Archive for the ‘Pediatrics’ Category

6,000 North Korean children receive vaccines…

Wednesday, March 12th, 2008

…against Japanese encephalitis, meningitis

The one-day campaign on Feb. 29 was a pilot project to study the feasibility of introducing both vaccines to the north’s routine inoculation program, the Seoul-based International Vaccine Institute said in a statement.

Some 3,000 children in Sariwon, south of Pyongyang, received the encephalitis vaccine, while the others in the city of Nampo, southwest of the capital, were administered with a vaccine against Haemophilus influenza type B - a bacteria that causes meningitis, it said.

Read the full story here:
6,000 North Korean children receive vaccines against Japanese encephalitis, meningitis
Associated Press
3/12/2008

IFES DPRK monthly recap: January 2008

Tuesday, February 5th, 2008

Institute for Far Eastern Studies (IFES)
NK Brief No. 08-2-5-1
2/5/2008

Kim Jong Il’s first visit of the year was reported on January 6 to have been to the Ryesonggnang hydro-electric power plant. Generally, the leader’s visits in the first months of the year, along with the New Year’s Joint Editorial, which focused on economic recovery, set the tone for the coming year’s policies. His second inspection of the year was to a military unit.

Defectors claim that prostitution is on the rise in North Korea, and on January 9, the aid group ‘Good Friends’ reported that the DPRK has begun to close massage parlors as part of a crackdown on prostitution. The agency reported that in the DPRK there was a “steady campaign to weed out decadent foreign culture,” and that in September, DPRK soldiers were ordered to avoid alcohol, sex, and money.

On January 16, it was reported that Kim Jong Il had instructed all DPRK institutions to reduce their bureaucracies, including senior staff, by thirty percent.

Figures released by North Korea’s Korean Central News Agency indicate that the DPRK’s population had increased to 23.6 million in 2004, the latest available figures. According to DPRK figures, the population has grown from 22.1 million in 1996.

North Korea announced the closure of its Australian embassy on January 22. While the DPRK will continue to maintain diplomatic relations with Australia, it apparently can no longer afford to maintain an embassy in Canberra.

According to a report released by the International Red Cross, North Korea has the largest number of people in the world killed by natural disasters over the past decade. The report states that 458 thousand North Koreans have died from natural disaster, 38 percent of the disaster-caused deaths in 220 countries from 1997-2006.

A U.S. Senate investigation reported that the DPRK funneled as much as 2.7 million USD through a bank account set up from UN development projects. The report stated that North Korea used the UN account due to fears that the United States would block its ability to transfer money internationally.

DPRK Nuclear Negotiations

2008 opened with the United States and Japan releasing statements expressing their disappointment at North Korea’s failure to meet its December 31 deadline to fully disclose the extent of its nuclear programs, while North Korea’s New Year’s Joint Editorial called for “stability on the Korean Peninsula and peace in the world” as well as an end to hostile U.S. policies. A U.S. White House spokesman stressed that there was still opportunity to move forward with negotiations, stating, “the important thing is that we get a declaration that…needs to be full and complete,” not whether the declaration is made by the deadline.

On January 4, North Korea claimed it had met its obligations to come clean on its nuclear programs, and that it had provided Washington with a list of its nuclear programs in November. Pyongyang also threatened to bolster its “war deterrent” because Washington had failed to provide promised aid following the declaration. Washington denied that any complete declaration had been made.

A senior Russian diplomat was quoted on January 11 as saying that while Russia regrets the slowed state of progress in talks on DPRK nuclear issues, Russia will fulfill its promise to provide the North with fuel oil. 50,000 tons of fuel oil were delivered on January 20~21.

According to a book of figures recently published by the National Statistical Office, ”Comparison of North and South Korean Socio-economic Circumstances”, the DPRK’’s crude imports over the past several years bottomed out at 2,325,000 barrels in 1999, then rose to 4,244,000 barrels by 2001. Since 2001, imports have steadily fallen until only 3,841,000 barrels were imported in 2006, recording the least imports in the last five years.

