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Speaking the truth and damning the consequences

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Sometime last week, the Asantehene, Otumfuo Osei Tutu II, did something amazing but justifiable and that demonstrated the type of King he has been and further, strengthened the respect most Ghanaians have for him. No wonder, he continues to be used as a channel by successive governments to resolve most of the hydra-headed and dreadful chieftaincy disputes and other problems in the country.

SHOCKING HIS AUDIENCE

The revered King shocked his audience in his speech delivered at the first edition of the Regional Consultative Dialogue on Small-Scale Mining in Kumasi, the Ashanti Regional Capital, when he exposed the Regional Minister, Mr. Simon Osei-Mensah and the Lands Minister, Mr. Samuel Abu Jinapor, who have apparently asked him in confidence, to stick to the speech that had been prepared for him in order not to generate controversy in the country.  But knowing this great King for what he is, he rather made the secret intention of these two personalities to him known to the gathering, explaining that it was necessary to stress these issues which he believed were obstacles to winning the galamsey war.

Hear him, “Yesterday (Tuesday), the regional minister and my son (Samuel) Jinapor came to me and said, ‘Nana, please say what is in the speech and I said alright I will.’  They felt I will say something else that is controversial”.

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The Asantehene was reported to have said in plain language that, ‘on issue of galamsey, when we divide the audience in this room into 10, 30 per cent of them will know those involved in galamsey…if you are not truthful, we will keep deceiving ourselves and be organising conferences such as this’.  He told the gathering that, on his part he had already warned his chiefs and elders against their participation in such illegalities and that he would not hesitate to strongly sanction such infraction.  According to him until the government and all stakeholders confronted the truth about the galamsey threat, the fight would be unsuccessful.

PROFOUND SPEECH BY ASANTEHENE

This is a profound speech from a great leader who does not mince words and must be applauded by all right thinking Ghanaians who are interested in the fight against this illegal business which continues to threaten the survival of our dear nation, Ghana.  Just as his strong and straight to the point remarks received thunderous applause from audience in the auditorium, the entire nation must take a serious view of the wise counselling from the Asantehene, if we really mean serious to fight this canker which for so many years had destroyed our water bodies, farm lands, food crops, the forests and drinking water.  At the moment, our sources of water are polluted to the extent that the colour of drinking water is brownish, thereby posing serious threat and danger to the lives of Ghanaians.

INVOLVEMENT OF GOVERNMENT OFFICIALS IN GALAMSEY

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The most worrying aspect of the situation is the complicity of chiefs, elders, opinion leaders and even powerful forces in government who are deeply connected to this illegal, dirty and dangerous business. They have sold their conscience to the so-called Chinese businessmen for peanut and they keep plundering and polluting our environment with abandoned glee.  Just visit some of these galamsey sites and you will be shocked about the extent of damage caused to the environment by these so-called small-scale illegal miners.  Even the activities of these illegal miners have been extended to places of abode and people’s room just for the sake of money.  Children who are supposed to be in school, are being used as child labourers in some of these mining sites with their pictures trending on social media.  The continued usage of these sophisticated machines, excavators and other degradable equipment to destroy our God-given environment are difficult to imagine.

IMPORTATION OF WATER IMMINENT DUE TO POLLUTION

If this dangerous and dirty illegal business is not brought to a halt as quickly as possible, it would not be long when this country starts importing water for the citizens because, already, the extent of pollution of our sources of drinking water is quite unimaginable.  You cannot just withstand the offensive scent of water that flows into our homes from the laid- out pipelines.  The impunity of it is that these Chinese nationals who have dominated the business and are on the fore-front continue to use our military and other security personnel to threaten and attack Ghanaians who oppose their wicked activities and we look on unconcerned.  I don’t think this situation can be tolerated or allowed to persist in their home country China, where security of the state is on high alert.  I toured China on a number of occasions and I know what I am saying.  It is just not impossible for a foreigner to transact such an illegal business in that country, period!

