Debates of 1 Jun 2021

MR SPEAKER
PRAYERS 11:24 p.m.

VOTES AND PROCEEDINGS AND THE OFFICIAL REPORT 11:24 p.m.

Mr Speaker 11:24 p.m.
Hon Members, we have a challenge in printing the Order Paper so there is an Order Paper Addendum and I am sure you have all been given copies of that. This has caused a delay and we also had a challenge with the system in the House that had to be rectified and that is why we have taken some time to commence the proceedings for today.
Since there is no formal Communication from the President, we would commence with item numbered 3 -- Correction of Votes and Proceedings and the Official Report. There is no Official Report for correction so we would deal with the Votes and Proceedings of Friday, 28th May, 2021.
Page 1, 2, 3 … 5 --
Mr Speaker 11:24 p.m.
Hon Member, we are grateful. The Table Office should kindly take note.
Page 6, 7, 8 … 13.
The Votes and Proceedings of Friday, 28th May, 2021 as corrected is hereby adopted as the true record of proceedings.
Hon Members, we would move to item numbered 4 -- Questions.
There are a number of Questions that have been filed by Hon Members to be answered by the Hon Minister for Health. We would start with Question numbered 18 which stands in the name of the Hon Member for Dadekotopon, Ms Rita Naa Odoley Sowah.
ORAL ANSWERS TO 11:24 p.m.

QUESTIONS 11:24 p.m.

MINISTRY OF HEALTH 11:24 p.m.

Ms Rita Naa Odoley Sowah (NDC -- Dadekotopon) 11:24 p.m.
Mr
Speaker, I beg to ask the Minister for Health when the actual construction work on the La General Hospital would begin.
Minister for Health (Mr Kwaku Agyeman-Manu) 11:24 p.m.
Mr Speaker, as you are already aware, the La General Hospital Project is a Turnkey one. Some aspects of the project such as demolishing, fencing, topographical surveying, design and other preliminary activities have commenced already. Mr Speaker, the project has indeed been delayed due to the following challenges:
Following the approval of the financial arrangements and the Commercial Contract by both Cabinet and Parliament, the guarantor, SINOSURE was required to cover the project to close the transaction. However, SINOSURE delayed in the issuance of the insurance cover which has accounted for the Contractor's low progress of work. However, the Ministry of Finance has made the necessary engagements and consultations and it is expected that the Insurance cover will be issued soon for the Contractor to improve the pace of work.
Due to the condition of the land, it was critical to do an intrusive geological exploration to help
determine the depth of the foundation and the sizes of the structural members for the facility. This was critical to avoid any structural problems which affected the old building and led to its demolition.
The varying waves of COVID-19 in the various jurisdictions in Europe and China has also accounted for some delays. The comforting news is that once the physical construction starts with all the right drawings and studies that are currently ongoing, there will be no breaks until completion. We will update the House on any further developments.
Mr Speaker 11:34 a.m.
Hon Member, any supplementary question?
Ms O. Sowah 11:34 a.m.
Mr Speaker, yes.
Mr Speaker, from the Hon Minister's response, he said that, ‘some aspects of the project such as demolition, fencing, topographical surveying, design and other preliminary activities have commenced already.' When will that be done so that the actual work will commence?
Mr Agyeman-Manu 11:34 a.m.
Mr Speaker, I would crave your indulgence to ask my Hon Colleague to repeat the supplementary question.

