In the US most patients who require PrEP (HIV Pre-Exposure Prophylaxis) get coverage for Truvada by their insurance companies. Patients with medicaid coverage have copays ranging from $3 - 25, however individuals with commercial insurance may have to pay up to $800 a month towards medication cost. This has proven to be a barrier for … Continue reading Generic Truvada; why it is still not available on the US market?
When I look at what is happening around me these days in America, I get deja vu feelings about my childhood. Sometimes it causes me extreme tummy upset and nausea and here is why! My mom and I lived in a compound house in a low middle-class neighborhood called Adabraka in Accra, Ghana! A compound … Continue reading A Masseuse for a Boob Job
A good essay on the everyday issues that individuals with HIV experience in their efforts to live their lives with respect to love and relationships. This article uses the experiences of people living with HIV to inform on issues related to safer sex and HIV prevention,
I rarely have dreams! And on the rare occasions that I have dreamt, I barely remember the contents of my dream! I guess I am not prone to hypnopompic and hypnagogic hallucinations! If I were the Martin Luther King of the 1960’s, my speech would be titled ”I don't have a dream.” And it would … Continue reading Oh no!! another wet dream ?
Whilst boarding school in Ghana for me was mostly fun that was not all that I experienced in Mfantsipim School, one of the oldest schools in Ghana. My first 3 years in boarding school as a junior boy was fraught with many experiences that could well give Tom Brown's School Days a run for its … Continue reading Why the oppressed need to keep silent so passive supporters of oppression do not feel uncomfortable.
Before I came to America I was made to believe that America was this “melting pot” of people from all over the world. A huge successful experiment where people from all walks of life and continents who value American culture and ethos emigrate to and become American, whilst at the same time maintaining their unique … Continue reading Why I now use sign language in public !!
I first saw her in my clinic seeking care for HIV but when we first met like most patients with her medical condition she was not an ideal patient. The decision to start her on ART Antiretroviral therapy in those days when the only single tablet regimen was Atripla (Tenofovir/Emtrictabine/Efavirenz) was not an easy one … Continue reading The war on drugs; who won that war?
Hepatitis C is a global disease with an estimated prevalence rate of about 2.8% worldwide. There are however significant variations in the prevalence rate by country with most low and middle income countries bearing the bulk of the disease burden. Countries with the highest Hepatitis C prevalence ≥5% include Egypt 4.4-15.0%, Gabon 4.9-11.2%, Uzbekistan 11.3%, … Continue reading Global elimination of Hepatitis C, is it achievable with current available technology ?
Over the years laws on cannabis use have changed. Most of these changes were not based on any strong levels of evidence but were based on social perception. In this article I seek to highlight some of the issues associated with these changes and address the potential benefits of more liberal legislation on cannabis.
President Trump declared a National Public Health Emergency this week; in his statement from the Whitehouse he was not talking about HIV or Hepatitis C nor was he referring to the increased incidence of gun violence in the country. The President’s statements focused on a very different Public Health problem, he was talking about America’s high incidence … Continue reading THE OPIOID CRISIS IN AMERICA TODAY – WHAT MUST WE DO AS A NATION ?
Current reports from the International Narcotics Control Board (INCB) suggest that the United States is second on the list of countries with the highest per capita consumption of opioids. Data from 2014 quotes U.S. use of opiates at 700 mg per capita per year. The only country that has a higher per capita use is … Continue reading AMERICA’S LOVE AFFAIR WITH PRESCRIPTION PAIN PILLS