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Launch of Support Program for North Korea’s Multi-Drug Resistant Tuberculosis Patients

Thursday, December 13th, 2007

Eugene Bell Foundation
Fall 2007 newsletter

Medical Support for Individual Patients Now Possible

The Eugene Bell Foundation, a non-governmental organization that provides medical support for North Korean tuberculosis (TB) patients, announces that countermeasures are urgently needed for the recent increase of multi-drug resistant tuberculosis (MDR-TB) patients in North Korea.

After years of visiting and providing TB medicines for TB Care Centers in North Korea, EugeneBell estimates that over 30% of all TB patients in the country may be infected with MDR-TB. Evidence suggests the number of patients is increasing year-by-year.

In response to this growing crisis, the delegation visited six different North Korean TB Care Centers in early 2007 and collected sputum samples from 20 patients thought to be infected with MDR-TB and brought them to South Korea for study. The test results identified at least two or more strains of MDR-TB virus in over 60% of the samples.

In response, EugeneBell began a support program for MDR-TB patients when a delegation returned to North Korea (November 15 – 27, 2007). This fall, a follow-up delegation delivered a six-month supply of special MDR TB medication for the patient’s diagnosed with multi-drug resistant tuberculosis.

As part of the new support program, EugeneBell and North Korean medical authorities have agreed to establish special wards for multi-drug resistant patients in four long-term care facilities. One center will be located in each of the following locations: North Pyongan Province, South Pyongan Province, Nampo City and Pyongyang City. These MDR wards will serve as centers for treating patients who do not respond to regular tuberculosis medications.

“Multi-drug resistant tuberculosis is a deadly, contagious disease that can spread resistant strains of tuberculosis that are extremely difficult and expensive to treat,” states Dr. Linton, EugeneBell Chairman. “Because MDR-TB threatens the health of every citizen, steps must be taken as soon as possible to meet this challenge.”

Unfortunately, even short-term countermeasures to meet the spread of MDR-TB in North Korea are difficult because no in-country testing facilities are available today. An even greater barrier to an effective national MDR program is the high cost of MDR medications. While it takes only six months to treat and cure a case of ordinary TB, MDR-TB requires at least 18 month, and special drugs that cost nearly 100 times as much as regular tuberculosis medications. In order to solve such difficulties, EugeneBell will initiate a ‘One-by-One MDR-TB Patient Support Program’ beginning in 2008. This program will connect one patient in North Korea with individual donors to insure that each patient in the program receives the necessary support for long-term treatment.

Dr. Linton notes, “This small but significant start toward an effective MDR-TB program for people in North Korea that will begin with 20 patients and grow as additional support becomes available. Every human life is precious. While we hope we can eventually reach all MDR patients in North Korea, just saving one person who would otherwise die from this dreaded disease is well worth the effort.”

“North Korean medical professionals are delighted with the new program. Doctors who formerly had no effective way of helping their patients who failed to respond to ordinary tuberculosis medications now have hope that even the most ill tuberculosis patient may be saved. The enthusiasm with which they pitch in to collect sputum samples from their most difficult cases is heart-warming” continues Dr. Linton.

Dr. Park Seung-kyu, Director of Masan National Tuberculosis Hospital in South Korea, will make his hospital’s state-of-the-art research facilities available for testing sputum samples from North Korea. “As a matter of fact, MDR-TB is considered a serious problem not only for North Korea but also for South Korea and the world,” says Dr. Park. “There is a need for experts from both South and North Korea to discuss countermeasures together for the treatment of MDR-TB on the Korean Peninsula”

A EugeneBell delegation just returned from visiting thirteen medical institutions located in North Pyongan Province and Pyongyang City. Next spring, a follow-up delegation will deliver medications for the patients who provided samples this autumn.

EugeneBell also started two other pilot programs in 2007, one for mothers and infants and another for school-aged children. These will provide a steady stream of assistance through ‘Mother and Infant Packages’ and ‘Children’s Health Packages’ to three local hospitals, one in North Pyongan Province and two in South Pyongan Province.

Posted in Disease prevention, Eugene Bell Foundation, Health care, International Aid | Comments Closed

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.”

