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The silent epidemic: When the future dies before us

“We’ve extended lifespans but shortened futures, creating a paradox where medical advancement coexists with unprecedented youth mortality.”

Photographer: Pablo Stanley

The camera pans across a bustling city street, young faces laughing, texting, rushing toward futures they assume are guaranteed. There is unfortunately a hidden crisis unfolding in editing rooms worldwide, where statistics tell a darker story.

When I first read the Institute for Health Metrics and Evaluation report, I saw a story begging to be told. Global life expectancy had returned to pre-pandemic levels, 76.3 years for women, 71.5 for men. Humans now live twenty years longer than in 1950. Yet something was terribly wrong.

The plot twist? While overall mortality rates had declined since 1950 across all 204 countries studied, deaths among adolescents and young adults were rising sharply. It was as if the script had been flipped; medical progress advancing on one track, youth mortality accelerating on another.

“I couldn’t believe what I was seeing. We are celebrating longer lives while ignoring that our young people are dying in increasing numbers.”

The investigation begins with a global sweep, showing the stark contrast between regions. Life expectancy ranges from 83 years in high-income areas to just 62 years in sub-Saharan Africa. The real shocker comes when the camera zooms in on the 15-39 age demographic.

In high-income North America, deaths among those aged 20-39 have surged primarily due to suicide, drug overdose, and alcohol-related causes. Meanwhile, in sub-Saharan Africa, infectious diseases and injuries claim young lives with devastating efficiency.

For children aged 5-14, iron deficiency emerges as the leading risk, followed by unsafe water, sanitation issues, and malnutrition. As the narrative progresses to the 15-49 age group, the dangers shift dramatically: unsafe sex, occupational injuries, high BMI, high blood pressure, and smoking dominate the landscape.

We are celebrating longer lives while ignoring that our young people are dying in increasing numbers.

The research reveals how interconnected these crises are, how economic pressures, mental health challenges, and systemic failures create a perfect storm threatening young lives worldwide.

The research doesn’t shy away from controversial political angles either. It examines how recent policy shifts have weakened global cooperation and strained developing nations already struggling to protect their young populations.

The research focuses on forward movement, what can be done, what is being done, and what must happen next. There are policymakers who have expanded health priorities to include adolescent and young adult health, demonstrating how strategic investments can yield tremendous returns. The question is whether we will continue celebrating overall life expectancy gains while ignoring the specific crisis facing our young people, or whether we’ll recognize that a society’s true measure of health isn’t just how long its elderly live, but how well it protects those just beginning their journeys.

We are left with a call to action and a lingering question: What future will we choose to create? I hope this article has moved readers from passive observers to engaged stakeholders, using the power of storytelling to transform abstract statistics into personal imperatives.

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