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While U.S. President Joe Biden has played a key role in galvanizing Western nations’ condemnation of Moscow’s aggression against Ukraine, his administration is finding it harder to build a global coalition in the Indo-Pacific to isolate Russian President Vladimir Putin.

Key regional partners such as Australia, Japan, South Korea, Singapore and Taiwan have announced significant financial sanctions and export controls against Moscow, but others have resisted Western pressure to even condemn the invasion.

Most notable among these is India. While it is a strong U.S. partner in containing China in the Indo-Pacific, New Delhi relies heavily on Russian defense purchases and abstained from the United Nations General Assembly resolution demanding that Russia “immediately, completely and unconditionally withdraw all of its military forces from the territory of Ukraine within its internationally recognized borders.”

India also abstained on a U.N. Security Council vote (( )) that Russia vetoed.

India’s reluctance

Biden convened an emergency virtual Quad meeting on Thursday, a day after India’s abstention from General Assembly vote. The Quad, an informal grouping of the U.S., India, Australia and Japan, was established mainly to address regional concerns about China’s rise.

India — which relies on Russia militarily in its border disputes with Pakistan and China — is in a predicament, analysts say. While India’s Western allies expect it to uphold the liberal international order and condemn Russian aggression, its regional geopolitical requirements and dependence on Moscow limit its options.

“India cannot overnight stop all purchases — especially of military spare parts — from Russia, but it can show that going forward, it is going to speed up its military modernization and look to other defense partners — U.S., France, Israel, South Korea — instead,” said Aparna Pande, director of Hudson Institute’s Initiative on the Future of India and South Asia.

“This will be especially helpful as the CAATSA sanctions are still on the table when it comes to India’s purchase of [the] S-400 missile system from Russia,” Pande told VOA. He was referring to the 2017 Countering America’s Adversaries Through Sanctions Act — a law allowing sanctions on any country that has “significant transactions with Iran, North Korea or Russia.”

The administration is looking “very closely” at whether those sanctions should be applied to India, Donald Lu, U.S. assistant secretary of state for South Asia, told a Senate subcommittee hearing on Wednesday.

In a signal to Beijing, Quad leaders agreed that what was happening in Ukraine should not be allowed to happen in the Indo-Pacific, according to statements made by the prime ministers of Japan and Australia. The statements are in line with a joint statement issued after the summit that said the leaders had “discussed the ongoing conflict and humanitarian crisis in Ukraine and assessed its broader implications.”

Perhaps evident of New Delhi’s resistance, however, the Quad statement did not mention Russia or use the word “invasion.” The White House has not responded to VOA’s request for more details about the meeting.

Emerging coalition in Indo-Pacific

Australia has targeted sanctions on key Russian banks, institutions and hundreds of individuals, including Russian President Vladimir Putin and his top officials. While Australia is not a NATO member, Canberra said it is providing medical supplies, financial assistance and lethal as well as nonlethal military equipment to Ukraine.

Japan, the world’s third-largest economy, has joined Western allies in blocking major Russian banks from a key international payment network known as SWIFT (Society for Worldwide Interbank Financial Telecommunication); freezing the assets of Putin, his top officials and oligarchs; and tightening export controls, including on semiconductors. It is also imposing sanctions on Belarusian President Alexander Lukashenko and his top officials, condemning the country for allowing Russian troops to enter Ukraine through its territory.

South Korea has announced tighter export controls and joined the SWIFT cutoff of Russian banks. Among the controlled items are electronics, semiconductors and computers; information and communications supplies; sensors and lasers; navigation and avionics technology; and marine and aerospace equipment.

Taiwan, a democratically governed island that Beijing claims as its breakaway province, said it will align with the West on blocking Moscow from SWIFT. Home to the world’s largest semiconductor manufacturer, TSMC, Taipei also announced export control rules on chips.

A fractured ASEAN approach

The Association of Southeast Asian Nations, or ASEAN, has called for an immediate cease-fire and dialogue. While the statement was cautious, some observers say it’s notable that ASEAN, known for its principle of noninterference and neutrality toward major powers, even put out a statement at all. Still, it did not name Russia.

“The invasion should have alerted Southeast Asian policymakers because it tells us that international law, economic interdependence and confidence-building norms exercise — all key features of ASEAN’s regional order — are not sufficient to prevent an outright aggression,” Evan Laksmana, an Indo-Pacific security expert at the National University of Singapore, told VOA Khmer.

