Inside North Korea: People still suffer legacy of pandemic-era controls
The path to freedom is harder than ever. But the North Korean people haven’t given up. Join us this World Refugee Day in offering a way forward.
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During the pandemic, the regime took every opportunity to tighten its control under the guise of stopping the spread of COVID-19. Borders were sealed and reinforced, isolating the country and its people to an unprecedented extent. Trade was cut off, and the jandmadang—the markets that we’ve long highlighted as hotspots of change—were decimated.
Although the pandemic feels like history, the situation remains difficult as North Koreans recover from their most challenging period for a generation.
Information from inside the country has become increasingly difficult to obtain these last few years. But a landmark 2024 report from Human Rights Watch has offered some visibility into North Korea’s intensifying repression and the increased challenges North Korean people have faced.
Decimated Market Activity
“The prolonged border closures and restrictions on movement in-country have decimated the market activity that has become essential for the general population to access basic necessities.”
– Tomas Ojea-Quintana, then special rapporteur on the situation of human rights in the DPRK in March 2022 (via Human Rights Watch)
When North Korea’s socialist economy collapsed in the mid-1990s, triggering widespread famine, ordinary North Koreans negotiated their own survival through illicit trade and smuggling. Grassroots marketization was leading to opening and change in North Korea, centered around the markets—the jangmadang.
But when the regime closed its borders in 2020, almost all trade was cut off.
Human Rights Watch shares that according to official records, by 2021 North Korea was importing only 6% of what it had been importing in 2011—a staggering decrease. But these numbers still fail to fully capture the lives and needs of ordinary North Koreans, a sentiment echoed by the former North Korean traders that spoke with Human Rights Watch:
“There was a large but unmeasurable gap between what official trade numbers show and the quantities of products ordinary North Koreans need in their daily lives. This gap, previously narrowed by informal trade, became huge when informal trade and economic activity was almost completely choked off starting in 2020.”
Intensified Border Security
“We found a 20-fold increase in the number of new guard buildings or facilities since 2019, with a total of 6,820 facilities placed near new or improved fences… [and] almost 500 kilometers (over 300 miles) of new fences…”
– Human Rights Watch
Through satellite imagery analysis, Human Rights Watch reviewed 321 kilometers, or roughly one-quarter of North Korea’s northern border, to compare security measures from before and after the pandemic.

