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Data on awareness, late presentation of breast cancer cases worrying  — Frimpong-Manso Institute

• Rev Prof Paul Frimpong-Manso

Rev Prof Paul Frimpong-Manso

The Frimpong-Manso Institute has described as worrying prevailing data showing the gap in awareness and late presentation of cases at healthcare facilities by breast cancer patients.

It said most women in Ghana present breast cancer at advanced stages (III or IV), largely due to lack of aware­ness, cultural beliefs (beliefs in traditional medicine) and limited access to healthcare facilities.

In a statement copied to The Spectator, it stated that the delay in the detection and treatment of breast cancer had greatly reduced the sur­vival rates of patients, adding that the high cost of diagnosis and treatment such as sur­gery, chemotherapy, radio­therapy presents a significant barrier for many women.

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It said even though the National Health Insurance Scheme (NHIS) in Ghana covers some aspects of cancer care, there persists a signifi­cant gap in financing the man­agement of the condition.

It said breast cancer was a significant public health concern in Ghana, as it is in many parts of the world with ongoing efforts to improve detection, treatment and survival outcomes.

According to the Institute, in 2020, the Global Cancer Observatory (GLOBOCAN) estimated that Ghana report­ed around 4,600 new cases of breast cancer, with a mortali­ty rate of approximately 2,055 deaths annually.

“This type of cancer contin­ues to be the most commonly diagnosed among women with increasing incidence due to several factors, including lifestyle changes, urbanisation and improved detection meth­ods,” it added.

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It said in Ghana, breast cancer tends to affect young­er women with many cases diagnosed in women under 50, unlike women in developed countries.

On treatment, options for breast cancer patients in Ghana include surgery, chemotherapy and somewhat limited radiotherapy and hor­monal therapies saying there was growing recognition of the need for palliative care, especially for patients with advanced-stage cancer.

Notwithstanding, it said, there were still ongoing efforts to improve care for breast cancer patients.

“Both government and NGOs continue to engage communi­ties on awareness of the dis­ease through media campaigns and community outreach programmes,” it added.

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It added that efforts were being made to train health­care professionals, improve diagnostic tools, and build infrastructure geared towards breast cancer care.

 By Jemima Esinam Kuatsinu

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Gender

 A ‘bow’ for Ghanaian women at Christmas

• A working Ghanaian woman
• A working Ghanaian woman

Christmas is a festive season celebrated by most Christians worldwide to commemorate the birth of their saviour Jesus Christ.

Jesus Christ was born in Bethlehem in Roman- controlled Judea. The birth of Jesus Christ is described in the biblical gospels of Matthew and Luke, but there is no definitive historical evidence for the exact date

The gospels and historical sources do not provide a date for Jesus’ birth, but most scholars believe it was between six and four Before Christ (BC).

His parents Joseph, a carpenter was legally Jesus’ father, but Mary was a virgin when Jesus was conceived through the Holy Spirit

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The commemoration of the birth of Jesus Christ known as Christmas is celebrated on December 25, but there is no evidence that Jesus was born on that date. Church leaders may have chosen that date to coincide with a Roman festival.

As the season draws closer across the globe, various activities are planned by churches, organisations and families.

In Ghana, Christmas celebrations tend to start around the December 20, lasting till the New Year with lots of activities which go on during the festive period, with the main focus being on people travelling around the country to visit family and friends.

It is celebrated with a variety of traditions, including church services, gift-giving, preparing, sharing and eat­ing of traditional food like fufu with chicken or goat soup, rice and stew or jollof rice.

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Church services are held late into the night, featuring dancing, drum­ming, choir singing, and sometimes a nativity play with people attending in traditional clothing, and then ex­change gifts.

In Ghana, during the festive cele­brations in homes are mostly spear­headed by women regardless of what they already do on any given day.

Women add extra chores such as buying and wrapping presents, plan­ning and preparing meals in large quantities, attending parties, stuffing food stuffs, decorating the house and ensuring everyone and everything was intact.

Women, both young and old become the pivot around which every home revolves around during festive periods especially Christmas.

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All of this time-consuming, behind-the-scenes activities can make the season especially uptight, particular­ly for women. They do most of the chores at home with the mindset of this is a “me” job, “I am a better multi-tasker,” “so I will just do it.” “If I do not do it, no one will” and so forth. This they do to ensure everyone is ok during the festive season and beyond.

An American Sociological Review found that women reported doing more “cognitive labour” at home than their spouses did – anticipating, iden­tifying options, making decisions and monitoring progress.

