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Foroyaa Newspaper Burning Issue
Issue No. 76/007, 2 – 3 July  2007

Editorial
WHOSE AFRICA? WHOSE GOVERNMENT?
WHOSE  STATE?
THE GRAND DEBATE ON AFRCAN UNITY
Since 2005, the question of  building a union government had been on the 
agenda. Seven heads of state, were  mandated by the 6 ordinary session to prepare 
proposals on the feasibility or  otherwise of establishing a Union Government 
for Africa. The Committee of Seven  Heads of State finished their work and 
submitted a report to the 7th Session of  the Assembly held in Banjul in July 
2006. The study concluded that the  establishment of a union government was 
feasible and made recommendations that  it is put into operation by 2015. The 
report referred to as the Banjul Report is  entitled. 
“A Union Government TOWARDS THE BUILDING OF A “UNITED STATES OF  AFRICA.”
The report has been reviewed by governments. During the 8th ordinary  session 
of the Assembly of Heads of State held in Addis Ababa the Heads of State  
agreed that the 9th Ordinary Session scheduled to be held Ghana should be  
devoted exclusively to the Grand Debate regarding the founding of a Union  
Government for Africa. 
Prior to the debate some media houses have been  giving the issue a one sided 
coverage. Some even give the impression that the  Agenda in Ghana is Qaddafi’
s agenda. This following is a verbatim quotation from  one media report: “The 
African Union Summit has opened in Accra, Ghana,   focusing this year on the 
idea of a Pan African government. Libya’s Colonel  Muammar Qaddafi is 
championing the idea, but correspondents say many African  leaders do not support his 
initiative.” 
Such news items are being read  verbatim by some state media establishments. 
It is important to point out  that the states that form the United States of 
America did not wait until all of  them were developed to be united. They did 
not wait until all of them were equal  in level of development to be united. 
They did not wait until there was an end  to civil war among themselves to 
unite. They pursued unity as a means to  promoting the pulling up of resources to 
develop human and institutional  capacities to address the problems of poverty 
and political marginalization of  smaller states. Africa must unite to put an 
end to centuries of impoverishment,  marginalization and domination.
Hence the task before all those who want the  people of Africa to live in 
liberty, dignity and prosperity is to take part in  the grand debate to determine 
whether it is feasible for Africa to unite now or  not. If so, the obstacles 
we have to overcome to realise our objectives must be  identified and 
addressed.
Foroyaa will open up the debate after the summit so  that our readers will 
also take part in this grand debate of the millennium.  Africa needs a critical 
mass. That is not achieved by simply dismissing issues  by claiming that wars 
or tyrants will not allow a noble idea to come to fruition  as if it is the 
colonialists who allowed Independence to be gained. As the old  saying goes, 
Necessity is the mother of invention. Necessity demands that we  develop a New 
Africa to survive and prosper.

In The Treason Trial
COURT REJECTS OMAR FAAL’S STATEMENT
By Bubacarr  K. Sowe
The Banjul High Court presided over by Justice Avril Anin Yeboah on  Friday, 
June 29, admitted parts of the statements made by Tamsir Jasseh and  Demba 
Dem, but rejected the statements of Omar Faal (Keita).
The accused  persons and Alieu Jobe are charged with treason for their 
alleged involvement in  the March 2006 foiled coup d’etat. 
The ruling followed a trial within a  trial (voir dire) which was aimed at 
testing the voluntariness of the statements  obtained from Messrs. Jasseh, Faal 
and Dem during the course of the  investigation into the alleged attempt to 
overthrow the government.
The court  ruled that it has admitted Tamsir Jasseh’s statement, but rejected 
page six of  the same document.
It did admit the first and back pages of Demba Dem’s  statement but rejected 
the rest of the documents.
The court also rejected the  whole statement of Omar Faal (Keita).
The court later admitted the video tape  which was broadcast over GRTS 
television following the foiled coup d’etat. This  ruling on the video tape arose 
after an objection to its tendering by one of the  defence lawyers, Borry 
Touray, who argued that it is confessional, but this was  counter argued by the 
prosecutor, Emmanuel Fagbenle. 
