Archive for the ‘Health care’ Category

Health care on hold in Kaesong

Monday, August 22nd, 2011

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

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Yonhap on the DPRK’s Basic Medicine Research Center in Pyongyang

Monday, August 22nd, 2011

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

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Meth as medicine

Tuesday, June 21st, 2011

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

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Plastic surgery required to work in prestigious DPRK restaurants

Friday, May 20th, 2011

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

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DPRK 2011 foot and mouth disease outbreak

Wednesday, April 20th, 2011

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.

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Eugene Bell foundation fighting tuberculosis in DPRK

Monday, February 21st, 2011

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

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DPRK lifespans lag RoK’s

Monday, November 22nd, 2010

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

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WFP: DPRK children malnourished

Thursday, November 4th, 2010

According to the Associated Press:

The head of the World Food Programme said on Thursday she saw many children in North Korea who are “losing the battle against malnutrition” during a visit there.

Executive director Josette Sheeran made the remarks in Beijing on her return from a three-day trip to Pyongyang, the UN agency’s first top-level visit to the communist country in nearly a decade.

She said she visited an orphanage, a factory, and a hospital where children were being treated for malnutrition.

“I saw many children that are already losing the battle against malnutrition and their bodies and minds are stunted,” she said, adding that “the need there for special fortified food for the children is very strong”.

Sheeran said she was able to meet with Kim Yong Nam, the head of the country’s parliament, the foreign minister and agriculture department officials.

She was also able to visit the agency’s operations there. The World Food Programme has been providing food aid to North Korea since 1995. The UN agency says nearly a third of North Korea’s 24 million people are undernourished.

Sheeran said she has worries about the current funding for food aid to North Korea, which has relied on foreign assistance to feed its 23 million people since the mid-1990s.

Read the full story here:
WFP: N Korea children malnourished
AP
11/4/2010

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U.N. plans to spend $290M on aid to DPRK

Wednesday, September 1st, 2010

According to Fox News:

As the xenophobic North Korean regime of Kim Jong Il appears to be inching toward a murky transition of power, the United Nations is laying plans to spend more than $290 million on a welter of programs in the communist state—including a scheme to produce an algae sold in the U.S. as tropical fish food–provided someone else comes up with much of the money.

The money is by no means a sure thing, especially if the unpredictable North Korean dictator rejects any of the stringent oversight conditions attached to money from some of the important donors the U.N. hopes will chip in.

The U.N. plans, however, demonstrate the determination of the world organization and its most influential backers—notably, the U.S. government, which is the biggest single financial supporter of most U.N. aid and development organizations– to keep dangling carrots of assistance before the North Korean regime, even at its most provocative.

The U.N. plans persist despite such incidents as the March 26 sinking of a South Korean warship, the Cheonan, most likely by a North Korean submarine, and the regime’s continued nuclear saber-rattling, especially toward South Korea. Just last month, for example, North Korea threatened a “powerful nuclear deterrence” in response to a joint U.S.-South Korean antisubmarine exercise prompted by the Cheonan incident.

All those uncertainties fade, however, alongside a bigger one: rumors that the ailing and reclusive Kim, who returned on Sunday from his second trip to China in three months, hopes to install his youngest son, Kim Jong-Un, as his successor– a process that could already be well under way.

Whatever the outcome of the succession process, at least a dozen U.N. agencies and offices clearly hope to be deeply involved over the next five years in North Korea’s national welfare, in areas ranging from health care and education to sanitation and civil service training, “strengthening knowledge networks” in agriculture, alternate energy development, and transportation, not to mention improving North Korean export trade.

A significant number of the efforts will also go to bolstering the capabilities of the North Korean government, which is not surprising, since they are prepared in close collaboration with various departments of the ruling apparatus. These efforts include a strong focus on health care delivery and education (already problematic in a totalitarian state burdened with a smothering cult of the personality).

But they also include more ambiguous activities in a brutal and thorough-going dictatorship such as North Korea. Among them: coordinating “national knowledge networks and practices,” “management and specialist training,” and—in a country that regularly threatens its neighbors with nuclear and conventional war—a “disaster preparedness and response strategy” spurred by North Korea’s famines and floods. All of these activities are depicted by the U.N. documents as being strictly humanitarian in nature.

