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Thats a fair point, also the above point about the life expectancy being dragged down by high infant mortality.
Looking at causes of premature death in Somalia, looks like Malaria, Lower respiratory infections, Diarrheal diseases, protein-energy malnutrition and HIV/Aids make up around 50% of premature death. Lower respiratory infections were at 12.2%
Dying of cancer isn't even in the top 25 (less than 0.6%)Compared to Italy, top 5 is heart disease, stroke, lung cancer, colorectal cancer and diabetes.
Lower respiratory infections was at 1.5%
not so straightforward unfortunately-immune function is impacted by malnutrition, so raises mortality rates for normal flu, reasonable to expect this would be more acute with Covid too. https://www.longdom.org/open-access/protein-energy-malnutrition-and-susceptibility-to-viral-infections-as-zika-and-influenza-viruses-2155-9600-1000489.pdf