American because we live in a society where money is dominant and everybody needs it to survive and in East Africa you know you don't really have anything real life quality is really like low
I believe the answer is: <span>causing the disability or death of young adults who are the primary wage earners in a family.
When a large number of young adults died to a certain illness, the would be a decrease in workforce's regeneration.
This would cause a situation where the economy is forced to slow down because nobody can replace the older workers whose productivity would keep decreasing.</span>
