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The creation of an African ‘bloodstream’: Malaria control during the Hitler War, 1942–1945 (Part 4)

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Spraying an Army hut with D.D.T.

[This piece is culled from a book authored by Jonathan Roberts, titled: Sharing the burden of sickness: A history of healing and medicine in Accra]

Though Lt. Ribbands and his fellow malariologists were tasked with fighting the spread of malaria, they were not particularly interested in whether the men used as human bait contracted the disease. None of the men who slept in the mosquito traps were named, nor is there any mention of whether they fell ill. The express purpose of the anopheline index was to collect entomological data to determine which parts of the Korle watershed to target with pesticides and larvicides. Nor was Ribbands particularly interested in spraying campaigns’ effects on the local population. The Malaria Control Group sprayed DDT on African houses and into wells and ponds without asking because it was the only way to break the 14-day larvae-mosquito-human cycle of malaria transmission, thereby clearing incubated plasmodia from what Ribbands called the African “bloodstream.” At the same time as they mapped out the habitat of the mosquito, Lt. Ribbands and the Allied malariologists began to think of the inhabitants of Accra as a reservoir of malaria—one that could be cleansed with the liberal application of chemicals.

The residents of the old quarters of Accra did not share Lt. Ribbands’s enthusiasm for malaria control. Having endured the indignity of sanitary inspections, they were reluctant to let the spraying crew into their compounds.

Details about local resistance are limited because there are no memories of the event at the Korle shrine house, but a brief, revealing passage does appear in an American report on the antimalaria campaign: “The application of larvicide to [lagoon] areas was strongly resented by the local native population who associated a high religious significance to these lagoons . . . [but the] natives [were] placated through negotiation by British authorities with the African chiefs.”

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This passage offers evidence that the residents of Accra were quite aware of the impact of a citywide spraying campaign and were concerned about encroachment on their sacred spaces, but it shows how colonial indirect rule allowed the British to curry favour with local chiefs as a way of disenfranchising the religious authorities of the city. How exactly the British appeased the chiefs is unknown, but it probably involved sums of money to pay for the temporary rights to spray the lagoon, distributed in a manner that would allay resistance to the campaign. It so happened that the antimalaria campaign occurred during a period of fierce stool disputes among the Ga subchiefs in the city, a time when the priestly stool of Korle stood vacant. The Ga indigenous understanding of health and healing in the city remained firmly in place, but the figureheads who championed the social health of the Ga, and the environmental health of the paramount gods, were temporarily absent. Without traditional leadership, and under conditions of martial law, the residents of the city must have struggled to voice their concerns about the spraying campaign.

Memories of the antimalaria campaign during the Hitler War

The ascent of bio-power during the antimalaria campaign barely registers within the collective memories of the residents of Accra. The oral history of the event is difficult to collect because so few veterans of the “Hitler War” remain. Nonetheless, many ex-soldiers did remember basic elements of the Malaria Control Group operations, such as being locked in their barracks while the Americans sprayed their buildings, forced to take yellow mosquito tablets, and ordered to dig through riverbeds with iron bars and rakes. However, only a few of them recalled anything about the war on mosquitoes conducted by Ribbands and his colleagues, a surprising gap the collective memory considering the extent of the campaign.

Those who did recall the mosquito traps expressed resentment about how inhumanely the human bait was treated. Otia Badu, a Ga veteran who fought in Burma, remembered that soldiers were forced to sleep in the traps as punishment if they disobeyed orders. Badu himself never slept in the tent, managing to get guard duty in the camp when he faced disciplinary measures. Choosing to sleep in the tents was a death sentence, he claimed, because everyone who slept there is now dead. Badu  recalled that British officers forced African soldiers to test “mosquito capes,” overcoats with holes in the cloth that were covered with sticky glue to trap insects. According to Badu, the soldiers were ordered to wear the capes when they went out at night as a way of attracting and collecting mosquitoes, but there is no evidence of such attire in the military records. Another former member of the Gold Coast Regiment, Oblitey Commey, stated that all of the “northerners” who slept in the traps must have died shortly afterward because they had “challenged their spirits” by giving in to their colonial masters. At the end of his interview, Commey declared that if the British had wanted to catch mosquitoes, they should have slept in the traps themselves. Yet another veteran indicated that the residents of Accra were not happy to see their homes doused in chemicals and that during the campaign rumours circulated that the British were trying to poison the local population. But all of the veterans emphasised that, despite the inhumane treatment the Gold Coast subjects faced during the Hitler War, no one dared to challenge the authority of their officers. As retired soldier John Borketey bluntly asserted, resistance was never an option: “Whatever they tell you, you do it. Colonial days. You have no choice.”

