North Korean Economy Watch

According to Yonhap:

Multidrug-resistant tuberculosis has emerged as a major public health problem for North Korea, a private foundation said Thursday, calling for public donation to help combat the highly contagious disease.

Stephen W. Linton, chairman of the Eugene Bell Foundation, said his foundation currently treats some 600 multidrug-resistant patients in six medical centers in the North, but hundreds of people are still on the waiting list.

You can read more about the Eugene Bell Foundation’s work in the DPRK here.

Previous posts on the Eugene Bell Foundation here. Their web page is here.

Read the Yonhap story here:
Multidrug-resistant tuberculosis poses public health risk in N. Korea
Yonhap
2011/10/27

Pictured above (Google Earth): The towns mentioned in the article below from which the Kaesong Industrial Zone could draw more labor: Pongchon (봉천), Kumchon (금천), and Phyongsan (평산).

Institute for Far Eastern Studies (IFES)
2011-10-20

According to South Korea’s Ministry of Unification (MOU), the “May 24 Sanctions” that went into effect after the sinking of the naval boat Cheonan was relaxed and began to permit the resumption of construction of businesses in the Kaesong Industrial Complex (KIC). In addition, plans to build fire stations and emergency medical facilities in the area are also currently underway.

After South Korean Grand National Party chairman Hong Jun-pyo visited KIC on September 30, 2011, the ROK government has reached the following decisions: 1) to allow the resumption of halted factory constructions; 2) to build a fire station and emergency medical facility; 3) to resume repair work for commuting roads for KIC employees; and 4) to extend the operations of commuter buses.

This means seven companies that received permits in the past to begin construction but stopped after the sanctions went into effect would be able to resume the halted construction projects.

According to the Ministry of Unification, the seven companies include three metal and machinery, three textile, and one electronic factories, taking up a total area of 103,527 square meters. The total site of production facilities of stage 1 businesses in the KIC reaches 2,171,900 square meters, in which the currently operating 123 companies take up 783,471 square meters. With the sanctions lifted, the total area of businesses in operation will reach 885,950 square meters.

In addition, five companies awaiting construction for expansion will have to wait a little longer. The authorities announced to discuss this issue at a later date, looking positively on their construction to resume shortly as well.

Also the MOU announced to push forward with the establishment of fire stations and emergency medical facilities, “to protect the properties and health of businesses and employees of the KIC. The plans to break ground for fire station will begin in mid-November and is expected to be completed by late next year.”

The layout for the KIC fire station was completed in December 2009 and 3.3 billion USD has been budgeted to fund the construction. The station will be constructed on a steel frame on a 3,305 square-meter lot with the total floor space to be around 2,182 square meters.

The Kaesong Management Committee has been operating a “fire/police station” from April 2005. But with occurrences of accidental fires since last winter, it has reinforced the number of fire engines and manpower – currently at a total of eight fire trucks and 36 fire fighters.

Medical facilities in the KIC will also be completed by the end of 2012 once the construction begins early next year. About 3 billion USD is set for this project.

Currently at the KIC, Green Doctor’s Cooperation Hospital is in charge of providing medical and health services in the KIC, with South Korea Green Doctor’s Kaesong Hospital treating the South Korean employees and North Korean Comprehensive Clinic treating the North Korean employees exclusively. The South Korea Green Doctor’s Kaesong Hospital is currently operated by volunteers at a clinic level. The hospital was in the process of improving the facilities to more than ten beds. However, this project was halted after the May 24 sanctions went in effect.

On another note, the MOU also announced that maintenance work for the road connecting Kaesong City to the KIC would begin. The road is normally used by North Korean employees of the KIC. It was also announced that the number and operation of commuter buses would increase to help with the commute. The buses operate in the 20 km radius; the plan is to increase that to 40 km. Since September 2010, the number of buses increased to 400.

There are plans to extend the service to cover the areas of Kumchon, Bongchon, and Pyongsang. However, the roads to these areas are unpaved and extension of transportation services to these areas will require negotiations with the North Korean authorities.

Although these measures will alleviate some of the problems faced by the businesses in the KIC, the MOU still stands firm on its position that North Korea must take responsibility and make formal apology for the Cheonan incident in order for a fundamental resolution of the situation to occur.

