Ahanta West Research Articles

Modelling the cost of engage & treat and test & treat strategies towards the elimination of lymphatic filariasis in Ghana.

Despite several years of LF-MDA implementation, Ghana still has some districts with mf prevalence >1%, partly due to poor treatment coverage levels resulting from non-participation in MDA. To address the challenges, we implemented an Engage & Treat (E&T) and Test & Treat (T&T) strategies for individuals who miss or refuse MDA respectively, in a hotspot district, enabling us to reach many of those who seldom, or never, take part in MDA. This financial cost study was undertaken to analyse data on the LF-MDA, E&T and T&T implementation in 2021 and the financial cost to inform the rollout of the E&T and T&T as mop-up strategies in future LF-MDAs. This costing study analysed cost data from the 2021 LF-MDA implementation activities carried out by the Neglected Tropical Diseases (NTD) programme of the Ghana Health Service and the SENTINEL study, carried out in Ahanta West district for the two interventions (i.e., E&T and T&T). The 2021 Ghana Population and Housing Census data was used to estimate the LF-MDA-eligible population. The financial cost per person treated was estimated and these costs were applied to the projected population to obtain the financial cost for subsequent years. Implementing MDA mop-up strategies either through the E&T or T&T to improve coverage comes at an additional cost to the elimination goals. For example, in 2024 the projected cost per person treated by the routine LF-MDA is estimated at US$0.83. The cost using the integrated LF-MDA and the E&T, T&T led by the NTD programme or T&T integrated into the health system was estimated at US$1.62, US$2.88, and US$2.33, respectively, for the same year. Despite the increased cost, the proposed combined LF-MDA and mop-up strategies will have a higher estimated population treated for 2024 (i.e., 1,392,211) compared to the routine LF-MDA approach (i.e., 988,470) for the same year. Combining LF-MDA with E&T/T&T mop-up strategies, despite their high costs, may provide NTD Programmes with the options of improving treatment coverage and reaching the LF elimination target sooner, given that the routine LF-MDA alone approach has been implemented for many years with some districts yet to reach the elimination targets.

Evaluation of natural radioactivity levels and related radiological hazards in marine sediment samples taken from Ahanta West in the Gulf of Guinea, Ghana

Evaluation of natural radioactivity levels and related radiological hazards in marine sediment samples taken from Ahanta West in the Gulf of Guinea, Ghana

Modeling of <sup>137</sup>Cs Dispersion in the Atlantic Ocean at Ahanta West Coast: A Hypothetical Candidate Site for Ghana’s First Nuclear Power Plant

The government of Ghana has the intention of adding nuclear to its energy mix. Due to water availability for cooling, the coastal areas will be the right place for siting a nuclear power plant. This study was carried out to assess the distribution of 137Cs should liquid radioactive waste be released into coastal waters because of a non-routine event. The distribution was studied for the first month after the release. In the first week following the release, 137Cs was distributed within 16 km of the Ahanta West coastal waters with a concentration of about 9.1 Bq. L-1. On the seventh day, the distribution reached the entire coast of the Nzema East with a lower concentration with the bulk of the concentration still in the Ahanta waters. The 137Cs continued to spread into the eastern coast until the thirty-first day with a concentration of less than 1 Bq. L-1. This study provides useful data for future monitoring along the coast.

Knowledge and perceptions of lymphatic filariasis patients in selectedhotspot endemic communities in southern Ghana.