North Korea opened its first online shopping mall in January. The site offers items from fourteen categories ranging from machinery and building materials to stamps and artworks. The site, www.dprk-economy.com/en/shop/index.php, is based in China.

Orascom Telecom, a Cairo-based phone operator, has been granted the first commercial license for provision of mobile phone services in North Korea. The license was granted to CHEO Technology, a subsidiary that is 25 percent-owned by the state-run Korea Post and Telecommunications Corporation.

DPRK Abduction Issue

The Cambodian Foreign Minister announced on January 16 that his country had been working behind the scenes to find a resolution to the DPRK-Japan abduction issue. The minister stated, “Cambodia is in a position where it can hold high-level meetings with North Korea, and it has the ability to persuade North Korea.”

Inter-Korean Affairs

The incoming Lee Myung-bak administration announced on January 4 a plan to develop an international cooperative fund to support North Korea’s economy. The plan is said to call for World Bank and the Asia Development Bank to help, and for South Korea to provide 40 billion USD.

On January 7, it was reported that Lee Myung-bak’s presidential transition team had asked the ROK Unification Ministry to slow the pace of inter-Korean economic projects and to link them to progress in the six-party talks. The incoming administration has promised not to link humanitarian projects such as rice and fertilizer aid to nuclear negotiations.

The Lee Myung-bak administration announced plans for downsizing the South Korean government, including disbanding of the Ministry of Unification. Opposition to the plan points out the role played by the ministry in improving inter-Korean relations, while proponents to the plan of relegating the ministry’s duties to the Ministry of Foreign Affairs and Trade applaud the move to align North Korea policy with standing foreign policy directives.

On January 14, it was reported that Lee Myung-bak had asked the United States to further engage in talks with DPRK military leaders, while presenting a balanced approach, stating that “our people don’t support the idea of giving lavish aid to the North nor do they want to irritate it too much, I believe.” He went on to add that the United States holds the key to easing DPRK fears of opening up.

The net worth of inter-Korean exchanges totaled 1,797,890,000 USD in 2007, up 33% from the 1.35 billion USD in the previous year. The almost 1.8 billion dollars in trade recorded in 2007 is the highest to date, and is equal to 65 percent of the DPRK’’s non-Korean trade volume of 2.996 billion USD in 2006.

The Seoul-based International Vaccine Institute announced on January 14 that it will soon begin inoculating approximately six thousand North Korean children against bacterial meningitis and Japanese encephalitis.

The two Koreas began working-level military talks on January 25, marking the first talks of the year. During talks, the North proposed reducing the frequency of the inter-Korean rail services, citing a lack of cargo. The Southern delegation felt that the frequency was an important indication of inter-Korean cooperation. The two sides agreed to continue daily runs, but to reduce the number of empty carriages in the future.

North Korea is still not as attractive to businesses as other Asian neighbors. A survey released by the (South) Korea Chamber of Commerce and Industry on January 28 indicated that China and Vietnam are more attractive to ROK businesses. According to the survey, 80 percent of businesses have difficulties starting or operating businesses in North Korea.

An ROK special envoy returned on January 23 from Moscow after proposing a joint ROK-DPRK-Russian cooperative project in eastern Siberia. President-elect Lee Myung-bak sent a letter to Russian President Vladimir Putin pushing for cooperation of “North Korea’s workforce, Russia’s resources and capital, and [South] Korean technology.”

U.S.-DPRK Relations

On January 9, amidst reports concerning possible DPRK-Syria nuclear connections, it was reported that in 1991 Israel was posed to strike a ship suspected of delivering missiles from the DPRK to Syria, but was dissuaded by Washington.

