Features
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.
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
Confronting newborn abandonment in Ghana: when a cry for help is heard in a dustbin- Part 1

“A woman who abandons her baby in a dustbin at Kasoa Lorry Station is not always a wicked woman. Sometimes, she is a wounded woman whose mind has broken, whose family has rejected her, and whose society has left her with only one terrible option: disappear or be disgraced.”
That is the hard truth Ghana must hear.
In the last 10 days alone, our nation has been confronted with the same painful headline, twice.
Case 1 – Kasoa Main Lorry Station, Central Region: A newborn baby girl was found abandoned inside a dustbin at the public toilet of the Kasoa Main Station. A woman who went to use the facility discovered the infant and raised an alarm. Commercial drivers and bystanders quickly retrieved the baby and rushed her to the Kasoa Polyclinic for emergency medical care.
Case 2 – Asante Bekwai, Ashanti Region: On Thursday morning, August 20, 2026, a two-week-old neonate was reportedly abandoned by an unknown nursing mother at Bekwai in the Ashanti Region. Residents who came across the child raised the alarm. The baby was admitted to the Bekwai Government Hospital as police commenced investigations.
Let me be clear from the start: Newborn abandonment is wrong. It is dangerous. It is criminal. And it can kill. This article does not excuse it. But if we only arrest and shame, we will never stop it. We must treat the root, not just punish the fruit.
What exactly is newborn abandonment? – The two definitions
The Legal Definition: Under Ghana’s Criminal Offences Act, 1960 (Act 29), Section 96, and the Children’s Act, 1998 (Act 560), abandonment of a child under 12 years is a criminal offence. It is classified as exposure and abandonment, punishable as a misdemeanor or felony. The law sees the mother as a perpetrator.
The Psychological definition: In clinical textbooks, newborn abandonment is defined as the intentional, permanent relinquishment of all parental rights, care, and responsibilities over an infant within the first 28 days of life without making formal, legal arrangements for care.
To understand this crisis properly, we must not confuse it with child abandonment. Newborn abandonment happens within 0-28 days of life, often driven by acute panic, denial of pregnancy, or postpartum psychosis where the attachment bond never formed. Child abandonment, on the other hand, involves toddlers to teenagers where a bond existed but collapsed over time due to chronic poverty, family breakdown, or parental burnout. One is an acute crisis of the first month; the other is a chronic breakdown over years. Both are harmful, but they need different interventions.
Psychologically, newborn abandonment is the ultimate rupture of the primary attachment bond. Think of a 19-year-old university student who secretly gives birth alone in her hostel room, wraps the crying baby in a polythene bag, and drops it at a refuse dump at midnight. That is not just a crime scene; it is a scene of extreme panic and psychological dissociation.
Why would a mother carry a baby for 9 months and then abandon it?
This is the question every Ghanaian asks. If you wanted to abandon it, why not abort? The answer is deeply psychological:
1. The psychodynamics of denial of pregnancy: This is a profound defense mechanism, not a lie. The mother’s subconscious mind completely rejects the reality of the pregnancy. She does not gain weight normally, feels no kicks, does not seek antenatal care, and genuinely convinces herself she is not pregnant until sudden, shocking labour pains take her by surprise in a toilet or bedroom.
2. Fantasy of a dissolving problem: This is called cognitive avoidance. She believes “my boyfriend will come back,” “my mother will forgive me,” or “something miraculous will happen before birth.” So she waits, paralyzed, until the baby is here.
3. Barriers to safe abortion: Deep religious guilt, moral anxiety, fear of dying from a back-alley abortion, lack of money for a safe procedure, and family laws force her to carry to term even when she feels incapable.
4. The shock of reality and acute panic: Upon delivery, the physical presence and crying of the newborn shatters all denial. Confronted with immediate exposure, shame, and reality, her brain enters a trauma response — “fight, flight, or freeze.” For many, it becomes “flight” — physically escape the threat of exposure to survive socially. That is why babies are left in places where others will find them -lorry stations, churches, hospitals.
Source:
Counselor Prince Offei, CPAC’s founder, is a leading Mental Health Professional, Marriage Counsellor, Author, ADR Expert/Arbitrator, and Spectator Newspaper Columnist. He writes on relationships, marriage, parenting, special needs support, and their connection to mental health. For therapy, counselling, or enquiries, contact Counselor Prince & Associates Consult (CPAC) in Accra on 0559850604 / 0551428486.
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Environmental stewardship is an act of worship: The Islamic response to climate change, environmental degradation (Part 4)
The environmental consequences of illegal mining have reached alarming levels in Ghana. Several major rivers, including the Pra, Ankobra, Offin, Birim and Tano, have experienced significant pollution from illegal mining activities, increasing the cost and complexity of water treatment while threatening the availability of potable water for millions of citizens (Water Resources Commission, 2024; Ghana Water Limited, 2024). These developments underscore the urgent need for stronger environmental governance and collective action.
