Health Essentials
‘One man’s meat…’
The first time I saw someone eat dog meat I was scandalised. I did not understand how that could happen, but it did. And I saw it. We went for a sports festival in one of the towns in the Volta Region in 1964 and food vendors were around selling their stuff. An aroma of barbecue wafted through the air that drew school children to the fire.
A soldier in uniform picked a stick of the khebab, paid for it and sauntered away to enjoy the meat. Just a few moments later, he turned back to the vendor and asked why he sold him dog meat. I wondered how he knew it was dog meat, but it turned out he had eaten it before and knew that taste. I do not want to narrate what happened to the poor guy who sold the meat.
As time went on I found myself eating python meat that same year. This reptile slithered into the thatched roof of a neighbour when its hole was inundated with flood waters of the Keta Lagoon. The big boys in the area caught it, skinned it and we made a meal of the meat. It tasted like chicken, except it had too much fat. I did enjoy it though.
Some cousins and I used to go set traps at a cemetery a mile out of town during weekends to catch rats, which we cooked and feasted on. To us it was to take our minds off the drudgery of academic and house chores all week; an adventure, if you may call it so. We caught and ate doves, water fowls, quails and hawks. Seasonally, we ate migratory birds like gulls and pelicans. Some of these birds had metal rings with inscriptions on their legs. We were after the meat, not the rings.
I could have eaten meat from a monitor lizard if it was not the totem of the Like Clan I belong to. I am told the Like do not eat this reptile and sawfish. Story has it that a great Like ancestor was saved from drowning by a sawfish, thus our prohibition from eating its meat.
Until I became a vegetarian in 1974, I had eaten meat from cat, rabbit, bat, crocodile and tortoise. I recollect a seminar I attended in Kampala, Uganda, in the late 80s. A Ugandan participant invited some of us to his house. As we entered the compound I saw scores of grasscutters scuttling all over and some ran to him as dogs do their masters. In amazement, I asked, “Mr. Okot, what are you doing with these rodents in your home?” He said they were his pets.
When I told him it was the most expensive meat in Ghana, he took a step back from me as if I had landed from another planet. Apparently, East Africans do not eat grasscutter, period!
Only last week, there was this hoopla on the international news channels for a whole day about Kurt Zouma, a former Chelsea defender, now playing for West Ham, molesting a cat in his home. Suggestions were thrown about to the effect that he needed counseling. Of course, cruelty to any animal is against the law in many countries, including England where he plays his football.
I observe the way we treat our domestic animals and it is abhorrent, to say the least. But the question that came to my mind was what would have happened if Kurt Zouma had mercifully killed that cat and feasted on its meat, were he Ewe from Ghana, Togo or Benin? The Crown Court would have handed him a jail term by now. My father had a way of slaughtering a cat the way we do either a goat or chicken, not the way people strangulate the poor feline or drown it in a sack or any other means. Of course, there are many ways to kill a cat, not so?
Back home in Ghana, one group’s delicacy is another’s taboo. There are others who eat anything that has life; anything that moves, actually. There must be varying reasons a certain group of people will not eat certain things. This might be steeped in religion, spirituality or even superstition or myth. Whatever the case, animals must be treated with respect even if we rear them for consumption.
There is this rodent in En-Gedi in Israel. It’s a cross between the rat and the grasscutter. They are so plenty and notoriously destructive to the sparse vegetation in that desert area that the Israeli government does not know how to exterminate them. Unfortunately, because of my commitment not to eat any flesh, let alone take life, there is practically nothing I can do to help Israel. If not, I would set up camp at En-Gedi, trap these rodents and smoke them the way we do bush meat in our parts and ship them in neat packages to Ghana. The boxes would be labelled, “Smoked Meat of the Holy Land of Israel.” You can bet the churches will do the marketing for me.
I sympathise with Kurt Zouma. Africans generally do not respect animals as having the feeling of happiness and pain. We kick and beat our pets at will. It is in our DNA, which is no excuse for cruelty towards them. I watch documentaries on television where people pay thousands of dollars in veterinary bills for their pets like dogs, cats, pigs, birds of all kinds and even reptiles.
