05/15/2026
Open Letter to the Northern Regional Public Health Directorate on Emerging Disease Burden in Rural Communities
๐๐ฎ๐๐ฃ๐๐๐ญ: ๐๐๐๐๐๐: ๐
๐จ๐ซ๐๐ง๐ฌ๐ข๐ ๐๐ฆ๐ฉ๐๐๐ญ ๐๐ง๐๐ฅ๐ฒ๐ฌ๐ข๐ฌ ๐จ๐ ๐๐ซ๐จ๐ฃ๐๐๐ญ ๐๐๐๐ & ๐๐๐ช๐ฎ๐๐ฌ๐ญ ๐๐จ๐ซ ๐ญ๐ก๐ ๐๐ฆ๐ฆ๐๐๐ข๐๐ญ๐ ๐๐๐ข๐ง๐ฌ๐ญ๐๐ญ๐๐ฆ๐๐ง๐ญ ๐จ๐ ๐๐ฆ๐๐ซ๐ ๐๐ง๐๐ฒ ๐๐๐๐, ๐๐จ๐๐ข๐๐ฅ ๐๐ข๐ฌ๐ญ๐๐ง๐๐ข๐ง๐ , ๐๐ง๐ ๐๐๐๐๐ข๐ง๐๐ญ๐ข๐จ๐ง ๐๐ซ๐จ๐ญ๐จ๐๐จ๐ฅ๐ฌ.
Dear Director,
I am writing to you on behalf of Give Basic Needs to formally share the deeply concerning clinical findings from our recent medical deployment, designated as Project 0079. On April 19, 2026, our organization mobilized a coalition of local medical professional volunteers and our diaspora team to execute a comprehensive health screening and outreach event in Kpatinga, within the Gushegu municipality.
Our Forensic Impact Analysis of Project 0079 reveals a profound resource vacuum in our rural communities. The data demonstrates that ๐ ๐ก๐๐๐ซ๐ญ๐๐ซ๐๐๐ค๐ข๐ง๐ ๐ ๐ข๐ง ๐๐ ๐ข๐ง๐๐ข๐ฏ๐ข๐๐ฎ๐๐ฅ๐ฌ ๐ฌ๐๐ซ๐๐๐ง๐๐ ๐ข๐ฌ ๐๐ฎ๐ซ๐ซ๐๐ง๐ญ๐ฅ๐ฒ ๐ฅ๐ข๐ฏ๐ข๐ง๐ ๐ฐ๐ข๐ญ๐ก ๐ ๐ฅ๐ข๐๐-๐ญ๐ก๐ซ๐๐๐ญ๐๐ง๐ข๐ง๐ ๐ฏ๐ข๐ซ๐๐ฅ ๐ฅ๐จ๐๐ ๐จ๐ ๐๐๐ฉ๐๐ญ๐ข๐ญ๐ข๐ฌ ๐, ๐๐๐, ๐จ๐ซ ๐๐๐ฉ๐๐ญ๐ข๐ญ๐ข๐ฌ ๐. In response to this imminent threat, our medical teams executed emergency interventions on-site, immediately delivering ๐๐๐ ๐๐ข๐ซ๐ฌ๐ญ-๐๐จ๐ฌ๐ ๐๐๐ฉ๐๐ญ๐ข๐ญ๐ข๐ฌ ๐ ๐ฏ๐๐๐๐ข๐ง๐๐ญ๐ข๐จ๐ง๐ฌ to seronegative individuals to establish immunological memory and block further transmission. We also distributed ๐๐๐ ๐ฌ๐๐ง๐ข๐ญ๐๐ซ๐ฒ ๐ฉ๐๐๐ฌ ๐๐ง๐ ๐๐๐ ๐ฆ๐๐ฅ๐ ๐๐จ๐ง๐๐จ๐ฆ๐ฌ to mitigate socio-economic vulnerability and provide a physical barrier against disease transmission.
