Archive for the ‘Pharmaceuticals’ Category

Working logistics for the Eugene Bell Foundation in North Korea…

Tuesday, March 11th, 2008

…does not sound like very easy job based on the most in-depth media coverage of their operations published in the Washington Post.

The story portrays the sad state of the DPRK’s medical facilities and shows just how much local doctors struggle to serve their patients.  According to Eugene Bell Foundation Chairman Stephen Linton:

“I’ve seen doctors who tried to capture sunlight by reflecting it from a mirror,” [during surgery] he says.

By North Korean standards, [this] patient is fortunate. She’s been given a local anesthetic, which is rare in a country where surgeons routinely etherize patients, strap them down and try to finish the operation before they come to.

and  

Like most hospitals and care centers in North Korea, the facility employs a direct-fluoroscopy machine, an X-ray device that irradiates the patient from behind while the doctor examines an image projected on a fluoroscopic plate of glass between them. “The negative is the doctor’s retina,” says Linton, who frequently admonishes physicians for submitting themselves to the machines’ potentially fatal doses of radiation. Most physicians in North Korea use them regularly, and suffer the consequences. The radiologist at Kosong, for example, has receding gums and low hemoglobin, common signs of radiation sickness. Three of his colleagues have died over the years — one from radiation overdose, another from cancer and a third from tuberculosis.

But the toll poor infrastructure takes on the provision of good health care is only exacerbated by the difficulties the DPRK bureaucracy puts in his way:

Of the 36 NGOs that began operations in North Korea as famine gutted the rural population in the mid-1990s, all but a handful have left in frustration. And Linton is particularly demanding: He insists on delivering his supplies personally, lest they be diverted to another facility or end up on the black market. When government officials balk, Linton refuses to resupply the site. So each of his two resupply visits annually is preceded by lengthy and sometimes rancorous negotiations.

“They say they want to save wear and tear on the vehicles, so they need to cut our sites by a third. Fine. I’ll cut theirs as well. Mary, I’ll need a red marker.”

Most of the cancellations involve small sanatoriums in rural areas — the very sites his donors are so keen to support. Linton suspects his hosts want to avoid those facilities because, relative to the urban care centers, their poor sanitation makes them legitimately hazardous. And the wear-and-tear issue isn’t just a red herring. Spending days crisscrossing the countryside on unpaved roads takes a huge toll on the delegation’s fleet of SUVs — vehicles that, between Linton’s visits, the ministry is allowed to use for its own purposes. In resource-starved North Korea, even government officials must barter to replace broken fan belts and transmissions. The last thing the bureaucrats want is to risk losing a precious automobile.

Linton is also apparently given a curfew when he is required to be back at this guest house in Pyongyang.

It seems Tuberculosis is running rampant at the moment:

South Korean sources suggest that tuberculosis has affected as much as 5 percent of North Korea’s population of 23 million. Linton estimates the Eugene Bell Foundation has treated up to 250,000 patients, 70 percent of whom might have otherwise died.

The whole article is well worth reading.

Donations can be made here.

The full article can be found here:
Giving Until It Hurts
Washington Post
Stephen Glain
3/9/2008, Page W16

North Korea’s Hyesan Jangmadang Prohibits Sale of Medical Products

Tuesday, December 4th, 2007

Daily NK
Moon Sung Hwee
12/4/2007

An internal source conveyed on the 30th that due to an extreme decree which prohibits all sales of medical goods, the suffering of citizens has been increasing.

The source maintained that “In August, the sale of medical products was banned, and by the start of anti-socialism inspections in September, no medical products could be found in the jangmadang.”

The North Korean authorities have long since stated its position in prohibiting the sale of medical goods, saying that the sale of medical goods in the jangmadang is a show of democracy that undermines the national medical system. However, regulations usually never went beyond formalities.

Recently, however, anti-socialism inspections have been conducted on a large-scale in Yankang with the theme of “Abolishing capitalist trends in the market.” Medical products, which are mostly from China and South Korea, have been regulated more aggressively. Some have said that the authorities have strengthened regulations due to frequent incidences involving Chinese sub-standard medical products.”

With the harbinger of regulation of medical products, pharmaceutical vendors have sold medical products to their acquaintances on a limited basis. The price has increased significantly as well. Chinese-made aspirin, “Zhengtongbian”, which costs 20 North Korean won per pill, has hiked up to 30 won. A bottle of anti-diarrhea medicine has increased from 150 won to 300 won and penicillin from 120 to 200 won.

Especially the smuggling of Electrolyte Solution, used in IV’s to hydrate hospital patients, has stopped due to regulations, causing a jump in price.

From mid-August to the end of October, the anti-socialism inspections in Hyesan, Yankang were cooperatively conducted by the central Party, the Prosecutor’s Office, the National Security Agency and the People’s Safety Agency. Along with the strict regulation of cell phones, the market, and capitalist “corruption,” the medical goods ban has cast a heavy burden on the civilians.

“Good Friends” reported in October that “Thirty people have been incarcerated as a result of the anti-socialism inspections in Yankang since mid-August, and regulations have tightened.”

When the sale of medical products completely ceased in the markets, citizens and doctors who must treat their patients have been extremely disgruntled.

