In the 31 countries at the bottom of the list, 28 of which are in sub-Saharan Africa, a person can hope to live on average only 46 years, or 32 years less than the average life expectancy in countries of advanced human development, with 20 years slashed off life expectancy due to HIV/AIDS.
The answer to your question is Aksum
One negative consequence could be that the economy can't grow and get better.
