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This sanitation issue!

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Some things do not change in this country.  The rains shall fall in May, and June and even July.  That is out of our control.  It is an act of God and he decides how often and the intensity.  Who are we to question God? 

However, there is something man-made that is gradually becoming something that is also not changing and it is worrying.  A week ago the President initiated a national clean up campaign to address the issue of sanitation in the country, especially in Accra. 

Citizens enthusiastically got involved and engaged in cleaning their environment and other places but afterwards, the issue that is becoming a permanent feature resisting change, reared its ugly head again. 

The rubbish and the silt that were dug out of the drains, were heaped on the shoulders of the drains and left there.  Any little rain will render the whole effort futile because the rubbish and silt will be washed right back into the drains. 

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This is what is not changing in the country and the various assemblies must ensure that this issue is dealt with and must become a thing of the past.

There is the need to engage the citizenry across board, in connection with mindset change, as far as sanitation is concerned.  At this juncture, I must acknowledge the thoughtful initiative of the current crop of Abenfo (i.e. students both present and past) of SUTESCO of Suhum, with support of the school administration for decorating the area under the overpass on the Accra Kumasi highway, near the school, with fascinating paintings.  This is an example worthy of emulation and makes me proud as one of the Abenfo. 

An example not worthy of emulation is an eyesore currently existing behind a cemetery along the Atta Mills link as you branch left, off the main Accra-Cape Coast road at Old barrier and head towards the beach through Aplaku, Bortianor, Oshiyie, Korobite through to Tuba and beyond. 

The drain along the walls of the cemetery also lying astride the road, is choked with silt and rubbish.  This has created a problem near the end of the cemetery wall just before you enter Bortianor. 

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Water has accumulated at that point, creating potholes and also gradually creating a channel across the road, creating a nightmare for motorists using that route.  This route is the main link between parts of Kasoa and the Accra – Cape Coast road and whenever it rains and the Atala stretch of the road is blocked, that is the route most motorists from Kasoa uses.

It is also the route used by tourists going to the beaches along the sea of the towns stretching from Bortianor to Kokrobite and so it does not speak well of us, as a nation at all.

A few days ago, I had to pass through Tema Station, the place where a major clean up exercise was conducted just fews days ago and it was very shocking to see the level of wanton littering that had taken place. 

One begins to wonder if this whole exercise initiated by the President was worth it.  People just do not care and are not willing to change their attitude towards sanitation. 

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We cannot continue like this and to win this battle against insanitary conditions in our environment, the NCCE must be resourced to embark on a serious educational drive.  The MMDCEs must also be held accountable for sanitation lapses in their administrative areas, by making sanitation part of their KPIs among other innovative policies.  This is one of the surest ways to overcome this sanitation challenge confronting us. God bless.

By Laud Kissi-Mensah

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Beyond the ribbon: Unveiling the complex realities of breast cancer (Final part)

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Public awareness campaigns have successfully cast breast cancer into the global spotlight, typically framed through a uniform lens of pink ribbons, early detection drives and triumphant stories of survival. While these initiatives have driven vital mammography compliance and research funding, they often perpetuate a sanitised narrative. Beneath the polished public messaging lie complex, less-discussed clinical realities and emotional burdens that patients, families and healthcare providers must navigate long after the initial medical milestones have passed.

Moving towards an honest discourse

Acknowledging these untold truths does not diminish the incredible advancements achieved in modern oncology; rather, it humanises the patient experience. Expanding our cultural understanding beyond the simplistic “warrior” trope allows for deeper institutional support, better long-term medical management and genuine empathy for the lifelong journey of survivorship.

When people see breast cancer in movies or awareness campaigns, they usually see a neat story: someone gets diagnosed, goes through treatment, rings a celebration bell and goes right back to normal.

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In real life, the journey is much more complicated. Let us break down five “hidden truths” about breast cancer using everyday examples.

Truth 1: The “Post-Treatment Cliff” (Life after treatment)

What it means: Everyone thinks that once medical treatments, such as surgery or chemotherapy, are over, the patient instantly returns to their old self. In reality, that is when a whole new set of challenges begins.

The example: Imagine finishing a gruelling uphill marathon. You cross the finish line, but your legs are still shaking, you are exhausted, and everyone else goes home while you are left trying to recover. Many survivors deal with long-term side effects, such as constant tiredness, numbness in their fingers or swelling, called lymphoedema, for years.

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Truth 2: Catching it early is great, but not a magic shield

What it means: Early detection saves lives, but some types of cancer are so aggressive that even a small tumour can behave like a runaway train.

