It was the distortion that the Annanuki fell into that lead to an era of death, decay, disease, war, deformity along with pain, suffering, and fear for all of earth.

就是因为扭曲，Annanuki下跌到一个导致对地球万物而言死亡、衰落、疾病、战争、残疾并伴随痛苦、磨难与恐惧的时代。

youdao

In all, perhaps 3.5m people have died as a result of the war, mostly of disease or starvation.

ECONOMIST: Congo's wars