A U.S. State Department official stated on January 22 that North Korea had met the legal criteria to be removed from the U.S. list of state sponsors of terrorism. This came just after reports of conflicting opinions within the Bush administration, with Secretary of State Condoleezza Rice sharply rebuking Special Envoy on North Korean Human Rights Lefkowitz, who stated that North Korea is not serious about nuclear disarmament. Rice went so far as to say that Lefkowitz “certainly has no say on what American policy will be in the six-party talks,” dismissing his negative position on the failure of North Korea to meet its obligations. The White House later stated that North Korea must make a full declaration of its nuclear activities before being removed from the list.

Five officials from the DPRK recently visited the United States in order to learn how to treat and prevent tuberculosis, a serious concern for the North that is “practically non-existent in most developed countries.” The officials were invited by The Korea Society, which is based in New York.

DPRK-PRC Relations

According to the PRC General Administration of Customs, China’s oil exports to North Korea were the same in 2007 as they were in 2006. China sent 523,160 tons of oil to North Korea in 2007.

A senior PRC Communist Party official traveled to Pyongyang for a meeting with Kim Jong Il on January 30. Wang Jiarui, director of the International Liaison Department of the Chinese communist party, was to convey a message to Kim, inviting him to the opening ceremony of the Beijing Olympics. While Kim reportedly told Wang that there would be no change in the DPRK stance on nuclear negotiations, he also assured the Chinese envoy that North Korea had no intention of harming DPRK-PRC relations.

‘Vaccine diplomacy’ to launch in North Korea

Wednesday, January 30th, 2008

Joong Ang Daily
Jung Ha-won
1/14/2008

The International Vaccine Institute, a Seoul-based international organization that develops and produces vaccines for developing countries, will begin innoculating an estimated 6,000 North Korean children against bacterial meningitis and Japanese encephalitis later this month, John Clemens, the director general of the institute, said in an interview with the JoongAng Daily.

Clemens, who has spearheaded the $500,000 project since last May, said vaccines can build understanding, and the latest project will help establish “vaccine diplomacy” between South and North Korea, too.

“One thing people commonly do not recognize is that malnutrition is a problem not only of not enough food. Infectious diseases, especially diarrheal diseases, are a major exacerbator of malnutrition in children,” he said. Clemens and four other researchers at the institute have visited North Korea since October to set up programs to vaccinate 3,000 children each in Nampo and Sariwon, near Pyongyang. “Food is obviously essential in addressing malnutrition, but we need to tackle both supply of food and control of infectious diseases.”

Clemens stressed that vital vaccines have often been used as a tool to forge peace in the most conflict-ravaged areas.

“Because vaccines are non-controversial and non-political they are an ideal mechanism to bring people together,” he said. “So we feel in a very small way that our work with North Korea is also an example of vaccine diplomacy, and we have a very good and trusting relationship with our North Korean colleagues in our joint efforts to vaccinate North Korean kids.”

The institute, established in 1999 and headquartered in South Korea, develops vaccines against diseases common in developing countries.

Santa Claus Crossed the Tumen River

Thursday, December 27th, 2007

Daily NK
Lee Sung Jin
12/27/2007

DailyNk met a missionary, Jeon Myung Woo, in front of the Sanhe Custom House. He is a Korean-Chinese who visits and brings aid to North Korean orphanages and accommodations for Kotjebi (begging children) every year. He belongs to a church in Yanbian and is in charge of missionary work to the North Korean people.

- Please briefly describe your aid activities for North Korea.

We share food, dry milk, medicine and clothes gathered by members of the church with which I am affiliated with North Korean children and the elderly when we visit North Korea. Once we enter the North, we bring around 1-5 tons of aid materials.

(more…)

The Number of Children Who Drop out of School Increases Due to Hardships

Monday, November 5th, 2007

Daily NK
Yang Jung A
11/5/2007

In North Korea where free education is espoused, the number of students dropping out of school due to economic issues has been continuously increasing.

