Cape Town: Is it time to lean on the fat?

How addiction hobbles our chances

Walking through a cancer hospital to the department where you are receiving treatment reveals a world of great suffering, the unerring will of humanity to survive, the purveyance of hope for which the only currency of purchase is faith that could waver depending on prognosis, pain, confidence, or despair; it is a teaching and humbling moment.

How I have wanted to walk out of that hospital and snatch a cigarette from the lips of a young smoker totally oblivious of what cancer does to the body and how the odds one faces with cancer depends of what it is, where is has been found, if it has spread and if there is a body of knowledge and expertise available to give you a chance to survive.

Then, I do not have to walk far to realise how much of a hold tobacco and nicotine has over people. As at a designated area near the entrance of the same cancer hospital, you will find patients undergoing cancer treatment huddling in corners for another drag of the poison already killing them. They give themselves no chances at all, and if they come through, good for them.

This is obese in plain sight

In Cape Town, there was something we could not unsee, when we stay in Cape Town, we try as much as possible to walk everywhere and everything is within walking distance. Even on days I did not seem to have the strength or the capacity, I made my daily 10,000 steps.

Walking alongside us or coming into view from our vantage point of observation was someone carrying just that extra extra bit of weight on their hips, their bellies, and usually both, then arms and thighs; sights to make you catch your breath.

What you cannot deny is there is an obesity problem which should be registering somewhere in the South African healthcare system. There cannot be any aesthetic value to wanting to tip the scales until the springs broke.

How you address this obvious health crisis will no doubt require tact, wisdom, and some innovative policy initiatives, it should not be ignored. You could see people who could barely move, some were panting every few steps and I cannot put a statistical value on those who might have already acquired diseases of the heart, the kidneys, the pancreas, the liver, and other related serious health problems because of this excess weight.

The fast in fast-food is weight

One other observation we made when we were in Muizenberg, some 25 kilometres from Cape Town, with long stretches of beautiful beaches that more deserted than walked, was the number of delivery bikes that attended our estate at all hours, as if most did no home cooking, but relied on fast food. We do most of our cooking, from quick preparations like stir fries to slow cooking activities, it is about the willingness and timing.

In town, the fast-food outlets are full, taking orders for tables and takeaways for patrons and the ubiquitous delivery bikers, God forfend we dignify those places with the moniker of restaurant. They offer you something to masticate and swallow, but none of it is of value to your body and if you do not work it off, it sits somewhere in your body and accumulates in fatty tissue.

Maybe the new miracle weight-loss drugs might bring respite to the South Africans we saw and give them a fighting chance, but it also must include some desire and the will to do something about it.

While everyone is free to celebrate their bodies and love who they are, while not being shamed for what they have become, we need to square the circle between feeling good and being healthy. That will not come by lying to be nice.