Meanwhile, the trial  resumes on Wednesday, July 4 at the High Court. 
Tamsir Jasseh was former  director general of Immigration and ex-deputy 
inspector general of Police, Alieu  Jobe is an ex-accountant general, Omar Faal 
(Keita) is a marabout, while Demba  Dem is an ex-parliamentarian for Niani 
constituency.

INTERVIEW WITH  HALIFA SALLAH
ON THE AU SUMMIT AND PRESIDENT JAMMEH’S ABSENCE
FOROYAA: The  International media reports tend to give the impression that 
the head of State  of the Socialist Peoples Libyan Arab Jamahiriya, Colonel 
Muammar Qaddafi, is  pioneering the founding of a United States of Africa while 
many other heads of  state are skeptical about the idea. Can you throw light on 
what is happening in  Ghana?
Halifa: The African Union has an assembly of heads of state which is  the 
policy making organ of the Union. Since the first session of the African  Union, 
the Heads of State have met eight times. The session in Ghana is the 9th  
Summit. The Ordinary Sessions are being held in July and January of each year.  
The grand debate regarding the creation of a Union Government and the United  
States of Africa is not the brain child of any individual leader. It arose as 
 the collective decision of the Assembly of Heads of State. 
Foroyaa: How did  the agenda come about?
Halifa: The AU Assembly of Heads of State established  a committee of seven 
Heads of State and government in 2005 to formulate a  proposal regarding the 
establishment of a Union Government. 
During the AU  Summit in Banjul in July 2006, the report of the committee was 
submitted for  discussion under the caption “An African Union Government 
Towards the United  States of Africa.”
The committee of seven concluded that the establishment of  a union 
government is feasible and proposed the rudiments of the government that  could be 
founded by 2015. the heads of state reviewed the study. During the 8th  Ordinary 
Session of the assembly held in Addis Ababa in January 2007 the heads  of state 
agreed that the 9th Ordinary Summit in Ghana will be exclusively  devoted on 
the grand debate regarding the establishment of a union government.  The 
summit also recommended consultations to be initiated at the level of the  
Pan-African Parliament and other institutions of the AU as well as civil society  at 
large before the summit. Colonel Qaddafi therefore is simply echoing what has  
already been accepted as a subject of discussion by all African states.  
Foroyaa: Is that why you were a member of a task force established by the  
Bureau of Pan-African Parliament?
Halifa: Precisely so. We were given the  study to review and give our own 
input for debate by the Pan-African Parliament.  The draft report of the task 
force had since been debated by the Pan-African  parliament on the 15th and 16th 
of May 2007 at its 7th Session. The president of  the parliament will give her 
input at the AU Summit being held in Ghana.  
Foroyaa: There is yet to be any official announcement of the president’s  
departure for the summit. Will it not be strange if the president fails to  
attend such a major debate?
Halifa: The 9th Summit of the AU will be  remembered by students of history. 
It is as important if not more important than  the summit in 1963 which led to 
the founding of the AU. The grand debate is  premised on the study of  the 
Committee of Heads of State which is commonly  referred to as the Banjul Study. 
It will be strange if the Gambian Head of State  is absent.
Foroyaa: There is also little mention of what is happening in  Ghana by the 
state media. In fact they are reporting views expressed that the  Libyan leader 
is pioneering the drive for a Union Government against the wishes  of many 
other Heads of State?
Halifa: Which head of state have they  interviewed to draw such a conclusion?
The problem of the state media is not  lack of reliable sources of 
information. Its problem is intolerance of diversity  of sources of information. I am 
more than willing to clarify all issues  regarding the grand debate.
Foroyaa: What suggestions have you given  regarding the outcome of the grand 
debate?
Halifa: This is elaborated in my  treatise on the founding of a Federation of 
African Republics which is being  edited for publication. The following 
recommendations are made for the grand  debate.