The source said, “People have to go to the homes of pharmacists in order to buy medicine, but they cannot if the pharmacists do not know them personally. The price has increased dramatically due to the regulations of medicinal products.”

“Even hospitals do not carry medicine and there is no way to procure them, even at doctors’ request.” Doctors have complained, saying “Are we supposed to just sit by and watch the sick people?”

A majority of medical products that could be found in the markets were Chinese-made contraband goods. In some cases, Party leaders or army hospital leaders have illegally procured medicine as well.

The source commented that when civilian discontent rose, the Party Municipal Committee explained the cause of the cease in sale of medical goods as, “In a socialist society, hospitals have guaranteed medical goods, but during this temporary time of suffering, some immoral people have hoarded the national medical supply and are making a profit.”

EBA Press Release: Pyongyang International Trade Fair

Wednesday, October 10th, 2007

Europen Business Association
October 2007

EBA.JPG18 European companies are participating at the European booth organized by the European Business Association (EBA) in Pyongyang. This has been the largest ever participation of European companies at a Trade Fair in Pyongyang. The 18 EBA-member companies come from 6 European countries and are engaged in banking, IT, pharmaceuticals, maritime transportation, railways, courier services, industry, mining, solar driven water pumps, energy saving technology, commodity inspection, cosmetics and other consumer goods and general trading. Some already operate in joint ventures with Korean partners or found other forms of close business cooperation, particularly in the fields of banking, mining, internet services, logistics, software development and pharmaceuticals.

The EBA will continue to make efforts to attract more European companies to invest and do business in the DPRK in the coming years and will share its experience to help make the endeavors of the newcomers and their Korean partners a success. The EBA closely cooperates with the DPRK Chamber of Commerce and the Korea International Exhibition Corporation to facilitate the participation at exhibitions, to intensify trade between European and DPRK-enterprises and to enhance the identification of suitable business and investment opportunities for European companies.

Pictures of the European booth will be published on http://www.eba-pyongyang.org/
Felix Abt, President
Dr. Barbara Unterbeck, PR-manager
European Business Association
President´s Office
Chang Gwang Foreign Residential and Office Building
10th Floor, No. 10-2
Central District
Pyongyang
The Democratic People’s Republic of Korea
http://www.eba-pyongyang.org/

 

Seoul seeks to cooperate in modernizing N. Korea’s regional hospitals: minister

Monday, October 8th, 2007

Yonhap
Tony Chang
10/8/2007

South and North Koreas’ top health officials have tentatively agreed to cooperate in modernizing regional hospitals in the communist country, Seoul’s health minister said Monday.

“During unofficial talks with North Korean Health Minister Choi Chang-sik, we’ve agreed to seek joint projects to modernize provincial hospitals in the North,” Byun Jae-jin, South Korea’s health minister, told reporters.

Byun was part of a Seoul delegation that accompanied President Roh Moo-hyun during his summit with North Korean leader Kim Jong-il last week, where both sides also agreed to end military hostility and significantly expand inter-Korean cooperation in various fields.

The minister said last week that the two Koreas agreed to cooperate in welfare and medicine, possibly forming an inter-Korean medical body to deal with future peninsula-wide epidemics, Seoul’s top health official said Thursday.

Choi, along with other top North Korean officials, reportedly requested South Korea to construct a pharmaceutical factory in Nampo, near the North Korean capital of Pyongyang, according to Byun.

Seoul’s on-and-off aid to the communist state has mostly focused on food and other necessities, while medical supplies to North Korea have been largely organized by non-governmental organizations and other private agencies.

North Korea’s lack of basic medical supplies has often been cited in local and foreign media, with the country often requesting health-related supplies to combat diseases such as malaria and scarlet fever from the South.

North Korea Wants End to Sanctions Before It Makes Nuclear Deal

Thursday, July 26th, 2007

Bloomberg
Bradley K. Martin
7/26/2007

To make painkillers and antibiotics in his factory in Pyongyang, Swiss businessman Felix Abt needs reagents, chemicals used to test for toxic impurities. Abt can’t get them now — because the world refuses to sell North Korea a product that is also used to manufacture biological weapons.

Such sanctions on trade with the regime of Kim Jong Il — some dating back to the Korean War — may be the next diplomatic battleground after North Korea bowed to pressure last week and shut down five nuclear facilities at Yongbyon.

North Korea said July 16 that ending sanctions, and its removal from a U.S. list of countries that sponsor terrorism, are prerequisites for further progress in the negotiations to end its nuclear weapons program. The U.S., meanwhile, says the next step is for North Korea to disclose all its nuclear capabilities, followed by a permanent dismantling of Yongbyon.

North Korea is playing a “tactical game,” said David Straub, a Korea specialist at Johns Hopkins University’s School of Advanced International Studies in Washington. After shutting down Yongbyon and receiving a pledge of 950,000 tons of oil, the reclusive nation will try to “force the U.S. and others to lift sanctions,” Straub said in an e-mail exchange.