Throughout the year, women have demonstrated remarkable dedication and perseverance, effortlessly juggling their responsibilities at home and in their various workplaces. Their ability to balance these dual roles has earned them admiration and ap­preciation from all.

At home, women have taken on numerous roles: caregivers, nurturers, educators, and managers. They have ensured the well-being and happiness of their families, often putting others’ needs be­fore their own.

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In the workplace, women have made significant contributions across var­ious industries, exceling in fields such as business, healthcare, education, technology, journalism and more. Their hard work, expertise, and leadership have earned them recogni­tion and respect.

Despite facing numer­ous challenges, including gender biases and societal expectations, women have continued to thrive and make a positive impact in their communities. Their resilience, adaptability, and determination have inspired countless others.

As we celebrate the holiday season, let us take a moment to acknowledge and appreciate the tireless efforts of women every­where. Their selflessness, compassion, and dedication to their families and com­munities are truly deserv­ing of our recognition and gratitude.

As we commemorate the birth of Jesus Christ, let us also honor the women who have made a positive impact in our lives through­out the year and give them a “bow” of respect, grati­tude, and admiration.

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The role of women in Ghanaian society is multifaceted and invaluable. They are the backbone of our families, providing love, support, and nurturing to their children and loved ones.

They are also pillars of our com­munities, contributing to economic development, education, healthcare, and social welfare.

This Christmas, there is the need to honor the Ghanaian woman for her unwavering dedication, resilience, and compassion and celebrate her strength, her perseverance, and her selflessness.

As we commemorate the birth of Jesus Christ, it is important to re­member the role of Mary, the mother of Jesus, who embodied the values of love, kindness, and selflessness and draw inspiration from her example and recognise the invaluable contributions of Ghanaian women to our society.

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To all Ghanaian women, The Specta­tor salutes you this Christmas season. May your love, kindness, compassion, and selflessness continue to inspire us all.

By Jemima Esinam Kuatsinu

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Gender

 Beyond the flavours: the hidden dangers of shisha smoking

 On a hot Sunday afternoon, the Labadi beach or other leading beaches are filled with people from all walks of life, both foreigners and Ghanaians alike.

Children are seen playing in the sand while adults enjoy some food and drinks or bath in the sea amidst loud music.

Traders, horse riders and pub own­ers would also cash in, pitching their business to revellers at the beach.

As dusk settles in, some people would leave while others troop in, with the place becoming livelier as the beach is filled with a lot more people.

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The atmosphere is choked with an unusual smell of smoke; a smoke emanating from random tables on the beach.

It is usually from a flavoured water pipe popularly known as shisha, sitting on the tables and used mostly by women who shared the same tube with friends on the same table.

This is often the sight at most beaches on holidays or weekends.

An attendant at the Labadi beach, told this writer that, shisha was mostly taken by women and the price ranges from GH¢50 to GH¢70 at the beach.

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She also said the price is higher at other places saying “you can also get it from GH¢100 to GH¢200.

This mirrors what happens at other beaches, clubs, pubs and social gatherings across the capital and the country at large.

Shisha, also known as hookah or water pipe, is another form of com­bustible smoking of tobacco, where flavoured tobacco is burned with charcoal, while the smoke is guided through water via tube before it is inhaled by the smoker.

The intention behind the passage of tobacco smoke through water is to filter the smoke to make it safer. Also, the added flavour, mostly fruity, is to enhance the packaging and im­prove desirability.

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This type of smoking was invented in ancient India, and it has remained a tradition to the Middle East, and a common practice for hundreds of years.

It is estimated that, globally, about 100 million people smoke shisha on a daily basis and most of these are adolescents, high school students, and university students.

Shisha smoking has become a com­mon practice in social gatherings, generally shared in a group of four and five individuals and usually lasts from 20 to 80 minutes with 50–200 puffs per session.

The use of Shisha with tobacco products leads to particulate matter such as nicotine, carbon monoxide, and nitrogen oxide. The presence of nicotine in smoke is the primary cause of dependence on tobacco-re­lated products, hence its addiction.

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The Ghanaian Times newspaper reported on November 6, 2024 that a new survey by the World Health Organisation (WHO) has revealed that more young women in the country were engaged in various forms of smoking on a daily basis than their male counterparts, resulting in can­cer, heart and lung-related diseases in recent times.

It said WHO noted that while traditional cigarette smoking may be on the low, ‘Shisha,’ was rife partic­ularly among persons 18 to 29 years, across the country.