The Establishment of a Federation of African States in Phases  
Phase one
The summit should achieve the following task in Ghana in  2007
1. Adoption of the name, nature and form of the Union. I propose that  Africa 
continue what Lumumba and Nkrumah started by giving commitment to build a  
federation of African states which could be given the distinct name The  
Federation Of African Republics (FAR) to make it clear that Africa wishes to go  
beyond the point reached by the European Union to build a Federation of African  
States.
2..Adoption of a Solemn Declaration by all Heads of State to  establish the 
Federation
without hesitation or hindrance within a realistic  time frame to be agreed 
at the Accra
Summit.
3. Declaration of commitment  by all states to ratify the protocol 
establishing the African
Court of  Justice so that it can be put in place in 2007.
4. The commissioning of an  internal review exercise of mandates, functions 
and structures by all the organs  or institutions of the AU as well as the 
elaboration of a strategic plan  involving any upgrading in mandates, functions, 
structures, material and human  resources to evolve into an institution of the 
federation. The Regional Economic  Groupings should also be part of the review 
exercise. All institutions should be  required to submit their reports to The 
AU Commission for presentation and  discussion at the 2009 summit so that a 
task force can be commissioned by the  summit, comprising experts on all the 
organs to draw up a realistic plan of  action for forward movement towards the 
building of the Federation of African  Republics.
5. Adoption of a resolution to establish the Central Bureau for  
Documentation and Statistics with immediate effect to serve as a depository of  all the 
instruments, relevant statistics, policies programmes and projects of  the AU 
and the respective States to facilitate continental planning and  implementation 
of the objectives of the Union
Phase two
I  The 2009  Summit should be set aside to review the reports and 
recommendations of the  various institutions and Organs of the AU and adopt their short 
term, medium  term and long term proposals, including their requirements in 
Human and Material  resources. This should be followed by the establishment of a 
Commission of  Jurists to study all the recommendations and make proposals for 
the amendment of  the Constitutive Act and all relevant protocols to bring 
them into conformity  with the requirements of an evolving Federation of African 
Republics. This  should be followed by the consolidation of the three arms of 
the state, that is,  the Executive, the Legislature, the Judiciary and their 
respective branches or  sectors and their operationalisation
Phase Three
The 2010 Summit should be  devoted to the adoption of a revised Constitutive 
Act and supporting instruments  which should have all the features of a 
Republican Constitution to gradually  move the Union towards a Federation. Election 
of Pan African Parliamentarians  should take place in 2010 on the basis of 
Universal suffrage so that they will  owe no allegiance to National Parliaments 
and be fully devoted to the  Legislative and other over sight functions of the 
Union. The consolidation of  the African Court of Justice should be 
complimented with the establishment of  the criminal jurisdiction of the African Court 
on Human and Peoples Rights and  the appointment of a Prosecutor General to 
facilitate trials for war crimes,  genocide and crimes against humanity under the 
Union.
Phase four
I. The  2011 Summit should be devoted to the review of progress in 
institution building  and performance as well as the assessment of human and material 
resource needed  to achieve set targets
2. This Summit should give mandate to the Commission  of Jurists to engage in 
consultation on a continental basis to help prepare a  draft Constitution for 
the Federation of African Republics for adoption on the  50 anniversary of 
the founding of the OAU at its head quarters in Addis Ababa in  2013.
3.The Summit should further establish a Commission of experts on  Economic 
,Social, Political and cultural matters to prepare a Comprehensive  African 
Economic Recovery and Development Programme for the Federation of  African States 
to be reviewed and adopted on the 50th Anniversary of the  founding of the OAU 
in 1963
Phase five
I. The 2012 summit should be  devoted to a review of progress made in the 
preparation of a draft Constitution  and the Report on the Comprehensive African 
Economic Recovery and Development  Programme for the Federation of African 
Republics. The Pan African Parliament in  collaboration with ECOSOC should 
involve the Regional Economic groupings and  their Parliamentary Fora as well as the 
National Parliaments, Civil Society and  the people at large groupings in a 
continent-wide debate regarding the content  of the draft Constitution and The 
Comprehensive African Economic Recovery and  Development Programmes for the 
Continent.