1. “Relying on One’s Strength: The Growth of the Private Agriculture in Borderland Areas of North Korea”
Andrei Lankov，Seok Hyang Kim ，Inok Kwa
PDF of the article here 

The two decades which followed the collapse of the communist bloc were a period of dramatic social and economic transformation in North Korea. The 1990-2010 period was a time when market economy re-emerged in North Korea where once could be seen as the most perfect example of the Stalinist economic model. The present article deals with one of the major areas of socioeconomic change which, so far, has not been the focus of previous studies. The topic is about the growth of private agricultural activities in North Korea after 1990. This growth constitutes a significant phenomenon which has important social consequences and also is important from a purely economic point of view: it seems that the spontaneous growth of private plots played a major role in the recent improvement of the food situation inside North Korea.

______________________

3. Korea Sharing Movement anti-malarial program (Via Cancor)
Read a PDF of on the project here

______________________

4. What is it like to teach at the Pyongyang University of Science and Technology (PUST)?
Find out from one instructor here. More on PUST here.

Pictured above (Google Earth): Kaesong Industrial Zone (Sept. 2009)

According to Yonhap:

With Seoul’s plan to build a hospital within the inter-Korean industrial park in the North stalled, more than 220 South Korean workers have had to be rushed to hospitals in the South for emergency treatment over the past five years, the Unification Ministry said Monday.

As many as 227 South Korean workers who were injured or fell ill while working in the joint complex in the North’s border town of Kaesong had to be transferred across the border to general hospitals in South Korean border cities between 2007 and June this year, according to the ministry.

Though a small clinic manned by two doctors and three nurses has been in operation in the Kaesong complex since 2005, it is only capable of administering simple first aid, it added.

To cope with steady demand for emergency medical services, Seoul had planned to set up a hospital with 10 beds and a dozen medical staff by the end of last year, and earmarked 326.8 billion won (US$301.7 million) in 2010 and 330 billion won in 2011 to fund the project.

But with the souring of inter-Korean relations over Pyongyang’s two deadly attacks on South Korea last year, Seoul has yet to even take the first steps toward building such facilities, according to the ministry.

“Our plan for a better medical environment for the Kaesong workers will be pushed back in consideration of overall inter-Korean relations and how things will unfold in the industrial park,” a ministry official said.

Around 500 South Koreans, together with more than 46,000 North Koreans, currently work at some 120 South Korean companies in the Kaesong joint industrial park, which has been in operation since 2004.

Read the full story here:
Inter-Korean hostility inconveniences Kaesong complex patients
Yonhap
Oh Seok-min
2011-8-22

According to Yonhap:

Seok, 46, who defected to the South in 1998, is known for practicing North Korea’s “royal court medicine” that he learned while working at Pyongyang’s top medical research center devoted solely to caring for the health of leader Kim Jong-il.

The research institute is known in South Korea as the Kim Il-sung Longevity Research Institute after the name of the North’s late national founder and father of the current leader. Among North Koreans, it is simply called the “long life research institute,” Seok said, dressed in a white lab coat during a recent interview at his two-story clinic.

“Simply put, the long life research institute is to look after the general,” Seok said, referring to the North’s leader. “I was with the cardiovascular and anti-aging team at the institute.”

Details about the secrecy-shrouded Basic Medicine Research Center in Pyongyang are scarce, but the institute was believed to have hundreds of herbal doctors, physicians, biologists and other scientists working to make sure that the North Korean leader lives for a long time and in good health, Seok said.

Newly developed treatment methods, Seok said, were first tested on people similar to the leader in age and body type and with heart disease, an illness that killed late leader Kim Il-sung in 1994 and the current leader Kim Jong-il, now 68, is believed to be suffering from.

“These people were considered lucky because they were treated with good medicine,” Seok recalled.

Besides medical research, the longevity institute was also charged with growing high-quality organic rice, fruits and other agricultural products for the leader, even burying dogs in the farm fields as fertilizer, he said.

A top graduate from the North’s prestigious Pyongyang Medical College, Seok said he was plucked by authorities and assigned the research center regardless of his desires. Most graduates wanted to work at general hospitals where they could make more money.

“It’s not a place you can apply to work at. It’s a place you are dragged into,” Seok said with a chuckle that appears to imply a sense of relief that he is no longer in the totalitarian nation and lives a happy life in South Korea.

