13th Amendment 2nd Amendment cultural sensitivity Federal Assault Weapons Ban of 1994 Global Health gun control immigration and government injury prevention political philosophy politics and health President Trump Public safety racial discrimination Right-wing terrorism

The Symbol of Renewed White Identity and Common Purpose ?

A post on the xenophobic attitudes in Western societies today with a focus on the most recent New Zealand mosque attacks. The ray of hope offered by the New Zealand leadership and people was used in this feature as well as the reference to Donald Trump as a symbol of hope for a common purpose of whites.

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Child Health Disease Control Education First Amendment Global Health immunization Immunization conspiracy theories immunization exemptions Personal health Uncategorized vaccine safety

Vaccine Safety and Individual Exemptions from Public Health Required Immunizations; where must we draw the line?

Over the years widespread application of vaccines globally has led to significant reductions the in the incidence of many vaccine preventable communicable diseases. One disease smallpox has been completely eradicated from human populations due to strong collaborative efforts across the world. Polio is another disease which could have been eradicated but unfortunately we missed the […]

Barriers to healthcare Global Health Health Economics Healthcare Equity Hepatitis C International health Public health Policy

HEPATITIS C ELIMINATION; WHAT ARE THE BARRIERS?

In a prior post earlier in the year I wrote on this topic. A closer look at the current global situation suggests that whilst the cost of Hepatitis C (HCV) treatment may appear to be a major barrier there are many nations in the world that have managed to overcome that. In this piece I […]

Africa Breast Cancer Breast cancer Ghana Breast play Cancer screening Disease Control featured Ghana Global Health International health Personal health Public health Policy Sexual Health society and health Uncategorized women's health

Breast play and breast cancer risk

In the past few weeks there has been a lot of interest on the breast as different organizations advance various initiatives to help reduce risk of Breast Cancer in Ghana. These activities attracted a lot of attention and have been very successful in raising awareness about this disease. With all that good publicity there is […]

environment and health featured Ghana Global Health government and politics Immigrant health international relations law enforcement Political Correctness President Trump Public safety religion societal change

What can the Saudi Crown Prince learn from Russell Bell?

As any self respecting Baltimore resident I sometimes see business deals in terms of street culture. I must admit though that I am no expert in street culture however a conversation that I had with a Baltimore Street homeboy who claims to have personally known the real Nathan “Bodie” Barksdale the inspiration for the street […]

environment and health featured Global Health government and politics Health Care Reform Health Economics Healthcare Equity International health Personal health politics and health Pre-Exposure Prophylaxis Public health Policy Sexual Health Uncategorized

Generic Truvada; why is it still not available on the US market?

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 […]

Africa beauty industry color discrimination colorism Ghana Global Health Health education Personal health Race and health skin lightening Uncategorized women's health

Black is beautiful, or is it?

As the summer enters its full force and many plan their vacations to the beach and other sunny places, I remembered that not all of us are going to be enjoying the sun equally. There are a few who would avoid the sun like the plague, and this is not from fear of skin cancer. […]

Africa cultural sensitivity Education First Amendment Ghana Global Health implicit bias injury prevention LGBT Rights Men's health Personal health religion Sexual Health Sexuality societal change society and health Uncategorized

The Bible and Sexuality in Ghana, how does one address the controversies?

A part of the New Testament, John 8:7 actually suggests …..“He that is without sin among you, let him cast the first stone at her.”… This was after an adulterer was accused and brought to Jesus. In 1 Cor 4:5. Luke 6:37, Matthew 7:1 and James 4:11, Romans 2:1, 14:10, 14:13 Christians are advised and […]

Africa Constitution environment and health Global Health Health Care Reform Health Economics politics and health Public health Policy societal change Uncategorized

Musings of a Ghanaian doctor from the home of the Liberty Bell.