While many of the post-Korean war sanctions were lifted between 1994 and 2000 by President Bill Clinton, Americans are prohibited from exporting “dual-use” products or technologies, a wide range of items that might have military as well as civilian applications — including reagents and even aluminum bicycle tubing, which might be used to make rockets.

UN Sanctions

Much of the world joined the sanctions regime after North Korea tested an atomic device last October. The United Nations called on member states to stop trade in weapons, “dual-use” items and luxury goods. Japan went further, stopping used-car exports and banning port calls by North Korean vessels.

Now that North Korea has shut its facilities at Yongbyon and allowed in international inspectors, the haggling will begin on the next steps. If its demands aren’t met, North Korea could kick out the inspectors and restart the plants, as it did in 2002.

“The Bush administration must choose between settling for a temporary closure of the nuclear sites and taking a strategic decision to coexist” with North Korea, said Kim Myong Chol, Tokyo-based president of the Center for Korean-American Peace, who for three decades has encouraged foreign reporters to consider him an informal North Korean spokesman. “Otherwise, the agreement will break up, leaving the U.S. with little to show.”

‘Contentious Issue’

Sanctions represent “a multiplicity of issues that could become contentious,” said economist Marcus Noland, North Korea specialist at the Peterson Institute for International Economics in Washington, in an e-mail exchange. China has already called for the lifting of the UN sanctions imposed Oct. 14.

North Korea agreed with the U.S., South Korea, Russia, China and Japan on Feb. 13 to close its Yongbyon reactor, which produced weapons-grade plutonium, and to eventually declare and disable all of its atomic programs. Working groups will meet in August before another round of talks in September.

If the U.S. insists on a list of all the country’s nuclear facilities without starting to negotiate on sanctions, North Korea might consider that “a spoiler” for the talks ahead, Kim Myong Chol said.

Swiss businessman Abt said that in the past he could get around U.S. sanctions for his North Korean pharmaceutical factory by buying supplies from other countries. The UN sanctions shut off those sources.

Using Old Stocks

“Luckily, we have enough stock of reagents, but when it runs out we would not be able to guarantee the safety of our pharmaceuticals any longer,” he said.

Abt, 52, is president of Pyongsu Pharma Joint Venture Co., an enterprise with ties to the Ministry of Public Health that makes painkillers and antibiotics for humanitarian organizations in North Korea. He is also president of Pyongyang’s European Business Association.

“The same is true in many other civilian industries,” said Abt, who moved to North Korea from Vietnam five years ago. Gold mines are affected too, he said: “If they cannot import cyanide, they can’t extract the gold.” Cyanide is another “dual-use” product, part of the process for making some chemical weapons, he said.

All this has “a highly negative impact” on the economy at a time when the regime has announced it wants to focus on development, Abt said. Foreigners are showing “more and more interest in doing business here,” Abt said, predicting that North Korea will eventually be regarded as a successor to Vietnam as “the newest emerging market.”

S. Korean group donates medicines to N. Korea

Wednesday, July 11th, 2007

Yonhap
Tony Chang
7/11/2007

A South Korean pharmaceutical association said Wednesday it had provided North Korea with drugs worth about 3 billion won (US$3.25 million) in May in response to a request from the impoverished country.

In February, the North Korean Red Cross Society sent a letter requesting antibiotics, tuberculosis medicine, pneumonia medications, and other basic drugs, the Korea Pharmaceutical Manufacturers Association (KPMA) said.

“Drugs made in the South are precious to us because medicines from China are often fake and not fitting to the North Korean constitution,” the society was quoted as saying in the letter.

The North even requested drugs that have outlived their shelf life, underscoring its urgent need for basic drugs, the KPMA said, adding that it had rejected the request for safety reasons.

In late 2006, the North was hit by an outbreak of scarlet fever, which led to travel bans and school closings, according to reports. The country’s east coast was also reported to have been struck by a series of infectious diseases in January, affecting up to 4,000 people.

North seeks medicine, even if expired for a year
Joong Ang Daily

Kim Young-hoon
7/11/2007

A letter from a Red Cross hospital official in North Korea did not mince words. “We welcome any donation of medicine, even if its expiration date has passed,” the official said.

Moon Kyung-tae, vice chairman of the Seoul-based Korea Pharmaceutical Manufacturers Association, said yesterday the official sent the letter through a civic group, Unification Affairs Research Institute, in February.

The North is willing to take medicine that has expired for up to a year, Moon said, and also was willing to accept responsibility for any problems that might arise.

However, Moon said, “We just cannot do that.”

The association sends about 5 billion won ($5.4 million) worth of medical aid packages to the North every year, but the amount is not nearly enough for what is needed.

In 2005, the South provided support to build pharmaceutical factories in the North, but the facilities could not operate properly due to water and electricity shortages.

The country is extremely vulnerable to epidemics. In October, scarlet fever, which can be treated by taking three pills a day for 10 days, broke out in the North. A significant number of children and the elderly died because they lacked the proper medicine, sources well-informed about the North’s situation said.

Due to China’s protest, North Korea’s drug production facility partly closed

Monday, May 21st, 2007

Daily NK
Han Young Jin
5/21/2007

Well-informed sources say Heungnam manufacturer’s production facility shuts down.