Read the full story here:
Oriental medicine doctor gives S. Koreans tastes of N. Korea’s ‘royal court medicine’
Yonhap
2011-8-22

From a recent Newsweek article about meth use in the DPRK:

First synthesized in 1893, meth is now one of the world’s most widely abused drugs, imbuing the user with intense feelings of euphoria, concentration, and grandiosity. Smoked, injected or snorted, the drug also suppresses the need for food and sleep for an extended period of time; coming down can bring fatigue, anxiety, and occasionally suicidal ideation.

Inside North Korea, observers say, many use meth in place of expensive and hard-to-obtain medicine. “People with chronic disease take it until they’re addicted,” says one worker for a South Korea-based NGO, who requested anonymity in order to avoid jeopardizing his work with defectors. “They take it for things like cancer. This drug is their sole form of medication,” says the NGO worker, who has interviewed hundreds of defectors in the past three years. A former bicycle smuggler who defected in 2009 told NEWSWEEK of seeing a doctor administering meth to a friend’s sick father. “He took it and could speak well and move his hand again five minutes later. Because of this kind of effect, elderly people really took to this medicine.”

Jiro Ishimaru, founder and editor of Rimjin-gang, a magazine about North Korea and reported by people inside the country but published in Japan, says he has seen several North Koreans take meth to relieve stress and fatigue, including his former North Korean business partner. “He didn’t start taking it as a drug but as a medicine,” Ishimaru says.

The drug also offers an escape that might not otherwise be possible. As Shin puts it: “There’s so little hope in North Korea—that’s why ice is becoming popular. People have given up.”

Read the full story here:
North Korea’s Meth Export
Newsweek
Isaac Stone Fish
2011-6-19

According to the Daily NK:

It has been belatedly revealed that since the start of the 2000s, young women working in North Korean restaurants both in Pyongyang and abroad have been required to have double eyelid surgery.

A source with a long history of visits to Pyongyang explained to The Daily NK yesterday, “When I was in Pyongyang last year, I heard from someone related to the North that since the start of the 2000s all waitresses had double eyelid surgery on Kim Jong Il’s instructions,” and added, “It seems that Kim Jong Il places great importance on the appearance of workers in restaurants earning foreign currency.”

According to the source, the target of Kim Jong Il’s requirements includes workers at restaurants within Pyongyang fraternized by foreigners, including Korean and international restaurants in the Yanggakdo and Koryo Hotels, coffee shops and other shops.

But it also includes those sent to work in China (Beijing, Shanghai, Shenyang, Yanji), Southeast Asia (Thailand, Vietnam, Laos and Cambodia), the Middle East (Dubai), Nepal, the Kaesong Industrial Complex and Kaesong.

The reason why Kim Jong Il made the decision is supposedly connected with restaurant sales; the waitresses at such establishments are not merely waitresses, for they must also be talented singers and dancers, too.

According to the source, “They are mostly young university students born in Pyongyang, and I heard they get the surgery in hospital in Pyongyang for $17.”

North Korea pushed into the foreign restaurant market at first in the 1990s in an attempt to boost hard currency earnings. Now, with foreign currency earning businesses under both Party and military organs operating in the market, there are more than 100 North Korean restaurants worldwide.

According to the scale of the restaurant and number of waitresses, each is expected to earn a certain amount of foreign currency per year, and while getting a job in one of the restaurants naturally relies heavily on family and educational background, the waitresses are still watched more carefully by the authorities than ordinary North Korean citizens.

A former resident of Pyongyang told me that elite North Korean women were all getting this procedure done back in the 1980s.  It was very cheap and common.

Read the full story here:
Eyelid Surgery a Restaurant Must
Daily NK:
Kim Yong Hun
2011-5-20

UPDATE 6 (2011-4-20): The DPRK is experiencing a new wave of foot and mouth outbreaks.  According to Yonhap:

A new outbreak of foot-and-mouth disease (FMD) occurred in four counties in North Korea last month and infected nearly 300 pigs and cows, a news report said Wednesday.

A total of 141 out of 298 animals died after being infected with the disease, the Voice of America said, citing a North Korean report submitted to the World Organization for Animal Health (OIE) on Monday. The news report said Pyongyang quarantined the infected areas in an apparent attempt to stem the spread of the disease.