Lymphatic filariasis (LF) is a mosquito-borne neglected tropical disease that is one of the leading global causes of permanent disability. To date, LF interventions have been largely biomedical, focusing on drug treatments to disrupt parasite transmission and manage disease morbidity. Although important, these Mass Drug Administration (MDA) programs neglect the significance of socio-economic burden to the health of LF patients, which are compounded by social stigmatization, discrimination and associated depressive illnesses. The MDA program also typically fails to engage with local community beliefs and perceptions of LF, which may differ markedly from biomedical explanations and may have fueled non-compliance to treatments which is one of the major challenges of the Mass Drug Administration program. LF is not only a biomedical issue but also a social issue and LF interventions need to understand people's world views and the contexts through which they interpret bodily maladies. Hence, an effective LF intervention must bring together both the biomedical and the social components. The goal of this exploratory study was to assist in refining a large qualitative study (currently underway) that seeks to integrate culturally appropriate LF interventions into current LF control programs in Ghana. In this paper, we discuss the findings of a pre-intervention, exploratory study aimed at gaining a baseline grasp of a local culturally informed understanding of lymphatic filariasis and the knowledge gaps looking at three endemic Ghanaian communities in the Ahanta West District. A structured questionnaire was employed to assess the wellbeing, social inclusion, and cultural understanding of LF with a geographic focus within LF-endemic areas in Ghana. Interestingly, 45.8% of the 72 participants reported to have received information about LF from health care providers and the MDA program but only 5 out of the 72 (6.9%) respondents believed that LF was transmitted by mosquitos. This baseline study revealed several alternative interpretations and misconceptions about the disease, as well as the social and economic impacts, and importantly, the need to integrate qualitative research to develop culturally appropriate interventions and increase engagement with existing control programs.

Antibiotic resistance and mecA characterization of Staphylococcus hominis from filarial lymphedema patients in the Ahanta West District, Ghana: A cross-sectional study.

Filarial infections affect over 150 million people in the tropics. One of the major forms of filarial pathologies is lymphedema; a condition where the immune response is significantly altered, resulting in changes in the normal flora. Staphylococcus hominis, a human skin commensal, can also be pathogenic in immunocompromised individuals. Therefore, there is the possibility that S. hominis could assume a different behavior in filarial lymphedema patients. To this end, we investigated the levels of antibiotic resistance and extent of mecA gene carriage in S. hominis among individuals presenting with filarial lymphedema in rural Ghana. We recruited 160 individuals with stages I-VII lymphedema, in a cross-sectional study in the Ahanta West District of the Western Region of Ghana. Swabs from lymphedematous limb ulcers, pus, and cutaneous surfaces were cultured using standard culture-based techniques. The culture isolates were subjected to Matrix-Assisted Laser Desorption/Ionization Time of Flight (MALDI-TOF) mass spectrometry for bacterial identification. Antimicrobial susceptibility testing (AST) was performed using the Kirby-Bauer method. mecA genes were targeted by polymerase chain reaction for strains that were cefoxitin resistant. In all, 112 S. hominis were isolated. The AST results showed resistance to chloramphenicol (87.5%), tetracycline (83.3%), penicillin (79.2%), and trimethoprim/sulphamethoxazole (45.8%). Of the 112 strains of S. hominis, 51 (45.5%) were resistant to cefoxitin, and 37 (72.5%) of the cefoxitin-resistant S. hominis haboured the mecA gene. This study indicates a heightened level of methicillin-resistant S. hominis isolated among filarial lymphedema patients. As a result, opportunistic infections of S. hominis among the already burdened filarial lymphedema patients in rural Ghana may have reduced treatment success with antibiotics.

Multi-drug resistant bacteria isolates from lymphatic filariasis patients in the Ahanta West District, Ghana