“More than the violation of principles Southeast Asian states claim to be sacrosanct, the invasion also tells us that gray zone tactics that major powers use — whether in Ukraine or South China Sea — may be a prelude to an outright war rather than an alternative to it.”

Some ASEAN members, however, have broken with the group and found their own voice in condemning Moscow. Most notably Singapore, which has announced financial sanctions and export controls on items that can be used as weapons against Ukrainians.

Others have released statements condemning the invasion but have not applied punitive measures. Indonesia, the largest Southeast Asian country, has condemned it as “unacceptable” but also did not mention Russia in its official statement. Nor did the Philippines and Brunei.

Other ASEAN members did not release individual statements but have joined the March 2 U.N. General Assembly resolution overwhelmingly supported by 141 countries.

“Mainly (it’s) the democratic states and those that are most closely aligned with the West, who are explicitly on their own condemning the invasion,” said Gregory Poling, director of the Southeast Asia Program at the Center for Strategic and International Studies. “Then you’ve got Malaysia and Thailand and Cambodia, who are only doing it under cover of the U.N.,” he told VOA.

In addition to Russia, four countries — Belarus, North Korea, Eritrea and Syria — voted against the U.N. resolution, and 35 countries abstained, including the ASEAN countries of Vietnam and Laos.

“Vietnam is stuck in a tough position here where its entire military is running on Russian hardware,” Poling said. “Laos was much more in the Soviet camp than other parties and still does have a very close strategic relationship with Russia.”

Myanmar’s representative at the U.N., acting on behalf of the government in exile, voted yes on the resolution against Russia.

However, the junta in Naypyidaw has thrown its support behind Moscow. “Russia has worked to consolidate its sovereignty,” General Zaw Min Tun, a spokesperson for Myanmar’s military council, said in an interview with VOA Burmese. He said the support is “the right thing to do” to show that “Russia is a world power.”

“The Myanmar junta has become close to Moscow, so it isn’t surprising that it is praising the Russian war effort,” Joshua Kurlantzick, senior fellow for Southeast Asia at the Council on Foreign Relations, told VOA.

One reason for ASEAN’s fracture is the effort of individual countries to maintain a balance of power in the region.

“Most ASEAN member states use their relationships with Russia partly to offset the strength of China in the region,” said Aaron Connelly, senior fellow at the International Institute for Strategic Studies. “Many of them are loath to break relations with Russia because it’s part of the way that they diversify their relationships in the world.”

While ASEAN is limited in its geopolitical clout, Connelly pointed out that later this year ASEAN chair Cambodia will host the East Asia Summit, Thailand will host the Asia-Pacific Economic Cooperation, and Indonesia will host the G-20. All those forums include Russia, and if conflict persists, host countries will come under enormous pressure from Western countries to ban Moscow from the meetings.

Meanwhile, China has been careful to neither explicitly endorse nor condemn the Russian invasion. Analysts say Beijing is eyeing the Ukraine crisis with concern, however, and would prefer to see it peacefully resolved.

“The Chinese are risk averse, and if this crisis has taught them anything, it is that there are dire consequences to pay for doing stupid things,” said Sergey Radchenko, Wilson E. Schmidt Distinguished Professor at the Johns Hopkins School of Advanced International Studies.

“Putin has staked Russia’s future on this conflict, and he seems to be losing at the moment,” he told VOA. “Beijing is therefore looking for ways to bring Russia to its senses, perhaps through mediation.”

Some information in this report came from Reuters.

Doctors and specialists in endocrinology ask to recognize obesity as a chronic disease, provide more adequate treatments and create prevention programs. March 4, World Obesity Day

Experts call for a multidisciplinary approach to obesity


Sports activity favors the prevention of obesity. Photo courtesy of Nacho Bazarra

According to the World Health Organization, obesity has tripled since 1975 worldwide. In 2020, 16% of the Spanish population suffered from this disease, according to data from the Ministry of Health.

Obesity is a chronic disease of pandemic dimension. Currently, more than half of the world’s population is overweight. In Europe, one in 5 people.

In Spain, the prevalence of overweight is 39.3% in adults and 21.6% of obesity. However, numerous factors prevent an effective and multidisciplinary approach.

Within the framework of World Obesity Day, the Spanish Society of Endicronology and Nutrition (SEEN) has launched a series of warnings about this pathology, as well as recommendations and requests for the approach and treatment of the disease.

little recognition

The lack of recognition by society and health professionals is one of the factors that makes an adequate approach impossible.

According to the ACTION-IO study, 59% of people with obesity recognize that it is a chronic disease and 80% believe that treatment is their responsibility.