The North confirmed its first case of the disease in December, and the virus has since spread to six other cities and provinces, Seoul’s Agriculture Minister Yoo Jeong-bok said in February.

Last month, the World Organization for Animal Health said North Korea urgently needed around US$1 million worth of equipment and vaccines to help stem outbreaks of the deadly disease.

The disease does not pose a direct health threat to humans, but affects cows, sheep, goats and other cloven-hoofed animals, causing blisters on the nose, mouth, hooves and teats.

North Korea has 577,000 heads of cattle, 2.2 million pigs and 3.5 million goats, according to the OIE.

The OIE data mentioned in the above Yonhap story can be found here.

The OIE provides the map below as well as details about the outbreaks:

Three of the four cases take place in North Hwanghae:

Sinphyong county, Myongri district (2011-3-21)

Sangwon county, Rodong-ri (2011-3-16)

Hwangju county, Ryongchon-ri (2011-4-4)

The final case is in Singyo-ri, Kumgang County, Kangwon Province. It reportedly took place on 2011-4-6.

The data is also available here.

UPDATE 5 (2011-3-24): UN FAO Press Release:

North Korea: FAO says urgent vaccine and equipment needed to contain Foot-and-Mouth Disease

Capacity of national veterinary services to manage animal disease must also be strengthened

24 March 2010, Rome/Paris – Around a million dollars of equipment and vaccines are urgently required to help stem outbreaks of deadly Foot-and-Mouth disease (FMD) in North Korea, followed by a more prolonged and concerted effort to modernize veterinary services in the country.

A joint FAO and World Organization for Animal Health (OIE) mission travelled to North Korea at the government’s request between 27 February and 8 March. The mission found that the country’s capacity and that of veterinary services to detect and contain FMD outbreaks need significant strengthening — in particular as regards implementing best-practices in biosecurity measures and improving laboratory infrastructure and capacity.

Outbreaks of Type-O FMD have been reported in diverse locations in eight of North Korea’s 13 provinces. To bring the situation under control, the team recommended the following steps:

• Thorough surveillance to locate and map disease clusters
• Protecting unaffected farms through movement controls and biosecurity measures
• Adequate sampling in order to correctly identify the virus strain or strains involved
• Improving biosecurity measures to prevent further spread of the disease
• The strategic use of the appropriate vaccines to contain and isolate disease clusters

FAO estimates around $1 million is required immediately for training, supplies and infrastructure, vaccine acquisition and the setting up of monitoring, reporting and response systems.

The FAO-OIE mission visited several collective farms as well as the national veterinary laboratory and various animal health field stations.

Virus identification

FAO and OIE provided guidance to North Korean veterinary authorities on taking and handling of FMD samples — new samples will be collected by North Korea and sent to an international reference laboratory for testing.

Only by accurately typing the virus or viruses involved in the outbreaks will it be possible to identify the most effective vaccine to use against it.

Food security bulwark

FMD does not pose a direct health threat to humans, but affected animals become too weak to be used to plough the soil or reap harvests, suffer significant weight loss, and produce less milk. Many animals are dying from the disease.

Farm animals are crucial to food security in North Korea. Cows and oxen are primarily used for dairy production and are a key source of draft power in agricultural production. Goats and pigs, also susceptible to FMD, are important source of dairy products and meat.

Current North Korea’s livestock population consists of 577,000 head of cattle, 2.2 million pigs and 3.5 million goats.

FMD affects cattle, buffaloes, sheep, goats, swine and other cloven-hoofed animals. It is highly contagious and spreads through mucus, saliva or body fluids that can contaminate materials such as clothing, crates, truck beds, and hay and be transmitted to other animals.

UPDATE 4 (2011-3-22): Pork prices rising with FMD meat on sale.  According to the Daily NK:

With North Korea seemingly unable to bring an outbreak of foot-and-mouth disease centered on the Pyongyang region under control, inside sources have revealed that the price of good pork in the markets is skyrocketing as a result of diminishing supplies, while infected meat is being sold on the quiet for lower prices.

Speaking with The Daily NK on the 22nd, a source from North Pyongan Province explained, “Pork is right now selling for 6,000 won per kilo in the market. The price, which was 2,600 won in the market last December, is climbing all the time, and now is at the point where the average person has no chance of being able to buy it.”