An North Korean aid organization, Good Friends, said in an informational material distributed on the 31st of October, said, “In Wonsan, Kangwon Province, there are a lot of children who do not even get to attend elementary school. They stop out of school due to difficulties in living and follow their parents to the market or sustain an existence from digging medicinal herbs from mountains and fields.”

In the midst of such a reality where the students’ attendance rate is increasingly falling, the source relayed that “At such a rate, voices of complaint among some officials of Kangwon Province that have said that all of Kangwon Province will become illiterate are high.”

”When actually walking around the streets or in the market of Wonsan, one can easily meet children who are selling water. It is easier to meet children in the markets than in schools.”

The source also relayed, “In a high school in Pohang District in Chongjin, North Hamkyung Province, three objects worth 2,000 won per person, among the list of notebook, writing utensils, winter vest, belt, and winter socks, are required under the pretext of classroom decorations.”

”In elementary schools in Hoiryeong, 500g of sunflower seeds per person were collected for Kim Jong Il’s birthday preparation on February 16th of next year. In other regions, elementary schools and middle schools are collecting each kind of products and upper-levels students are required to bring 20kg of scrap iron, 4 strips of rabbit leather and 1kg of white peace seed and the lower-levels 500g of scrap-iron, 500g of peace seed and 200g of castor-bean.”

It added, “Students whose family situations are difficult cannot keep up with school education. The number of students who do not go to school due to the shortage of funding are increasing.”

Further, “teachers prefer children who come from well-to-do families and give up on the children from poor families. Before, teachers would visit the homes of every student and try to persuade the families to allow the children to return to school, but nowadays, no one takes that kind of an initiative.”

The source also revealed that starting last October, street beggars have been increasing in the vicinity of the Chongjin markets.

The source stated, “Around the market area, young beggars daily fighting for the food that the restaurants have thrown away can be seen daily. During the day, they ask for alms near the market or look for things to eat in the garbage dump and in the winter, since the weather is cold and there are no places to sleep, people gather near steel mills, so they end up being completely covered with dust and dirt.”

South Korea’s Average Life Span 78 years – North Korea’s 64…a 14-year Difference

Tuesday, October 23rd, 2007

Daily NK
Namgung Min
10/23/2007

North Korean civilians’ average life span was disclosed to be approximately 14-years lower than the average life span in South Korea.

The Ministry of Health and Welfare said through inspection documents of the administration on “North Korea’s Health and Medical Situation,” which was recently submitted to the National Assembly.

According to this document, the North Korean civilians’ average life span is 61.4 years for males and 67.3 for females, an average of 64.3 years. For South Korea, the average is 78.1 years, with 74.4 for males and 81.8 for females.

The significant difference in average life span for North and South Korea reflects the fact that the severely worsened medical environment in North Korea.

According to the document, North Korean teenage boys’ smoking rate is supposed to be at an extremely alarming level. In the case of 16-year old males, the smoking rate is around 59.9%. This exceeds by 20.7% the smoking rate of South Korea high school students, provided by the Korean Association of Smoking and Health.

Cigarettes in North Korea, in contrast to South Korean cigarettes, contain a very high level of tar and nicotine content as well as higher toxicity, due to the fact that cigarettes lack filters or are hand-made.

One defector said, “In North Korea, even very young children smoke cigarettes without reservation and easily come in contact with them because they do not have much else to do.”

The document also revealed that 32~40% of North Korea’s 20~34 year olds show signs of malnutrition and approximately 34~36% of them are anemic patients.

These results can be attributed to North Korea’s continuous food shortage situation; disease rates due to malnutrition and anemic are high.

North Korea’s birth rate is 1.94, higher than South Korea’s 1.19. However, the infant mortality rate, between `99~`02, was 23.5 per 1,000 persons, but conversely, the `06 mortality rate was 42 persons, 14 times higher than South Korea’s (at 3 persons).
The health span (a period without sickness or handicap) is 52.3 years old (based on 2000 data), a significant decrease from South Korea’s 67.8 years (in 2005).