would want to know when the demolishing, fencing, topographical surveying, design and other preliminary activities would be completed, so that the actual construction work will commence.
Mr Agyeman-Manu 11:34 a.m.
Mr Speaker, demolition has already been done. What is delaying a bit in that area is the topographical surveying that is going on. They decided to do it after the demolition of the building and when they saw the texture of the soil, they thought that they should do further works to ascertain the aggregates of the type of pillars and other things they should put in the building. That is why they are still doing some aspects of the construction.
Ms O. Sowah 11:34 a.m.
Mr Speaker, if I may recall, in August 2020, His Excellency the President cut sod for the commencement of the building of the La General Hospital. The Minister is telling us that they would have to do critical intrusive geographical exploration to help determine the depth of the foundation. So, does it mean that they have not done all that and they allowed H. E. the President to come to La Dadekotopon to cut sod, and promise us that in two years, the project will be completed? [Laughter]
Mr Agyeman-Manu 11:34 a.m.
Mr Speaker, all those things were done before we requested His Excellency the President to do the sod cutting. After the sod cutting, they decided to do some extra work on the place, and realised that we still needed to do some more work -- [Uproar!] -- Mr Speaker that is not the only site where we are seeing this. I can refer you to what is happening in Okomfo Anokye Teaching Hospital. We did sod cutting and handed the site to the contractors. They went in there to do what we have signed for them to do, but when they started, they tested again and structural integrity came out that they had to look at the building again or there might be problems ahead of us. We sent our consultants together with the contractor's consultants and eventually, it came out that that building cannot last the test of time.
So in construction, one might finish doing everything that we would want to do, but when you begin to dig and do some extra work and see that you need to do more work, I think our construction management would allow you to continue to do that work more efficiently than was earlier done.
Mr Speaker 11:34 a.m.
Yes, Hon Member, your final supplementary question.
Ms O. Sowah 11:34 a.m.
Mr Speaker, I would like the Hon Minister to give
us timelines as to when the contractor will move to site. Before any project takes off, there is the need for site buildings. As we speak, when you go to the site, there is only a watchman there, who comes in and goes out. There is nothing to show that anything is being done there. There are no building materials. The people of La Dadekotopon are now suffering to access healthcare.
Mr Speaker 11:34 a.m.
Hon Minister, the question is, when will the contractor move to site?
Mr Agyeman-Manu 11:34 a.m.
Mr Speaker, the little problem we have in the Ministry is the fact that the contractor is insisting that not until SINOSURE issues the insurance cover, they cannot move to site. Therefore, the Ministry of Finance has been informed, and we are engaging with them. There is the indication that that problem will be resolved soon. Since the Ministry does not control that activity, it would be difficult for me to give a specific point in time. All I can say is that it will be very soon.
rose
Mr Speaker 11:34 a.m.
Yes, Hon Richard Acheampong?
Mr Richard Acheampong 11:34 a.m.
Mr Speaker, the last part of the second paragraph in the Answer provided by the Hon Minister reads: “the Ministry of Finance has made the necessary engagements and the consultations and it is expected that the insurance cover will be issued soon for the contractor to improve the pace of work.” Mr Speaker, can the Minister give us the assurance and timelines on when the contractor will move to site?
Mr Speaker 11:34 a.m.
Hon Member, are you repeating the question on when the contractor will move to site? That has already been answered.
Mr R. Acheampong 11:34 a.m.
Mr Speaker, he used the word “soon”. How soon? We would want to hold the Minister responsible for his words. So, could he give us some timelines? He has had some engagements with the contractor which we are not privy to, so he could apprise the House on the kind of conversation he has had with the contractor, so that we would be assured that within a month or two, the contractor will move to site.
Mr Speaker 11:34 a.m.
Hon Member, actually, the statement that you referred to, shows that the contractor is on site. He only wants SINOSURE, through the Minister for Finance after consultation, to ensure that the insurance cover is executed,
Mr R. Acheampong 11:34 a.m.
Mr Speaker, then I repeat the question you asked on my behalf. [Laughter]
Mr Speaker 11:34 a.m.
No -- [Laughter] -- But if the Minister wants to clarify it, he is at liberty to do so.
If not, we will move to another supplementary question.
Mr Suhuyini Alhassan Sayibu 11:44 a.m.
Mr Speaker, for the reverence of the House, I just wish to put it on record that when the Hon Minister appeared before the Appointments Committee, he indicated to the nation that the hospital was under construction. It is quite interesting that the Answer given today is different.
My question relates to the second part of the Answer that says:
“Due to the condition of the land, it was critical to do an intrusive geological exploration to help determine the depth of the foundation and the sizes of the structural members for the facility.”
Mr Speaker, we were told that the facility was estimated to cost US$63 million at the time that the sword was cut. With these new works that are supposed to be done, can the Hon Minister confirm to this House that the cost of the facility as approved by this House would not change?
Mr Agyeman-Manu 11:44 a.m.
Mr Speaker, what is happening on the site now with this geological exploration is to ensure the integrity of the engineering works in there. It would be difficult for me to predict entirely within the full completion of the project to estimate and say that there would be no change in the cost.
Projects begin, and while construction is ongoing, the contractor would raise variation forms, and if we go and do an analysis and inspect and it is good for us to accept it, we can accept to bring in changes. Mr Speaker, for now, it would be very difficult for me to estimate into the future.
Alhaji Mohammed-Mubarak Muntaka 11:44 a.m.
Mr Speaker, at the Appointments Committee hearing, the Hon Minister said that this hospital was under construction, and that the contractor was on site. Now, he has told us that SINOSURE has not issued the insurance cover. Mr Speaker, can he tell us why
SINOSURE has not issued the insurance cover all this while? What has prevented them from issuing the insurance cover for over a year now?
Mr Agyeman-Manu 11:44 a.m.
Mr Speaker, I believe that in the Answer, I aligned a few activities that were ongoing, and at the vetting, I took those as preliminary construction works. That was why I said that there was construction going on at the site.
When it comes to the rationale behind why SINOSURE has not signed, I have said that the Ministry of Finance is engaging them, and I should have done some checks with my colleague, the Hon Minister for Finance, to let me know exactly why this has not been done. Any time we enquire, all we hear is that they are working on it and it would soon happen until I got a copy of a letter that it had been sent to SINOSURE following some engagements they had done. Therefore, it would be difficult for me now to know the actual rationale behind the delay until I get some checks from the Ministry of Finance.
Mr Edwin Nii Lante Vanderpuye 11:44 a.m.
Mr Speaker, sitting and listening to the Hon Minister, I am a bit baffled. I would want to ask, knowing La Dadekotopon very well, the
population and lack of health facilities. If the Ministry was not ready, why did they demolish the existing structures when there is so much land behind the Trade Fair? Why did they not look for an alternative place, and let this hospital continue to offer services to the people, but demolished everything, and now putting the lives of the people at risk because they are not ready? Why do you go ahead and demolish them?
Mr Agyeman-Manu 11:44 a.m.
Mr Speaker, we wanted to avoid the likely unforeseen challenges we might have faced if the building had come down itself. I visited that place on two different occasions. Earlier, when I joined the Ministry, there was some structural integrity report recommending that the place be demolished. The report did not even add that we should get an alternate facility before we even demolish; it recommended demolishing to save lives.
I went there to see the place, sent in some other consultants, and if you had gone there, you would have seen what it was like; people sitting in the building and some parts of the walls of the upper floors falling down on them with exposed iron rods that were rotten inside the concrete. We had to demolish; we did not have options, but we made arrangements
Mr Thomas Nyarko Ampem 11:44 a.m.
Mr Speaker, I would want to find out from the Hon Minister whether in the face of all the challenges that they are facing with this particular hospital, would he consider speeding up the process to open the Bank of Ghana Hospital that is also in the same La Dadekotopon Constituency to serve the people there?
Mr Speaker 11:44 a.m.
Actually, it is a different question altogether, but if the
Hon Minister is minded, he would answer.
Mr Agyeman-Manu 11:44 a.m.
Mr Speaker, I even want my Brother to repeat the question.
Mr Speaker 11:44 a.m.
His question is that the Bank of Ghana Hospital, which is also located in the same area, should be opened to serve the people. He wants to know why it has not been opened.
Mr Agyeman-Manu 11:44 a.m.
Mr Speaker, the Bank of Ghana facility is not under the Ministry of Health and so, I would not be able to answer why it has not been opened. I have only heard that they are trying to bring management and all that -- [Interruption]
Mr Speaker 11:44 a.m.
That is why I said it is a different question altogether.
Please, with supplementary questions, it is only the Hon Member who asked the Question who has three; the other Hon Members are entitled to one. Hon Eric Opoku, I know you have not yet asked, but you are insisting, so, I will give you the opportunity.
Mr Eric Opoku 11:44 a.m.
Mr Speaker, I would like to ask the Hon Minister whether the €68 million that we
approved here for the particular project has been accessed by the Government of Ghana as we talk now.
Mr Speaker 11:44 a.m.
Hon Minister, I hope you understand the meaning of the term “accessed” so answer.
Mr Agyeman-Manu 11:44 a.m.
Mr Speaker, with your indulgence, I would want to ask my Hon Colleague what he means by “accessed”? [Laughter]
Mr Speaker 11:54 a.m.
Hon Minister, you cannot ask a question; you are to answer a question. You can only ask him to repeat or clarify his question but you cannot ask him a question.
Mr Agyeman-Manu 11:54 a.m.
Mr Speaker, if what I understand by his question is the fact that money has been paid to the contractor from that facility, then, I would say no. That is all I can say for now.
Mr Speaker 11:54 a.m.
Hon Members, the Hon Minister says your question is not clear.
Mr Opoku 11:54 a.m.
Mr Speaker, I want to know whether the Government of
Ghana has actually received the facility that was approved. As we speak, the Minister tells us that the insurance on that facility has not been provided. He also indicates that some work has been done on site; so; I am just looking at the whereabouts of the money we approved for the project.
Mr Speaker 11:54 a.m.
Well, Hon Minister, you are in a better place to explain, and in doing so, make sure it is extensive for even the public to understand how these things are done. It is very important when loans are —[Interruption] --
Hon Members, he is the Majority Leader; it is part of his functions. I was Majority Leader before so I understand that one.
Yes, Hon Minister, try and clarify it for the understanding of not only Members but the whole country.
Mr Agyeman-Manu 11:54 a.m.
Mr Speaker, I think I have said—
Mr Speaker 11:54 a.m.
In this matter, he is the Majority Leader, Leader of Government's business and he is leading Government's Business in Parliament.
Mr Haruna Iddrisu 11:54 a.m.
Mr Speaker, I thank you very much. I just would like to find out from the Hon Minister's answer, whether there is financial closure to this transaction for Government to draw down on the amount of money that Cabinet and Parliament approved, and whether this Project would take place if SINOSURE fails.
Mr Agyeman-Manu 11:54 a.m.
Mr Speaker, I would say no from my understanding.
Mr Speaker 11:54 a.m.
Hon Minority Leader, you are not entitled to a second supplementary question but as a Leader, I would indulge you.
Mr Haruna Iddrisu 11:54 a.m.
Mr Speaker, thank you for your
tolerance. There was a second part to my question: what happens to the project should SINOSURE fail was part of my question to him because he says they have not. So should they fail, what would happen? Would the people of La see the construction of the hospital?
Mr Speaker 11:54 a.m.
Hon Minority Leader, according to the Standing Orders, that is anticipation and so I will not permit that question to be answered.
Hon Members, we move to the next question.
rose
Mr Speaker 11:54 a.m.
Hon Majority Leader, is it on the same Question; Question 18?
Mr Kyei-Mensah-Bonsu 11:54 a.m.
That is so, Mr Speaker.
Mr Speaker, it has to do with the demolishing exercise that an Hon Colleague asked. I would like to inquire from the Minster if he is aware that the demolishing of the structure in situ, when it is accomplished, one requires for the soil where the demolishing has taken place to get set
and cure itself before actual construction could begin?
Mr Speaker 11:54 a.m.
Are you asking the Minister?
Mr Kyei-Mensah-Bonsu 11:54 a.m.
Yes, Mr Speaker because a question was asked why the demolishing was done and why the structure was not left there until just before the commencement of the construction. And I am inquiring from the Minister if he is aware that if demolishing is done, some space is required to allow the soil to set and cure itself before actual construction begins?
Mr Speaker 11:54 a.m.
If this had been in the Court, I will say it is a leading question but since it is Parliament, the Hon Minister is permitted to answer.
Mr Agyeman-Manu 11:54 a.m.
Mr Speaker, I am very much aware of this engineering aspect.
Mr Speaker 11:54 a.m.
Hon Majority Leader, can we move on?
Mr Kyei-Mensah-Bonsu 11:54 a.m.
Mr Speaker, just a second question about the cost of the project that was asked.
Mr Speaker, since consequent upon the Agreement to this House, the
House approved a specified figure, and the question was asked whether the cost would be increased, I would like to ask the Minister if he is aware that the cost of the construction includes contingencies, and that if the re-evaluation exceeds the contingency provided for in the cost, the Agreement may have to come back to Parliament?
Mr Agyeman-Manu 11:54 a.m.
Mr Speaker, I am very much aware.
Mr Speaker 11:54 a.m.
Hon Members, we move on to Question numbered 19 which stands in the name of Mr Adam Mohammed Sukparu, the Hon Member of Parliament for Sissala West.
Hon Member, you may ask your Question now.
Construction of Gwollu District Hospital
Mr Adam Mohammed Sukparu (NDC -- Sissala West) 11:54 a.m.
Mr Speaker, I beg to ask the Hon Minister for Health when the actual construction of the Gwollu District Hospital would commence.
Mr Agyeman-Manu 11:54 a.m.
Mr Speaker, the Sissala West District whose capital is Gwollu has been listed under the district hospitals
Mr Sukparu 12:04 p.m.
Mr Speaker, the Hon Minister in his answer said that 101 sites have been completed and
would soon be handed to the contractors, so I would want to find out whether that includes the Gwollu District Hospital.
Mr Agyeman-Manu 12:04 p.m.
Mr Speaker that is so.
Mr Sukparu 12:04 p.m.
Mr Speaker, again, the Hon Minister in his answer made mention of petitions from some communities on possible relocation. I have received pressure from communities in Sissala West, so I would want to find out from the Hon Minister if he may assist me with some of the communities that petitioned for possible relocation so that I could also help with amicable solution for things to be hastened for the contractors to move to the site.
Mr Agyeman-Manu 12:04 p.m.
Mr Speaker, I may need to do some further checks before I can answer this question and this could be done on the side-lines of the corridors of Parliament later.
Mr Speaker 12:04 p.m.
Hon Member, you may discuss these things with the Hon Minister but with the issue of petition from some communities on possible relocation, he talked about the relocation of the proposed district hospital. Once a site has already been identified and it is among the 101 and the issue of relocation has already
been surpassed, it does not come in again. If you want additional facilities for other communities, you could discuss that with the Hon Minister later on. However, if you have any further supplementary question, you may do so now.
Mr Sukparu 12:04 p.m.
Mr Speaker, I would want to find out how Government intends to fund the Agenda 111 hospitals.
rose
Mr Speaker 12:04 p.m.
Hon Member, do you have any point of order?
Mr Boamah 12:04 p.m.
Mr Speaker, we are on Questions and if I may refer you to Standing Order 69 which says:
“As soon as a Question is answered in the House any Member beginning --''
Mr Speaker, the Hon Member wants to know whether Government has secured funding for the Agenda 111 projects but this is an entirely different question which is not related to the Question that he asked the Hon Minister.
Mr Speaker 12:04 p.m.
Hon Member, you are completely out of order. [Laughter]
Mr Speaker 12:04 p.m.
Hon Minister, the Hon Member wants to know the source of funding for the construction of the district hospital at Gwollu.
Mr Agyeman-Manu 12:04 p.m.
Mr Speaker, some budgetary allocations were made for these hospitals in the recently read Budget Statement that has been approved by the House. I have been informed that the Ministry of Finance has some funding for mobilisation to enable the projects to commence.
Mr Peter Lanchene Toobu 12:04 p.m.
Mr Speaker, in the Hon Minister's response, he stated that there were petitions from communities on possible relocation and he also stated that out of the 101 sites that have been selected and agreed upon, Gwollu District Hospital is part of them. I would want to know whether we would ignore the petitions from the communities because I am confused.
Mr Agyeman-Manu 12:04 p.m.
Mr Speaker, if what I heard was the fact that Gwollu District Hospital is part of the 101, I have already given an answer and I would repeat same by saying yes.
Mr Toobu 12:04 p.m.
Mr Speaker, the Hon Minister did not answer my question. In his answer, he said that there are petitions from some communities on the possible relocation of the particular site and he went further to say that the Gwollu is part of the 101 that is conclusive, so what happened to the petitions?
Mr Speaker 12:04 p.m.
Hon Member, there is no linkage. There is no statement that in the case of Gwollu, there were petitions and therefore those petitions have to be resolved first. Even if they were, there is no statement that those petitions have not been resolved. I expected the questionnaire to have raised those as supplementary questions earlier, and so if you want to raise that you could do so but the foundation for your supplementary question does not exist. You have to lay the foundation first, and so I would not permit the supplementary question.
Hon Members, any further supplementary question?
We would move on to Question numbered 20.
Construction of CHPS Compounds in some communities
in the Kpandai Constituency
Mr Daniel Nsala Wakpal (NDC -- Kpandai) 12:04 p.m.
Mr Speaker, I beg to
ask the Hon Minister for Health if there are plans to build CHPS Compounds in the following communities in the Kpandai Constituency to provide access to healthcare: (i) Digangum (ii) Bignali (iii) Bola (iv) Kabeso (v) Kakpeni (vi) Samboli (vii) Chakori (viii) Balai (ix) Konjado (x) Takinado (xi) Lesseni (xii) Kpalung (xiii) Sika Kura (xiv) Eyadima Kura (xv) Mfigmado.
Mr Agyeman-Manu 12:04 p.m.
Mr Speaker, I wish to state that, currently, the areas listed in the question have not been captured in our 2021 plans and budget for any construction of CHPS compounds.
We will however, do assessment based on the request and evaluate them individually for consideration and budgeting in the ensuing years' budgets. Our ability to implement this will be dependent on the quantum of budgetary allocation to the Ministry in subsequent years.
Mr Speaker 12:04 p.m.
Hon Member, do you have any supplementary question? If you do not have any, we would continue.
Mr Wakpal 12:04 p.m.
Mr Speaker, I want to ask the Hon Minister when the assessment and evaluation would begin and be completed.
Mr Speaker 12:04 p.m.
Yes, Hon Minister?
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, we are now in the process of adjusting our work programme to include this particular area so it would be difficult for me to give deadlines. All I can say is that we would try and work on this to see how many of the places he mentioned could be included in the next Budget Statement that would be presented. We will do the assessment next year - [Interruption] I said on the quantum of budgetary allocations for CHPs Compounds.
Mr Speaker, thank you.
Mr Speaker 12:14 p.m.
Hon Member, any further supplementary question?
Mr Wakpal 12:14 p.m.
Mr Speaker, I would like to know if there is any assurance that Government would at least initiate one of the projects that have been highlighted here.
Mr Speaker 12:14 p.m.
Hon Member, no such information has come from the Hon Minister for you to ask for an assurance. It is now that the Ministry would work on the work plan, do an assessment and return, but you are already asking for an assurance.
Mr Wakpal 12:14 p.m.
Mr Speaker, can the Hon Minister commit to sharing the
assessment or evaluation report with my good self and this august House?
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, my Hon Colleague said that I should share the assessment with his good self --
Mr Speaker 12:14 p.m.
He added ‘and the House'.
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, since my Hon Colleagues are very interested in sharing, I would share the assessment. Thank you.
Mr Speaker 12:14 p.m.
The Committee on Government Assurance should take note.
Hon Members, we would move to Question numbered 41 which stands in the name of the Hon Member for Bole-Bamboi, Mr Yusif Sulemana.
Commissioning of Bamboi Polyclinic
Mr Yusif Sulemana (NDC -- Bole/Bamboi) 12:14 p.m.
Mr Speaker, I beg to ask the Hon Minister for Health when the completed Bamboi Polyclinic would be commissioned.
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, the Polyclinic at Bamboi is practically complete and the technical team is currently undertaking testing
Mr Sulemana 12:14 p.m.
Mr Speaker, I want to find out from the Hon Minister whether he is aware that there is no water facility at the hospital and whether the provision of water is part of the scope of the project.
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, I am not aware so I may have to do some further checks.
Mr Speaker 12:14 p.m.
Hon Member, any further supplementary question?
Mr Sulemana 12:14 p.m.
Mr Speaker, if the Hon Minister is not aware, how then can he assure us that by July this facility would be operationalised?
Again, I wanted to find out whether the cost of the project included the provision of water.
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, we try to include water provision in most of the facilities that we establish based on the extent of the water situation in the area we are establishing the facility. We have done several projects and I cannot
specifically remember offhand the situation in Bamboi. I may have to liaise with my Hon Colleague in the Ministry of Water Resources, Works and Housing. I also have to do further checks on the contract engagement to be able to ascertain this fact. However, I know that this facility is completed, training is ongoing and we are dealing with the commissioning and other processes and the estimation of July ending is the most sufficient date I can give for the place to be operationalised.
Mr Speaker 12:14 p.m.
Hon Member, your final supplementary question.
Mr Sulemana 12:14 p.m.
Mr Speaker, I want to plead with you because this should not be part of my supplementary question as in the case of the three supplementary questions that I am entitled to, but I want to know if the provision of water was part of the scope of the project. The Hon Minister has not answered that.
Mr Agyeman-Manu 12:14 p.m.
Mr Speaker, I have said that that is what we try to do generally, but I would want to specifically check the water situation on the facility. However, when we are doing some of these projects, we take this into consideration so I would check the utilities and find out what the situation is.
Mr Sulemana 12:14 p.m.
Mr Speaker, my last question is --
Mr Speaker 12:14 p.m.
Hon Member, you have exhausted your supplementary questions.
Mr Sulemana 12:14 p.m.
Mr Speaker, that is why I sought permission earlier and this last question would be very interesting.
Mr Speaker 12:14 p.m.
Hon Member, by my count, you have already asked three supplementary questions so you may pass the question on to someone else.
I recognise Hon Nii Lante Vanderpuye is on his feet.
Mr Edwin Nii Lante Vanderpuye 12:14 p.m.
Mr Speaker, the Hon Minister said that that is what they have been trying to do. Mr Speaker, they try to provide water in a health facility, but if water is not the most important basic requirement in a health facility then what again? Mr Speaker, the answer he is providing does not sit well with Hon Members of Parliament who are interested in the welfare and development of this country.
Mr Speaker, a hospital facility has been built but we cannot tell the people that water has been provided. If there is no water then it means there
would not be any toilet in this health facility. Mr Speaker, the question is can the Hon Minister tell us that in building this facility, there was provision for the supply of water.
Mr Speaker 12:14 p.m.
The Hon Minister said that he would check on this specific facility to see whether it has been included. He made a general statement that that is what they tried to do but he was not sure about this specific project.
Hon Suhuyini?
Mr Sayibu S. Alhassan 12:24 p.m.
Mr Speaker, thank you very much.
In an answer to a question, the Hon Minister indicated that it is hoped that by the end of July when training is done, this facility would be operationalised.

