your liver.
Many professionals will just prescribe:
Healthy lifestyle.
Avoid medications that have not been prescribed. Even popping paracetamol tablets at the least hint of pain could be dangerous. Avoid herbal preparations.
Avoid alcohol.
Get adequate rest.
A few may add a vitamin but that may simply be a matter of choice. Many people will be able to fight the virus and clear it from their system. A few others will not succeed on their own and may require further monitoring.
If there is a Hepatitis B, then there must be an A, C et cetera. RIGHT! We get Hepatitis A through the faeco-oral route which means; whenever you are diagnosed with Hepatitis A, you must have directly or indirectly eaten someone’s shit (pardon my language). Ensure you always wash your hands thoroughly with soap and water before eating and keep food and water appropriately.
We contract Hepatitis B and C through similar routes and these include:
Unprotected sexual activity.
Needle sharing (includes drug users).
Sharing of razors and toothbrushes.
Piercing or tattoos.
Transmission from infected mom to infant at time of delivery.
You protect yourself by avoiding the above and also being vaccinated against the virus. You can only be given the vaccine if you test negative for Hepatitis B surface antigen.
People with Hepatitis B, like those with HIV, COVID-19 and many other viral infections may look and feel perfectly well but as carriers, they can spread the infection.
Some good news here, you are unlikely to contract Hepatitis B infection from the following:
Hugging
Kissing
Sneezing
Coughing
Sharing food or drinks
Dear friend, to avoid or fight most viral infections, the drill remains the same, boost your immunity by:
Exercising often and appropriately.
Eating a balanced meal and drinking adequate amounts of water.
Getting rest.
And if a vaccine is available, get vaccinated.
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 – “290 million people worldwide are living with viral Hepatitis unaware.” Let us raise awareness so that many more can be tested and receive the necessary care.
References:
Sikaman Palava – The Writings Of Merari Alomele
Primed Patient Education Center – Harvard Medical School
Features
Put the Truth on the Front: Ghana Needs Warning Labels on Junk Food
Walk into any supermarket in Accra, Kumasi, or Tamale today, and you will see the modern Ghanaian diet packaged as ‘progress.’ You will see breakfast cereals with cartoon mascots, fruit drinks that are mostly sugar and colour, and snacks promising energy and happiness in bright fonts.
Even products loaded with salt and unhealthy fats often wear a health halo labeled as fortified or natural, while the real nutritional risk is hidden in tiny print on the back. This is not just a consumer inconvenience; it is a public health blind spot. Ghana is living through a silent surge of non-communicable diseases (NCDs) like hypertension, diabetes, and stroke.
These conditions quietly drain household income and steal productive years. According to the Ghana Health Service (GHS) and World Health Organisation (WHO) estimates, NCDs are now responsible for nearly 45 per cent of all deaths in Ghana.
We cannot build a healthy nation on a food environment designed to confuse people at the point of purchase. Ghana must mandate simple front-of-pack warning labels (FOPWL) on high-sugar, high-salt, and high-fat packaged foods because consumers deserve truth at a glance, and industry must be pushed to reformulate.
Why Back-of-Pack Labels Are Not Enough
In theory, consumers can read nutrition panels. In reality, most Ghanaians shop under pressure, limited time, rising prices, and children tugging at their sleeves. The back label is a relic that requires a high cognitive load to interpret—essentially, the seller knows what is inside, but the buyer cannot easily tell.
This ‘information asymmetry’ is not fair. It is not consumer choice when the information needed to choose well is deliberately difficult to find.
Simple warning labels like the black octagons used in the Chilean Model act as a ‘stop-and-think’ nudge. They do not ban products but they simply tell the truth so people can decide.
Reshaping Our Food Environment
A generation ago, Ghana’s meals were mostly home-prepared, like kenkey and banku with soups and stews. Today, ultra-processed foods have become the norm, especially in urban areas. Children are growing up with sugary drinks and salty snacks as everyday items, not occasional treats.
If Ghana is serious about prevention, we must act where decisions are made—thus, the shelf. Warning labels protect parents from sugar traps and pressure the market to improve. When warning labels are mandatory, manufacturers start to compete to make healthier recipes to avoid the stigma of the label.
Addressing the Pushback
Industry will argue that labels create fear or that education alone is enough. However, health education is slow; labels work immediately. While the informal street food sector is a challenge, regulating pre-packaged goods is the practical starting point because the supply chain is traceable. We cannot wait until the whole system is perfect; we must start where action is feasible.
A 2026 Implementation Roadmap for Ghana
To move from talk to action, Ghana needs this 5-step plan:
- Issue mandatory regulation: The Ministry of Health, Food and Drug Authority (FDA), and Ghana Standards Authority (GSA) must define the label format and nutrient thresholds for all pre-packaged foods.
- Simple, bold symbols: Use plain language and clear symbols, such as “HIGH IN SUGAR,” designed for busy families, not experts.
- Transparent thresholds: Adopt technically defensible standards adapted to the Ghanaian diet.
- Transition and enforce: Provide a 12–18 month period for manufacturers to reformulate, followed by firm enforcement at ports and retail centers.
