METRO PUBLIC HEALTH DEPARTMENT INTRODUCTION The Department of Metro Public Health was set up to promote and safeguard Public Health. It represents totality of all services required to promote an environment that will allow residents to thrive well, physically, mentally and socially. This is done by various strategies to ensure that abatements of any condition of nuisance in the environment that is likely to be injurious to health or an eyesore to public are executed. VISION: That individuals, households and various communities in Accra will in not too distant future understand sanitation as a way of life and adopt healthy lifestyles that ensure clean and healthy living environment. MISSION STATEMENT The Metro Public Health Department exist to support individuals, households and families: business enterprises industries and other organizations and communities (strategically, technically and logistically) to maintain a quality of living that is expressed in the clean home, the clean farm and clean business and industry, the clean neighbourhood and clean community and to ensure that health regulations and standards are complied with. PROGRAM GOALS 1. To abate nuisance in all types of premises 2. To ensure that food for consumption is not contaminated an does not produce adverse health effects 1
Transcript
METRO PUBLIC HEALTH DEPARTMENT INTRODUCTION The Department of Metro Public Health was set up to promote and safeguard Public Health. It
represents totality of all services required to promote an environment that will allow residents to
thrive well, physically, mentally and socially. This is done by various strategies to ensure that
abatements of any condition of nuisance in the environment that is likely to be injurious to health
or an eyesore to public are executed.
VISION:That individuals, households and various communities in Accra will in not too distant future
understand sanitation as a way of life and adopt healthy lifestyles that ensure clean and healthy
living environment.
MISSION STATEMENT The Metro Public Health Department exist to support individuals, households and families:
business enterprises industries and other organizations and communities (strategically,
technically and logistically) to maintain a quality of living that is expressed in the clean home, the
clean farm and clean business and industry, the clean neighbourhood and clean community
and to ensure that health regulations and standards are complied with. PROGRAM GOALS
1. To abate nuisance in all types of premises
2. To ensure that food for consumption is not contaminated an does not produce adverse
health effects
3. To communicate with individuals and households as well as public officials about the
requirement to maintain clean, safe and healthy environment
4. To develop a public health information system
OBJECTIVES To improve environmental Health in the sub metros
To help control communicable disease.
To control stray animals in sub metro.
To help solve all problem contributing to the poor food hygiene and that of food vendors
To enforce sanitary regulations in the sub metro..
STRATEGIES: 1
The strategies for achieving the stated objectives include:
1. Assignment of Environmental Health Officers to Town Councils / Electoral Areas, and
Prosecutors to the Sub-Metros.
2. Frequent Orientation to Environmental Health Officers.
3. Intensification of premises inspections.
4. Provision of logistics.
FUNCTIONS / STRUCTURE: .Correcting, modifying, prevent factors predisposing to hazard in the environment
Services provided by the Department as deduced from the Local Government
Established Instrument 1995 (Li 1615) and Environmental Sanitation Policy 1999
Health aspect of housing and construction facilitate improve sanitation
Maintain standard of Waste Management within premises
Hygiene education.
Food safety and water purity
Disease and pest vector control
Enforcement of sanitation bye-laws of A.M.A.
Abatement of all other environmental nuisances e.g. Noise, heat, smoke, structures
and facilities within trade and or business within premises.
These services and programs are grouped in three (3) units with three technical heads who
monitor and supervise activities.
ENVIRONMENTAL PROTECTION & STANDARD
ENFORCEMENT
FOOD & WATER HYGIENE
ENVIRONMENTAL HEALTH PROMOTION
Premises Inspection Market Sanitation School Health Control Stray Animals Food Establishments Community Mobilization Pest & Vector Control Meat & Fish Hygiene Public Relations &
Complaints Disposal of the Dead Livestock & Poultry Mg’t Research & MIS Prosecutions Control of Fresh
Vegetables Healthy Public Policies
Industrial Pollution Control Training & Skills Development
Environmental Monitoring Sub-Metros etc. Monitoring of ES
Services Building Sanitation Hospital Sanitation
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ORGAN OGRAM
DI
TRAINING NEEDS
Training on new standards set
Training in urban management
Enhancing inspection skills, monitoring Supervision and evaluation
Public health law and practice improvement - (prosecution )
Up –grading knowledge in public health information system and ( ICT )
PAN LATRINES IN ACCRA
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NUISANCE CONTROL &STANDARD ENFORCEMENT PROGRAM (ENVIRONMENTAL PROTECTION & STANDARD ENFORCEMENT)
DIRECTOR
PUBLIC HEALTH INFORMATION PROGRAM (ENVIRONMENTAL HEALTH PROMOTION)
FOOD, DRUG & WATER HYGIENE & SAFETY PROGRAM
10 DEHO IN THE SUB -METROS
FIELD OFFICERS
FINANCE & ADMINISTRATION
Sub metro No as at December 2011
March 16, 2012
Remarks
La 25 0Ablekuma North
0 0
Ablekuma Central
41 2 In court
Ablekuma South
151 65 All processed for court
AshieduKeteke 53 53 All in Old Fadama
Ayawaso East 210 174 Processing for court
Ayawaso West 0 0Ayawaso Central
520 245 Processing for court
Okaikoi South 65 3 In courtOkaikoi North 0 0OsuKlottey 406 36 Processing for
courtTotal 1471 576
Before 31st. December 2010 there were 5080 houses using Pan Latrines in the City.By December 31st. 2011 the number had reduced to 1471 as a result of the massive prosecution exercise that the Department embarked on.
From January 2012 to March 16, 2012 the number has further reduced to 576. The objective is to reduce the number to zero by the end of June 2012 to coincide with the closure of the Lavender Hill.
ACHIEVEMENTS, CHALLENGES, ASSETS AND LIABILITIES OF THE METRO PUBLIC HEALTH DEPARTMENT FOR THE LAST FOUR (4) YEARS
The Metro Public Health Department whose responsibility it is to promote and protect the health of the city residents was confronted with many challenges. These challenges affected the departments’ output negatively. Fortunately, the last four years have brought with it a lot of achievement in the department.
Houses without Toilet.A survey the department conducted 3 years ago indicated that about 90% of the houses in the city were without toilets. People defecated indiscriminately into drains and open spaces. This attitude resulted in the frequent disease outbreak that the city experienced in the past. As a result the Assembly issued a directive to house owners to provide toilets in their houses within one year. Those who defaulted were prosecuted. Two years after the exercise, nearly 53% of houses in the city now have toilets
Conversion of Pan Latrines to WCs
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In 2010, there were 5080 pan latrines in the city. Through massive education and prosecution of these latrine operators, 4500 of them have converted to water closet.
Sanitation CourtsThe establishment of three (3) sanitation courts two years ago to deal with only sanitation cases has been acclaimed as one of the significant achievements of the Assembly. Before the setting up of these courts, all the sanitation cases were sent to the traditional courts for hearing. Because of the congestion at these traditional courts, sanitation cases suffered serious adjournments. This situation often resulted in delays. Some cases took as long as three years in the courts. With the establishment of the sanitation courts, cases are expeditiously dealt with and this has brought a lot of sanity in the city. In addition, the courts have generated millions of Ghana cedis into the consolidated funds through fines. There are plans to open one sanitation court in each of the remaining seven sub metros in the city.
Training of ProsecutorsConsequent to the opening of the sanitation courts in the city, the department trained 20 Environmental Health Officers as prosecutors for these courts. As a result, the long delays which were experienced in the traditional courts which often resulted in the escalation of insanitary situation in the city have now reduced drastically.
Supply of UniformsThe presence of the Environmental Health Officer in the community was not noticed. There was nothing to distinguish them from the rest of the public. This made their work very difficult as their authority was under played. Since 2010, all the Environmental Health Officers in the city have been supplied with two pairs each of white overcoat. This has enhanced their performance. Their presence is easily noticed and this deters people from committing sanitary offenses
The Polluter Pays System of Waste ManagementPerhaps the greatest achievement of the department is the role it played in the fee base waste management system (Polluter Pays Principle). The department assisted the waste management contractors to register households onto the system. Every sub metro has registered over 80% of its houses onto this system and many more are registering by the day. This method has significantly reduced the heap of rubbish which greeted the eye everywhere in the city in the past with the resultant disease outbreak.
Provision of Motobikes
The provision of motorbike to the DEHOs and DCOs has helped to make their work much easier. The DEHOs can now respond to complaints much faster than before and are able to cause the abatement of nuisances much faster.
Food HygieneThe food safety unit of the department has been able to restructure its activities. In the past all senior officers could sigh food certificates, proper records were not kept. Now only one officer assigned by the director to sign certificates. Proper up-to-date records are now kept in the department, 50% screening has been achieved.
Challenges
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Despite the achievements made by the department, there are still some challenges hampering its smooth running. The following are some of the challenges:
Lack of adequate number of Trained Environmental Health Officers.
The Department has only 120 trained Environmental Health Officers instead of the over 1000 the city requires. This makes it difficult for the few environmental Health officers to cover their various sub metros to enforce the sanitation bye-laws.
Mobility of the Environmental Health Officers
The few environmental Health officers have very wide coverage areas but lack motorbikes to do so. This situation makes their work very difficult. If these few officers are provided with motorbikes it will enhance their performance.
Office Accommodation
The department which is located away from the Head office lacks enough office accommodation for the various units under it. Offices are shared by officers. This situation negatively affects the performance of the staff. The new AMA building springing up at Tudu will greatly alleviate this situation.
Lack of Cells for the Sanitation Courts.
None of the three sanitation courts have a cell. Persons convicted are therefore always sent to Nsawam. This causes serious financial drain on the department as the people have to be transported to Nsawam on daily basis.
Lack of Vehicles for Bench Warrant Arrest and the Arrest of Stray Animals.
The sanitation courts have issued out many bench warrants for the arrest of sanitation offenders. Unfortunately, the department lacks vehicles to execute these arrests. There is therefore an urgent need for the department to acquire its own vehicle for this purpose.
