Overview
- The CSIS and George W. Bush Institute released their report on June 17 based on interviews with 100 North Korean residents conducted in the second half of 2023.
- Pyongyang maintained a ‘zero cases’ narrative until May 2022 despite widespread suspected COVID-19 infections and deaths beginning in 2020.
- Citizens had virtually no access to COVID-19 testing, vaccines, antiviral medications or personal protective equipment during the early years of the pandemic.
- Strict border closures, market lockdowns and movement restrictions intensified existing food and medicine shortages across the country.
- Local officials underreported cases and residents concealed symptoms to avoid punishment, further obscuring the true scale of the outbreak.