Let's see some studies and some facts. Anecdotal "evidence" isn't going to be much use to anyone in this discussion because I might as well assert that I've noticed that black people have more acne that whites.
What I wouldn't give up: a family member, my intelligence, or any of my talents.
I'd give up: junk food for life.
How come you got acne in Africa. So much sunshine and natural stuff out there.
African countries are industrialized as well if you didn't know. I have to take extra care to seek out organic vegetables and pasture raised meat. It is cheaper than in Western countries, but it does require some effort to obtain.
As for the sunshine: I do get to sunbathe a lot, that's for sure, but like anyone else with a desk job and an internet connection I don't spend my entire day in the sun.
There are a lot of people in Africa with acne. Just being here doesn't mean you won't get it! Personally, my acne is caused by hormonal imbalance, insulin resistance, possibly hypothyroidism, and perhaps magnesium malabsorption. Simply eating fresh, whole foods and sitting in the sun isn't enough - I have to be strategic about the foods I eat and the nutrients I take in to address the imbalance.
This sounds pretty personal to me. The entire tone of your thread and posts lack empathy. Just take some advise to reflect on your language and your actions.
Now a few zits and icepick scars on someone's face barely causes me to bat an eyelash but the nodular, inflammatory form is visually very jarring. I almost get a bit angry at the person for allowing their acne to get to that point where their skin is pitted and full of divots and depressions and their acne is out of control... it's like why would they allow that to happen? go on Accutane, sweet jesus. That's an awfully judgemental mentally to have but it is what honestly goes through my mind.