tag:blogger.com,1999:blog-18904014421395926442024-03-13T06:05:24.999+03:00Dr Dennis Nturibi - Rethinking The NormA radical look at health care in Kenya and Africa as a whole.Dr Dennis Nturibihttp://www.blogger.com/profile/18091027412769230489noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-1890401442139592644.post-65809199026246632902017-06-30T17:33:00.003+03:002017-06-30T17:33:29.468+03:00Emergency Care Growing in Kenya<div dir="ltr" style="text-align: left;" trbidi="on">
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I have just attended two days of the Emergency Care
Symposium at Safari Park Hotel. It was running from the 29<sup>th</sup> to the
30<sup>th</sup> of June 2017.</div>
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<o:p></o:p></div>
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What many of you may not know is that in my ‘previous life”,
I was an emergency care doctor and was very passionate about it. Some have even
gone as far as saying that I was good at it! Though I have since moved on to
Lifestyle Medicine, as I felt I would be able to have a bigger impact there, I
remain passionate about Emergency Medical Care, and this conference was totally
enjoyable for me. <o:p></o:p></div>
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This was the first conference of it’s kind in Kenya, driven
by doctors, nurses, clinical officers, emergency medical technicians and others
who are very committed to see Emergency Medical Care grow in Kenya. Under the stewardship
of Dr. Benjamin Wachira, the first Kenyan Emergency Physician living and
working in Kenya, the team has been able to bring all these professionals
together, including even bankers and the government, and teams from as far off
as Uganda, South Africa and Somalia, and put together an amazing symposium that
was considerably oversubscribed. <o:p></o:p></div>
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It may surprise most people to realize that of all the
fields of medicine, Emergency Care is one we are all going to need, most likely
directly and personally within our lifetime, but definitely indirectly through
a relative or loved one. Yet, the Kenyan Medical Board has only recognized
Emergency Medicine as a specialty in 2017 thanks to Dr. Wachira’s dogged
determination! <o:p></o:p></div>
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Emergency Medicine is that discipline that trains an already
qualified doctor in how to recognize, treat to a very high degree of technical
competence and/or refer appropriately acute emergency cases. These include
everything from accident victims, acute illnesses such as malaria or pneumonia
when they proceed unchecked to the point of being a threat to life, and other
unusual occurrences such as drowning or chocking. Emergency Physicians are the
doctors we all loved to watch in the series ER. The reality is that without the
scores of highly trained Emergency Medical Technicians (EMTs), nurses and
Clinical Officers (COs) out there, an Emergency Physician would be handicapped
and almost useless. <o:p></o:p></div>
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One thing that has really impressed me during this
conference is the manner in which so many different professionals have come
together to grow this new industry. The reality is that a mature emergency
system involves all manner of professionals, and cannot stand on any one person
or group. With this as the inaugural symposium, we can expect a bright future
for the Emergency Medicine Kenya Foundation and the sector at large. <o:p></o:p></div>
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Something that stood out for me at this conference was when
Professor Lee Wallis, Dr. Wachira’s teacher and mentor, gave his keynote
address. In typical professor fashion, his bird’s eye view of the sector was
enlightening and humbling. He noted that in Africa, the care that will make a
difference is low cost, involves training a wide selection of people in
emergency care skills and not in degree courses, and working with policy makers
and government towards free emergency care for all. It was clear that he
carries the weight of the inequity of the sector on his shoulders and I was
almost tempted to console him. During a personal conversation on the last day
of the conference, he mentioned that he strongly believes we have to work
smarter to identify that person who is very sick before they get worse and to
the point of needing emergency care, such as when one has a heart attack. And
of course, it is possible to do this.<o:p></o:p></div>
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It was exciting to learn of the 18-month diploma program in
Emergency Care for COs being offered at Kijabe. I have been involved in hiring
COs and I do know many of them are unemployed, or working in call centers and
other places. It is such a waste of resources, in a country that is grossly
understaffed in the medical facilities. Knowing these emergency trained COs
will be out there is personally reassuring. As a doctor who has worked in the
emergency field, I live in fear of personally suffering an accident in rural
Kenya. However, there is now light at the end of the tunnel.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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Interestingly government was very well represented. We were
all surprised to learn from Professor Lee that our legislation is much more
