Health Essentials
Safety like charity, begins at home

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“The day is near at hand when the doctor will no longer be engaged to patch up the sick man, but to prevent him from getting sick. He will VISIT FAMILIES, EXAMINE THE PREMISES, inspect factories and shops and give instruction to his patients how to keep from getting sick…….”- 1908 article.
A very accurate prediction I must say as health and wellness continues to evolve.
Safety in our homes is an extremely important issue since preventable injuries and deaths continue to rise in homes and communities. To make a significant impact, we need to be aware of the hazards around us and change our behaviour. One little change at a time could lead to great results.
It is frightening to learn that in some countries, up to 70 per cent of all unintentional-injury deaths occur in the home or community. In plain language you are more likely to be injured at home than anywhere else. Each year thousands of people are off work for more than a week as a result of a fall at home, and this has a big effect on businesses and organisations.
The leading causes of unintentional injury in the home and community include:
1. Poisoning
2. Falls
3. Choking
4. Drowning
5. Fires/flames
WATCH THESE AREAS
• Kitchen and cooking areas
o A no-go area for children. Everyone working in the accident and emergency department of a hospital will tell you that on Saturdays and Sunday afternoons when most people do their weekly cooking, many children suffer from severe burns.
o Appropriate way of using the burners on a stove. Avoid handles of cooking pots facing your work area. The gas cylinder should be in a very well-ventilated area outdoors
o Care of spills. Clean them as soon as they occur to avoid slips.
• Electrical Appliances
o All appliances switched off after use and plug removed from socket
o Avoid touching of an electrical appliance with wet hands
o Electrical cords should be out of the way to avoid tripping people.
• Bathroom
o Children should never be left alone in a bathroom
o The use of mats in a bath especially for children and the elderly
o The elderly (above 65 years but could be younger depending on the health status) should use showers with support bars and stools instead of bathtubs.
• Other areas
o Avoid making a mess since they can cause one to trip sometimes with grave consequences. Children should be taught to pick up their toys after use.
o Adults should avoid drinking from bottles since children copy this habit and may harm themselves in the process. In our setting many children tend to drink kerosene stored in “soft” drink bottles. We then worsen the condition by forcing them to drink palm oil and inducing vomiting and often getting this concoction into their lungs. Who really “instituted” this criminal sentence?
o All medications, chemicals, small substances etc should be kept out of the reach of children
OTHER GENERAL STEPS TO AVOIDING HAZARDS
1. Look around for anything that may cause an accident. Make use of the different senses, sight, smell, hearing, touch. May not be a smart idea to try taste.
2. Decide who is most at risk. This helps you to make appropriate changes
3. Take preventive measures. After reading this piece make the changes necessary. Do not wait to “learn from experience” it may not always be wise to learn from the best teacher.
4. Keep a record of what you have changed
5. Continually check your living space – please do not think that making a one–time attempt is all that you need. Do this every day or every week.
COMMON CAUSES OF ACCIDENTS IN THE HOME
1. Poorly organised and cluttered walkway
2. Inadequate or unsuitable lighting
3. Moving or handling a load incorrectly – remember that waist or back pain?
4. Rushing around with careless abandon. Most of the time we end up losing time.
5. Tiredness. We commit errors when tired. Do not try to cheat nature, get some rest.
6. Lack of balance or appropriate mobility.
7. Poor eyesight and/or inappropriate corrective lenses.
8. Medication that may lead to dizziness. The elderly for instance who are on several medication have an increased risk of falling.
ECONOMIC COSTS OF ACCIDENTS AT HOME
The cost of home accidents is high in terms of the number of lives lost and resulting permanent disabilities. Several working days are lost, which translates into lost productivity. Huge sums of money may be lost seeking medical care and the quality of life is also poor.
The benefits of prevention of injuries at home are clear and quantifiable in terms of health and economic costs:
• Potential to save lives
• Improved quality of life
• Reduction in cost of hospital care
• Improved productivity through people’s contribution to the economy.
With all these benefits that we can chalk from keeping our home safe, one wonders why very little is heard about bringing safety home. Hopefully this will be the beginning of a nationwide drive.
Let us all pledge to “reduce the number of accidental deaths and injuries in our homes.” A home should be a place where we are absolutely SAFE.
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 – “Whatever you practice GROWS STRONGER! What are you practicing?”
References:
1. www.nsc.org (national safety council)
2. www.homesafety.co.nz
3. www.injuryobservatory.net
4. www.webmd.com
By Dr. Kojo Cobba Essel
Health Essentials
Cancer; a burning desire to reduce risk

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
- Weight Control – being overweight or obese increases risk to SEVERAL cancers.
- Smoking – cigarette smoking predisposes one to several cancers including lung cancer. Other forms of air pollutants serve as risks too.
- 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.
- Healthy Eating
- Limit intake of processed food and sugar
- Limit intake of red meat
- Fruits and vegetables should be a mainstay of our diet.
- An antioxidant rich food like cocoa should be part of our food. The purer the cocoa, the better
- Fibre in your food is crucial.
- Exercise – on its own reduces risk for breast and colon cancers directly and many others through weight control.
- Also increases immunity.
- Cancer Screening – be regular so cancers can be detected early and managed aggressively.
- Vaccinations – take vaccines where needed e.g. Hep B vaccine or vaccine against HPV (human papilloma virus accounts for the majority of cervical cancers)
- Know your Family History
- 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.
- Start your family early and breast feed for as long as possible to reduce risk of breast cancer.
- Check exposure to Ultraviolet Light and other forms of radiation. Protect your skin.
- Practice SAFE SEX
- 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.
- 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.
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.
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)
*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
Health Essentials
DUMP these medicines; Save lives!

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.”
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.
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.
• 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.
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.’
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