Mr Speaker, in November, 2020 -- and I am surprised that the Deputy Majority Whip is not concerned about this -- the Vice President commenced a similar facility in Tolon, up till today; seven months on, it has also not been put to use.

Mr Speaker, what assurance can the Minister give that when the Bamboi facility is finally
Mr Speaker 12:24 p.m.
Hon Minister, handle the question in respect of the Bamboi matter, but not that of Tolon.
Mr Agyeman-Manu 12:24 p.m.
Mr Speaker, as you said, I am not here to answer questions on Tolon. All questions on Tolon, I may have to come back to do that. I am concerned with questions on the Bamboi Polyclinic.
Mr Speaker, when we finish the exercises that I have outlined that we are undertaking, we will definitely operationalise the facility.
rose
Mr Speaker 12:24 p.m.
Yes, Hon Member for Sawla-Tuna-Kalba.
Mr Andrew D. Chiwitey 12:24 p.m.
Mr Speaker, the last sentence reads, “We hope to operationalise by the end of July”.
Mr Speaker, is the end of July an assurance? So that as a Member on the Committee on Government Assurances, I would hold him by his words?
Mr Speaker 12:24 p.m.
Hon Minister, they are looking for assurance. Could you really assure them that by the end of July, which is just next month, it would be operationalised?
Mr Agyeman-Manu 12:24 p.m.
Mr Speaker, when one is doing work, he builds in elements of uncertainties that could happen. So giving assurances of this nature in Parliament can be dangerous, and I do not want to face the Rt Hon Speaker any longer -- [Laughter] -- So, I cannot add on anything to the answer that I have given. I only hope and pray that I work hard to ensure that we operationalise. But I cannot assure the House that July -- [Interruption] -- Mr Speaker, it may even start earlier.
rose
Mr Speaker 12:24 p.m.
Yes, Hon Deputy Minority Leader?
Mr Avedzi 12:24 p.m.
Mr Speaker, if I am clear on what the Hon Minister said, does he mean that he is certain about the July timeline? If he is not certain about that, why is he giving that information to the House? I would want him to be clear, if he is certain on the July timeline, then he should withdraw the entire Answer to the
Question. But if that is not the case, he should tell us.
Mr Speaker 12:24 p.m.
So, what is the question? Is he certain of the July timeline or not? The Minister says he is not sure because it is dependent on the statement that “Man proposes and God disposes” -- [Uproar] -- I thought I heard some of you talk like my very good friend, Langabell - Running away! That would have been sufficient then we move on. You are now compelling him to give an assurance that he is not sure about. I think I would sympathise with the Minister. He is being truthful; he will come and speak untruth to the House and the next day, he will come here to apologise. That is not good, and that is why I am with him. So, let us move to the next Question.
Mr Avedzi 12:24 p.m.
Mr Speaker, with all due respect, if the position of the Minister is accepted, then we are creating an avenue for all Ministers to come here and give us dates. If they do not deliver on the dates, then they would come back and say, that they could not do so because of A, B and C. So, Mr Speaker, let us create the avenue for them to come and give any information at all to the House, which they know they are not certain.
Mr Speaker, I beg to differ that --
Mr Speaker 12:24 p.m.
Do you differ from the position of the Speaker?
Mr Avedzi 12:24 p.m.
Mr Speaker, I am challenging you. The Minister comes to give a date and he says that he is not certain about that date. He did not even include it in his Answer. If he was not probed further, he would not have revealed that position to us.
Mr Speaker 12:24 p.m.
Hon Deputy Minority Leader, we are dealing with the execution of a project, and projects deal with projections. Those projections are not certainties. So, when you say “assurance”, it is difficult for me to encourage somebody to come and say some certainties about dates in projections. That is why I have decided to go with him.
Mr Y. Sulemana 12:24 p.m.
Mr Speaker, taking it from where the Leader ended, there is something I worry about. Any time a minister comes to say that he is not certain about something, he would go and come back, they never come back. We do not have any means of getting information. So, whatever we seek to achieve, we do not achieve it.
Mr Speaker 12:24 p.m.
Hon Member, there is a procedure of getting the Ministers back. Once you note it down, go through your Orders, there are ways of getting them back to the Floor to
rose
Mr Speaker 12:24 p.m.
Yes, Hon Majority Leader?
Mr Kyei-Mensah-Bonsu 12:34 p.m.
Mr Speaker, I believe that we must get this understanding clearly. When Hon Ministers come to this House, they strive to be as candid as possible with us. But there are matters that, perhaps may go beyond the control of the Ministers. For instance, in this case, the Minister has told us that the polyclinic is practically complete, and a technical team is currently undertaking testing and commissioning process. In the event, we could experience some shocks, including some breakdown of some of the equipment. That is why the Minister said that it is anticipated that if everything goes on well, then by the close of July the training would have been completed and it will be operationalised.
Mr Speaker, I think we should agree from that perspective. But to remind us - you have been sufficiently long in the Chamber -- we used to hear from Hon Edward Salia. When
he had to commit himself, he would say to us that it depends on the availability of money. Mr Speaker, the Budget itself is predicated on anticipates; on money inflows. If the Ministry of Finance does not realise the amount to the Minister for Health or Minister for Education, the Minister cannot fully commit that he would be sorted out by the end of January. So, let us understand it from that perspective.
Mr Speaker, notwithstanding, if he gives a reasonable time and he is not able to achieve the target, as you said, there is a way of bringing the Minister back.

We have said this, what has gone wrong? If nothing has gone wrong, then, he should tell us why you were not able to inaugurate the project on the given date. Mr Speaker that is the angle that I believe we should all agree to.
Mr Speaker 12:34 p.m.
The last Question on the Order Paper stands in the name of the Hon Member for Kumawu, Hon Philip Basoah.
Hon Member, you may ask your Question now.
Status of Kumawu District Hospital
Mr Philip Basoah (NPP -- Kumawu) 12:34 p.m.
Mr Speaker, I would want to ask the Minister for Health the status of the Kumawu District Hospital being constructed by MNSI Company.
Mr Agyeman-Manu 12:34 p.m.
Mr Speaker, as you are aware, Kumawu is one of the three (3) sites including Fomena and Takoradi European Hospital under this project that has recently received parliamentary approval for their completion.
The Ministry of Health made a joint submission of the amendment to the Loan Agreement and Supply Contract to Parliament. The Resolution passed by Parliament inadvertently omitted the amended supply contract. The lawyers of the UKEF have raised issues about the omission, and the Ministry is currently in talks with Parliament to resolve the matter.
In spite of this, the contractor is already on site, and it is expected that after the resolution, the project execution will move at a faster rate.
Mr Speaker 12:34 p.m.
Any supplementary question?
Mr Basoah 12:34 p.m.
Mr Speaker, looking at the Answer given, it seems the work
could continue only when this loan agreement is approved. I would want to know whether the initial money allocated for the construction of the project has been used or there are still some moneys over there. The contractor used to say that the letter of credit was an issue. It had expired, and needed to be reactivated, and that caused the delay. Thus, I would want to know whether the work can only go on if this loan agreement is approved or there are still some moneys which were initially allocated for the project to be used.
Mr Agyeman-Manu 12:34 p.m.
Mr Speaker, we have gone beyond where my Hon Colleague has asked a question from. We have done the amendment to both the supply and loan agreements. If it had not been this omission, their lawyers would have taken what Parliament has approved and by now, the contractor would have been able to access some of the funds that were left sitting in the accounts.
Mr Speaker, we are now working with the Table Office, and when this exercise is completed, the contractor can now access funding, and then work would move at a faster rate.
Mr Speaker 12:34 p.m.
Any further supplementary question?
Mr Agyeman-Manu 12:34 p.m.
Mr Speaker, the amendment sought to extend the expiration of the letters of credit such that the contractor can access the money to do the work. Immediately this challenge here is resolved, we can access funds and will continue to push the contractor to work as fast as he can to complete the project.
Mr Alex Adomako-Mensah 12:34 p.m.
Mr Speaker, based on paragraph 2 of the Minister's Answer to the Question, I would want to know how long it would take the Ministry to conclude the full talks with Parliament to have the alleged omission in the Resolution rectified?
Mr Agyeman-Manu 12:34 p.m.
Mr Speaker, I did not hear my Hon Colleague properly.
Mr Speaker 12:34 p.m.
Hon Member, repeat your Question.
Mr A. Adomako-Mensah 12:34 p.m.
My question is, how long will it take the
Ministry to conclude the full talks with Parliament to have the alleged omission to the Resolution rectified?
Mr Agyeman-Manu 12:34 p.m.
Mr Speaker, I do not think where we are, it would take any longer period now, but I have always tried to shy away from giving specific deadlines especially on the floor of the Chamber. On the sidelines, I may want to have a chat, but this is a House of record, and I do not want to be held for things that I do not control.
Mr Speaker 12:34 p.m.
Well, the issue is not only in the hands of the Hon Minister. He is in discussion with Parliament to see how to resolve it so, Parliament also plays a role.
Mr Kwabena Mintah Akandoh 12:34 p.m.
Mr Speaker, may I refer you to line 3 of paragraph 2 of Answer 36 on page 6 of the Order Paper. The Hon Minister said:
“The lawyers of the UKEF have raised issues about the omission and …”
Mr Speaker 12:34 p.m.
Hon Member, that is line 4.
Mr Akandoh 12:34 p.m.
Thank you, Mr Speaker.
“The lawyers of the UKEF have raised issues about the omission
and the Ministry is currently in talks with Parliament to resolve the matter.”
Mr Speaker, what does he mean by “the Ministry is in talks with Parliament”? Mr Speaker, I sit on the Committee on Health, but I do not know whether it is at the Leadership level because I do not know anything about this.
Mr Agyeman-Manu 12:34 p.m.
Mr Speaker, I have already said that Parliament has approved the amended versions of the two agreements: the loan and the supply contracts. When I say that we are engaging with Parliament, it is like communication: submitting the amended versions to the UKEF. That is where the lawyers saw that there was some little omission, and this matter should be resolved. Apparently, it is between the Ministry and the Table Office or the Office of the Clerk to Parliament to ensure that the necessary documentation is sent to the lawyers.
Mr Speaker 12:34 p.m.
Well, the communication will be between the Ministry and Parliament which would now have to pass through the Committee on Health for the omission to be discussed and accepted, a report will come back to the House,
and the House would then pass the Resolution incorporating that omission. I believe that is the process the Ministry is talking about.
With this, we have come to the end of Question time, and I will, on behalf --
rose
Mr Speaker 12:34 p.m.
Hon Second Deputy Speaker?
Mr Amoako Asiamah 12:44 p.m.
Mr Speaker, the Hon Minister in answering the Question mentioned the Fomena Hospital.

