Background: Type 2 Diabetes Mellitus (T2DM) and Alzheimer’s Disease (AD) are increasingly linked through shared pathophysiological mechanisms, giving rise to the concept of Type 3 Diabetes Mellitus (T3DM). Brain insulin resistance, oxidative stress, and neuroinflammation are central to both conditions, contributing to cognitive decline and AD progression. Aim: This review aims to explore this emerging relationship and its implications for prevention and management. Methods: Using an integrative review, 21 studies were systematically analyzed. The review focused on identifying demographic, genetic, and lifestyle factors contributing to T2DM and AD and examined shared molecular pathways such as insulin dysregulation and amyloid-beta accumulation. Results: The findings reveal that T3DM shares key features with T2DM and AD, including insulin resistance and chronic inflammation. Lifestyle interventions, such as diet and exercise, alongside routine cognitive and metabolic screenings, are critical in mitigating progression. Conclusions: Further research into diagnostic biomarkers and targeted therapies is essential to manage T3DM and its impact on AD. The role of nursing professionals in early detection, education, and holistic management is emphasized as vital in addressing this dual disease burden. This review offers actionable insights into integrated strategies for addressing these interconnected conditions.

The high prevalence of low back pain associated with prolonged sitting as a result of work demands, is a major public health problem. Added to this is the sedentary lifestyle and full-time use of vehicles, keeping workers in this seated position. We now know the many benefits of regular exercise and physical activity. Inactivity is considered a risk factor associated with the development of lower back pain. We undertook this study to make subjects aware of the consequences of this posture. In addition, we wanted to help them relieve lower back pain and functional disability caused by prolonged sitting posture. To achieve this, we have set ourselves the goal of assessing the effect that the combination of a physical exercise program and massage with shea butter could have on lumbar pain and functional disability in inactive sedentary officials with full-time lumbar pain driving their vehicles. To achieve this goal, we brought together 45 subjects divided into three experimental groups. The results show that the group receiving the combination of an exercise and massage program with shea butter, experienced a significant decrease in pain and functional disability over the 6 weeks. Thus, the combination of an exercise and massage program with shea butter allows effective management of pain and functional disability in inactive sedentary officials.

Objective: The effects of muscle fatigue appear to elicit a transient means of postural instability; however, the recovery of postural stability after fatiguing exercise has not been extensively studied. This study aimed to determine the immediate effect of local vibration applied to fatigued plantar flexor muscles on postural stability in healthy young adults. Design: True Experimental (pre-test - post test design with a control group). Setting: A tertiary care centre. Participations: 42 healthy young adults. Intervention: Fatigue of plantar flexors muscles was induced by repeated dynamic contractions performed to maximum exhaustion. Experimental group (n= 21) received local vibration to fatigued muscles with a handheld vibrator whereas the control group (n = 21) received no intervention (rest). Postural stability was assessed using one leg stance test (OLST) under three different conditions viz. pre-fatigue, post-fatigue and post rest/vibration. Results: Comparative analysis of postural stability within the group was done pre-fatigue, post-fatigue and post rest/vibration condition using Kruskal-Wallis test. A significant decrease from pre-fatigue to post-fatigue condition (p-value < 0.001); and a significant increase from post-fatigue to post rest/vibration condition (p-value < 0.001) was observed in OLST in both - control group and experimental group. However, further comparison of OLST between the groups (using unpaired t test) showed a significant difference in post-fatigue condition versus post rest/vibration condition in favour of the experimental group. Conclusion: Plantar flexors fatigue significantly affects one leg stance time in healthy young adults. Results of this study show that there is an immediate effect of vibration to fatigued muscles on recovery of postural stability in healthy young adults. Recovery of postural stability achieved quickly with such a simple tool may help increase the degree of participation in sports and other similar activities which can cause muscles to fatigue. However, more studies are required to determine this effect using other clinical measures.