The reason why North Korea’s health and medical situation is so tenuous as shown above is due to the lack of the state’s investment in this area. The actual situation is that there is an unmistakable gap between North Korea’s single dollar payment for a person’s health and medical fee and South Korea’s $625.

Further, in North Korea, it is extremely difficult to obtain basic medical goods, such as cold medicine or antibiotics.

One defector who escaped in 2005 said, “In North Korea, even if one wants to go to the hospital, he or she cannot receive treatment without any money and there is not even a full equipment of medicine. It is much easier to buy medicine in the jangmadang than in a hospital, because there is more variety and it is more easily obtainable. Only, the price of medicine, compared to other products, transcends the imagination.”

The Ministry of Health and Welfare plans to invest 294 million won (approx. USD316,120) to modernize the People’s Hospital in Gosung and Songdo in Kaesung next year, besides continuing medical support for North Korea.

Maternal mortality rate increases sharply in N. Korea

Monday, October 15th, 2007

Yonhap
10/15/2007

*View the UN report here

The number of North Korean women who have died while giving birth rose drastically in 2005 from five years earlier due to worsening health care conditions in the impoverished communist state, a report said Monday.

Maternal mortality rose to 370 per 100,000 births in 2005 from 67 in 2000, according to the report issued jointly by the United Nations Population Fund, UNICEF, the World Health Organization and the World Bank.

Although the rate is lower than the global average of 400 deaths per 100,000, it is 26 times higher than that of South Korea with the rate of 14 deaths per 100,000.

Sub-Saharan African countries have the highest maternal mortality rate of 900 per 100,000, followed by Southeast Asia’s 450 and East Mediterranean countries’ 420.

The comparable figures for the United States, the Western Pacific Ocean and Europe are 99, 82 and 27 respectively.

Blurb from report:

The MMR estimate for 2005 (370) was higher than the 2000 MMR (67). The predicted PMDF in 2005 was higher than in 2000, because the GDP estimate (in purchasing power parity) used in the 2005 model was approximately 75% lower than the estimate of US$ 14 996 used in the 2000 model.

New Congressional Research Service Report on North Korean Economy

Wednesday, June 6th, 2007

For international readers: The Congressional Research Service is an organization that puts together issue briefs and legislative histories for congressional staff.  They are one of the first places US Congressional staff go to learn about a topic.

In April, the Congressional Research Service published a document on the North Korean Economy.  The full report, as well as some past reports, can be downloaded here.

Executive Summary

This report provides an overview of the economy of the Democratic People’s Republic of Korea (DPRK) or North Korea, its external economic relations, attempts at reform, and U.S. policy options. Along with the United States, North Korea’s major trading partners — China, Japan, South Korea, and Russia — form the socalled “six parties,” who are engaged in talks, currently restarted, to resolve issues raised by the DPRK’s development of nuclear weapons.

The economy of North Korea is of interest to Congress because it provides the financial and industrial resources for Pyongyang to develop its military, can be used as leverage in negotiations, constitutes an important “push factor” for potential refugees seeking to flee the country, creates pressures for the country to trade in arms and illegal drugs, is a rationale for humanitarian assistance, is tied to Pyongyang’s nuclear program, and creates instability that affects South Korea and China. The North Korean threat to sell nuclear weapons material could be driven in part by Pyongyang’s need to generate export earnings. The dismal economic conditions also foster forces of discontent that potentially could turn against the Kim regime — especially if knowledge of the luxurious lifestyle of communist party leaders becomes better known or as the poor economic performance hurts even Pyongyang’s elite.

Economic conditions in North Korea currently seem to be improving but have been dismal for those out of the center of power. Mass starvation — eased only by international food aid and other humanitarian assistance — has stalked the countryside. Over the past 15 years, industrial production in North Korea has shrunk considerably. The country has embarked on a program of economic reforms that include raising wages, allowing prices to better reflect market values, reducing dependence on rationing of essential commodities, trimming back centralized control over factory operations, and opening foreign trade zones for international investment.