I would like to know, when he says the contractor is on site with respect to the Kumawu project, whether the contractor is also on site at the Fomena project?
Mr Agyeman-Manu 12:44 p.m.
Mr Speaker, from my last checks, the contractor was on site but it is about a month or two ago so I would not be in a position to say whether as at yesterday, he was there.
Mr Speaker, since the COVID-19 time, when we actually wanted to utilise some part of the Fomena and
Mr Speaker 12:44 p.m.
Hon Members, we have come to the end of Question Time, and I want, on your behalf and on my part to thank the Hon Minister for Health for attending upon the House to respond to Questions.
Hon Minister, you are accordingly discharged.
Hon Members, the item listed 5 on the Order Paper. I have admitted three Statements for today. These have been outstanding for some time, and since we have the Hon Minister for Health in the House, I want us to take those Statements. The first Statement that would get priority is the one which stands in the name of Dr Nana Ayew
Afriye, which is to commemorate the ‘World No Tobacco Day, 2021'. The Statement should have been made yesterday but the House did not Sit yesterday so, the Hon Member may do so today.
STATEMENTS 12:44 p.m.

WORLD NO TOBACCO DAY, 12:44 p.m.

Dr Nana Ayew Afriyie (NPP -- Effiduase/Asokore) 12:44 p.m.
Mr Speaker, I thank you very much for admitting this Statement on the “World No Tobacco Day, 2021”.
Mr Speaker, the World Health Organisation (WHO) and its partners around the world celebrated the “World No Tobacco Day”, as it does annually on 31st May to raise awareness on the harmful and deadly effects of tobacco use and second- hand smoke exposure and to discourage the use of tobacco in any form. The theme for this year is, ‘Commit to Quit'.
Mr Speaker, during the commemoration of the day, it is worth delivering a Statement on the floor of the House, to highlight the health risks associated with tobacco use while advocating for effective policies to reduce tobacco consumption.
The Food and Drugs Authority of Ghana is the national regulatory authority, mandated by the Public Health Act 2012, (ACT 851) to regulate among others, foods, drugs, food supplements, medical devices, household chemical substances as well as clinical trials. The passage of the Public Health Act and the Tobacco Control Regulations, L.I. 2247, are cardinal examples of what we have done as a country to help in the enforcement of the tobacco control measures.
Mr Speaker, tobacco pandemic is one of the biggest public health threats the world has ever faced. It affects the respiratory system making the immune system susceptible to other diseases. Tobacco use is also associated with non-communicable diseases such as cancer.
According to a WHO Report, a lot of tobacco users are determined to quit smoking as a result of the COVID-19 pandemic. As we are aware, the Corona Virus attacks the lungs of its victims affecting those with weak immune system which has a toll on their respiratory system. In view of this the theme for this year's celebration is “Commit to Quit”. And it was chosen timely.
Available data on www.healio.com reveals a causal relationship between tobacco use and higher incidence of worsened COVID-19 clinical outcomes and mortality with current smokers at increased risk for in- hospital death compared to non- smokers.
Mr Speaker, globally, tobacco kills more than eight million people annually. More than seven million of these deaths are from direct tobacco use, and around 1.2 million are due to non-smokers being exposed to second-hand smoke. Statistics available in Ghana indicate that over 804,000 people smoke cigarettes, shisha and other tobacco products with about 75 deaths, mainly men, recorded every week, from smoking related illnesses making this a serious public health threat.
Mr Speaker, therefore, there is the need for a more collaborative effort to strengthen our enforcement agencies to strictly enforce the Part Six of the Public Health Act (ACT 581) as well as the Tobacco Control Regulations L. l. 2247. The Part Six of Act 851 deals with provisions relating to tobacco control measures.
Mr Speaker, it is also incumbent on us to find ways of helping tobacco users who may have the intention to quit, and also consider the inclusion
Mr Speaker 12:44 p.m.
Hon Members, you have the opportunity to comment, and you have five minutes each to do that; not more than that. I think I will give priority to those in the health sector.
I can recognise Hon Dr Zanetor Agyeman-Rawlings.
Dr Zanetor Agyeman-Rawlings (NDC - Klottey Korley) 12:54 p.m.
Mr Speaker, I thank you very much for the opportunity. I would like to commend the Hon Member who
made the Statement, the theme of which is ‘Commit to Quit'.
Mr Speaker, the reason why smoking and the use of tobacco is so difficult to give up is because of the addictive nature of tobacco. The nicotine in it causes addiction, and therefore, quitting is not as simple as a legislation in place but incentives to encourage those who use the products to give up because until the cycle of addiction is broken, it is very difficult to actually reach the point where people move away from the use of tobacco products.

The use of tobacco products is not only in the form of cigarettes, but people chew tobacco and there is a new trend that the younger people engage in which is known as vaping. They use these devices to inhale the tobacco without using a flame which is supposedly meant to prevent exposure to other things that are found in cigarettes.

Mr Speaker, however, a lot of research has been done recently because this is such a new form of tobacco use, and it was found that there have been few significant sudden deaths as a result of the use of vaping and therefore, as we refer to the use of tobacco in our society, we must

bring attention to the fact that this is an increasing trend in the use of tobacco among young people and as much as possible, discourage its use as there is not enough data on this particular method of tobacco use.

Mr Speaker, the amount of money that people who engage in the use of tobacco specifically cigarettes spend, could be used for other things in their lives. Sometimes when they visit their health practitioner, the important thing is to find the root of their addiction because sometimes, the reason people smoke is because they are under a lot of stress and the cigarettes calm them down. So, in such cases, the physician needs to understand the reasons behind the smoking so that they could be addressed and help them to empower themselves to give up the habit.

Mr Speaker, the presence of COVID-19 and other such diseases in our community demand that people should as much as possible minimise their risk factors that would make them more susceptible to the disease and its complications as a result and part of the education that we give to young people - the health benefits of avoiding smoking and the long and short term detrimental effects of smoking and other forms of tobacco use on the body should be talked

about. Chewed and smoked tobacco, also increase the risk of cancers in the mouth and the throat as well -- so, it is not only about lung cancer because there are other various cancers that people could develop as a result of exposure to cigarette smoke.

Mr Speaker, the other issue that most people do not realise is that secondary smoking is even worse than the persons smoking themselves -- which is when someone is smoking and another person is in his or her presence exposed to the exhaled smoke and air, is more dangerous. So, if we have situations where there are areas that are designated non- smoking or smoking areas, they should be enforced very stringently to protect those who do not smoke and as a result are exposed to the cigarette smoke.

Mr Speaker, I thank you for the opportunity and I hope that as part of, perhaps some kind of introduction of certain incentives to help people quit smoking and tobacco use in the health care system, we should look at the use of prescription drugs and other drugs that cause addiction as part of this.
Dr Kwaku Afriyie (NPP -- Sefwi-Wiawso) 12:54 p.m.
Mr Speaker, I rise to associate myself to the Hon Member who made the Statement to
Dr Kwaku Afriyie (NPP -- Sefwi-Wiawso) 12:54 p.m.


commemorate the “World No Tobacco Day'' and also to put on record the role that Ghana played in the antecedent to the passage of that epochal treaty.

In fact, the Framework Convention on Tobacco Control (FCTC), which was passed in 2003, was the first treaty that was signed among the nations that were under the WHO 16. If my memory serves me right, that treaty was speedily endorsed by some 181 countries. At that time, I was the chairperson of the Executive Board of the World Health Assembly and I remember that session was chaired by Dr Chabalala of South Africa and there was a huge celebration in the chamber of the World Health Assembly because we knew that we were up to a very epochal decision.

Mr Speaker, at that time, I made a statement that we shall not criminalise those who smoke but we shall make them outcast and truly, it has come to pass. Throughout the world at airports, hospitals and so many public places, smokers have been outcasts. The time has come for us to up our ante because we have to move on to a new strategy towards almost banishing tobacco use. As it has been said already, the medical complications from tobacco control is clear -- the data supports it and

clinically medical is awash with so many irreversible diseases that are attributed to tobacco control.

Even in the social realm, the financial burden on the individual is not a small matter. There is also a problem of even nicotine addiction which could serve as a pathway to other addictions. However, because of its social and economic ramification, we should work towards the endgame.

So, for the meantime, I want to propose that Ghana should consider that those areas that can be set aside for tobacco use, for example, certain areas have been designated as smoking areas at the airports and other public entities. Those areas should be phased out so that we put pressure on those who use tobacco to quit. I suspect that in this wise, we could then confine those who use it to use them in their homes. From this strategy, the next strategy would be to mount massive public health education and also apply social pressure that we could see the virtual or statistical elimination of its use. If we do that, we would have given everybody a new leach of life and every humanity for its self-destructive behaviour.

Mr Speaker, with these few words I want to commend the Hon Member who made the Statement.
Mr Kwabena Mintah Akandoh (NDC -- Juaboso) 1:04 p.m.
Mr Speaker, I am most grateful for the opportunity to contribute to the Statement ably made by the Hon Chairman of the Committee on Heath, Hon Dr Ayew Afriye.
Mr Speaker, cigarette smoke contains more than 7,000 harmful chemicals which could affect almost every organ in the human body. As it has already been indicated in the Statement, globally, about eight million people die yearly as a result of smoking. The danger is that in Ghana, about 75 people die weekly as a result of smoking.
Mr Speaker, there is another erroneous impression that has been created in the media that the smoking of shisha is less harmful as compared to the smoking of cigarette. According to experts, it is rather the smoking of shisha which is more harmful than the smoking of cigarette.

Mr Speaker, these days and per the report from FDA, shisha smoking is increasing sharply. According to the FDA, about 8.8 per cent of boys and 8.1 per cent of girls are smoking.

Mr Speaker, there are enormous negative effects of smoking on the

reproductive system of females and this is where I get worried. Smoking actually damages the reproductive system of a woman making her less fertile, difficult to conceive and sometimes leads to ectopic and maternal deaths. These are the revelations from experts. If this case, then especially when they have conceived, the babies that are usually born by people who smoke, are born with some kinds of deformities and an example is cleft lip. I think that it is about time that the Ministry of Health would sponsor an advertisement in the media to sensitise and educate people about the dangers of smoking.

Again, the only time that the country gets benefit from legislations that are passed by this House, is when these legislations are fully implemented. Mr Speaker, this House passed the L.I 2247 and I beg to read Regulation 4:

“Display of No Smoking Signs: (i) The owner or a person in charge of a public place of work place shall conspicuously display “No Smoking Sign” in areas of the premises where smoking is prohibited”.

