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Heavy Cost of Fat

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The Fight Against Fat
Photograph by Karen Kasmauski

In Waimanalo, Hawaii, "Uncle Henry" Kahalewai keeps a weight-lifting gym in front of his house where neighborhood kids can work out and stay out of trouble. It's also a stop for health care workers who screen local residents for adult-onset diabetes as part of a five-year community outreach project called Mauli Ola—Spirit of Life. Project coordinators have tested about 3,000 residents in this low-income town and diagnosed 150 of them with type 2 diabetes, a partial consequence of adding the "three Cs"—cheese, chocolate, and cola—to the traditional Hawaiian diet. Another 450 locals have been found to be pre-diabetic. One study found that native Hawaiians were two and a half times more likely to have diabetes than white residents of similar age.

Photo Fast Facts

Camera: Nikon F100
Film Type: Fujichrome Provia 100
Lens: Nikon 35-70mm zoom
Speed and F-Stop: 1/60 @ f/2.8
Weather Conditions: Overcast
Time of Day: Late afternoon
Lighting Techniques: Natural light

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