As the civil war in Yemen entered its fourth year, the humanitarian crisis in the country only worsened in 2017 with soaring levels of hunger and malnutrition, an unprecedented spread of cholera, and a widespread campaign of airstrikes on civilian communities. This led to Yemen scoring as the third-most worsened country in the 2018 Fragile States Index (FSI), and continued a long-term worsening trend that has seen Yemen rank as the fourth-most worsened country in the world over the past decade of the FSI, along with Libya, Syria, and Mali. The country has now worsened to become the third-most fragile state in the world.