BackgroundAntimicrobial resistance is associated with increased morbidity in secondary infections and is a global threat owning to the ubiquitous nature of resistance genes in the environment. Recent estimate put the deaths associated with bacterial antimicrobial resistance in 2019 at 4.95 million worldwide. Lymphatic filariasis (LF), a Neglected Tropical Disease (NTD), is associated with the poor living in the tropical regions of the world. LF patients are prone to developing acute dermatolymphangioadenitis (ADLA), a condition that puts them at risk of developing secondary bacterial infections due to skin peeling. ADLA particularly worsens the prognosis of patients leading to usage of antibiotics as a therapeutic intervention. This may result in inappropriate usage of antibiotics due to self-medication and non-compliance; exacerbating antimicrobial resistance in LF patients. In this perspective, we assessed the possibilities of antimicrobial resistance in LF patients. We focused on antibiotic usage, antibiotic resistance in Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa isolates and looked at genes (mecA and Extended-spectrum beta-lactamase [blaCTX-M, blaSHV and blaTEM]) coding for resistance in multi-drug resistant (MDR) bacterial isolates.ResultsOf the sixty (60) participants, fifty-four (n = 54, 90%) were within 31–60 years of age, twenty (n = 20, 33.33%) were unemployed and thirty-eight (n = 38, 50.67%) had wounds aged seven (7) months and above. Amoxicillin (54%) and chloramphenicol (22%) were the most frequently used antibiotics for self-medication. Staphylococcus aureus isolates (n = 26) were mostly resistant to penicillin (n = 23, 88.46%) and least resistant to erythromycin (n = 2, 7.69%). Escherichia coli isolates (n = 5) were resistant to tetracycline (n = 5, 100%) and ampicillin (n = 5, 100%) but were sensitive to meropenem (n = 5, 100%). Pseudomonas aeruginosa isolates (n = 8) were most resistant to meropenem (n = 3, 37.50%) and to a lesser extent ciprofloxacin (n = 2, 25%), gentamicin (n = 2, 25%) and ceftazidime (n = 2, 25%). Multi-drug resistant methicillin resistant Staphylococcus aureus (MRSA), cephalosporin resistant Escherichia coli and carbapenem resistant Pseudomonas aeruginosa were four (n = 4, 15.38%), two (n = 2, 40%) and two (n = 2, 25%) respectively. ESBL (blaCTX-M) and mecA genes were implicated in the resistance mechanism of Escherichia coli and MRSA, respectively.ConclusionThe findings show presence of MDR isolates from LF patients presenting with chronic wounds; thus, the need to prioritize resistance of MDR bacteria into treatment strategies optimizing morbidity management protocols. This could guide antibiotic selection for treating LF patients presenting with ADLA.

A Comparative Study of Lymphatic Filariasis-Related Perceptions among Treated and Non-Treated Individuals in the Ahanta West Municipality of Ghana.

Background: Ghana joined the Global Programme to Eliminate Lymphatic Filariasis (GPELF), established in the year 2000, with the aim of eliminating the disease as a public health problem through annual mass treatment of entire endemic populations. Since 2001, the country has implemented mass drug administration (MDA) in endemic districts, with great reductions in the population at risk for infection. However, in many districts, the elimination programme is faced with the presence of hotspots, which may be due in part to individuals not taking part in MDA (either intentionally or unintentionally) who may serve as reservoirs to sustain transmission. This paper compares the LF-related perceptions among individuals who regularly take the MDA drugs and those who seldom or never take part in the MDA in the Ahanta West Municipality of Ghana to determine community acceptable ways to implement an intervention aimed to track, engage, and treat individuals who regularly miss MDA or to test individuals who intentionally refuse MDA and treat them if positive for LF. Methods: This was a mixed method study employing questionnaire surveys and focus group discussions (FDG) for data collection. Survey participants were randomly selected from the 2019 treatment register to stratify respondents into treated and non-treated groups. FGD participants were selected purposively such that there are at least two non-treated persons in each discussion session. Results: Over 90% of the respondents were aware of the disease. Poor hygiene/dirty environment was wrongly reported by most respondents (76.8%) as the causes. MDA awareness was very high among both treated (96.9%) and non-treated (98.6%) groups. A low sense of vulnerability to LF infection was evident by a reduction in the number of people presenting clinical manifestations of the disease in communities. Slightly more, 65 (29.0%) of the non-treated group compared to the 42 (19.4%) treated group reported ever experiencing adverse effects of the MDA drugs. Barriers to MDA uptake reported in both groups were poor planning and implementation of the MDA, lack of commitments on the part of drug distributors, and adverse drug reactions. About 51% of the non-treated group reported never taking the drugs even once in the last five years, while 61% among the treated group took the MDA drug consistently in the past five years. Respondents in both groups believed that, when engaged properly, most non-treated persons will accept to take the drug but insisted community drug distributors (CDDs) must be trained to effectively engage people and have time for those they will be engaging in dialogue. The chiefs emerged as the most influential people who can influence people to take MDA drugs. Conclusions: The reduction in risk perception among respondents, adverse reactions and the timing of MDA activities may be influencing MDA non-participation in the study area; however, respondents think that non-treated individuals will accept the interventions when engaged properly by the CDDs.