advanced than South Africa’s. We heard in details what the law stipulates, and
policies that are being developed in the sector. We are certainly headed in the
right direction, and we pray that implementation will be fast and efficient. <o:p></o:p></div>
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The Emergency Medicine Kenya Foundation has worked on a lot
of resources to grow the sector, which are freely available on their website- <a href="http://www.emergencymedicinekenya.org/">http://www.emergencymedicinekenya.org</a>
It is actually mind boggling how they have done all this in so short a time. It
smacks of a lot of personal drive and sweat from a handful of individuals. I
salute them. I have always felt that Africa needs homegrown solutions to our
problems, and I applaud those pioneers who are championing this and other
movements. As a people, we need to mature beyond the crippling desire of personal
achievement and aggrandization and instead work to make a difference and leave
a legacy. <o:p></o:p></div>
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If anyone came across anything over the last two days that
they would like to criticize, I would urge them to hold their tongue, sty calm
and do something to make a difference. Well done Emergency Medicine Kenya
Foundation, and keep up the good work.<o:p></o:p></div>
</div>
Dr Dennis Nturibihttp://www.blogger.com/profile/18091027412769230489noreply@blogger.com4tag:blogger.com,1999:blog-1890401442139592644.post-8227894311810948802011-10-20T21:47:00.000+03:002011-10-20T21:48:12.690+03:00Why The Ostrich Has a Small Head?<!--[if gte mso 9]><xml>
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Blogging has brought me into
direct contact with debate, a necessary enterprise if I am to understand
people’s real concerns. I recently had a discussion with a group of people. A
young, urban, professional and very intelligent lady helped me understand where
many of us find ourselves. Given my background, I had before this found it very
difficult to comprehend what even my wife was trying to explain to me about the
challenges of being a healthy Kenyan.<o:p></o:p></div>
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<br /></div>
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This lady had never read my blog,
but due to the debate, she got online and rapidly went through both articles.
It was quite clear to me she was rather uncomfortable, as she said nothing for
quite a while as other debated. Finally, as the debate was wearing down, she
stated that she is thoroughly confused (and I suspected a bit disgusted) by all
the varying opinions, many of which she rightly stated come from medical people
themselves. Whereas some will advise us not to drink alcohol, others put a
“healthy” cap on what is ok. Is it brown rice or white? Is it brown bread or
white? Is brown bread whole bread or is it colored white bread? Are we to avoid
smoking if we want to ensure we don’t end up with cancer? “Then why did my
uncle live to the ripe old age of 81 despite smoking all his life?” Are we to
have a yearly medical or not, and if we’re not sick, why should we? If we do
not, are we likely to be diagnosed with ovarian or other cancer later in life
and pass on as a consequence? All these questions she raised in rapid succession,
and promptly declared that she will follow her grand-mother’s advice, “be
happy, enjoy life, live long!” This was clearly justified given that her
grandmother is in great health, and obviously has great genes. It took me a
while for the message to sink in, but incidentally I’d heard it before from so
many others.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
Our societies are in a sad place.
We are constantly bombarded by information. How many of you remember a certain
TV advert from the 1980s (On Kenyan TV)? It was one of the most mouth-watering
moments I have ever seen on screen. It involved “chapatti” and a specific
cooking fat that was then universally used to make chapatti. The use of this
cooking fat would alert the whole neighborhood as to where this delicacy was
being made, mouths would water & stomachs would convulse. The TV advert
would rush these memories into conscious thought, even without the smells! In
the face of such powerful messaging, is it surprising that we are confused? Is
it not amazing that only 20 years later, this product was almost out of
production due to its unhealthy nature?<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
Policy makers have played a
leading role in causing this confusion (we medical people are included here).
The reasons for this are many and varied, far too complex for this simple
discussion. <b><i>The question I want to raise is what can we do about this? </i></b>Are
we going to burry our heads in the sand “Ostritch” style, while we silently
pray that the bullet called chronic disease whizzes past our exposed uppers?
When we are carrying out our day jobs, and we come across confusing “facts”, is
this what we do? I think not! We square our jaws and get in the mud, plod
around until we come up with conclusive, and accurate answers that enable us to
achieve our desired results. Why can we do this for our employers, but not for
our own health? Without health, can we even work for our employers?<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It touches me deeply when I come
across a confused soul. Such a person has an open mind, but the heart is weary.