The department does not have a vehicle for the arrest and impoundment of stray animals in the city. This means that the department would not be able to arrest and impound the numerous animals straying in the city easily.
Absence of a Hygienic Slaughter Facility.
The absence of a hygienic slaughter facility in the city has resulted in the indiscriminate slaughtering of animals under very unhyeginic conditions. This situation does not guarantee meat safety in the city. Immediate steps must be taken to provide a hyeginic slaughtering facility in the city.
Lack of space at the cemeteries for the disposal of the dead.
All the cemeteries are now full and very soon burials in the city will be impossible. A new site must be sought to address this situation.
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Existence of Old Fadama.
The very existence of Old Fadama posses a very big threat to the health of the city dwellers. The location of this community is unsuitable for human habitation. There is severe overcrowding with its attendant health risks. There is no running water, waste is disposed of unhygienically. The community still uses Pan Latrines which have been banned in Accra. Food is prepared under very unhygienic conditions and brought into the city and sold to the public. Noxious trade (such as burning of electronic materials to extract metals in them for sale) is carried out in this community. Thick smoke emerges from this activity, causing respiratory diseases and cancers in the city.
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METRO PUBLIC HEALTH DEPARTMENT-AMAANNUAL REPORT 2005
EAST AAWASO
Man Power DistributionRANK NO DESIGNATION
PEHO 1 DEHOEHO II 1 DEHO/FIELD OFFICERPEHA 1 FIELD OFFICERSEHA 6 “ “EHA 2 “ “
MALE 4 FEMALE 4
HUMAN RESOURCE ANALYSIS
a. AGE DISTRIBUTION 20 yrs – 35 yrs 3 36 yrs – 45 yrs 6 46 yrs – 55 yrs 2 56 and above Nil
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b. TRAINING PLANNED INTERNALLY
Health Promotion/Participatory Methods. Proposal Writing on Small Programs (Food Safety) Information Management Mosquitoes Control Computer Programme.
c. TRAINING undertaken In-service training in Premises Inspection One Officer was transferred to the sub-metro The Acting Director, MPHD paid an official visit to the sub-metro in 2005, as well as
official from the Regional Coordinating Council Complaint investigation for necessary action.
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Prosecution of cattle owners Prosecution of recalcitrant orange sellers Engagement of special four (4) men taskforce to control indiscriminate defeacation at
Kanda Clinton Park and the storm drain Situational report on (i) Accra Girls Secondary (ii) Septic tank at Sub-Metro and site
at Maamobi East Disinfection of a contaminated premises Action to remove unsightly commercial activities infront of Accra Girls Secondary and
behind Major Hotel Environmental protection activities on tie & dye, petroleum retailing and few
industries Generation of data on premises with latrine Special inspection of public toilets Insurance of notice for provision of household latrine.
REMARK
Removal of solid waste by contractors is not regular, the principal drains are also not effectively maintained by the Sub-Metro due to labour and logistical constraints. Format is designed for prompt reporting of communal nuisances. Sanitary sites are very few and some are being encroached upon. The situation is causing littered refuse sites and disposal into public drains, No support for Bench Warrant arrest.
F.E.D.S.P ACATIVITIES Inspection of Restaurant/Hotels Inspection of Bakeries Inspection of Sachet Water Producers Inspection of Drinking Bar Inspection of Frozen Food Inspection of Markets Inspection of Street Food Vendors Control of vegetables growers Enforcement of suitability Health Report for sachet water producers Repainting of corn mills at Nima Market Separation of Metal Filling Machines from Corn Mill at Nima Market
P.H.I.P ACTIVITIES School health inspection Education meeting with tuo-zaafi dough dryers and vegetable growers Workshop facilitation on sanitation for members of traditional and indigenous Caterers
Association. Sanitation program for religious NGO’s One on one education during routine inspections.
REMARKActivities under this program has not been much, as most programs which borders on education was not funded at all by the Sub Metro, MPHD or other Organization IMPACT
Voluntary medical screening by food handlers Removal of orange sellers from the pavement on the Nima Highway to a designaed place
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Stabilization of indiscriminate defecation at Clinton Park, Kanda Improve drain maintenance by community members Clean-ups by Assembly members on their own with community involvement Reporting of complaints by community members Improve storage of trade refuse by food vendors Confidence in department to address complaints, thereby reducing to the bearest
minimum personal confrontations Appreciable service rendering by solid and liquid waste contractors Community appreciation for the need to keep a clean environment Improve food protection which hither to was horrible Improved surroundings of public latrines.
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PROGRAMME ACTIVATES
EXPECTED OUTCOME ACTUAL OUTCOME REMARKS
NUISANCE CONTROL AND ENFORCEMENT PROGRAMME (NCEP)
Proper storage of refuse by food venders.
To prom pity address related complaints.
To control small scale industries that impact on the environment and health.
To have a decent public latrine To have pan latrines registered To bring to fore insanitary
conditions for necessary action by sub-metro.
To control indiscriminate defecation and disposal of refuse abatement
To identify health hazards within premises.
40% stored refuse property. Tye & Dye operators could
not be controlled Public toilets did not dislodge
manually Insanitary situations were
brought to the attention of sub-metro.
Indiscriminate defecation was controlled at Rug alone
Most health hazards identified within premises
70% pans registered Principal drains still choked
Programme on refuse storage is being forwarded into 2006
Refuse and drain cleansing is not efficient resulting into lettering on disposal site and drains.
Pressure on public latrines as only 8% of premises had place of convenience
Resource should be provided for the year 2006 under this programme of activities.
Waste Management should be reviewed to make it efficient.
FOOD, WATER AND DRUG SAFETY PROGRAMME (FWDSP)
To ensure standard maintenance by hospitality services
To discourage the use of surface water for vegetable imigation
To ensure that sachet water producers maintain the minimum standard
To prevent food contamination by commercial operators.
60% sachet water producers meeting minimum requirement.
60% commercial separate filling machine
Surface water still been used by vegetable growers
60% of hospitality maintaining standards.
Bringing sachet water producers up to standards is being forwarded into 2006
40% of commercial will be re-inspected to ensure comportment.
Enforcement on use of surface water will be carried out in conjunction with Agric Dept. in 2006.
Funds should be available to undertake food safety programme
PUBLIC HEALTH INFORMATION PROGRAMME (PHIP)
To ensure that hand-washing facilities and dust bins are provide by the schools.
32% of school had hand washing facilities and dust-bins
68% of schools without hand washing facilities and dust bin will be visited
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ABLEKUMA NORTH
REFUSE COLLECTIONThe rate of refuse collection in the Sub Metro under review have been very unsatisfactory as people are turned away from the container sites because they are full and have not been lifted for days. Those who have registered for stance collections are left weeks without attendance and it adversely affect the out-put of the Electoral Area Officers in the enforcement of the laws, rules and regulations of the Assembly in this area.
NIGHT SOIL (LATRINE ACCOMMODATION)The Sub Metro has three public toilet located at Kwashieman, Awoshie and Otaten. With the size of the Sub Metro and these meager facilities, the communities have resulted into using their domestic facilities on commercial basis and to which by law is not permitted, are assisting in the control of indiscriminate defecating and or dumps of human excrement into public drains and open spaces.
DRAIN CLEANSINGThe lease said about this area, the better since most of the drains in the sub-metro especially this about the major road are not attended to and this contribute to the public disposing most of their waste into them.
MARKETS/LORRY PARKSThis is one area we are yet to address to the satisfactory of the Sub-Metro. The markets and parks are not catered for by the Sub-Metro in terms of cleansing and yet the Sub-Metro is seeking revenue form the traders. A situation that has been giving a lot to confrontations between the Electoral Area Officer and the revenue collectors.
LIVESTOCK/POULTRYThe office attempted to have livestock and poultry operators registered but we woefully failed as a result, the office has resolved to embark on the enforcement of the bye-laws, regarding their keeping on residential premises.
SCHOOL EDUCATIONBoth private and public schools were give talks on Sanitation and personal hygiene. An exercise which was embraced by the schools and the office requested to do some as shorter intervals by the same schools that enjoyed the educational programme.
RESIDENTIAL PREM INSPECTION A number of residential premises were inspected and due to the suspension of prosecution by the office, most of the offenders abated the nuisance defected within this agreed upon with the office.
HOSPITALITYThe hospitality programme consisting of restaurants, chop bars, hotels, bakeries, package foods, foreign foods water producers, drug sellers and drinking bar were inspected venders entreated to under go medical examinations and also given health talks on personal hygiene and hygienic ways of handling both raw and prepared foods.
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CHOLERA OUT BREAKSWith the out break of cholera in the Metropolis during the last quarter of the year under review, the MPHD and intensified it educational activities in schools and amongst food vendors. After drawing action plan to help control the out-break in the Sub-Metro to the Director for both transportation, educational and disinfect ion of identified suspected places of transmission of the disease without any response, the office under look the actions with the support of the community who paid monies for the cost of disinfect ion after they were briefed and that enabled the office to have the public toilets, domestic toilets converted into public commercial toilets to be disinfected and also the open spaces being used as toilet facilities to be also treated.
RECOMMENDATIONS1. The contractors in charge of the collection and lifting of refuse from the container sites
and the homes of subscribers be tasked to perform to the tenants of their contracts.
2. The MPHD should assist the people in the Sub-Metro to control the facilities in the way that they don’t pose a health hazard to the communities they are serving through periodic educational programmes and inspections.
3. The WMD should be up and coming in the cleansing of the drains, markets, lorry parks and open spaces to enable the Electoral Area Officers are able to enforce the laws without hindrance.
4. The office should up-date its statistics in the area of premises where livestock and poultry are kept and cause their licensing.
5. The office should continue with the health education activities in the schools and encourage schools that showed little interest to change.