Several well-known sources relayed on the 20th that as North Korean drugs flow into China in large amounts, it strongly protested to North Korea and requested that the Heungnam Pharmaceutical Manufacturer in Hamheung be shut down.

Following suit, the North Korean government authorities was known to destroy the Heungnam Pharmaceutical Manufacturer used in producing bingdu (the alias for “ice” classified in the category of Philopon in North Korea).

The well-informed source said, “China’s judicial authorities are strongly coping with the situation by imposing three years of penal servitude to those who sell 10g of Bingdu (so called “Ice” in North Korea) or a penalty of 20,000 yuan. When North Korea demonstrated a lax response, China expressed strong discontent.”

In North Korea, the Nanam Pharmaceutical Manufacturer in Chungjin, North Hamkyung is famous as a representative drug manufacturing company. The source evaluated that Hamheung, which has recently risen as a drug production base, had weak means of living which produced the highest number of deaths during the 90s’ mass starvation and the stimulant “Ice” was misused due to the lack of medical products.

$3,000 per kilogram…dealt for $10,000 at the border

An internal source said, “During the March of Suffering, a part of citizens who even sold raw materials and factory equipment earned big money by selling drugs. Since then, everyone has followed the trend. The people in Hamheung started handling drugs with great ambition due to the fact that at the Heungnam Pharmaceutical Manufacturer, the prime cost for a kilogram is $3,000 dollars and the profit exceeds $5,000.”

The source said, “In the past, people touched drugs hoping to make a big fortune with a single swoop, but everyone is thinking about making money by selling drugs nowadays. Inevitably, the number of civilians who have become ‘ice’ addicts has significantly increased.”

Ice can be produced for $3,000 per kilogram and sold on site for $7-8,000 and at the border region where smuggling is possible, it can be sold for up to $10,000.

Another source said, “Civilians have fallen to the bedazzlement of making a jackpot with drugs, so they have gone to the border region carrying drugs and seeking dealers. However, fakes that have been manufactured ingeniously are also making a wave.”

In North Korea, as drug sales have been unyielding, it was known that teenagers who are touching “ice” are not only seriously in Hamheung but in all regions. They are not showing immediate signs of addiction, but they can be presumed as “high-risk” people for addiction.

North Korean businessman Mr. Kim, who is engaging is trade between North Korea and China, wore a sorry expression and said, “Nowadays, children who are not yet fully grown use ‘ice.’ Not too long ago, my friend’s 12-year old son was found while secretly using his father’s ‘ice.’ After severely beating him, the father asked, “Do you like ‘ice’ so much? The son responded, ‘it is a cure-all.’”

In the mid-1990s, due to deteriorated medical facilities and a shortage of medical goods, citizens started to depend on folk remedies. Civilians who started using ‘ice’ in lieu of cold medicines started using it as emergency medicine even for the flu and strokes.

Mr. Kim said, “Ice has a stimulant quality, so it is used to as a stimulant and a stress-releaser. Even children have come to regard it as a panacea and think that a little suck of ice will instantly get rid of pain and make one refreshed.”

Narcotic squads hardly have any strength

The North Korean authorities issued a narcotics degree in March of last year to prevent drug abuse. It has even issued the threat of putting to death related parties of drug deals. However, businesses that have earned money through drugs feed bribes to inspection organs, so sources said that these institutions cannot exert any strength.

One domestic source said, “Recently, a Central Party inspection group was organized in Shinuiju and came forward to regulate drugs, but authorities such as the National Security Agency, the National Security Office, and others have become implicated. However, exposing them in increasing measures makes punishment difficult, because complicit individuals can come forward in hordes.”

Drug sellers in the border region have divided left-over profits from handing over to China with participating National Security officers. The source said, “If a drug dealer is arrested, if back-money is given, even the ring-leader will be immediately released.”

The source also said that upper-class drug inspection groups can instantly become conspirators due to the high amount of money to be handed over to their superiors.

Foreign NGOs in N.Korea try to counter culture of dependence

Wednesday, May 2nd, 2007

doctor.jpg

 AFP
 Philippe Agret
 5/2/2007

 

SARIWON, North Korea (AFP) - To cope with the pouring rain, the hospital tossed sawdust down the stairway leading to the operating theatre.

Two surgeons washed their hands in a sink, but sometimes they lack soap.

Much like the rest of North Korea, a political pariah and economic black hole, the nation’s hospitals subsist with whatever they can get their hands on, making ends meet with obsolete equipment, short-cut procedures and a smattering of foreign assistance.

Even by the standards of the developing world, the facilities here in Sariwon, a 45-minute drive south of the capital Pyongyang, leave much to be desired.

The medical equipment is largely German or Soviet, reused as long as possible, but spare parts are desperately lacking.

“As we lack sufficient or working equipment, we use local anaesthesia and acupuncture for operations,” said the director of the Sariwon hospital, Dr Choe Chol, a surgeon.

In winter, surgeons operate in rooms where the temperature is lower than five degrees Celsius (41 Fahrenheit).

To improve conditions, the doctors and nurses pitch in themselves to make the hospital work, sometimes even laying down the tiling in the operating theatres.

