As recently as the 1980s, the district suffered under the so-called Medellín Cartel and became known for bloody and deadly clashes between rival drug gangs. The Medellín Cartel's influence was partly due to the intense social tensions, vast class differences, unemployment, and also the ongoing civil war and high propensity for violence in Comuna 13.[2] Medellín reportedly had the highest murder rate in the world, with more than 380 homicides per 100,000 inhabitants. Nearly 7,000 people were killed in the city that year alone. In 2017, the official homicide rate was around 21 victims per 100,000 inhabitants. That is 18 times lower than in 1991.