6. The office would be very grateful if in future, there should be an emergency programme, the Sub-Metro would give its support to finding solution
APPRAISALShould the above recommendations be carried out, the Sub-Metro would be ideal in terms of sanitation.
OSU KLOTTEY
OBJECTIVES OF ENVIRONMENTAL SANITATIONIt is aimed at developing and maintaining a clean, safe and pleasant physical environment in all human settlements, to promote the social, economic and physical well being of all sections of the population. This comprises a number of complementary activities including the construction and maintenance of sanitary infrastructure, the provision of services, public education, community and individual action. In this regard both the Metro Public Health and Waste Management divisions of the Assembly can work hand in hand to deal with Environmental Sanitation in totality taking the following components into consideration.
Service provided solid waste management (refuse). This begins from home to final disposal. Environmental Health Officers on the field monitor storage and collection in homes. In this sub metro two methods are in use officially.
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a. Door to door by accredited agents of A.M.A.b. Central container service where the individuals dispose of refuse from homes into central
containers
The contractors serving the Sub-Metro are Ako waste and Vicma Waste and construction Ltd.1. Use of cesspit emptier in individual premises as well as public toilets.2. Pan system privatized by A.M.A. to ABO Services, which serves Osu and
Adabraka.3. Underground tanks are sited within the Sub-Metro, which are used by Pan
services contractors.
ACTIVITIESDuring inspections officers inspect the state of the premises, the condition of foundation, walls and roofing. The sanitary condition of other facilities like toilet, bathroom, kitchen, waste water disposal and refuse storage and disposal just to mention a few. In this Sub-Metro door to door service and community central containers, which accredited agents of A.M.A. give the services.The state in shcih the facilities are found determine whether the household or owners are served with notice in addition to hygiene education on one on one basis. When nuisances are detected during inspections officers call for immediate abatement or serve notice of abatement of the nuisance or summon the offenders if notices are not complied with.
In the case of eating premises, there is added checks, which include Medical Screening to acquire food handlers certificate storage of food items, and storage of water. Environmental monitoring plan (EMP) endorsed by Environmental Protection Agency (EPA) are all checked with what prevails on the ground. The schools, public toilets and recreational premises are not left out. During the year under review a number of premises are also inspected.
OBSERVATION AS REGARDS ENVIRONMENTAL SANITATION POLICY1. Refuse collection is privatized and seems to be monopolized by few who cannot deliver this
has given way to unofficial collection which is on going in the Sub Metro
Porters also known as Kayabola are collection refuse from Adabraka and Asylum Down due to irregular service by Vicma Waste and Construction Ltd.
Individuals also collect refuse from house to house using wheelbarrow or handcart.
2. The policy holds the Assembly responsible for environmental cleanliness but A.M.A. has to put in other measures to reach this goal. Litter bins almost absent from the system. Indiscriminating littering is not checked due to
inadequate resources.
3. Information on the sewer lines is not at hand A.M.A. cannot work anything for users to pay hence no revenue comes to A.M.A. in this direction. This according to the policy is to be transferred from Works and Housing Ministry to A.M.A.
4. The policy again holds the Assembly’s responsible for the management of hazardous waste in collaboration with AMA but in this direction AMA is polluting the environment at Oblogo where the stench from refuse disturbs residents there.
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CONSTRAINTS1. Since AMA has not been able to provide the service effectively as stated in the
Environmental Sanitation Policy, enforcement of some aspects of the law has become very difficult. References are made mostly to AMA’s inability to manage waste in the metropolis effectively.
2. The condition at the Sub-Metro office was referred to in the open court. The walls buildings, fence wall and accumulation of disused vehicle parts, which the unit has complained of, have not been handled to her satisfaction and this is embarrassing the unit.
CAPACITY BUILDINGThe management of hazardous waste is also the responsibility of the Assemblies who are to collaborate with other agencies like Environmental Protection Agency.;
There are hazardous waste from chemical industries like paint and pharmaceuticals. The management of such needs to be taken into consideration i.e. the city authorities must be capable to handle. Therefore, selected officers should be trained in management of hazardous waste as a need to help officers to handle and in so dong protect those residing in the metropolis.
PROSECUTIONNo compensation is awarded to AMA Fines in the court by some judges is so disappointing that officers feel the effort they put in before even recalcitrant ones are arrested on Bench Warrant and put before court is demotivating and worthless, However, during the year, the Sub Metro successfully prosecuted. The fines for the last nine months amounted to Seventy two million, three hundred thousand cedis (¢72,3000,000.00) out of which no compensation was paid to AMA.
PROBLEMS 1. Officers have not been fully uniformed2. Some residents embarrass officers on duty by hooting at them, a way of getting them off
their back.3. The open defeacation into the storm drain at Osu and the Odaw River cannot be handled
by Environmental Health Officers alone in the Sub Metro4. Officers have no knowledge in management of hazardous waste for effective
implementation of the Environmental Sanitation Policy.5. A.M.A. Identity Cards are worn out and most officers cannot display them6. Copies of legal documents for prosecution especially Act 29, Building Regulations, Food
and Drugs Laws, are not available in this Sub Metro making reference become impossible
7. Refuse contractors not working effectively and ‘kaya bola’ (refuse porters) are collecting refuse illegally and do not pay for the disposal
8. Refuse are dumped in open areas at night.
SUGGESTIONS1. Officers must be given full protection when arresting bench warrant suspects2. A combined task force involving Metro Guards, Police, Military and Environmental
Health Officers must be formed to control the open defecating into the Odaw river.3. Officers must be selected from all the sub metros to be trained in Management of
hazardous waste.4. Identity card must be provided for staff especially field officers.
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5. Copies of Act 29/60, Ghana Building Regulations, Food and Drug Law should be provided for effective prosecution in all sub metros.
6. The ‘kayabola’ (refuse porters) must be legalized so that revenue is generated from their activities since they collect money from those they offer service to.
7. More contractors should be involved in collection of refuse and street cleansing to give way to competition for effective output.
8. A.M.A. should collaborate with land Commission and Town and Country Planning to provide information to the Sub Metro to e able to enforce the laws on owners.
ABLEKUMA CENTRAL
WASTE DISPOSALNo of sanitary sites 23No. of underground holding tanks 2No of public baths 50
LIQUID WASTE CONTRACTOROnpaper, Metro Towers is assigned for that duties, but on ground he does not perform. Efforts to locate him yield no results. Pan latrine operates dump in drains and in the Korle Lagoon. The evidence of his non performance is seen in the idleness of the 2 underground holding tanks at the district. Throughout the whole year, the contractor was never seen even in a day working at the district.
SOLID WASTE CONTRACTOR - 3(1) ALMANUEL LIMITED: In charge of refuse collection at Ayigbe Town, Sukura and
Zamerama Line.
(2) GOLDEN FALCON LIMITED: Mataheko
(3) J. STANLEY OWUSU LID: Freedom Market, Abossey Okai and Gaskia.
Refuse Container sites are not a pleasant place to observe. This is due to the non-performance and inefficient manner by which the contractors above go about their duties. House to house inspection at the district is very much frustrated due to the continual referral of Environmental0 Health Officers by residents to the stinging refuse sites by them.
STAFF STRENGTHThe following constitute the Environmental Health Staff of the Sub Metro.
DEHO 1
EHO GD.1 1
EHO GD 11` 1
PEHA 2
SEHA 3
EHA
TOTAL 11
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OKAIKOI SOUTH
HUMAN RESOURCE ANALYSIS TOTAL STAFF STRENGTHThe Sub-Metro has a staff stregth of thirteen (13). Four (4) females with nine (9) males.
This number is made up PEHO 1, SEHO 1, EHO 1, with the rest of the ten (10) being junior officers.
AGE DISTRIBUTION 20 - 35 236 – 45 446 – 55 656 and above 1
POSTINGSFor the year under review, three (3) new Environmental Health Officers were posted to the Sub Metro from different regions. One lady who was posted to the Sub-Metro from the 31st December day care centre was also with drawn back to the end of the year.
1 Serving of notices to residents of Atico, Bubiashie to convert existing closets
60% of presidents should covenrt into water closets
Complaints on pan latrines dropped
Financial constraints by residents
2 Meeting with leaders of all sheep and goat sellers to confine the arrivals in their pens
All animals kept in pens Resident sellers confine animals in pen whilst visiting once allow animals to roam
Availability of water into area
3 Collaboration with the management of Kaneshie Market Complex on the storage and disposal of refuse and the health status of all food vendors
Removal of all women selling on drains
Refuse is always disposed off in the containers and lifted regularly to disposal sites
No selling is done on drains
Refuse container regularly lifted but spillage still occurs
Women selling on drains adhere to directives
Containers not adequate.
Container sites take over by vehicles and market women
4 Visits to some factories and residents to high water table areas to help solve flooding problems
Problems of flooding solved in areas visited
Few problems were solved No understanding between land-lords and land-ladies
5 Hygiene Education give to food vendors and handlers
Food vendors and handlers to be well vexed in proper food handling processes
Most food vendors and handles are not permanent at their specific locations
6 Arrest of unprotected food vendors Food offered for sale to the public is well protected
Awareness created among food vendors on food protection.
Ilititeracy and unwillingness to accept change
7 Serving of notices for the removal of illegal structures at unauthorized places
Squatters living in illegal structures causing nuisnces in the areas removed
Areas where illegal structures were removed are now looking very clean
Criticism from the public
8 Slaughtering of animals (sheep and goats) at the approved slaughter slab
All sheep and goats should be slaughtered at the approved slab
44467 sheep and goats were slaughtered at the slab
The slab is not up to standard.Only one approved slab in the Metropolis.Illegal slaughtering is done almost every where.
9 Announcements create cholera awareness. Visit to Clinics to collect data on cholera patients. Following up to premises of patients to educate the residents to disinfest all rooms
Public to be aware of the presence of cholera in the Metropolis. Data collected to plan for home visits
Awareness created Refused by the public to abide by the regulations. Some patients do not give their address. Some address can not be traced.
