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Can the sanitation success story of KMA be sustained?

The mission statement of the Kumasi Metropolitan Assembly (KMA) is aimed at “keeping the city clean and healthy by the provision and delivery of effective and efficient waste collection services and programmes, and environmentally accepted disposal.”

Among others, KMA is supposed to provide conveniently situated refuse disposal points, all in the name of proper sanitation without which the health of its population is at risk.

It is in view of these that when MrOsei- Assibey- Antwi, assumed office as the Chief Executive of the KMA, in March 2017,all eyes were on him to create an enabling environment for development and healthy living.

In fact, he took office at the time Kumasi metropolis had been engulfed in filth. There were mountains of refuse at vintage points in the metropolis much to the dismay of residents who were expecting a lot from his leadership to help ensure proper sanitation of the metropolis and its environs.

Some residents had, even taken the law onto themselves to do their own thing at the expense of the beauty of the once touted “Garden City of West Africa”.

Bringing sanity to the Kumasi metropolis, would demand leadership with strong and bold decisions coupled with measures and action plans devoid of politics.

It is quite interesting to note that, the dynamism employed by the Chief Executive saw Kumasi, the second largest city in Ghana, named among the top 15 cleanest cities in Africa in 2020, according to a ranking which considers cities which prioritise cleanliness and solid waste collection. 

Kumasi occupied the 12th position after Accra the national capital placed third on the list topped by Kigali, the capital of Rwanda.

The list contained the following cities : Kigali-Rwanda, Windhoek-Namibia, Accra Ghana, Gaborone – Botswana, Dar-es- Salaam-Tanzania, Johannesburg-South Africa, Port Louis Mauritius, Tunis-Tunisia, Cape Town-South Africa, Nairobi-Kenya, Libreville-Gabon, Kumasi -Ghana, Algiers-Algeria, Asmara-Eritrea, Ouagadougou -Burkina Faso, in that order.The feat was as a result of a  sustained sanitation strategies by KMA.

Over the years the KMA had followed some sustainable strategies and a series of activities in the area of solid waste collection including the provision of the door-to-door and communal waste collection services.

Defending the ranking, MrAssibey-Antwi said the KMA took steps to regularise the operations of tricycles (Aboboyaa) to further improve solid waste collection within the metropolis by identifying these service providers through colours and registering them with serial numbers to ensure the effective use of Personal Protective Equipment (PPE) at all times and to ensure that all tricycles filled with waste were covered with nets to avoid spillage.

His leadership style has brought improvement also in the private sector participation by regularising the solid waste collection contracts and procuring solid waste containers to be placed at the communal collection sites to maintain its position on the continent.

A number of communal collection sites were improved through the provision of skip pads with roofing under the partnership with private waste companies in the provision of trucks and bins to enable the Assembly carry out its house-to-house refuse collection.

In line with the President’s vision of making Ghana clean and the Assembly’s own mandate of providing a conducive environment for the inhabitants and businesses, the Assibey-Antwi led administration launched the, “Keep Kumasi Clean and Green Project”, with the aim of restoring Kumasi to its past glory of “Garden City”.

The project saw the planting of hundreds of seedlings of different species at various locations and the installation of hundreds of bins at vantage points within the Central Business District.

To power the project, the Assembly received DAF refuse compaction truck, 40ft ford compaction truck, two Pick-ups, 10 tricycles and five tricycles donated by VIP Bus Company Limited and Zoomlion Ghana Limited to support the street sweeping and drain cleaning .

Recognising that effective waste management does not only entail storage, collection and transportation of waste but also providing the appropriate place for proper disposal or reuse of the waste materials, KMA  under the leadership of MrAssibey- Antwi, single handedly managed the Landfill when the Contractor, J. Stanley Owusu Limited vacated the site due to non-payment by devising a means of ensuring that things were properly managed within limited resources by procuring a landfill dozer and communal containers under the Ghana Urban Management Pilot Project.

It was as a result of  the measures effectively put in place that the KMA was, in 2019, adjudged the best Liquid Waste Management Strategy in Ghana, in a Sanitation Challenge or competition organised by the Ministry of Sanitation and Water Resources, with support from foreign partners which about 139 other Metropolitan, Municipal and District Assemblies (MMDAs) across the country participated. 

The remarkable feat came with an award of 400,000.00 Pounds Sterling in a competition which was geared towards bringing transformational change to the city.


