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Health Essentials

How safe is  your workplace?

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We all agree that “decent work must be safe” yet many of us have not shown enough commitment; governments, employ­ers and employees all have duties, rights and responsibilities to ensure the highest priority is accorded to the principle of prevention.

Statistics show that where institu­tions invest in prevention measures over a period of time, a significant decrease in work-related accidents and occupational disease takes place.

This is an opportune time for all workplaces to start the process of ensuring their workplaces are safe and providing the appropriate infor­mation that all categories of staff can understand is the best start point.

Guy Ryder ILO Director General could not have put it better when he stated; “to move forward it is neces­sary to close the data gap, because knowledge is the key to prevention.”

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Some areas that require prompt action in most workplaces include:

• Signaling that safety is a pri­ority

o Right from the entrance to the workplace, appropriate notices should show the commitment to safe­ty and health.

• Appropriate markings for walkways

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o Vehicles and humans should not compete for the right of way especially in places with trucks etc. there should be clearly demarcated areas for pedestrians.

• Management of extreme tem­peratures

o In our setting, extreme heat is a major challenge. Workplace de­sign should place emphasis on proper ventilation and in places that are already built, structural changes may be needed in addition to industrial fans and easy access to clean drinking water.

• Fire drills and evacuation plans

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o If employees are not aware of what to do in the event of a fire for instance, then it needs to be tackled immediately.

o There should be a plan in place and all team members must know the plan.

• First Aid awareness

o What does one do in the event of an injury or other potential­ly fatal event occurs? Employees and even employers need to be equipped with basic first aid skills.

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• Ergonomics

o Many of the aches and pains we experience are caused by poor posture at work and even beyond. This affects those seated in offices as well as those operating machinery or working on the floors. Correct tech­niques, taking appropriate breaks and balancing effect on the body should be taught and practiced.

• Use of PPEs

o Many employees have access to these and know its use but still fail to make use of them. Regular knowl­edge sharing and understanding will eventually bring a positive change.

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• Managing Stress

o Stress is a window to many disease conditions and poor perfor­mance and it is important all work­places address this.

o Time management and well­ness programmes including exercises help to combat this.

• Avoiding clutter

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o When your work area is messy, not only are you at risk of injury, you also feel harassed or stressed out and cause more errors.

• Other Interventions

o I believe workplaces should have happy hours for more interac­tion (may not need to be physical only), they should also take part in programmes like DUMP where unused or expired medicines are collected safely and the appropriate agency contacted to help dispose off. Har­bouring such medications has often resulted in poisoning, addictions etc.

o Once again won’t it be great if your workplace actively encourag­es “ICE” – IN CASE OF EMERGENCY. Save at least two numbers on your cell phone beginning with ICE e.g. ICE Kojo 090…..when you are not in a position to help yourself, anyone who picks up your phone will be able to contact someone who knows a lot about you.

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• Create a Green-Space

o Concrete has taken over most of our living spaces. It is very reward­ing to have some plants indoors and outdoors as well as greenery such as a lawn. It doesn’t matter even if it’s a tiny strip. People will gladly take their lunch breaks in “nature” and return to work invigorated.

The list is endless but let us start with the basics and work our way to a safe and healthy work environment with PREVENTION at the fore.

Employers need to be aware that provision of personal protective equipment is not the all in all. PPEs should be seen as the last line of de­fense for the employee. Prior to using the PPEs the employer must ensure that machines, equipment, processes and the premises are free of risk to the health of all workers.

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Employees also play a crucial role and it is expected that they will all actively cooperate with employers in the implementation of the preventive and protective measures.

It is important that workplaces have a visible occupational health and safety specialist or in the ab­sence of one a safety officer who will coordinate all processes such as risk assessment and management, mon­itoring of working environment and practices that may affect worker’s health, advice on planning and organ­isation of work, designing and imple­mentation of preventive programmes and even appropriate referrals to healthcare and rehabilitation.

If we made a conscious effort to calculate the money drained off that is related to lost working time, treat­ment of occupational injuries and diseases, interruptions in production, rehabilitation and compensation, it will leave no doubt in our minds that prevention is a PRIORITY!