According to sources, the situation is similar in Nampo, where pork was selling for 3,500 won in December, but had reached 6,500 won by February. In Sariwon in North Hwanghae Province, the price had hit 5,000 won by the end of February.

The news of an emerging foot-and-mouth disease problem in North Korea first emerged through sources earlier this year, but the authorities only confirmed it officially and reported control measures via Chosun Central News Agency on February 10th.

According to an official report submitted by the North Korean authorities to the World Organization for Animal Health (OIE) at around the same time, the outbreak had by then spread to 48 places across much of south and central North Korea, with 15 of those places falling within the Pyongyang administrative region.

The report outlined how North Korea first attempted to combat the outbreak with an indigenously produced vaccine, but this was of limited use. It also noted that official North Korean policy is to bury those animals that die from the disease and quarantine those that are infected.

However, inside sources say that in reality people are digging up buried animals in order to sell the meat in the market at a lower price.

The North Pyongan Province source explained, “Meat infected with foot-and-mouth disease is being sold in the market tacitly; the price of it is somewhat lower. The work of burying pigs with foot-and-mouth disease is being done, he said, but it is said that animals continue to be dug up and are sometimes being sold in the market.”

The source gave the example of a pig farm in Pyongsung, where 6 people dug up previously buried pigs last December to sell in Pyongsung Market. They were selling the meat for 2,000 won/kg, he said, but were caught by the authorities.

The source also revealed that on December 30th, 2010, 500 pigs were buried near Pyongyang, but two days later had disappeared, while in Sinuiju it is said that “If it is buried in the daytime, people say that by that very evening it will appear in the market.”

Of course, the fact is that the North Korean authorities are unable to put in place an efficacious policy to combat the outbreak of foot-and-mouth disease or the selling on of infected meat, not least because persons caught for selling infected meat can simply navigate their way out of trouble and go back to their activities.

UPDATE 3 (2011-3-2): A UN FAO team is in the DPRK to inspect the foot-and-mouth outbreak.  According to the Joongang Ilbo:

An official at the FAO was quoted by RFA as saying that the scale and variety of the aid would be determined after discussions with North Korean government officials. The exact itinerary of the group was not released.

The UN food agency also said that along with the team that arrived in North Korea last month, additional officials, including an expert on contagious diseases, would be sent to the area.

The South Korean government has said that it has been monitoring the development of the outbreak. However, the South Korean Ministry of Unification said after North Korea’s official report on the disease that Pyongyang has not made any requests for aid nor did Seoul have plans to offer any assistance.

North Korea announced on Feb. 10 that over 10,000 pigs and cattle had been infected with FMD, prompting North Korean officials to alert the UN of the outbreak.

The North struggled with FMD cases in 2007 and 2008, which led to the culling of thousands of pigs and cattle. During those episodes, the FAO and the South Korean government provided aid.

UPDATE 2 (2011-2-27): The Daily NK reports that the OIE report shows animals are not being culled:

Unlike in 2007, when North Korea reacted swiftly to an outbreak of the disease by culling animals, this time the authorities appear to have reacted poorly despite the fact that the disease has now been found at more than 48 locations in Pyongyang City and Pyongan, Hwanghae and Kangwon Provinces.

According to an OiE report derived from the letter, in which the North finally confirmed the rumored outbreak after a month of silence, Pyongyang has apparently tried to address the situation using a combination of disinfection measures and a domestically produced vaccine, but this has met with little success.

“Given the number of livestock which have died of foot-and-mouth disease, it is uncertain just how far the infection has spread,” Korea Rural Economic Institute Vice-President Kwon Tae Jin explained to The Daily NK. “The small number of infected heads of cattle reported by North Korea is also difficult to accept at face value.”

“If the North Korean authorities have not destroyed the infected cows and pigs in the hope that they will recover, then it is a serious problem. It means we have no idea how far the disease has spread,” Kwon added.

15 of the existing locations in which the disease has so far been detected are in Pyongyang and surrounding areas. In order to combat the spread of the disease to other regions, the authorities are said to have implemented across-the-board restrictions on movement into and out of the city.

However, news of the disease has still not been reported officially, and domestic sources have told The Daily NK that they have not heard anything about it to date.

