cultural sensitivity Health Care Reform Health Economics Healthy Sexual Attitude HIV Stigma implicit bias opioid crisis opioid epidemic Sexual Health women's health

It’s not all about sex and drug use, it’s just life !!

It is not the drug addicts fault that he or she needs to get a fix to just feel normal. Nor is it the fault of a young man that he has gonorrhea. And then what about that guy who gets shot in the belly over a drug deal gone bad. In an ideal world […]

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Africa Barriers to healthcare color discrimination Ghana government and politics Health Economics racial bias Slavery Uncategorized

Progress; Four Centuries from the era of the Trans-Atlantic Slave Trade – By Dr. Teddy Totimeh

Its been 400 years since the first slaves landed in Virginia. Something terrible was born with that first shipload. The consequences of the most inhumane economic policy ever practiced on this earth still persist today.  Whole societies were disrupted and families were torn apart without any regard for the feelings and hopes of those involved. […]

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 […]

government and politics Health Care Reform Health Economics Healthcare Equity immigration and government opioid crisis opioid epidemic opioid related deaths politics and health Public health Policy Rural Health societal change society and health Uncategorized War on drugs

A Nation in Pain

Over the past two decades the United States has experienced an uncontrollable epidemic of drug related deaths. In 2016 sixty-three thousand Americans died of drug overdoses, two out of three of these deaths were due to opioids. In times like this whilst law enforcement and public health services grapple for solutions most may ask the […]

Child Health Health Care Reform Health Economics Healthcare Equity Immigrant health immunization President Trump Public health Policy Public safety Uncategorized

Why the US ranks so low in WHO (World Health Organization) Health System Rankings?

A recent World Health Organization ranking of the world’s health systems puts the United States at number 37 between Costa Rica at 36 and Slovenia, first lady Melania Trump’s birth country at number 38. This situation is all the more surprising since the United States spends more than twice as much per capita for health […]

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 […]

Ghana Health Economics Personal health Physician burnout Physician Suicide Uncategorized Work related stress

Physician burnout by Dr. Dzifa Dey

This article is dedicated to the memory of Prof. Bongani Mayosi, a world renowned South African cardiologist who died by suicide from depression this week. As I sat in front of the couple trying to be stoic and listen to and diagnose their model teenage child with lupus, at this point I regret being a […]

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 […]

Alternative medicine Cannabis Controlled substance laws cultural competency Disease Control featured government and politics Health Economics Health education Healthcare Equity Hepatitis C HIV Stigma Medical Marijuana National Public Health Emergency opioid crisis opioid epidemic police behavior Race and health racial discrimination racism in health Rural Health societal change Uncategorized War on drugs

The war on drugs; who won that war?

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 […]

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%, […]

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 […]

Cannabis Colonialism Constitution Controlled substance laws environment and health featured government and politics Health Care Reform Health Economics law enforcement Marihuana Tax Act of 1937 Medical Marijuana opioid crisis opioid epidemic Personal health politics and health Public health Policy Public safety Race and health race relations racial discrimination racism in health societal change society and health Uncategorized

MARIJUANA USE AND THE EVOLUTION OF MEDICAL MARIJUANA LAWS IN THE USA

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.

environment and health government and politics Health Care Reform Health Economics Health education Healthcare Equity Public health Policy Race and health racial bias racial discrimination racism in health societal change society and health Uncategorized

HEALTH EQUITY, IS IT REALLY ACHIEVABLE?

As a student in medical school I have a host of memories that I believe would still remain vivid in my mind for ages. One such image is my experience as a 4th year medical student observing an amputation. The consultant orthopedic surgeon gave us a brief history of the patient. The patient was a […]

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 […]

featured government and politics Health Care Reform Health Economics Healthcare Equity injury prevention Mental health National Public Health Emergency opioid crisis opioid epidemic opioid related deaths Personal health President Trump Presidential Declaration Public health Policy Public safety Rural Health societal change Uncategorized

THE OPIOID CRISIS IN AMERICA TODAY – WHAT MUST WE DO AS A NATION ?

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 […]

featured Health Care Reform Health Economics Healthcare Equity injury prevention Mental health opioid epidemic Personal health Public safety Rural Health Uncategorized

AMERICA’S LOVE AFFAIR WITH PRESCRIPTION PAIN PILLS

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 […]

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 […]