Prior to 2020, approximately 230 kilometers (71%) of the 321 kilometers analyzed were fenced. But in the years since, multiple layers of fencing have been newly constructed, along with new and upgraded guard posts. Based on 2023 satellite imagery, there is now a staggering 743 kilometers (over 460 miles) of fencing within the 321 kilometers analyzed.
Along with infrastructure, in August 2020, the North Korean government created 1-2 kilometer “buffer zones” along its border with China, and instructed guards to “unconditionally shoot” on sight any person or wild animal entering the zones without permission, as “the [COVID-19] pandemic is being spread through air and items.” There were reports of at least 14 people being shot and killed between September 2020 and July 2022.
Human Rights Watch spoke with Young Mi, a former herbal medicine trader in contact with a relative in North Korea, to hear how the extreme restrictions had affected life in border areas:
“It is more the emotional environment and fear more [than the actual physical barriers] … [My relative] is scared to leave because of… a general sense of terror much stronger than a bullet or a wire fence.”
Starvation and Food Insecurity
“North Korea is one of the poorest countries in the world and the government has persistently struggled to ensure food security, adequate childhood nutrition, and access to medicine.”– Human Rights Watch
Chronic oppression in North Korea has created one of the most impoverished countries in the world. A 2023 UN report estimated that 46% of the population face food insecurity. Those 12 million North Koreans aren’t just numbers, but people like Eunju.
Eunju escaped from North Korea in 1999, fleeing starvation during the “Arduous March,” a propagandized name for a period of widespread famine.
“When the Arduous March began, rations from workplaces were nearly cut off. At first, we managed by selling household belongings or trading them for food, but eventually, there was nothing left to exchange. People would sigh, saying, ‘We can’t even trade our empty house for a single block of tofu.’
When spring arrived, we ate every kind of wild plant we could find, even peeling bark off pine trees, boiling and pounding it for days to make it edible. Although I managed to survive, death was everywhere. Some consumed nothing but wild plants and died from poisoning. Some were shot by soldiers while trying to steal corn from farms. Some were publicly executed for slaughtering and eating a cow. Some were orphaned street children, beaten to death for trying to steal food from others.
People lost their lives in different ways, but in the end, they all died trying to survive. The root cause was the same—severe food shortages.”
In 2021, Kim Jong Un urged the people to “wage another more difficult ‘Arduous March.’” Yet the regime continued to restrict cross-border trade and prioritize weapons development, all while neglecting domestic food production.
In the report from Human Rights Watch, Jiro Ishimaru, the director at Asiapress, shared that “In 2021, there were reports of people with disabilities and older people dying of starvation... after over three years of extreme difficulties, in April and May, there was a spike in reports of whole families and ordinary people dying of starvation in urban areas near [North Korea’s] northern border.”
Crackdowns on Foreign Media
“Simply watching [foreign] media content can result in a sentence of forced labor of over 10 years in a forced labor prison camp… Public executions of offenders are permitted, evidently to increase a sense of fear and alarm among the population”
– Human Rights Watch
The near-absolute control of information and media is one of the key ways that the regime disempowers and represses North Korean people. During the pandemic, it imposed several new laws that increase the severity of punishments for being caught with foreign media, and go as far as to restrict how individuals can express themselves.
Human Right Watch outlines the main additions:
- Reactionary Ideology and Culture Rejection Law (December 2020) “bans people from smuggling, viewing, and distributing ‘reactionary’ and ‘anti-socialist ideology and culture’”
- Youth Education Guarantee Law (September 2021) “bans young people from copying foreign culture and reorients them to a ‘socialist lifestyle’”
- Pyongyang Cultural Language Protection Act (January 2023) “permits the authorities to punish people for using South Korean intonations or slang”
Offenders could be sentenced to 6+ years of hard labor, or “if the severity of the crime is deemed high,” the death penalty.
The timing of these new laws is no coincidence. As North Koreans face a reality that is increasingly distant from the propaganda they’ve been told to believe, foreign media has the potential to further erode the regime’s legitimacy and control.
Our North Korean friend, Yulseong, shared how foreign media impacted his perception of the the regime and his ultimate decision to leave in 2018:
“I was introduced to music and movies from other countries through my friends. For movies, I loved James Bond and other Hollywood films. While watching them, I realized that North Korea was truly a poor country, and it made me want to leave as soon as possible.
For songs, I listened to ‘Bingo’ by Turtles, ‘Pure Love’ by Koyote, and music by Jatanpung. Seeking out songs about life and love is a basic human desire. Even if people fear punishment, that desire cannot be suppressed. That’s why, even today, I believe many North Koreans continue to watch foreign content.”
Lack of Access to Healthcare
“The DPRK Socialist Constitution and the country’s Public Health Law provide for free medical care to all citizens. In reality, medical supplies and medication are unavailable to most North Koreans and only those who can afford to purchase them on the private market.”
– Human Rights Watch
North Korea’s defunct healthcare system is another example of how the regime’s constraints create unnecessary hardship for North Korean people. The majority of the country’s public health system collapsed along with North Korea’s socialist economy in the 1990s. In the aftermath, the regime only prioritized hospitals in areas like Pyongyang, leaving ordinary North Koreans to fend for themselves.
According to a 2017 UN report, an estimated 33% of the population (8.4 million people) had limited access to health services, including 50% of people in rural areas.
Human Rights Watch spoke with a former North Korean doctor and nurses who escaped after 2014, who shared that, “most local clinics were only capable of diagnosing basic diseases and setting broken bones, and had barely any working tools, supplies, medicine, or electricity… medical workers relied on market activity and what their patients gave them to eat to survive.”
For our North Korean friend Lily, the most frustrating part was that all this suffering was preventable.
“When my older sister, Hye-Joo, developed acute appendicitis, there was no emergency line to call, or cars or taxis to transport her to the hospital. We loaded her onto a cart that was meant to carry produce, moving at a terribly slow pace.
Desperate to ease my sister’s pain, we exhausted every resource we had. Any surgical or medical equipment a patient needs has to be provided by the family. Gauze, painkillers, blankets–even food and bribes–may be necessary for an operation. Even then, severe shortages made it impossible to fully prepare. The surgery was performed with minimal anesthesia and makeshift sterilization. Later, my sister told me she had felt the knife cutting into her skin, and heard the doctor’s orders during the surgery.
What should have been a simple and safe procedure was a traumatic, life-threatening experience.”
Impact on this Issue
In the face of enormous challenges, we cannot be discouraged, because this work is more important than ever.
There are still things we can and must do to strengthen forces of change. LiNK is one of the few groups still running rescue operations in the underground railroad. We’re cultivating and partnering with North Korean activists and storytellers who are leading efforts to raise global awareness for this issue. And we’re ambitiously expanding our Information Access Programs, devising new strategies and pathways to get information and technology inside North Korea to empower the people.
Join us in reaffirming our commitment to a free North Korea.
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Change has never been a linear process. But one thing we can always be certain of is the resilience and strength of the North Korean people.
Women in North Korea: At the Forefront of Social and Political Change
By Lindsey Miller
Lindsey Miller is a musical director, award-winning composer, author, and photographer originally from Glasgow, Scotland. From 2017-2019, she lived in Pyongyang, North Korea, while accompanying her husband on a diplomatic posting. For Women’s History Month, she shares a rare glimpse into the experiences of North Korean women, who are finding ways to live life on their own terms despite the circumstances.