The example: Think of weeds in a garden. If you spot a weed early, you can usually pull it right out. But certain aggressive “weeds” spread seeds everywhere or grow roots so fast that even finding them early does not stop them from trying to pop up somewhere else later.

Truth 3: The long, hard marathon of daily pills

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What it means: For many survivors whose cancer is hormone-receptor-positive, treatment does not stop when surgery ends. They may have to take hormone-blocking pills every day for five to ten years.

The example: These daily pills act like security guards keeping the enemy away, but they can also bring troublesome side effects, such as joint stiffness, sudden hot flashes or weakened bones. Because of this, taking the medication can feel like a daily chore that reminds patients of the cancer for a decade.

Truth 4: People we forget about (Men and young adults)

What it means: Public campaigns often focus on older women. Because of this, other groups affected by breast cancer may be caught off guard.

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The example: Men can develop breast cancer, too, because they are born with a small amount of breast tissue. However, because some men think it is a “women’s disease”, they may ignore an unusual lump in their chest for months, resulting in a later diagnosis. Young adults under 40 face a different shock, having to worry about fertility, having children and career interruptions right in the middle of building their lives.

Truth 5: The hidden price tag (Financial stress)

What it means: A medical diagnosis brings a heavy second burden: financial strain.

The example: Even with good health insurance, additional costs can pile up quickly, including specialised scans, genetic testing, expensive prescription drugs and taking weeks or months off work to recover. It can feel like dealing with two crises at the same time: trying to heal the body while worrying about bills.

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Talking about these harder truths does not mean we should not celebrate survivors. It simply means we need to understand the real, full picture of what people go through.

By Robert Ekow Grimmond-Thompson

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To Damascus and back

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A couple having challenges
A couple having challenges

As soon as a married man becomes infected with the he-goat mentality, he is bound to forget that he has a wife.

It is often a tragedy because he can completely lose focus and generally start misbehaving. He considers his wife a headache, at best a pain in the neck.

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The man has got a new girlfriend and is excited. And when he sees his wife, he wonders what she is doing in his home. Maybe she is only a stray dog in need of shelter. And Jesus Christ, won’t she just keep out of the way?

The married man who has gone into extramarital affairs is half the time engaged in mindless fantasy. He is engrossed in devising many ways to please his newfound lover. And if the girl is explosive in bed, the fantasy could spiral into the fourth dimension.

It could be that his wife is basically an “old layer” who can no longer take him to the heavens and back. The girlfriend, however, can take him on a trip into space, meandering through the galaxy of stars, down the Milky Way. It can be an experience of a lifetime.

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Normally, after such a trip, the married man will forget that he even has a home and children. He becomes a fugitive.

What he needs is deliverance. So his wife will go to the pastor and tell him that her husband has developed very strange symptoms.

First, the man is behaving practically like a he-goat, sniffing desperately after young women. Secondly, he cannot find his way back home.

The pastor is likely to diagnose the ailment on the spot. He does not need to conduct a blood test to offer a prognosis. “It is the spirit of lust,” the man of God will say. “The Lord is in control.”

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Sometimes prayers are effective, and the man heads back home. For very curious reasons, he remembers that he had lost his way. So he returns to his family, wondering what might have been happening to him. So long!

Other times, prayer worsens the case. It is not that the prayers are not being answered. God has only given the lecherous bloke a long rope on his own balls. It is as if the prayers drive him further and further away from the world of reason. For as long as three years, his soul is restless. It is in bondage!

The man forgets that the young girl he has been riding will one day marry and leave him in the cold. That day will surely come.

Now, when a married man is jilted by his girlfriend, he remembers that he has a wife. He had almost forgotten that he went and wedded a woman and called her his wife.

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The jilted man will lick his wounds and trace his way back home. His wife would wonder whether he had lost his way. Anyhow, she will welcome him back home.

He becomes the loving husband he once was, and his wife is amazed. What might have happened to her man? Was he struck on the way to Damascus? Or on his way back?

When the man is sober, he will decide to calculate how much he has spent on that useless girl who said she was going to get married to some equally useless cockroach.

He realises that, in the short span of sexual enjoyment and extramarital bliss, he has lost all his lifetime savings, enough to build two-storey buildings.

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Last Saturday, some youths who distinguished themselves in various endeavours were awarded at an excellence awards ceremony.

The males should always have it at the back of their minds that chasing women is what brings down both the weak and the strong, the poor and the rich, the lettered and the unlettered.

This article was first published on Saturday, August 26, 2006.

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