Finding and eliminating the reservoirs: Engage and treat, and test and treat strategies for lymphatic filariasis programs to overcome endgame challenges

Many lymphatic filariasis (LF) endemic countries, including Ghana, have successfully implemented mass drug administration (MDA) and made significant progress towards the elimination of the disease as a public health problem. Unfortunately, the existence of individuals who seldom or never take part in MDA pose a threat to this success, as they may serve as reservoirs of infection, re-infecting their communities. In this study we implemented strategies to identify and treat these individuals, while also assessing their level of infection, to inform programme actions. The study was undertaken in the Ahanta West hotspot district in Ghana, which has received more than 17 rounds of MDA. Through the community registers used in recording participation in MDAs, we identified and offered treatment to individuals who were ineligible or inadvertently missed the last MDA in April 2021 (Engage and Treat – E&T), or testing using the filariasis test strip followed by treatment to community members who for various reasons chose not to participate in the last MDA (Test and Treat – T&T). During the study, 23,879 individuals ranging from 5 to 98 years were reached, of whom 78% were not captured in the MDA register. Among the E&T group, 75.06% willingly received and swallowed the treatment drugs. The remaining 24.94% were offered testing followed by a re-engagement to receive the drug in the T&T group. Overall, 22,830 (95.61%) of participants were treated by either strategy. Of the participants in the T&T group, 516 (8.66%; 95% CI= 7.96 – 9.41) were positive by the FTS. The highest antigen prevalence was detected among children 5 to 10 years, with 16.59% (95% CI= 12.02 – 22.06) and 22.54% (95% CI= 17.11 – 28.74) among females and males, respectively. Mapping of the data revealed that most infections are in a few select communities. Of the 516 FTS positives, 27.33% reportedly missed MDA once, 18.41% missed MDA twice and 54.26% missed all of the last three MDAs. The main reasons for missing MDA included absence (25.49%), travel (21.24%), being unaware of MDA (20.27%), refusals to take the drug (10.65%), illnesses (7.07%) and fear of adverse events (6.13%). This study demonstrates that greater sensitization and engagement strategies, with a test and treat strategy reserved for the most hesitant individuals, could significantly increase the number of individuals who receive treatment and therefore help districts reach their elimination targets by reducing the remaining reservoir or infection. NTD programmes require new tools to help them identify, engage and treat these individuals, as part of their overall monitoring and evaluation strategy.

Bacterial diversity significantly reduces towardthe late stages among filarial lymphedema patients in the Ahanta West District of Ghana: A cross-sectional study.

BackgroundLymphatic Filariasis (LF), a neglected tropical disease, has been speculated to be complicated by secondary bacteria, yet a systematic documentation of these bacterial populations is lacking. Thus, the primary focus of this study was to profile bacteria diversity in the progression of filarial lymphedema among LF individuals with or without wounds.MethodsA cross‐sectional study design recruited 132 LF individuals presenting with lymphedema with or without wounds from eight communities in the Ahanta West District in the Western Region, Ghana. Swabs from the lymphedematous limbs, ulcers, pus, and cutaneous surfaces were cultured using standard culture‐based techniques. The culture isolates were subsequently profiled using Matrix‐assisted Laser Desorption/Ionization Time of Flight Mass Spectrometry.ResultsOf the 132 LF participants recruited, 65% (85) had filarial lymphedema with no wounds. In total, 84% (235) of the bacterial isolates were identified. The remaining 16% (46) could not be identified with the method employed. Additionally, 129(55%) of the strains belonged to the phylum Firmicutes, while 61 (26%) and 45 (19%) represented Proteobacteria and Actinobacteria, respectively. Generally, irrespective of the samples type (i.e., wound sample and non‐wound samples), there was a sharp increase of bacteria diversity from Stages 1 to 3 and a drastic decrease in these numbers by Stage 4, followed by another surge and a gradual decline in the advanced stages of the disease. The Shannon Diversity Index and Equitability for participants with and without wounds were (3.482, 0.94) and (3.023, 0.75), respectively. Further, Staphylococcus haemolyticus and Escherichia coli showed resistance to tetracycline, chloramphenicol, and penicillin.ConclusionThe present study reveals a sharp decline in bacterial load at the late stages of filarial lymphedema patients. In addition, we report an emerging antimicrobial resistance trend of S. haemolyticus and E. coli against commonly used antibiotics such as tetracycline, chloramphenicol, and penicillin in communities endemic for LF in the Ahanta West District, Ghana. This could pose a huge challenge to the management of the disease; particularly as current treatments are not quite effective against the infection.