“More than half of current tobacco smokers report smoking on a daily basis. Among daily smokers, 73.6 per cent smoked manufactured cigarette with individuals consuming three sticks of manufactured cigarettes per day on the average.

Among daily smokers, younger persons began smoking at an earlier age compared to their older coun­terparts. The proportion of current smokers who smoke shisha is 7.8 per cent, which is more prevalent among age group 18 to 29 years and highest among women,” it revealed.

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Principal Investigator and Deputy Director of Disease Surveillance at the Ghana Health Service (GHS), Dr Dennis Laryea, expressed concern over the increasing rate of females smoking shisha in the country which holds dire consequences for the future.

“Once females take up something, it’s easier to drag the males along. And once we’re seeing this in young­er women, it also means that they are likely to grow up with it and that is a potential risk for our develop­ment,” he stated.

Dr Laryea disclosed that while ‘Shi­sha’ may be portrayed as a trendy, favourable substance, it was highly harmful as it contained chemical which could be more dangerous to one’s health due to the longer smok­ing sessions. In an interview with the Principal Regulatory Officer with the Tobacco Products Department of the Food and Drugs Authority (FDA), Mavis Danso on Friday, she said Shisha is legal because it is a tobacco product but its smoking is not allowed in public areas.

She explained that smoking of shisha is only allowed in designated areas, adding that it is so because tobacco products are scientifically known to cause a lot of illnesses which includes Non-Communicable Diseases (NCDs).

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“Once you smoke as an individu­al, you put yourself at risk and also endanger the people around you who also inhale your smoke which is called second-hand smoke,” she stated.

She again explained that the smoke coming out of the nostrils of the one smoking and also from the end of the cigarette or from the Shisha device, inhaled by those around is known as secondary smoking and also endan­gers the lives of the latter.

So in order for government to protect its citizenry, there is a law on ban of smoking at public places except in designated smoking area saying “you are not supposed to endanger other people once you are smoking.”

Ms Danso said, the department often engage in routine monitoring which includes at night as well as public education to ensure enforce­ment of the law

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She mentioned that, her de­partment also relies on voluntary complains from the public, stating that, citizens were expected to be enforcers of the law by reporting to the FDA or question the owner of the place.

She was optimistic of Ghana be­coming a Shisha free country but said it will not only depend on enforcers but also on facility owners and vigi­lant individuals who ensure that the right thing was done.

Ms Danso said there was a high prevalence of shisha smoking among women as well as a misconception that shisha was better than smoking, a notion she described as untrue.

She mentioned that an hour use of shisha was equivalent to smoking 200 sticks of cigarettes.

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Ms Danso also mentioned that the idea that it passes through water and the contaminants remained in the water was false and that once the substance is taken, it affects the entire body.

According to her, there was the tendency of it being additive due to nicotine found in it and also has risk factors such as heart and lung dis­eases and also cancers, adding that “there is no safe form of tobacco, whether smoked, inhaled or what­ever forms it comes in, it is harmful and can cause serious health implica­tions to the body.”

According to the World Health Organisation (WHO), shisha also known as water pipe tobacco smok­ing was probably associated with oral, oesophageal and lung cancers and possibly with gastric and bladder cancers.

It said, shisha has also been associated with respiratory disease, cardiovascular disease, periodontal disease, low birth weight, perennial rhinitis, male infertility, gastro-oe­sophageal reflux disease and impair­ment of mental health.

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With women, shisha can cause higher risk of preterm menstrual pause, reduced bone mineral density, infertility, and ectopic pregnancy; it is also associated with a higher rate of infant mortality and can lead to intrauterine growth restriction and the rise of certain chromosomal anomalies.

The Sustainable Development Goal (SDG) three which states “good health and well-being” targets reduc­tion in the global maternal mortality ratio to less than 70 per 100,000 live births, reduce by one third prema­ture mortality from non-communi­cable diseases through prevention and treatment and promote mental health and well-being by 2030.

This can be achieved when gov­ernment and its health agencies, non-governmental organisations and individuals help enforce existing laws on shisha smoking.

Also, workshops, seminars should be organised by various stakehold­ers for young women focusing on the dangers of shisha, utilise social media platforms to raise awareness about risks of Shisha while sharing engaging content and personal sto­ries and also create safe space and engaging recreational spaces for young women offering alternatives to shisha cafes and bars.

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More so, it is important for facility owners to obey the laws on shisha smoking while the citizenry reports offenders to the FDA for appropriate punishments.

 By Jemima Esinam Kuatsinu

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