From the association they denounce that many affected take up to 6 years to go to a health professional to request treatment.

In addition, only 44% of patients receive a diagnosis from their doctor and 24% have a follow-up.

This lack of attention is mainly due to factors such as stigmatization, lack of resources, difficult economic access to pharmacological treatment and long waiting lists for surgical treatment.

For this reason, experts ask that obesity be considered as a chronic disease and that a multidisciplinary approach be taken.

Likewise, the SEEN believes that it is necessary to carry out a strategic plan for prevention, diagnosis and treatment and recalls that the origin of obesity is complex and multifactorial.

Physical activity, the best prevention

Genetics, stress and a sedentary lifestyle are some of the causes that can produce this disease.

The health professionals explain that an adequate treatment of obesity can prevent the incidence of cancer, general mortality, cardiovascular problems and remit diabetes.

Similarly, physical activity and following a varied and balanced diet are key to preventing obesity.

For this reason, from the Spanish Society of Endocrinology and Nutrition they propose to involve the ministries of health and the different institutions to promote health and the creation of a healthier environment.

In addition, the association makes available to primary care a Comprehensive approach guide to obesity to facilitate care from the patients.

Its purpose is to promote greater knowledge and understanding of this disease to improve access to treatment and end stigma.

world obesity day
Photograph of a person weighing himself. EPA/ORESTIS PANAGIOTOU

Main recommendations

The high prevalence, the pleasure that food can bring, the aesthetic pressures, hoaxes and pseudosciences pose a challenge for the health approach.

On the other hand, many professionals lack training in healthy eating and there is a huge shortage of multidisciplinary teams that know how to treat this disease.

However, prevention is the best treatment.

From the medical team of Melio.es, an online blood analysis platform, they launch four recommendations to avoid obesity:

  • Don’t go hungry: eat five meals a day to avoid binge eating and limit snacking. Choose healthy and filling snacks like nuts, dairy products and fruit.
  • Increase the consumption of fruit: fruits provide essential vitamins and minerals for the functioning of the body. They are also rich in fiber and water, so they favor hydration and appetite regulation.
  • Increase physical activity: start gradually with small challenges to keep you active. Change small habits like using the car and change them for a walk. Little by little you can increase the time and introduce more activity.
  • Check your health: carry out regular check-ups of blood tests to determine the existence of dyslipidemia, diabetes or other diseases.

Talks on restoring a deal to curb Iran’s nuclear program and ease sanctions are near conclusion, a Russian envoy said on Tuesday, and sources close to the negotiations said a prisoner swap between Iran and the United States is expected soon.

“Apparently the negotiations on restoration of #JCPOA are about to cross the finish line,” Mikhail Ulyanov said on Twitter, using the 2015 agreement’s full name, the Joint Comprehensive Plan of Action. Read full story.

Reuters reported last week that a U.S.-Iranian deal was taking shape in Vienna after months of talks between Tehran and major powers to revive the nuclear deal pact, abandoned in 2018 by then-U.S. President Donald Trump, who also reimposed extensive sanctions on Iran. Read full story.

A draft text of the agreement alluded only vaguely to other issues, diplomats said, adding that what was meant by that was unfreezing billions of dollars in Iranian funds in South Korean banks, and the release of Western prisoners held in Iran.

On Saturday, Iranian Foreign Minister Hossein Amirabdollahian said the Islamic Republic was ready for an immediate prisoner exchange with the United States.

“Iran has always and repeatedly expressed its readiness to exchange prisoners. Months ago we were ready to do it but the Americans ruined the deal,” a senior Iranian official in Tehran told Reuters, without elaborating.

“Now I believe some of them will be released, maybe five or six of them. But those talks about prisoners are not linked to the nuclear agreement, rather associated with it. This is a humanitarian measure by Iran.”

U.S. negotiator Robert Malley has suggested that securing the nuclear pact is unlikely unless Tehran frees four U.S. citizens, including Iranian-American father and son Baquer and Siamak Namazi, that Washington says Tehran is holding hostage.

“Six years ago the Iranian government arrested Baquer Namazi and they still refuse to let him leave the country,” Malley tweeted on Tuesday. “The Iranian government can and must release the Namazis, Emad Shargi, Morad Tahbaz, and other unjustly held U.S. and foreign nationals.”

Iran, which does not recognize dual nationality, denies taking prisoners to gain diplomatic leverage. However, in recent years, the elite Revolutionary Guards have arrested dozens of dual nationals and foreigners, mostly on espionage and security-related charges.