North Korea has extensive trading relationships with China and South Korea and more limited trade with Japan and Russia. Because of U.S. economic sanctions and lack of normal trade relations status, U.S. imports from North Korea in 2006 were nil, while U.S. exports consisted of $3,000 worth of books and newspapers.  The DPRK has been running an estimated $1.8 billion deficit per year in its international trade accounts that it funds primarily through receipts of foreign assistance and foreign investment as well as through various questionable activities, such as sales of weapons, transporting and producing illegal drugs, and counterfeiting brand name products and currency.

U.S.-led financial sanctions on North Korea have disrupted that country’s trade. In the six-party talks, economic assistance (including fuel oil) is a major bargaining chip. Economic policy options include increasing or easing economic sanctions, preventing shipments of illicit cargo, normalizing relations with Pyongyang, negotiating a trade agreement, allowing the DPRK to join international financial institutions, and removing the country from the terrorism list. This report will be updated as conditions warrant.

More Help Needed to Improve NK’s Public Health

Wednesday, May 23rd, 2007

Korea Times
Lee Jin-woo
5/23/2007

A middle-aged American doctor who grew up in South Korea has stressed that it’s time to move on to helping North Korea with public health issues.

“North Korea’s food situation is at least better. We need to move on to public health issues including rebuilding the North’s nine provincial and 200 county hospitals,” John A. Linton of Yonsei University’s Severance Hospital in Seoul told The Korea Times in an interview on Monday. The 47-year-old doctor heads the hospital’s international health care center.

Linton, who is well-known for his Korean name Yin Yo-han and thick South Jeolla Province accent, proposed a three-stage medical support program for North Korea from the South Korean government.

“Number one, we need to help them with a vaccination program, which should be followed by supplies of diagnostic equipment,” he said. “The final stage should be an exchange of doctors between the two Koreas.”

He said North Korean doctors need basic diagnostic equipment _ ultrasound and x-ray machines, and clinical pathology supplies _ as well as more operating theaters.

“You have to have a healthy population in the North, for them to survive and become competitive enough to receive economic finance and business opportunities.”

He hoped that large-scale medical support to the North on a regular basis would be discussed during ministerial talks between the two Koreas in the near future.

“Nobody can argue with health care,” he said. “North Korea has been an enemy, but now at the same time they are brothers. Even if they are an enemy, you must help them.”

Linton, who visited the North 17 times between 1997 and 2003 to help eradicate tuberculosis in the Stalinist state, said it should be South Korea, not the United Nations or the World Health Organization (WHO), that needs to take the lead in helping the North.

“You have to be very, very careful with the U.N. and WHO. They treat the two Koreas as two separate countries differently,” he said. “Eventually policy should be looking towards unification. South Koreans should take the lead.”

Asked whether he is a big fan of South Korea’s engagement policy toward Pyongyang, dubbed the `Sunshine policy,’ he said he supports it wholeheartedly. Linton, however, emphasized the need to guarantee transparency in the process.

“We should not encourage some of the North Korean leadership as middle management is very corrupt. We should not reward corrupt people there. That’s not for us that’s for North Korea.”

His dedication toward helping the North was initiated by his mother, who worked to eradicate tuberculosis in Suncheon in South Jeolla Province for some 40 years. She decided to donate ambulances to North Korea in 1997.

“When we got there in Pyongyang, we suddenly received a special request from North Korea asking for assistance treating TB throughout the whole country,” he said. “We visited the entire country while helping them fight TB.”

In his autobiography published last year, Linton recalled his unforgettable experiences as an interpreter during the bloody Kwangju pro-democracy movement in May 1980.

He served as a translator to people who occupied the provincial capital against the then military regime led by former President Chun Doo-hwan.

“Immediately following this experience, I was labeled as an insurgent ,” he said. “The American embassy in Seoul asked me to leave Korea, just for translating for three to four hours for reporters.”