Tibetans are a pious, very spiritual Buddhists who are mostly vegetarians. When China invaded this mountain region in the early 50s they ate all their cats and dogs and every other living things that moved. In the Congo area of Africa every living creature there is edible. Insects of all kinds, some roaches, grubs, worms of all types are on the menu.
I once took a friend out for lunch in one restaurant in Accra. When she heard an order from the adjoining table for frog legs, she vowed never to eat in that restaurant any longer. This is largely because in our minds certain things are unimaginable. I recall the renown pathologist, Prof. Agyeman Badu Akosa, said in an interview on national television on the issue of vultures being served as meat that, “It’s just muscle, that’s all.”
Animal rights activists have taken their fights quite well, especially on the poaching of certain species in the wild to near extinction. Rhino, tiger, leopard parts considered medicinal are a million-dollar business in the Far East. In our parts chameleons, parrots, fork-tailed lizards and the left hand of green monkeys are prized commodities.
The understanding and/or otherwise of nature’s balance and the ecosystem brews the ideal ingredient of conflict. Education is needed for the right approach to issues bordering on protecting the species so that as we consume these animals, the scale of the ecosystem is not tilted towards the destruction of the very things that give us life. When “the last tree dies, the last man dies” is the adage, but we forget that animals propagate the seeds of the plants that constitute our forests and give shelter to our wildlife.
By Dr. Akofa K. Segbefia
This week I bumped into Deborah, one of my avid readers and I promised her I will be writing this weekend. So Deborah, this is for your reading pleasure and to pick some golden nuggets for the future.
The quest to find the best way to make one’s golden years, happy, exciting, healthy and a time most people look forward to continues unabated. One factor that keeps popping up is the need to grow friendships with people more than 20 years younger than yourself.
Do not take this for granted. It is a form of “social security” since these close friends who are much younger than you will step in to support you in more ways than you can ever imagine.
Some conditions may make life challenging for older adults but knowing these Geriatric Giants helps us to take the necessary steps to reduce our risk.
“Geriatric Giants” refers to a group of chronic health conditions that are common in the elderly, typically 65-year-olds and older.
These conditions quite often co-occur and can impact on the independence, dignity and overall wellbeing and quality of life of an elderly person.
These Geriatric Giants include:
- Impaired Intellect/ Memory (e.g. Dementia)
- one of the major battles we need to deal with is challenges with memory
- Exercise, adopt the Mind Diet, build a great social network and enjoy time outdoors
- Keep reading and solving puzzles for as long as possible
- Instability – leading to much feared falls
- A good reason to indulge in Balance Training and Core Strengthening exercises from today
- Ensure your home is safe; avoid clutter such as cables crisscrossing floors, toys etc. These are all trip hazards and should be avoided
- Many healthy, happy and fun-loving older adults have died soon after a fall with its attendant complications.
- Do whatever it takes to avoid falling
- Immobility (opening the doors to pressure sores, joint stiffness)
- Even when you are unable to move about on your own it is important to get support to change positions as often as possible or get an appropriate mattress or bed that prevents prolonged pressure over any single point.
- Make sure you passively or actively move joints daily.
- Incontinence (urine, faeces or both)
- This is one of the reasons older adults prefer to stay at home and avoid going out to meet friends etc.
- Iatrogenic Disorders – adverse effect of medication
- Quite often most older adults are on several medications and some side effects such as drowsiness may seem to cause more unhappiness and may even lead to falls.
- Inappetite – this may result in poor nutrition
- This may also be linked to loss of teeth thus making chewing very difficult or limited.
- The loss of smell and taste may also reduce the amount of food one may willingly eat.
The power to reduce the impact of the Geriatric Giants starts now and should be a lifetime commitment. It is never too early to start making the appropriate lifestyle modifications, nor is it too late to reduce the impact of the giants on one’s life.
Other conditions that significantly impact on the lives especially of the elderly are:
- Sleep Disorders
- Good sleep has the power to give us energy, improve our thought pattern and even helps us to make good choices.