With financial support from the Sanitation Challenge for Ghana, the KMA  implemented a number of projects and programmes to improve liquid waste management in the metropolis.

These include improving Water,Sanitation and Hygiene (WASH) in four public schools in the construction of four 10-seater gender sensitive, disability friendly institutional water closet toilets with mechanised borehole and overhead tanks for four schools namely, Amankwatia, Anyaano, Bantama State Boys and St. Cyprians M/A Cluster of Schools.

The project strengthened the enforcement of sanitation bye-laws and provision of logistical support, procurement and distribution of 15 motorbikes to all the Sub-Metro Environmental Health and Sanitation Units to facilitate their movements to the communities.

Under this package, the Assembly improved the Liquid Waste Stabilisation Pond at the Oti Landfill Site through the desilting of ponds and storm drains, construction of concrete platform and headworks for direct discharge, installation of coupling hoses and gravelling of kilometre haul area to the site.

Additionally, the Assembly constructed a one kilometre fence wall around the AsafoCentralised Sewer System to halt encroachment by slum dwellers and auto-mechanics.

There is no doubt that waste management that remained the greatest headache of the Assembly, has now been  reduced to the barest minimum and the rate at which the citizenry flouted environmental-sanitation bye-laws, has also gone down.

A close view of the sanitation success story of the Assibey- Antwi led KMA can be underlined by the organisation of periodic health education programmes in churches, schools, lorry terminals, mosques, radio stations and routine house-to-house inspections through the Environmental Health and Sanitation Unit of the Assembly.

It is, therefore, very important for the sustainability of the sanitation success story as Kumasi desreves to be clean and healthy. Whoever takes over should bear in mind the improvement of sanitation in the metropolis.

For cleanliness, they say, is next to Godliness; and Kumasi deserves the best.

By Kingsley E. Hope.

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The Prophet part 9

Antubam followed her. She indicated for him to sit down. She was about to call Mary when she emerged from the hall, followed by Suzzie.

“It’s good you are both here,” she said. “There’s something I need to tell all three of you. Mr Antubam, I will not waste time on your so-called interest in me, because you and I are two very different people with absolutely nothing in common. The main point I want to make now is that your so-called church is nothing but a fraud with which you are deceiving people who may be ignorant today, but are still precious in God’s sight.

Apart from deceiving them and enriching yourself, you are using God’s name to commit fraud. Today you may be enjoying money, food, alcohol and women, but you will certainly pay a high price for it, unless of course you are willing to repent now. My concern is for my two sisters.

I am demanding that they cut all links with you, now. No visits to your home or church, and no telephone calls. I have told them to give you back every penny you have given them. I am prepared to find money to pay whatever they owe you. That is all I have to say.”

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Antubam rose, furious, and point­ed his finger at her.

“Let me warn you, Betty. Yes, I am interested in you, and I am ready to take care of all your needs, even to rent a house and buy a car for you. But I will not allow you to insult me. You better withdraw those words you have used against me now, or I will deal with you very soon.”

“Don’t make me laugh, Antubam. You? Deal with me? Why don’t you deal with me now? You have to wait till you go to the shrine and beg the fetish priest to deal with me? See how miserable you are? I dare you! Leave my house now, and go to that miserable fetish priest and get him to rain down all his powers on me!”

“You will see!” Antubam declared as he moved towards his car. He hesitated for a moment to see if Mary and Suzzie would walk him to the car, but noticing that they were firmly glued to their seats he got in the car and drove home.

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He got out of the car and went straight to the drinks cupboard, poured himself a full glass of whisky and gulped down half of it. He sat down and called his batman, Kofi Takyi.

“Which two women did you call today?”

“Aggie, one of the new members is in. She is having supper in the guest room. Priscilla will be coming around 9pm.”

“Good work, Kofi. Now, get me my food.” After wolfing down the fufu and light soup, he gulped down the other half of the whisky and stretched out on the sofa and began a smooth, rhythmic snore. Priscilla entered, walked over and, shaking her head, strolled to the bedroom.

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Betty came from the shower to find the two friends still glued to their seats.

“Well? Aren’t you two going to say anything?”

“I have something to say,” Mary said. “I don’t understand you, Betty. You want us to cut all links with Antubam, and to refund all the money he has given us. Now, when we do that, do we come back here tomorrow, sit and stare at the sky and hope and pray that our holy sister (Betty) will bring us manna to eat?”