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Apart from the recollections of a handful of elderly veterans, memories of the antimalaria campaign within the general population of Accra are sparse. No one at the Korle shrine has any recollection of Allied airplanes dousing the lagoon with DDT, and people living in the older quarters of Accra have forgotten the story of the antimalaria campaign. Even at Nima, the suburb that likely provided the migrant workers used as human bait, religious leaders and elders have no recollection of the spraying campaign, the mosquito traps, or even the evacuation of their suburb. As a way point for migrants from points north of Accra, Nima has always had a transient population, but it is still surprising that no one remembers the campaign. Considering that the residents of Accra rioted against British attempts to fill the reservoir at Bukom in 1889 and stoned the plague-fighting crew that tried to demolish houses at Ussher Town during Simpson’s anti-plague programme, it is difficult to believe that the residents of Nima simply walked away from their settlement to accommodate the one-mile cordon sanitaire.

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Don’t leave children’s eye care solely to health professionals

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A child going through an eye screening
A child going through an eye screening

 Dr Zakarea Al-Hassan Balure, an Optometrist, has urged parents to take active responsibility for the eye health of their children instead of leaving it solely in the hands of health professionals.

He said good eyesight was essential for effective learning and overall child development, emphasising the need for parents to seek regular eye screening services for their children.

“Parents are always concerned about their children’s academic performance, but without good eyesight, learning becomes difficult. 

“It is important that parents seek regular eye screening services for their children at the health facility, and not to wait for free screening services, though they are also good,” he stated.

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Dr Balure, the Manager of Bliss Eye Care, a private eye clinic in Wa, made the call after a free eye screening exercise organised at Tanina in the Wa West District under the Blissful Sight for Kids (BS4Ks) Programme.

The programme, implemented by the Bliss Eye Care in partnership with Ghana Vision, a Swiss-based charity organisation, has, since its inception about a decade ago, impacted thousands of children in the Upper West region and beyond through free eye screening and treatment services.

The exercise in Tanina recorded improved attendance compared to patronage in the district in previous years, an indication of growing awareness among parents about the importance of child eye care.

A total of 684 children were screened during the exercise, out of which 42 were found to have normal eye conditions.

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However, 623 children were diagnosed with pathological eye conditions requiring medication, eleven had refractive errors requiring eyeglasses, while eight cases of cataract and glaucoma were also detected.

Dr Balure commended parents and guardians within the Tanina circuit for travelling far distances to access the service for their children.

He called for sustained awareness creation and community participation in eye health programmes to improve their children’s vision, which is necessary for improving educational outcomes and the well-being of children.

Speaking to the Ghana News Agency (GNA), Mr Mahama Abdul Fatawu Mwinibang, the Assembly Member for the Tanina Electoral Area, expressed gratitude to Bliss Eye Care and Ghana Vision for the intervention, as it helped bridge a critical healthcare access gap in the area.

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He, however, appealed to the organisers to consider including older persons in subsequent screening exercises.

He encouraged parents and guardians to maintain close relationships with their children to enable them detect eye-related problems early for treatment. –GNA

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Make water affordable, assessible for all citizens …CSO urges government

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Acess to affordable water is key

The Ghana Water Justice Network (GWJN), a civil society organization, has called on the government to make water affordable and accessible to Ghanaians in the country. 

The organization said making water affordable, particularly for low-income and vulnerable households, included an end to water disconnections due to inability to pay. 

This was in a communiqué issued at the launch of the GWJN in Accra on the theme “Water for People, Not for Profit.” 

The launch of the event was to mobilize citizens and advocate sustainable long-term solutions to Ghana’s escalating water crisis.  

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The statement said such disconnections violated the human right to water and disproportionately affected women and children. 

“We advocate for inclusive, humane service delivery that prioritizes dignity and access to all citizens,” the statement said. 

The statement urged the government to address significant investment shortfalls by fully honouring budget commitments, especially by extending services to underserved communities. 

The statement urged authorities to actively include women as leaders and decision-makers in water management at all levels and address the disproportionate impacts of water scarcity on women and girls.  

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It also called for the establishment and enforcement of water protection zones and the integration of catchment protection plans into spatial planning schemes.  

“To combat the menace of galamsey, we urge the government to seize assets and prosecute financiers and equipment owners, support community-based river guards, and deploy satellite and drone surveillance systems to combat illegal mining,” it said. 

 The communiqué also called on the authorities to introduce a national borehole drilling permit system, create a central groundwater database, and promote shared community borehole systems.  

The statement said for countless communities across the country, access to affordable and reliable water remained out of reach.  

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In rural areas, peri-urban settlements, and low-income urban neighbourhoods, daily realities are marked by long queues, inconsistent supply, and rising costs.  

It said at the heart of this crisis were women and children, who bear the heaviest burden when water systems fail.  

This situation, the statement said, leaves far too many people behind and threatened to derail progress toward the Sustainable Development Goal six—universal and equitable access to safe and affordable water for all by 2030.  -GNA

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