This yoke stands for the power of King Nebuchadnezzar, and I will destroy any nation that refuses to obey him. Nebuchadnezzar will attack, and many will die in battle or from hunger and disease.
Jerusalem is under attack, and we suffer from hunger and disease. The Babylonians have already built dirt ramps up to the city walls, and you can see that Jerusalem will be captured just as you said.
There will be great earthquakes, and in many places people will starve to death and suffer terrible diseases. All sorts of frightening things will be seen in the sky.
It will be an awful time for women who are expecting babies or nursing young children! Everywhere in the land people will suffer horribly and be punished.
Then I saw a pale green horse. Its rider was named Death, and Death's Kingdom followed behind. They were given power over one fourth of the earth, and they could kill its people with swords, famines, diseases, and wild animals.