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Health Essentials

The role of GAPHTO in disease prevention in Ghana, public health, national development

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President Owusu Asante
• President Owusu Asante

Every day across Ghana, thousands of public health professionals wake up before dawn and head into communities, schools, markets, health facilities and households. They inspect sanitation conditions, monitor disease outbreaks, educate communities on healthy practices, investigate health threats and help prevent epidemics before they occur.

Yet despite their critical contribution to national health and development, many Ghanaians know very little about the men and women behind these efforts.

These are the Public Health Technical Officers (PHTOs) — a dedicated workforce that operates largely behind the scenes but serves as one of the country’s most important lines of defence against disease and public health emergencies.

Now, the newly elected President of the Ghana Association of Public Health Technical Officers (GAPHTO), Mr Owusu Ansah Asante, wants to change that.

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Having assumed office this year, Mr Asante has placed visibility, professional recognition and strategic advocacy at the centre of his leadership agenda. His goal is to ensure that the work of Public Health Technical Officers is better understood, appreciated and supported by the public, policymakers and development partners.

While doctors and nurses are often the most visible faces of healthcare, Public Health Technical Officers perform preventive functions that help stop diseases before people require medical treatment.

They are involved in environmental sanitation, disease surveillance, outbreak investigations, health promotion, food hygiene inspections, water quality monitoring, vector control and community health education.

Their work becomes especially critical during disease outbreaks such as cholera, meningitis, yellow fever and other infectious diseases that threaten communities.

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“When outbreaks occur, our members are among the first responders in the field,” Mr. Asante explained. “They work directly with communities to identify risks, educate the public and implement preventive measures that save lives.”

According to him, preventive healthcare remains one of the most cost-effective investments any nation can make because it reduces the burden on hospitals while improving the overall health and productivity of citizens.

“Many people only think about healthcare when they visit a hospital. Yet there are professionals working every day to prevent diseases before people become patients. That contribution deserves greater public appreciation and support,” he said.

Founded in 1984, GAPHTO has evolved into one of Ghana’s most significant public health professional associations.

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Today, the association boasts more than 4,000 members working across districts, municipalities, metropolitan assemblies, regional health directorates and various public health institutions nationwide.

For more than four decades, the association has contributed to Ghana’s efforts in disease prevention, environmental health management, sanitation improvement and public health education.

Members have played active roles in major national health interventions, helping to address public health challenges ranging from sanitation-related diseases to epidemic preparedness and response.

Despite these contributions, Mr Asante believes the profession has not received the level of recognition that matches its impact.

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“There is a lot of excellent work being done across the country by Public Health Technical Officers. Unfortunately, much of this work goes unnoticed because it happens quietly in communities. One of our goals is to tell these stories and help people understand the importance of what our members do,” he said.

For the new GAPHTO President, increasing visibility is not merely a public relations exercise.

Instead, he sees communication and public engagement as strategic tools for strengthening public health outcomes and attracting support for preventive healthcare initiatives.

Under his leadership, the association plans to strengthen its communication efforts, improve engagement with the media, expand public education activities and highlight the achievements of members across the country.

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Mr Asante believes greater visibility will not only enhance public appreciation for the profession but also create opportunities for partnerships, policy influence and professional development.

“We want GAPHTO to become a household name in matters of public health and disease prevention. When people hear about sanitation, disease surveillance, health promotion and community health protection, they should immediately recognise the role of Public Health Technical Officers,” he said.

Beyond visibility, the new leadership is committed to building the capacity of members to respond to emerging public health challenges.

Rapid urbanisation, climate change, population growth and evolving disease patterns continue to create new public health risks that require innovative solutions and highly skilled professionals.

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Mr Asante noted that his administration will focus on continuous professional development, leadership training, research and knowledge sharing to ensure members remain equipped to address contemporary health challenges.

“We live in a rapidly changing world. Public health professionals must continue to upgrade their skills and knowledge to respond effectively to new and emerging threats,” he said.

The GAPHTO President is convinced that the association’s work extends far beyond the health sector.

According to him, effective disease prevention and environmental health management contribute directly to economic growth, educational outcomes and national productivity.

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Healthy communities are more productive, children are able to attend school consistently and families spend less on medical treatment when diseases are prevented before they occur.

This, he argues, makes Public Health Technical Officers important contributors to Ghana’s broader development agenda.

“Public health is not only about health. It is about development. It is about creating environments where people can live productive lives and contribute meaningfully to society,” he explained.

As part of his vision, Mr Asante is seeking stronger collaboration between GAPHTO and government institutions, development agencies, civil society organisations, academia and the private sector.

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He believes partnerships will be essential for addressing complex public health challenges that require coordinated action across multiple sectors.

The association also hopes to create stronger platforms for advocacy on issues relating to sanitation, environmental health and disease prevention.

As Ghana continues to pursue universal health coverage and strengthen its health systems, Mr Asante believes Public Health Technical Officers must occupy a more prominent place in national conversations about healthcare and development.

His message is simple: disease prevention deserves as much attention as disease treatment, and the professionals who dedicate their careers to protecting communities deserve greater recognition.

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For decades, they have worked quietly in the background, helping to keep Ghanaian communities healthy and safe.

Under the leadership of Mr Owusu Ansah Asante, GAPHTO hopes that story will no longer remain hidden.

The association’s new chapter seeks not only to strengthen the profession but also to ensure that the thousands of men and women who stand on the frontlines of disease prevention finally receive the visibility their contributions have long deserved.

By Geoffrey Buta

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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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