“We do our best here. There’s no bleach, no soap, no disinfectant. We cleanse with distilled water. It’s the volunteers — the doctors and nurses — who regularly do the cleaning up,” said Veronique Mondon, the North Korea head of the French charity Premiere Urgence.

Premiere Urgence is one of only six foreign non-governmental organisations allowed to work in the Democratic People’s Republic of Korea.

Like others NGOs, the group has set a goal of bringing the most basic treatment to the population — but also to encourage North Koreans to develop their own medical infrastructure.

Premiere Urgence’s primary effort has been producing intravenous drips — one of the only medical supplies made in North Korea — for the 12 hospitals where it works.

With 70 to 80 percent of the medicine in North Korea coming from overseas donations, the IV drip — in the form of a packet with a solution of distilled water, glucose and sodium — serves to ease the impact of the lack of supplies.

“These packets can be used for a great number of the medical problems in North Korea such as accidents, malnutrition, dehydration, diarrhea, typhus and hepatitis. They save lives,” said Mondon, a biologist who opened Premiere Urgence’s branch in North Korea in April 2002.

If IV drips are effective, their production is a daily challenge. The packets must be sterilised on site in the most sanitary conditions possible, a process that takes about three and a half hours.

In light of the instability of the electricity and frequent short power cuts, Premiere Urgence has brought in specially made transformers from China.

“The people in the laboratories work during the night to produce the packets so as to save the electricity for the sick people and operations during the day,” Mondon said.

“It was tough at first. It seemed to be an insurmountable task. But now, the North Koreans know that this is needed,” she said.

After the April 2004 disaster in the northern city of Ryongchon, when a cargo train blew up, killing more than 160 people and wounding a thousand others, Premiere Urgence worked round the clock to produce IV drips and distributed 40,000 of them to two hospitals that were treating victims.

Today, the laboratory in Sariwon produces 300 IV drips a day — enough to treat more than 200 patients in this 750-bed hospital.

Across North Korea, Premiere Urgence produces 500,000 packets a year, each one worth around 50 US cents.

The French group has also set up a central laboratory in Pyongyang for quality control over injectable solutions.

North Korea’s communist leadership adheres to the homegrown ideology of “Juche” — self-reliance and self-sufficiency.

But at least hundreds of thousands of people died in a famine in the 1990s and North Korea has since relied heavily on foreign assistance — notably for food — despite continued political defiance, including its test of an atomic device in October.

From the International Committee of the Red Cross (ICRC) to the few NGOs in North Korea, all encourage local initiatives in an effort to prevent a culture of dependence.

Premiere Urgence plans eventually to hand over the maintenance of equipment and training of technical staff to the North Korean ministry of public health.

As for the ICRC, as well as helping produce 1,200 prosthetic limbs in 2006, it has focused efforts on training local people, including orthopaedic specialists and surgeons.

“North Korea’s pharmaceutical industry will never be able to develop if humanitarian groups flood North Korea with foreign medicine. It will continue to vegetate and manufacturer substandard products if foreigners do not buy local medicine,” said Felix Abt, a Swiss businessman who heads PyongSu Pharma JV. Co Ltd., one of the first foreign joint ventures in North Korea.

Pyongsu has set up a “model” pharmacy in Pyongyang and since September 2004 has run a factory with 30 employees manufacturing paracetamol, the pain relief drug sold under name brands such as Tylenol, along with aspirin and antibiotics.

Abt hopes one day to be able to export medicine from North Korea.

“For now, we are giving the North Koreans fish. It would be better to give them nets so they can catch fish,” Abt said.

North Korea’s prescription for prosperity

Wednesday, February 21st, 2007

Korea Times
Ting-I Tsai
2/21/2007

North Korean drug companies hope that updated versions of traditional medicines promising - among other things - to treat impotence and kidney dysfunction can help cure what ails the isolated Stalinist country’s stagnant economy.

In the hope of earning badly needed hard currency by exploiting the nation’s ancient herbal-medicine traditions, North Korea’s pharmaceutical companies are producing “various traditional health products through [modern] technologies”. The effectiveness of these medicines, however, has not been scientifically proved.

The medication that has drawn the most attention is probably Neoviagra-YR, developed by the Korea Oriental Instant Medicinal Center, which promises to improve a person’s sexual capabilities, ease bone pain, and cure kidney dysfunction and arteriosclerosis.

“I got my cute baby after I took two boxes of YR. This is definitely good medication,” its advertisement quoted Pyongyang resident Kim Ming-ze, 35, as saying.

Another patient who supposedly benefited from the medication was Kim Chong-ze, 45, who said: “I hadn’t had sex for three months. My sexual function normalized after I took four boxes of YR. I can promise that this is the magic medication of the 21st century.” However, the telephone number of the Pyongyang-based company given on the advertisement was wrong.

In Beijing’s Korean neighborhood, a booth at a market sells a box of Neoviagra for US$20.

Boothkeeper Pak Mun-bin emphasized that Neoviagra is far more effective than Pfizer’s Viagra, but failed to explain how it can be used to treat both bone pain and erectile dysfunction.

He added that that the booth sold as many as 700 boxes per month, with South Koreans being major customers.

