Health Essentials
The dreams of a son of the land
Physical education in schools has found its way into history books
Open gutters eager to welcome all forms of garbage to choke them, craters with strips of what may have been asphalt and probably called roads some years earlier. Young men arguing at the top of their voices under trees during working hours and sadly it appears they have no plans of finding jobs or creating one.
They find a way to satisfy their hunger every day. These scenarios are definitely not what I dream for my beloved country. Though many people especially those living outside our borders like to convince themselves as well as all others that it is all gloom in our land, that is far from the truth; many people want to excel at what they do even in the face of challenges and young minds are doing wonderful things.
Many people are dreaming and making things happen in a decent way. Only Ghanaians can make Ghana a haven; complain as much as you want but do not leave it at that. Do something to bring about the change you desire. No country has been built without the sacrifice of its people.
I see health facilities springing up in several places especially in the capital. Why are we not training health professionals to man these centres? We can and should invest in the training of professionals who specialise in a chosen field and that should not be restricted to doctors only.
Long service or having friends in high places should not be the criteria for heading a major health facility; we can get things right if we make the right choices.
The silence on preventive medicine is deafening. Physical Education in schools has found its way into history books and hand washing appears to be necessary only when one uses the toilet. Little wonder diarrhea diseases have a field day in our health facilities. Let us get back to the basics.
I dream of a beautiful land where booths for checking blood pressure and blood sugar at the very least can be found in every corner “from Gambaga to Accra, from Wiaso to Keta…”
Why do we have to lose so many people needlessly to hypertension and diabetes? The first time I read that the sphygmomanometer (for measuring blood pressure) also measures “common sense” I found it quite insulting but after much reflection, it may be the painful truth.
Five minutes may be all it takes to save a life. Aren’t all lives important? Why do people leave home late for work and then use dispatch riders paid by our tax money to literally drive us off the road? We can embark on a programme to check the blood pressure of everyone in the country in a year.
Checking for diabetes may cost us a little more but it is certainly doable and it should be a must! I dream of the day when blood sugar will be checked at most visits to a health facility just like we check blood pressure; maybe a little exaggerated but I am sure you can dream with me.
I love to dream and “I hope someday you may join me” because we need to dream and then put into practice. If we can dream it then surely we can get it done (Combert Impressions comes to mind) and of course there will be challenges but we can succeed.
If we have days for cleaning our surroundings then we surely can have days when we all do some walking. How glorious that will be if we could cover our drains so people can walk safely.
It is not my aim to cause anyone to lose business but why should children have access to coloured water loaded with sugar in school. I think schools should say NO to these toxins disguised as refreshing drinks.
The carnage on our roads is real. I was excited when I heard of changes to issuing and renewing drivers licenses. Is there a way we can penalize people for dangerous driving? Can we use pictures? Or cameras or maybe our Police Officers can help?
This year a lot of health education worldwide has focused on the family and maybe we should also place a lot of responsibility on family units. Strong, responsible and disciplined families will lead to a country of our dreams but how do we get families to tow this path?
Are the children our hope? Can schools and churches and groups who want to see and experience a country of their dreams help to grow and mentor our young ones?
Many times I wonder if it’s possible to have every parent invest some money each month no matter how small once a child is born. Imagine what the power of compound interest and time can do by the time the child is old enough to take over making the money and investing.
Yes I do appreciate the level of poverty in many quarters but we have to start somewhere.
We need more optimists to step up and guide us where we belong.
Pardon me for rambling but DREAMS seldom follow a clear path. I look forward to seeing our dreams become a reality.
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 – “As World DIABETES Day (14th Nov) approaches, make an effort to KNOW YOUR NUMBER.”
- Physical education in schools has found its way into history books
By Dr. Kojo Cobba Essel
www.spectator.com.gh
The prostate gland, a small but essential organ found only in men, plays a key role in reproductive health. It produces fluid that nourishes, protects, and transports sperm, yet many focus only on its connection to prostate cancer.
Location & Function
- Situated between the bladder and penis, with the rectum behind it.
- The urethra passes through the prostate, carrying urine and semen.
Common Prostate Conditions
1. Prostatitis – Infection of the prostate:
- Symptoms: chills, fever, pus-like urethral discharge, painful urination, groin/testicular pain, painful orgasms, erectile dysfunction.
- Advice: Seek professional help; do not self-medicate.
2. Benign Prostatic Hyperplasia (BPH) – Non-cancerous enlargement of the prostate:
- Symptoms: frequent urination (especially at night), urge incontinence, difficulty starting urination, weak stream, painful urination, blood in urine, terminal dribbling, and in severe cases, inability to urinate.
- BPH can be extremely painful, sometimes compared to labor pains.
3. Prostate Cancer – Common among men, especially black men, often aggressive and with earlier onset:
- Risk Factors: older age, African descent, family history, obesity.
- Symptoms: frequent urination, straining, blood in urine/semen, weak urine flow, new erectile dysfunction; advanced stages may include fatigue, weight loss, and bone pain.
Diagnosis
- Digital rectal examination – checks for irregular or hard areas.
- PSA test, biopsy, ultrasound, CT/MRI/PET scans, bone scan.
Management
- Holistic approaches include watchful waiting, medication, surgery, and radiation (external & brachytherapy).
- Always discuss all options with your healthcare provider.