Posted in Black markets, Civil society, Disease prevention, Economic reform, Epidemics, Foreign direct investment, General markets (FMR: Farmers Market), Good Friends, Health care, Indigenous medicine, Pharmaceuticals, Price liberalization | Comments Closed

Google Earth North Korea (version 6)

Sunday, November 11th, 2007

The most authoritative map of North Korea on Google Earth
North Korea Uncovered: Version 6
Download it here

This map covers North Korea’s agriculture, aviation, cultural locations, manufacturing facilities, railroad, energy infrastructure, politics, sports venues, military establishments, religious facilities, leisure destinations, and national parks. It is continually expanding and undergoing revisions. This is the sixth version.

Additions to the newest version of North Korea Uncovered include: Alleged Syrian nuclear site (before and after bombing), Majon beach resort, electricity grid expansion, Runga Island in Pyongyang, Mt. Ryongak, Yongbyon historical fort walls, Suyang Fort walls and waterfall in Haeju, Kaechon-Lake Taesong water project, Paekma-Cholsan waterway, Yachts (3), and Hyesan Youth Copper Mine.

Disclaimer: I cannot vouch for the authenticity of many locations since I have not seen or been to them, but great efforts have been made to check for authenticity. These efforts include pouring over books, maps, conducting interviews, and keeping up with other peoples’ discoveries. In many cases, I have posted sources, though not for all. This is a thorough compilation of lots of material, but I will leave it up to the reader to make up their own minds as to what they see. I cannot catch everything and I welcome contributions.

Posted in Advertising, Agriculture, Architecture, Automobiles, Aviation, Banking, Black markets, Committee for Cultural Relations with Foreign Countries, Communications, Computing/IT, Dams/hydro, Department Store No. 1, Economic reform, Education, Electricity, Energy, Environmental protection, Film, Finance, Fiscal & monetary policy, Football (soccer), Forestry, Gambling, Gasoline, General markets (FMR: Farmers Market), Golf, Google Earth, Hana Electronics Company, Health care, Hoteling, Hwanggumphyong and Wihwado Economic Zones (Sinuiju), Hyesan Youth Cooper Mine, Kaesong Industrial Complex (KIC), Kim Il Sung University, Korea Computer Center (KCC), Library, Light Industry, Mansudae creative Company (art studio), Manufacturing, Mass games, Maternity Hospital, Military, Mining/Minerals, Ministry of Culture, Ministry of Foreign Trade, Mt. Kumgang Tourist Special Zone, Musan Mine, Music, Nuclear, Pyongyang Embroidery Institute, Pyongyang Film Studio, Pyongyang Informatics Center (PIC), Pyongyang International Information Center of New Techn, Pyongyang International Trade Fair, Pyongyang Metro, Railways, Rason Economic and Trade Zone (Rajin-Sonbong), Real estate, Religion, Restaurants, Sea shipping, Special Economic Zones (Established before 2013), Sports, Steel, Supreme Peoples Assembly, Television, Tourism, Transportation, Water, Wind | Comments Closed

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.”

Posted in Education, General markets (FMR: Farmers Market), Good Friends, Health care, Indigenous medicine, Pediatrics | Comments Closed

Inside North Korea: A Report by Good Friends Chairman Venerable Pomnyun and Seungjoo Baek

Wednesday, October 24th, 2007

Inside North Korea: A Report by Good Friends Chairman Venerable Pomnyun and Seungjoo Baek
SAIS US Korea Institute
September 19, 2007

For audio, click here.

Chairman of the Good Friends Center for Peace, Human Rights and Refugees, the Venerable Pomnyun, briefed audience members at SAIS on current trends inside North Korea, including issues surrounding the current food crisis caused by the flooding, continuing health crisis, and the breakdown of the education system.

Good Friends, one of the largest Korea-based organizations providing humanitarian aid inside the D.P.R.K. and to refugees in Northern China, contributes some of the most accurate and timely reports on conditions inside North Korea. The Venerable Pomnyun visited Washington D.C. with a team of experts to discuss the on-going food shortage and proliferation of non-government controlled information. While here, they briefed Congress and held a day-long conference at CSIS.