We all go through this. I am not looking to change so many out there who are
bent on self-destruction; what I hope for is to gently influence those that
truly “do not know” into joining me in this journey of discovery. I don’t have
the answers, but I am willing to share what I am learning and open it to debate
and discussion. Let us work together and learn to be better, if not for our own
health, then for that of our children.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Therefore, dear lady, have a look
at this: <a href="http://www.youtube.com/watch?v=dBnniua6-oM">Sugar, The Bitter
Truth</a>! This is a great place to start (you will need an hour, and watch it
with those that you care about. Don’t let the technical jargon jar you-its only
about 15 min). Next time I will talk about this You-Tube video), as well as
give a reading suggestion. I hope I have caught your interest. <o:p></o:p></div>
<!--EndFragment-->Dr Dennis Nturibihttp://www.blogger.com/profile/18091027412769230489noreply@blogger.com0tag:blogger.com,1999:blog-1890401442139592644.post-72882468454852417872011-09-27T21:35:00.000+03:002011-09-27T21:36:01.607+03:00Bite-By-Bite Grave Digging
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Ach! Blogging is hard work! I’m discovering it is so easy to
throw around opinions and sentiments to all manner of people around me, but it
is truly challenging to think about what you’re planning to say, revise it in
your head and come up with something sensible. This is what blogging is forcing
me to do.<span> </span>But then I wonder, has this
got more to do with human nature than the demands of blogging? Do we just
inherently like things easy and simple, myself included? Case in point: A young
man of 46 has visited the casualty department because of a headache that has
been bothering him for the last 2 weeks. As part of routine examination he is
noted to have high blood pressure. After a comprehensive review, and hopefully
a few more visits, he is diagnosed to be hypertensive (high blood pressure
disease). As part of his management, and on top of daily medication (expected
to be used for life), it is suggested that he needs to pull back the throttle
on his lifestyle, and gear down from the fast lane. Practically this involves
less stress, less eating of rich foods, less drinking of alcohol and coffee,
more play, more relaxation, more fruits and vegetables and more drinking of
plain water. Sounds simple enough? Then how come, one year later, this same
young man is struggling with the basics of this plan? One year later, he has
actually added weight, and whereas last year he was 20 kg over his ideal
weight, now he is 25 kg over his ideal weight! How can such a ridiculously
simple plan be so incredibly difficult to follow?</div>
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<br /></div>
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Lets review some very simple mathematics (please note, this
is not rocket science, all this information is available for free online & I have
put in appropriate links). Lets call this man Dennis. He is 170 cm in height
(about 5 feet, 7 inches). He now weighs 97 kg. This puts his <a href="http://en.wikipedia.org/wiki/Body_mass_index"><b><i>Body Mass Index</i></b></a> (BMI=
Weight (kg)/height x height (meters)) at 33.5. This is known <a href="http://www.endotext.org/obesity/obesity1/obesity1.htm"><b><i>Class
1 Obesity</i></b></a>. With his ideal BMI being maximum of 25, his ideal maximum weight
should be 73 kg.<o:p></o:p></div>
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<br /></div>
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But how does all this happen? Let look at his typical week.<o:p></o:p></div>
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<br /></div>
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He wakes up at 5.00 am to make sure he leaves the house by
5.45 am otherwise traffic will mess his whole day. He does not have breakfast.
He will be back home at about 10.00 pm on a regular basis. This is after
various after work meetings that he feels he cannot avoid as a senior manager.
During the day he will be at the office from 7.00 am and will leave at 5.00 or
6.00 pm to go to a nearby local bar or restaurant, and while he waits for
traffic to reduce he will have a meeting or two, some formal, most informal. He
spends 90 % of his day seated.<o:p></o:p></div>
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<br /></div>
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His food intake looks something like this:<o:p></o:p></div>
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<br /></div>
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<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Weekdays<o:p></o:p></span></b></div>
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<br /></div>
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<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Saturday<o:p></o:p></span></b></div>
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<br /></div>
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<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Time<o:p></o:p></span></b></div>
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<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Food<o:p></o:p></span></b></div>
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<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kcal<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Time<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Food<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kcal<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 2;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9:30 am<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 Cup
Tea with sugar<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">195<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span class="Apple-style-span" style="font-family: Calibri;">7:00 am</span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4
slices brown bread<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">352<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 3;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1
Mandazi<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">128<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Jam<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">76<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 4;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Margarine<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">100<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 5;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 cup
tea with sugar<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">195<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 6;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1:00 pm<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">300
grams Ugali<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">234<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 7;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sukumawiki<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">120<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10:00 am<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 cup