The array of plans is laid out in schematic form in a 22-page “United Nations Strategic Framework Results Matrix” for North Korea, which is being presented to members of the supervisory Executive Board of the United Nations Development Program (UNDP), the U.N.’s principal development coordinating agency, at a meeting in New York this week.

Click here for the matrix.

The framework is buttressed by UNDP’s own country program for North Korea, which is a $38.3 million portion of the larger total. Both documents cover the period from 2011 to 2015.

Click here for the UNDP Country Program.

The UNDP contribution is noteworthy, among other things, for the fact that most of the money–$34 million—can be counted on to exist. That amount is described in the annex to the country program as coming from “regular” UNDP resources, meaning its core budget. Only $4 million of UNDP’s spending in North Korea comes from other contributions.

A UNDP spokesman underlined—as does the country program—the extent to which UNDP claims to be adhering to newly strengthened safeguards in relation to its North Korean program.

UNDP activities in North Korea exploded into scandal in 2007, leading to suspension of its program until 2009. Among other things, an independent investigative panel subsequently determined that UNDP had wrongfully provided millions in hard currency to the North Korean regime, ignored U.N. Security Council sanctions in passing on dual-use equipment that could conceivably be used in the country’s nuclear program, and allowed North Korean government employees to fill key positions.

In the current program, UNDP emphasizes that it has revamped its hiring and currency policies, but adds that “a proper monitoring and evaluation plan is necessary to ensure accountability and transparency in project implementation.” The careful wording indicates that at least some of that planning remains to be done.

While UNDP has actual cash to spend, however, nearly $119 million of some $128 million that UNICEF plans to spend in North Korea over the next four years—about 93 per cent—is expected to come from outside donors, according to UNICEF’s own country plan for North Korea. That is, as UNICEF delicately puts it, “subject to the availability of specific purpose contributions” from those willing to put up the money.

Click here for the UNICEF Country Program.

Much of that volunteer UNICEF money would go toward building up North Korea’s grievously neglected clinical health care facilities, bolstering maternal and early childhood care, early childhood education and large-scale vaccination and medication campaigns to fight AIDs, malaria and tuberculosis.

Most of the anti-disease money is supposed to come from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), a Geneva-based institution financed in part of Microsoft Found Bill Gates and his wife, Melinda. Nowadays, the U.S. government contributes 28 percent of the GFATM’s funds.

And so far, GFATM has only handed over $12.45 million to UNICEF, according to the U.N. agency’s spokesman, Chris de Bono, for its anti-malarial and TV campaign. (According to GFATM’s website, UNICEF has received $18.35 million, out of about $31.5 million approved so far.) According to de Bono, another $56 million is due to come from GFATM starting in 2013, provided a “number of conditions” laid down by the Global Fund are met.

Those conditions, according to Global Fund communications director Jon Liden, largely bear on whether the money is meaning the health goals set by the donors. Among them, for example, is a commitment to cut in half the North Korean death rate from malaria by 2013, using the death rate in 2007 as a baseline (0.31 per 1,000 people, vs. 0.62.).

Click here for Global Fund report on North Korea.

Failure to meet the targets could result in reduced funding for the next three years, or a cutoff.

The additional “other” revenues required by UNICEF for 2011-2015 will be raised “as we get into our program,” according to spokesman De Bono, “as is our usual practice.”

The same apparently applies to the bulk of $101 million or so to be spent in North Korea by the World Health Organization (WHO). WHO activities include supporting UNICEF on the malaria and TB campaigns, but also building up North Korean health care, supplying equipment and drugs, and helping institute telemedicine.

But WHO’s own “country cooperation strategy” for North Korea extends only to 2013, meaning all of its fundraising plans for the 2011-2015 have not yet been written.

In the current strategy document, completed in 2009, WHO notes that it will need to use about $3 million of its regular budget and mobilize $20 million annually from voluntary contributions to meet North Koreas needs. This, the document says, “will be a challenging task.”

Just how challenging, perhaps, can be seen in the case of the struggling World Food Program (WFP), whose efforts are outlined in the U.N. Strategic Framework as trying to provide “fortified locally produced nutritious foods” to young children.

In fact, WFP has been running a dwindling operation to provide emergency food to many more of North Korea’s desperately hungry population. But donors stampeded away from the WFP fundraising effort, especially after the Kim regime detonated a nuclear device last year, and questions were raised about whether the government was profiting from the food effort.

