Widespread loneliness in the U.S. poses health risks as deadly as smoking up to 15 cigarettes daily, costing the health industry billions of dollars annually, the U.S. surgeon general said. About half of U.S. adults say they've experienced loneliness, Dr. Vivek Murthy said in an 81-page report. "Loneliness is ... a feeling the body sends us when something we need for survival is missing," Murthy [said]. "Millions of people in America are struggling. That's why I issued this advisory." Research shows that Americans, who have become less engaged with worship houses, community organizations and even their own family members in recent decades, have steadily reported an increase in feelings of loneliness. People culled their friend groups during the coronavirus pandemic. Americans spent about 20 minutes a day in person with friends in 2020, down from 60 minutes daily nearly two decades earlier. The loneliness epidemic is hitting young people, ages 15 to 24, especially hard. The age group reported a 70% drop in time spent with friends during the same period. Loneliness increases the risk of premature death by nearly 30%, with the report revealing that those with poor social relationships also had a greater risk of stroke and heart disease. Isolation also elevates a person's likelihood for experiencing depression, anxiety and dementia. People who used social media for two hours or more daily were more than twice as likely to report feeling socially isolated than those who were on such apps for less than 30 minutes a day.