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Editorial

 Make sickle cell treatment affordable and accessible

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 People with sickle cell disease (SCD), an inherited blood disorder, endure unhappy lives due to its numerous problems, yet, they can manage their illness and lead happy lives if they receive regular medical care and have access to medications.

Unfortunately, advanced treat­ments for SCD are very expensive, and therapies that can cure the disease are still out of reach.

Sickle cell disease is a danger­ous genetic condition as red blood cells with the shape of a sickle block blood flow, causing severe pain, organ damage, life-threat­ening illnesses, and possibly early death.

The disease causes severe com­plications including chronic pain, anaemia, infections, acute chest syndrome, strokes and organ dam­age, often leading to shortened life expectancy.

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Globally, around 1,000 babies are born with the condition daily, with three-quarters in sub-Saharan Africa. In Ghana SCD, affects about three in every 100 newborns.

It was against this backdrop that health experts have urged Ghana to prioritise affordable and accessible treatment for sickle cell disease (SCD) to enable patients benefit from gene therapy which has been developed in recent years, as a potential cure.

According to Dr. Lawrence Osei-Tutu, a Sickle Cell and Child­hood Cancer Expert at the Komfo Anokye Teaching Hospital, “the country must focus on practical, lower-cost interventions such as hydroxyurea, a decade-old can­cer drug proven to reduce pain­ful episodes, hospitalisation and life-threatening complications in SCD patients.”

He said that the medicine, that is swallowed, makes red blood cells work better and is thought to be safe and successful.

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“Hydroxyurea therapy is as good as the cure and a low-hang­ing fruit to pluck, we must bring a cure to our sickle cell warriors, but do so sustainably,” he urged.

The expert noted that despite its benefits, “hydroxyurea is not widely accessible in Ghana” stress­ing that, “many patients either cannot afford it or struggle with irregular supply through the health system.”

The Spectator supports the expert’s argument that expand­ing access will offer short-term respite as the nation develops the necessary infrastructure, educates experts, and obtains the funds to support curative treatments in the future.

With an estimated 15,000 ba­bies born with sickle cell disease each year in Ghana, Dr. Osei Tutu issued a warning, pointing out that “failure to improve access to ef­fective treatment will leave many patients vulnerable to preventable complications and early death.”

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In light of this, the Spectator suggests that people obtain genet­ic testing in order to determine their carrier status.

A genetic counsellor can also explain the inheritance concerns and go over ways to keep their children from inheriting the illness if both partners are carriers.

To prevent passing on sickle cell disease, couples who are at risk of having a child with the con­dition can decide to adopt a child or live child-free.

Churches should require that prospective partners know their current status in order to decide whether or not to continue their relationship.

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Editorial

The marvel of cassava leaves

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Cassava leaf consumption was just not part of traditional Ghanaian culture, and as Dr. Kwaku Owona Hwesofour Asante, a Research Scientist at the CSIR-Crops Research Institute (CRI), has noted, the hurdle to adopting this resource is cultural rather than environmental or economic.

The crop has only been viewed through the lens of its starchy root for many centuries. In the meantime, our West African neighbours’ cuisine has traditionally featured cassava leaves.

Ghana’s eating and cooking customs need to change. These leaves have an astounding crude protein content of 17 percent to 38 percent on a dry weight basis. Even more impressively, they provide more than 10 of the essential amino acids required by the human body for tissue growth and health maintenance.

According to Dr. Asante’s striking and indisputable comparison, eating correctly prepared cassava leaves is biologically similar to eating fish or eggs for protein

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Ignoring a free, plentiful, environmentally friendly alternative is a luxury we can no longer afford in a nation where the typical household’s cost of animal and fish proteins is rising. The private sector has a strong business argument that goes beyond public health.

These days, agriculture has to adjust to resource scarcity and climate change. A cyclical agro-economy is defined by the use of cassava leaves. A farmer can practically double their yield without purchasing an additional metre of land, using more water, or clearing more forests by harvesting the leaf canopy in addition to the underground root.

Although there are naturally occurring cyanogenic chemicals in raw cassava leaves, this issue has previously been resolved by science. The toxicity is completely neutralised by pounding and boiling the leaves for approximately 15 to 20 minutes, making them completely safe.

Aggressive private enterprise is made possible by his predictable processing pathway. It is simple to commercialise processed leaves as nutrient-dense cattle feed concentrates, dry protein powders for dietary supplements, or frozen culinary greens.

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An Appeal for Legislative Action By demonstrating the science and charting the financial advantages, researchers at the CSIR-CRI have done the tough lifting. They have already briefed important decision-makers. The government’s leadership now has complete control over the situation.

The Spectator feels that the Ministry of Food and Agriculture (MoFA) and the Ministry of Gender, Children, and Social Protection (MGCSP) need to take action in order to transform this overlooked treasure into a national asset.

Consumption of cassava leaf should be purposefully incorporated into national food initiatives like the Ghana School Feeding Programme (GSFP). The government can simultaneously enhance children nutrition and provide rural farmers with new sources of income by establishing an institutional market for the leaves.

We can no longer afford to let literally tons of premium protein to spoil in our crops. It is time to look above the ground, see the green gold that is looking back at us, and fully use Ghana’s cassava canopy.

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Editorial

Make 5G Spectrum accessible to all

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Dear Editor,
Ghana’s move into the next stage of 5G spectrum licensing is an important development for the country’s digital future. With MTN Ghana, Telecel Ghana and Goal Telecommunications cleared to proceed, expectations will naturally rise among businesses, students, technology professionals and ordinary internet users.

But as Ghana prepares for a more advanced digital era, we must ask a simple question: who will actually benefit from 5G?
Technology should not become meaningful only to people who can afford expensive smartphones, data packages and compatible devices. If 5G is introduced without addressing affordability and accessibility, Ghana risks creating a faster digital highway that many citizens cannot afford to enter.

For students, reliable and affordable internet can mean access to online courses, research materials, remote opportunities and international learning platforms. For small businesses, better connectivity can support digital payments, online marketing, e-commerce and communication with customers. For professionals, it can create opportunities for remote work and participation in the global digital economy.

The government and telecommunications companies must therefore ensure that the 5G rollout goes beyond speed. There should be serious attention to affordability, coverage and digital inclusion. Rural communities should not be forgotten while investment concentrates only on Accra, Kumasi and other major commercial centres.

Telecommunications companies should also communicate clearly with consumers about the actual benefits of 5G, the cost of accessing it and the devices required. Consumers deserve value, not simply another technological label attached to their data plans.

Ghana has an opportunity to use 5G as a tool for economic transformation but that transformation will only be meaningful if the technology reaches beyond corporate offices and wealthy consumers.

The measure of Ghana’s digital progress should not simply be how fast our networks can operate. It should also be how many Ghanaians can afford to participate in the digital economy.

From Desmond Frimpong

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