tea with sugar<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">195<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 8;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Quarter
chicken stew<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">220<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ham
sandwich<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 9;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 glass
fruit juice<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">125<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 10;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1:00 pm<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rice<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">420<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 11;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span class="Apple-style-span" style="font-family: Calibri;">4:00 pm</span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 cup
tea with sugar<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">195<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Beef
stew (200 g)<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">560<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 12;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Vegetable
salad<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">150<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 13;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span class="Apple-style-span" style="font-family: Calibri;">7:00 pm</span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2 beers
(lager)<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">300<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 14;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Nyama
choma (300g)<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">840<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span class="Apple-style-span" style="font-family: Calibri;">4:00 pm</span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 cup
tea with sugar<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">195<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 15;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kachumbari<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">25<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 16;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ugali
200 grams<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">155<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span class="Apple-style-span" style="font-family: Calibri;">7:00 pm</span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3
Chapatis<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">500<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 17;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ndengu
stew<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">100<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 18;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Total
Daily Calories<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2,537<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fried
beef (200 g)<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">560<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 19;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1 glass
fruit juice<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">125<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 20;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 21;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div align="right" class="MsoNormal" style="text-align: right;">
<span class="Apple-style-span" style="font-family: Calibri;">10:00 pm</span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">250 ml
Whisky<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">700<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 22;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1200 ml
coke (mixer)<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">474<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 23;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Nyama
choma (300 g)<o:p></o:p></span></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">840<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 24;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 25;">
<td nowrap="" style="background: #DCE6F1; border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6 Wk
Days<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div align="right" class="MsoNormal" style="text-align: right;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">15,222<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Total
Saturday Calories<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div align="right" class="MsoNormal" style="text-align: right;">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5,542<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 26;">
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 27;">
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-right: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="height: 15.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.0pt;" valign="bottom" width="28">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-right: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-right: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 119.0pt;" valign="bottom" width="119">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="border-right: solid windowtext 1.0pt; border: none; height: 15.0pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 15.0pt; mso-yfti-irow: 28; mso-yfti-lastrow: yes;">
<td nowrap="" style="background: #DCE6F1; border-right: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 58.0pt;" valign="bottom" width="58">
<div class="MsoNormal">
<br /></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: none; border-top: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 111.0pt;" valign="bottom" width="111">
<div class="MsoNormal">
<br /></div>
</td>
<td colspan="4" nowrap="" style="background: #DCE6F1; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: none; border-top: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 246.0pt;" valign="bottom" width="246">
<div class="MsoNormal">
<b><span style="color: black; font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Total
Weekly Caloric Intake 20,764<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="background: #DCE6F1; border-left: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.0pt;" valign="bottom" width="41">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><i><span style="font-size: 9.0pt;">For simplicity’s sake we’ll assume he
eats the same food 6 days of the week and that he drinks 2 beers daily (of
course some days none, while others 2 to 6 beers). We shall also ignore the
occasional family party where as we all know we over-indulge, and the
occasional corporate buffet where we eat every item served, and those amazing
deserts (that can pack a whooping 800 Kcal per serving). Note that though he
doesn’t eat fruits, he does “try” in the vegetable department.<o:p></o:p></span></i></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
For his weight and height, his daily requirements (<a href="http://www.thinandhealthyforever.com/CalorieRequirement.asp"><b><i>Total