- Good sleep sets the tone for a healthy life
- Constipation
- This is a challenge that confronts quite a number of older adults.
- Movement, fibre and lots of water go a long way to reduce the stress that frequent constipation generates.
- Fraility
- Muscle loss is real and as we age, we lose a significant percentage of our muscle plus our bones also become brittle.
- Make sure strength training is part of your exercise schedule
- Polypharmacy
- Another headache that needs to be confronted head-on
- Everyone especially older adults need a good primary care physician or a general practitioner who can coordinate all medicines from the different Specialists who may be attending to an elderly person. This ensures that unnecessary medicines are dropped
The goal of care at all times is to optimise the quality of life. As family, professional caregivers and friends we should always show respect so that the dignity of the elderly is preserved at all times. For those of us who are not yet in the age group with such challenges, we need to start the conversation about the type of care we will prefer and take steps to stay healthy and independent for as long as possible. The goal should be a long Healthspan and not just a long Lifespan.
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 (HE&W Group)
(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.’
Thought for the week – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
By Dr. Kojo Cobba Esse
The call to action
We must move beyond the cycle of temporary outrage. I propose a four-point blueprint for the Ministry of Health and the government:
1. A Digital Bed-Tracking Command Centre: Legally mandate all public and major private hospitals to update a live, digital bed-registry every hour. The NAS must be able to see a vacancy before they move. This must be matched with the available resources and services so that the right patient will be sent to the right facility.
2. Strategic Capacity Expansion: We must stop building “prestige projects” and start building high-volume stabilisation centres. We need a targeted investment to triple the ER bed count in Accra and Kumasi within 24 months. This should then be extended to other regional capitals.
3. Specialised Emergency Hubs: Designate specific hospitals as “Centres of Excellence” for Cardiac and Stroke care (and for other health emergencies), ensuring they have 24/7 imaging and intervention capabilities as well as the requisite expertise to manage these conditions. Policy makers must incentivise public-private partnerships to ensure that a heart attack in Accra or Kumasi can be treated with the same urgency as one in New York.
4. Develop a nationwide trauma system: This is extremely important because trauma is a major cause of deaths in Ghana. In the US, each state has a statewide trauma system with three levels. Level 1 trauma centres are usually University Teaching hospitals that provide comprehensive trauma care and also play an important role in local trauma system development, regional disaster planning, increasing capacity and advancing trauma care through research. Level II trauma centres are expected to provide initial definitive trauma care for a wide range of injuries and injury severity.
Level III centres provide definitive care to patients with mild trauma. Having such systems is imperative to ensure proper treatment of trauma patients.
Even for those who survive trauma, disability is a major assault on economic potential and viability. Importantly all this cannot happen with a cash and carry system. Emergencies should be managed under a different model to save life and limb first. Obviously, there is a need to ensure that healthcare facilities will be able to recover their investments in emergency care, and that balancing act needs careful consideration.
Frontline clinicians are often forced to bear the public’s anger for infrastructure deficits they did not create and cannot fix. This is a failure of governance, not a lack of clinical care. Responsibility lies with the policy makers who manage the nation’s resources.
The “No Bed Syndrome” is a systemic disease. It cannot be cured with a directive from the Ministry of Health, parliament or a lecture on ethics. It requires a blueprint, a budget, and the political will to treat this like the menacing threat it is.
It is safe to say that non-emergent healthcare is excellent in Ghana for the most part if you can afford it. However, emergency care is suboptimal. We had a sitting president die from an emergency health issue and a former vice president also die from an emergency. If that is not enough warning, it is clear that anyone can be a victim of an emergency.
If we do not act, the next ambulance driving aimlessly through the streets of Accra could be carrying anyone, including the very people who have the power to fix this issue.
Prof. Jonathan Laryea is a Professor of Surgery at the University of Arkansas for Medical Sciences in Little Rock. Arkansas. He is board certified in General Surgery, Colorectal Surgery and Clinic Informatics.
He is a graduate of the University of Ghana Medical School (Class of 1997)