HIDING THE TRUTH WILL AFFECT FIGHT AGAINST GALAMSEY

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As righty pointed out by the Asantehene Otumfuo Osei Tutu II, if government and other stakeholders decide to hide the truth and sit back for the galamsey threat to continue, this fight will be unsuccessful.  We will expect the President as the Chief Executive of the state to lead this crusade now than ever, without fear or favour, partisan and other considerations to fight this dangerous canker in our midst.

It is a fact that previous administrations tried to confront the menace in various ways but to no avail just because the very people who were then at the forefront to deal with the problem, were themselves deeply engrossed in the business.  Allegations were ripe about some politicians using proceeds from this illegal business to fund their political campaigns.  Those eras were gone and we need to tackle the problem head on in a more purposeful and aggressive manner because of the serious dimension it has taken.

SUSPENSION OF LICENCES TO FRESH MINERS

If it can be possible, the government should suspend the issuance of licences to small-scale miners, deal with the situation on the ground first to an appreciable level before thinking of starting of issuing new licences to prospective small-scale miners with genuine papers.  This will be a step towards sanitising the business to conform to the rules and regulations of the business.  The use of excavators and other heavy earth moving equipment in small scale mining, should be banned outright because that is the root cause of the extensive destruction of the environment and our water bodies.

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HOLDING REGIONAL MINISTERS, DCEs LIABLE

The Regional and District Coordinating Councils under whose jurisdiction some of these small-scale mining businesses operate, must liaise with their various security councils to stem the tide of the activities of these illegal operators as a step towards dealing with the situation.  The Regional Ministers and District Chief Eexecutives of these coordinating councils who serve as chairmen of their security councils, must be held liable for any infractions in this illegal business.

EMULATING ASANTEHENE’S COMMITMENT

It is important to acknowledge the forthrightness and commitment by Otumfuo Osei Tutu II towards the fight against this disturbing phenomenon. His determination and steadfastness about the worrying situation, are issues that should prick the conscience of every Ghanaian, guide other traditional leaders and people in positions of trust to do what is just and right in our quest to confront this illegal galamsey business entirely from our society.  How many of our traditional leaders will have the courage to resist attempts of being gagged by our politicians to conceal or supress the truth?

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The truth must always prevail and reign supreme.

Contact email/WhatsApp of author: ataani2000@yahoo.com

0277753946/0248933366 

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Disqualified — Part 5

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The driver stopped the vehicle at the gate of the large, fenced property along the Nsawam Highway, and Kakraba stepped out to meet the several workers who had gathered to wait for him.

He greeted them and went straight to the point.

“Gentlemen, I am glad to see that you have almost completed the clearing of the land. I’m happy to report that we have concluded all arrangements with Nana Serebour, and construction of the palace will start in a few days.

“I will need you to go and level the ground, and then come back to start this project. Some workers from a construction company will come and join us.

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“My plan is to build twenty houses in four months. Then we will do twenty more until we reach two hundred.

“I am relying on you to help me deliver good-quality work to satisfy our clients and, as I have already indicated to you, I will reward you for your work.”

After an hour’s discussion, he closed the meeting and moved to drive away. Wofa Yaw drew closer.

“Director, can you please spare me five minutes? I would like to discuss a small issue.”

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“Why, Wofa Yaw? Your wife has threatened to leave you?”

“No, Director. My wife will never leave me. This concerns a young niece of mine.”

“I hope it’s something I can help with. Please sit in the car and let me hear you.”

“Boss, my niece, Beesiwa, is a polytechnic graduate, very beautiful and with very good character.

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“Unfortunately, her parents virtually forced her into a relationship with an idiot based in the US, which affected her badly. She has now recovered from that experience and, Boss, I am respectfully asking if you would find a job for her.

“I promise you that you will never regret it.”

“Well, Wofa Yaw, let me meet her and speak with her. I may be able to help, maybe not in the way you expect, but let me meet her.

