Umbreit has “he” for “it,” that is, “in the rage of hunger he shall devour his own body”; or, “his own children” (Lam 4:10). Rather, “destruction” from Job 18:12 is nominative to “devour.”
strength - rather, “members” (literally, the “branches” of a tree).
the first-born of death - a personification full of poetical horror. The first-born son held the chief place (Gen 49:3); so here the chiefest (most deadly) disease that death has ever engendered (Isa 14:30; “first-born of the poor” - the poorest). The Arabs call fever, “daughter of death.”