Until several months ago, demographers regarded a youthful age structure as an unequivocally detrimental demographic characteristic. Where more than half of the population is younger than age 25, countries are unable to attain high levels of economic and human capital development and face an increased risk of some forms of civil conflict. Yet, so far, during the ongoing pre-vaccine stage of the COVID-19 pandemic, the most age-structurally mature countries have been hardest hit by the disease. These countries are generally urbanized, wealthy, well-educated, and include a large proportion of seniors. And, somewhat surprisingly—despite being equipped with advanced medical technologies—these countries are experiencing the highest rates of mortality from complications related to COVID-19.

The coronavirus pandemic has people throughout the world pondering how humankind should respond to a public health crisis. While individual countries are managing the crisis with varying degrees of success, we can all agree that the Covid-19 pandemic is commanding the international community’s attention. By contrast, it is much harder to get the world to care about the long-term public health crisis unfolding in the West African Sahel.

In Kenya, primary and secondary school students take courses called Life Skills Education. So do students in Malawi, Mozambique, Namibia, and Swaziland. South Sudan adds “peace-building” to the subject title. Lesotho, Madagascar, Rwanda, Tanzania, Uganda, and Zambia are more direct. These countries add the word “sexuality” to the course name.

The Western Sahel region—a cluster of arid, low-income countries stretching from Senegal, on Africa’s Atlantic coast, inland to Mauritania, Burkina Faso, Mali, Niger, and Chad—is home to the world’s most youthful populations. According to current UN Population Division estimates, about 57 percent of this six-country region’s population is 19 years old or younger. As security conditions deteriorate across the rural Sahel, governments in Europe and North Africa are taking notice of these countries’ demographic status—and for good reasons. Sustained population youthfulness (often called a “youth bulge”) contributes to low levels of educational attainment, joblessness and social immobility, and ultimately to rapid population growth, which tends to drive declines in per-capita availability of freshwater and other critical natural resources: factors that are associated with the risk of persistent violent conflict and represent powerful push factors for migration.

A country can achieve sustainable peace and security only if women are included, said Monde Muyangwa, Director of the Wilson Center’s Africa Program at a recent Wilson Center event on the role of women in promoting peace and security in Africa. “And I would argue that part of the challenges that we face on the African continent, the insecurity that we face in parts of the African continent,” she said, “is precisely because not all segments of society are included.”