“I will not be back here for another week, but I will be at the office throughout next week. You can come with her.”

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On Monday morning, Wofa Yaw and Beesiwa were seated at the office by nine o’clock. Three young ladies welcomed them warmly, offered them soft drinks and assured them that Kakraba would be there shortly.

They then returned to their desks and sat behind computers with large screens displaying various building designs.

Kakraba walked in and greeted them warmly. After chatting briefly with the three ladies, he ushered Wofa Yaw and Beesiwa into his office.

“Director, this is my niece, Beesiwa. I mentioned her to you when you came to Nsawam.”

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“Yes, indeed. Madam Beesiwa, you are very beautiful, just as your uncle said. Wofa Yaw is my colleague.

“We have just started a building project that will take about three to four years. He mentioned that you have a small problem, so I said I would like to meet you and see how I can help.

“So, Beesiwa, please tell me a little about yourself.”

Beesiwa described her childhood, her school experience, her brief work at the bank and the nasty episode with Sammy Abrokwa, which shattered her peaceful life. She also explained how she had been recovering from the experience.

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“I am really sorry to hear this,” Kakraba said. “Now, here is what we are going to do.

“We are a small but very busy company. The three ladies out there spend most of the day on site and come back to report on their work in the morning.

“I have three main projects. The big one is an estate project in Nsawam, where your uncle is one of my main colleagues. I need a personal assistant who can take care of my activities, especially when I am not in town.

“Now, we will have to start with trust. Based on what I know about Wofa Yaw, and based on what you yourself have told me, I think we can start on a sound basis.

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“So, Wofa Yaw will take you to my home. You can move into one of the four guest rooms.”

“Sir, I have taken some computer lessons, and I have even done graphics and web design,” Beesiwa said.

“Fantastic! I will give you a good phone and a laptop. I will also arrange computer lessons for you.”

“Now, Wofa Yaw, take her home. My sister, Kuukuwa, will meet you and show you around, and then you can return to Koforidua.

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“When would you like to start work?”

“Sir, I would like to start today, but I would need to go and bring my things.”

“No problem. Take a taxi to my house, meet my sister, and let me know what you decide.”

Later that day, Kakraba and the three ladies met with some bank officials to conclude the sale of the three buildings at Adabraka.

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They closed at five-thirty and, after rewarding the ladies for their hard work, Kakraba got home just after dark.

He was surprised to find Kuukuwa and Beesiwa sitting at the table enjoying supper.

“What’s happening here?” he asked. “Beesiwa, I thought you would return to Koforidua.”

“She changed her mind,” Kuukuwa said. “We went to the mall and bought a few things for her. Then we came back to cook. She has made some nice changes to your bedroom and cooked a couple of interesting dishes. Sit down; we will serve you.”

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“Well, I certainly can’t refuse that. It’s been a busy day.

“So, what’s the plan now? Will Beesiwa go to Koforidua tomorrow, gather her things together and come down?”

“No, I will stay here for a while,” Beesiwa replied. “Kuukuwa bought me the things I need, so I may go back next week. I’m ready to start work. What would you like me to start with?”

“Well, you can come to the office tomorrow morning, meet the three girls and get a feel for what we do.

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“Since you are living here, at least for now, we can discuss the plans for the next few weeks.

“Sometimes there are gaps when I travel up north. You can take care of things from now. I think the girls would like having someone like you around.”

By Ekow de Heer

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The biological realities of breast excision – Part 1

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A frequent question following breast surgery is whether human tissue possesses the regenerative capacity to restore an excised organ.

From a strict physiological standpoint, a completely removed breast cannot regrow. Unlike certain organisms that can regenerate complex limbs or organs, adult human tissues—particularly specialised glandular structures—lack the cellular machinery required to rebuild an entire organ after its total surgical removal.

Instead, the body heals the surgical site through processes such as scar tissue formation and re-epithelialisation rather than complete cellular regeneration.

