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Many children in Africa don't live in poverty and experience eating disorders.
Use some common sense. He means the ones who are living in poverty.
This reminds me of Jim Gaffigan bit: "Imagine explaining appitiezers to a starving person...'Oh, that's the food we eat before we eat.'"
Eating disorders are mental illnesses just like depression, schizophrenia, or bipolar disorder. Mental illnesses in general are difficult to explain.