UPDATE 1 (2011-2-18): DPRK report (below) shows extensive damage from foot-and-mouth disease.  According to Yonhap:

North Korea has reported to a global animal health agency that it had suffered a total of 48 outbreaks of foot-and-mouth disease (FMD) since Christmas last year.

The impoverished communist state made the report to the Paris-based World Organization for Animal Health (OIE) on Feb. 8, saying about half of 17,522 “susceptible” pigs had died from the disease.

Only 3 percent of 1,403 cows suspected of being infected had died from the disease, according to the report posted on the OIE Web site, while none of the 165 susceptible goats had died.

At the time the report was filed, no livestock were yet culled as a preventive measure, according to the report created by Ri Kyong-gun, a quarantine director for the Ministry of Agriculture. A map of outbreaks showed the disease had spread out over almost half of North Korea.

“Vaccination has been applied with a locally developed vaccine but was not effective to control the disease,” the report said, adding that the origin of the outbreak remains “unknown or inconclusive.”

North Korea has banned the inflow of pork and beef from South Korea since late last year for fear that the disease — rampant south of the heavily armed border — may spread there.

Despite the measure, the North, which suffers serious food shortages, reported the outbreak to the United Nation’s Food and Agriculture Organization earlier this year.

The country said in the OIE report that it has restricted movement and conducted “disinfection of infected premises and establishments” to fight the spread of the animal disease.

In 2007, North Korea suffered similar outbreaks, prompting South Korea to dispatch a team of animal health experts amid a mood of reconciliation.

FMD is highly contagious and affects cloven-hoofed animals like cattle, pigs, deer, goats and sheep. The disease causes blisters on the mouth and feet of livestock and leads to death. It is rarely transmitted to humans.

ORIGINAL POST (2011-2-18): Below is a map and list of reported foot and mouth disease outbreaks in the DPRK:

The World Organisation for Animal Health (OIE) has reported 48 outbreaks of foot and mouth disease (FMD) in Democratic People’s Republic of Korea.

The outbreaks are located in:

–Kangwon (Anbyon, Kimhwa, Phangyo, Phyonggang)
–Kumgang
–Pyongyang (Sadong, Ryokpo, Rakrang, Kangdong, Mangyongdae)
–Nampho (Nampho and Kangso)
–North Hwanghae (Kangnam, Sangwon, Hwangju, Yonsan, Sinphyong, Suan, Songrim)
–North Pyongan (Thaechon, Pakchon)
–South Hwanghae (Chongdan)
–South Pyongan (Anju, Phyongwon)

The OIE posted a report developed from an official letter sent by the DPRK dated 7 February 2011 and received on 8 February 2011.  You can see the OIE report here.

According to the Korea Times:

Dr. Stephen Linton, founder of the Eugene Bell Foundation, says his group’s program to combat multidrug resistant TB (MDRTB) has cured its first patients after four years of working to establish adequate care in the North.

“We’re making progress,” Linton, 60, said in a phone interview. “It has been a tremendous learning curve for the North Koreans on a very short time frame. It takes most nations decades to put together a good MDRTB program because the treatment is so intensive.”

A growing health concern worldwide, MDRTB emerges when regular TB is inadequately treated, creating bacteria resistant to first- and sometimes second-line drugs. Half of those who do not get treatment, which can take up to two years to complete, die.

The problem is compounded in poor countries not properly equipped to diagnose the disease and where malnutrition makes the body more susceptible to TB.

The organization’s hopeful outlook follows its most recent trip to the North in November last year, when it found a steadily-increasing rate of patients testing negative for the strain ― meaning they are no longer infective.

It also comes as the international community wrestles with how to help the impoverished country ― which has called in recent weeks for humanitarian assistance ― without supporting its provocative behavior.

In the case of treating MDRTB, the doctor says the breakthrough would be impossible without meaningful contributions on both sides of the tense border that divides the Koreas.

Powerful medicine

By 2007, Linton had been travelling to the North to treat TB for more than a decade, so he was braced for the news when caregivers complained that first-line drugs were not helping some patients.

“I knew it was going to be a real headache,” he said of the undertaking. “But the commitment of our donors and the desire to treat the people in most need ― that was a powerful incentive.”

Later that year, Linton and his team took sputum from 19 patients, brought the samples to a South Korean hospital for analysis, and returned six months later with medicine. On subsequent trips, the number of patients wanting the test grew.

