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 … Continue reading HEPATITIS C ELIMINATION; WHAT ARE THE BARRIERS?

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 … Continue reading A Nation in Pain

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

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

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 … Continue reading Physician burnout by Dr. Dzifa Dey

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 … Continue reading Musings of a Ghanaian doctor from the home of the Liberty Bell.

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 … Continue reading The war on drugs; who won that war?

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%, … Continue reading Global elimination of Hepatitis C, is it achievable with current available technology ?

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

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.

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 … Continue reading HEALTH EQUITY, IS IT REALLY ACHIEVABLE?

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

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

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 … Continue reading AMERICA’S LOVE AFFAIR WITH PRESCRIPTION PAIN PILLS

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