2 The Session should also be  devoted to a Review of the progress made by all 
institutions of the AU in  fulfilling their respective mandates and the 
harmonisation of their activities  to further the objectives of the Union.
Phase six
2013 will mark the  Anniversary of the founding of the OAU. This Summit 
should be held in Addis  Ababa and should be marked by the adoption of a Federal 
Constitution and the  African Economic Recovery and Development programme for 
the Continent. This  should mark the beginning of the founding of the Federation 
of African  Republics.
Phase Seven
2014 should be a year of sensitisation. The Pan  African Parliament and 
ECOSOC should be provided with enough material and human  resources to sensitise 
the African peoples on the provisions of the draft  Constitution and the content 
of the proposed Comprehensive African Economic  Recovery and Development 
Programme. The sensitisation should culminate in the  holding of an All African 
Peoples Conference comprising representatives of  women, youth, human rights 
bodies, trade unions, media, disabled, political  parties and other stake holders 
on the continent in preparation for a  simultaneous referendum in all African 
States to approve or reject the  Constitution of the Federation of African 
Republics.
The 2014 summit should  focus on the reports of the civil society bodies and 
a declaration should follow  adopting a day to hold the referendum in 2015 to 
decide the fate of the draft  Constitution
Finally
Once the referendum leads to the approval of the  Constitution, the 2015 
Summit should proceed to establish a task force to  prepare an implementation 
programme for the operation of the federation for  approval by the 2016 Summit. 
The process of establishing the structures of a  Federation of African Republics 
should take place according to the agreed  plan.

40 ASPIRANT MIGRANTS ARRESTED
By Fabakary B.  Ceesay
Almost forty (40) would be migrants, most of them Gambians, were  rounded up 
by the police and subsequently arrested at ‘Wharfi Njago’ in Banjul.  They 
were detained at the Police Headquarters.
According to our sources, the  youths who attempted to sail to Spain through 
the Canary Islands, were  interrupted when the police received a tip off about 
their motives. Sources  added that the aspirant migrants include Gambians and 
non Gambians from  different parts of the country. 
However, the police Spokesperson, Inspector  Sulayman Secka, confirmed the 
arrest and detention of the would be migrants. He  told Foroyaa that most of 
them were granted police bail but that some are still  being detained due to 
their failure to meet the bail condition; that all of them  will be released when 
they fulfill the bail requirements. PRO Secka added that  he did not know 
whether they were charged or will be charged, and whether they  will be taken 
before a court of law. He finally said, “the journey is risky. I  think youths 
should desist from attempting to take such a dangerous journey to  travel to 
Europe.”
On Friday this reporter found out that a good number of  them had been 
released on bail but did not know the bail  conditions.

FOCUS ON POLITICS
1981 POLITICAL CRISIS STILL  CLAIMING CENTER STAGE
With Suwaibou Touray
We have been focusing generally  on politics and Gambian politics, in 
particular, in this column. We have seen it  as very useful to analyse the history of 
politics from the pre-colonial to the  post-independence era. It is our 
conviction that young people will learn lessons  from these experiences which can 
help them to avoid the mistakes of the  past.
In the last issue, we have been reporting and analysing the issues that  
arose in the early part of 1983. We stopped at where we said that many had  
questioned why the president would not, himself, simply volunteer for the  
Commission of Assets to enquire about his assets. We will continue from  there.
While the Government of The Gambia struggled to make the Senegambia  
confederation and its security to take the center stage, the ordinary people  were 
more concerned with how to survive under a prevailing precarious economic  
situation.
Two developments occurred on the 25th October 1983 and which did  not augur 
well for the country’s economy. The taxi drivers went on a strike in  the city 
of Banjul on this particular day. Rice shortage was also reported on  the same 
day. This development resulted to panic buying wherever basic  commodities 
were discovered.