“Such a stupid statement must not come from you, Mary. What hap­pened to your WASSCE qualifications and your intelligence? Here’s some free advice. Get on the internet. Submit applications for university admission. I am prepared to pay for the two of you. And from tomorrow, start studying the Bible seriously, with the intention of doing what it says. I assure you, there are solu­tions in the Bible for every problem you face today, and will face tomor­row. All you need, Mary, is to use your God-given intelligence. How could you stoop so low as to take money from a common thief and drunkard like Antubam?”

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Suzzie rose quietly and held Betty’s hand. “Do you know, Betty? Until a few minutes ago I did not know that you cared so much about me that you consider me your sister. I promise you. We will do as you say. Mary, we will go and collect the rent money, add it to all the money we have taken, and pay it into the ac­count. From tomorrow, Betty, Mary and I will follow you wherever you go’. With tears streaming down her cheeks she walked away.”

Antubam got up with a start. He checked the time on his phone. It was midnight. He sat up, and was moving towards the bedroom when he heard the voices.

“Is anything the matter?” he said. “You have never come here at this time. I thought you only come at dawn.”

“We are always here. We only contact you when we have to. We have to warn you. That girl is trouble. If you don’t leave her alone there will be problems.”

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“I don’t understand. I can’t leave her alone. I must sleep with her as many times as possible, conquer her. Why can’t you get her for me?”

“She is firmly buried in the book. You are sleeping with two women every night, and there are many more available in the church. Leave that girl alone?”

“Do you fear her? What book is that? I don’t know why…..” before he could finish the sentence sever­al flashes of pain like a horsewhip on fire cut across his back, and he yelled, bringing Priscilla and Aggie from their rooms.

“What is it, Antubam?” Priscilla asked.

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“Er…er. I saw a revelation about a church member who is in some trou­ble. I need to pray for her. Please go back to the rooms. I will join you soon.” Aggie went to the room, but Priscilla lingered.

“Antubam, why don’t you tell me what the problem is so that I can help you? It appears you have just received some spiritual lashes. Are you being punished for something you have done?”

“Perhaps your husband is punish­ing me for sleeping with you.”

“Do you dare insult me, Antubam. You will certainly regret speaking to me like this?”

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“You have a loud mouth, but your only abilities in life, Priscilla, are sex and extorting money. I will come and sleep with you shortly, and give you money in the morning. Now leave!” She slipped out quietly, and the voices resumed.

“Next time you talk like that you will receive a much bigger punish­ment. We are only trying to protect you. You are planning to go to the shrine tomorrow morning to invoke curses on the girl. Be careful. Our master may grant your wish if you press him, but you may regret it.”

“I am sorry if I sound ungrateful, but I just can’t resist that girl. She is so beautiful and sexy. Moreover she has insulted me, and I must punish her.”

“Remember we warned you. You are already in danger. One of your competitors is asking questions about you, and thinking about the possibility of dealing with you. Je­hoshaphat Agyiri. Everyone calls him Gidigidi.”

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“I have heard of him. But what have I done?”

“He belongs to us. We work for him. He wants to check if you will threaten him. He can’t do you any harm as long as you use the stick. But your main problem will come from the girl.”

“Thank you for your help. As for the girl, please talk to Nana Broni for me. I am ready to pay anything for the pleasure of catching that girl in my bed and disciplining her.”

“Antubam,” Priscilla started, “are you going to apologise for the way you spoke to me? And are you going to apologise for bringing another woman here even though I am here with you?”

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“Are you going to collect money from me tomorrow morning, Priscil­la?”

“Get into bed, you idiot. I wonder why those women in the church can­not see you for the cheap fraudster you really are.”

Antubam took off at dawn, and arrived at the shrine before five.

“You are welcome, Antubam. We know, yet we still ask, as the saying goes. What brings you here?”

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“You already know, Okomfo. I must have the girl at all costs. I am prepared to pay anything.”

“I have already consulted Nana Ama Kokoben. I have prepared a fire for her. She will be here any minute, with her mirrors. What you are asking is beyond me, but she is willing to help you. Ah, here she is.”

The small woman sat on a stool next to Okomfo, and stared into Antubam’s eyes for several minutes.

“I will try to help you, but the effort will come from you.” They moved over to the fire, and she placed the two mirrors over the fire.”

