Assessing the impacts of artisanal mining on the quality ofvf South-western Rivers System in Ghana.

Artisanal small-scale mining has been part of Ghana's history, but recent public outcry on the devastating impacts of the phenomenon on water bodies, due to expansion in the sector, has led to clamp downs by various governments on the activity. This has called for evaluation of the water quality of the South-western Rivers System, which are small-scale mining endemic areas. Thirty-five river samples were collected in July 2018 and were analyzed for physico-chemical parameters using procedures outlined in the Standard Methods for the Examination of Water and Wastewaters. The results revealed that the rivers are polluted with Fe and Cu, accompanied by very high levels of turbidity (mean = 488 NTU) and total suspended solids (TSS) (mean = 382 mg/L). NH3-N, PO4-P, BOD, and DO levels indicated mild pollution in the waters. Pollution of the rivers is attributable to impacts of artisanal small-scale mining, surface run-off as a result of high intensity rainfall, anthropogenic (indiscriminate waste disposal) and geogenic factors such as dissolution of minerals from the soil zone. It was observed that, if not strictly regulated, turbidity and TSS levels arising mainly from illegal small-scale mining activities could lead to shutdowns of a number of Ghana Water Company Limited treatment plants, leading to water supply challenges in the study area.

A retrospective study of lower limb cellulitis in a regional hospital in Ghana

Background: Cellulitis is a non-necrotizing inflammation of the dermis of skin and subcutaneous tissues. Lower limb cellulitis is a common cause of hospitalization in Ghana but scarcely reported. Objective: To document management and outcomes of lower limb cellulitis at the Ashanti Regional Hospital in Ghana. Materials and Methods: Retrospective review of patients admitted to the Ashanti Regional Hospital with a diagnosis of lower limb cellulitis from November 2016 to October 2018. We reviewed patients' clinical records for data on patient demographics, risk factors, clinical presentation, treatment modality and outcome of cellulitis. A p-value of less than 0.05 was considered to be statistically significant. Results: Eighty two (82) patients with lower limb cellulitis were admitted over the study period. There were 47 (57.3%) females and 35 (42.7%) males. The mean age of patients was 38.8 years (standard deviation 21.6065). Among females, the majority, 10 (21.3%) were in the 6th decade whilst the majority, 9 (25.7%) of males were in the 4th decade. All the patients presented with swelling of the lower limb involving the left lower limb in 38(46.3%) and right in 44(53.7%) cases. The leg was the most common location involved 60 (73%). The mean duration of swelling prior to admission was 5. 2 days (SD 3.196). Antibiotics treatment resulted in complete resolution in 29 (35.4%) cases and complications in 53 (54.5%), cases requiring surgical treatment in 31(58.5%) patients. Conclusion: Lower limb cellulitis had a high complication rate influenced by duration of symptoms prior to hospitalization and antibiotic therapy