Questioned Raised About Who Profits From Aid to North Korea

Currently, WFP has dialed back the goal of its emergency food aid operation from $500 million in 2008-2009 to $91 million.

In the 2011-2015 strategic framework, UNDP and the Rome-based Food and Agriculture Organization will be working on amplifying North Korea’s meager food supply, enhancing, among other things, areas where “double-cropping” is possible, and adding to fruit orchards and livestock herds. UNDP’s project documents say it will spend $13 million on “seed production in alternative cereals” –defined as wheat, barley, soybeans, potatoes—as well as “wild fruit processing and protein-rich production.”

Some of UNDP’s protein projects, however, seem decidedly outside the mainstream, or even bizarre. In its program document, for example, UNDP says it will “support pilot production of protein-rich plans, such as spirulina and pistia statiotes, which will supply nutrients.”

Spirulina is an algae that has gained a reputation in alternative food circles as a diet supplement. In the U.S., health food websites offer a powdered form for anywhere from $24 to $33 per pound—hardly a cheap source of protein for starving people. It is also sold in the U.S. as tropical fish food. But whether North Korea needs a “pilot project” to produce spirulina is debatable.

As far back as October, 2003, a North Korean news agency declared that the Kim government’s botanical institute had, “after years of researches [sic] completed the method of artificially cultivating spirulina at low cost.” The agency added, “It can be cultivated easily in greenhouses too.” Indeed, spirulina is currently listed as a marketable product on a North Korean export website. And on Aug. 6, a Chinese news agency announced that North Korean researchers had created a new spirulina vaccination “which prevents and treats domestic animals’ diseases and increases their weight.” Whether there was any independent verification of that claim was not mentioned in the news article.

As for pistia statiotes, also known as water lettuce, according to the website of the Center for Aquatic and Invasive Plants at the University of Florida, the floating plant is a fast-growing weed, which can block waterways, deplete oxygen supplies in water, and threaten fish populations. It is described as an obnoxious invader in West Africa and Australia. While pistia can survive in temperate climates, it abhors cold and thrives mainly in tropical and semi-tropical environments—not exactly what North Korea is known for.

One of the few places where it is cultivated for its nutritional value is apparently southern China, where it is sometimes used as a supplemental carp food.

In a country full of starving or semi-starving people, of course, almost anything may be viewed as edible. But in the U.N.’s renewed desire to pour money into North Korea, the value of at least some of the projects it is pushing for approval may be hard to swallow.

Read the full story here:
U.N. Lays Plans to Spend $290M on Aid to North Korea
Fox News
George Russell
9/1/2010

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ROK to allow civilian visit to DPRK for medical aid

Friday, August 13th, 2010

UPDATE: According to Yonhap:

A group of five South Koreans on Tuesday crossed the heavily armed border into North Korea, an official here said, delivering 400 million won (US$340,000) worth of anti-malaria aid despite tension between the divided states.

The crossing marked the first South Korean civilian visit to the communist state since Seoul banned trips to North Korea three months ago in protest over the sinking of a South Korean warship in March near their Yellow Sea border.

A doctor and four others, including two drivers, traveled to the North Korean border city of Kaesong on Tuesday morning, Unification Ministry spokesman Chun Hae-sung told reporters. The doctor was needed to explain to North Korean authorities how to use the aid kits, Chun said earlier this week.

ORIGINAL POST: According to Yonhap:

South Korea will allow a doctor to travel to North Korea next week in the first approval of a civilian visit on a humanitarian mission to the communist state since Seoul banned exchanges with Pyongyang in May over the sinking of a South Korean warship, an official said Friday.

The doctor, accompanied by two drivers, will visit the North Korean border town of Kaesong next Tuesday, Unification Ministry spokesman Chun Hae-sung told reporters in a briefing. The group is transporting 400 million won (US$336,100) worth of anti-malaria aid from a civilian relief group, Chun said.

“The doctor’s visit has been granted because he needs to explain to the North how to use the aid kits,” he said, adding any spread of malaria in the North has the potential to affect South Korean residents south of the border.

Read the full story here:
S. Korea to allow rare civilian visit to N. Korea amid tension
Yonhap
Sam Kim
8/13/2010

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