The taxi drivers complained that the fare of 30  bututs for runs in Banjul 
was too small and argued that the high price of fuel  and the bad state of the 
roads in Banjul and the Kombos, all went against their  favour. The interesting 
thing was that the drivers went ahead with the strike  without the knowledge 
and participation of their union, the Motor Drivers and  Allied Workers Union, 
which normally should have led the strike.
Mr. Daddy  Sowe, the union leader, met the drivers at the Brikama car park in 
Banjul and  urged them to resume work, but it was reported that his request 
was flatly and  unanimously rejected. The drivers maintained that the 40 bututs 
increment that  was suggested by Daddy Sowe was too small. They vowed to 
continue with the  strike if their demand of 50 bututs increment was not met. They 
told the press  that they were afflicted with low fares, low wages, bad road 
conditions and  police harassment. The strike went on for two days before it 
was called  off.
As for rice and cooking oil, the Government or the importing authorities  
refused to acknowledge shortage. As the Senegambian Sun described it, “It  
appeared that each time there is a shortage of rice and other essential  
commodities, there was a boat to blame. This time it was the ‘MV Mayfair’, an  ocean 
going cargoe vessel. The GPMB which was then the sole authority  responsible for 
the importation of rice, indicated that the ship made a breach  of contract; 
that it was supposed to bring  6,500 tonnes of rice from Burma  and would 
arrive not later than 25th October 1983, but that the ship was nowhere  in sight. 
As if this was not enough, an acute shortage of fuel was also reported  by 
about the 11th of December 1983, resulting to serious shortage of  transports.”
“BALAMBA” UPHELD
By Monday 3rd October 1983, Gambians were  told that their government had 
objected to the continued showing of a film on  the Gambia by a Swedish film 
maker, one Lars Westman. Many people were not even  aware of such a film, but the 
government’s demand for it to be banned made many  to desire to see it.
According to reports, the Council of the Swedish  Broadcasting Corporation 
upheld the Gambia government’s request regarding the  film entitled “Balamba”, 
meaning resistance in Mandinka, because ‘it gives an  “unfavourable”  picture 
of The Gambia both before and after the July 30  1981 rebellion’, as argued 
by the Gambian authorities. The Council’s verdict,  however, found the film 
partial and not in accordance with the rules which  regulate broadcasting in 
Sweden. The film was said to be characterized by  far-reaching criticisms against 
the Government of The Gambia. 
The most  perplexing development to many Gambians was the circulation of 
rumours of the  continuous arrests of some personnel in the police force and other 
prominent  Gambians. Claims were made that some of Kukoi Samba Sanyang’s 
colleagues who  fled with him, from Guinea Bissau to Cuba, had decided to come 
back and were  helping the authorities. The press became excited when President 
Jawara invited  the media fraternity to a press conference scheduled from 
Monday 30th October  1983. This was later postponed and rescheduled for Monday 31st 
October 1983. The  arrest of Sam Sarr, a graduate teacher at the Gambia High 
School and Halifa  Sallah of the Social Welfare department who was also the 
presenter of the famous  social education ‘Magi Elek’ Programme on Radio 
Gambia, was top on the  agenda.
As the Senegambia Sun puts it, the press expected a bombshell.  According to 
the Sun the press conference had no theme and revealed no  bombshells. The 
Journalists, however, took the opportunity to seek clarification  regarding the 
arrest of four Gambians and the return to this country of three  men accused of 
collaborating with Kukoi Samba Sanyang. President Jawara’s exact  words are 
as follows: “Halifa Sallah and others have been detained for  questioning and I 
think it is in connection with the events of 30 July 1981”.  The president 
could not reveal any information as to whether the police  questioning had 
revealed anything of substance. On Kukoi’s colleagues, the  President was equally 
brief. His very words were “I know that three of Kukoi  Samba Sanyang’s 
colleagues who went from Guinea Bissau to Cuba with him, infact,  at one stage 
became so disillusioned about the so called revolution and all it  stands for that 
they resigned from his party, deserted him and at the moment are  assisting 
The Gambian authorities with our continuing efforts to get to the root  cause of 
the 1981 coup.”
