Women take part in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

People participate in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

People participate in an aerobics class at the gymnasium of a sports center in Cartago east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

People participate in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

A woman takes part in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

People participate in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

A child waits in his pram while his mother participates in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participate in aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

People participate in an aerobics class at the gymnasium of a sports center in Cartago, east of San Jose July 10, 2012. More than 300 people participated in an aerobics program organized by a local committee, with the objective of reducing heart disease, obesity and sedentary lifestyle of the population of Cartago, according to program director Ivonne Martinez. REUTERS/Juan Carlos Ulate (COSTA RICA - Tags: HEALTH SOCIETY) 

Medical personnel are reflected in an x-ray viewbox as they walk down a corridor in the radiotherapy department of the Korle Bu Teaching Hospital in Accra, April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Clinical oncologists Dr. Joel Yarney (R) and Dr. Clement Edusa look at a scan of a cancer patient on a computer screen at the Korle Bu Teaching Hospital in Accra, April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Radiotherapist Kofi Kyei, 30, points at a tumour on an x-ray from a patient suffering from bladder cancer at the Korle Bu Teaching Hospital in Accra April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Radiotherapist Enock Okine operates a radiotherapy simulator at the Korle Bu Teaching Hospital in Accra April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Cancer patients sit in a chemotherapy ward while receiving treatment at the Korle Bu Teaching Hospital in Accra, April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Radiotherapist Enock Okine operates a radiotherapy simulator at the Korle Bu Teaching Hospital in Accra April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Retired cocoa farmer Emanuel Adu, 73, who is receiving treatment for a facial melanoma, sits during a consultation at the Korle Bu Teaching Hospital in Accra April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth.
Yet Adu's is one of an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Cancer patients sit in a chemotherapy ward while receiving treatment at the Korle Bu Teaching Hospital in Accra, April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

A 52-year-old woman suffering from bladder cancer lies under a radiotherapy simulator used to pinpoint areas to treat at the Korle Bu Teaching Hospital in Accra April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth.
Yet there are an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

Verna Vanderpuye (R), a clinical oncologist and radiotherapy consultant, speaks with retired cocoa farmer Emanuel Adu, 73, who is receiving treatment for a facial melanoma, during a consultation at the Korle Bu Teaching Hospital in Accra April 24, 2012. Most of Africa's around 2,000 languages have no word for cancer. The common perception in both developing and developed countries is that it's a disease of the wealthy world, where high-fat, processed-food diets, alcohol, smoking and sedentary lifestyles fuel tumour growth. Yet Adu's is one of an estimated one million new cancer cases sub-Saharan Africa will see this year - a number predicted to double to 2 million a year in the next decade. Picture taken April 24, 2012. To match Insight CANCER-AFRICA/GHANA REUTERS/Olivier Asselin (GHANA - Tags: HEALTH SOCIETY) 

A man inspects organic bananas from central Taiwan which are five times more expensive than regular bananas at an organic food chain store in Taipei June 30, 2009. Affluence and sedentary lifestyles have brought health problems such as obesity and diabetes to Asia, prompting locals to fill up their shopping carts with products such as oats, yoghurt and vitamins. Picture taken June 30, 2009. To match feature HEALTHFOOD-ASIA/ REUTERS/Pichi Chuang (TAIWAN SOCIETY HEALTH) 

A customer walks past organic products in an organic food chain store in Taipei June 30, 2009. Affluence and sedentary lifestyles have brought health problems such as obesity and diabetes to Asia, prompting locals to fill up their shopping carts with products such as oats, yoghurt and vitamins. Picture taken June 30, 2009. To match feature HEALTHFOOD-ASIA/ REUTERS/Pichi Chuang (TAIWAN SOCIETY HEALTH) 

Dr. Mark Butterbrodt (R), a white doctor on the Pine Ridge Indian Reservation in South Dakota and speaks the Lakota language, checks a young Native American boy at the Porcupine Clinic. Butterbrodt says regarding an ongoing report thats states more than 50 percent of Native Americans over the age of 45 are diabetic, the sedentary reservation lifestyle combined with a consistent supply of food that's high in sugar has turned what was once a positive into a deadly negative. "Sadly, a lot of our children and teenagers are not very physically active," says Dr. Butterbrodt. He knows many parents who sequester their children indoors fearing gangs, stray dogs and the broken glass that litters the Great Plains reservation. "It's no coincidence that in Arizona, diabetes is known as the television disease". Photo Taken June 26, 2001. 

