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
The passport to hell

NATIVES of Sikaman are very religious people. Procure a Bible, hire an interpreter, get four benches, a chair, table and two candles and arrange them like you see in a church room. You have established a church and the natives will start coming to you for consultation. The ladies will come around mid-night if you ask them to.
Getting followers is normally not a problem but if you are finding it difficult, you only have to learn to be a good dancer so that your floor shows will be a side attraction.
Start a funky Christian hymn and dance in accompaniment. An old retired witch passing by is likely to join you. She wants last minute salvation. For sure, a civil servant wanting to fight VAT spiritually will also join the fold with his own brand of kpalogo. A church has indeed been born.
The demise or survival of such a mushroom church will, however, depend on the competence, cooperation or roguery of the interpreter. If for instance he is not properly fed before a church service, he can decide to give his own interpretations to reflect the extent of his stomach palaver. It is, in fact, a form of strike action Kumi Preko!
“You are standing on holy ground”, the pastor will say. “If you don’t receive your miracle and healing here, then Jesus is not alive. So long as Jesus is alive, no disease, no problem will come here and go back unsolved. Halleluyah!”
The hungry interpreter who wants to subvert the process of the new church will interpret thus “The pastor says this is a church for idiots and those who are idle and have nothing doing. It is also a church for those who want entertainment like you can get in the discos. Meanwhile he says the service is becoming boring so if you’re feeling sleepy you can go home and sleep”.
The pastor will immediately sense foul play and will call the interpreter aside to ask him whether he is normal.
Are you mental?” he’d ask.
“You gave me only one ball of kenkey so whatever you were saying didn’t enter into my ears”
“Did you use the kenkey to seal your damn ears?”
“No, I mean it was not sufficient for my stomach”.
“So if I give you three balls can you handle the job?”
“Yes, but if you make it four, I’ll not make any mistake again. But the fish must be double, or else I’ll develop kwashiorkor”.
With the increase in the ration of the almighty interpreter and a rise in his Sunday stipend, the church gains ground and before long, membership increases with beautiful women in the majority. They have got problems that can only be solved at the beach at midnight.
Yes, most women go to church for various reasons among which are learning to dance, seeking marriage, courting potential boyfriends, making business smooth and flowing and seeking healing for fibroids. Some women also go to avoid their sexy husbands who always desire to start climbing them as early as 7.30 p.m. By the time they return from the evening service such husbands are tired of waiting and resort to snoring.
Men also are not left out of the Christian show. They attend to pray so that God can reveal to them whether their wives are witches or not, because since marriage, they have not prospered. They’ve tried everything including lotto, but still … There must be setting behind!
Well, prosperity or not, Christian churches have been established all over the place. At Ashaiman alone, there are about 500 churches or Christian sects, some fellowshipping in converted kitchens and under trees. Many are breakaway factions but they all have the same objectives together with the orthodox churches that is SAVING SOULS. But are Ghanaian churches really saving souls?
Whether orthodox, spirito-charismatic charismato-magical, almost all churches in Sikaman have tragically deviated from the virtues of soul winning and now concentrate on financial matters.
Luckily, one man of God, Reverend J. K. Atto-Brown who obviously was becoming embarrassed by the unbridled and unwarranted ways of ministers of the word who concentrate more on money than saving souls, spoke his piece of mind.
“It is a well-known fact that a greater part of our worship time is often devoted to fund-raising activities, while very little attention and time is given to the spiritual message to feed the souls of members”, he said.
Reverend Atto-Brown also observed that the method used by churches to collect monies from their members clearly shows how Satan could easily adulterate spiritual worship with materialistic concerns.
Not long after he spoke his mind, another Reverend Minister, Francis Botchway, lambasted ministers of churches for using too many methods to collect monies from their members.
In fact, financial issues have gained priority in our churches to such extents that organizing offerings and collections have become major activities of the modern church. The sermon is hurriedly preached to give way to more serious matters – silver collection, etc.
Members are compelled to donate towards the building of a new church house that never gets built, a-new organ that never gets bought, pastor’s welfare, pastor’s transfer, harvests, funerals, tithing and sundry others.
Contributing to some of these things isn’t a bad idea but anything which becomes compelling, straining and excessive to the point that members are distressed and feel exploited is not good for the church.
Moreover, a large percentage of these monies are not properly accounted for and pastors often quarrel with their church elders over embezzlements of church funds and the like.
The whole palaver has become one suggesting that you have to pay money to get salvation and a visa to heaven, which must not be the case. Salvation is free. It also suggests that if you are poor then you better stay at home and go to hell. Poverty, therefore, becomes a passport to hell.
Anyway, the self-appointed Reverend Kofi Kokotako recently told me that there is no place for the poor man in heaven because heaven is a luxurious joint. The guy is not serious.
Anyhow, our Christian churches need to be reformed. The exploitation must stop so that even the poor can have the chance of getting salvation. Worshipping God must not be another luxury. Must It?
This article was first published on Saturday May 27, 1995
Features
The fires of fury: Unpacking male and female rage
Rage, that primal, visceral emotion that courses through our veins like liquid fire, is often misunderstood and frequently gendered. Society tends to view male rage as a natural, even justified, response to provocation, while female rage is often dismissed as hysteria or emotional instability. But what’s beneath these surface-level perceptions?
The Socialisation of rage
From a young age, boys are socialised to express anger and aggression, often encouraged to “tough it out” or “be a man.” This can lead to a buildup of unaddressed emotions, which can erupt in explosive outbursts. Girls, on the other hand, are often taught to suppress anger, being told to be “nice” and “calm.” This doesn’t mean women don’t experience rage, but rather that they’re socialised to express it differently.
The neuroscience of rage
Anger is a complex emotion, involving the amygdala, prefrontal cortex, and hormones like testosterone and adrenaline.
Research suggests that men and women exhibit different neural patterns when experiencing anger, with men showing more activity in the amygdala and women showing more activity in the prefrontal cortex (Domes et al., 2010).
This doesn’t imply that one sex is more prone to rage, but rather that the expression and regulation of anger differ.
Male rage: A culture of toxicity?
Male rage is often linked to societal expectations of masculinity, power, and control. When these expectations are threatened, some men lash out in anger, perpetuating a cycle of aggression and dominance. This can manifest in toxic behaviors, from road rage to domestic violence.
Female rage: The unmuting of silence
Female rage, on the other hand, is often silenced or dismissed. Women are more likely to internalise anger, leading to anxiety, depression, or self-destructive behaviors. However, as societal norms shift, women are beginning to express their rage more openly, demanding justice and equality.
The power of rage
Rage can be a transformative force, driving individuals to challenge injustices and push for change. When harnessed constructively, anger can fuel activism, creativity, and personal growth.
Conclusion
Male and female rage are not mutually exclusive; they’re two sides of the same coin.
By acknowledging and addressing the societal, neurological, and cultural factors that shape our expressions of anger, we can work towards a healthier, more compassionate understanding of this complex emotion.
BY ROBERT EKOW GRIMMOND-THOMPSON
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