However, we must respectfully bring a critical caveat to your attention: ๐ญ๐ก๐ ๐ฌ๐ญ๐๐ ๐ ๐๐ซ๐ข๐ง๐ ๐-๐ข๐ง-๐๐ ๐ฌ๐ญ๐๐ญ๐ข๐ฌ๐ญ๐ข๐ ๐ฌ๐ญ๐ซ๐ข๐๐ญ๐ฅ๐ฒ ๐๐๐๐จ๐ฎ๐ง๐ญ๐ฌ ๐๐จ๐ซ ๐ญ๐ก๐๐ฌ๐ ๐ฌ๐ฉ๐๐๐ข๐๐ข๐ ๐ฏ๐ข๐ซ๐๐ฅ ๐ฅ๐จ๐๐๐ฌ ๐๐ง๐ ๐๐จ๐๐ฌ ๐ง๐จ๐ญ ๐ซ๐๐๐ฅ๐๐๐ญ ๐ญ๐ก๐ ๐ญ๐จ๐ญ๐๐ฅ ๐๐ข๐ฌ๐๐๐ฌ๐ ๐๐ฎ๐ซ๐๐๐ง. Due to the accuracy limitations of certain rapid diagnostic tests in the fieldโsuch as the high false-positive rates of Widal diagnostic kits for Typhoidโpathogens like Malaria, Meningitis, and Typhoid were excluded from this specific metric. When we factor in the prevalence of these additional life-threatening diseases, particularly the Multi-Drug Resistant Salmonella Typhi Genotype 3.1.1 superbug and the seasonal threat of Meningitis A, the true magnitude of the crisis is exponentially worse.
To put the sheer scale of this emergency into perspective: ๐๐ ๐๐ฌ๐ญ๐ข๐ฆ๐๐ญ๐ ๐๐๐ฌ๐๐ ๐จ๐ง ๐จ๐ฎ๐ซ ๐๐จ๐ซ๐๐ง๐ฌ๐ข๐ ๐๐๐ญ๐ ๐ญ๐ก๐๐ญ ๐ข๐ ๐ฒ๐จ๐ฎ ๐ ๐๐ญ๐ก๐๐ซ ๐ ๐ ๐ซ๐จ๐ฎ๐ฉ ๐จ๐ ๐ฃ๐ฎ๐ฌ๐ญ ๐ ๐ญ๐จ ๐๐ ๐๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐ญ๐ฒ ๐ฆ๐๐ฆ๐๐๐ซ๐ฌ, ๐ฌ๐ญ๐๐ญ๐ข๐ฌ๐ญ๐ข๐๐๐ฅ๐ฅ๐ฒ, ๐จ๐ง๐ ๐จ๐ ๐ญ๐ก๐๐ฆ ๐ข๐ฌ ๐ก๐๐ซ๐๐จ๐ซ๐ข๐ง๐ ๐ ๐ฉ๐จ๐ญ๐๐ง๐ญ๐ข๐๐ฅ๐ฅ๐ฒ ๐๐๐ญ๐๐ฅ ๐ข๐ง๐๐๐๐ญ๐ข๐จ๐ง ๐๐ง๐ ๐๐๐ฌ๐ฉ๐๐ซ๐๐ญ๐๐ฅ๐ฒ ๐ง๐๐๐๐ฌ ๐จ๐ฎ๐ซ ๐ข๐ง๐ญ๐๐ซ๐ฏ๐๐ง๐ญ๐ข๐จ๐ง ๐ญ๐จ ๐ฌ๐ฎ๐ซ๐ฏ๐ข๐ฏ๐.
We must remember the heavy, lifelong toll of these illnesses. Much like HIV, once a person contracts Hepatitis B, the anti-viral medications required to sustain their health must continue indefinitely. If these medications run out, their lives are at immediate risk. Treating these diseases requires massive, continuous funding that is currently unavailable. Yet, we can prevent Hepatitis B right now for a cost of only about 30 Cedi per person.
This exponential growth in disease transmission is the tragic consequence of the abrupt withdrawal of United States foreign assistance. The permanent closure of USAID and the suspension of nearly $4 billion in global health programs and over $6 billion from HIV/AIDS (PEPFAR) initiatives have completely fractured the supply chains that provided our nation's medical treatments. Without the consistent influx of antiretrovirals, artemisinin-based combination therapies (ACTs), and antibiotics, untreated illnesses are spreading rapidly throughout the country.
Because the international funding required to medically treat these diseases has evaporated, we can no longer rely on reactive treatment. Without immediate preventative action today, ๐ญ๐ก๐ ๐ฎ๐ง๐ฆ๐ข๐ญ๐ข๐ ๐๐ญ๐๐ ๐ญ๐ซ๐๐ง๐ฌ๐ฆ๐ข๐ฌ๐ฌ๐ข๐จ๐ง ๐จ๐ ๐ญ๐ก๐๐ฌ๐ ๐๐ข๐ฌ๐๐๐ฌ๐๐ฌ ๐๐จ๐ฎ๐ฅ๐ ๐๐๐ฏ๐๐ฌ๐ญ๐๐ญ๐ ๐๐ง๐ญ๐ข๐ซ๐ ๐ฏ๐ข๐ฅ๐ฅ๐๐ ๐๐ฌ.