Mr Speaker, we hardly see these signs and I struggle to recall where I saw such a sign at Parliament. These
Mr Speaker 1:04 p.m.
Hon Ofosu- Agyare?
Mrs Elizabeth Ofosu-Agyare (NDC -- Techiman North) 1:04 p.m.
Mr Speaker, thank you for the opportunity to contribute to the Statement ably made by Hon Dr Nana Ayew Afriye.
Mr Speaker, smoking increases the risk of cancers, heart and respiratory diseases just to mention but a few. According to the World Health Organisation (WHO), persons who use tobacco face 50 per cent more risk of developing serious ailment and even death when they contract COVID-19. In Ghana, there are laws that provide variety of interventions to reduce the use of tobacco and even discourage it. Mr Speaker, section 66 of Act 851 is dedicated to education on tobacco use. This section entreats the Ministries of Health and Education to embark on educating the populace on no tobacco use and expatiating on the harmful effects that it has on our health. It further enjoins the National Commission on Civic Education (NCCE) to also help in this regard.
Mr Speaker, it is obvious that quitting smoking, especially tobacco is not an easy task, therefore, there must be the need to encourage people to do so by the creation of treatment centres as enjoined by section 67 of Act 851. In Ghana, these centres are sparse and it makes it difficult for people who are committed to quit to do so. An interesting article by Nancy Nicolas says that quitting tobacco is not a day's affair but it is a journey. Mr Speaker, this is the more reason why we need these centres for people who are willing to quit to be able to embark on this journey successfully.
I want to use this occasion to pray that the World No Tobacco Day should not be reduced to Statements and mere rhetoric, but Government should take the opportunity to establish more cure centres for people who are committed to quit smoking. This would go a long way to make this year's theme “Commit to Quit” a reality and feasible.
Mr Speaker, thank you for the opportunity.
  • [Hear! Hear!
  • Mr Speaker 1:04 p.m.
    Hon Member for Nabdam?
    Dr Mark Kurt Nawaane (NDC -- Nabdam) 1:14 p.m.
    Mr Speaker, thank you.
    I commend Dr Nana Ayew Afriye for this nicely researched Statement. The theme for this year is “Commit to Quit” and the WHO even terms it “Quit Tobacco to be A Winner”. It is not surprising that COVID-19 has killed millions of people and people who smoke even want to quit now. It is estimated that around 100 million smokers want to quit so the expected harvest is big and we now need the workers. That is why this theme was chosen for this year.
    This should not be surprising because the effect of smoking and the effect of COVID-19 are about the same. Smoking affects the lungs, heart, and nervous system and so on and it is practically the same since COVID-19 also affects the lungs, the nervous system and the heart. So, they both destroy the same organs and that is why when a smoker is affected by the coronavirus it becomes more severe.

    Indeed, the severity of Corona Virus and its mortality rate is high in smokers. That is what the researchers are saying. I would want to point out one thing that I think the Statement did not pick. There is a hypothesis that
    Mr Speaker 1:14 p.m.
    Hon Members, we have another Statement in the name of Hon Isaac Adjei Mensah, the Hon Member of Parliament for Wassa East Constituency.
    Hon Member, you may make your Statement now, even though we have gone far. It was admitted as far back as March, 2021. If it is still relevant and you would want to make, you are permitted to do so now. The Hon Member is not around.
    Hon Members, we will move on to the next Statement which was submitted just today by the Minister for Environment, Science, Technology and Innovation on World Environment Day. Hon Minister, you may make your Statement now.
    World Environment Day
    Minister for Environment, Science, Technology and Innovation (Dr Kwaku Afriyie) 1:14 p.m.
    Mr Speaker, thank you very much for the opportunity.
    Mr Speaker, World Environment Day is the United Nations' flagship day for promoting worldwide awareness and action for the environment. Since 1974, it has been celebrated every year on 5th of June; engaging governments, businesses, celebrities, and citizens to focus their efforts on a pressing environmental issue. The theme for this year's celebration is “Ecosystem Restoration”. In Ghana, the slogan for the celebration is “Let's Unite to Save the Environment”. The World Environment Day also serves as an important platform for promoting the environmental dimensions of the Sustainable Development Goals.
    Mr Speaker, this year's celebration will be commemorated in Juabeng in the Ashanti Region. This year's celebration will kick off the UN Decade on Ecosystem Restoration from 2021 to 2030. This is a global mission to revive billions of hectares of land from forests to farmlands, from the top of mountains to the depth of the sea. This year's theme “Ecosystem Restoration” means preventing, halting, and reversing this damage -- to go from exploiting nature to healing it. Therefore, we must take all measures available to ensure this objective is realised.
    Mr Speaker, the importance of ecosystems cannot be over-
    emphasised. As we celebrate this day, we acknowledge that ecosystems are the main support systems of life on earth. The health of our ecosystems is directly proportional to the health of life on earth. Ecosystems are the natural regulators of atmospheric oxygen and carbon dioxide levels. Some benefits we obtain from healthy ecosystems are food, clean water, clean air, fertile soils, and an ambient environment. However, it is regretful to note that these benefits are being exploited at an unsustainable rate.
    Mr Speaker, the United Nations reports that ecosystem loss is depriving the world of carbon sinks, like forests and peat lands at a time humanity can least afford it. Global greenhouse gas emissions keep rising for consecutive years and the planet is at risk of experiencing an unprecedented impact of climate change. The UN Reports indicate that we are losing 10 million hectares of forests annually, air and water pollution are killing nine million people annually - more than six times the current toll of the COVID-19 pandemic. Carbon dioxide levels are currently high and they keep rising. These indicate that we are at a critical point of our existence on this planet. Today, we have seen our ecosystems disappear before our eyes, our glaciers are melting and heat waves being experienced more often.
    Minister for Environment, Science, Technology and Innovation (Dr Kwaku Afriyie) 1:24 p.m.
    Mr Speaker, the ecosystems in our part of the world are depleting at alarming rates due to the over exploitation and unsustainable extraction of resources from the natural environment. According to a recent Ghana Country Environmental Analysis launched by the World Bank a few months ago, the cost of environmental degradation in Ghana per year is estimated at US$11 billion.
    Mr Speaker, that does not take into account the medical and social cost, because in the medical arena, the areas where environmental degradation has been advanced, we can count these diseases that are attributable to the environment, in situ; we can see that they harvest all of these pathological ailments. The analysis points to the conclusion that environmental degradation and unsustainable natural resource use pose a significant risk to future economic growth, as well as a threat to public and ecosystem health.

    Mr Speaker, the current generation has the moral obligation to restore and sustainably manage the environment for the next generation to benefit from

    it. We may have wasted time, and indeed, we have been very selfish to some extent, but we can turn things around and strive to achieve a better, greener and healthier environment. It is my humble appeal that we all join hands in a synergistic manner and collectively put efforts and resources together to realise this objective.

    Mr Speaker, I wish to reiterate here that the commitment of the Government of Ghana under the leadership of H. E. President Nana Addo Dankwa Akufo-Addo to deal resolutely with the galamsey menace and the Ministry of Environment, Science, Technology and Innovation (MESTI) together with the Ministry of Lands and Natural Resources (MLNR) are working together to ensure that we restore the quality of our water bodies, degraded forests and lands.

    We will ensure that these natural resources are sustainably managed for posterity. Mr Speaker, we will not relent in this endeavour. Let me use this opportunity to remind Ghanaians that the Minerals and Mining Act of 2016 has been amended and sanctions enhanced and persons would serve a minimum of 15 and maximum of 25 years together with a fine if found guilty by court for engaging in galamsey.

    Mr Speaker, this has not been publicised and the Ghanaian polity is not aware of these steps taken by the just dissolved Parliament. I believe that all Hon Members of Parliament should broadcast this to Ghanaians because we intend to embark on that track and anybody who is found doing galamsey, particularly, under my Ministry would be put to the court. It is not only individuals, but entities which breach the law would also be put before the courts.

    Mr Speaker, we must move from free riders because, essentially, galamsey is a free riding activity and it is not lost on me that the profit margin is the free ride element. We must remove this free riding element. I am a physician, not an economist, but I believe that this is the main area that we must focus on.

    When you say galamseyers should cover the pits, it becomes a very expensive undertaking and, so, there is a moral hazard to this phenomenon called galamsey. We all own a resource and some people take advantage of it, have a free ride at our own expense and Government would have to go and cover it. That is a double whammy. Mr Speaker, we must move from free riders to a generation of ethical utilisation of resources which impact on the

    environment, and as I said, we would do exactly so.

    Mr Speaker, the Government of Ghana, through MESTI, is ready to ensure that policy is directed towards the achievement of the global agenda of Ecosystems Restoration. The Ministry, with the support of development partners, has invested close to US$50 million in the northern savannah area in particular in the last decade under the Sustainable Lands and Water Management Projects (SWLMP) through afforestation projects, dug outs, mechanised bore holes, alternative livelihood projects such as gari processing centres, shea nut processing centres, crop drying platforms, bee keeping, improved seeds and appropriate farming techniques, and so on.

    The Government's “Green Ghana Project' initiative led by MLNR which seeks to plant some five million commercial and other trees in all 16 regions as well as mobilise Ghanaians to plant trees and nurture them to maturity and contribute to the preservation of our environment is laudable.

    Mr Speaker, when we hear about the deplorable state of our environment, we tend to think only the huge industrial facilities are to blame, but we forget that our little actions such as leaving a plastic bottle at the
    Mr Speaker 1:24 p.m.
    Hon Minister, because of the importance of the Statement, I gave you more than 10. Now, we are limiting Statements to
    10 minutes, and then comments to five minutes. I shall take one contribution from each Side.
    Let me start with the Hon Ranking Member on the Committee on Environment and Science.
    The Second Deputy Speaker to take the Chair.
    Mr Ebenezer Okletey Terlabi (NDC -- Lower Manya Krobo) 1:24 p.m.
    Mr Speaker, the Statement before us is not new to us; it is something we have been speaking about. This morning, we spoke about air pollution from smoking.
    1. 34 p. m.
    Mr Speaker, I have always held the view that if we want to indigenise our fight against what is happening to the environment, then there is the need for us to really have a very collaborative and cooperative approach.
    Mr Speaker, today, our problem mainly has to do with destruction of our forest as a result of illegal mining and even legal mining. Mr Speaker, I say coordination because we have a situation where today, if we go to McCarthy Hill and we go to the Assembly, they have given permit to people to build on the mountain.
    Mr Speaker, the Geological Service is complaining about the effect of inhabiting that hill. The place is being eroded but as I speak to you, the Electricity Company of Ghana has extended electricity to that place. Ghana Water Company has also extended water to the place and in addition to that, the Ministry of Roads— Last week, we had a documentary telling us that we are sitting on a time bomb. My question is, what involves the extension of electricity? If, indeed, the geological survey has information as to the effect that we are sitting on a time bomb, what informs the Ghana Water Company to extend electricity to that community?
    The fact remains that everybody has established an empire for themselves. And that is the reason, today, the Ministry of Roads would extend roads to McCarthy Hill in spite of the fact that we know that putting up a building there is dangerous; it is exposing the people. And we know that area falls within the forth zone and anytime there is earth tremor or any disaster, the people would feel it more than any other people. But what do we see? There is development going on in that area without regard to the consequence, and it is because there is no coordination.
    Mrs Ursula G. Owusu-Ekuful (NPP - Ablekuma West) 1:24 p.m.
    I thank you, Mr Speaker, and I thank the Hon Member for this well-researched and timely Statement.
    Mr Speaker, the adage is that the last man dies when the last tree dies. Through human activity, we have degraded our environment and destroyed ecosystems. Loss of habitats has devastated the whole environment and species and led to the extinction of rivers, water bodies, our forests and savannahs, over- fishing in our waters, industrial and other pollution. It appears mother nature is under siege from human
    beings. We have destroyed our water bodies and we are now destroying our environment and we can work together to reverse the trend and repair the damage, and the time is now.
    Mr Speaker, extreme weather systems are causing havoc around the world, from floods to hurricanes and cyclones, tidal waves, heat waves, freezing weather and snow stones; nature is fighting back. It seems the covid-19 lockdown and cessation of human activity gave the earth a breather. And we must lesson from the clearer skies, cleaner waters and greener growths that the 2020 slowdown in economic activities created as our economies reopen with the fight and the battle against the covid-19 pandemic appearing to be one. We can all do our parts; let use biodegradable material and ban single use plastics; let us promote recycling materials and source separation of waste to reduce the amount of garbage that ends up in our landfill sites.
    Let us all use green energy and promote solar system and other renewable forms of energy. We can plant trees. I have a lot of trees in my garden and I would be planting more. Let us take advantage of the Green Ghana Project. I was happy to see this letter from the Green Ghana Project in my pigeon hole, so I know
    Mrs Ursula G. Owusu-Ekuful (NPP - Ablekuma West) 1:44 p.m.
    every Member of Parliament has received one.