Nothing was heard again of Halifa Sallah and Sam  Sarr, the latter whose home 
was searched and his wife with a month old baby were  arrested together with 
three other colleagues, namely Adama Bah, Personnel  Manager at the Bungalow 
Beach Hotel (BB), Modou Gaye, a school master and Pa  Louis Sambou a school 
teacher. Sam Sarr’s wife, Mrs. Amie Sillah was the then  Senior Health Inspector 
in charge of the Kanifing municipality. Halifa Sallah  was a Social Welfare 
Officer responsible for Research and Training, and a  visiting lecturer at the 
School of Public Health and Nursing. 
All the  documents in the possession of the detainees were seized and 
subjected to five  months review by the operatives of the Special Branch Unit of the 
Gambia Police.  The case was claimed by some of them to be the most hectic 
exercise they have  ever been engaged in. For five months the state gave no 
further explanation as  to whether they had got to the root cause of the July 1981 
coup d’etat. After  six months of detention at the maximum security wing of 
Mile Two Prison without  charge, Halifa Sallah, Sam Sarr, Amie Sillah, Pa Louis 
Sambou, Adama Bah and  Modou Gaye were rushed to court and charged for 
operating an unlawful society.  To the surprise of many, the charge had no link with 
the July 30th 1981 coup  d’etat. Infact, before the case even started for 
hearing, the state filed a  Nolle prosequi motion to discharge the accused persons 
and release them. It was  never explained in a press conference whether the 
society was unlawful or an  underground party waiting to emerge.
The arrest and release of Halifa Sallah  and Co. marked the beginning of a 
new political force in the country which we  will look at later, in greater 
detail.
Sir Dawda did not give the names of  those three people who arrived from 
Cuba. The period also witnessed the arrest  and detention of 6 officers. 
These include Chief Inspector Shylon, Inspector  Juwara, Sergeant Lang 
Kinteh, Sergeant Mam Malick Sowe, Corporal Waagaan Faye,  Corporal Jamanti and a 
civilian, a Mr. Sosseh Kolley, formerly of Education  Department, who were 
arrested without any official explanation. However, the  Senegambian Sun observed 
that many saw it as what the president described in his  press conference as, 
their (Government’s) ‘continuing effort to get to the root  cause of the 1981 
coup’. It did not stop there. Furthermore, the forceful  retirement of two very 
senior officers, Commander I.J.K. Tambajang, who was  Director of Immigration 
at the time and F.R.I. Jammeh, commander of the Pioneer  Unit, based in 
Farafenni, on 14 November 1983 also followed. The third senior  officer to retire 
did so on Tuesday 15 November 1983, and it was Inspector Yigo  Trawalley. No 
official reasons were given for these retirements. The forced  retirement of 
I.J.K. Tambajang, particularly, surprised many observers because  of the believe 
that both he and former IGP, A.S. Mboob, had played a crucial  role in 
defending the city of Banjul, especially, at the peak of the 31 July  events.
No court cases emanated from the alleged confession of the Cuban  returnees. 
The matter was just swept under the carpet after some months.
See  next publication, in this Focus column, as we advance into the 
happenings of the  mid 1980s.

HEALTH AND NUTRITION BANTABA
DR ALIEU  GAYE
PRESIDENT GAMBIA DIABETES ASSOCIATION
By Yaya Bajo
In this edition  of Health and Nutrition Bantaba, we approached Dr. Alieu 
Gaye, President Gambia  Diabetes Association at his Number 34 Hagan Street Clinic 
where he highlighted  various topical issues on diabetes and the Association. 
Read on to find out what  Dr. Gaye has said in the interview.
HNB: What is diabetes?
