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Hepatitis B wahala

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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.

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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:

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Loss of appetite

Nausea

Vomiting

Fatigue

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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.

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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.

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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. 

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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.

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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.

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Some good news here, you are unlikely to contract Hepatitis B infection from the following:

Hugging

Kissing

Sneezing

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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.

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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)

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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.

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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

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A focus on the Apostolic Church in Finland

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Some members of the Apostolic Church in Finland

Today, I focus on the Apostolic Church International in Finland, as I continue with my description of institutions and personalities and their accomplishments as members of the Ghanaian Diaspora in Finland.

The Apostolic Church International, Finland (or, Apostolic International Association Ry) was established in October 9, 2023. The Church in Finland has seen significant strides and accomplishments within the short time that it has been established in Finland, which must be highlighted. 

History of the Church in Ghana

The Apostolic Church Ghana originated from the 1904–1905 Welsh revival, officially established in Ghana (then called Gold Coast) in 1935 following connections between a local prayer group in Asamankese (a town in southern Ghana), led by Peter Newman Anim, and the Apostolic Church, UK. There were historical splits in 1939 and 1953, but the Apostolic Church attained autonomy in 1985.

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Today, the Church is headquartered in Accra. Last year (2025), it dedicated its new 10-storey headquarters, “The Apostolic Church Tower,” in Frafraha, Adenta West in Accra. 

Activities of the Apostolic Church in Finland

The Apostolic Church in Finland conducts church service on Sundays. The service starts at 11a.m. in the morning and closes by 1 p.m. in the afternoon. There are no other activities during other days for now.

The Minister in charge of the church in Finland is also the Area Head of Italy Area. He is Pastor Daniel Kofi Addison who is the new Italy Area Head, and has just been transferred from UK South Area to Italy Area during the just-ended Council Meeting in March this year. Italy Area comprises Italy, which has 13 Assemblies, Germany, one Assembly, and Finland, one Assembly.  

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Elder Ebenezer Amoaning-Coffie is the Presiding Elder in charge of the Assembly in Finland. A Presiding Elder is responsible for day to day activities of the church (Assembly) and reports to the District Pastor, or in the absence of the District Pastor, reports to the Area Head.

Achievements

The Apostolic Church International, Finland was officially registered under the Finnish Law, guaranteeing freedom of worship and providing legal foundation for future growth. The church service is conducted in both English and Twi.

The church opens its doors to all people of every nation, especially Ghanaians who are in Finland and other African nationals. Now, the membership comprises Ghanaians, Nigerians and Sierra Leoneans.

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The Church and the Ghanaian migrant community in Finland

The Apostolic Church in Finland plays a prominent role as a religious group that serves Ghanaian migrants and others in the Finnish society.

Thus, the Apostolic Church is a religious body for Ghanaian migrants in Finland and other nationalities who want to worship with them for diversity and better intercultural and multicultural understanding.

Elder Amoaning-Coffie said that the main and primary aim of the church is to bring people closer to God. “We aim to win souls for Christ. We aim to preach the gospel to the world. By propagating the gospel to the people, we are hopeful that they will turn away from any ungodly ways and be good individuals in the community and in society in general”, he stated.

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He said that everything is going well so far. A key challenge, however, is how to get more members especially the youth. As a new Assembly, we are in need of instrumentalists, for example. We pray to God Almighty to help us do His work, the Elder disclosed.

Integration

By its activities, the Apostolic Church is helping to ensure integration of its members well into the Finish society. This is important since social interaction and citizens’ well-being are an important part of the integration process in Finland.

As I mentioned some time ago, the role of migrant associations and groups such as the Apostolic Church acting as bridge-builders for the integration and inclusion of migrants through participation in the decision making process and by acting as a representative voice is highly appreciated in Finland. Thank you!

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With Dr Perpetual Crentsil

perpetual.crentsil@yahoo.com

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Promoting our local dishes: The cultural cost of the ‘Continental’ diet

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The landscape of the Ghanaian palate is shifting, and not necessarily for the better. In our bustling urban centres, from the streets of Accra to the suburbs of Kumasi, a quiet culinary revolution is taking place; one where the mortar and pestle are being replaced by the pizza oven and the deep fryer. This transition from traditional staple foods like fufu, banku, akple, kenkey, tuo zaafi, and ampesi toward “continental” dishes is more than just a change in appetite; it is a reflection of a deeper social struggle with identity and prestige.

