To fully understand the burden of hepatitis C (HCV) infection in Ghana towards informing appropriate preventive measures, accurate prevalence estimates are needed. In this study, we estimate the prevalence of chronic HCV infection by systematically reviewing primary studies published between 1995 and 2015. A systematic review and meta-analysis was conducted as per the PRISMA guidelines. Comprehensive searches for hepatitis C prevalence studies for the years 1995–2015 were conducted in PubMed, ScienceDirect, Google Scholar, Africa Journals Online (AJOL) and the WHO African Index Medicus databases. We also searched the websites of the ministry of health and Ghana Health service for non-indexed studies or reports on the subject. Further systematic reference screening of published reviews and retrieved studies were also conducted to identify additional publications not captured through the online searches. Twenty-Four (24) studies from nine regions of Ghana with a combined sample size of 100,782 were analyzed. No study involving participants from Upper West region was retrieved. The national prevalence of chronic HCV was estimated as 3.0 % (95 % CI = 2.6 % to 3.5 %; I2 = 97.61 %, p < 0. 001). Prevalence rates of chronic HCV infection among blood donors was 2.6 % (95 % CI = 2.1 % to 3.1 %; I2 = 98.33 %, p < 0.001) with higher prevalence rate estimated for replacement blood donors (RBDs) than voluntary blood donors (RBDs). Among pregnant women and parturients, anti-HCV seroprevalence was estimated as 4.6 % (95 % CI = 1.8 % to 7.5 %; I2 = 75.74 %, p = 0.016). The national prevalence of HIV/HCV co-infection was also estimated as 2.8 % (95 % CI = 0.4-6 %; I2 = 65.86 %, p = 0.0053). Regional prevalence of chronic HCV infection were determined for Ashanti (1.5 %, 95 % CI = 1.2 % to 1.9 %; I2 = 96.24 %, p < 0.001) and Greater Accra (6.4 %, 95 % CI = 4.2 % to 8.6 %; I2 = I2 = 88.5 %, P < 0. 001) regions but no estimates were available for the other eight regions. The ascending order of HCV prevalence rates according to years in which studies were conducted was 2006–2010 < 2011–2015 < 1995–2002 < 2001–2005. Higher prevalence of chronic HCV infection was estimated for rural (5.7; 95 % CI 5.0–6.3 %; I2 = 0, p = 0.804) than urban (2.6 %, 95 % CI = 2.1 % to 3.0 %; I2 = 97.3 %, p = 0.0001) settings. Our study demonstrates a high prevalence of chronic hepatitis C infection in Ghana. This highlights the urgent need for stronger commitments from government and all stakeholders within the country to outline efficient preventive and curative measures towards reducing the overall burden of the disease.

Artisanal small-scale mining is widely operated in various countries serving as a livelihood to many rural communities. However, it is a significant source of environmental mercury contamination which affects human health. Amalgamation and amalgam smelting, two significant steps in the artisanal small-scale mining operations generate lots of mercury vapors, leading to chronic exposure among miners. Thus, this article seeks to provide a topical review of recent findings on organ damage and metabolic disorders among mercury-exposed artisanal small-scale miners with emphasis on the contributing factors such as personal protective equipment usage and artisanal small-scale gold mining-specific occupational activities. Also, insights into the effect of mercury intoxication and mechanisms of action on organ and metabolic systems among exposed individuals are provided.

In Ghana, about 73% of households rely on solid fuels for cooking. Over 13,000 annual deaths are attributed to exposure to indoor air pollution from inefficient combustion. In this study, assessment of thermal efficiency, emissions, and total global warming impact of three cookstoves commonly used in Ghana was completed using the International Workshop Agreement (IWA) Water Boiling Test (WBT) protocol. Statistical averages of three replicate tests for each cookstove were computed. Thermal efficiency results were: wood-burning cookstove: 12.2 ± 5.00% (Tier 0); coalpot charcoal stove: 23.3 ± 0.73% (Tier 1–2); and Gyapa charcoal cookstove: 30.00 ± 4.63% (Tier 2–3). The wood-burning cookstove emitted more CO, CO₂, and PM_2.5 than the coalpot charcoal stove and Gyapa charcoal cookstove. The emission factor (EF) for PM_2.5 and the emission rate for the wood-burning cookstove were over four times higher than the coalpot charcoal stove and Gyapa charcoal cookstove. To complete the WBT, the study results showed that, by using the Gyapa charcoal cookstove instead of the wood-burning cookstove, the global warming impact could be potentially reduced by approximately 75% and using the Gyapa charcoal cookstove instead of the coalpot charcoal cookstove by 50%. We conclude that there is the need for awareness, policy, and incentives to enable end-users to switch to, and adopt, Gyapa charcoal cookstoves for increased efficiency and reduced emissions/global warming impact.

Beyond the loss of peri-urban agricultural and forested land as a result of built-up expansion, not much information exists on the changes in the structure of the peri-urban landscape in Ghana. The aim of this paper is to examine the extent to which urban expansion is driving changes in landscape structure of the peri-urban fringes of Accra. We submit that rapid peri-urbanisation will fragment the existing agricultural and forested landscape with consequent ecological, socio-economic and urban governance implications. Using Landsat satellite images for the years 1985, 1991, 2002 and 2015 the study area was classified into four land cover classes. The study adopted the use of Urban Intensity Index (UII) and the Annual Rate of Urbanization (R) as measures of urbanization. Edge density (ED), largest patch index (LPI) and Aggregation index (AI) were used as proxies to measure landscape structural transformations. The study reveals substantial reductions and fragmentation in agricultural lands, riverine and open forests, while there has been over 200 percent increase in built-up areas. Beyond these revelations in spatiotemporal changes in landscape structure, the paper points to the ecological implications of the changes, and three key socio-economic and urban governance implications.