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The Marburg virus disease – should we be worried?

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“Ghana has confirmed its first two cases of the deadly Marburg virus, a highly infectious disease in the same family as the virus that causes the feared Ebola.”

As deadly as this disease is, all the two who tested positive for the virus died. Fortunately, the 98 contacts are all well and even the 13 who were randomly tested had negative results.

The questions on our minds include; where did they contract this disease from since no others have so far been diagnosed? They both had no history of travel outside the country and may not even ever had contact.

It appears the world is under attack from viruses and over the past few years this has become pronounced fuelling the thoughts of conspiracy theorists BUT we should at all times be cautious whenever there is the need for close contact with others AND we have to love one another and isolate when we are unwell while we get professional medical advice.

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What is the Marburg virus? How is it transmitted? What are its symptoms? Is there a cure for the disease it inflicts on one’s body?  How can one protect themselves from the virus? Read on for the answers to these questions.

WHAT THE MARBURG VIRUS IS

The Marburg Virus Disease (MVD) is a rare but severe hemorrhagic fever which affects both people and non-human primates. In simple terms, the virus affects multiple organ systems in the body and is accompanied by hemorrhage (bleeding).

It became known when it affected and killed some thirty-one people in Marburg and Frankfurt, Germany in 1967. Many of us in Ghana are familiar with Ebola Virus that is related to Marburg virus and as we are aware is also deadlier than one can ever imagine.

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HOW THE MVS IS TRANSMITTED

The initial transmission (primary transmission) is from non-human primates, most especially the African Fruit Bat through their faeces and urine. Secondarily, it spreads in high numbers from person to person through close contacts, such as,

  • Through broken skin or mucous membranes in the eyes, nose, or mouth or body fluids (urine, saliva, sweat, faeces, vomit, breast milk, amniotic fluid, and semen) of a person who is sick with or died from Marburg virus disease.
  • Through infected needles, clothing and bed sheets. It is important for Health Practitioners to protect themselves using specialised personal protective equipment which covers them from head to toe while dealing with cases of such calibre.
  • From infected people to their family members who are caring for them or preparing the dead for burial. Report to the hospital early if a family member shows any sign of the symptoms below and always wait for the autopsy report and clearance from the hospital before taking home a deceased family member for burial rites.

Thankfully, people who contract the Marburg virus typically don’t become contagious until they develop symptoms. It is important to note that there are no research findings that show that the virus can be spread through insect bites.

SYMPTOMS OF THE MARBURG VIRUS DISEASE

Like other viruses, the Marburg Virus Disease has an incubation (time from contact to exhibition of symptoms) period of 2 to 21 days after which the patient suffers fever, chills, headaches, and mild to severe muscle pain.

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Five days after the symptoms above start, the patient may experience a rash on their trunk (chest, back, stomach), accompanied by nausea, vomiting, sore throat, chest pain, abdominal pain and diarrhoea.

Symptoms become more severe as the days go by. These may include severe bleeding, shock, liver failure, inflammation of the pancreas, massive weight loss, and multi-organ dysfunction.

CLASSIC SYMPTOMS;

  • fever
  • bloody diarrhoea
  • bleeding from gums
  • bleeding into the skin
  • bleeding into the eyes
  • bloody urine

MVD often ends up in death from multiple organ failure. Other complications include seizures (fits) and delirium.

TREATMENT FOR THE MARBURG VIRUS DISEASE

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There aren’t any approved treatments or vaccines for the Marburg Virus Disease. Patients are given supportive care i.e., rehydration both through intravenous and oral means, balancing patient’s electrolytes, improving oxygen status and blood pressure, replacing lost blood and managing blood clot challenges etc.  The goal is to manage specific symptoms.

HOW TO PROTECT YOURSELF FROM THE VIRUS

  • Primarily, people should desist from having any contacts with fruit bats. As well as other primates such as monkeys, grasscutters etc. Avoid touching or eating these animals.
  • Meat should be thoroughly cooked before eating
  • Avoid caves and mines that may be harbouring the virus.
  • With regards to human to human transmission, report to the nearest hospital in instances where you see any of the symptoms mentioned above on any relative or friend before assisting them. In instances where you have to assist the patient before the arrival of the medics, make sure to protect yourself before touching or assisting them.
  • Medical practitioners should stick strictly to their safety routines when attending to patients including using the appropriate protective equipment.
  • Wash your hands frequently and use your hand sanitizers in instances where there is the absence of soap and running water.

Recovery from this disease is slow and painful and the virus stays in one’s body for weeks while it takes months to regain your strength and the weight that is lost.

Note that THERE IS NO VACCINE to protect us from Marburg Virus Disease!!!!

The Marburg Virus Disease is quite rare but can spread very fast when a person contracts it. In Ghana, the Ghana Health Service has put in place measures that can help trace contacts and quarantine persons who have had contacts with infected persons.

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Remember to follow all Covid-19 protocols as they go a long way to protect us from many other viruses including the Marburg Virus.

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)

Augustina Amarh, Content Creator, Health Essentials Ltd

& Dr. Kojo Cobba Essel

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*Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.

Thought for the week – “Don’t lose out on laughter, the benefits match Exercise, Meditation & Sex all rolled into one.”

References:

By Dr. Kojo Cobba Essel

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Health Essentials

Cancer; a burning desire to reduce risk

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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

  1. Weight Control – being overweight or obese increases risk to SEVERAL cancers.
  2. Smoking – cigarette smoking predisposes one to several cancers including lung cancer. Other forms of air pollutants serve as risks too.
  3. 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.
  4. Healthy Eating
    1. Limit intake of processed food and sugar
    2. Limit intake of red meat
    3. Fruits and vegetables should be a mainstay of our diet.
    4. An antioxidant rich food like cocoa should be part of our food. The purer the cocoa, the better
    5. Fibre in your food is crucial.
  5. Exercise – on its own reduces risk for breast and colon cancers directly and many others through weight control.
    1. Also increases immunity.
  6. Cancer Screening – be regular so cancers can be detected early and managed aggressively.
  7. Vaccinations – take vaccines where needed e.g. Hep B vaccine or vaccine against HPV (human papilloma virus accounts for the majority of cervical cancers)
  8. Know your Family History
    1. 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.
    2. Start your family early and breast feed for as long as possible to reduce risk of breast cancer.
  9. Check exposure to Ultraviolet Light and other forms of radiation. Protect your skin.
  10. Practice SAFE SEX
    1. 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.
    2. 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.

  1.  
  2.  

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.

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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)

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*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

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Health Essentials

DUMP these medicines; Save lives!

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some unused medications

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.”

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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.

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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.

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• 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.

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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.’

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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

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