He said his experience in Kwangju changed his personal life and made him understand what injustice is and how dangerous newspapers are.

He said such a great sacrifice should never ever happen again on the Korean Peninsula.

NKorea food crisis complicated by politics: WFP

Tuesday, May 22nd, 2007

AFP
Philippe Agret
5/21/2007

After being ravaged by famine in the 1990s, North Korea again faces serious food shortages, with a UN official based here saying that politics are making things worse.

On the road from the capital Pyongyang to Kaesong in the south, every hill lot is developed for agriculture, with all farm work done by hand.

But only 17 percent of the land in North Korea is arable, one of the lowest ratios in the world, according to the UN’s World Food Programme (WFP).

“North Korea is suffering a chronic food shortage due to structural problems and limited food imports and food aid,” said Jean-Pierre de Margerie, the WFP’s representative in the communist state.

He lamented the international community’s lack of commitment to North Korea amid the deadlock in six-nation talks on disarming Pyongyang, and what some consider to be “hidden sanctions” linking a large part of aid to politics.

“There is no evidence that holding back food or humanitarian aid destined to civilian populations would have an impact on the government or its behaviour,” he said.

North Korea’s worst period came from 1995 to 1999 when drought, flooding and the disappearance of Soviet aid led to a famine that killed between 800,000 and two million people, according to independent estimates.

The scars of the famine still run deep, with a 2004 United Nations study finding that 37 percent of North Korean children suffered chronic malnutrition.

Some experts use the term “7, 8, 9, 10″ — as an adult, a seven-year-old born during the famine will be eight kilograms (18 pounds) lighter, stand nine inches (23 centimeters) shorter and live 10 years less than a South Korean of the same age.

The groups most at risk are young children and women who are pregnant or breastfeeding.

After a record harvest in 2005, 2006 was “very difficult” due to heavy floods in the summer and a dramatic drop in food aid and food imports; 2007 could also be dire, de Margerie warned.

Amid the international furore over Pyongyang’s nuclear and missile tests last year, China reduced its aid by half and        South Korea temporarily halted shipments.

Seoul has since resumed fertiliser aid and promised to provide 400,000 tons of rice to North Korea starting in late May.

But the food aid is linked to political conditions, such as Pyongyang shutting its nuclear reactor in line with a multilateral disarmament deal reached in February.

The impoverished country faces a shortfall of one million tons of food this year, or 20 percent of its needs, according to the WFP and the UN’s Food and Agriculture Organisation.

Up to one third of North Korea’s 23 million people may need assistance ahead of the next harvest, warns the WFP.

So is there a danger of another famine?

“No, not yet,” said de Margerie. “But if the trend continues, pockets of severe malnutrition could develop.”

In Pyongyang, not everyone is pessimistic as there is a lack of reliable agricultural data. Some observers say the problems lie in the distribution system and access to food, rather than in actual production.

North Korea’s leaders — whose ruling motto is “juche,” or self-reliance — say they have made food security their priority, but Pyongyang has nonetheless relied on foreign help.

The WFP has collected two billion dollars in 10 years, supplying four million tons of food between 1995 and 2005 that assisted one-third of North Korea in its biggest operation at the time.

Since 2001, multilateral aid from the WFP has been gradually replaced by assistance from China and South Korea. While bilateral aid goes to the government and may be distributed to the elite, the WFP says it closely monitors its aid so that it reaches those most in need.

This year, donor countries have promised only 12,000 tons of food.

The WFP has received only 20 percent of the financing for its programme up to March 2008, assisting three percent of the population, or 600,000 people, instead of the initial objective of reaching nearly two million North Koreans.

De Margerie says he hopes the international community will set aside political concerns to focus on the human tragedy unfolding in North Korea.

“You only see negative images of North Korea. But it has a human face,” he stressed.

“An eight-month-old child or pregnant woman does not engage in politics. It’s the most vulnerable in the civilian population who pay the price.”