10 Closure of drinking bar within lorry parks No alcoholic beverage is sold in the lorry parks
Bar owners at the Neoplan Station were arrested
Resistance from, bar owners some of the public
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AYAWASO CENTRAL
AGE DISTRIBUTION50 and above 436 - 45 246 - 55 5
Female 3Male 8
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Training program planned
Lack of logistics such as notice books, antimalaria , tools, equipments and law court fines plus delays in hearing sanitary cases are some of the constrains.
Solid waste and liquid waste contractor who are supposed to lift refuse containers and night soil from individual homes and sites failed woefully during the period to discharge their duties regularly. Public drains were not swept and desalted timely. Unregistered night soil contractors dumped excreta into drains and water bodies.
STRATEGIES TO OVERCOMING CONSTRAIN
1. Enough labourers be employed to sweep public drains every day 2. Solid waste contractors must be sanctioned if they fail to lift refuse containers according to terms
of contractual agreement.3. Unregistered night soil contractors to be educated to register with AMA for concession and be
given holding tanks to store night soil.
22
23
CHOLERA OUTBREAK PROGRAMME OF ACTION
ACTIVITIES EXPECTED OUTCOME ACTUAL OUTCOME CONSTRAINTS Domiciliary visits Awareness is created on the causes,
spread and prevention of cholera, suspected cases identified
Awareness was created, education, assimilated, suspected cases were reported to poly-clinic
Visits to hospitality industries within the sub-metro; also bakeries, chop bars drinking bars and table top food vendors
To create awareness on the spread of cholera, keep surrounding clean, cover food, ensure that food is kept warm and submit to medical health examination.
Awareness created and an increase in the number of food vendors reporting for medical health examination. Bread is wrapped in polythene as it left the bakery.
Identification of premises with hazardous to pan latrine broken
Notices served on such landlords to repair hazardous contents of pan covered to avoid access to flies
All notices served were compiled within the specified period. Fly population in household pan latrines were reduced to the best minimum
Visit to schools Food vendors were medically examined, toilets facilities are available and adequate also kept clean. Hand washing toilet is put in place
Food vendors without health certificates were banned from selling on school premises. Hand washing facilities were provided.
Identification of open space which are build indiscriminately
Landlords of such places to clear overgrowth and ensure that such areas are not used as defaecation grounds
Landlords of such areas were identified, notices served on them, and overgrowth was cleared. Those caught defeacating in such open spaces were reported and subsequently prosecuted and fined at the La Court
Visit to public toilet facilities
Public toilets were kept clean fly incidence was kept to the best minimum, as well as ordour
Toilets visited has high fly incidence, accompanied stench, to break down solids and improve the working system of the facility.
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26
METRO PUBLIC HEALTH DEPARTMENT-AMAANNUAL REPORT 2004
1.0 INTRODUCTIONThe Department of Metro Public Health was set up to promote and safeguard Public Health. It
represents totality of all services required to promote an environment that will allow residents to
thrived well, physically, mentally and socially. This is done by distending and ensuring the
abatements of any condition of nuisance in the environment that is likely to be injured to health
or an eyesore to public.
2.0 MISSION The Metro Public Health Department exist to support individuals, households and families:
business enterprises industries and other organizations: and communities (strategically,
technically and logistically) to maintain a quality of living that is expressed in the clean home,
the clean farm and clean business and industry, the clean neighbourhood and clean community
and to ensure that health regulations and standards are complied with.
3.0 VISION:That individuals, households and various communities in Accra will in not too distant future
understand sanitation as a way of life and adopt healthy lifestyles that ensure clean and healthy
living environment.
4.0 OBJECTIVES To improve environmental Health in the sub metro..
To help control communicable disease.
To control stray animals in sub metro.
To help solve all problem contributing to the poor food hygiene and that of food vendors
To enforce sanitary regulations in the sub metro..
5.0 STRATEGIES:The strategies for achieving the stated objectives include:
5. Re-assign Environmental Health Officers to Town Councils/Electoral Areas, and
Prosecutors to the Sub-Metros.
6. Orientate Environmental Health Officers.
7. Intensification of premises inspections.
8. Provision of logistics.
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6.0 FUNCTIONS / STRUCTURE: .Correcting or modifying prevent factors hazard in the environmental to health control
and prevent of hazardous factors.
Services provided by the Department as deduced from the Local Government
Established Instrument 1995 (Li 16, 15) and Environmental Sanitation Policy 1999
relate to
Health aspect of housing and construction
Waste Management within premises
Hygiene education.
Monitoring of waste management department’s activities and Public
Food safety and water purity
Disease and pest vector control
Enforcement of sanitation bye-laws of A.M.A.
Abatement of all other environmental nuisances e.g. Noise heat smoke structures and
facilities within trade and or business within premises and the state of courtyard.
The Department operates under three main working programmes. These programmes as
outlined bellow were developed after workshops and meetings were held.
a. Nuisance Control and Enforcement Programme (NCEP)
b. Foods, Water Drugs Safety Programme (FWDSP)
c. Public Health Information Programme (PHIP).
Forms were developed to cover all activities under these programmes.
Nuisance control and Envorcement Programme. This programme takes care of all types of
premises in which nuisance and defect are to be abated using the procedures available i.e.
hygiene education, notices, and finally court action.
Food, Water and Drugs safety programme. Under this programme, food for public consumption
must be safe enough to prevent contamination and infection. The inspection takes care of the
preparation, storage and up to consumption stages.
Here also the first programme comes to play because the nuisances or the wrong approaches
are to be abated also using the procedure in place. Animals in premises are also taken care of
under this programme.
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Public Health Information Programme. Under this program, all information necessary for the
public’s consumption is coordinated by the help of field officer.
The Environmental Health Officers were distributed according to the number of electoral areas
within the sub metros. Each staff is to inspect on the average five (5) premises in a day, with
hygiene education in all electoral areas.
HUMAN RESOURCES Transfers were effected in the second quarter and the following staff were affected. The officers
are;
Augustine Attivi Jonathan Fiscian and Adolf Donkor
The transfers became necessary because, the Sub Metros were increased from six to thirteen.
However, one officer was also transferred later as a result of disciplinary action taken to bring
change in attitude to work.
In the month of June and July, two officers, Jacob Sepenoo and Delight Dzansi were
respectively transferred to Osu Klotey sub Metro. Presently the staff position is the as follows:
Tools to be used in enforcement are lacking. Notice books run short and there was added responsibility kfor supervisors to design various types of notices on letter heads for officers to be used on the field.
During the year, seven hundred (700) scribed cases were vetted and five hundred (500) were confirmed for prosecution at Osu Klottey. The court adjourned many cases and the office could not pursue them any more.
SUB METRO UNIT NO. OF SUMMONSES SERVED
SUCCESSFUL PROSECUTIONS
COMPENSATION DUE AMA
MARKETSOKAIKOIAYAWASOTASK FORCE ON NOISE ABATEMENTTOTAL
LATRINE ACCOMMODATION
Public/Private Commercial Toilets Accommodation
There is one public septic tank latrine which is mawned by the W.M.D. in partnership with the North Ablekuma community. There are also five public toilets being run under the Private Public Participation concept. It also has a number of private toilets being commercialized. The latter which at certain times pose a health hazard tends to be one of the Non-Traditional Revenue generating points of the sub-metro and despite the fact that they need not operate, they are solving most of the problems in the areas they are located.
Household Toilets
PROSECUTIONTools to be used in enforcement are lacking. Notice books run short and there was
added responsibility for supervisors to design various types of notices on letter heads for
officers to use on the field.
36
During the year, seven hundred (700) scribed cases were vetted and Five Hundred were
confirmed to prosecution. The court adjourned many cases man times and the office
could not pursue them any more.
The summary of these is also attached and it shows how the officers of the various
electoral areas performed in this domain.
To enhance appropriate law enforcement procedures in the Metropolis, prosecutors with
were distributed over the thirteen Sub-Metros as follows:
The identified Officers will undergo further training program in the field of prosecution and
court procedures to upgrade their competence and knowledge for the task ahead
soonest.
12.00 PUBLIC HEALTH INFORMATION PROGRAMME – ( HEALTH PROMOTION)Health Education
Health Education exercises were conducted on various schools inspected within the period under-review. Food handlers and drinking bar operators were hygiene and sanitation education on the need to lead healthier life-style in course of their work and also to avail them for Medical Screening.
12.01 SCHOOL HEALTH
12.03 School Food Safety
Another programme under way is school food safety. There had been collaborative meetings
with Metro Education Officials to develop this programme. The programme sought to register all
food handlers in and around the schools in order to institute a firm control. Registration forms
have been printed and sent to School Health Education Program (SHEP) Coordinator for further
action with the circuit supervisors of the schools.
RESEARCH & MISForms have been designed to collect data on performance of activities of the Sub-Metro
Officers. These data is used to build our Management Information System. Information and
data gathering from Metro Health Directorate is another source.
TRAINING AND SKILL DEVELOPMENTThe Department organized workshop for all Sub-Metro EHO & EHA during the first to third
quarter in order to enhance performance and improve image reliability and credibility.
37
The first round training session during 1st quarter focused on Detailed Specification of Inspection
under which the following Sub-Topics were treated.
1. Domiciliary Inspection
2. Industrial Inspection
3. Health Care Facilities Inspection
4. Hospitality Industry Inspection
5. Market Inspection
6. Schools Inspection
7. Sanitary Facilities/Infrastructure Inspection
PUBLIC RELATION AND COMPLAINTS
For the whole of the year 2004, thirty-three (33) complaints were received by the department. Out of this number twenty-four (24) were successfully treated with mine (9) pending. Three (3) out of the total number were referred from the Metro Public Health Department. Adjabeng with the rest being received directly form the public.