The illusion of modernity

For many, “stepping out” for a meal has become synonymous with consuming foreign cuisine. There is an unspoken social hierarchy where a bowl of Abunuabunu is relegated to the village category, while burgers, pizzas are branded as prestigious choices. We have reached a stage where we equate foreign with modern and local with primitive.

​This perception is a dangerous illusion. Our traditional dishes are marvels of culinary engineering complex, nutrient-dense, and deeply rooted in our history. When we choose a processed foreign import over a meal made from local tubers or fermented maize, we are not just changing our lunch; we are eroding the indigenous knowledge attached to our local ingredients and foods.

We need to turn the consumption of indigenous grains and tubers like millet, sorghum, and plantain into a statement of self-worth and national pride.

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The cultural and health erosion

Every time a local dish disappears from a restaurant menu to make room for foreign fast food, we lose a piece of our cultural fabric. Traditional Ghanaian cooking is an art that requires patience and skill. By choosing the convenience of foreign fast food, we are raising a generation that may know the taste of a pepperoni pizza but cannot identify the rich, earthy profile of Prekese or the subtle tang of well-fermented dough dishes like corn porridge, banku, etew, abolo, agidi or kamfa, and kenkey.

Furthermore, we are at the crossroads of a nutrition transition. Replacing high-fiber, indigenous crops with calorie-dense but nutrient-poor foreign fast foods is driving a rise in lifestyle diseases such as obesity, hypertension, diabetes, stroke, cancer, and liver disease. We are trading our longevity for 15-minutes convenience or unhealthy diet.

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A call for culinary patriotism

​It is time for us to appreciate, preserve, and promote our indigenous foods and culinary traditions. We need to be proud of our local dishes, ingredients and cooking methods, rather than relying heavily on foreign or imported foods. We must stop viewing our local delicacies as low-class and start treating our culinary heritage as the high-end gastronomy it truly is.

True sophistication does not come from imitating Western fast food; it comes from innovation and adding values to our own resources. We see glimpses of this potential in the rise of branded Sobolo and the creative use of gluten-free plantain flour in modern baking of flour-based dishes such as bread, cakes, biscuits and others. This is the path forward. We must elevate our local dishes, making them as accessible, affordable, presentable and trendy as any foreign alternative.

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To the hospitality industry: Innovate or stagnate

​Our hotels and high-end restaurants must lead the charge. They must stop relegating local dishes to the “traditional corner” of the buffet, and apply the same culinary finesse given to imported dishes to our Fante Fante, apapransa, aborbi tadi, fetritoto, akple, abolo, yakayeke, fufu, ampesi, kokonte, wasawasa, tubani, apapransa, mpotompoto, kelewele, aliha, brukutu, pito, and other local dishes. The industry must enhance customer experiences making eating local dishes the ultimate luxury experience for both tourists and residents alike. We must elevate the presentation of our foods by using modern plating techniques to show that a bowl of light soup can be as visually stunning as a French consommé. We need to reclaim our Ghanaian plate before it is too late.

To the policy makers: Let us encourage buying of local ingredients to promote the local food industry and economy. There should be educational programmes and talks about the nutritional and cultural benefits of local foods so that people understand their value.

We need to encourage serving traditional dishes at school programmes, parties, and celebrations instead of only fast foods,

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To the Youth: Let us value and appreciate our traditional dishes instead of always choosing foreign foods. There must be balance in our choice of local and foreign dishes. Confidence in our culture encourages others to respect it too. Our local dishes can also be promoted by sharing pictures, recipes, and videos on platforms such as Instagram, TikTok, and WhatsApp to make them attractive and trendy.

Young citizens must learn from their parents and elders how to prepare local meals to keep the knowledge and cultural relevance alive. Local dishes can be modernised to appeal to younger generations and tourists.

Conclusion

We cannot afford to trade our heritage for foreign cuisines which are gaining grounds across the country at an alarming rate. We must disabuse our minds of the perception that anything foreign or imported is better than those locally made. Our health, economy, and identity are tied to the soil. It is time to stop apologising for our local flavours and start celebrating them. It is possible to embrace modernity without losing ourselves and our cultural identity. Let us make the Ghanaian kitchen the heart of our modern identity once again.

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By: Marilyn Gadogbe

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