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-Kibera, one of the

largest slums in Africa

 

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in the heart of Nairobi,

the capital of Kenya.

 

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Its roofs would shelter 250,000

people according to some,

 

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1 million according to the others,

poor for the majority.

 

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The Achira family lives with

an average of $2 per day.

 

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Every morning to hold at 7,

we have to reorganize the space.

 

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The mother takes care

of the 5 children,

 

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the father is a street vendor.

 

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All depend on his salary to eat.

 

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-It's difficult, because sometimes

 

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I'm not selling anything.

 

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I have to walk home

because I can't afford the bus.

 

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I'm coming back with no money.

 

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-Not enough to buy

breakfast,

 

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children go to school

on an empty stomach.

 

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For the next meal,

black tea and rice,

 

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you'll have to wait until evening.

 

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-The school offers a snack

and a lunch

 

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against the equivalent

of $7 per month.

 

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Too expensive for most

families.

 

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-In disadvantaged neighbourhoods,

 

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one third of children are

reported to be stunted.

 

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-There is quantity

and also quality.

 

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It is easier to find

cookies and sodas

 

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than fruits and vegetables.

 

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A mango costs less than five

times more than a doughnut.

 

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Lack of vitamins and proteins

and so children get sick.

 

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In this hospital,

 

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at least 4 cases of acute

malnutrition occur every day.

 

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-Surprisingly, a lot

of mothers of malnourished children

 

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show signs of overweight. They

would be 30% in this case.

 

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-Children who are hungry

and overweight adults,

 

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in Africa these phenomena

evolve in parallel.

 

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This is called the double

burden of malnutrition.

 

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While her daughter goes

to school without eating,

 

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this 48-year-old grandmother

has developed diabetes

 

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due to his obesity.

 

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She weighs 145kg, almost twice

more than before her wedding.

 

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As a child, she grew up

with only one meal a day.

 

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Arrivomg in town,

she opened a restaurant.

 

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Easy access to food

made her sick.

 

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-When I was a little girl,

 

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I was eating food

 

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traditional

like legumes.

 

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When I started working here,

 

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I ate a lot

and got sick.

 

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The doctor told me

that I had to reduce my weight

 

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and stop eating so much fat.

 

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-How many dohnuts

were you eating every day?

 

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-I can't recall.

 

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Because I cook and eat.

I cook and eat.

 

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I drink tea with it.

 

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It was also my lunch and if there

was any left at the end of the day,

 

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I would bring them home

 

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and it was also

my evening meal.

 

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-A highly caloric food

and low in nutrients,

 

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result: she lives

thanks to the drugs.

 

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While part of the continent

suffers from hunger,

 

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chronic diseases related

to diet are increasing.

 

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20 to 30% of the population

suffer from high blood pressure,

 

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4% to 6% is affected

by diabetes,

 

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people are unaware of their illness

 

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and it is estimated that these

figures should double in 20 years.

 

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-In downtown Nairobi,

 

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there are fast food restaurants

on every street corner.

 

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Places that are popular

with the middle class.

 

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Economic development

of African cities

 

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has resulted in a

change in lifestyle:

 

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more processed products,

more transport.

 

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As a result, in 25 years, the

obesity rate in Kenya has doubled,

 

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38% of the inhabitants of Nairobi

are overweight.

 

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Zeenah is no exception.

 

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In four years, she's

gained 40 kilos.

 

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-Then she got sick.

 

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-Near Kibera, where the family

Achira struggles to feed itself,

 

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Zeenah is trying to lose weight.

 

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In this parking lot, a Zumba class.

 

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-These services are developing

in Nairobi

 

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to deal with the

scourge of obesity.

 

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Many here are overweight,

diabetes or high blood pressure.

 

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Most of these women

 

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had never worried

about their weight.

 

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But on a continent regularly

stricken by famine,

 

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kilos are still associated

with wealth and good health.

 

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-Change mentalities

and the health system in Africa,

 

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designed around

infectious diseases.

 

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Within 10 years, an African

will be less likely

 

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to die of AIDS

 

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than a non-communicable disease

related to lifestyle.

 

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-A new burden

for the continent.