With a filthy nation, even the blessing of rains becomes a curse. That is what happened last year. Hundreds of citizens lost their lives through a nationwide cholera outbreak.

It was an outbreak which was rivaled only by a similar one 30 years ago. We lambasted officials; cried with the deceased families but left our evironments just as dirty or even worse than last year.

Consistently, the Ghana Health service kept warning about the exposed over-flowing waste collection containers, consistently we kept our bins overflowing with filth.

The rains are due in June and it has given its warning even this month with some reported floods.

Yet for local governance system, hearing, learning, preparing is a quality fit for anybody except us.

For the 150 who died last year because of cholera, the number is not a disincentive enough for change.

Cholera came, saw our filth, conquered our health system and it looks like the fatal music has been set to replay.

Unless somebody can take the system by the scruff of the neck and get some results, more will die this year. 

In this photo making rounds on social media, Kaneshie Market is walled with waste. The market is a nerve center for commercial and transport activity in Accra. Apparently the filth is being cleared. But how could we allow waste this dangerous to sit around our markets?

When people come to buy and board, they will be buying and boarding with more than just food or goods. They will be buying cholera and paying for their deaths.