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

dressel@healthessentialsgh.com

*Dr. Essel is a medical doctor with a keen interest in Lifestyle Medi­cine, He holds an MBA and is an ISSA Specialist in exercise therapy, fitness nutrition and corrective exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

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Thought for the week – “Economic recession or pressure to maximize profits cannot justify cutting corners in workplace safety” – Guy Ryder. ILO Director General. (28th April 2015)

References:

• United Nations Website (un. org)

• International Labour Organi­zation website

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  1. A messy work area puts one at risk of injury

By Dr Kojo Cobba Essel

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Health Essentials

Cancer; a burning desire to reduce risk

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When it comes to cancer risk factors; ALL RISK FACTORS ARE NOT CREATED EQUAL. Someone may have several risk factors but remain perfectly fine while another may have only one or none yet end up with breast cancer or other cancers.

We cannot say with certainty that we can do all it takes to prevent cancer BUT we can do a lot to reduce our risk.

TEN (10) TIPS TO CANCER RISK REDUCTION

  1. Weight Control – being overweight or obese increases risk to SEVERAL cancers.
  2. Smoking – cigarette smoking predisposes one to several cancers including lung cancer. Other forms of air pollutants serve as risks too.
  3. Alcohol – limit intake or avoid. It has the power to expose one to several cancers as well especially when we can’t apply brakes to how much we consume.
  4. Healthy Eating
    1. Limit intake of processed food and sugar
    2. Limit intake of red meat
    3. Fruits and vegetables should be a mainstay of our diet.
    4. An antioxidant rich food like cocoa should be part of our food. The purer the cocoa, the better
    5. Fibre in your food is crucial.
  5. Exercise – on its own reduces risk for breast and colon cancers directly and many others through weight control.
    1. Also increases immunity.
  6. Cancer Screening – be regular so cancers can be detected early and managed aggressively.
  7. Vaccinations – take vaccines where needed e.g. Hep B vaccine or vaccine against HPV (human papilloma virus accounts for the majority of cervical cancers)
  8. Know your Family History
    1. Anyone in your family with a cancer? Necessary to be on your guard but also remember that you may be the first person in your family with a particular cancer.
    2. Start your family early and breast feed for as long as possible to reduce risk of breast cancer.
  9. Check exposure to Ultraviolet Light and other forms of radiation. Protect your skin.
  10. Practice SAFE SEX
    1. HPV infection leading to cervical cancer is commoner when one is exposed to sex early, directly or indirectly has multiple partners but NOT everyone follows this rule. As in many situations, outliers do exist.
    2. Conditions such as HIV/AIDS may suppress your immune system if not managed appropriately.

Do add two (2) others of your choice and send to me via email. Together we can protect ourselves.

  1.  
  2.  

Will treating H. Pylori infections be a game changer too?

ALWAYS remember that CANCER PREVENTION HAS NO QUICK FIX – we need to follow these points over and over.

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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/ Medics Clinic

(dressel@healthessentialsgh.com)

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*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

By Dr. Kojo Cobba Essel

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Health Essentials

DUMP these medicines; Save lives!

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some unused medications

Accidental poisoning of children at home, starting point of drug abuse by teenagers at home and uninformed self-medication have one thing in common; in all three unused or unwanted medicines are likely culprits. The harm we cause when we fail to properly dispose of medicines we do not need is crippling.

So many people have out of fear or anxiety converted their homes into mini-pharmacies where medicines that are supposed to keep us alive are stocked. COVID-19 worsened this practice and no-bed syndrome also plays a role.

Some of these medications may end up complicating our conditions as we self-diagnose and treat ourselves with what “the all-knowing “social media curb-side doctors prescribe.

From “blood-thinners” including aspirin to steroids, antibiotics, assorted supplements, ivermectin, hydroxychloroquine and even tanks filled with oxygen have found their way into homes. People including children will now “consume” some of these medicines and any left-overs may be accidentally taken, given out to family and friends with “similar” symptoms etc.

We all run the risk of abusing drugs and unfortunately some may end up indulging in “hard drugs.”