“North Korea may be a small country. but its herbal medicines are nonetheless better than Chinese ones. At least there are no fake medicines,” Pak said.

If Neoviagra is not quite exotic enough for some customers, North Korea’s Pugang Pharmaceutic Co offers another choice, the “Queen’s Appeal”, which is described as “a volcano of energies and the key to happiness”.

Its official website described it as a herbal dietary elixir formulated from the extracts of wild Epimedium koreanum, which “was used by the kings, the queens and the court ladies in ancient Korea. Makes you wild in sexual life and brings you great energy. Adverse effects: none. Contra-indications: none.”

The North Koreans are also flogging medications that they claim are capable of preserving youth.

Among the “health foods” being introduced, the most widely promoted is “Royal Blood-Fresh”. According to the package, it is a traditional health food “formulated via a high tech from fermented soybeans of the olden royal palace”. The manufacturer, Pugang Pharmaceutic Co, claims it will “make you younger and cleverer. Students will result better in exams.” It recommends taking one to two tablets for prevention, three tablets three times daily for chronic cases, and five to nine tablets three to eight times daily for acute cases. A 160-tablet bottle sells for US$39 in Beijing.

For those worried about bird flu , the North Koreans claim to have a better cure than Tamiflu, the Kumdang-2 Injection, which is “extracted from Kaesong Koryo ginseng cultivated by specific micro-elementary fertilizers involving some ultra-highly purified medicinal rare-earth elements”. An English research team, its introduction claims, concluded that the medication could “prevent and cure the virus-originated epidemic diseases including Bird’s Flu”.

Its official website described its service as a “worldwide daily supply”, with medication distributed to its representative offices in 13 countries around the world, including Cuba, Syria, Japan, the United Kingdom and Zimbabwe. A Pugang Han Yong Gon sales representative said any international purchase is deliverable by courier and customers can receive their medication within days.

The Pugang Pharmaceutic Co, founded in 1983, has developed numerous medications by incorporating Korea’s traditional herbs in the production of “high-technology” products, including Aphorodisia 2, a cure for vaginal diseases. The company says it operates nine state-of-the-art pharmaceutical factories in accordance with the industry’s GMP (good manufacturing practices) standard and has averaged an annual turnover of $25 million. All of the medications are legally approved by the local medical authority.

According to Western experts familiar with the nation’s medical services, most of the medications are widely distributed to local pharmacies.

One expert, speaking on condition of anonymity, said: “North Koreans, Chinese, South Koreans, Japanese, etc, are always looking for ‘natural’ ways to reverse aging, cure [or prevent] all diseases with one potion, and to strengthen their sexual potency. And if they can make money while doing it, so much the better,” the expert said. Even if doubts do exist about the efficacy of the so-called “miracle medicines”, the expert noted: “It’s just that they want to believe in them.”

Taiwanese pharmacists and experts in traditional Chinese medicine question the legitimacy of the North Korean medicines.

Gau Churn-shiouh, a professor of the National Taiwan University’s school of pharmacy, noted that these medications “sound more like old-fashioned Chinese medications that could cure everything” that have no sound scientific basis.

Furthermore, experts in Chinese traditional medicine pointed out that all kinds of medications are poisonous, and taking them without diagnosis could lead to illness.

Hung Chin-lieh, also a professor at the National Taiwan University, said that the efficacy of ginseng is relatively limited compared with other herbs, and is not applicable to every single patient.

“The efficacies claimed by the advertisements look more like exaggerations. The main problem is that the ingredients of these medications are so vague. Without adopting the measure of ‘evidence-based medicine’, the North Koreans really should not have promoted the efficacies,” Hung said.

Counterfeiting Cases Point to North Korea

Monday, December 12th, 2005

Los Angeles times
Josh Meyer and Barbara Demick
12/12/2005

Pyongyang is accused of being behind a growing effort to print and move rafts of U.S. $100 bills.

The counterfeiting operation began a quarter of a century ago, he recalled, at a government mint built into a mountain in the North Korean capital.

Using equipment from Japan, paper from Hong Kong and ink from France, a team of experts was ordered to make fake U.S. $100 bills, said a former North Korean chemist who said his job was to draw the design.

“The main motive was to make money, but the secondary motive was inspired by anti- Americanism,” said the chemist, now 56 and living in South Korea.

Before long, sheets with 30 bills each were rolling off the printing presses. By 1989, millions of dollars’ worth of high-quality fakes were showing up around the world. U.S. investigators dubbed them “supernotes” because they were virtually indistinguishable from American currency. The flow of forged bills has continued ever since, U.S. officials say, despite a redesign intended to make the cash harder to replicate.

For 15 years, U.S. officials suspected that the North Korean leadership was behind the counterfeiting, but they revealed almost nothing about their investigations into the bogus bills or their efforts to stop them. Now, however, federal authorities are pursuing at least four criminal cases and one civil enforcement action involving supernotes.

U.S. authorities have unsealed hundreds of pages of documents in support of the cases in recent months, including an indictment that directly accuses North Korea of making the counterfeit bills, the first time the U.S. has made such an allegation in a criminal case.

