ABSTRACT

In early 2003, U.N. demographers announced that the HIV/AIDS epidemic has reduced life expectancy for the 700 million people of sub-Saharan Africa from 62 to 46 years. For the first time in the modern era, the rise in life expectancy has been reversed for a large segment of humanity, marking a major setback in the march of progress. Is this an isolated development? Or does this reversal mark the beginning of a new era where the failure of societies to manage other life-threatening trends, such as falling water tables and rising temperatures, will also disrupt progress and reduce life expectancy? 1