By 2009, as an indication of the worsening health situation but also the growing trust in the program, Eugene Bell was overwhelmed by crowds of people at its testing centers.

The program now accommodates upwards of six hundred patients at six specialized centers across the country’s northwest.

Linton, who spent his childhood in South Korea, says the process requires significant “buy-in” from North Koreans, beginning with the health authorities.

In their biggest show of cooperation, the government agreed to Eugene Bell’s recommendation that treatment take place in centrally-located MDRTB centers, despite reluctance over the logistics.

It also needs the dedication of health care providers, who must vigilantly keep patients on their programs. If not, they can become resistant to MDRTB medications, opening the door for the emergence of XDRTB, which Linton calls “virtually incurable.”

But the biggest commitment comes from patients, who are prescribed with a harsh cocktail of drugs. Some need to learn to trust outside help, not always an easy task in the isolated country.

“This is a very rigorous and rough treatment program. It takes a lot of very strong, toxic medicines to treat MDRTB. Patients suffer a good bit,” said Linton, who counted nausea, vomiting, temporary deafness and psychosis as side effects.

If after eighteen months, a patient’s sputum tests negative for MDRTB, they are effectively cured. But if after a year they still test positive, the treatment is considered a failure.

“Most of those people know, because they are still coughing up phlegm,” the doctor said. “But failing people is terrible. This work can be very dramatic at times.”

You can read previous posts about the Eugene Bell Foundation here.

UPDATE: On February 24th the Korea Economic Institute held a conference with Dr. Sharon Perry, DPRK Tuberculosis Project, Stanford School of Medicine.  You can see the video of the conference here: Part 1, Part 2, Part 3, Part 4. The paper is here (PDF).

Read the full sotry here:
Aid group engages N. Korea in fight against TB
Korea Times
Kim Joung-jin
2/21/2011

According to Yonhap:

North Koreans are expected to live 11 years less than the average South Korean due mainly to malnutrition that adversely affects births and causes more people to die earlier than normal, a government report showed Monday.

The Statistics Korea report, based on data released by the United Nations and Pyongyang, showed the life expectancy for an average North Korean at 69 years, lower than numbers reached in the communist country in the early 1990s before it was hit by devastating famine.

The life expectancy for men reached 64.9 while that for women was 71.7 years. This is 11.3 years and 11.2 years less than this year’s life expectancy of South Korean men and women, respectively.

“Generally, the population has not fully recovered from the famine and hardship, although conditions have improved in the past few years,” a statistics official said.

He said estimates revealed that there may have been a “population loss” of around 610,000 for a decade after the mid-1990s, caused by a higher number of deaths and people shying away from having babies.

The official said up to 480,000 more people may have died compared to what was normal during the 1994-2005 “slow-motion famine” period when the country could not properly feed its people.

Newborn baby numbers fell by an estimated 130,000 vis-a-vis natural increase rates in the 1995-2004 time frame, as fewer people married and couples put off giving birth during hard times, he said.

The latest statistical report, however, said that despite chronic food shortages, North Korea’s population managed to post steady growth in the last two decades.

As of this year, the population is estimated to be 24.19 million, up 0.5 percent from a year earlier. Before 1997, the population grew more than 1 percent on-year, but gains have become stagnant since 1998, staying under the 1 percent mark.

This year’s numbers make North Korea the 49th most populous country in the world, compared with 26th-ranked South Korea, whose population reached 48.88 million.

The statistical report, meanwhile, showed the number of economically active people in the North between the ages of 15 and 64 reaching 16.58 million this year, with the number of men being smaller than women.

The median age of the population stood at 30.1 years for men and 33.7 for women, five or six years younger than numbers for South Korea. The country effectively became an “aging society” in 2003 with the number of people over 65 hitting 7.2 percent of the total population and should be an “aged society” in 2033 with 14.5 percent of the population over 65 years old.

The report predicted that North Korea’s population will peak at 26.54 million in 2037, compared to South Korea’s peak population that is expected to be reached in 2018, when there may be some 49.34 million people living in the country.

If both South and North Korean populations are combined, the number would hit its peak in 2027 with 75.06 million people living on the peninsula, the report said.

Read the full story here:
N. Koreans expected to live 11 years less than S. Koreans: report
Yonhap
11/22/2010