Multivariate analysis of abundance and distribution of fish species in coast of Ghana, West Africa

Marine fishes are currently experiencing population decline which has severe repercussions on food security, especially in fishing households. However, without assessing the distribution and abundance of these marine fishes, ensuring sustainable management will become impossible. Therefore, the study aimed at applying multivariate techniques to determine the biodiversity of fishes along the coast of Ahanta West, Ghana. Fish samples were collected daily through experimental fishing from November-December, 2011. Data obtained from the study were analyzed for ecological indices, species diversity, and community structure using PAST and PRIMER v6 software. From the results, Pteroscion peli (19.2%), Galeoides decadactylus (11.7%), and Brachydeuterus auritus (9.0%) were the dominant fishes. Multivariate analysis identified three main assemblages of fishes, at 18%. For the ecological indices, the species dominance index (SDI) ranged from 0.89 to 0.93, which indicated that the fish species were highly dominated by a few species. The Shannon Weiner index (SWI) and Species Richness index (SRI) spanned between 2.64 – 2.92 and 4.43 – 648 respectively, showing high diversity of fish species. It is concluded that the marine environment along the Ahanta West, Ghana is rich in fish species diversity, and hence, there is the need to regulate existing fishing operations for sustainable utilization and conservation of these commercially important fish species.
 Res. Agric., Livest. Fish.9(1): 57-59, April 2022

Impact of Assessment as Learning on Attitudes towards Mathematics of Senior High School Students in Ahanta West and Mpohor Districts

Students’ attitude towards learning of mathematics has been of interest to both mathematics educators and other stakeholders. This is because students’ achievement and attitude have been described to like the siemese twin; almost impossible to separate. The concerns have been on how to improve students’ attitude towards mathematics. The study examined the impact of assessment as learning on attitudes on mathematics among Senior High School students in Ahanta West and Mpohor Districts. Quasi-experimental pre-test/ post-test control group design was adopted for the study. Multi-stage sampling techniques were applied to generate a sample of 81 participants comprising 32 in the experimental group and 49 in the control group. A questionnaire was mainly used for the data collection. A questionnaire on attitudes was administered students to determine classes with no significant difference in attitudes towards Mathematics. Then a training package with assessment as learning and a similar package with the traditional assessment methods were administered to the Experimental group and control group respectively. Finally, post intervention questionnaire on attitudes were administered to both groups. The results revealed SHS students in the experimental group have positive attitudes towards mathematics than those in the control group. Also gender has no significant effect on attitude towards mathematics in the face of assessment as learning.

COVID-19 related perception among some community members and frontline healthcare providers for NTD control in Ghana

IntroductionThe Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a major breakdown of health service provision in the fight against neglected tropical diseases (NTDs). COVID-19 may impact NTDs service delivery in varied ways. As the Ghana NTD programme planned to resume MDA activities, we examined the COVID-19 related perceptions and practices among some community members and frontline health workers for NTD control activities in the country.MethodsThe study was conducted in seven communities in the Ahanta West district of Ghana. This was a qualitative study using in-depth interviews (IDI) and focus group discussions (FGDs) for data collection. Participants were purposively selected from varied backgrounds to represent both beneficiaries and service providers directly involved in NTD programme implementation. Trained and experienced qualitative data collectors conducted the FGD and IDI sessions in the local Twi language, while health worker sessions were conducted in English. Discussions were audio-recorded and transcribed directly into English. Data was analysed using an iterative process. The transcripts were pre-coded using the broad themes, entered into a computer using Microsoft Word, and then imported into the MAXQDA software for thematic content analysis to select relevant representative narratives for presentation.ResultsParticipants were aware of the COVID-19 pandemic and referred to it appropriately as ‘coronavirus’, COVID-19, and often as ‘the new disease’. Though many respondents could not describe the route of transmission, most of them reported that it is transmitted through touch or sharing of common items. They reported some signs/symptoms like fever, headache and difficulty breathing, and prevention methods like the use of hand sanitiser, washing of hands and sneezing appropriately. Respondents have reported that COVID-19 has negatively affected their daily lives by limiting their movements and therefore work. It also came to light that COVID-19 has also negatively affected the NTD programme implementation, especially mass drug administration (MDA) activities, leading to the postponement of the yearly MDA. The COVID-19 pandemic has negatively affected clinic attendance; people are afraid that they may be tested for COVID-19 at the clinic.ConclusionCOVID-19 has negatively affected the NTD programme. Education and the provision of personal protective equipment will be required to build the confidence of frontline care providers including community drug distributors and community members in order to enhance quality service and participation in future MDA activities.