Islam equally emphasises accountability in governance. The Prophet Muhammad (peace be upon him) taught that every leader is responsible for those under his or her authority (Sahih al-Bukhari, Hadith 7138; Sahih Muslim, Hadith 1829). This principle extends to public officials entrusted with environmental regulation, traditional authorities responsible for communal lands, mining companies, local assemblies, and community leaders. Environmental protection cannot succeed
where accountability is absent.
At the same time, addressing galamsey requires more than law enforcement. Sustainable solutions must tackle the underlying socio-economic realities that drive individuals into illegal mining. Many young people are motivated by unemployment, poverty, and limited economic opportunities. Islamic principles of social justice therefore call for the creation of alternative livelihoods through sustainable agriculture, vocational training, responsible small-scale mining under strict environmental standards, entrepreneurship, and skills development. Environmental protection and economic empowerment should not be viewed as competing priorities but as complementary goals that promote human dignity and national development.
Faith communities also have an indispensable role to play. Mosques, churches, schools, traditional councils, and civil society organisations possess significant influence in shaping public attitudes and behaviours. Imams, in particular, should consistently remind congregations that wealth acquired through actions that destroy communities and Allah’s creation cannot be regarded as a blessing. Religious education should cultivate environmental ethics alongside spiritual devotion, reinforcing the understanding that protecting rivers, forests, and farmlands is an expression of gratitude to Allah and a fulfilment of the trust of Khalifah.
Ultimately, the struggle against galamsey is more than a campaign to protect natural resources; it is a struggle to uphold justice, preserve human dignity, and honour the trust that Allah has placed upon humanity. Lasting solutions will require strong governance, responsible citizenship, sustainable economic opportunities, and renewed moral leadership. Only when these elements
work together can Ghana safeguard its natural heritage for present and future generations.
Water conservation, waste management and sustainable development: Practical expressions of Islamic stewardship
Religious education should cultivate environmental ethics alongside spiritual devotion, reinforcing the understanding that protecting rivers, forests, and farmlands is an expression of gratitude to Allah and a fulfilment of the trust of Khalifah.
Ultimately, the struggle against galamsey is more than a campaign to protect natural resources; it is a struggle to uphold justice, preserve human dignity, and honour the trust that Allah has placed upon humanity. Lasting solutions will require strong governance, responsible citizenship, sustainable economic opportunities, and renewed moral leadership. Only when these elements
work together can Ghana safeguard its natural heritage for present and future generations.
Islam is not merely a religion that condemns environmental destruction; it also provides practical guidance for preserving and sustaining the natural world. Through its teachings on moderation, cleanliness, conservation, and responsible consumption, Islam cultivates an environmental ethic that remains remarkably relevant to contemporary challenges such as water scarcity, pollution, waste management, and climate change. These teachings encourage Muslims to become
responsible custodians of Allah’s creation in both private and public life.
Water conservation: A sacred responsibility
Water occupies a unique position in Islam as the source of life and an essential element of worship. Allah says, “And We made from water every living thing. Then will they not believe?” (Qur’an 21:30, Sahih International). This verse reminds believers that water is not merely an economic resource but a divine blessing upon which all living creatures depend. The importance of water is further reflected in Islamic acts of worship. Muslims perform ablution (wudu) before the five daily prayers and ritual bathing (ghusl) under prescribed circumstances.
Yet, despite its central role in purification, Islam strongly discourages wastefulness. The Prophet Muhammad (peace be upon him) once advised one of his companions not to waste water while performing ablution, even when using water from a flowing river (Sunan Ibn Majah, Hadith 425). This timeless guidance establishes the principle that abundance does not justify extravagance.
Conservation remains a religious obligation regardless of the apparent availability of natural resources.
This Prophetic teaching carries profound implications for contemporary Ghana. Illegal mining has severely polluted many rivers, increasing the cost of water treatment and limiting access to safe drinking water for numerous communities. Climate change has also intensified seasonal variability in rainfall, placing additional pressure on freshwater resources (IPCC, 2023). Against this
backdrop, conserving water is no longer simply an environmental preference—it is a moral imperative grounded in Islamic teaching.
Water conservation should therefore become a shared responsibility among households, educational institutions, industries, and places of worship. Simple practices such as repairing leaking pipes, harvesting rainwater, protecting riverbanks, avoiding contamination of water bodies, and promoting efficient irrigation contribute to safeguarding one of Allah’s greatest blessings. Every effort to preserve water is an investment in public health, food security, and the
wellbeing of future generations.
Unfortunately, indiscriminate disposal of refuse remains a significant challenge in many communities. Plastic waste clogs drainage systems, contributes to flooding during the rainy season, pollutes rivers and beaches, and threatens marine ecosystems. Open burning of waste further degrades air quality and poses serious health risks, particularly for children and the elderly (UNEP,2024).
The author is Chief Imam of Katamanso Municipal and Certified Counsellor and Governnace Expert.
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