Dr. Gaye:  Diabetes is a condition where there is excess sugar in the blood 
because of  failure of the body does not produce sufficient quantities of 
insulin or the  insulin produced does not work properly.
HNB: Does diabetes come in different  forms in order words what are the 
different types of diabetes?
Dr. Gaye:  There are two types, type one (1) and type two (2). Type 1, 
happens usually in  young people in their teens or younger. It occurs because bodies 
produces  antibodies of these individuals produce antibodies which destroy 
the pancreas.  Insulin is required to sustain their lives. Type 2, tends to 
happen after the  age of 40 and it tends to run in families (hereditary) and there 
are risk  factors that give you diabetes. These are non-modifiable risk 
factors which  include age and ethnicity and race and modifiable risk factors which 
include  obesity, lack of physical activities, excess alcohol consumption, 
poor diet  especially fatty-diet, urbanisation  and urban life styles.
HNB: Which  one is more common?
Dr. Gaye: Type 2 diabetes is the most common type in the  world and 90% of 
diabetes cases in The Gambia is type 2. World Wide as at 2006,  246 million 
people were affected with diabetes and by 2025 it is expected to  reach 380 
million people and most of this increase will be in developing  countries.
HND: What are the signs and symptoms of diabetes?
Dr Gaye: You  should suspect you have diabetes when you start drinking a lot 
of water, eating  a lot of food, passing a lot of urine and loosing weight.
HNB: Is diabetes  treatable like other medical conditions?
Dr. Gaye: In the management and  control of diabetes, we put a lot of 
emphasis on diet control, exercise for at  least 30 minutes as WHO recommendation and 
medication.
HNB: The Gambia  Diabetes Association has been in existence for sometime, can 
you dilate on  it?
Dr. Gaye: The Gambia Diabetes Association was formed in 1991 and we have  our 
executive board and General Assembly which meets annually. The main trust of  
the association is to increase awareness among the people affected with the  
disease. The awareness has been created; a lot of patients have been empowered 
 through the education programmes. We now have a twinning programme with the  
Revtilingen Diabetes Association in Germany and they provide us with insulin  
test strips, and machines. We also celebrated 14 November each year as World  
Diabetes Day. The membership is open to all and the rate was revised from 
D5.00  to D25.00 annually.
HNB: What is the trend of diabetes cases in The Gambia,  is it increasing or 
decreasing?
Dr. Gaye: Diabetes is increasing in The  Gambia because in 1991 the 
prevalence was estimated to be 4%, but in 1996 a  study was done and it was found to be 
8.9% in Greater Banjul Area and 1.2% in  the rural areas.
HNB: What could this sharp increase in diabetes cases in The  Gambia be 
attributed to?
Dr. Gaye: The cause of the increase of diabetes  cases could be attributed to 
sedentary life styles, excessive fat consumption  and improved life 
expectancy.
HNB: What can be done to address the  problem?
Dr. Gaye: One has to eat sensibly and avoid too much of sugary and  oily 
foods. We put a lot of emphasis on vegetables and balance diet.
HNB:  What would you like to say on a final note?
Dr. Gaye: There is extensive  research going on, a lot of new therapies are 
coming out and we hope one day  there would be a cure.
HNB: Thank you for sparing your time to share your  knowledge with our 
readers.
Dr. Gaye: It is a pleasure.

CHOLERA  PREVENTION CARE
By Sarjo Camara-Singhateh
In this edition of Health and  Nutrition Bantaba we are bringing you another 
Health issue which is cholera. It  has been in our sub-region for some time 
now, and some of these countries  affected are our neighbours.
Health personnel are concerned with the  prevention method against cholera. 
Read on to find out what the Manager, Health  Communication Unit, Mr. Amadou 
Sowe, has to say about cholera.
HNB: Mr. Sowe  welcome to this edition of Foroyaa Health and Nutrition 
Bantaba. Can you tell  our readers what cholera is all about? 
Mr. Sowe: Cholera is a serious  diarrhoeal disease caused by a tiny germ. The 
germ is found in human faeces  (stool) and is so small that we cannot see it 
with our naked eye. The stool that  the patient passes smells very badly and 
looks like rice water.
