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(单词翻译:双击或拖选)
Over the past few years, the country has seen a proliferation of so-called "lifestyle diseases" such as diabetes1, heart disease and cancers. Experts attribute this to rising incomes, Western diets and less physical activity.
Cathy Majtenyi | Nairobi 22 December 2009
Malnutrition2 and hunger relentlessly3 stalk communities in some areas of Kenya, while in others, diabetes, heart disease, and obesity4 are just one bite away.
For decades, the East African country's healthcare system has focused on battling malnutrition and communicable diseases such as malaria5, tuberculosis6 and HIV/AIDS, dubbed7 "diseases of the poor."
Pathologist and cancer expert Dr. Geoffrey Mutuma is principal researcher for the Kenya Medical Research Institute.
"We are having a tsunami8, and our tsunami now is non-communicable diseases, the diseases which actually we get because of what we eat, because we have changed our diet from the traditional African food to a Western-type of food, the fast foods," he said.
Traditional African dishes contain largely unrefined maize9 and grains, unrefined carbohydrates10 and fresh vegetables and fruits, and are high in fiber11 and low in fat and cholesterol12.
But more and more people are consuming processed, refined and fast foods. Fast food outlets13 and restaurants have proliferated14 in Nairobi and other locations within the last 10 years.
Nutritionist Anne Mwangi-Thuo attributes this in part to a growing middle class that has money to spend.
"It gives you 'class' if you go and eat chips as opposed to eating ugali [a traditional maize-flour dish]. It gives you class if you can go for what is called in Kenya 'nyama choma,' roasted meat, than when you eat the beans. When they grew up, they ate a lot of the maize and beans and potatoes - they felt that that is the 'poor man's diet,'" she explained.
This middle class, and even those living in rural areas, are walking less and less. More and more people have office jobs where they sit most of the day, and few people take time out of their busy schedules to exercise.
As a result of poor diet and lack of exercise, the so-called "lifestyle diseases," including diabetes, obesity, heart disease and certain cancers, are now taking over.
According to Ministry15 of Public Health figures, non-communicable diseases contributed to more than 33 percent of deaths in 2007. The ministry estimates that 53 percent of all hospital admissions in Nairobi are due to non-communicable diseases, with diabetes contributing 27 percent of the total.
Diabetes is Kenya's number one non-communicable disease, yet has received scant16 attention, says consultant17 physician/endocrinologist and diabetes expert Dr. Eva Njenga.
"We have actually a double burden of infectious diseases and the non-communicable diseases," she said. "Diabetes is now being linked to a level whereby we actually have more people dying from diabetes than from HIV. And that should actually ring a bell and raise an alarm for our government."
But the lack of specialized18 equipment and expertise19 makes Kenya's health-care system ill-equipped to cope with diabetes and other non-infectious diseases, says the Kenya Medical Research Institute's Dr. Mutuma.
"It is very expensive," he added. "They are chronic20 diseases, they require a lot of treatment, they require a lot of care, and we are not ready for that."
Kenyan health experts say the government cannot expect help from international donors21 to prevent and treat non-communicable diseases. The experts say they think there is a perception in the West that so-called "diseases of the rich" are not found in so-called "poor" countries like Kenya.
1 diabetes | |
n.糖尿病 | |
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2 malnutrition | |
n.营养不良 | |
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3 relentlessly | |
adv.不屈不挠地;残酷地;不间断 | |
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4 obesity | |
n.肥胖,肥大 | |
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5 malaria | |
n.疟疾 | |
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6 tuberculosis | |
n.结核病,肺结核 | |
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7 dubbed | |
v.给…起绰号( dub的过去式和过去分词 );把…称为;配音;复制 | |
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8 tsunami | |
n.海啸 | |
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9 maize | |
n.玉米 | |
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10 carbohydrates | |
n.碳水化合物,糖类( carbohydrate的名词复数 );淀粉质或糖类食物 | |
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11 fiber | |
n.纤维,纤维质 | |
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12 cholesterol | |
n.(U)胆固醇 | |
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13 outlets | |
n.出口( outlet的名词复数 );经销店;插座;廉价经销店 | |
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14 proliferated | |
激增( proliferate的过去式和过去分词 ); (迅速)繁殖; 增生; 扩散 | |
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15 ministry | |
n.(政府的)部;牧师 | |
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16 scant | |
adj.不充分的,不足的;v.减缩,限制,忽略 | |
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17 consultant | |
n.顾问;会诊医师,专科医生 | |
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18 specialized | |
adj.专门的,专业化的 | |
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19 expertise | |
n.专门知识(或技能等),专长 | |
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20 chronic | |
adj.(疾病)长期未愈的,慢性的;极坏的 | |
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21 donors | |
n.捐赠者( donor的名词复数 );献血者;捐血者;器官捐献者 | |
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