Sanctions aimed at punishing the North Korean regime are hampering the ability of aid groups to operate inside the country, triggering warnings that the international campaign is harming ordinary North Koreans.
Difficulties in obtaining supplies, including medical equipment, and in transferring money to fund aid programmes could have a direct impact on health and nutrition levels throughout North Korea, aid groups say. "We need to deal with the nuclear problem, but we need to properly ponder our means for achieving that goal," Tomás Ojea Quintana, the UN's special rapporteur on North Korean human rights, said in Tokyo.
About 70 per cent of the North Korean population is already categorised as "food insecure," meaning constantly struggling against hunger, and growth stunting occurs in one in four children. The sanctions could increase the levels of food insecurity and the incidence of acute malnutrition among children.
"These are not just statistics. This is reality in the DPRK," Quintana said. "It's my responsibility to remind the Security Council that they should develop a comprehensive assessment of the possible impact of their sanctions. What is the concrete impact on humanitarian agencies working inside North Korea?"
The UN's World Food Programme, Unicef, the World Health Organisation and the UN Development Programme all have operations in North Korea. A small number of humanitarian agencies based in the United States and elsewhere provide food, medical and agricultural assistance from bases outside the country.