    It talks about five million trees being planted on 11th June, 2021, and calls on all of us to help plant a tree in our Constituencies on 11th June, 2021, to help promote, preserve, and protect our country's forest and vegetation cover for a balanced ecology. We need to take rapid action to reverse the trend.

    Mr Speaker, the time is now and I am happy that in Ghana we have adopted the slogan “let us unite to save the environment''. Each and every one of us has a part to play and by doing the simple measures that are mindful of the impact of our human activity on the environment, we could all help to roll back the devastation which has caused so much damage across our planet, backyards, forests, waters, river bodies and seas.

    Mr Speaker, I thank you.
    Ms Zuwera Ibrahimah Mohammed (NDC -- Salaga South) 1:44 p.m.
    Mr Speaker, I would want to highly commend the Hon Minister for Environment, Science, Technology and Innovation for the elaborate and educative Statement.
    Mr Speaker, however, my contribution to this Statement seeks to wonder why in our part of the world, it takes the law maker and the Hon Minister of State to lament the very issues that are devastating to our environment. Hon Ministers of State and legislators have a duty to ensure that the right and appropriate things are done in order to secure our environment. When we lament, it is like we have thrown our hands in the air and ask God Almighty to come down to resolve these issues for us.
    Mr Speaker, environmental degradation issues which go a long way to affect the ecosystem are not conducted by any other persons other than ourselves and it starts with our everyday way of life. For example, a whole city could be littered with plastics, debris and garbage that could be properly disposed of and of which there are institution in this country to ensure that these are done properly.
    This situation is even worse in our communities. When one drives into Salaga, the first thing that could be observed is plastic. As soon as a person approaches an area in this country where there are human beings, the first thing that would welcome the person would be plastics. The plastic did not find itself at that position but it is human beings that use the plastic and afterwards
    decide to dispose of them in any way and manner.
    Mr Speaker, I want to use this opportunity to commend the people of Ho, in the Volta Region. The last time I was in that town, I made a private comment that it was the cleanest city I had seen so far in this country. I do not how they did it but I would encourage the Hon Minister for Environment, Science, Technology and Innovation and his team to find out from the people of Ho how they manage to keep their environment clean so that whatever activities or efforts they have put in place, we could seek to replicate them in other parts of this country.
    Mr Speaker, in some jurisdictions, a person is not allowed to cut down a tree that he or she planted. If a person plants a tree and after 25 years it becomes a nuisance to him or her, the person would need permission from the local authorities. Indeed, the person even has to pay money to the “tree doctor'' so called, before the tree could be cut from his or her immediate environment.
    If the environment and its degradation by us has become problematic, we do not need anyone to solve that problem for us. We could celebrate all the days and make all the beautiful speeches but if we do not
    change the way we react and interact with the environment, we would make the same speeches 20 years from now and the environment would be worse off.
    Mr Speaker, with these few words, I thank you for indulging me and giving me the opportunity and I hope that Parliament as an institution, we would take up our oversight responsibilities and make sure that if there are bylaws with regard to the protection on the environments which have been flouted, we should make sure that the laws work to protect all of us.
    Ms Patricia Appiagyei (NPP - Asokwa) 1:44 p.m.
    Mr Speaker, I thank you for the opportunity to contribute to the Statement ably made by the Hon Minister for Environment, Science, Technology and Innovation.
    Mr Speaker, the Statement is very insightful and contributions from Hon Members have spoken about the issues and how we have been affected. However, it is about time that, as a country, we owned up and know that nobody could run from this issue. The reason is that as people, we should not consider that it is too late in the day not to address this problem.
    The Hon Minister reiterated that this year's theme, “Eco Restoration''
    Ms Patricia Appiagyei (NPP - Asokwa) 1:54 p.m.
    means preventing, halting and reversing this damage. What could we do as citizens of this country? It is not too late to prevent the galamsey that is ongoing. We should know that the issue about galamsey is not a political issue but an issue whereby each individual contributing to these things belong to all political parties in the country. Therefore, it is up to us to own up and say that we do not want to engage ourselves this way because we could destroy our lands. So, we have to take a measure that would halt it and then find a way to address the lands that has been degraded.
    Mr Speaker, on the second page of the Hon Minister's Statement, he stated that US$11 billion is spent by Ghana per year on our environmental degradation. Have we considered the fact that the destruction of the ecosystem would result in our economic growth collapse? It is important that we know that even spending so much money on restoration of the environmental degradation - we have not considered the fact that these funds could be used to build more hospitals, road networks, railway lines or we could have undertaken social interventions that would bring down the poverty level that exist in our economy.

    We need to be more nationalistic and commit ourselves to ensure that these natural resources are sustainably managed for posterity. Therefore, it is my suggestion that if we look at the sustainable water and land management programme that we have spent US$50 million on -- [Interruption] When I visited the north about two years ago, I was highly impressed with the vegetation that resulted out of this programme. It has actually given the northern part of our country a green look unlike what we are experiencing in the urban centres.

    The urban sprawl is just too much; what we are experiencing is very dangerous for our health. If we are experiencing an urban community where there are no trees then it is up to us to accept that it is now time to take up the challenge and green our nation.

    I am not surprised but I am highly encouraged by the Green Ghana Programme which would be on 11th June. I have inquired into this Programme and I am very much aware that the Ministry of Lands and Natural Resources would come up with a strategy where each of us in this House would be given the strategic areas to plant trees to improve the ecosystem.

    Mr Speaker, I would like to commend the Hon Minister for

    drawing our attention to the little actions that causes environmental degradation. I am looking at the situation where when it rains people drop refuse in the drains. In my constituency, I feel so bad when I walk past one of the rivers and I see the sediments of plastics and refuse that are as a result of the activities of individuals in the communities.

    Mr Speaker, we have to address these things and I propose that we should pay attention to the EPA. The Statement said that the EPA would have a way to intensify regulations.

    Mr Speaker, but I think we have a situation where most youth are unemployed and so I think the Youth Employment Agency should roll out a special project to target all these nuances that we are experiencing. If the youth are able to accost individuals in such acts and the courts prescribe charges on such individuals, then some incentive from the charge would be given to the individual.

    By this, we would educate people to be of good behaviour and not to degrade our communities. At the same time, the youth who are the future of this country would also learn to ensure that we are responsible for our own actions. Therefore, it is very important that each individual should behave responsibly towards our environment.

    Mr Speaker, the time is now and I would also entreat Hon Members and citizens to ensure that we build our ecosystem. Thank you very much.
    Mr Second Deputy Speaker 1:54 p.m.
    I would take a contribution each from either Side.
    Hon Member for Ketu South.
    Ms Dzifa A. Gomashie (NDC -- Ketu South) 1:54 p.m.
    Mr Speaker, thank you for the opportunity and I highly commend the Statement by the Hon Minister for Environment, Science, Technology and Innovation.
    Mr Speaker, I have a few things that I would like to share with the Hon Minister and the House. The devastation that we see in this country is one that must terrify anybody and everybody. I speak particularly about mining and galamsey --
    Mr Second Deputy Speaker 1:54 p.m.
    Hon Members, it is 2.00 p.m. and I direct that we sit beyond the prescribed Sitting hours.
    Ms Gomashie 1:54 p.m.
    Mr Speaker, I speak about mining which includes salt that is mined in my constituency and the effect of mining on the ecosystem. I also speak of sand winning and our neighbouring countries have sand in their communities but one should be
    Ms Gomashie 2:04 p.m.
    interested in why they choose to buy sand or win sand in Ghana. The number of trucks that cross the border from Togo to Ketu South is scary and I would like to urge the Hon Minister to send people to my constituency, and I would be more than happy to host them, to collaborate with the assembly and ensure that what is happening there as far as sand winning is concerned would not cause us more troubles and problems in the future.
    Mr Speaker, in many of our communities where we have lagoons, it is interesting to note and sad to report that the lagoons are being filled and the Assemblies give people permit to build in its place. We are losing the lagoons though the lagoons also create an opportunity for livelihoods. We are able to catch small tilapia from the lagoons and also derive salt from the lagoons in the dry season, but they are being filled now. It means that the opportunity for people to earn income from these natural resources is being taken away.
    I do not know whether the Hon Minister is collaborating with the Hon Minister for Local Government and Rural Development and his other colleagues because if this brilliant Statement which has been read on the floor of this House and applauded by all those who have commented on it
    remains as it is and the assemblies continue to give permit to citizens and non-citizens to do business whether legally or illegally, but which affects us ultimately, then I wonder why we are surprised that we are not making progress. If we genuinely want to make progress in this country, then those who give the permits, those who are mandated and empowered to do right by all of us and those of us who are alive now and in the future must be seen to be doing their work very well.
    Mr Speaker, the importance of the ecosystem cannot and should not be underplayed. As we speak, all the coconut trees that we planted along the beaches in Ketu South have been washed away because annually, tidal waves cause devastation in my community.

    This morning, I know that the youth have organised a demonstration because they have not seen any response to the devastation going on in the community since the beginning of this year. We cannot be celebrating and giving beautiful slogans to the devastation of our communities when the real problem is left unsolved. Whose responsibility is it? As a Member of Parliament, I can only stand up and when I catch your eye

    as I have done today, talk about it. But I am limited in what I can do to assist the State. If the State does not allow me and does not empower the people that we elect and appoint to do their work, then we would be applauding each other and the devastation will continue to go on.

    Mr Speaker, on behalf of the people of Ketu South, I appeal to you and this august House that what is needed is action; action now and not action tomorrow, because if we do not save the country today, I do not know what we will be handing over to our next generation.

    Mr Speaker, with these comments, I thank you. Indeed, we must restore the ecosystem of our country; indeed, we must be seen to be working, indeed, we must speak, but after, non- verbals

    Mr Speaker, thank you.
    Mr Second Deputy Speaker 2:04 p.m.
    Hon Members, let me give the opportunity to the Deputy Minister- designate for Lands and Natural Resources.
    Mr Benito Owusu-Bio 2:04 p.m.
    (NPP— Atwima-Nwabiagya): Mr Speaker, thank you for the opportunity. I would want to add my voice to that of the
    Hon Member who made the Statement, my uncle, for a good Statement ably made.
    Mr Speaker, we cannot overemphasise the importance of the environment. As such, it is good that we all rise up to the call to contribute in reversing the current state of environmental degradation. In the Statement, the Hon Member mentioned that as part of measures to reverse the degradation of our environment, the Ministry of Lands and Natural Resources has come up with a project called the Greening Ghana Day.
    Mr Speaker, the Minister for Lands and Natural Resource, Hon Samuel Abu Jinapor, in coming up with this project decided to involve Parliament. As such, he invited some Members of the Select committee on Lands and Forestry which included my good self, Hon Alhassan Suhuyini Sayibu and Hon Francis Manu-Adabor. The Minister has made me the chairman of the planning committee of the Green Ghana Day, and the Hon Members that I mentioned are also serving on some of the implementation committees of this particular project.
    Mr Speaker, on that day, your good self, the Rt Hon Speaker, and the Hon First Deputy Speaker, likewise the President of the Republic
    Mr Benito Owusu-Bio 2:14 p.m.
    of Ghana and the Vice President, eminent chiefs like the Otumfuo, Nana Osei Tutu II, Yaa-Naa Abubakari Mahama II, Ogyeahohuo Yaw Gyebi II and the entire National House of Chiefs. Also, the Chief Justice and the Chief Imam will on that day, at exactly 9.00 a.m., plant trees at particular locations of their choice.
    Mr Speaker, we have written to Hon Members of Parliament pleading with them to lead their constituents on this day. I would want to use this opportunity to inform Hon Members that regional planning committees have been set up in the various regions. Likewise, District Planning Committee have also been set up. These committees are liaising with the various District Forestry Commission Officers to ensure that the over six million tree seedlings that have so far been raised by the Forestry Commission shall be distributed to the various locations for planting.
    Mr Speaker, we would urge Hon Members that if they want to also participate or even plant trees and they need seedlings, they can consult the District Forestry Commission Office, likewise their district assemblies.
    Mr Speaker, many Ghanaians have added their voices and support for this
    project as well as the Hon Members who just spoke. For your information, this particular project is currently trending so much that it is now the number one. The harsh tag is “let's go planting”.
    Mr Speaker, the various religious bodies such as the Presbyterian and Pentecostal Churches -- the Presbyterian Church has pledged to plant from the 8th to 20th June, 1.4 million trees, and the Pentecostal Church has also promised to plant one million trees.
    Mr Speaker, there are also various groups such as Rotary International which have also risen to the call and they are also going to plant trees on that day. This event is to not only green Ghana or revegetate Ghana, but also instil in our youth the culture of tree planning and nurturing of trees to maturity. I would add that the organiser of this event are very happy with the participation of the Ministry of Education and the Ghana Education Service.
    Mr Speaker, the Ministry of Education has also risen up to the call and as I speak now, they have set up another team to help the students to also come on board. They call the team ‘one student, one tree'. The Hon Minister for Education has promised that there are over five million school
    children in Ghana. On that day, each of these school children would be planting one tree. What it means is that we can now say that we will plant more than five million trees. If the children are going to plant one tree each and they are over five million, when the adults get on board, it means that at the end of the day, we will plant more than our targeted figure.