FOOD WATER DRUG HYGIENE & SAFETY UNIT (F.W.D.H.SU).CONTROL OF FOOD ESTABLISHMENT - FOOD SAFETY –(MEDICAL SCREENING )
This is one of three (3) programmes of the Metro Public Health Department of the A.M.A. It is responsible of ensuring that food ofr consumption is not contaminated and dose not produce any adverse health effects in the Accra Metropolis.
CONTROL OF FOOD ESTABLISHMENTSA number of New food establishments were inspected with the view to licensing during the year under review. The table below indicates the number of people who applied for various licences in the food establishment trade.
FOOD ESTABLISHMENT NO OF APPLICATION NO. APPROVEDHOTEL 5 4RESTAURANT 1 1FAST FOOD NIL NILCHOP-BARS NIL NILSACHET WATER 5 4DRINKING BAR NIL NILCOLD STORE NIL NILGUST HOUSE 5 5
Periodic inspections were carried out on some of these fod establishments to ensure that the health standards for which the licences were issued were mentained.
MEDICAL SCREENING OF FOOD HANDLERS It is a policy of the Metro Public Health Department that all food handlers in the Accra Metropolis should be medically screened.
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In that regard some food handlers in the hospitality industries like Hotels, Restaurants, Fast Food joints, chop bars, Drinking Bars etc have been screened and certified. Below are the figures:-
DISEASE FOUND DURING SCREENINGSome of the diseases/conditions found during the medical screening were:-
Hook Worm Ova -
Intestinal Flagellates -
Entamoeba Coli -
Entamoeba Histolytica -
Ascaris -
Strongloides -
Those food handlers who were found to have any of the above mentioned diseases/conditions were made to see a doctor for medication and thereafter the tests were repeated to ascertain clearance from those diseases before the certificates were issued to them.
DESTRUCTION OF UNWHOLESOME FOOD ITEMSDuring the year under review, a number of institutions requested for assistance for the inspection and destruction of their assorted unwholesome food items.
Some of these institutions were Kwatsons (Gh.) Ltd. Max Mart Shoppiong center, Aliflikar Fadila Ltd, Anchor Marketing (Gh) Ltd, among others.
39
Inspections ere also carried out at some of the supermarkets, wholesales, warehouses etc. to ensure that they did not sell unwholesome or expired food items.
MEAT SAFETYThere are two (2) slaughter slabs in Accra which have been approved by the Metro Public Health Department where sheep and goats were slaughtered and inspected by Environmental Health Officers. They are at Katamanto and behind the Neoplan station at Kwame Nkrumah Circle.
Animals slaughtered at the two slaughter slabs were:-
MONTH # SLAUGHTERED AT KATAMANTO
# SLAUGHTERED BEHIND NEOPLAN STATION
JANUARYFEBRUARYMARCHAPRILMAYJUNEJULY AUGUSTSEPTEMBEROCTOBERNOVEMBERDECEMBERGRAND TOTAL
DISEASE /CONDITIONS AT THE TWO SLAUGHTER SLABS
1. Congestion
2. Melamosis
3. Abscesses
4. Cysticercus tenuicolis
5. Distomatosis
6. Pneumonia
7. Cirrhosis of the liver
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CONTROL OF LIFE STOCK AND POULTRY.LIVESTOCK REGISTRATION NO. OF
APPLICATIONS# APPROVED
SHEEP & GOATPOULTRY
COMMENTS ON WASTE MANAGEMENT
PUBLIC DRAINS
Some drains under construction last year 2003 have been completed. These drains are mostly in Bubbiashie Bubii. Kantsien and Awudome electoral areas.
These drains are always silted because the roads along which they are, are not tarred and drains uncovered, making it very easy for silt to be blown into the drains.
The major drains in front of the Neoplan Station needs to be well concreted to allow easy cleaning. And the drain within the Neoplan Station was not well constructed, the gradient is very bad and this allows the waste water to be stagnant causing offensive smell in the station.
SOLID WASTE DISPOSAL -
Solid waste disposals in Abossey Okai Sub-Metro are poorly handled or managed. Three (3) contractors engaged for this task are not living up to expectation. The contractors are;
1. Almanuel limited, responsible for refuse collection at Ayigbetown, Sukura and Zembrama Line.
2. Goldern Falcom Limited, Mataheko
3. J. Stanley Owusu Limited, Freedom Market, Abossey Okai and Gaskia
The contractor service lack frequent lifting and the residents especially, around Zongo Communities dump refuse in drains and at open spaces.
Okaikoi South Sub Metro practises both door to door and central container systems. The door to door is practiced in areas that are easily accessible and high income areas whilst the central container systems are in areas that are not easy accessible and low income areas. There are eight (8) container sites in the sub metro, they are as follows:-
Container Sites Number of ContainersAvenor 1Neoplan Station 1Circle-Kaneshie Station 1Kaneshie Market 3Bubiashie Toilet No. 6 1
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Bubiashie Toilet No. 7 1Bubiashie Toilet No. 8 1Bubiashie Cable and Wireless 2Bubiashie Mandela Park 1North Kaneshie Last Stop 1The central containers are now being lifted regularly. The container sites at both cable and wireless and Mandela Park which used to be problem areas with huge heaps were all cleared during three (3) massive exercises with both areas now well maintained.
There are two (2) unauthorized refuse dump sites in the Okaikoi South sub metro, these areas are along the railway line in the front of Ghana – Lebanon Islamic Secondary School at South Industrial Area and in between Decorplast and Kassadjan Ltd.
LIQUID WASTE DISPOSALWith the liquid waste disposal the contractor engaged for such work is “Metro towers”, is not performing at all. His office could not be traced. All pan latrine owners have engaged private contractors who dump the stuff into the Korle Lagoon, nearby streams and drains.
PROBLEMS
1. this has given room for ineffective collection of refuse.
SUGGESTIONS
1.PUBLIC PLACES OF CONVENIENCEPERFORMANCEStaff performances
RECOMMENDATION
CONCLUSIONManaging Environmental Health is a complex task. It is not the preserve of any one agency.
There are a number of regulatory MDAs with responsibilities for various aspect of Environmental
Management. There is however, the need for one institution to be responsible for coordinating
the many activities involved.
The MPHD has that mandate to duel on behavior change communication with all things being
equal. The MPHD had therefore taken up its leadership role in developing a framework for
Environmental Health Management in the Metropolis.
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Licensing
FACILITIES TOTAL NUMBER NUMBER LICENSEDRestaurant 47 47Chopbar 87 74Hotel 25 25Bakery 17 17Packaged Food 48 39Frozen Food 26 20Water 4 4Drug 35 5Drinking Bar 140 105School - Private 90 82Prepared Food 250Premises with Animals 89
SLAUGHTER FACILITIES
The slaughter slab situated at Avenor within the articulator station is owned by Mamudow Haranu. The department has assigned an officer there who inspects the animals slaughtered animals slaughtered are mainly sheep and goats.
Number of Sheep Slaughtered
Number of Goats Slaughtered
Number Condemned
Total Slaughtered
1,064 8,680 - 9,744
1. Indiscriminate defaecation along the beaches, storm drains in Osu, Asylum Down and Odorna.
2. Stray cattle from Adabraka Sahara have destroy vegetable farms around the area periodically.
3. Bus is not available for arresting bench warrant, which is having negative effect on prosecution.
4. People are defecating into drain at sub-metro at night because, the place is dark at night.
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Refuse Disposal
There are six refuse container sites, supported with stance collections though the system is froth with irregular collection times, it is quite encouraging to have those facilities in place whilst liasoning with the communities to offer sites for more of the containers to be sited.
Drainage System
The entire drainage systems in the sub-metro is woefully inadequate and supervision of the few that exists in terms of cleansing is nothing good to write home about due to the inadequacy of labourers. It would be appreciated if a second look is taken in this area by the W.M.D.
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METRO PUBLIC HEALTH DEPARTMENT-AMAANNUAL REPORT 2003
1.0 INTRODUCTIONEnvironmental health and Sanitation in the Metropolis pose such a big challenge to MPHD,
hence, the MPHD of the AMA together with the WMD have a daunting task of putting in place
strategies with all things being equal to safe guard public health in the city.
The MPHD which is to promote and safe guard public health is faced with actions and inactions
of individuals, households and communities which continue to worsen sanitation in Accra.
The following are the outstanding areas concerned, which pose a big challenge to the
department.
1) Unsafe Meat
2) Stray Animals
3) Indiscriminate dumping of refuse
4) Indiscriminate defecation
5) Littering
6) Unprotected Food
7) Sale of unwholesome and contaminated food stuffs
2.0 MISSIONThe mission of the department is to protect public health by ensuring that health and
environmental risks are detected and abated. This is through programs, services, public
information behaviour change communication and regulation of sanitation.
3.0 VISION:That individuals, households and various communities in Accra will in not too distant future
understand sanitation as a way of life and adopt healthy lifestyles that ensure clean and healthy
living environment.
4.0 OBJECTIVESThe objectives of the department are:
To improve environmental sanitation in the Metropolis.
To contain all problems contributing to poor food hygiene and that of food handlers.
To control stray animal.
To assist MOH (MHS) in disease control.
To supervise and manage all burial grounds.
45
To lead in environmental management in order to minimize or prevent associated health
hazard.
5.0 STRATEGIES:The strategies for achieving the stated objectives include:
9. Re-assign Environmental Health Officers to Town Councils/Electoral Areas, and
Prosecutors to the Sub-Metros.
10. Orientate Environmental Health Officers.
11. Intensification of premises inspections.
12. Provision of logistics.
6.0 FUNCTIONS / STRUCTURE:Presently the MPHD in headed by a Director (Medical Officer Of Health) who is assisted by a
Chief Environmental Health Officer. The following are functions of the MPHD staff:
1. Food hygiene and market sanitation
2. Disease Vector and Pest Control
3. Environmental Health Education
4. Premises Inspection for control of environmental health hazards
5. Enforcement of sanitation Bye- laws of the Assembly
6. Control of cemeteries
7. Health safety of keeping animals
8. Building Sanitation
6.1 STAFF POSITIONThere is full complement of Staff at MPHD.
The MPHD is mandated to provide the following services according to L1. 1516 of 1995, which
established the AMA.