Britain has been seeking the release of British-Iranians Anousheh Ashouri, jailed on espionage charges, and Nazanin Zaghari-Ratcliffe, a project manager with the Thomson Reuters Foundation who was convicted of plotting to overthrow the clerical establishment. L8N2UW3FH

Tehran has sought the release of over a dozen Iranians in the United States, including seven Iranian-American dual nationals, two Iranians with permanent U.S. residency and four Iranian citizens with no legal status in the United States.

Most were jailed for violating U.S. sanctions against Iran.

In the latest comments on the final phase of 10 months of nuclear negotiations, the talks’ coordinator, Enrique Mora, tweeted that “key issues need to be fixed” but the end was near.

Several Iranian officials, who spoke to Reuters on condition of anonymity, said some minor technical issues were being discussed in Vienna and that a deal was expected before the end of the week, though adding that “nothing is agreed until everything is agreed.”

Separately, hardline Iranian President Ebrahim Raisi told gas exporter countries on Tuesday to avoid any “cruel” sanctions imposed by the United States on Tehran.

“The members of this forum should not recognize those sanctions…(because) in today’s world we see that the sanctions are not going to be effective,” Raisi told a gas exporters conference in Doha.

The 2015 deal between Iran and world powers limited Tehran’s enrichment of uranium to make it harder for it to develop material for nuclear weapons, if it chose to, in return for a lifting of international sanctions against Tehran.

Since 2019, following the U.S. withdrawal from the deal, Tehran has gone well beyond its limits, rebuilding stockpiles of enriched uranium, refining it to higher fissile purity and installing advanced centrifuges to speed up output.

With denuclearization talks with North Korea stalled and missile tests accelerating, some experts are wondering whether Washington should offer high-level, person-to-person talks to re-engage Pyongyang to end the current stalemate and de-escalate tensions.

“The U.S. should consider any type of engagement that will help restart diplomatic talks aimed at peace and denuclearization, including senior-level official meetings,” said Frank Aum, a senior expert on North Korea at the U.S. Institute of Peace.

Harry Kazianis, a senior director at the Center for National Interest, said, “Offering high-level talks is an easy way to try and convince the North Koreans Washington is serious about talks.”

The Biden administration is facing criticism that its approach to North Korea is not working as Pyongyang ratchets up tension while ignoring Washington’s offer of talks without preconditions.

Pyongyang conducted 11 missile launches in January, setting a record for a single month. It also raised the possibility of restarting nuclear or intercontinental ballistic missile tests and bragged that it is the only country that can use its weaponry to strike the U.S.

Stalemate amid tensions

Talks with Pyongyang deadlocked in October 2019 after a working-level meeting held in Stockholm to save the failed summit in Hanoi dissolved without progress.

The Hanoi summit held in February 2019 between former President Donald Trump and North Korean leader Kim Jong Un broke down when Trump rejected Kim’s demand for full sanctions relief in exchange for partial denuclearization.

Critics at the time slammed Trump for meeting with Kim, first in Singapore in June 2018 and then in Hanoi, without securing a concrete denuclearization deal. Trump was also often criticized for exchanging what he frequently hailed as “beautiful” personal letters with Kim.

But with diplomacy stalled, North Korea watchers around the world are wondering if Trump-style, person-to-person diplomacy should be retried to reengage Kim.

A survey of 250 Pyongyang watchers by NK News found nearly half of 82 respondents voted Trump’s summit diplomacy with Kim as “the best decision by Washington during the Kim Jong Un era.”

FILE - Then-U.S. President Donald Trump shakes hands with North Korean leader Kim Jong Un as they meet at the demilitarized zone separating the two Koreas, in Panmunjom, South Korea, June 30, 2019.

FILE – Then-U.S. President Donald Trump shakes hands with North Korean leader Kim Jong Un as they meet at the demilitarized zone separating the two Koreas, in Panmunjom, South Korea, June 30, 2019.

High-level engagement

Similarly, some experts think Washington should try what Trump tried — sending a letter — to jump-start the talks, while holding off any ​leadership summit​s until ​nuclear envoys hammer out a denuclearization deal.

“A letter from Biden to Kim may provide Kim the level of seriousness and respect he is looking for while also not undermining any red lines that the Biden administration has set, such as a premature summit or providing sanctions relief upfront,” said Aum.

“It is probably prudent to hold off on a summit until the two sides can confirm that actual progress has been achieved,” Aum added.

