Final answer:
Option D is the most accurate statement; South Africa's low life expectancy is largely due to the high prevalence rate of HIV/AIDS more than the malaria risk.
Step-by-step explanation:
When evaluating the impact of diseases on life expectancy in Sub-Saharan Africa, certain facts are evident. For instance, HIV/AIDS has drastically reduced life expectancy in the region. Although treatments and education have improved over recent years, the epidemic continues to exert a significant toll on the population's health. In relation to the choices given, it is South Africa where the low life expectancy is more due to the high HIV/AIDS prevalence rate rather than malaria risk, making option D the most accurate statement based on the information provided.