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The creation of an African ‘bloodstream’: Malaria control during the Hitler War, 1942–1945 (Part 4)

Spraying an Army hut with D.D.T.

[This piece is culled from a book authored by Jonathan Roberts, titled: Sharing the burden of sickness: A history of healing and medicine in Accra]

Though Lt. Ribbands and his fellow malariologists were tasked with fighting the spread of malaria, they were not particularly interested in whether the men used as human bait contracted the disease. None of the men who slept in the mosquito traps were named, nor is there any mention of whether they fell ill. The express purpose of the anopheline index was to collect entomological data to determine which parts of the Korle watershed to target with pesticides and larvicides. Nor was Ribbands particularly interested in spraying campaigns’ effects on the local population. The Malaria Control Group sprayed DDT on African houses and into wells and ponds without asking because it was the only way to break the 14-day larvae-mosquito-human cycle of malaria transmission, thereby clearing incubated plasmodia from what Ribbands called the African “bloodstream.” At the same time as they mapped out the habitat of the mosquito, Lt. Ribbands and the Allied malariologists began to think of the inhabitants of Accra as a reservoir of malaria—one that could be cleansed with the liberal application of chemicals.

The residents of the old quarters of Accra did not share Lt. Ribbands’s enthusiasm for malaria control. Having endured the indignity of sanitary inspections, they were reluctant to let the spraying crew into their compounds.

Details about local resistance are limited because there are no memories of the event at the Korle shrine house, but a brief, revealing passage does appear in an American report on the antimalaria campaign: “The application of larvicide to [lagoon] areas was strongly resented by the local native population who associated a high religious significance to these lagoons . . . [but the] natives [were] placated through negotiation by British authorities with the African chiefs.”

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This passage offers evidence that the residents of Accra were quite aware of the impact of a citywide spraying campaign and were concerned about encroachment on their sacred spaces, but it shows how colonial indirect rule allowed the British to curry favour with local chiefs as a way of disenfranchising the religious authorities of the city. How exactly the British appeased the chiefs is unknown, but it probably involved sums of money to pay for the temporary rights to spray the lagoon, distributed in a manner that would allay resistance to the campaign. It so happened that the antimalaria campaign occurred during a period of fierce stool disputes among the Ga subchiefs in the city, a time when the priestly stool of Korle stood vacant. The Ga indigenous understanding of health and healing in the city remained firmly in place, but the figureheads who championed the social health of the Ga, and the environmental health of the paramount gods, were temporarily absent. Without traditional leadership, and under conditions of martial law, the residents of the city must have struggled to voice their concerns about the spraying campaign.

Memories of the antimalaria campaign during the Hitler War

The ascent of bio-power during the antimalaria campaign barely registers within the collective memories of the residents of Accra. The oral history of the event is difficult to collect because so few veterans of the “Hitler War” remain. Nonetheless, many ex-soldiers did remember basic elements of the Malaria Control Group operations, such as being locked in their barracks while the Americans sprayed their buildings, forced to take yellow mosquito tablets, and ordered to dig through riverbeds with iron bars and rakes. However, only a few of them recalled anything about the war on mosquitoes conducted by Ribbands and his colleagues, a surprising gap the collective memory considering the extent of the campaign.

Those who did recall the mosquito traps expressed resentment about how inhumanely the human bait was treated. Otia Badu, a Ga veteran who fought in Burma, remembered that soldiers were forced to sleep in the traps as punishment if they disobeyed orders. Badu himself never slept in the tent, managing to get guard duty in the camp when he faced disciplinary measures. Choosing to sleep in the tents was a death sentence, he claimed, because everyone who slept there is now dead. Badu  recalled that British officers forced African soldiers to test “mosquito capes,” overcoats with holes in the cloth that were covered with sticky glue to trap insects. According to Badu, the soldiers were ordered to wear the capes when they went out at night as a way of attracting and collecting mosquitoes, but there is no evidence of such attire in the military records. Another former member of the Gold Coast Regiment, Oblitey Commey, stated that all of the “northerners” who slept in the traps must have died shortly afterward because they had “challenged their spirits” by giving in to their colonial masters. At the end of his interview, Commey declared that if the British had wanted to catch mosquitoes, they should have slept in the traps themselves. Yet another veteran indicated that the residents of Accra were not happy to see their homes doused in chemicals and that during the campaign rumours circulated that the British were trying to poison the local population. But all of the veterans emphasised that, despite the inhumane treatment the Gold Coast subjects faced during the Hitler War, no one dared to challenge the authority of their officers. As retired soldier John Borketey bluntly asserted, resistance was never an option: “Whatever they tell you, you do it. Colonial days. You have no choice.”