Recent advancements in the screening, diagnosis, and management of obstructive sleep apnea (OSA) have significantly improved patient outcomes. For screening, the use of home sleep apnea testing (HSAT) has become more prevalent, offering a convenient and cost-effective alternative to traditional in-lab polysomnography. HSAT devices have shown good specificity and sensitivity, particularly in patients with a high pre-test probability of OSA. In terms of diagnosis, advancements in wearable technology and mobile health applications have enabled continuous monitoring of sleep patterns and respiratory parameters. These tools provide valuable data that can be used to identify OSA more accurately and promptly. Additionally, machine learning algorithms are being integrated into diagnostic processes to enhance the accuracy of OSA detection by analyzing large datasets and identifying patterns indicative of the condition. Management of OSA has also seen significant progress. Continuous positive airway pressure (CPAP) therapy remains the gold standard, but new developments include auto-adjusting CPAP devices that optimize pressure settings based on real-time feedback. Mandibular advancement devices and hypoglossal nerve stimulation are emerging as effective alternatives for patients who are CPAP-intolerant. Furthermore, lifestyle interventions such as weight management, positional therapy, and exercise have been shown to complement medical treatments, leading to better overall outcomes. This review article highlights these advancements that collectively contribute to improved patient adherence, reduced symptoms, and enhanced quality of life for individuals with OSA.

The study aimed to establish the effect of Multicultural Teaching Competency (MTC) on the Culturally Responsive Teaching (CRT) of RME teachers in Cape Coast. The cross-sectional survey design was used. All 150 RME teachers in the 54 schools in Cape Coast were involved in the study through the census method and a 33-item close-ended structured questionnaire was used for the data collection exercise. Data were analysed using descriptive and inferential (Factorial ANOVA and PLS-SEM) statistics. Results revealed that RME teachers have a high level of MTC and CRT even though the students seem not to show interest in the subject leading to them failing in their final examinations. There was a statistically significant effect of RME teachers’ sex, academic qualification, teaching experience, and professional qualification on their MTC F (30, 4) = 7.142, p = .000, partial ƞ2 =.643 and CRT, F (30, 4) = 3.874, p = .000*, partial ƞ2 = .494. The result showed that RME teachers' MTC substantially explained 61.2% of the variation in their CRT. It was recommended that GES and the Metropolitan Education office should provide ongoing professional development opportunities specifically focused on translating MTC principles into actionable strategies.

This article is focus on the features of teaching English vocabulary on the basis of developing professional competence of students, methodological analysis of teaching active, passive, real and novocabular vocabulary in English, the ways of teaching English vocabulary.

The purpose of this study was to examine challenges facing the Church in dealing with Moral Issues and the way forward in Ghana. Qualitatively, the study sought to examine the Church's challenges in coping with Moral Issues and the way forward in Ghana. The study adopted a case study research design. The population of the study comprised leaders of Calvary Baptist Church – Adabraka and Shiashe. These include the Vice President of the Ghana Baptist Convention and departmental heads at the Ghana Baptist Convention headquarters. Others included the Senior Pastor of Calvary Baptist Church – Adabraka with its satellite mission at Shiashe as well as a cross-section of pastors of these churches; the church administrator; the past and present directors of Baptist Relief and Development Agency (BREDA). The purposive sampling technique was specifically used to locate respondents for the study. The churches and participants were chosen because of their efforts in dealing with the causes of immorality confronting Ghanaian society. The main tool for data collection was a semi-structured interview guide. The data gathered was organised and analysed manually using emerging themes. The study revealed that the challenges which the Baptist Church encounters in its effort to deal with moral issues are the politicisation of statements made by the clergy, and inadequate trained personnel who are willing and ready to champion the agenda of the church in that respect. Financial difficulties were also mentioned. In this regard, specific reference was made to the effort made by the Ghana Baptist Convention to free the Trokosi girls. It was indicated that it takes a lot of financial resources to train and settle the freed girls. Regarding the way forward as far as these challenges were concerned, it was suggested that the church ought to speak more and do what it is mandated by Christ to do to bring about transformation. It is recommended that Churches should seriously intensify education on what constitutes human rights and freedom so that there would be a clear understanding of the concept that enables people to think through and adopt the good aspects to enhance their circumstances. Human rights defenders should exercise restraints when it comes to practices which are alien to Ghanaian values, laws and religious faith.