Daily Energy Expenditure</i></b></a>) to maintain his weight (not gain more)
are <b>2,328 Kcal</b>. This translates to <b>16,296 Kcal</b> per week. Here we see he is
eating an <b>extra 4,468 Kcal per week</b>. All factors remaining constant, this
translates to a gain of 0.58 kg per week or <b>30 kg per year!</b> By just looking at
caloric excess, would this man expect to get better or worse with time? Most
likely his degree of obesity will increase, he will develop insulin resistance
(pre-diabetes) and ultimately diabetes. This kind of caloric excess is now
definitely known to be associated with obesity, diabetes, hypertension, heart
disease, stroke, arthritis, gout, sleep apnea, asthma and various cancers. Even without looking into his lack of exercise, unhealthy work habits, stress
level and poor quality of life, we can see how food is killing him. He is
not alone in this dilemma. Even for those who don’t smoke or take alcohol, the
caloric excess can be clearly demonstrated. With our current lifestyles,
caloric excess is a constant reality. Not many can be directly blamed; most of
us just don’t know enough to know any better.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
We have to think long and hard about what is ailing us as a
people. Is it a bad attitude or just lack of understanding? What role are
medical professionals playing, and more importantly <b>not</b> playing? I am <b>not</b>
about to suggest we all start counting calories, there is an easier & more
practical way to get healthy, as we shall see over the next few weeks.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I would argue that any man (& of course woman) who
demands of themselves to like things “not simple”, to follow the more
challenging path, is one who will ultimately find success and great reward. We
all need to be involved in learning how today we are digging our own graves a
bite at a time.<o:p></o:p></div>
<!--EndFragment-->Dr Dennis Nturibihttp://www.blogger.com/profile/18091027412769230489noreply@blogger.com7tag:blogger.com,1999:blog-1890401442139592644.post-44965618185207377022011-09-14T17:32:00.000+03:002011-09-14T17:32:35.625+03:00Ridiculously Simple, Incredibly Difficult
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<!--StartFragment-->
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<div class="MsoNormal">
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">When my friend and best man started on social media,
Facebook, twitter and blogging, I could not have cared to even ask what that
was about. I’ve always been the very busy kind of guy, whether I was doing
anything useful, or just busy thinking about doing something. Consequently,
sparing the time to even consider, let alone take part in social media was just
not possible. Though I felt left behind the curve, I always managed, rather
successfully, to justify my misplaced attitude. Of course, with time, the power
of social media has been ploughed into my face (we all remember the Arab world
early this year). Now, I am here blogging. The big question-why?<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">While relaxing in the house on the 6<sup>th</sup> of August
2011, browsing the CNN website, I came across an article that has changed my
life-<a href="http://edition.cnn.com/2011/HEALTH/08/19/heart.attack.proof.diet/index.html?&hpt=hp_c2">The Heart Attack Proof Diet?</a>. Since then, I have read almost everything
Esselstyn, and his book has just been delivered at my door from Amazon.com at
noon today. Shockingly, it cannot be found in a single bookstore in Nairobi. I
read into the early hours of the morning everything I could find online on his
work. Why the obsession? Well, let me give some background.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">I had an affluent upbringing, so it is no surprise that I
battled weight problems literally all my life. Having been brought up very
well, there was all I could eat available, and boy did I have a good appetite.
As you can imagine, I reflected what went in, and was considerably larger than
ALL my peers (though it was nothing compared to what I see today). From very
early on, the use of my actual name subsided so much that at one point I also
wondered who I was. Publishing something I’ve always been too ashamed to utter
aloud is scary, but here goes. I went by the name-“<b><i>Kidadu</i></b>”. What it meant I
have no idea, all I’ve always been sure about is how it conjures up an image of
something big, large, round, blobby……. When I got to 12 years of age, by the
mercy of my hormones, my growth changed from the ever-present horizontal to a
more vertical. Having been accustomed to so much weight, I found that suddenly,
when everyone had to run in one direction, I was no longer guaranteed to be at
the end of that line as previously. Someone gracious and forward thinking
decided that my nickname should now be changed to “<b><i>Dash</i></b>” (I suspect they
were getting constantly surprised not to find me so far back in a race as I was
used to being, so it seemed I’d suddenly dashed off somewhere). The change in
self esteem that resulted was one of the strongest reasons I decided I was
never going to be overweight again! It took 15 years to achieve any results I
could be impressed with, and a constant obsession with weight, nutrition and
exercise.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">The power in Esselstyn’s work is not as much the actual
message itself (as powerful as it), as what it could mean. Working in the
healthcare industry, I have seen so many people, rich and poor, suffering from
diseases that Esselstyn talks of reversing into oblivion. I have seen young
fathers die; new grandmothers spend months in hospital fighting symptoms of a
disease, not even its actual causes. I have seen children taking care of their
parents. I have seen ignorant people ravaged by a disease they just do not
understand, and successful people who have solved mighty problems and won many
battles struggle with finding a solution to a disease that seems like a smoke
screen. I have seen colleagues run out of ideas on how to advise their patients
on the way forward. In my short life, I have seen a lot of suffering. If
getting onto the social media train could help alleviate this suffering, just a
small bit, then it would be a sin for me not to. When Dr Esselstyn talks about
reversing heart disease, diabetes, hypertension and says weight loss is just a
side effect of the process, he had my attention 150%. But when one of his
clients gives a testimonial on how they should have been dead from disease, but
now they’re enjoying life, 25 years after their expected death, then I see the
potential for all the patients I wished I could have helped. Everyday I keep
quiet about this is a day a part of me dies. Yesterday was the last. Over the
next few weeks I will be discussing a bit of what I have learnt in my own
personal struggle with weight, linking to Esselstyn’s work and why this could
have far reaching implications for all of us. Just like getting started on this
blog is ridiculously simple, yet incredibly difficult, most of what I’ll
explore will challenge what you’ve always known to be true. </span></div>
<!--EndFragment-->Dr Dennis Nturibihttp://www.blogger.com/profile/18091027412769230489noreply@blogger.com6