Therefore, Give Basic Needs urgently requests that the Public Health Directorate immediately deploy mass targeted vaccinations and reinstate COVID-19 type restrictions nationwide, specifically enforcing rigorous social distancing mandates and heightening strict WASH (Water, Sanitation, and Hygiene) protocols.
To halt the exponential spread of these pathogens, we must utilize a dual strategy:
๐. ๐๐ญ๐ซ๐ข๐๐ญ ๐๐๐๐ ๐๐ซ๐จ๐ญ๐จ๐๐จ๐ฅ๐ฌ & ๐๐ก๐ฒ๐ฌ๐ข๐๐๐ฅ ๐๐จ๐ง๐ญ๐๐ข๐ง๐ฆ๐๐ง๐ญ: WASHโdefined fundamentally as the provision of safely managed drinking water via mechanized boreholes, the safe containment and treatment of human excreta (sanitation), and the strict practice of handwashing with soap at critical timesโis our ultimate physical barrier against disease transmission. In the absence of viable antibiotic treatments for MDR strains of Typhoid, enforcing mandatory WASH stations, preventing mass gatherings, and restricting proximity in public spaces are statistically vital to physical containment.
๐. ๐๐ ๐ ๐ซ๐๐ฌ๐ฌ๐ข๐ฏ๐ ๐๐ฆ๐ฆ๐ฎ๐ง๐ข๐ณ๐๐ญ๐ข๐จ๐ง: We must urgently prioritize high-leverage vaccinations to establish biological defenses in the population. Deploying the Typhoid Conjugate Vaccine (TCV) to combat the MDR Typhoid superbug, the Hepatitis B vaccine, and the MenAfriVac vaccine to prevent seasonal Meningitis A epidemics, is critical to neutralizing these threats before they require costly, currently unavailable reactive treatments.
๐๐ก๐ ๐๐๐ญ๐ ๐๐ซ๐จ๐ฆ ๐๐ฉ๐๐ญ๐ข๐ง๐ ๐ ๐ข๐ฌ ๐ ๐๐ฅ๐๐๐ซ ๐๐๐ฅ๐ฅ ๐๐จ๐ซ ๐ก๐๐ฅ๐ฉ. If aggressive physical barriers, strict WASH mandates, and preventative vaccinations are not deployed immediately to compensate for the loss of USAID-funded medical treatments, ๐ญ๐ก๐ ๐๐๐ฌ๐๐๐๐ข๐ง๐ ๐ญ๐ซ๐๐ง๐ฌ๐ฆ๐ข๐ฌ๐ฌ๐ข๐จ๐ง ๐ซ๐๐ญ๐๐ฌ ๐ฐ๐ข๐ฅ๐ฅ ๐จ๐ฏ๐๐ซ๐ฐ๐ก๐๐ฅ๐ฆ ๐ญ๐ก๐ ๐ซ๐๐ฆ๐๐ข๐ง๐ข๐ง๐ ๐ก๐๐๐ฅ๐ญ๐ก๐๐๐ซ๐ ๐ข๐ง๐๐ซ๐๐ฌ๐ญ๐ซ๐ฎ๐๐ญ๐ฎ๐ซ๐ ๐ข๐ง ๐ญ๐ก๐ ๐๐จ๐ซ๐ญ๐ก๐๐ซ๐ง ๐๐๐ ๐ข๐จ๐ง.
We stand ready to support the Directorate in any capacity required to implement these emergency protocols and protect our communities.
For immediate operational coordination and access to our forensic data, please contact our ๐๐จ๐ฎ๐ง๐ญ๐ซ๐ฒ ๐๐ข๐ซ๐๐๐ญ๐จ๐ซ ๐จ๐ ๐๐ฉ๐๐ซ๐๐ญ๐ข๐จ๐ง๐ฌ ๐๐ง๐ ๐๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ, ๐๐๐ฅ๐๐ฆ ๐๐๐ก๐๐ฆ๐๐๐ฎ, who is leading our on-the-ground efforts in Tamale.
Respectfully submitted,
๐๐๐๐ข๐ ๐๐จ๐ฅ๐ฎ๐ฌ๐ฌ๐ข BSW, BSN, RN President, Give Basic Needs Ghana LBG
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