North Korea’s COVID-19 policy dilemma: epidemic prevention conflicting with trade

IF 5.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Globalization and Health Pub Date : 2024-01-16 DOI:10.1186/s12992-023-01013-9
Byungjin Park, Joonmo Cho
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Abstract

Amidst the COVID-19 pandemic, striking a delicate balance between sustaining economic activity and safeguarding public health has become a crucial concern. The border closures for COVID-19 prevention have further intensified concerns for North Korea, which conducts over 90% of its trade with China and Russia, countries sharing its borders. This study aims to scrutinize North Korea’s response to these competing imperatives by examining the impact of border closures on the country’s trade dynamics with China and Russia. This study employed the difference-in-difference (DID) method to analyze transformations in North Korea’s economic activity before and after the border closures, utilizing trade data and nighttime satellite imagery captured in 2019 and 2020. The results reveal that North Korea actively reoriented its trade priorities towards Russia and accorded precedence to its epidemic prevention system over its economy during the pandemic. A noticeable increase in imports of food and pharmaceuticals was observed, indicating a significant rise in the inflow of these essential commodities. The findings of this study suggest that during the early stages of the COVID-19 pandemic, North Korea placed significant policy emphasis on preserving public health. However, due to economic hardships and food shortages, if the pandemic persists in the long term, it indicates the possibility of partial or complete lifting of border closures to mitigate these challenges.
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朝鲜的 COVID-19 政策困境:防疫与贸易的冲突
在 COVID-19 大流行的情况下,如何在维持经济活动和保障公众健康之间取得微妙的平衡已成为一个至关重要的问题。为预防 COVID-19 而关闭边境进一步加剧了北朝鲜的担忧,因为北朝鲜 90% 以上的贸易都是与中国和俄罗斯进行的。本研究旨在通过考察边境关闭对朝鲜与中国和俄罗斯贸易动态的影响,仔细研究朝鲜如何应对这些相互竞争的需要。本研究采用差分法(DID),利用 2019 年和 2020 年的贸易数据和夜间卫星图像,分析边境关闭前后朝鲜经济活动的变化。结果显示,在大流行病期间,朝鲜积极调整了对俄罗斯的贸易优先次序,并将其防疫系统置于经济之上。据观察,食品和药品的进口明显增加,表明这些必需品的流入显著增加。本研究的结果表明,在 COVID-19 大流行的早期阶段,北朝鲜在政策上十分重视保护公众健康。然而,由于经济困难和粮食短缺,如果大流行病长期存在,则表明有可能部分或完全取消边境关闭,以减轻这些挑战。
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来源期刊
Globalization and Health
Globalization and Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
18.40
自引率
1.90%
发文量
93
期刊介绍: "Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health. The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
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