Performance Assessment: Effective Tool Closing Academic Achievement Gap Between High and Low Ability Students

Globally, bridging the achievement gap between low and high ability students in examinations have been the goal of educators. Academic achievement disparities among students have been one of the major reasons bedeviling the attainment of target by many schools in external examinations. This study aimed at using performance assessment to narrow the gap between high and low ability students’ achievement in tests. The descriptive survey was used to gather data from a 234 JHS students in Ahanta West Municipality obtained from a multi-stage sampling procedure. Teacher-made achievement tests were used to collect the data and were analysed with descriptive statistics and multivariate analysis of variance. Results of the analyses revealed that both high and low ability JHS students’ achievements in tests were improved when assessed with performance assessment. It was concluded that educators at JHS should be in the known that performance assessment is the tool for closing gaps between high and low ability students’ achievements in examinations. Therefore, assessors at the JHS level should adapt and integrate high percentage of performance assessment tasks in assessing students in order to close the gap between the low and high ability students’ achievement in the tests and examinations.

Prevalence of Methicillin-Resistant Staphylococcus Species Among Filarial Lymphedema Patients in Ahanta West District of Ghana

BackgroundFilarial pathologies such as lymphedema may be associated with complications such as chronic non-healing wounds. Nonetheless, the role of bacterial population colonizing the lymphedematous legs has been posited to worsen the conditions of those living with the infection. These bacteria are usually composed of staphylococcal species partly because they are commensals. Thus, this present study sought to type the methicillin-resistant Staphylococcus aureus (MRSA) prevalence among individuals presenting with filarial lymphedema, particularly as MRSA tends to affect treatments options.MethodsWe recruited individuals (n = 321) with stages I–VII of lymphedema in a cross-sectional study in the Ahanta West district of the Western Region of Ghana. Swabs from lymphedematous limb ulcers, pus, and cutaneous surfaces were cultured using standard culture-based techniques. The culture isolates were later identified using Matrix-assisted Laser Desorption/Ionization Time of Flight (MALDI-TOF) mass spectrometry.ResultsA total of 192 Staphylococci species were isolated, with an overall prevalence of 39.7% (95% CI: 35%–44%; N = 483). S. hominis was the most prevalent species (23.95%), followed by S. haemolyticus (20.83%), S. epidermidis (15.10%), S. aureus (10.41%), and S. saprophyticus (9.32%). The remaining 20.34% were distributed among S. wanneri, S. sciuri, S. pasteuri, S. xylosus, S. simulans, S. cohnii, S. caprae, S. lugdunensis, and S. capitis. MRSA, containing mecA gene, was detected in 21 out of 31 Staphylococci isolates tested, with an overall prevalence of 68% (95% CI: 51%–84%). In addition, a virulent gene, Panton–Valentine leukocidin (PVL), which is usually associated with S. aureus, was detected in 20/31 (64.5%) S. aureus in the study.ConclusionThese results suggest that MRSA species may pose a challenge to the treatment of filarial lymphedema with antibiotics particularly, as doxycycline is currently being piloted in some endemic areas to treat the infection. Thus, intensive antimicrobial resistance surveillance should be conducted in endemic areas by health authorities to forestall the dilemma of multidrug resistance not only against lymphatic filariasis (LF) infection but other diseases.

Socioeconomic Factors Hindering Access to Healthcare by Persons with Disabilities in the Ahanta West Municipality, Ghana

Disability, CBR and Inclusive Development aims to enhance knowledge in the field of disability and inclusive development, addressing the needs of practitioners, policy makers, DPOs and the scientific community.