Scott Snyder, director of the program on U.S.-Korean policy at the Council on Foreign Relations, said sending North Korea “a letter or an emissary are plausible options.” He said Kim “seeks evidence of seriousness of purpose from the U.S.” on its offer for talks.

Other experts think the U.S. should not try Trump-style, top-down diplomacy leading with a summit.

Bruce Klingner, senior research fellow for Northeast Asia at the Heritage Foundation, said, “President Trump’s approach to North Korea — engaging in summit meetings with no prior substantive progress or preparation — was an aberrant from standard U.S. diplomacy and should not be followed.”

Klingner continued, “The United States should not offer senior-level meetings or even presidential correspondence without some indication that North Korea is receptive to dialogue.”

Failed approach

Evans Revere, a former State Department official with extensive experience negotiating with North Korea, said, “The issue is not the level of dialogue.”

Revere continued, “Washington has not ruled in or out any particular level of engagement. The issue is North Korea’s lack of interest in engagement either with Washington or Seoul. North Korea does not seem to want talks at this point. Rather, Pyongyang wants concessions, mainly from the United States, on sanctions and the so-called ‘hostile policy.’ ”

FILE - Commuters watch a TV showing file images of North Korean leader Kim Jong Un and U.S. President Joe Biden during a news program at the Suseo Railway Station in Seoul, South Korea, March 26, 2021.

FILE – Commuters watch a TV showing file images of North Korean leader Kim Jong Un and U.S. President Joe Biden during a news program at the Suseo Railway Station in Seoul, South Korea, March 26, 2021.

Patrick Cronin, the Asia-Pacific Security Chair at the Hudson Institute, said, “The impasse in diplomacy between North Korea and the United States is not the level of dialogue.”

Cronin added that Kim “would undoubtedly like President Biden to invite him to a summit where they would announce a reduction in hostilities and the removal of major sanctions. Because he knows that is unlikely to happen soon, he is happy to avoid meaningful diplomacy altogether.”

Responding to a VOA Korean Service inquiry on whether Washington should consider a new diplomatic push involving a high-level official to engage Pyongyang, the State Department continued to express its openness to meeting with North Korea without preconditions.

A State Department spokesperson on Thursday said, “We remain hopeful the DPRK will respond positively to our outreach.” The DPRK stands for North Korea’s official name, the Democratic People’s Republic of Korea.

Journalist Jiha Ham contributed to this report, which originated with VOA’s Korean Service.

North Korea this week resumed railway imports from China for the first time since its lockdown began in 2020, potentially signaling a new phase in its approach to the pandemic.

Since Sunday, North Korean freight trains have made several round trips across the Yalu River separating the North Korean city of Sinuiju and the Chinese city of Dandong.

That is a significant relaxation of COVID-19 measures for North Korea, which has taken perhaps the world’s most severe pandemic precautions.

However, there are more questions than answers about what the move says about North Korea’s future pandemic approach and when it will attempt to fully resume trade with China, its economic lifeline.

Why did North Korea resume trade now?

It is possible the decision was driven by desperation spurred by shortages of food or other supplies. There could also be far duller explanations, though, said Peter Ward, a Seoul-based specialist on North Korea’s economy.

“There are loads of reasons why you’d want to reopen it. And those reasons may not be, ‘Well, there’s going to be a revolution next week unless people in north Pyongyang get their food rations,’” he said.

North Korea, Ward suggested, might be increasing entry options for imports from China, which was already sending some goods to North Korea by ship. It is also possible a well-connected official in Sinuiju, which relies on trade with China and has suffered economically during the pandemic, may have lobbied North Korean leader Kim Jong Un to restart the railway imports.

Or it could be that North Korea is now confident enough in its import safety measures, following months of preparation.

What goods are North Korea importing so far?

During the pandemic, North Korea has experienced shortages of food, medicine, fertilizer, and construction supplies. Some of those items appeared to be included in the first shipments from China, according to video broadcast by several Japanese and South Korean media outlets.

“But I think there is a strong chance Kim Jong Un also used the deliveries to Pyongyang to stock up on the gifts he intends to dole out for upcoming celebrations in order to maintain loyalty to the Kim family,” Jean Lee, a senior fellow at the Wilson Center, a Washington-based research organization, said.

On Thursday, a state media readout of a high-profile Politburo meeting mentioned that North Korea should prepare to “grandly” celebrate the coming birthdays of late leaders Kim Il Sung and Kim Jong Il, which are major public holidays.

