North Korea’s leader Kim Jong-un has lambasted health officials and ordered the army to help distribute medicine, as a wave of Covid cases sweeps through the country.
More than a million people have now been sickened by what Pyongyang is calling a “fever”, state media said.
Some 50 people have died, but it’s unclear how many of those suspected cases tested positive for Covid.
North Korea has only limited testing capacity, so few cases are confirmed.
North Koreans are likely to be especially vulnerable to the virus due to lack of vaccinations and a poor healthcare system. A nationwide lockdown is in place in the reclusive country.
State media said Mr Kim led an emergency politburo meeting at the weekend where he accused officials of bungling the distribution of the national medicine reserves.
He ordered that the “powerful forces” of the army’s medical corps step in to “immediately stabilise the supply of medicines in Pyongyang City”.
The country announced its first confirmed Covid cases last week – although experts believe the virus has likely been circulating for some time.
Mr Kim has imposed “maximum emergency” virus controls, including lockdowns and gathering restrictions in workplaces.
The international community offered to supply North Korea with millions of AstraZeneca and Chinese-made jabs last year, but Pyongyang claimed it had controlled Covid by sealing its borders early in January 2020.
Professor Hazel Smith of the School of Oriental and African Studies (SOAS) in London says those strict quarantines have been a key strategy for North Korea in its bid to control epidemics in the past – such as for Sars or Ebola.
Now that the borders have been breached, the country lacked organisational infrastructure and was struggling with basic necessities like “enough disinfectant and electricity and running water”, she told BBC Radio 4’s Today programme.
“Once an epidemic has started, they’ve got difficulties in controlling and treating people who are ill,” Prof Smith added.
North Korea shares land borders with South Korea and China, which have both battled outbreaks. China is now struggling to contain an Omicron wave with lockdowns in its biggest cities.
South Korea has offered to send unlimited aid to the North if requested, including vaccine doses, health workers, and medical equipment.
On Saturday Mr Kim called the rapidly spreading Covid-19 outbreak a “great disaster”.
“The spread of the malignant epidemic is [the greatest] turmoil to fall on our country since the founding,” the official KCNA news agency quoted him as saying.
As well as the direct health impact, fears have been raised for food production in North Korea. It suffered a brutal famine during the 1990s, and today the World Food Programme estimates that 11 million of the country’s 25 million people are undernourished.
If agricultural workers are unable to tend the fields, analysts say, the implications are extremely serious.