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Apart from the recollections of a handful of elderly veterans, memories of the antimalaria campaign within the general population of Accra are sparse. No one at the Korle shrine has any recollection of Allied airplanes dousing the lagoon with DDT, and people living in the older quarters of Accra have forgotten the story of the antimalaria campaign. Even at Nima, the suburb that likely provided the migrant workers used as human bait, religious leaders and elders have no recollection of the spraying campaign, the mosquito traps, or even the evacuation of their suburb. As a way point for migrants from points north of Accra, Nima has always had a transient population, but it is still surprising that no one remembers the campaign. Considering that the residents of Accra rioted against British attempts to fill the reservoir at Bukom in 1889 and stoned the plague-fighting crew that tried to demolish houses at Ussher Town during Simpson’s anti-plague programme, it is difficult to believe that the residents of Nima simply walked away from their settlement to accommodate the one-mile cordon sanitaire.

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Minister of Health appeals to Tamale Teaching Hospital striking doctors 

The Minister of Health, Kwabena Mintah Akandoh has appealed to the striking doctors at the Tamale Teaching Hospital (TTH) to calll off the suspension and come to the negotiation table. 

However, he refused to apologise as demanded by the striking doctors.

The doctors after a meeting yesterday have withdrawn emergency services following the dismissal of the Chief Executive Officer of the hospital.

This follows an unannounced visit to the hospital by the Minister on Tuesday.

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The Minister made the appeal when addressing the media in Accra on Today, April 24 2025.

According to him, dialogue is the only way out to resolve the issue, adding that he was ready collaborate with them.

“I am prepared for us to come around the table and discuss whatever we need to discuss,” Mr Akandoh said.

“My humble appeal to my wonderful medical doctors and health professionals at Tamale Teaching Hospital is that I am the first person to take care of your interests. Therefore, let’s call off the strike and let’s all regroup and strategise going forward,” he concluded.

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Health Minister donates medical equipment to Tamale Teaching Hospital,  pledges commitment to reforms 

The Minister for Health Kwabena Miintah Akandoh has reiterated government’s commitment to address long-standing challenges in the health sector, describing the health system as one that requires urgent reform and collective responsibility. 

He made these remarks during a donation of some essential medical equipment and supplies to the Tamale Teaching Hospital on behalf of the Ministry of Health.

The donation included a wide range of equipment such as ECG machines, ICU ventilators, cardiac monitors, anesthesia machines, infant incubators, and essential

Consumables amounting to about 35 items. 

Among the items highlighted were

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Emergency Health Equipment (EHE) sets, nebulizer sets, and medical-grade towels.

The Health Minister acknowledged the difficult working conditions health professionals continue to endure and emphasized that government efforts alone would not be enough to resolve systemic issues. 

He called for unity across the health sector and urged all stakeholders, including medical doctors, nurses, and pharmacists, to work together to ensure that the country’s limited resources are used efficiently.

He noted that the wellbeing of the ordinary Ghanaian should be central to healthcare delivery, cautioning against practices that marginalize the underprivileged due to resource scarcity. According to him, every Ghanaian life is valuable, and the system must reflect that belief in both policy and practice.

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Mr.Akandoh stressed that his leadership approach is rooted in humility, collaboration, and respect for all health workers. While acknowledging that change may come with challenges, he maintained that cooperation is key to achieving lasting improvements in the sector.

The Minister pleaded with health professionals in the Tamale Teaching Hospital to call off the strike and regroup to strategize on more effective ways to address their concerns through dialogue and collaboration with relevant authorities.

The donation to the Tamale Teaching Hospital forms part of a broader national initiative to modernize medical infrastructure and enhance service delivery in Ghana’s healthcare.

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