FILE – Citizens visit the bronze statues of their late leaders Kim Il Sung, left, and Kim Jong Il on Mansu Hill in Pyongyang, North Korea Thursday, Dec. 16, 2021, on the occasion of 10th anniversary of demise of Kim Jong Il.

The Daily NK, a Seoul-based publication with a network of sources in North Korea, reported this week at least some of the initial shipments included soybean oil, a cooking staple, which will be distributed as gifts on the holidays, known as the Day of the Sun and the Day of the Shining Star.

“Everything right now is focused on preparations to glorify the Kim family — not necessarily on the well-being of the North Korean people,” Lee said.

What safety precautions is North Korea taking with the import process?

A lot. In fact, North Korea appears to be so cautious that it may not even be allowing any North Koreans to enter China to facilitate the shipments. Video of the transfers appears to show a Chinese locomotive dropping off train cars full of goods to North Korea, before bringing empty cars back to China to reload.

Once in North Korea, the cargo appears to enter a disinfection facility recently constructed at an airport near the border, according to commercial satellite photos reported by NK News, a Seoul-based outlet that covers North Korea. At the facility, the goods will likely be sterilized and quarantined, possibly for weeks, analysts say.

Many scientific studies conclude it is very difficult for people to be infected with COVID-19 through contact with contaminated surfaces or objects. However, North Korea is taking no chances, Colin Zwirko, senior NK News correspondent, said.

FILE - People wearing protective face masks walk amid concerns over the new coronavirus disease (COVID-19) in front of Pyongyang Station in Pyongyang, North Korea April 27, 2020, in this photo released by Kyodo.

FILE – People wearing protective face masks walk amid concerns over the new coronavirus disease (COVID-19) in front of Pyongyang Station in Pyongyang, North Korea April 27, 2020, in this photo released by Kyodo.

“North Korea maintains the most severe ‘zero-COVID’ policy in the world because an outbreak could lead to the collapse of the entire system, they admit this in state media. This means they are willing to prevent infections at all costs, even if it requires quarantining objects for long periods that might stand little chance of transmitting the virus. It’s a better-safe-than-sorry approach,” Zwirko says.

In the past, North Korean officials have embraced numerous scientifically questionable theories about how COVID-19 spreads. The virus, state media have reported, could spread through migratory birds, snow, air pollution, or anti-Pyongyang propaganda leaflets sent by South Korean activists.

How much trade will North Korea allow?

So far, Japanese and South Korean media have reported at least three roundtrips by freight trains from Sunday through Wednesday. South Korean officials said Thursday they have “steadily detected” train activity, but they could not say how long the train service will continue.

On Monday, China’s Foreign Affairs Ministry confirmed that rail traffic between North Korea and China had “resumed operation,” suggesting the activity could become regular. It is not clear, however, how quickly the quarantine and disinfection facilities will fill up. Some analysts speculate that that process could be a choke point limiting a wider resumption in trade.

So far, it appears that the trains have only sent goods in one direction, to North Korea, but Daily NK reported Thursday that some North Korean trading companies have begun preparing items for export to China, following an order from authorities.

Both sides have a long way to go to restore pre-pandemic trade levels. According to Chinese government data released this week, China’s trade with North Korea in 2021 fell about 90% compared to 2019, the year before the pandemic restrictions began.

How will North Korea handle the pandemic moving forward?

While many analysts think North Korea’s trade with China will gradually increase this year, others warn there could be setbacks, especially as China calibrates its own “zero-COVID” policy and struggles to keep out the more transmissible omicron variant.

FILE - Staff of the Pyongyang Department Store No. 1 disinfect the store to help curb the spread of the coronavirus before it opens in Pyongyang, North Korea, Dec. 28, 2020.

FILE – Staff of the Pyongyang Department Store No. 1 disinfect the store to help curb the spread of the coronavirus before it opens in Pyongyang, North Korea, Dec. 28, 2020.

It is also not clear whether North Korea will loosen other pandemic restrictions, such as its domestic travel restrictions and border security policies. Since the pandemic began, North Korea has dramatically increased patrols along its border with China, reportedly even issuing shoot-to-kill orders for illegal crossers. The measures have led to a drastic reduction in the number of North Korean escapees and cut off virtually all informal trade, such as smuggling and remittance payments.

Pyongyang may not feel comfortable easing many of those restrictions until it has tools, beyond lockdowns, to combat the virus.

North Korea has refused offers of COVID-19 vaccines from other countries and the United Nations-backed COVAX vaccine distribution initiative. According to the World Health Organization, it is one of only two countries yet to begin vaccination campaigns, the other being Eritrea.

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