Risk Reduction Tips
- Regular screening
- Healthy, varied diet rich in fruits and vegetables (carrots, tomatoes, broccoli, kale, cauliflower)
- Maintain a healthy weight
- Exercise at least 5 days a week
Final Advice
- Share this information – the prostate needs support!
- Maintain good hygiene, walk and exercise daily, pray, and know your numbers (blood sugar, blood pressure, cholesterol, BMI).
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
Dr. Essel invites readers to the La Palm Royal Beach Hotel Wellness Festival on Saturday, November 29, 2025, at 6 a.m., to walk, exercise, network, and share ideas to stay healthy.
Contact: dressel@healthessentialsgh.com
By Dr. Kojo Cobba Essel
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Health Essentials
Stop the silent killer: Breaking myths to prevent sudden deaths from high blood pressure
Every week in Ghana, a life is cut short, sometimes in the middle of traffic, sometimes at a desk, sometimes in the quiet of sleep. A father doesn’t come home. A sister doesn’t wake up.
A colleague slumps at work and never gets back up. Families are left asking why and you will hear statements like what happened? Was he sick? I just saw him, he has not shown signs of ailment, what a shock and so on.
Behind many of these sudden tragedies is a quiet, invisible force: high blood pressure, or hypertension. It doesn’t scream for attention. It doesn’t always show symptoms. But it tightens its grip silently on hearts, on brains, on lives.
This is not just a medical issue. It is a human one, it is about behaviour, it is about ignorance and it is about lifestyle. It is the grandmother who never got her blood pressure checked because she felt “fine.”
It is the taxi driver, the statistician, the nurse who ignored his pounding headaches, thinking it was just stress. It is the young lady who was so vibrant at church and no one suspected she could fall and die. Because it shows no symptoms.
The alarming numbers we cannot ignore
The Ghana’s 2023 STEPS Survey on Non-Communicable Diseases conducted by The World Health Organisation, Ghana Health Service and Ghana Statistical Service has revealed findings that should push for action.
According to the report, 21.7 per cent of adults aged 18 to 69 in Ghana are living with high blood pressure. Even more alarming is that 51.1 per cent of those with hypertension are not aware of their condition.
This means that more than half of the people with dangerously high blood pressure are walking around without knowing it until tragedy strikes. That is the real danger of this silent killer.
Literature has shown that hypertension is preventable and manageable. But only if we treat it like the threat, it is. That means regular checkups; that means understanding the risks and that means talking about it openly, urgently, and with compassion.
The deadly power of myths
Why are so many Ghanaians untested or untreated? Is it out of ignorance, or the pervasive myths about hypertension and its treatment?
• Some believe blood pressure medicine “weakens the body” or “shortens life.”
• Some believe blood pressure medicine “weakens the penis and kills sexual drive”
• Others think once you start taking medication, you are “dependent for life.”
• Many say, “I feel fine, so I must be fine.”
These beliefs are not only false, but they are also deadly. The truth, according to the World Health Organisation, is that effective treatment can reduce the risk of stroke by up to 40 per cent and heart attack by 25 per cent. Avoiding treatment does not prevent dependence rather, it accelerates death.
As Dr Patrick Kuma-Aboagye, former Director-General of the Ghana Health Service, has noted, “Hypertension is preventable and treatable, but our biggest battle is misinformation and late detection.”
A national conversation we must have
This is not just a health issue it is a national emergency. Sudden deaths rob families of breadwinners, communities of leaders, and the country of its productivity. In every obituary notice caused by hypertension, there is a story of loss that could have been prevented with a simple blood pressure check and treatment.
Behind every life saved is a moment of awareness, a decision to act, therefore, the media must rise to the challenge.
Radio and television programmes should dedicate regular airtime to demystify hypertension. Newspapers should carry survivor stories, expert interviews, and practical lifestyle advice.
Social media influencers should spread awareness in local languages, reaching young people who assume they are safe.
Public health experts also have a responsibility. Screening must move beyond hospitals into churches, mosques, markets, schools, and workplaces. People should not have to wait for illness to know their BP status.
What we can do together
To stop the silent killer, we need a collective response:
• Check your blood pressure regularly, even if you feel healthy.
• Follow medical advice faithfully if diagnosed because treatment saves lives.
• For healthy lifestyle, eat less salt, reduce alcohol, reduce starchy, fat and oil intake, avoid smoking, and exercise at least 30 minutes daily.
• Encourage one another talk about blood pressure in families, communities, and workplaces.
Conclusion: Silence is killing us
What kills is not just the disease, but the silence, fear, and myths that surround it. The STEPS 2023 report has sounded the alarm: nearly one in five Ghanaian adults has high blood pressure, and more than half don’t even know it.
This is the time for bold conversation, public education, and decisive action. The media, health professionals, policymakers, and ordinary citizens must join forces to expose the myths, spread the facts, and save lives. Let us not wait for another headline.
Let us make blood pressure a national conversation before it becomes a personal tragedy. With awareness, treatment, and collective will, Ghana can stop the silence and stop the sudden deaths from the silent killer.
Written by: Ansah Moses Teye-Akam – Senior Statistician, Sociologist/Scientific Research Organisational Expert.
Email: moses.ansah@ statsghana.gov.gh/ansahmosesteyeakam@ gmail.com.gh Contact: 0244539034 / 0204359034
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