The purpose of this study was to examine the challenges affecting the teaching and learning of Social Studies in the Colleges of Education in the Ashanti Region. Qualitatively, the study adopted a case study research design. The population of the study comprised fifteen (15) Social Studies teachers in the Ashanti region of Ghana. A purposive sampling technique was used to select the colleges and Social Studies teachers. The main instrument for data collection was an unstructured open-ended interview guide. Four criteria proposed by Lincoln and Guba in 1985 used to measure the trustworthiness of data collected are credibility, transferability, dependability and confirmability. Data obtained from the study were subjected to thematic analysis using themes developed from the data collected based on the research question. The findings of this study indicate that adequate textbooks, availability of teaching and learning materials such as projectors, the ability of tutors to engage in research, and the ability to vary teaching techniques are some factors that affect the teaching and learning of Social Studies in Colleges of Education. Students can remember a greater percentage of what was taught when techniques used by teachers are in their interest. It is recommended that T-TEL and Universities to which Colleges of Education are affiliated should continue to provide seminars and sessions to tutors in areas of material, resource development and research. This will continue to ensure that tutors are competent in their field of specialization. It is also recommended that the government should conduct a nationwide programme evaluation exercise on Social Studies to identify the loopholes needed to ensure the effectiveness of the subject.

Delirium is a major complication most commonly observed in patients with advanced cancer. However, despite its prevalence, the early diagnosis, management, and prevention of this condition have not seen significant progress. Aim of this research is to provide insights into the prevalence of delirium, the optimization of interventions for managing delirium symptoms, their effectiveness and the impact of underlying factors on the reversibility of delirium in advanced cancer patients receiving palliative care. The review involved systematic searches of relevant databases including MEDLINE, CINAHL, ProQuest Nursing and Allied Health, and PsychInfo using refined search terms. Eight publications out of 614 studies originally searched were selected and critically reviewed. Their quality was assessed using Joanna Briggs Institute's Critical Appraisal Tool for Case Series. Data abstraction and content analysis were performed to synthesize the findings. Delirium is prevalent among advanced cancer patients in palliative care, with rates ranging from 10.3% to 24.1%. Pharmacotherapy and non-pharmacological interventions showed effectiveness in reducing delirium symptoms. Delirium was found to be reversible through palliative care interventions, antipsychotic medications, and exercise therapy. Effective delirium management is crucial in improving the quality of life of cancer patients. This review emphasizes the importance of subtype-specific treatments, standardized guidelines, and long-term follow-up studies. Implementing evidence-based individualized approaches to delirium management can optimize treatment efficacy and clinical outcomes in patients as well as improve the quality of care. Tailored interventions, standardized protocols, and further research are hereby recommended.

The purpose of the study was to examine teachers’ perception on repairing of clothes in Agona Kwanyako in the central region of Ghana. Quantitative research approach and Descriptive survey design were adopted for this study. The population of this study comprised teachers in the seven public Basic Schools, one Senior High School, two private Basic Schools and one Vocational and Technical School in Agona Kwanyako. Krejcie and Morgan chart was used to sample hundred and fifty-five (155) out of two hundred and sixty (260) teachers in Agona Kwanyako schools. The main instrument for data collection and analysis was questionnaire. All the questionnaires retrieved were prepared by sorting and coding. They were then entered into IBM SPSS Statistics 2017 version 25.0 for data to be analysed. The SPSS software was used to generate mean, standard deviation, frequency and percentages on the data because it is fast, energy saving and gives a consistent and accurate statistical representation of raw data. Findings were then discussed in relation to the research question for the study. Data were presented using tables and charts. The study indicated that the perception one holds about the repair of clothes affects how they view the act and their subsequent adaptation of the exercise. The perception teachers hold about clothes repair was that, clothes protect the environment, create employment and alleviate one from poverty, helps clothes stay trendy and can give one a sense of satisfaction. It can also be concluded that clothes that are normally used such as dresses, shirts and trousers are the types of clothes mostly repaired. Teachers have positive perception about clothes repair. Based on this it is recommended that Home Economics teachers should team up with other teachers to inculcate proper clothes care in their students. Also, clothes should be made in such a way that repairing is easier and possible based on the findings on the types of clothes that are mostly repaired.

Exercise is an important factor of rehabilitation in heart failure patients, improving several indicators of disease prognosis and functional capacity. The aim of the present study was to examine the effect of a cardiorespiratory rehabilitation program on the physical and mental fatigue, general health and anxiety in patients suffering from heart failure. Thirty-one patients with heart failure [(M±SD) age: 67.59±7.60 years] participated in a cardiorespiratory rehabilitation program. The program included aerobic exercise on cycle ergometers and muscle strengthening for 3 months (12 weeks), 3 times/week. Before and after the program, patients' fatigue, general and mental health were assessed using the following self-reported questionnaires: a) Fatigue Assessment Scale (FAS), b) Goldberg's General Health Questionnaire (GHQ-28) and c) Spielberger's Anxiety Questionnaire. Data analysis showed a statistically significant tendency of reduction in social dysfunction (from 1.99±0.42 to 1.75±0.45, p=0.05), while anxiety (from 27.10±7.61 to 26.40±4.35) showed no change (p>0.05).Also, evaluating the changes in the health level after attending the program, there was a trend of improvement in physical activity and functioning with the appearance of fewer physical symptoms (from 1.38±0.43 to 1.24±0.31, p=0,13). These results show that exercise can contribute to increasing the general well-being of these patients and reducing feelings of helplessness, making them able to cope with their daily activities and tasks.