The documents paint a portrait of an extensive criminal network involving North Korean diplomats and officials, Chinese gangsters and other organized crime syndicates, prominent Asian banks, Irish guerrillas and an alleged ex-KGB agent.

The criminal cases and U.S. Treasury enforcement action are part of a concerted campaign to deprive North Korea of as much as $500 million a year from counterfeiting currency and other criminal activities, senior U.S. law enforcement and intelligence officials say.

The officials say criminal syndicates in South America, Eastern Europe and elsewhere have also churned out large sums of fake U.S. cash. But North Korea’s is the only government believed to do so, despite international pressure and laws that characterize such activity as an economic casus belli, or act of war, they say.

“It is simply unacceptable for a member of the international community to engage in this type of irresponsible conduct as a matter of state policy, and [North Korea] needs to cease its criminal financial activities,” Daniel Glaser, deputy assistant Treasury secretary for terrorist financing and financial crimes, said in an interview. “Until then, the United States will take the necessary actions to protect the U.S. and international financial systems from this type of misconduct.”

In the fall, the U.S. unsealed an indictment against the head of an Irish Republican Army splinter group alleging that “quantities of the supernote were manufactured in, and under auspices of the government of, the Democratic People’s Republic of Korea,” as North Korea is formally known. North Korea’s government in Pyongyang strenuously denied wrongdoing.

A report by North Korea’s official news service called the charges “a clumsy and base political farce” by a Bush administration intent on toppling the communist government.

David L. Asher, an administration point man on North Korean issues until this summer, said there was overwhelming evidence that Pyongyang had become a brazen “criminal state” reliant on illicit activity, in part to finance its nuclear weapons program.

“This is state-sponsored counterfeiting. I don’t know of any other case like this except the Nazis, and they were doing it in a state of war,” said Asher, who headed the administration’s North Korea Working Group and was the State Department’s senior advisor for East Asian and Pacific affairs.

The administration, he said, has made a strategic decision to press the issue, even if doing so affects delicate six-nation talks aimed at getting North Korea to give up its nuclear arms.

“The administration made a determination early on that irrespective of what happened in diplomacy, this should not be tolerated,” Asher said.

U.S. authorities say the increasingly high-profile campaign against the counterfeiting is proceeding amid information that North Korea is minting more American currency than ever before and smuggling it and other contraband, such as weapons and knockoff pharmaceuticals, directly into the United States. A number of U.S. officials who are knowledgeable about the campaign spoke on condition of anonymity because of the issue’s political sensitivity.

U.S. authorities fear that the communist state has been able to step up its illicit activities by forging more alliances with transnational organized crime syndicates.

Those alliances have made Pyongyang’s suspected nuclear arsenal and other weapons more vulnerable to theft by rogue elements of the North Korean government and sale to nuclear traffickers or terrorists, the U.S. officials said. They worry that the same pipelines used to smuggle fake currency into the United States could be used to traffic in weapons of mass destruction.

An unclassified version of a March report to U.S. lawmakers by the independent research arm of Congress warned that North Korea’s increasing reliance on criminal networks meant it may not be able to curtail its illegal activities even if it wanted to.

“Korean crime-for-profit activity,” analyst Raphael Pen of the Congressional Research Service wrote, “may become a ‘runaway train,’ gaining momentum, but out of control.”

Extending the Network

One of the first places authorities picked up the supernotes’ frail was Ireland, more than 5,000 miles away from North Korea. By the early 1990s, so many supemotes were circulating there that Irish banks stopped exchanging American $100 bills.

The Secret Service soon homed in on Sean Garland, whose exploits with the Irish Republican Army years earlier had made him a local hero.

Garland was chief of staff of the Official Irish Republican Army, or Old IRA, after it split with other IRA factions in 1969 and became the most left-leaning. He also heads its political wing, the Irish Workers’ Party, in Northern Ireland. In that capacity, Garland traveled extensively to see Socialist and Communist party leaders in the Soviet bloc and, authorities contend, North Korea.

According to Garland’s indictment in federal court in Washington this year, which was unsealed this fall, his discussions with North Korean operatives eventually turned from a shared rejection of capitalism to a scheme for him to buy bogus $100 bills, perhaps to destabilize the U.S. dollar by flooding the market with fakes.

The former North Korean chemist, who spoke anonymously for fear of reprisal, said that over the years, people from China, Hong Kong, Japan and other countries helped distribute the bills. “There was a lot of cooperation with Ireland,” he said.

In the indictment and in interviews, U.S. authorities said Garland ultimately teamed up with Old IRA members, street crooks and an alleged former member of the KGB, the Soviet intelligence service. They said the men traveled widely to circulate the bills and sell them to customers who would buy suitcases full at wholesale prices.

The indictment accuses Garland and six other men of buying, selling and circulating fake U.S. $100 bills during the l990s. Authorities say they passed up to $28 million worth of bogus currency.

From 1997 to 2000, the group bought, sold and circulated the counterfeit notes in Russia, Belarus, Poland, Denmark, the Czech Republic and Germany, the indictment says. It alleges, in detail, that couriers made frequent ferry trips to Ireland loaded down with real cash to pay Garland for the counterfeits.