Highlights of his comments (paraphrased, not direct quotes):

In contrast to the much lower number of famine deaths provided by Stephan Haggard and Marcus Noland Pomnyun maintained the 3 million number claimed by Good Friends in the past.
He provided a short narrative of coping mechanisms people have adopted to stay afloat (selling and manufacturing in homes). Society is being sustained by activities that are still considered illegal.
He claims the food situation is getting worse, and he does not think the DPRK can resolve the situation on its own. Now people buy all their food on the market.
He claims that people’s lives are not improving.
TB is on the increase along with other epidemics. Since there is no electricity, water is not clean.
He offered that there are four levels of hospitals: clinics at the town level, hospitals in cities and some towns, hospitals at province level, and specialist offices in the Pyongyang area.
Hospitals and clinics are not working at the city/province level. The situation is better in Pyongyang hospitals. The amount of international medical aid, however, is not enough for even the Pyongyang hospitals.
Medical aid is the second most needed good (after food). People do not get medicines from the hospital, but from the markets. With low salaries, however, medicines are difficult to afford. [Because the institutional environment is still not supportive of entrepreneurship] there are qulaity problems with pharmaceuticals purchased at the markets.
The education system, though ‘free’ is not functioning well. Due to the food shortage problem, students do not go to school. Teachers also do not come to class. The cost of education is being pushed back to students directly. For example, students buy chalk for teachers. As a result, however, poor students cannot attend school. The rich students are hiring tutors, so we are seeing a market in private education emerge in the DPRK.
The DPRK is slowly moving to a private economic system. Men who cannot get work are now jokingly referring to themselves as “guard dogs,” because they sit at home all day.
North Koreans do not trust the government or party. People on their death beds are telling their children to trust their descendents, not the government. People still spend much of their time trying to subsist, but these complaints will not become a political issue. The political system is stable and will not collapse any time soon.

Posted in Agriculture, Civil society, Education, Good Friends, Health care, International Aid | 1 Comment »

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.

Posted in Agriculture, Civil society, Disease prevention, Health care, Pediatrics, Tobacco | Comments Closed

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.

Posted in Civil society, Health care, Pediatrics, UN, UNICEF, UNWHO | Comments Closed

EBA Press Release: Pyongyang International Trade Fair

Wednesday, October 10th, 2007

Europen Business Association
October 2007

18 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/

Posted in Banking, Communications, Computing/IT, European Business Association, Finance, Light Industry, Mining/Minerals, Pharmaceuticals, Pyongyang International Trade Fair, Railways, Sea shipping | Comments Closed

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.

Posted in Health care, International Aid, Pharmaceuticals | Comments Closed

North Korea on Google Earth

Saturday, October 6th, 2007

Version 5: Download it here (on Google Earth)

Additions to the latest version of “North Korea Uncovered” include updates to new Google Earth overlays of Sinchon, UNESCO sites, Railroads, canals, and the DMZ, in addition to Kim Jong Suk college of eduation (Hyesan), a huge expansion of the electricity grid (with a little help from Martyn Williams) plus a few more parks, antiaircraft sites, dams, mines, canals, etc.

I hope this map will increase interest in North Korea. There is still plenty more to learn, and I look forward to receiving your additions to this project.

Posted in 1990s Famine, Advertising, Agriculture, Architecture, Arduous March, Art, Automobiles, Aviation, Banking, Civil society, Coal, Communications, Computing/IT, Cosmetics, Dams/hydro, DPRK organizations, Economic reform, Education, Electricity, Energy, Environmental protection, Film, Finance, Fiscal & monetary policy, Football (soccer), Foreign direct investment, Forestry, Gambling, Gasoline, General markets (FMR: Farmers Market), Golf, Google Earth, Health care, Hoteling, Hwanggumphyong and Wihwado Economic Zones (Sinuiju), Illicit activities, Juche, Kaesong Industrial Complex (KIC), Labor conditions/wages, Leisure, Library, Light Industry, Manufacturing, Mass games, Military, Mining/Minerals, Mt. Kumgang Tourist Special Zone, Music, Nuclear, Political economy, Pyongyang International Trade Fair, Pyongyang Metro, Radio, Railways, Rason Economic and Trade Zone (Rajin-Sonbong), Real estate, Religion, Restaurants, Sea shipping, Special Economic Zones (Established before 2013), Television, Tourism, Transportation, Water, Worker's Party | 2 Comments »

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