Breast cancer is the most commonly diagnosed form of cancer in women. Several studies have shown the benefits of physical activity (PA) before and after treatment on the physical and psychological components of patients. Almost all of the studies mentioned are carried out on non-African patients over the age of 40. And no experimental studies have been carried out in young patients undergoing treatment for breast cancer. This is how we asked ourselves the question of whether a physical exercise program carried out on young Beninese women under the age of 30 undergoing treatment for breast cancer at the Saint Nicolas clinic in Porto-Novo could it have the same effects on their physical and psychological components? Our objective through this research is to study the potential effect of a physical activity program on the physical and psychological state in women under 30 years old (27±5.8 years) undergoing treatment for a breast cancer at the Saint Nicolas clinic in Porto-Novo. An experimental study was then carried out with 13 patients (very low rate of women in this section suffering from breast cancer) undergoing treatment throughout 2022 at the Saint Nicolas clinic in Porto-Novo. The experimental group followed a physical activity program consisting of aerobic and muscular exercises; over a period of 8 weeks. According to the data collected and the feedback from the patients, the physical activity program seems to have been beneficial for most of them. There is an improvement in the quality of life and the physical condition of the patients. In addition, the management of physical fatigue and psychological fatigue also seem to improve. There was also a marked improvement in the ability to concentrate and self-esteem. The physical activity program has improved the physical and psychological state of Beninese women with breast cancer

Monitoring and supervision in schools is a very important aspect in the educational process. The purpose of the study was to examine monitoring and supervision of curriculum delivery in the Junior High Schools in Ejisu-Juaben Municipality of Ghana. Mixed method research approach was adopted for the study. The population f or this study was made up of teachers, head-teachers and the deputy director in charge  of supervision in the Ejisu-Juaben Municipality. Purp osive and convenient sampling techniques were employed to select the one-hundred and eighty-four respondents for the study. The main instruments for data collection were questionnaire and observation. The study revealed that monitoring and supervision was more or less just conformance to stipulated regulations and that teachers and head-teachers must comply without necessarily ensuring staff development to reduce limitations. The study also indicated that there is high level of impact of monitoring and supervision on Junior High Schools’ curriculum implementation in Ejisu-Juaben Municipality over the past years. It is recommended that, f or good performance, appraisal should be done at least by the end of every school term to ascertain staff performance on their j ob. It is also recommended that, for improvement of curriculum implementation, school heads should improve on; frequency coordination of all departments of the organization of visiting less on sessions, checking teachers’ less on notes, inviting teachers to observe him/her teach and checking students’ assignments, class exercises and pupils project work to ensure regular marking of exercise takes place.

Police work is mentally demanding and stressful, which takes a heavy toll on the health of police personnel. This study was conducted to assess the eating pattern, physical activity and nutritional status of police personnel in the Tamale Metropolis. A cross-sectional research design was adopted for the study. The population of this study involved all the 1590 police personnel with two years working experience within the Tamale Metropolis in the Northern Region of Ghana. Simple random sampling technique was used to select three hundred and eighty-four (384) respondents for the study. The main instrument for data collection was questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 21.0. Chi-square and Fisher’s exact tests were used to test associations. Logistic modeling was used to test the strength of the associations. P<0.05 was used to denote significance. The study revealed that the police eat two main meals, skip breakfast or eat in between meals, consume alcohol, ate foods belonging to the meat, soft drinks, fish, grain and eggs groups and their diet were more moderately diverse. The study also concluded the police personnel had normal BMI while was overweight and obese respectively. It is recommended that the police department should institute health education programs on the benefits of good dietary practices to achieve optimal health, to avoid the practice of police eating two main meals, skipping breakfast, consuming more alcohol but rather consumes diet that is moderately diverse to sustain him or her. It is also recommended that police department should institute a health education and screening exercise policy to examine the personals periodically to warrant their good health in the service.