    Mr Speaker, others have also informed us about the fact that they do not want to plant just the tree, but they want to plant economic trees. Some even want fruit trees. Mr Speaker, the Forestry Commission has made provision for coconut, mangoes, oranges and other fruit trees. And so, anyone who is interested can also consult them for these. We are aware those in the urban areas, particularly, prefer these fruit trees than the usual forest tree.

    Mr Speaker, looking at how the entire citizenry of Ghana has appreciated the need for us to green the environment and looking at how they intend to get involved on that day, I would plead that if possible, you should use your good Office to appeal for maybe a national holiday on that day so that we all can get involved, especially even we the Hon Members

    of Parliament. There is the need for us to be seen in our communities and constituencies, leading the effort. At the end of the day, what we are asking for is that everyone should take a selfie of the tree that he or she would plant, and we do not want to miss that opportunity. If you do not have a selfie of yourself planting a tree on that day, you would be left out.

    On this note, I would want to thank all Hon Members who have added their voice to this Statement and we hope that on 11th June, 2021, we will all be up to be counted.

    Thank you.
    Mr Rockson-Nelson Kwame Etse Dafeamekpor (NDC -- South Dayi) 2:14 p.m.
    Mr Speaker, thank you for the opportunity to add few words to the Statement on the Floor.
    Mr Speaker, in doing so, I would want to focus on the current disaster she spoke about in her constituency. Mr Speaker, I am surprised that the Government has not reacted to this matter particularly because the area in question falls within the environmental zone the Government intends to construct the Keta sea port.
    My hope is that the environmental impact assessment that they must have undertaken in respect of the
    Mr Second Deputy Speaker 2:14 p.m.
    Thank you very much. Let me finally give the last bite to the Hon Member for Oforikrom who incidentally is the Hon Chairman of the Committee to conclude on the Statement.
    Dr Emmanuel Marfo (NPP -- Oforikrom) 2:14 p.m.
    Mr Speaker, let me commend the Hon Minister for a very good Statement that he has made reminding all of us the need to unite to save our environment and also to thank Hon Members who have expressed interest in the topic and would have wished to make contributions.
    Mr Speaker, time will not permit me to give detailed account of the state of our environment as a country, but suffice to say that the global assessment of our environmental performance as a country has not improved significantly. Indeed, in the
    2020 assessment, Ghana ranked 168 out of 180 countries that were assessed globally. Certainly, we need to do more to improve our environment.
    Indeed, this year's theme, “Ecosystem Restoration” is a very responsive and timely theme that the global community has chosen for observing the World Environment Day because globally, and indeed in Ghana, almost all ecosystems are under threat. If you come to Ghana, our water bodies are polluted, fresh water ecosystems as we may all know face serious pollution, dissolved oxygen levels are lower than the standard values, water turbidity which measures the volume of solid matter in a unit volume of water is about the levels that are accepted.
    Mr Speaker, if you go to most of our urban centres in Ghana, particle pollution in our air exceeds the levels recommended by the World Health Organisation (WHO). Our forests are not only deforested, but also degraded; the quality of our forest resources are getting lower and lower. Mr Speaker, if you look at the forest resources of Ghana, the illegal chainsaw operations alone take more than four million cubic metres of timber every year from our forest -- a level that is over 100 per cent the
    sustainable level of two million that is supposed to be extracted from our forest resources.
    Mr Speaker, between 1990 and this time, almost two decades, carbon dioxide emission from Ghana has jumped from almost 3.1 million to about 16 million tonnes. So, all the indicators of the environmental assessment point to the fact that we are not doing too good.
    2. 24 p. m.
    The good news is that we have taken the steps to restore our ecosystem particularly, the forest ecosystem. And that is why I commend, highly, the Government' programme of greening Ghana and making sure that we are able to plant some five million trees this year. And that is a project that I would strongly encourage all Hon Members to participate in.
    Mr Speaker, so, just to conclude my comments on the Statement, I just would like to say that we, as Members of Parliament, can, in our own small ways in constituencies, start environmental projects and clubs in our schools so that we put environmental consciousness in the minds of our young people so that they would grow to be environmentally conscious and contribute to the development of our nation.
    Mr Second Deputy Speaker 2:14 p.m.
    Minority Leadership, would you like to conclude?
    Mr Avedzi 2:14 p.m.
    Mr Speaker, Hon Hamza would do for our Side.
    Mr Adam Hamza (NDC -- Kumbungu) 2:14 p.m.
    Mr Speaker, I thank you very much for the opportunity to contribute to the Statement and to commend the Hon Minister for making a very good Statement relating to the World Environment Day.
    Mr Speaker, if we look at the theme for Ghana, it reads 2:14 p.m.
    “Let us unite to save the Environment”. And the question that I would like to pose is that are we really ready to reunite as a country? At the time when the critics of issues relating to environmental degradation are being taken, and His Excellency, the President himself comes out to say that those who do not subscribe to the burning of the 49 excavators should go to court. Is that the path to uniting as a country? I think it is important we allow stakeholders to make inputs into the way forward for us to all deal with the global canker that affects everybody.
    Mr Speaker, if we look at the causes of environmental pollution, human activities remain the greatest parameter responsible for environ- mental pollution. We continue to mine, and in recent times, we are dealing with the issue of illegal mining. Are we really trying to fight the course? It looks like we are failing to deal with that menace because of the fact that the people who are leading the process are not trusted by the people who are doing the mining. And trust is very important.
    The various methodologies that we involve cannot be the path or the solution to fighting that. We have the Operation Vanguard, which mainly employs military methodology and I think that is not going to work because mining is related to their livelihoods and it is difficult -- People are always prepared to die for their livelihoods, no matter what. So the best solution is to dialogue. It is to involve stakeholders who are respected, would talk to the people and they would listen. They would employ the dialogue process. I think that is something which is very important.
    Mr Speaker, our fisher folks, our farmers, the industrial workers all play roles in polluting the environment. And we see that the fishermen continue to use chemicals to conduct their activities which lead to the pollution of our water bodies; farmers continue
    to implore inorganic chemical fertilizers and all these things pollute the environment. I am happy the Minister has mentioned that they are rolling out more the Sustainable Land and Water Management (SLM) technology for farmers. I only hope that the farmers would adopt this because the last study I did around the SLM revealed that the farmers are not interested in applying them so, majority of the farmers were not adopting those technologies up North.
    Mr Speaker, way forward -- As a country, a more sustainable way to deal with the environmental pollution is to ensure that we recycle our waste. Let us take steps to encourage more the recycling of the waste. We also have to look at the issue of renewable energy. It is important that, as a country, we try exploring the renewable energy which is more environmental approach.
    Mr Speaker, we also have to ensure that those who flout environmental issues are dealt with by the law because impunity has existed over time and that is what makes a lot of people not to be deterred in involving in those activities.
    Mr Speaker, lastly, we have to do tree planting. Let us encourage more
    people to plant more trees as a way of trying to renew our environment.
    Mr Speaker, with these few words, I thank you for the opportunity to contribute to the Statement.
    Mr Second Deputy Speaker 2:14 p.m.
    Hon Members, there is another Statement on the occasion of World Preeclampsia Day. And the Statement stands in the name of Hon Member for Tema Central, Hon Nii Noi Hanson Nortey.
    World Preeclampsia Day
    Mr Yves Hamson-Nortey (NPP -- Tema Central) 2:14 p.m.
    Mr Speaker, I thank you for giving me this opportunity to make a Statement on the floor of this honourable House about preeclampsia.
    Mr Speaker, throughout history, the central role of women in society is to ensure stability, progress and long term development of nations. Their role as caretakers and educators in the workforce cannot be overemphasised.
    Mr Speaker, while every issue that affects women is important, health is arguably one of the most important. It is, therefore, not surprising that the calendar month of May, primarily
    Mr Yves Hamson-Nortey (NPP -- Tema Central) 2:34 p.m.
    focusses on women, child-bearing and issues of maternal health.
    Important date such as 5th of May, was the International Day of the Midwife; Mother's Day on the 9th of May; World Preeclampsia Day on 22nd of May as well the international day to end obstetrics fistula on 23rd of May.
    Mr Speaker, although Ghana's maternal mortality rate has declined significantly from 760 per 100,000 live births in 1990 to 308 per 100,000 live births in 2017, the pace of decline in maternal mortality has been slow, and this has led to Ghana's inability to achieve the Millennium Development Goal (SDG) target of 190 per 100,000 live births in 2015. The maternal mortality ratio remains high and requires strenuous efforts if Ghana is to achieve a SDG target of 70 per 100,000 live births in 2030.

    Mr Speaker, one of the top five pregnancy-related causes of maternal deaths in Ghana is preeclampsia. Preeclampsia, a pregnancy induced hypertension condition, is a major cause of maternal morbidity and mortality worldwide, yet perspectives of the patient about the condition is

    not well understood. Preeclampsia has been identified as a significant public health threat in both developed and developing countries. However, the impact of the disease is felt more severely in developing countries. In lower-medium-income countries, healthcare providers and patients are faced with unique challenges, including lower general education levels and health literacy, and limited access and utilization of antenatal care services.

    Mr Speaker, according to research, 15 per cent of all maternal deaths worldwide is caused by hypertension disorders in pregnancy and it is unfortunate to state that almost all, about 99 per cent, of such deaths occur in developing countries, especially sub-Saharan Africa.

    Doctors at Korle-Bu Teaching Hospital were able to establish that one out of every five pregnant women had gestational hypertension which developed into preeclampsia and the latter had a fatality rate of about 7.5 per cent. Another research at the Komfo Anokye Teaching Hospital also showed that these hypertensive disorders were the main causes of maternal deaths at the hospital for the past two decades. This is no good news, Mr. Speaker, for our black mothers, wives and female children who wants to procreate.

    Mr Speaker, while black women have a higher risk of developing preeclampsia than women of other races, the exact cause of this deadly abnormal development involves several factors which include insufficient blood flow to the uterus, damage to the blood vessels, problem with the immune system, among others.

    Major signs and symptoms of preeclampsia may include excess protein in urine (proteinuria) or additional signs of kidney problems, severe headaches, changes in vision, including temporary loss of vision, blurred vision or light sensitivity, increase in blood pressure above 140/90, swelling of the hands and face and upper abdominal pain.

    Mr Speaker, studies demonstrate that the average knowledge about Preeclampsia is low. It is imperative, however, that patients are abreast with the condition and may identify warning symptoms of new or worsening disease, improve healthcare-seeking behaviour, and make informed healthcare decisions. Centred on this year's campaign theme, Stay Alert! Screen Early! we are enjoined to add our voices in creating the necessary awareness about this horrific condition amongst pregnant women.

    Mr Speaker, on the commemoration of the World Preeclampsia Day, I join the many across the world, including one of my constituents who, herself, is a survivor of this condition, Nana Afua Sarpong, and her Afua Sarpong Foundation to continue with their outreach and advocacy on this deadly condition to encourage our women to take antenatal care serious and do away with the myths around pregnancy and be inspired to speak up about any concerns relating to their pregnancy. Early risk assessment and effective prevention save lives.