What a mastectomy actually removes

To understand why natural tissue regeneration does not occur, it is important to examine the surgical scope of a mastectomy.

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Depending on the type of procedure and the medical reason for surgery, a mastectomy may involve the removal of:

Glandular architecture: The milk-producing lobules and ducts that form the functional core of the mammary gland.

Adipose tissue: The fatty tissue that contributes to breast volume, projection and contour.

Other breast tissue: The extent of tissue removal varies according to the type of mastectomy and the need to achieve appropriate surgical clearance.

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Because specialised breast structures are physically removed, the body does not rebuild a complete mammary gland. Instead, healing occurs through tissue repair and scar formation.

Distinguishing residual tissue from “regrowth”

Patients or observers may notice changes in the chest area after surgery, sometimes leading to misconceptions about tissue regeneration.

Skin- and nipple-sparing procedures

Modern breast surgery may preserve the outer skin envelope or, in selected cases, the nipple-areola complex. Small amounts of breast tissue may remain depending on the surgical technique. Any changes in remaining tissue due to hormonal fluctuations represent residual tissue responding to the body, rather than the regrowth of a completely removed breast.

Adipose accumulation

Weight gain after surgery can increase the amount of subcutaneous fat across the chest wall. However, this is part of general body fat distribution and does not represent the regeneration of a mammary gland.

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Modern reconstructive pathways

Because a completely removed breast does not naturally regenerate, modern medicine offers reconstructive options aimed at restoring physical symmetry, contour and body image.

The two main approaches are implant-based reconstruction and autologous, or tissue-based, reconstruction.

Implant-based reconstruction

Implant-based reconstruction uses synthetic medical devices, typically filled with silicone gel or saline, to rebuild the breast mound following a mastectomy.

The two-stage process: This approach may begin with the placement of a temporary tissue expander to gradually create space and stretch the surrounding tissues. A later procedure may then be performed to place a permanent implant.

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Recovery profile: Implant-based reconstruction generally involves a shorter initial surgery and recovery period compared with procedures that require tissue to be harvested from another part of the body.

Long-term considerations: Breast implants are not lifetime devices and require ongoing medical monitoring. Some patients may need additional procedures over time because of complications or changes in the implant or surrounding tissue.

Autologous or tissue-based reconstruction

Autologous reconstruction uses the patient’s own living tissue to create a new breast mound. Tissue may be transferred from another part of the body, commonly the lower abdomen, using procedures such as a DIEP flap.

Natural look and feel: Because the reconstruction uses living tissue, it can provide a natural warmth, texture and softness. The tissue may also change with the patient’s body weight over time.

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Long-term durability: Once healing is complete, autologous reconstruction can provide a long-lasting result without the need to replace an implant. However, some patients may still require further procedures.

Complex surgery: This option usually involves a longer operation and recovery period. In microsurgical procedures, surgeons may need to reconnect tiny blood vessels to establish blood flow to the transferred tissue.

Direct comparison

When choosing between these two reconstructive pathways, patients and their surgical teams must consider several physical, medical and lifestyle factors.

Surgical burden: Implant surgery is generally less invasive, while flap reconstruction involves surgery at both the chest and the donor site.

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Foreign material versus native tissue: Implants involve the use of a medical device, while autologous reconstruction uses the patient’s own tissue.

Recovery: The recovery timelines and rehabilitation requirements differ significantly between the two procedures.

Recovery and physical rehabilitation

Recovering from breast reconstruction requires patience, careful pacing and, in some cases, structured physical rehabilitation.

Because implant-based and autologous tissue-flap procedures involve different surgical techniques, their healing timelines and physical therapy milestones can vary considerably.

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Understanding these differences is important for patients considering reconstruction, as the choice involves more than restoring physical appearance. It also requires careful consideration of recovery, long-term monitoring, lifestyle and individual medical needs.

Part 2 will examine recovery timelines, physical therapy milestones and other factors patients should consider when choosing between reconstructive options.

By Robert Ekow Grimmond-Thompson

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