North Korean Famine - Failure of Sanitation, Energy and Health Systems

Failure of Sanitation, Energy and Health Systems

The threats from famine were compounded by severe damage to health systems and water, sanitation, and energy distribution systems. The DPRK lost an estimated 85% of hydroelectric capacity from damage caused by the floods, along with coal mines, supplies and transport facilities, reducing the ability for the country to produce its own energy. UN officials reported a complex set of problems, commenting that the power shortage problem of 1995-1997

was not due to a shortage of oil as only two of two dozen power stations were dependent on heavy fuel oil for power generation... and these were supplied by KEDO (the Korean Peninsula Energy Development Organization).... About 70% of power generated in the DPRK came from hydropower sources, and the serious winter-spring droughts of 1996 and 1997 (and a breakdown on one of the Yalu River’s large hydro turbines) created major shortages throughout the country at that time, severely cutting back railway transportation (which was almost entirely dependent on electric power), which in turn resulted in coal supply shortages to the coal-fueled power stations which supplied the remaining 20% of power in the country.

With breakdowns in the energy sector, and contamination of water sources due to the failure of sanitation facilities, the health care system was unable to cope with the situation. Inadequate inputs and power failure combined with outdated training and knowledge about health care techniques and procedures led to a health care crisis that added to the overall devastation. According to a 1997 UNICEF delegation,

hospitals were clean but wards were devoid of even the most rudimentary supplies and equipment; sphygmomanometers, thermometers, scales, kidney dishes, spatulas, IV giving sets, etc. The mission saw numerous patients being treated with home made beer bottle IV sets, clearly unsterile. There was an absence of ORS (oral rehydration solution) and even the most basic drugs such as analgesics and antibiotics.

With almost the entire infrastructure in some sort of disrepair, the famine escalated to crisis levels.

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