    Mr Speaker, thank you once more for this valuable opportunity. I am most grateful.
    Ms Dzifa Abla Gomashie (NDC -- Ketu South) 2:34 p.m.
    Mr Speaker, I want to applaud the Hon Member who made the Statement and declare that what we need is many more he for she's. In gender advocacy and gender studies in the UN women circles, we call men who understand the issues of women as “he for she”.
    Mr Speaker, I thank the Hon Member very much for this Statement and to say that once again, we must not be seen to celebrate the day for preeclampsia, the day for mothers, the day for obstetric fistula and the like, only because it has to be
    Dr Kwaku Afriyie (NPP -- Sefwi-Wiawso) 2:44 p.m.
    Mr Speaker, I want to commend the Hon Member who made the Statement for bringing to the attention of this House this serious medical condition which is exclusively sex linked because it affects only the female species especially, those in the reproductive age.
    Mr Speaker, preeclampsia, is not known to many Ghanaians but it is something that gives every doctor a major headache because with their determinants, there are so many imponderables in its causation and even in its evolution. They are associated with genetic factors, blood vessel problems and autoimmune disorders but it is associated with being pregnant, especially with multiple foetuses being over the age of 35 years; that is late pregnancy and also early teens -- that means at the extremes of the reproductive age. It is also associated with being pregnant for the first time and also obesity and having a history of high blood pressure. Even though by definition it connotes elevation of pressure, it is a
    separate clinical entity from pressure in pregnancy itself. This means if the person had pressure ab initio before even she became pregnant, that is a different clinical entity.
    However, if a person has preeclampsia, one of the cardinal symptoms is the elevation of the blood pressure. Those who also have history of diabetes and kidney problems are susceptible. Some of the critical symptoms are persistent headache, abnormal swelling of the hands and face, sudden weight gain and changes in vision. If intervention is not made, it could proceed rapidly to the eclamptic syndrome itself in which the person could have convulsion and complications like kidney failure and so many things.

    The definite management is intervention of some sort, which means that when a person is pregnant and diagnosed, the doctors manage you well conservatively until they make a determination that it is safe for delivery especially after the 20th - most of the time eclampsia starts after the 20 th week but it has been documented that it can start a little early too. Mr Speaker, but the situation can be managed for a safe delivery as well as saving a life. Even

    though there is a spectre management, surgical intervention is required.

    Mr Speaker, eclampsia is fairly common in Ghana and it is one of the leading courses of maternal mortality, however, a lot can be done to prevent it and so we urge all pregnant women to attend antenatal clinics so that any such cardinal symptoms can be detected and managed accordingly.

    Mr Speaker, the strategy is to make the populace, including the husbands aware of this so that we can also help the women in this endeavour. There has to be consistent education and early and frequent attendance to antenatal clinics. Also, we have to equip our hospitals to deal with this especially the hospitals in the periphery. Mr Speaker, clinical services are very good in this country especially in the urban areas but there is a high deficit in the rural areas. There is a place for medical management and some of the drugs that we use to control eclampsia during the convulsive stages are sometimes lacked. However, I believe that with education, mortality that is attributed to eclampsia can be averted.

    Mr Speaker, I thank the Hon Member who made the Statement for drawing our attention to one of the hidden killers -- I forgot to also
    Mr Second Deputy Speaker 2:44 p.m.
    I would take the last contribution.
    Ms Zuwera I. Mohammed (NDC -- Salaga South) 2:44 p.m.
    Mr Speaker, thank you very much and I also thank the Hon Member who made the Statement.
    Mr Speaker, it is very refreshing when we see our brothers and fathers join the advocacy in support of women's health and wellbeing. It is also heart-warming to make an observation that the Hon Member who made the Statement is about one of the few who has made a Statement and sat through to listen to the comments afterwards. I think that it is important that when we make Statements we should be willing to sit through to get feedbacks on the thoughts that are available to enrich the position that is being advocated
    for. So, I highly commend my Hon Colleague from Tema Central.
    Mr Speaker, on the more substantive issue of the Statement, I would join the last contributor to say that we need more education and more infrastructure. We can give all the education to ensure that we reduce female mortality and ensure that the wellbeing and health status of women are catered for. However, without the requisite infrastructure, we might not be able to achieve the desired results. I say this with the background of serving a very rural constituency. The women of Kafaba do not have a clinic because there is no clinic there and each time I go there, they remind me of that. When the women of Kafaba are in labour, they are carried on a motorbike to Salaga to deliver their babies and sometimes they are lucky and sometimes they are not.
    So, the issues of high blood pressure, diabetes, and so on could come here but the issue of lack of infrastructure could contribute highly to female mortality. In addition to this is the lack of roads because the roads are very terrible and no ambulance can even travel on the stretch from Kafaba to Salaga. So, they are either on these motorbikes or they sit at the back of what they call motorkia. Mr Speaker, imagine a pregnant woman who is in labour and sitting at the back
    of a truck and enduring the bumpy roads. We can just pray that they get to Salaga alive and deliver for us to have both the mother and baby alive.
    Mr Speaker, in associating with the Statement, I would want to use the opportunity to urge the State to look at the deplorable nature of roads in a lot of our rural communities where women have to travel when they are at their most vulnerable. We need to look at the availability of health facilities so that the antenatal attention that women require would be received. Most of the women go through the nine months without a single antenatal attendance because it is simply not available. So, as we speak in favour of women's health and mortality, we cannot discount or forget the issue of infrastructure and what it means to ensure the wellbeing of women.
    Mr Speaker, women in the most rural parts of Ghana have to wake up at 3.00 a.m. in search of water; a basic necessity of life. So, imagine a six or seven month's pregnant woman who must wake up at 3.00 a.m. and walk to the nearest dam or borehole and even wait for two or three hours; the stress on this pregnant woman and the unborn baby cannot be told by us. Mr Speaker, these are the issues that the Government must take
    particular interest in and that is why I said that we would have the education, but the infrastructure remains paramount.
    Mr Speaker, thank you very much for the opportunity.
    Mr Second Deputy Speaker 2:44 p.m.
    Hon Member for Anyaa/Sowutuom?
    Mr Dickson A. Kissi 2:54 p.m.
    (NPP -- Anyaa/Sowutuom): Mr Speaker, I am very grateful for this opportunity to speak on a matter that the Hon Member for Tema Central has brought to bear. Eclampsia is certainly one of the unfortunate things that can happen to any pregnant women. In simple terms, it is hypertension in pregnancy.

    Mr Speaker, my concern here is just to reiterate the need for education as much as we need or demand for more infrastructure. The unfortunate thing in our Ghanaian setting - let me say this - is delay in seeking maternal care. That is an issue that regardless of the number of hospitals we have in this country, if mothers are not well- informed to seek maternal care in appropriate time, we are in trouble. If mothers fail to report to hospital when they have clear symptoms of danger, we are in trouble, regardless

    of the facility that might be available to us.

    Mr Speaker, I have nothing against building more, but I believe that in this day and age of wonderful technology, Ghanaians as we are, we have not harnessed enough what we can do with telemedicine, which will reduce our burden in terms of cost or infrastructure. I would add that, beautifully, many in times of COVID- 19 have now realised that sometimes, we over build. Doctors in Japan can now, maybe, answer to our concerns by way of us sharing critical medical problems of our patients and them responding to us. So, I am only positing once again that, yes, education is critical in terms of people deciding to go and seek healthcare at any facility be it a CHPS compound.

    Mr Speaker, I would add to the Hon Member's comment. Eclampsia can be managed initially even at CHPS compound and that is remarkable. It means that one, if the mother is well-informed and decides that she has to go to a clinic nearby because of the things happening to her, we would get a plus there. When the medical attendant be, it a CHPS compound attendant, is fully aware of what the symptoms are and can take action -- We are blessed that the phenytoin which is one of the

    medications used is one of the cheapest, most available medication in this country, plus magnesium sulphate. These are readily available. I must commend the Ministry of Health and Ghana Health Service for making these things readily available at most basic health centres. I believe that we should push hard and make primary healthcare available at our doorsteps.

    Mr Speaker, I think the Hon Member from Tema Central has done Ghana a very wonderful service, and I appreciate the fact that he used medical language today. To add to this voice again, preeclampsia, in simple terms, high blood pressure in pregnancy, is deadly, and to our men, when our wives are pregnant, we would need to pay particular attention to their blood pressure and encourage them to go to the clinic frequently. We should not say that we use paracetamol when we have headache, so they should also take paracetamol. These are problems that are created out of ignorance. I think that we should push and promote good information, so that our mothers would not perish due to high blood pressure in pregnancy or eclampsia.

    Mr Speaker, to end on that note, the vision of creating more regional hospitals is still on course, and I believe that we should all be very

    supportive of it because it will add to the infrastructure bit, which will then attend to some of the concerns of others who are with us here. But certainly, healthcare is not mortar and bricks; healthcare is knowledge.

    Mr Speaker, I used to say that during my training, if put a professor at any small institution, we will be surprised at the wonderful care he would give. So definitely, knowledge is superior to infrastructure.
    Mr Second Deputy Speaker 2:54 p.m.
    Hon Member, thank you very much.
    Yes, Minority Leadership? -- Yes, Hon Member?
    Mr Kwame Dzudzorli Gakpey (NDC -- Keta) 2:54 p.m.
    Mr Speaker, thank you for this opportunity. I am honoured to be given this opportunity to contribute to the Statement.
    Mr Speaker, this topic is very interesting. It is how high blood pressure is contributing to maternal mortality in the country. Most of the time, when we speak of health, we focus mostly on the presence of diseases. We do not look at other factors in the community.
    Mr Speaker, it would interest you to know that socio-cultural aspect is
    also contributing to this issue. Sometimes, when women become pregnant, getting to health facilities early, there are socio-cultural factors which affect them. When they want to go to the facilities early, some practices prohibit them.
    Mr Speaker, also the closeness of the facility is also a factor. Sometimes, because of the distance, how to get to the facility is a problem for them. Some are lazy and do not want to travel much to visit the facilities.
    Mr Speaker, also, one issue we have to look at is the involvement of men in maternal issues. We make them pregnant but at the end of the day, to escort them to the antenatal facility becomes an issue. Most people do not pay particular attention to that and sometimes, men refuse to accompany their wives to antenatal clinic. It is time to push the agenda for the involvement of men in antenatal issue.
    Mr Speaker, sometimes, some of these women get into situation is where the only resort is to visit religious leaders for prayers. We know prayers work, but after the prayers, they need to visit the health facilities on time to stop eclampsia.
    Mr Speaker, some communities use motor bicycles and tricycles as ambulances to convey patients from
    Mr Second Deputy Speaker 3:04 p.m.
    Hon Members, time for Statements
    has come to an end. I would thank all of us for contributing to the Statement.
    Hon Member, let us go back to the Order Paper and take the item numbered 6 -- Presentation of Papers.
    Ms Alhassan 3:04 p.m.
    Mr Speaker, the Hon Minister for Environment, Science, Technology and Innovation will present it on behalf of the Minister for Information.
    Mr Avedzi 3:04 p.m.
    Mr Speaker, the Hon Deputy Whip just said that the Hon Minister for Environment, Science, Technology and Innovation would present the Paper on behalf of the Minister for Information. At least, she should tell us the whereabouts of the Minister for Information who is also an Hon Member of Parliament. What has taken him out of the Business on the Floor? At least, that would give us some information and then we would allow the Hon Minister to lay the Paper on his behalf.
    Ms Alhassan 3:04 p.m.
    Mr Speaker, the Hon Minister has an emergency meeting with the President so he could not make it to the House.
    Mr Second Deputy Speaker 3:04 p.m.
    I do not think we need to waste much time on this.
    Hon Minister for Environment, Science, Technology and Innovation, you may present the Paper.
    PAPERS 3:04 p.m.

    Mr Second Deputy Speaker 3:04 p.m.
    Leadership, any indication?
    Ms Alhassan 3:04 p.m.
    Mr Speaker, the item numbered 7 -- there is an engagement between the Leadership and it has been agreed that the Motion is deferred so we would move on to the item numbered 9. It is time for adjournment
    Mr Avedzi 3:04 p.m.
    Mr Speaker, we are in your hands.
    ADJOURNMENT 3:04 p.m.