There are some people who would still be healthy, for their build, at below 18 (eg a BMI of 17 may be fine for some people). It may be unusual, but not impossible, for example for someone who is tall and small boned but their height is in their legs. It may be unusual, but not impossible. Some people at that weight could continue to be perfectly healthy, having regular periods and carrying multiple children for example. For others, it would definitely not be healthy. Unfortunately the OP seems to have disappeared so no one knows the context of the original question. The individual in the OP could be perfectly healthy, or could be seriously underweight depending on their build etc.