Causes and suggested remedies to taro endangerment in four regions of Ghana

BackgroundMany plant species worldwide cultivated for food have been neglected and are being underutilized despite their crucial contributions to food security, nutrition and income generation to rural citizens, leading to a nearly permanent diet deficiency. Taro (Colocasia esculenta (L.) Schott), an important food crop in the family Araceae, is one of the neglected species. This study therefore focused on identifying potential challenges mitigating taro production and utilization in taro-producing areas of Ghana and to formulate recommendations for overall increased production and utilization of the crop. The study was conducted in Ahanta West Municipal, Dormaa Municipal, Kumasi Metropolitan and East Akim Municipal in the Western, Bono, Ashanti and Eastern Regions of Ghana, respectively. These districts were ever known for taro production in Ghana. Well-structured questionnaires were used to collect information on ethnobotany of taro, possible causes of taro endangerment and remedies to combat them from farmers, traders and consumers.ResultsThe survey revealed different vernacular names for taro, and the corm was the main part used as food. The corms were usually boiled before eaten. Major recipes of taro identified were “Puree and Ampesi.” The study revealed that taro was mainly cultivated on marginal soils as well as near water bodies. Taro was largely cultivated on subsistence scale. The study also revealed that utilization as food and tool of trade has reduced drastically. Major causes of taro extinction reported included: lack of healthy planting materials, unavailability of consumable corms and disease [Taro leaf blight disease(TLBD)] of the crop.ConclusionIt was suggested that the release of cultivars which are resistant to the TLBD and publication of the nutritional benefits of the crop could revive the cultivation and utilization of the crop.

Concentration of heavy metals in two fish species (Cynoscion regalis and Pomatomus saltatrix) from an oil drilling area in Western Coast of Ghana and public health risk assessment

This study assessed heavy metals (Lead (Pb), Nickel (Ni), Iron (Fe), Chromium (Cr), and Cadmium (Cd)) concentration in water (from borehole, hand-dug well and the sea) and fish (Cynoscion regalis and Pomatomus saltatrix species) and possible health risk exposure by the consumption of these fishes. A total of 18 samples of water and samples of two species of fish (C. regalis and P. saltatrix) were collected from Jomoro, Ellembelle and Ahanta West District and analyzed for the concentration of Pb, Ni, Fe, Cr, and Cd using Atomic Absorption Spectrometer (AAS). Results revealed appreciable concentrations of Pb, Ni, and Fe in the fish muscle and Ni, Cr, and Fe in water. Cadmium and Cr were not detected in the fish samples. Heavy metals in fish increased in the order Pb < Ni < Fe. The Estimated Daily Intake of fish value for adult ranged 1.88 x 10-3 to 2.03 x 10-1 (mg/kg bw/day), however, those for children were 4.40 x 10-3 to 4.74 x 10-1(mg/kg bw/day). For health risk assessment, the Total Targeted Hazard Quotient for adults was < 1; however, those for children were >1 for C. regalis but less than 1 (< 1) for P. saltatrix meaning children who consume C. regalis are exposed to health risk in their life time. The results confirmed that contaminated environments could result in bioaccumulation of metal pollutants in fish's muscle, which poses a health risk to humans when consumed. Awareness and education of the general public on the threshold of heavy metals in fish and water are crucial to safeguard against health risks.

Financial burden impact quality of life among lymphatic Filariasis patients

BackgroundHuman lymphatic filarial pathology is the leading cause of disability and poverty among people living with the infection. The second goal of the Global Programme to Eliminate Lymphatic Filariasis (GPELF) is to manage the disease’s morbidity to improve patients’ quality of life. Consequently, the current study assessed the overall quality of life of lymphatic filariasis (LF) pathology patients in some selected endemic communities in rural Ghana.MethodIn the present study, the Lymphatic Filariasis Quality of Life Questionnaire (LFSQQ) was used to evaluate the effect of lymphatic filariasis on the quality of life of people, with the disease in nine (9) communities in the Ahanta West District of the Western Region of Ghana where mass drug administration is being implemented for the past twenty years. Pearson’s correlation, linear regression, and one-way analysis of variance (ANOVA) analyses were used to assess the associations between the LFSQQ instrument domains.ResultsOf the 155 study participants recruited, 115 (74.19%) were females, and 40 (25.81%) males. A greater proportion of the study participants (40, 25.8%) were presented with stage two (2) lymphoedema, while only two patients had stage seven (7) lymphoedema. The average of the overall quality of life scores of study participants was 68.24. There was a negative Pearson correlation (r = − 0.504, p-value < 0.001) between the stage of lymphoedema (severity of the disease) and the quality of life of the LF patients. In addition, a clear pattern of positive correlation (r = 0.71, p-value < 0.001) was observed between the disease burden and pain/discomfort domains of the study participants. Whereas the highest domain-specific score (85.03) was observed in the domain of self-care, we noted that the environmental domain, which consists of the financial status, was the lowest (45.94) among the study participants.ConclusionOur findings support previous works on the reduced quality of life among lymphatic filariasis patients with pathology. In this study, our results reveal a depressing financial condition among people presenting with late stages of LF pathologies, which eventually reduces their well-being.