A lone vehicle travels one of the many monotonous roads on the Pine Ridge Indian Reservation in South Dakota. Many residents have to travel the long distances to endure hours of dialysis every week a routine that is becoming necessary for an increasing number of Native Americans across the rural United States. A ongoing report by the Strong Heart Study, funded by the U.S. National Institutes of Health, says that more than 50 percent of Native Americans over the age of 45 are diabetic. Researchers believe there is a very big genetic component, and it was an advantage many years ago. In the days of feast or famine Native Americans could consume large quantities of food in one sitting and their efficient bodies stored it for the lean times. Today the sedentary reservation lifestyle combined with a consistent supply of food that's high in sugar has turned what was once a positive into a deadly negative. Photo taken June 24, 2001. 

An Oglala Lakota warrior is silhouetted against the late afternoon sky during a three-day PowWow on the Pine Ridge Indian Resveration in South Dakota. A ongoing report by the Strong Heart Study, funded by the U.S. National Institutes of Health, says that more than 50 percent of Native Americans over the age of 45 are diabetic. Researchers believe there is a very big genetic component, and it was an advantage many years ago. In the days of feast or famine Native Americans could consume large quantities of food in one sitting and their efficient bodies stored it for the lean times. Today the sedentary reservation lifestyle combined with a consistent supply of food that's high in sugar has turned what was once a positive into a deadly negative. Photo taken June 24, 2001. 

Dr. Mark Butterbrodt (R), a white doctor on the Pine Ridge Indian
Reservation in South Dakota and speaks the Lakota language, checks a
young Native American boy at the Porcupine Clinic. Butterbrodt says
regarding an ongoing report thats states more than 50 percent of Native
Americans over the age of 45 are diabetic, the sedentary reservation
lifestyle combined with a consistent supply of food that's high in
sugar has turned what was once a positive into a deadly negative.
"Sadly, a lot of our children and teenagers are not very physically
active," says Dr. Butterbrodt. He knows many parents who sequester
their children indoors fearing gangs, stray dogs and the broken glass
that litters the Great Plains reservation. "It's no coincidence that in
Arizona, diabetes is known as the television disease". Photo Taken June
26, 2001.

AC 

Norm Underbaggage sits in the Porcupine Clinic on the Pine Ridge Indian
Reservation in South Dakota. Underbaggage a Oglala Lakota, is forced to
endure a monotonous routine of dialysis three times a week, and one
that is becoming necessary for an increasing number of Native Americans
across the rural United States. A ongoing report by the Strong Heart
Study, funded by the U.S. National Institutes of Health, says that more
than 50 percent of Native Americans over the age of 45 are diabetic.
Researchers believe there is a very big genetic component, and it was
an advantage many years ago. In the days of feast or famine Native
Americans could consume large quantities of food in one sitting and
their efficient bodies stored it for the lean times. Today the
sedentary reservation lifestyle combined with a consistent supply of
food that's high in sugar has turned what was once a positive into a
deadly negative. Phot taken June 25, 2001.

AC 

A member of the Oglala Lakota tribe prepares to eat an ice cream float
during a three-day PowWow on the Pine Ridge Indian Reservaration in
South Dakota. An ongoing report funded by the U.S. National Institutes
of Health, says that more than 50 percent of Native Americans over the
age of 45 are diabetic. Researchers believe there is a very big genetic
component, and it was an advantage many years ago. In the days of feast
or famine Native Americans could consume large quantities of food in
one sitting and their efficient bodies stored it for the lean times.
Today the sedentary reservation lifestyle combined with a consistent
supply of food that's high in sugar has turned what was once a positive
into a deadly negative. Photo taken June 24, 2001.

AC 

A lone vehicle travels one of the many monotonous roads on the Pine Ridge
Indian Reservation in South Dakota. Many residents have to travel the long
distances to endure hours of dialysis every week a routine that is becoming
necessary for an increasing number of Native Americans across the rural
United States. A ongoing report by the Strong Heart Study, funded by the
U.S. National Institutes of Health, says that more than 50 percent of Native
Americans over the age of 45 are diabetic. Researchers believe there is a
very big genetic component, and it was an advantage many years ago. In the
days of feast or famine Native Americans could consume large quantities of
food in one sitting and their efficient bodies stored it for the lean times.
Today the sedentary reservation lifestyle combined with a consistent supply
of food that's high in sugar has turned what was once a positive into a
deadly negative. Photo taken June 24, 2001. REUTERS/ANDY CLARK

AC 

An Oglala Lakota warrior is silhouetted against the late afternoon sky
during a three-day PowWow on the Pine Ridge Indian Resveration in South
Dakota. A ongoing report by the Strong Heart Study, funded by the U.S.
National Institutes of Health, says that more than 50 percent of Native
Americans over the age of 45 are diabetic. Researchers believe there is
a very big genetic component, and it was an advantage many years ago.
In the days of feast or famine Native Americans could consume large
quantities of food in one sitting and their efficient bodies stored it
for the lean times. Today the sedentary reservation lifestyle combined
with a consistent supply of food that's high in sugar has turned what
was once a positive into a deadly negative.June 24, 2001.
REUTERS/ANDY CLARK

AC