HNB: How long  does it take one to detect or fall sick when the cholera germ 
enters your  body?
Mr. Sowe: The cholera germ can quickly make you sick once it enters  your 
body. It takes from a few hours to five days, but usually 2-3 days for one  to 
fall sick.
HNB: How does one get infected?
Mr. Sowe: One can be  infected with the cholera germ by drinking water 
contaminated with human faeces;  eating contaminated food; eating contaminated sea 
foods (e.g shellfish), eating  contaminated fruits or raw vegetables.
HNB: How does one diagnose  cholera?
Mr. Sowe: One can detect a cholera patient by these signs/ways. The  person 
has sudden diarrhoea with two or more watery stools per day; passes  offensive 
watery rice like stools; looses lots of body fluids and becomes weak  with 
sunken eyes and dry lips, may have fever, may be vomiting continuously and  
become restless.
HNB: How can one care for a friend or relative who is a  cholera patient? 
Mr. Sowe: Rush the patient to the nearest health facility.  Remember that 
cholera is fatal. Take the patient to the nearest health facility  immediately.; 
Prepare and give the sugar salt solution (SSS) or Oral Rehydration  Solution 
(ORS) to the patient along the way to the health facility to replace  lost body 
fluids. Keep away other members of the family and visitors from the  patient 
to prevent the spread of the disease; wash your hands with soap and  water 
after touching the patient or things used by the patient; use gloves when  
disposing stools or vomit of the patient. If you do not have gloves, use nylon  bags 
tied around your hands before you handle stools and contaminated linen of  
the patient; clean room with Omo, bleach, etc remember to take any other family  
member who has a sudden onset of  diarrhoea to the nearest health facility,  
give as much fluid as possible to the patient to take. You can give any of the 
 following: clean and safe drinking water; rice water; prepare and give sugar 
 salt solution or ORS; juice and coconut water.
You can also give other foods  like: cereal based paps; carrot soup; marshed 
potatoes. Remember to gradually  increase solid foods during the recovery 
phase of the illness. Let the patient  eat food that is properly cooked, not too 
hot or too cold and has no  pepper.
HNB: How do we prevent cholera?
Mr. Sowe: Drink only water from a  safe source or water that has been treated 
(boiled or chlorinated or treated  with bleach); cook food properly and eat 
while it is hot; re-heat left over food  thoroughly before eating; avoid 
uncooked food unless it can be peeled or  shelled; wash hands with soap and water 
after any contact with human faeces and  before preparing or eating food; wash 
your hands with soap and water before  eating and before feeding a child; wash 
your hands with soap and water before  preparing or serving food; wash your 
hands with soap and water after cleaning  the child who has passed stools; 
safely dispose of human faeces in toilets; keep  your homes and environment clean 
at all times so that there will be no flies,  cockroaches, other insects and 
rats; keep cooked foods covered at all times and  wash all vegetables and fruits 
thoroughly before eating.
HNB: Did you receive  any case this year?
Mr. Sowe: As at now no case of cholera has been reported  or discovered.
HNB: How did your Department feel when you heard about an  outbreak of 
cholera in the neighbouring countries, especially at the time of the  Magal/Gamoo 
(religious occasion)?
Mr. Sowe: At first we were worried but now  we are at peace because we did 
all the ground preparation at all the health  facilities to make sure that if a 
case is detected, it could be put under  control. Also we took some samples 
from people who attended the occasions in the  sub region or our close 
neighbours, Senegal, but no one is found to be having  the disease.
HNB: It has been rumoured that some people have cholera, that’s  why the 
Health Department was quick to make the announcement about the  cholera.
Mr. Sowe: No, that information is unfounded. There is no outbreak or  case; 
there is no clinical or surveillance prove that there is cholera. You know  
there are people who are healthy carriers who don’t fall sick but they can  
transmit it through coughing, etc.
 



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