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“Look! You will see the girl. Take this needle. When she appears in the mirror, pierce her eyes with the needle. By the time you get back to Tafo she will be at your house. From today, she will follow you just as a dog follows its master.”

By Ekow de Heer

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Toothache: Understanding the causes, symptoms, and treatment options

A toothache is a painful sensation in or around a tooth, which can be caused by a variety of factors.

It is a common dental emer­gency that can affect anyone, regardless of age or oral health.

Toothaches can range from mild to severe and can be ac­companied by other symptoms such as swelling, sensitivity, and difficulty chewing.

Causes of toothache

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There are several causes of toothache, including:

1. Tooth decay: Tooth decay is the most common cause of toothache. It occurs when bacteria in the mouth break down the enamel of the tooth, creating a cavity.

2. Gum disease: Gum dis­ease, also known as periodontal disease, can cause toothache. It occurs when bacteria in the mouth infect the gums, causing inflammation and pain.

3. Cracked tooth: A cracked tooth can cause toothache. This can occur due to biting or chewing on something hard, or due to a blow to the mouth.

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4. Dental abscess: A dental abscess is a pocket of pus that forms in the gum tissue. It can cause severe toothache and swelling.

5. Grinding or clenching: Grinding or clenching the teeth can cause toothache. This can occur due to stress, anxiety, or a misaligned bite.

6. Loose or broken filling: A loose or broken filling can cause toothache. This can occur due to wear and tear, or due to a blow to the mouth.

Symptoms of toothache

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The symptoms of tooth­ache can vary depending on the cause and severity of the condition. Common symptoms include:

1. Pain: A sharp, stabbing, or dull ache in the tooth or surrounding gum tissue.

2. Sensitivity: Sensitivity to hot or cold temperatures, sweet or sour tastes, or pres­sure.

3. Swelling: Swelling of the gum tissue or face.

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4. Difficulty chewing: Diffi­culty chewing or biting due to pain or discomfort.

5. Bad breath: Bad breath or a bad taste in the mouth.

Diagnosis of Toothache

Diagnosing toothache typical­ly involves a combination of:

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1. Visual examination: A visual examination of the tooth and surrounding gum tissue.

2. X-rays: X-rays may be tak­en to check for signs of tooth decay, abscesses, or other problems.

3. Percussion test: A per­cussion test, which involves tapping on the tooth to check for sensitivity.

Treatment options for tooth­ache

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The treatment options for toothache depend on the cause and severity of the condition. Common treatment options include:

1. Fillings: Fillings may be used to repair a tooth that has been damaged by decay or trauma.

2. Extractions: In some cases, a tooth may need to be extracted due to severe decay or damage.

3. Root canals: Root canals may be performed to remove infected pulp from the tooth.

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4. Crown or bridge: A crown or bridge may be used to repair a damaged tooth or replace a missing tooth.

5. Pain relief: Pain relief medication, such as ibuprofen or acetaminophen, may be prescribed to manage pain and discomfort.

Home remedies for tooth­ache

There are several home rem­edies that can help to alleviate toothache, including:

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1. Cold compress: Applying a cold compress to the affected area can help to reduce pain and swelling.

2. Salt water rinse: Rinsing the mouth with warm salt wa­ter can help to reduce pain and inflammation.

3. Cloves: Applying a clove to the affected tooth can help to numb the area and reduce pain.

4. Over-the-counter pain relief: Taking over-the-counter pain relief medication, such as ibuprofen or acetaminophen, can help to manage pain and discomfort.

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Prevention of toothache

Preventing toothache involves maintaining good oral hygiene habits, including:

1. Brushing and flossing: Brushing and flossing regularly to remove plaque and bacteria from the teeth.

2. Regular dental check-ups: Regular dental check-ups can help to identify and treat oral health problems early on.

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3. Avoiding sugary and acidic foods: Avoiding sugary and acidic foods and drinks can help to reduce the risk of tooth decay and erosion.

4. Wearing a mouth guard: Wearing a mouthguard can help to protect the teeth from injury during sports or other activi­ties.

Conclusion

Toothache is a common dental emergency that can be caused by a variety of factors.

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Understanding the causes, symptoms, and treatment options for toothache can help individuals to seek prompt treatment and alleviate pain and discomfort.

By maintaining good oral hy­giene habits and avoiding sug­ary and acidic foods and drinks, individuals can reduce their risk of developing toothache.

By Robert Ekow Grimmond-Thompson

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