Broad street in Philadelphia is this wide swathe of black, running through the middle of the city. A black big motoring vein with asphalt tributaries emptying cars, and people, milling restlessly with a tenacity that hardly ever changes. The City Hall punctuates it, splitting the broad street flow with its imposing gravity defying white columns […]

Africa Alcohol use environment and health featured Global Health Health Economics Public health Policy Public safety Uncategorized

Global elimination of Hepatitis C, is it achievable with current available technology ?

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%, […]

Alternative medicine chicken soup common cold Folk Medicine Global Health Health education Jewish Medicine Moses Maimonides Personal health Respiratory health Uncategorized

CHICKEN SOUP FOR COLDS AND FLU SYMPTOMS!! DOES IT REALLY WORK ?

Most of us have heard of the use of chicken soup to cure common cold or flu symptoms, today I decided to do a literature search to determine if there is any evidence supporting this common recommendation.  I can promise you that if chicken soup were produced by a drug company that companies stock will […]

Ebony Reigns environment and health Federal Assault Weapons Ban of 1994 Global Health government and politics gun control Health Care Reform Health Economics injury prevention International health law enforcement politics and health Public health Policy Public safety religion Road safety societal change society and health Surgeon General Uncategorized

UNSAFE ROADS IN GHANA AND GUNS IN USA, LET’S LEAVE THE SOLUTION IN GOD’S HANDS!!

Gun violence in the USA and road traffic accidents in Ghana share one thing in common both countries have decided to leave their respective problems in the hand of God.  In the past 2 weeks I have been reminded of these two problems by events that brought these age-old problems into the public view.  On […]

Cancer screening environment and health Global Health Health education Healthcare Equity Men's health Personal health politics and health Prostate cancer Public health Policy Race and health Sexual Health society and health Uncategorized

PROSTATE CANCER SCREENING, AN ONGOING CONTROVERSY.

Prostate cancer screening always raises a lot of controversy on account various reasons; most notable among these is the nature of the physical exam recommended for screening, digital rectal exam (DRE). On a discussion on digital rectal exam one Ghanaian friend of mine said categorically ” there would be no gay probing of my nether […]

environment and health Global Health Health Economics Health education Healthcare Equity obesity Personal health physical activity society and health Uncategorized

HEALTHY WEIGHT GAIN !! IS THIS AN OXYMORON IN TODAYS WORLD ?

As an immigrant from Ghana I have the liberty of blaming all my weight gain on the American diet and a lifestyle with less physical activity. Whilst the kinds of foods we eat play a major role in weight gain physical activity may be a bigger culprit. Over the course of 16 years I have […]

Constitution Global Health Health education Healthcare Equity HIV Stigma LGBT Rights Men's health Personal health politics and health Public health Policy religion Sexual Health Sexuality societal change Uncategorized

How I evolved from a tolerant physician to one with a healthy appreciation of alternate lifestyles

As a physician from Ghana brought up in a very religious family, I must admit that when it comes to gay rights and other issues related to sexual minorities I was as far to the right as anyone could be.  My first experience with openly gay individuals was when I came to the United States. […]

Global Health government and politics Health education HIV Stigma International health LGBT Rights religion Sexual Health societal change Uncategorized

HIV IN GHANA: PROGRESS AND STAGNATION

My first HIV patient that I cared for was in Korle-bu Teaching Hospital, Accra, Ghana in the late 1990s. I can still remember the woman in her mid-thirties who we had admitted with symptoms suggestive of meningo-encephalitis; I do not really remember whether I was a house-officer or a final year medical student. I had […]

Global Health Health Economics Healthcare Equity International health Personal health politics and health Uncategorized

Prevention saves lives – Meningitis in a resource constrained setting -by Dr. Teddy Totimeh – A physician in Accra, Ghana

Four students have died. One after the other over a ten day period. And the diagnosis is only certain now, after they died. In a country with 5000 doctors, multiple teaching hospitals, a Ministry of Health, and a Health Service, this is not acceptable. Especially if the country has had 60 years to build a […]