These services and programs are grouped in three (3) units with three technical heads who
monitor and supervise activities.
ENVIRONMENTAL PROTECTION & STANDARD ENFORCEMENT
FOOD & WATER HYGIENE
ENVIRONMENTAL HEALTH PROMOTION
Premises Inspection Market Sanitation School Health Control Stray Animals Food Establishments Community
Mobilization Pest & Vector Control Meat & Fish Hygiene Public Relations &
Complaints Disposal of the Dead Livestock & Poultry Mg’t Research & MIS Prosecutions Control of Fresh
Vegetables Healthy Public
Policies Industrial Pollution Control Training & Skills
Development Environmental Monitoring Sub-Metros etc.
Monitoring of ES Services
Building Sanitation Hospital Sanitation
POPULATION OF THE SUB-METROS Ashiedu-Keteke 162,626
Ablekuma 451,728
-Ayawaso 271,055
Okai Koi 346,935
Osu-Klotteu 234,904
Kpeshie 339,708
Total 1,806,957
6.3. REVENUE
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The department generated Four Hundred and Ninety Three Million, Seventy Five Thousand, Six
Hundred and Ninety Cedis (¢ 493,075,690,00)
SOURCE AMOUNT PERCENTAGE OF TOTALGrave Space 338,509,690.00
Court Fines 63,450,000.00
Day Care Centre 3,185,000.00
Miscellaneous 87,931,000.00
Total 493,075,690.00 100
SALARIES AND ALLOWANCESREGULAR STAFFSalaries: controller and Accountant General Pay Roll for the year 2003.
Gross Amount ¢ 2,170,820,076
Net Amount ¢ 1,560,220,356
Wages: AMA Pay Roll for the Year 2003
Gross Amount ¢ 190,863,012
Net Amount ¢ 162,519,660
CASUAL LABOURERSCasual Labourers For CemeteriesAmount ¢ 9,800,000.00
1st July – 30th July ¢ 4,000,000.00
1st October – 31st October ¢ 2,900,000.00
1st September – 30th September ¢ 2,900,000.00
TOTAL ¢ 9,800,000.00
6.4.HUMAN RESOURCES
Retirements: Three Technical Staff retired from the service
Deaths: one labourer died
Vacation of post: Three Technical Staffs vacated their posts
Study leave: one clerical Staff is on Study leave without pay
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Dismissals: there were no dismissals
Transfers: one person was transferred.
7.0 OUTPUT7.01Data/Profile:
During the year a comprehensive profile of the Sub-metros was compiled to provide database
for effective environmental health activities.
7.02 Licensing:
The department at the Sub Metro level facilitated the registration of businesses through
detection of such businesses without operation permits during routine premises inspections and
insisting that they obtain the necessary operating permits.
7.03 PREMISES INSPECTION
These include residential restaurants, hotels, chop bars, drinking bars and others During the
year under review, the Department used the first quarter to gather information that matter in the
work. In the end a profile was developed by the end of September.
During inspections officer inspect the state of the premises, the condition of foundation, walls
and roofing. The sanitary condition of other facilities like toilet bathroom, kitchen, waste water
disposal and refuse containers and storage of refuse just to mention a few. The disposal either
into central container or door-to-door collection and septic tank condition if they are available are
all looked into.
The state in which the facilities are found will determine whether the household or owners are
served with notice in addition to hygiene education on one on one basis. When nuisances are
detected during inspections officers call for immediate abatement or serve notice of abatement
of the nuisance or summon if notices are not complied with.
In the case of eating premises, in addition to above the food handlers medical certificate,
storage of food items and arrangements storage of water are all inspected Environmental
monitoring plan endorsed by Environmental Protection Agency (EPA) are all checked with what
prevails on the ground. The schools, public toilets and recreational premises are not left out.
During the year under review a number of premises were inspected and the breakdown are as
follows.
ACHIEVEMENTS
1. There was successful prosecution within the first half of the year yielding
(¢57,000,000.00).
49
2. Our outfit was able to compel all unregistered pan latrine owners to register with Larson
Ltd.
3. About 70% of the complaints received at the office were successfully dealt with.
4. An education programme of AMA and Local Government on sanitation in Accra, known
as Enquiry programme of Unique FM took off from Ayawaso.
5. Three (3) of our officers have been able to pursue studies in Accra School of Hygiene
and University of Cape Coast.
6. A profile of the district was successfully compiled.
7. About six (6) clean-up campaigns involving our officers took place within the year.
8. Some officers were trained on the riding of motorbikes.
9. Some mosquito breeding sites were identified and spayed
Refer to attached appendixes – { A – E } for further out put data on inspections.
MALARIA CONTROL01 LARVAECIDINGThe unit in conjunction with the 6 Sub Metro Districts carried out lavaeciding programmes on various detected breeding grounds (see the following table )
A pilot mosquitoes control programme was undertaken at the Sub Metros. Efforts were made to
embark on larviciding geared towards the source reduction of mosquito larvae in prone areas
within the Metropolis. This strategy is in fact the best malaria control measure that demand
adequate resources. Chemical such as K-Othrine (active ingredient delta methrine) which is
effective for mosquito control was applied.
However, there is the need for extensive mosquito Control Programmes to tackle all identified
breeding sites.
The following breeding areas were sprayed at Okaikoi Sub Metro to destroy mosquito larvae.
1. Earth drain along railway line opposite sheep and goat selling point
2. A drain in front of TV Africa
3. A storm drain behind State Transport Cooperation
4. Drain at quarters near Accra Academy and in front of All Nations Christians Center
premises
5. Fan Milk depot near Nyamekye junction traffic light.
Plans are now far under way to the second spraying of the mosquito breeding sites in the Sub-
metros. These include
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1. The big drain from Obetsibi Lamptey round about to circle in front of G.C.B. and State
Housing Cooperation
2. The concrete drain at the Achimota overhead bridge
3. The drain in front of Electricity Cooperation
4. Pool of water at Dadeban.
5. Earth drain along railway line opposite sheep and goat selling point at Articulator Station.
6. A concrete drain in front of T.V. Africa, North Industrial Area.
7. A storm drain behind Vanef S.T.C. Yard at South Industrial Area.
8. A drain at quarters near Accra Academy and in front of All Nations Christian Centre all in
Bubiashie.
9. Fan Milk Depot near Nyamekye Junction traffic light along the Lapaz Motorway.
Based on survey reports, a spraying exercise was carried out at James Town, Salaga Market area,
Rawlings Park, Kantamanto and Agbogbloshie to reduce the mosquito menace. The exercise was mainly
larvaeciding of stagnant waters in drains and pools created as a result of some road constructional works.
The follow-up verification proved that the exercise was worthwhile.
S. /NO.
SUB METRO MONTH NO. DAYS NO. SITES SPRAYED
7. ASHIEDU KETEKE JANUARY 3 248. ABLEKUMA FEBRUARY 3 209. OSU KLOTTEY FEBRUARY 3 1810. OKAIKOIKOI FEBRUARY 3 2411. AYAWASO FEBRUARY 3 1812. KPESHIE FEBRUARY 5 30
TOTAL 20 134
10.00 SLAUGHTER FACILITIES AND MEAT HYGIENEThere are two approved slaughter slab in the mean time in the Metropolis thus the following in:
MEAT HYGIENE - ASHIEDU KETEKE SUB-METRO
The inspection of meat at the Kantamanto slaughter slab to ensure safe meat was done during
the year. 2,965 sheep/goats were slaughtered and inspected during the period. Five (5) whole
carcasses were condemned and rejected on the grounds of they being moribund.
The Kanatamanto Slaughter Slab is the only one currently authorized in the Sub-Metro. Over
the period of January - June, 700 animals were slaughtered. This is a low the figure recorded
for the first second quarters because of the following reasons:
1. Illegal slaughtering at unauthorized places especially at Kokomba, Sodom and Gomorrah
and James Town.
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2. Most of the livestock dealers could not bring down enough animals from the hinterlands
because the farmers were engaged in crop farming during the period.
Disease Conditions Detected
The following diseases were detected during the post mortem inspection of meat at the
slaughter slab for the period.
1. Cysticercus tenuicolis 300
2. Abscesses 75
3. Melamosis 1 4
4. Pneumonia 45
5. Pimplyguts 26
6. Oesophagustinum Collomtianum (pimplyguts) 150
1. Congestion 65
2. Distomatosis 1
3. Peritonitis 20
4. Cirrhosis of the liver 16
MEAT HYGIENE - OKAI KOI SUB METRO
The slaughter slab facility is located at articulator station of Avenor and started operation on the 23
December 2002. Animals slaughtered here are mainly sheep and goats.
NO. OF SHEEP
SLAUGHTERED
NO. OF GOATS
SLAUGHTERED
NO. CONDEMNED TOTAL REVENUE
556 11769 4 ¢12,583,000.00
A total of 12,329 animals were slaughtered during the year under review.
Disease conditions detected include
1. Pneumonia
2. Liver flukes
3. Pimplyguts.
HOT SPOTS The indiscriminate littering of the streets in the central business area, selling on
drains and ground at the Agbogbloshie market, the take over of the pavements and other open
spaces in the metropolis by traders are the gray areas which have impacted negatively on
educational efforts made so far.