Geotechnical and Geochemical Assessment of Natural Sands in Ahanta West Area, Southwestern Ghana

Geotechnical and geochemical assessment of natural sands being used as fine aggregates for construction purposes in Ahanta West and its Environs was carried out, as well as addressing the environmental problems associated with the exploitation of these sand through the sand winning activities. The results from geotechnical and geochemical tests were bench marked with British, American and Ottawa Standards for testing materials. Representative samples were taken from five different sand winning sites namely, Pompuni, Agona Banso, Fretsi, Tumentu stream and Fretsi river. The geotechnical tests carried out were specific gravity, grain size analysis, moisture content, silt content, permeability test using the constant head permeameter method. The photometer (Hydro Test HT 1000) was used to determine silica, sulphate and chloride concentrations in the sand samples. The oxides for the geochemical analysis were determined using the X-ray fluorescence (XRF) method. The results from the study areas showed that except for Fretsi, the specific gravity, grain size analysis, moisture content, silt content and permeability tests were within the acceptable range for natural sands. Sand samples from Pumponi and Agona Banso had the required Cu and Cc values of being well graded. Sulphate and chloride concentrations were within standards for all the samples; however, silica was low for all the samples. Fe2O3, Al2O3, MnO and Na2O did not meet the Ottawa sand standard. Natural sand is not recommended to be used for construction purposes however, these sands may be treated or blended if it is to be used for construction purposes. There are serious environmental implications for the sand-winning activities in the study areas such as stripped overburden, creation of pits and ponds, increased total suspended solids in surface waters, and destruction of aquatic habitats which needs to be addressed.

Influence of seasonal variation on reported filarial attacks among people living with lymphedema in Ghana

BackgroundLymphatic Filariasis (LF) is a vector-borne neglected tropical disease caused by the filarial nematode parasites that can lead to the disfiguring swelling of the limbs (lymphedema or elephantiasis for late stage) and/or genitalia (hydrocele) in men. Growing evidence suggests that not only are filarial lymphedema patients confronted with huge societal stigma and discrimination, but also experience acute filarial attacks accompanied by swelling of the affected part(s), fever, wounds and peeling of the skin of affected limbs(s). However, the extent to which seasonal variation influence filarial attacks among people with lymphedema was highly speculated without empirical evidence and was thus investigated.MethodsIn light of this, a cross-sectional study where 142 (70.4% females and 29.6% males) lymphedema patients were recruited from 8 established Wuchereria bancrofti endemic communities in the Ahanta West District, Ghana was carried out to investigate the prevalence and seasonal variation (rainy/wet and dry seasons) of acute filarial attacks. Chi-square test was used to test for association between frequency of attacks and seasonality. The STROBE guidelines for reporting cross-sectional studies was adopted.ResultsThe average lymphedema leg stage was 2.37 and 2.33 for left and right legs, respectively, while mossy lesions, sores and ulcers were observed among 33.1% of patients with late stage disease (elephantiasis). It was found that 97 (68.3%) of the study participants experience filarial attacks during the wet season and 36 (25.4%) reported the incidence of filarial attacks during both seasons (wet and dry) while 9 (6.3%) of the study participants did not experience any attack at all.ConclusionsFindings from the present study show compelling evidence that the frequency and the prevalence of filarial attacks is significantly increased during wet seasons compared to the dry season.