Yemen is well-known for being a country in constant turmoil, but in recent months, it hasn’t just been the site of a war-torn nation. Children have been directly affected by the recent cholera outbreak, which has been actively spreading around the nation for six months now. An analysis by an organization called Save The Children says it is already the worst outbreak in a single year since records have started being kept.

In the first three months, more than 360,000 suspected cases were expected to have already formed according to Oxfam, while in recent reporting by Save The Children, the figure is much higher at 425,000 suspected cases.

“Malnourished children have substantially reduced immune systems and are at least three times more likely to die if they contract cholera,” the STC report says. Additional reporting by NPR described the severities of the infectious and fatal bacterial disease as something that “causes violent diarrhea, vomiting and dehydration severe enough to send a person into shock in a matter of hours.”

For a country like Yemen that’s already been surrounded by war for the last three years, the disease definitely does not fit well into their health and sanitation infrastructure, which unfortunately has been thoroughly damaged. And although cholera is often treatable, oral and intravenous rehydration is crucial to primary therapy.

According to Oxfam, more than half of the entire nation’s health facilities are either gone or damaged, and with the continuing spread of cholera, UNICEF director Anthony Lake says there’s one clear way to solve the issue in a timely manner: “Stop the war.”

Oxfam have a more thorough explanation. “We need a massive, well-coordinated effort to get clean water, decent sanitation and simple things like soap to people to keep them safe from disease. We need an end to country entry restrictions of supplies and people so that we can get on with the job,” their report stated.

The country is largely ravaged due to the invasion of Shiite Houthi rebels, who took over much of the country in 2014 after fleeing their previous northern territories. Since 2015, the U.S. has served in support of the Saudi-led airstrikes, but these fighting efforts are exactly what is preventing health organizations from stopping the spread of cholera.

“In the areas where we are working effectively, both the number of cases and the fatality rate are going down,” UNICEF director Lake said. “So it’s a race between us and the rains and the continuing destruction and the fighting — and of course, you always hope you will win.”

Unfortunately, the spreading of the disease isn’t expected to stop anytime soon, as it’s already reached 21 of the 23 total governing areas around Yemen. Oxfam fears that eventually the number of cases will exceed 600,000, making it one of the largest health crises currently taking place around the world.

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