11.12 EPSE - MANAGEMENT OF CEMETERIES
Weeding of the 3 main Public Cemeteries – OSU, AWUDOME, AND LA had been accomplished in course of the year. BURIALS INFORMATION - MANAGEMENT OF THE DEADMONTH # NORMAL #PAUPERS # # CASES # NEW
11.03 ENFORCEMENT INFORMATION FROM THE SIX SUB- METROS The prosecution desk opened at Adjabeng for the unit to strengthen the hands of all sub metros begun operation during the quarter. The table below reflects on its performance (yielded so far ¢17,600,000.00)
SUB METRO UNIT NO. OF SUMMONSES SERVED
SUCCESSFUL PROSECUTIONS
COMPENSATION DUE AMA
MARKETS 90 64 ¢10,800,000.00OKAIKOI 59 3 ¢900,000.00AYAWASO 3 - -TASK FORCE ON NOISE ABATEMENT
19 14 ¢5,900,000.00
TOTAL 171 81 ¢17,600,000.001. RE-ORGANIZATION:
The period saw total re-organization of the Environmental Protection and Standards
Enforcement Unit as directed to enhance the effective implementation of its functions,
roles and responsibilities (Reference attached appendix A)
CONTROL OF CEMETERIES AND BURIALS:
The Unit in conjunction with Management MPHD/AMA engaged 50 casual labourers and
succeeded in weeding the 3 main Public Cemeteries namely: Osu, La and Awudome.
The overgrowth of weeds situation within these 3 main revenue generating public
cemeteries which attracted much public outcry as a result of the failure of the Assembly
to release funds for their appropriate management.
Burial Records/RevenueThe period also saw improvement in the inventory of records on burials and accruing
revenue. Also steps and measures for data base on all other public and family
cemeteries in the Metropolis in being established. Plans are far advanced for the taking 53
over of all such public cemeteries after careful consultation with all stakeholders by the
AMA.
LATRINE ACCOMMODATION
Public/Private Commercial ToiletsA mechanism had been put in place over the period to collect a database of all such
facilities within the Metropolis to step up their hygiene and sanitation status to enhance
total conformity with laid-down health procedures and standards of the AMA. The Sub-
Metros are highly tasked in this bid.
Household ToiletsIn order to ensure compliance of AMA policy on phasing out of certain unacceptable or
unapproved types of domestic toilet provision (pan, pit etc) the period saw the
intensification of inspection of such household facilities and advice given by the EH staff
to enhance the program and as well direct for other acceptable or alternate provisions
(dissemination of sanitation information) to conform with AMA regulations and standards.
PROSECUTIONTo enhance appropriate law enforcement procedures in the Metropolis, identified
prosecutors with basic training were distributed over the 6 Sub-Metros as follows:
ADJABENG - 1
AYAWASO - 2
KPESHIE - 3
ASHIEDU KETEKE - 1
ABLEKUMA - 1
OKAIKOI - 2
OSU KLOTTEY - 1
TOTAL - 11
The identified Officers will undergo further training program in the field of prosecution and
court procedures to upgrade their competence and knowledge for the task ahead
soonest.
12.00 PUBLIC HEALTH INFORMATION PROGRAMME – ( HEALTH PROMOTION)
The activities of Health Promotion were strictly guided by the goals set by the MPHD that
are relevant to the unit. Under the goal that states ‘To improve the image and credibility” initiative was taken to develop data collection formats and inspection check
54
lists to guide operations. The objective of this is to offer an orientation to the
environmental health staff to ease presentation of reports in a uniform nature.
The Unit operates under the following term of reference.
12.01 SCHOOL HEALTH All the sixty-six schools, from Day Care Centres to Second Cycle Schools in the Sub Metro were
visited during the year. All have basic sanitary facilities such as urinals and toilets. These were
satisfactorily clean. However the major problem is their inadequacy as compared to the number
of users.
During the period under review 10 (ten) I.E & C programmes were carried out as follows.
1 Schools
4 Food Vendor groups
3 For a organized by Assemblymen and the MP for the area
1 Religious group.
On all occasions the topics were on Personal hygiene, Food hygiene and sanitation.
The Unit gathered sanitary information and data on the schools of the metropolis. Based on this
information, a proposal was develop in collaboration with Metro Education School Health
Education Programme Coordinator to source for funds. In order to improve sanitary conditions
and hygiene in the school there is the need to provide approved sanitary facilities
Another programme under way is school food safety. There had been collaborative meetings
with Metro Education Officials to develop this programme. The programme sought to register all
food handlers in and around the schools in order to institute a firm control. Registration forms
have been printed and sent to School Health Education Program (SHEP) Coordinator for further
action with the circuit supervisors of the schools.
RESEARCH & MISForms have been designed to collect data on performance of activities of the Sub-Metro
Officers. These data is used to build our Management Information System. Information and
data gathering from Metro Health Directorate is another source.
TRAINING AND SKILL DEVELOPMENTThe Department organized workshop for all Sub-Metro EHO & EHA during the first to third
quarter in order to enhance performance and improve image reliability and credibility.
The first round training session during 1st quarter focused on Detailed Specification of Inspection
under which the following Sub-Topics were treated.
8. Domiciliary Inspection
9. Industrial Inspection
10.Health Care Facilities Inspection56
11.Hospitality Industry Inspection
12.Market Inspection
13.Schools Inspection
14.Sanitary Facilities/Infrastructure Inspection
The second round training sessions during second and third quarter focused on enforcement
and profile development.
Monthly staff meetings were also held to discuss issues concerning the department. Meetings
were also held with all Public Toilet Contractors, some landlord Association members, residents
of some particular areas on issues concerning environmental sanitation.
Series of meetings were also held with food vendors on proper handling of food and the need to
undergo medical examination before handling food for public consumption.
TRAINING
During the 1st quarter a training programme on domiciliary inspections was organized for the
officers, and it has brought a remarkable change in the approach to the work. For the first time
also a meeting was organized between the public toilet operators and the officials of the Sub-
Metro. Topics discussed included enforcement of standards on the operators. This yielded
fruitful results and most of them took steps to improve on their toilets.
Some officers were trained on how to ride on motorbikes and since then, they are doing well.
FOOD WATER DRUG HYGIENE & SAFETY UNIT (F.W.D.H.SU).This unit is one of the three units of the Metro Public Health Department of the AMA, which is
responsible for ensuring food safety in the Accra Metropolis.
MEDICAL SCREENING (FOOD SAFETY)Food handlers have been screened in the hospitality industries like Hotels, Restaurants, Drinking bars, Chop bars etc and below are figures.Intensive education was given in the course of the inspections to the food vendors/handlers to go for the tests and subsequent certification. New cards attract a fee of ¢15000.00 and that of renewal attract a fee of 10,000.00. The restaurant and hotels cost ¢30,000.00.
On the above, those with any these conditions were made to see a doctor for medication and there after repeated the test to ascertain clearance from those conditions.
CONTROL OF FOOD ESTABLISHMENT (FOOD SAFETY)In course of the year people applied for license to operate new food establishment. Some were granted license and some not based on technical reasons. The table below indicates number of people who applied for various food establishment types
FOOD ESTABLISHMENT NO OF APPLICATION
NO. APPROVED
HOTEL 13 11RESTAURANT 12 10BAKERY 0 0FAST FOOD 2 1CHOP-BARS 1 1PURE WATER 6 5
Periodic inspections were carried out on some of these establishments. Meetings were arranged with some of them and even their leaders, on personal hygiene and high standard of sanitation in their establishment.Inspections were carried out on some supermarkets to ensure that they do not sell unwholesome goods and some of these supermarkets like Max Mart, Kwatson write to inform the department of expired goods they have on hand. On the whole 13 destructions of unwholesome food items were done.
CONTROL OF LIFE STOCK AND POULTRYNew applications were received for livestock rearing permit. See table below.LIVESTOCK REGISTRATION NO. OF
APPLICATIONS# APPROVED
SHEEP & GOAT 21 6POULTRY 8 5
MEAT SAFETY The two main slaughter slabs are at Avenor and Kantamanto.
58
The animals that are slaughtered at those places are mainly sheep and goats, and occasionally cows.These two slabs are privately owned for meat safety the following are essential.
WATER AVAILABILITYThere is adequate water supply to both slabs, which enhances basic hygiene after the animals are slaughtered as well as for cleaning the floor, table and the walls. INSPECTIONEvery carcass was fully inspected and if no disease is detected, then it is passed for food after the necessary fee is paid.TRANSPORTATIONThe carcasses are conveyed to the market places by taxis, and we make sure they are carried in hygienic manner by wrapping the carcasses with polythene bag
dischargeUnsanitary Disposal of waste water 4 300,000.00 2 bench warrantsOverflow of effluent into public drain 10 2,600,000.00Noxious trade 2 400,000.00Public food vending without medical certification.
7 0 2 bench warrants
Non Compliance with Notice 55 5,100,000.00Unsanitary Drain 18 3,800,000.00Defective septic tank 2 300,000.00Mosquito Larvae in Disused lorry Tyres
9 600,000.00 4 cases pending
Public food vending without medical certification. 11
1,900,000.00 5 cases pending
Selling Meat in unhygienic Condition 1 - 1 case pendingBusiness Operating Permit 19 2,700,000 10 cases pending
66
TOTAL 178 19,600,000.00
FURTHER INFORMATION ON PROSECUTIONNO. SUB METRO /UNIT # OF
Director II 1Snr. Executive Officer 1Executive Officer 1Typist 1 1Typist 2 NilSten. Gd. 2 1Snr. Telephonist 1Snr. Store Keeper 1Store Assistant 1Snr. Sexton 1Sextons 3Labourers 43Drivers 5Account 1
The MPHD is mandated to provide the following services according to L1. 1516 of 1995, which
established the AMA.
These services and programs are grouped in three (3) units with three technical heads who
monitor and supervise activities.