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Prior to COVID-19 many of us had turned our homes into dumping sites for medicines and we have now expanded our range of supplies. We seem to develop “unholy” attachments to drugs and end up keeping them for years even when they have long expired. I have had several unpleasant requests to identify a drug that is partly decomposed and has no name on its container. Unfortunately I have on all occasions refused to even make an attempt. My trade may teach me many things about humans and medicines but it also teaches me to be wary whenever I attempt to play Sherlock Holmes especially with medicines that are not labelled.

I took another look at “DUMP”, which is acronym for “disposal of unused/unwanted medicines programme.” I must admit I was extremely impressed with the usefulness of the DUMP. Many countries have tried a variety of approaches including self-disposal but I think the option that is being promoted in Ghana by Dr Edward Amporful, Cocoa Clinic and other patrons is exceptional. In my candid opinion every hospital, company and home should adopt this programme.

All you need to do is to return all unused/unwanted or even expired medicines to participating hospitals. Put these medicines in labelled receptacles or bins that are provided. You do not need to disclose your identity, just walk away because your work is done. The necessary arrangements have been made with the relevant regulatory bodies for the safe disposal of such medicines.

Sounds absolutely simple yet this has the potential to save lives; that baby who could have accidentally swallowed some of these medicines is still alive and the teen who would eventually have been hooked on stronger drugs is spared the agony.

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I think bins should be in all offices so that staff could drop off their medicines and the appropriate steps taken. Market places could also have these bins available and locked and properly secured to prevent people taking the boxes away. Even homes can have a similar bin for discarding and then periodically taken to participating hospitals/clinics. Unused or unwanted medicines should not find their way into a First Aid Box, they don’t belong there.

How do we amass “riches” in unused, unwanted or even expired medicines?
• We may not adhere to the right dose of the medicine thus we end up accumulating medicines at home.
• Sometimes our healthcare provider may make changes to medicines especially when we have chronic diseases such as high blood pressure but we do not return the old ones to the hospital but instead keep them at home.
• Sometimes we react to a drug and stop taking it, leaving the excess at home. I am not sure why we keep these at home when we are aware we are no longer going to use them.
• …and now we stock medicines for fear that we may not have access to some when we have an emergency. Our excuse is that many people are hoarding social-media proposed life-saving medication. After all we are all still learning.

In support of ‘DUMP’
• A frequent cause of accidental poisoning of children at home is having unused/unwanted or expired medicines within their reach. I have seen children rushed to the emergency room for this reason. Some were lucky to live while others had their exciting life cut short. Start DUMP today and help save lives. Even adults sometimes end up with complications because they assumed a drug was used for something completely different.

• People tend to play doctor or pharmacist at home because they pass on unused medicines to family and friends. This is often the starting point of uninformed self-medication. Many people are unaware that doses and types of medicines needed do not depend only on having an illness that appears similar to what another person on a particular medicine was given.

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• When unused or unwanted medicines are improperly disposed of, they may eventually end up polluting water bodies etc. Start DUMP and make a statement on protecting our water bodies.

• Drug resistance is often a consequence of abuse of medicines such as antibiotics and anti-malarias. Kofi starts medicine required to be taken for one week and feels better after three days so he stops. A few days or weeks later Awo appears to have a similar illness so Kofi gives her the medicines left for four days. The process of developing drug resistance has just taken off.

• Keeping expired medicines at home may lead to unsuspecting people taking them and they may end up with additional problems.

• Improper storage of medicines may affect its potency. A typical example is keeping medicine that needs to be refrigerated in a hot room instead. Return these medicines.

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We could jeopardise our health or that of others just because we are keeping unused or unwanted medicines. STOP. THINK. JOIN DUMP TODAY! You will be saving lives.

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/ Medics Clinic

*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

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Thought for the week –“IN CASE OF AN EMERGENCY you may need someone to be alerted. Since majority of us own cellphones, plan your own rescue by saving this person’s phone number preceded with “ICE.”  An example is ICE Kojo Essel.The more people we have who know about “ice” the better for us all. Spread the news!!”

References/Credit:
• Dr. Edward Amporful, Cocoa Clinic.
• www.healthessentialsgh.com

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