- National literacy campaign: The Ghana Health Service must pair labels with public messages explaining why high salt or sugar increases disease risk.
Conclusion: Truth Is Not a Luxury
Prevention is cheaper than treatment. A warning label costs little compared to the price of dialysis, stroke rehabilitation, or lifelong diabetes complications. A black octagon on a box of biscuits is more than a label; it is a shield for the health of all Ghanaians. It is time to put the truth where we can see it, right on the front.
By Abigail Amoah Sarfo
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Features
The Dangers of Over-Boxing

Natives of the Kenkey Kingdom were mad with joy. They were still recovering from the hangover of the kingdom’s loss of the African Cup when their spirits were rekindled. Their great warrior, Zoom Zoom, stormed Melbourne and made sure that every Australian refused food. And that was after he had drawn contour lines on the face of their idol, Jeff Fenech.
Not only did the terrible warrior transform Old Boy Jeff’s face into a contour map useful for geography lessons, but he also accomplished the feat of retaining the much-envied super-kenkeyweight title against all odds. The warrior had not been eating hot kenkey for nothing.
The Fight Against Fenech
When Jeff Fenech bit the dust in the eighth round, I was tempted to consider if Adanko Deka could not have faced him in any twelve-rounder, title or non-title bout. Adanko has improved tremendously, and soon he would be facing Pernell Whitaker.
Sincerely, I was pessimistic about Azumah’s man, who the last time took him through twelve grueling rounds of rough boxing. I expressed my fears to my colleague Christian Abbew, alias Gbonyo, who surprisingly had total confidence that the Australian brawler would fall, predictably in Round Five.
Gbonyo gave reasons for his contention, all of which I counteracted using the age factor. Fact is, I didn’t know that contrary to the laws of nature, Azumah was all the time growing younger.
When Fenech fell briefly in round one, I asked my brother whether it was the same Fenech that fought Azumah in Las Vegas. Sure, it was the same Fenech, all out to beat Azumah before his countrymen.
But the African Professor had no intention of making the Australian a hero. As he spun round the desperate Aussie, dancing and stinging out his jabs, it was not too long before I realized that the end was near.
The Eighth Round Showdown
Two minutes into the eighth round, the African ring-master proved to the whole world that he was a true son of Bukom. He himself was cornered, but like the tough nut he is, he managed to break free before overwhelming the panting Australian with several blows that made him crash headlong.
Moments after, the referee, expressing fatherly sympathy, stopped the fight to prevent an obituary. After the ordeal, Fenech’s fairly handsome face was full of newly constructed hills, valleys, ox-bow lakes—whatever. I noticed that his nose was very tired and had a miniature volcano sitting restlessly on it. Obviously, Jeff’s wife will have to nurse that nose back to its normal shape—but I’d advise her not to use iodine, otherwise her dear husband will wail like a banshee.
Reflections on Boxing
Because Mohammed Ali was the kind of boxer kids liked, many school-going kids often entertained the wish of becoming like him. I remember one day when I told my father I wanted to become a boxer, and he advised me to first complete my education to the highest level. Then, if I decided to become a boxer and was knocked out a couple of times, I’d fall back on my degrees and make a living.
Boxing used to be interesting when bouts were fought more with the mouth and tongue than with gloves. You had to brag well, psychologically belittling your opponent before beating him up physically. Mohammed Ali became a very successful pugilist because he also managed to become a poet. He often blew his horn across America, calling himself the “pretty boxer” and opponents like Joe Frazier “the gorilla.”
Ali made a living fighting hard fists like Joe Frazier, Ken Norton, Jerry Quarry, George Foreman, Leon Spinks, and Trevor Berbick. Twice he came back from retirement to fight just for money. It was Larry Holmes who finally pensioned him, and since then the great Ali has never been himself.
The Path Ahead for Azumah
When Azumah nailed Jeff Fenech on the cross and barked almost immediately that he was after the head of Pernell Whitaker, I was happy but concerned. I would have been happier if he had announced his resignation there and then—he would have been more of a hero. Beating Fenech in Australia is more newsworthy than facing Whitaker in the States.
With Whitaker, it might be a little difficult. The “Sweet Pea” is agile, has a crooked body like a snake with diarrhea, and stands awkwardly as a southpaw. He is known for having the fastest pair of fists and the rare ability to dodge punches no matter how close they may be.
Much as I do not doubt that Azumah can take his title, I also don’t want him to retire beaten. I want him to retire as a hero and live a fuller, healthy life.
As Azumah himself said after dishing Fenech, he is now a professor and has something to show for it. Like a true professor, I think it is time he resigned and took up training young talents who could draw inspiration from him and become like him in the future.
Closing Thoughts
I must say that although ageing boxers like Larry Holmes and George Foreman are making a name for themselves, boxing is not like the Civil Service, where you can even change your age and retire at 74. Zoom Zoom has delighted the hearts of the natives, and Sikaman will forever hold him in high esteem—but only when he retires as a hero.
This article was first published on Saturday, March 7, 1992.



