a consumption - a wasting disorder; but the modern tuberculosis is almost unknown in Asia.
fever ... inflammation ... extreme burning - Fever is rendered “burning ague” (Lev 26:16), and the others mentioned along with it evidently point to those febrile affections which are of malignant character and great frequency in the East.
the sword - rather, “dryness” - the effect on the human body of such violent disorders.
blasting, and with mildew - two atmospheric influences fatal to grain.