Follow us on social

2020-02-23t104036z_829837423_rc2a6f94lbrh_rtrmadp_3_china-health-north-korea-scaled

The case for U.S.-North Korea diplomacy to combat the coronavirus

U.S. and international sanctions have crushed North Korea's health care system, making it harder to deal with the coronavirus.

Analysis | Asia-Pacific

The coronavirus, or COVID-19, has become a massive threat to the United States. The Dow Jones Industrial Average plunged for the second consecutive day on Tuesday, as the news about American susceptibility to the coronavirus made national headlines. This may be the beginning of an economic downturn, rather than a blip, given the size of the economies that are grappling with the virus, such as China, Japan, South Korea, and Italy. And now the virus has reached American troops. A 23-year-old American soldier stationed in South Korea recently tested positive for COVID-19 — the first U.S. service member to contract the virus.

Indeed, the coronavirus constitutes both a security and economic threat to the United States. It lies in the interest of the United States to eliminate the virus, even in countries with which it has hostile relations. North Korea is a case in point.

Some American policymakers view North Korea as a distant problem. But infectious diseases know no borders, as the current situation shows. North Korea’s close proximity to China, the decrepit state of its healthcare sector, and the high rate of malnutrition among its people all make North Korea extraordinarily susceptible to the coronavirus. Its impact could also spill over into East Asia, including to South Korea where 28,500 U.S. service members are stationed. 

Unfortunately, the international community has no idea if the coronavirus is spreading inside North Korea. As of yesterday, there were 80,994 confirmed cases and 2,760 deaths from the COVID-19 outbreak, according to the Coronavirus COVID-19 Global Cases by Johns Hopkins CSSE, mostly concentrated in East Asia, Italy, and Iran. There are currently no known cases of COVID-19 from North Korea, which shares 900 miles of border with China, home of the largest confirmed cases of coronavirus in the world. The fact that we know nothing about the level of infection or deaths within North Korea is extremely problematic and, left unchanged, could have serious public health implications. According to Choi Jung-hoon, a North Korean neurologist who defected to South Korea in 2012, "Past epidemics that originated in China have always spread to North Korea, and vice versa." During previous outbreaks, such as SARS, he says, cases in North Korea often went unreported. 

Responding to this threat to the U.S. national security is complicated by Washington’s sanctions-centric North Korea policy and its inability to look beyond the nuclear issue. For example, at yesterday’s Senate Foreign Relations Subcommittee on East Asia, the Pacific, and International Cybersecurity Policy hearing on North Korea, only about five minutes were devoted to COVID-19. Of the three representatives who testified, two were from the same think tank (Center for Strategic and International Studies), and two had formerly worked at the Central Intelligence Agency. There was hardly any debate on the impact of international sanctions on North Korea’s healthcare infrastructure or its ability to address pandemics. What’s more, the current U.S. policy has contributed to the weak healthcare system in North Korea. As Ambassador Bob King stated at the hearing, the global sanctions regime against North Korea have made it difficult to deliver life-saving aid to the North Korean people, whether they are test kits, masks, or sending trained personnel to conduct tests in-country for maximum accuracy. 

Dr. Kee Park, a lecturer on Global Health and Social Medicine at Harvard Medical School with firsthand knowledge of the North Korean health system described to me, “When faced with an international public health emergency, the idea that permission should be obtained by highly-regarded international organizations such as the World Health Organization and UNICEF prior to delivering urgent protective and diagnostic supplies is unethical and morally objectionable.” U.S.-led economic sanctions against North Korea have contributed to a weakened healthcare system inside the country, which now threatens U.S. troops and U.S. national security interests in the Asia-Pacific region.

The United States and North Korea must look beyond the nuclear issue and recognize that there’s a common threat. Diplomacy is essential for addressing this and other transnational threats that require coordination, communication, and problem-solving. Both countries must address the coronavirus without delay. Specifically, Pyongyang should be more open and transparent about the impact of the coronavirus on its people and be willing to accept aid. Washington needs to be more creative and ensure that sanctions and North Korea's isolation does not prevent it from receiving medical aid or hamper its ability to respond to that pandemic. After this ordeal has ended, a public debate on the impact of U.S. and U.N. sanctions on the North Korean healthcare system is in order, as the status quo clearly is not serving U.S. national security interests.  


A trolley bus is disinfected amid fears over the spread of the novel coronavirus in Pyongyang, North Korea, in this photo taken on February 22, 2020 and released by Kyodo February 23, 2020. Picture taken February 22, 2020. Mandatory credit Kyodo/via REUTERS ATTENTION EDITORS - THIS IMAGE WAS PROVIDED BY A THIRD PARTY. MANDATORY CREDIT. JAPAN OUT. NO COMMERCIAL OR EDITORIAL SALES IN JAPAN.
Analysis | Asia-Pacific
Why new CENTCOM chief Brad Cooper is as wrong as the old one
Top photo credit: U.S. Navy Vice Admiral Brad Cooper speaks to guests at the IISS Manama Dialogue in Manama, Bahrain, November 17, 2023. REUTERS/Hamad I Mohammed

Why new CENTCOM chief Brad Cooper is as wrong as the old one

Middle East

If accounts of President Donald Trump’s decision to strike Iranian nuclear facilities this past month are to be believed, the president’s initial impulse to stay out of the Israel-Iran conflict failed to survive the prodding of hawkish advisers, chiefly U.S. Central Command (CENTCOM) chief Michael Kurilla.

With Kurilla, an Iran hawk and staunch ally of both the Israeli government and erstwhile national security adviser Mike Waltz, set to leave office this summer, advocates of a more restrained foreign policy may understandably feel like they are out of the woods.

keep readingShow less
Putin Trump
Top photo credit: Vladimir Putin (Office of the President of the Russian Federation) and Donald Trump (US Southern Command photo)

How Trump's 50-day deadline threat against Putin will backfire

Europe

In the first six months of his second term, President Donald Trump has demonstrated his love for three things: deals, tariffs, and ultimatums.

He got to combine these passions during his Oval Office meeting with NATO Secretary General Mark Rutte on Monday. Only moments after the two leaders announced a new plan to get military aid to Ukraine, Trump issued an ominous 50-day deadline for Russian President Vladimir Putin to agree to a ceasefire. “We're going to be doing secondary tariffs if we don't have a deal within 50 days,” Trump told the assembled reporters.

keep readingShow less
Trump White House reporters
U.S. President Donald Trump responds to questions from reporters on the South Lawn on July 11, 2025. (Photo by Samuel Corum/Sipa USA)

Russia sanctions & new weapons, is Trump stuck in Groundhog Day?

Europe

President Trump finds himself in a rerun of his first term on Ukraine policy. Declawed by lawmakers in D.C. and forced to push policies that worsen the U.S. relationship with Russia.

He is expected today to announce that the U.S. will be sending more advanced patriot missile batteries to Ukraine — via NATO member countries, which will be paying for it.

keep readingShow less

LATEST

QIOSK

Newsletter

Subscribe now to our weekly round-up and don't miss a beat with your favorite RS contributors and reporters, as well as staff analysis, opinion, and news promoting a positive, non-partisan vision of U.S. foreign policy.