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Understanding autism spectrum disorder

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Autism Spectrum Pix

Autism spectrum disorder also known as ASD, according to the Centre for Disease Control, is a developmental disability that can cause significant social communication and behavioural challenges in an individual. According to the World Health Organisation in 2021, about one in 160 children has autism worldwide and in the US, it is estimated that about one in 59 children has autism. Even though the statistics in Ghana are not available, it is believed that the situation is no different as many children are diagnosed each day. Autism spectrum disorder begins in early childhood and eventually causes problems in the social functionality of children. Children show symptoms of autism within their first year and a small number of children appear to develop normally in the first year and then go through a period of regression between 18 and 24 months of age when they develop autism symptoms.

Symptoms of autism

The symptoms of autism can be found in three main areas 

  1. Communication: 
  • One of the first indications of autism in toddlers is the lack of response to their names. 
  • Children with the autism spectrum disorder are most often non-verbal which means they cannot speak and cannot communicate their needs through speech.
  • They do not point or bring objects to share interests.
  • They have poor eye contact and lack facial expressions.
  • They can’t seem to understand simple questions or directions.
  • They may repeat words or phrases verbatim but would not understand how to use them.
  • Social Interactions
  • They may resist cuddling and holding and may seem to prefer playing alone, they often get lost in their world.
  • They have inappropriate approaches to social interactions. they can be aggressive, passive or disruptive.
  • Repetitive movements
  • They perform repetitive movements such as rocking spinning or hand flapping
  • They perform activities that could cause self-harm such as biting or headbanging.
  • They develop specific routines or rituals and become disturbed at the slightest change.
  • They don’t engage in imitation or make-believe play or pretend play.

Take your baby to see the doctor if he or she:

  1. doesn’t respond with a smile or happy expression by six months
    1. Doesn’t make sounds or facial expressions by nine months
    1. Doesn’t bubble or coo by 12 months.
    1. Doesn’t point or wave by 14 months
    1. Doesn’t say a single word by 16 months
    1. doesn’t indulge in pretend play by 18 months
    1. Doesn’t say two-word phrases by 24 months
    1. Loses language skills or social skills at any age.

Do not panic if your child has one or more of the symptoms above. That may not necessarily mean your child has autism. Babies develop at their own pace. However, it is important to see a doctor with your child if they tick any of the symptoms above. 

Causes of Autism Spectrum Disorder

Autism spectrum disorder is a very complex disorder and as a result, it doesn’t have a single known cause. It is believed that both genetics and environmental factors play roles in a child developing ASD.

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It affects children of all races but certain factors may increase a child’s risk of developing the condition. These include: 

  1. The child’s sex. Boys are more likely to develop autism than girls.
  2. Family history
  3. Extreme preterm babies
  4. Parents age. Older parents are more likely to give birth to autistic children.

Treatment 

There aren’t any known treatments for autism, however, when diagnosed early, intervention is most helpful and can improve behaviour skills and language development. Though children usually don’t outgrow autism spectrum disorder symptoms, they may learn to function well.

Autism is on the rise in Ghana and that means we need to come together as a nation and help children who develop this condition. They can do extremely well when given the right support and at any stage of their lives. Children with the autism spectrum disorder are not spiritually possessed, as some Ghanaians believe, they are children who deserve to be loved and supported to grow into their full potential. There are many adults living independently with the condition. Remember that early intervention is key.

The World Autism Awareness Day is marked internationally on April 2 every year, and there is a call for people to include autistic children in Quality Education. It is commendable to know that the government of Ghana has passed a law that mandates mainstream schools to accept autistic children. But it shouldn’t end there. There is the need to provide enough education on the condition to teachers, and the whole country at large as well as the building of infrastructure that can support children and people with the condition.

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Source:

Augustina Otema Amarh 

Autism Mum/ Content Creator

Health Essentials Ghana Limited

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References:

  • mayoclinic.org
  • cdc.org
  • https://www.un.org/en/observances/autism-day
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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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