"We seized its people with adversity," meaning: hunger and drought. "And hardship," meaning: illnesses and afflictions.
﴿أَخذنَا أَهلهَا بالبأساء﴾ يَعْنِي: الْجُوع والقحط ﴿وَالضَّرَّاء﴾ يَعْنِي: الْأَمْرَاض والشدائد