Abstract:
The seven papers in this issue of the Journal highlight a
number of well- known but largely unquantified health
issues facing adults in Accra, and by extension, other
rapidly growing cities in West Africa. Much is written
about the ‘second epidemiological transition’1 and the
‘double burden’ of communicable and noncommunicable
disease2 in post-transition populations.
Here we present some new population-based health
assessments as well as some surprises in terms of
health differentials and patterns of reproduction.