The importance of resistance training (Conley & Pennington, 2022; Pennington, 2020) cardiovascular fitness (Pennington, 2015; 2016), and anaerobic power (Pennington, 2014) cannot be overstated for individuals enlisted in our country’s armed forces. The Army Combat Fitness Test (ACFT) is the new branch wide fitness test designed to replace the outdated Army Physical Fitness Test (APFT) (USAPHC TG 358, n.d.). The APFT was implemented in 1980 as the measure of Service Member (SM) fitness. However, this test is very limited in scope and failed to tell unit commanders how ready their SMs were for the rigors of a combat environment (US Army ACFT Field Testing Manual, n.d.). The APFT was a gender-based test that consisted of three events: a two-minute pushup evaluation to measure upper body endurance. The second event was a two-minute sit up evaluation to measure core and hip flexor endurance. While the final evaluation was a two-mile timed run, which was designed to test aerobic endurance and leg endurance. This test was simple to set up and administer but, it was not a good metric to judge SM’s actual fitness in a combat environment. If a SM had good endurance than he or she would max the test with ease. This is not a complete reflection of what is required in a combat environment. In a combat environment the SM will be loaded down with a rifle, helmet, rucksack, plate carrier, water, and ammo which often exceeds 80 pounds. The new ACFT which is still being implemented into the forces as of the writing of this paper is a much better test as it has more events to it which measure soldier strength and ability to move while under load.

Background: Everyone, irrespective of age, sex, colour, ethnicity, or present overall fitness level, can benefit from regular exercise. To improve one's health, one must engage in regular physical activity. People with underlying illnesses like long-term impairment can benefit from regular physical activity at the individual level, especially young women. Thus, the current study aimed to assess the prevalence and determinants of physical activity among female school-aged adolescents in the West Coast Region of The Gambia. Methods: The present study used an institutional-based cross-sectional analytical study to collect quantitative data from 384 female high school students in The Gambia. The study used a content-validated, pretested structured questionnaire that consisted of both open and closed-ended questions on physical activity. The data were processed and analyzed using IBM SPSS version 26.0. Descriptive statistics and Chi-square and/or Fisher exact test were used with a p-value <0.15 for inclusion in the logistic regression model. Adjusted odds ratios (aORs) and 95% confidence intervals were calculated, while p-value <0.05 was considered for statistical significance. Results: The proportion of female students involved in physical activity was 37.5%. The mean age of students was 18.8 years with a standard deviation of 1.7 years. Factors such as female students between 17 – 20 years (aOR:3.05, 95% C.I. (1.807 – 5.138)), father never been to school (aOR: 2.82, 95% C.I. (1.495 – 5.334)), primary education (aOR: 2.15, 95% C.I. (1.027 – 4.493)), upper basic school (aOR: 2.31, 95% C.I. (1.055 – 5.074)) and science major students (aOR: 2.21, 95% C.I. (1.203 – 4.047)) had increased odds of involving in PA. Furthermore, students who knew that exercise would strengthen bones (aOR: 2.62, 95% C.I (1.444 – 4.739)), do a planned brisk walking (aOR: 19.16, 95% C.I. (6.698 – 54.811)), basketball/football (aOR: 29.76, 95% C.I. (10.004 – 88.512)) and skipping with rope (aOR: 29.15, 95% C.I. (9.726 – 87.333)) had increased odds to involved in PA after controlling for confounders. Other factors such as students whose mother never been to school (aOR: 0.31, 95% C.I. (0.140 – 0.674)), primary level (aOR: 0.25, 95% C.I. (0.123 – 0.518)), senior secondary level (aOR: 0.42, 95% C.I. (0.189 – 0.935)), nuclear family (aOR: 0.23, 95% C.I. (0.119 – 0.458)) and extended family (aOR: 0.45, 95% C.I. (0.225 – 0.915)) had reduced odds of involving in PA. Conclusion: There is low physical activity among female adolescents in schools. For this, it is imperative that suitable interventions be implemented to raise the level of physical activity among secondary school students. A future intervention for school-aged adolescents could benefit from these findings.