Authorities said Garland did much of his business with North Korean suppliers at Pyongyang’s embassies in Moscow and, later, Minsk, Belarus, using his status as a Workers’ Party official as cover.

Things began to unravel in 1999, when Garland’s group allegedly went ahead with a deal to sell $1 million in supernotes to a pair of undercover agents posing as wholesalers.

Authorities in Britain described the counterfeit ring as the largest of its kind in their country’s history. But Garland wasn’t arrested or charged until British authorities, acting on a U.S. warrant, took the 71-year-old into custody Oct. 7 in a hotel in Belfast, Northern Ireland.

U.S. Takes Action

The U.S. quickly moved to extradite Garland. But when he was released for medical treatment, he fled to Ireland, which has no extradition treaty with the U.S.

In a recent statement, Garland insisted that the U.S. charges were baseless and politically motivated. He vowed in an Internet posting to surrender for trial if it were by a jury in Ireland.

No North Korean citizens or front organizations are charged or even identified in the Garland indictment. U.S. authorities would not say whether any of the 10 unnamed and unindicted coconspirators listed in the document were from North Korea.

Charming Phillips, a spokesman for the U.S. attorney’s office in Washington, would not comment on why authorities waited until this year to obtain a grand jury indictment, which alleges criminal acts only through mid-2000. He also would not say whether other suspects from North Korea or elsewhere had been identified or charged under seal.

“I can only say that the case is continuing,” Phillips said.

The chemist, though, said the counterfeit bills were routinely used by North Korean officials.

“Any North Korean official who goes abroad has to change a big note and bring back small, real currency,” he said. “If you come back with real money, you get medals.”

When he decided to flee North Korea in 2000, he crossed into China with thousands of dollars in counterfeit notes, he said. When Chinese police caught him without official papers, they kept $4,000 of the fake cash and let him go.

“Thanks to that money,” he said, “my translator and I were released.”

Besides the Garland case, U.S. officials say three criminal cases the Justice Department is pursuing offer evidence that North Korea is intensiing its efforts to chum out fake U.S. money and conspire with organized crime to smuggle the bills and counterfeit drugs and other products into the United States.

None of those cases explicitly mentions North Korea, but they refer to a foreign country that several U.S. sources say is North Korea.

One case involves supernotes, drug trafficking and three suspected members of a Chinese crime syndicate who were arrested in the Mariana Islands last year.

According to federal court documents and interviews, the Justice Department’s central money- laundering section continues to present evidence in the case to a federal grand jury.

In the two other cases, dubbed Operation Smoking Dragon and Operation Royal Charm, at least 87 people have been arrested or indicted in New Jersey and California on charges of smuggling or conspiring to smuggle at least $6 million in counterfeit cash, knockoff viagra, brand-name cigarettes and weapons into the United States from “Country A” and “Country B.”

Several U.S. officials said those countries were North Korea and China and that the money was printed by the North Korean government.

One of the alleged ringleaders, Co Khanh Tang, told undercover agents in April that he was expecting an especially lucrative product from suppliers in China: “new and better samples” of counterfeit U.S. currency, the indictment against him says.

Stuart Levey, a top Treasury Department official, said North Korea recently began churning out improved copies of U.S. bills.

In October, Levey headed a Treasury delegation to Beijing, Macao and Hong Kong, where he pressed government officials and banking executives for more help in cracking down on North Korean counterfeiters and banks that helped them.

Just before the trip, the Treasury Department designated an Asian financial institution, Macaobased Banco Delta Asia SARL, as a “primary money-laundering concein” under the Patriot Act.

U.S. authorities allege that the bank was a longtime pawn of North Korean front companies, which used it to conduct ‘illegal activities, including distributing counterfeit currency and smuggling counterfeit tobacco products” and aid North Korean drug-trafficking efforts.

The bank denied any intentional wrongdoing and later cut off several dozen clients — including 40

North Korean people and businesses — replaced several managers and allowed a panel named by

Macao’s government to administer its operations.

The U.S. sanctions on the bank, as well as those against several North Korean companies accused

of helping proliferate weapons of mass destruction, have inthriated North Korea. The nation is threatening to boycott disarmament talks unless the United States reverses course. The Smoking Dragon case has raised concerns beyond counterfeiting.

In court documents, prosecutors allege that Tang and another suspect offered undercover FBI agents a catalog of weapons available for purchase from the arsenals of at least two foreign countries, believed to be North Korea and China.

The agents ordered dozens of AK-47 assault rifles and in July 2004 began negotiating a deal for surface-to-air missiles “manufactured by communist countries,” an indictment said.

The indictment added that the agents were told the weapons’ high prices were “necessitated by the need to bribe officials” of at least one of the foreign governments.

Asher, the former State Department official, asserted in a November speech at the Woodrow Wilson Center in Washington that absent a worldwide crackdown on North Korean counterfeiting and the government’s other illicit activities, the country would continue to rely on criminal profits to maintain its political isolation and its nuclear program and to withstand pressure to reform.

“Given that periodic exposure of illegal dealings by North Korean officials overseas in the past has not resulted in serious or lasting consequences,” Asher said, “Pyongyang may believe that an open door for global criminality exists.”