ENVIRONMENTAL PROTECTION & STANDARD
ENFORCEMENT
FOOD & WATER HYGIENE
ENVIRONMENTAL HEALTH
PROMOTION Premises Inspection Market Sanitation School Health Control Stray Animals Food Establishments Community
Mobilization Pest & Vector Control Meat & Fish Hygiene Public Relations &
Complaints Disposal of the Dead Livestock & Poultry Mg’t Research & MIS Prosecutions Control of Fresh
Vegetables Healthy Public
Policies Industrial Pollution Control Training & Skills
Development Environmental Monitoring Sub-Metros etc.
Monitoring of ES Services
Building Sanitation Hospital Sanitation
70
POPULATION OF THE SUB-METROS Ashiedu-Keteke
Ablekuma
Ayawaso
Okai Koi
Osu-Klotteu
Kpeshie
PREMISES WITHIN THE METROPOLIS Ashiedu-Keteke
Ablekuma
Ayawaso
Okai Koi
Osu-Klotteu
Kpeshie
SERVICES AND COVERAGE
PREMISES
TOTAL NO. PREMISES - 217568
TOTAL INSPECTED - 24595
% INSPECTED - 11.3%
WASTE MANAGEMENT (PUBLIC)
TOTAL NO. PUBLIC TOILETS - 167
TOTAL INSPECTED - 294
% INSPECTED - 176%
TOTAL NO. OF TOILETS PRIVITE -
TOTAL NO. INSPECTED - 10341
% INSPECTED AGAINST - 42.0%
PREMISES INSPECTED
71
REFUSE DISPOSAL
TOTAL NO. OF SITES - 118
TOTAL INSPECTED - 178
% INSPECTED - 150.8%
STATE OF BUILDINGSTOTAL NO. DEFECTIVE - 177
TOTAL PREMISES INSPECTED - 24595
% DEFECTIVE - 0007%
EATING, DRINKING BARS AND RESTAURANTSTOTAL NO. OF DRINKING - 1185
EATING BARS/RESTAURANTS
TOTAL NO. INSPECTED - 2361
% INSPECTED - 199%
There had been re-inspections and this is what accounts for the high number of Percentage recorded above.
MEDICAL SCREENINGTOTAL NO. OF WORKERS IDENTIFIED - 2662
TOTAL MEDICALLY EXAMINED - 2193
% IDENTIFIED EXAMINED - 82.3%
LIVESTOCK
NO. INSPECTED - 94
NO. LICENSED - 46
% LICENSED - 48.9%
REMARKS - Ayawaso Sub-Metro is the only one which Submitted returns on this item.
72
NUISANCESNO. DETECTED - 3483
TOTAL PREMISES - 24595
INSPECTED
% OF NUISANCES TO - 14.1%
PREMISES INSPECTED
NOTICES SERVEDTOTAL NO. ISSUED - 1911
TOTAL NO. COMPLIED - 1431
% NOTICE COMPLIED - 74.8%
COMPLAINTSTOTAL RECEIVED - 105
COMPLAINTS
TOTAL DEALT WITH - 94
% DEALT WITH - 89.5
PROSECUTIONSTOTAL SUMMONSES APPLIED FOR - 92
TOTAL BENCH WARRANTS - 15
TOTAL SUCCESSFUL PROSCUTIONS - 49
% SUCCESSFUL PROSECUTIONS - 12.5%
BURIALS
NO. CEMETERY JULY AUGUST SEPTEMBER TOTAL
1. OSU 105 97 94 296
2. AWUDOME 262 221 176 659
3. LA 42 5031 123
4. AKWASA 15 13 21 49
5. OSU CREMATION 3 1 - 4
73
6. ROYAL MAUSELEUM
4 3 10 17
7 PUAPERS AKWASA 24 7 - 31
8. EXPORTATION 1 - - 1
9. TOTAL 456 392 305 1180
DISINFECTIONS AND DISINFESTATIONS UNIT – EPSE
Two Premises were disinfested as indicated below:
a) Methodist Church – Adabraka
b) Office of the Minister for Finance
The MPHD has submitted a proposal to AMA to equip the department adequately in order to
take on all disinfection and disinfestations request in the Metropolis.
ACHIEVEMENTS
1. RE-ORGANIZATION:The period saw total re-organization of the Environmental Protection and Standards
Enforcement Unit as directed to enhance the effective implementation of its Functions,
Roles and Responsibilities (Reference attached appendix A)
2. CONTROL OF CEMETERIES AND BURIALS:
2.1 The Unit in conjunction with Management MPHD/AMA engaged 50 casual labourers and
succeeded in weeding the 3 main Public Cemeteries namely: Osu, La and Awudome.
The overgrowth of weeds situation within these 3 main revenue generating public
cemeteries which attracted much public outcry as a result of the failure of the Assembly
to release funds for their appropriate management.
2.2 Burial Records/RevenueThe period also saw improvement in the inventory of records on burials and accruing
revenue. Also steps and measures for data base on all other public and family
cemeteries in the Metropolis in being established. Plans are far advanced for the taking
over of all such public cemeteries after careful consultation with all stakeholders by the
AMA.74
3. LATRINE ACCOMMODATION
3.1 Public/Private Commercial ToiletsA mechanism had been put in place over the period to collect a database of all such
facilities within the Metropolis to step up their hygiene and sanitation status to enhance
total conformity with laid-down health procedures and standards of the AMA. The Sub-
Metros are highly tasked in this bid.
3.2 Household ToiletsIn order to ensure compliance of AMA policy on phasing out of certain unacceptable or
unapproved types of domestic toilet provision (pan, pit etc) The period saw the
intensification of inspection of such household facilities and advice given by the EH staff
to enhance the program and as well direct for other acceptable or alternate provisions
(dissemination of sanitation information) to conform with AMA regulations and standards.
4. NOISE NUISANCE
The period recorded the following:
ARRESTS CAUTIONED PROSECUTED BENCH WARRANTS
PENDING TOTAL FIND
44 4 22 7 11 ¢18,950,000.00
This achievement was made possible through the efforts of the AMA joint Taskforce on
Noise Monitoring/Control/Abatement comprising: EPSEU/MPHD, Metro Security, Police
and EPA, Night Patrol Team.
5. PROSECUTIONTo enhance appropriate law enforcement procedures in the Metropolis, identified
prosecutors with basic training were distributed over the 6 Sub-Metros as follows:
AYAWASO - 2
KPESHIE - 3
ASHIEDU KETEKE - 1
ABLEKUMA - 1
OKAIKOI - 2
75
OSU KLOTTEY - 1
TOTAL - 11
The identified Officers will undergo further training program in the field of prosecution and
court procedures to upgrade their competence and knowledge for the task ahead
soonest.
6. HEALTH PROMOTION
The activities of Health Promotion were strictly guided by the goals set by the MPHD that
are applicable and relevant to the unit. Under the goal that states ‘To improve the image and credibility” initiative was taken to develop data collection formats and inspection
check lists to guide operations. The objective of this is to offer an orientation to the
environmental health staff to ease presentation of reports in a uniform nature.
In another dimension under the same goal inventory is taken of all complaints and
response of acknowledgement sent to the complainants by way of writing to spell out
measures taken or intended to be taken. The objective of this is to be customer focus in
service delivery.
Under the goal ‘To operate in partnership with different groups of stakeholders’, the
following were carried out.
6.1. Collaboration With Metro EducationDatabase development was carried out on schools of the metropolis in order to assess
availability of sanitary facilities.
6.2. Collaboration With GPRTUThe unit identified the GPRTU as stakeholder group and developed stickers to serve as
educational aids to address littering the environment indiscriminately. Partnership
meetings were held with their executives to work out modalities for information
dissemination and communication.
6.3 Health ProtectionFor the first time in many years all the cemeteries in Accra except Akwasa were weeded
and tidied up within the quarter.
76
6.4 Food And Water Safety UnitThree sites have been identified for provision of slaughter facilities, drawings were made
and investors are to be invited to construct the slaughter slabs in Sub- Metros to ensure
meat safety as well as prevent indiscriminate slaughtering.
Assorted unwholesome food items were destroyed, in such conditions as expired
indication proved, at Oblogo or the condemned food store site behind the Timber Market.
These ranged from expired, weevil infested, moldy or rusted can food items from various
food establishments.
Institutions whose food items were destroyed included Kwatsons Impex, Top –In - Town,
Koala Shopping Centre among others.
6.5 Medical Screening Certificate For Food Vendors
Medical examination certificate for food vendors continued to be processed by the
F.W.D.H.SU.
A number of screening results were rejected because of diseases and conditions such as
typhoid and intestinal flagellates which were detected. Those food vendors were asked
to have, themselves treated and undergo re-examination again before certificates were
issued.
7. REVENUE GENERATION
JULYGRAVE SPACE = ¢15,476,000.00
COURT/SPOT FIND = ¢5,140,000.00
DAY CARE = ¢444,000.00
MISCELLANEOUS = ¢5,566,000.00
TOTAL = ¢26,626,000.00
AUGUSTGRAVE SPACE = ¢20,267,000.00
COURT FINES = ¢4,775,000.00
77
DAY CARE = ¢224,000.00
MISCELLANEOUS = ¢5,574,000.00
TOTAL = ¢30,840,000.00
SEPTEMBERGRAVE SPACE = ¢16,462,500.00
COURT FINES = ¢10,850,000.00
DAY CARE = ¢216,000.00
MISCELLANEOUS = ¢5,087,000.0
TOTAL = ¢32,615,500.00
RECOMMENDATIONRegular assessment of various reports is highly commendable. This could indeed facilitate
feedback and as well serve as check on nature of presentation and validity of issues reported
on. Opportunity could be granted DEHOs of the Sub Metros to be defending the report s they
submit either monthly or quarterly.
CONCLUSIONManaging Environmental Health is a complex task. It is not the preserve of any one agency.
There are a number of regulatory MDAs with responsibilities for various aspect of Environmental
Management. There is however, the need for one institution to be responsible for coordinating
the many activities involved.
The MPHD has that mandate. The MPHD had therefore taken up its leadership role in
developing a framework for Environmental Health Management in the Metropolis.