Resistance exercise is the performance of physical exercises designed to improve strength, muscular, endurance, hypertrophy, and neuromuscular efficiency with the use of weights (Braith & Stewart, 2006)[1]. Resistance exercise has long been utilized for its beneficial health qualities and propensity to elicit certain desired physiological changes (Fry, 2004)[2]. There has been a recent, and significant, increase in resistance exercise activity in American adults (NCHS, 2018)[3] attributable to factors such as autonomous compulsion and self fulfilment to extrinsic factors like health and physical appearance (Fisher et al., 2017; Heinrich et al., 2014; Ingledew & Markland, 2008)[4,5,6]. As such, there is an ever-increasing need for educational material regarding resistance exercise, its benefits, purpose, and manner in which it should be conducted. Purpose- to (a) provide resistance exercise-based educational material regarding the background and rationale behind resistance training; (b) to provide a specific resistance-based exercise program to elicit strength gain; (c) to provide individuals with the knowledge to safely and effectively engage in said program; and (d) to provide the participant with expected physiological adaptations to completing the program. Methods- Two 6-week, 5-day per week resistance exercise programs – with a brief nutritional guide accompaniment – are outlined for a hypothetical participant, age 25-40, of moderate experience with fitness training, and with the goal of strength gain and moderate fat loss as a secondary goal. Results- Anticipated benefits of the program include: increased maximal strength caused by training above 85% 1RM for 2-6 sets of 1-6 reps; increased synergistic muscle groups strength which will contribute to improved prime mover strength; hypertrophy of skeletal muscles throughout the body, induced by lifts of 67-85% 1 rep max (RM) for 3-6 sets of 6-12 reps and increased resting energy expenditure (basal metabolic rate) accompanied by improved body composition. Conclusion- Continued progression though this protocol with modifications to resistance include potential improved running speed, explosive power potential, and other anaerobic sport performance factors, as well as enhanced neuromuscular efficiency associated with increased prime mover force production capabilities.

This study is a literature review with a qualitative approach. It is justified by the significant increase in diseases acquired through lifestyle habits that generate health risks, which impair and are responsible for decreasing longevity and decreasing quality of life, such as hypertension, depression, obesity and respiratory tract diseases. Physical activity is recognized as a protective factor for health, and its benefits are associated with the reduction of chronic diseases and a decrease in the risk of premature death from diseases related to a sedentary lifestyle. The objective of this research is to search and identify, within the scientific literature, if there are in fact contributions from the practice of physical activity in subjects diagnosed with depression. For the categorization of studies and selection of materials, the following keywords were determined: physical exercise and depression and physical activity and depression. As inclusion criteria for data analysis and interpretation, the following were considered: articles in Portuguese, full texts, published in health journals, between the years 2005 to 2015. As exclusion criteria, we considered articles found by descriptors that did not contain one or more of the inclusion criteria. In this study, articles were selected by searching the Scientific Electronic Library Online (SciELO) and Lilacs. The choice of these databases was prioritized due to the quality and reliability of the materials available, and their easy access. 77 articles were found, of which 4 were selected to be part of this research. It can be noted that physical activity showed positive aspects and possible contributions and can be considered as a bias in an adjunct to conventional pharmacological treatments. The need for further clarification about the disease in relation to psychological, social and physiological issues is also evident, thus opening the possibility for further studies and research on the subject, so that in this way they can guide possible interventions that help in the treatment of the depression.

The study assessed knowledge base of food vendors’ hygiene practices in Koforidua in the eastern region of Ghana. As a descriptive survey study, fifty (50) respondents made up of food vendors were purposively and conveniently sampled respectively for the study. The data gathered was analyzed using SPSS Version 17 and converted into frequencies, percentages and tables. This study concluded that street food vendors do have relevant knowledge of hygienic food handling practices through the training they receive, but the knowledge they acquire is not put into practice. The study also revealed that effective and regular inspections by Environmental Health officers will couple stringent enforcement of all regulations governing their practices to streamline the activities of the food vendors for better health of their consumers. It is recommended that the training and certification of food vendors should be organized on a regular basis and should be designed using the Hazard Analysis of Critical Control Point (HACCP). Environmental Health Officers must conduct follow-up exercises after training programmes to ascertain whether food vendors are putting knowledge they have acquired into practice. It is also recommended that, the Metropolitan/Municipal/District environmental health officers should ensure that inspection of street food vendors are carried out effectively, efficiently and regularly so as to monitor the food handling practices of the food vendors’ right from the time of preparation to the point of sale. This is to ensure that food served to consumers is safe for consumption. Vendors who do not put the knowledge they have acquired into practice should have their certificates retrieved and signed up for retraining.