Her name is Min Jeong*.
She’s bright, funny and has a dry and cutting sense of humour that rivals that of any professional stand-up comedian. The kind that makes you worry for the heckler in the front row.
‘Why do you keep singing? You’re terrible at singing!’ she says with a straight face to the regular punters at The Beer House, a bar in Pyongyang, before taking their glass and kindly refilling it. ‘And don’t wear those shoes, they’re ugly.’ The other punters burst out laughing while Min Jeong allows a slight silly smile to make its way across the corner of her mouth. That’s the thing about Min Jeong, she has a magnetic and honest energy about her. It was refreshing in a place where simple honesty and truthfulness felt so packed down.
Min Jeong and I spent a fair bit of time together over the two years I lived in Pyongyang. I would go to the bar mainly to just talk to her and spend time with her. She was interesting. She loved hair accessories and jewellery – an increasingly common way for North Korean women to explore self-expression. I’d show her photographs of me and tell her about my different outfits while she’d rate them. I didn’t fare very well in her opinion. I often gave her my wedding or engagement ring to try on and she’d pose with them, comparing them to other things she’d seen foreigners wear. She’d tell me about the cosmetics that she liked to wear and make herself.

One of her favourite things was a face mask which I remember involving eggs. I never tried it but she swore by it, telling me how important it was to look after my skin and reminding me that there was nothing more important than my health. Min Jeong was very bright and regularly bounced between speaking in Korean, fluent English and often Mandarin. She loved animals and we spent a lot of time looking at photographs of dogs on our phones.
Min Jeong was in her early thirties and unmarried. She’d twirl her half-tied-back beautiful shiny black hair in her fingers while telling me about how much her parents were desperate for her to ‘find a boy’. She wasn’t interested and she didn’t have much time given that she only had one day ‘off’ a week which would have been taken up in part by state-enforced self-criticism sessions among other things. Having gone on many dates, the outcomes of which she summarised with a simple wrinkled nose, she seemed to be quite content being single. It was an attitude which I was surprised to learn was shared by a couple of Pyongyang female urban elite whom I met; women who spoke openly about their lack of desire to have children, who wanted to pursue a career. This directly contradicted my understanding of North Korean women’s experiences.
But I forgot that the experience of women is diverse and North Korea is no exception.

It’s very easy to think that North Korea isn’t changing but that is not the case. To say that there have been no social changes in the country would be insulting to the creativity, tenacity and drive of the North Korean people, particularly women who continue to be a major driving force of change. Driven by necessity following the devastating famine in the 90s, ordinary women had to become more economically independent in order to survive. While North Korean men were chained to jobs in faceless party offices, women had the time to create their own economic opportunities which could feed their families and keep them alive. Even now, in spite of living in a country gripped by widespread and pervasive human rights abuses including the most extreme forms of sexual and gender-based violence, women are often the breadwinners, women are the ones driving the private markets, women are the ones winning back more agency over their own lives and futures.
I only had to go to Tongil Market to see it for myself. Every vendor standing behind every one of the stalls laid out in long rows across the indoor market hall was a woman. Every staff member taking payments from the vendors for selling in the venue was a woman. The people counting the money in the cash exchange office were women. The people unloading sacks of vegetables and meat were women. Most of the customers were women.
Through having no choice but to fight to survive, North Korean women have driven changes that few could have predicted would last.

I sit at the bar and Min Jeong passes me a cup of black tea. She starts to scroll through her phone and goes back into her own world. I think about what is going through her mind and all the things she is experiencing but cannot talk about. I think about the millions of other North Korean women with names, voices and stories to tell; who we, on the outside of North Korea, will never get to meet. I think about the world who will never get to meet this generous, kind, extraordinary woman in front of me - my friend.
Min Jeong lifts her head and looks at me,
‘You really shouldn’t wear those shoes, Lindsey. They’re awful.’ She waits a moment and that same slight silly smile starts to creep across the corner of her mouth. ‘I’m kidding. They’re only a little better than yesterday’s.’

Lindsey Miller shares more extraordinary photos and stories from North Korea in her debut book, “North Korea: Like Nowhere Else," a testament to the hidden humanity and dynamism of the people. She also joined LiNK for a virtual Q&A in 2021 and continues to be a friend and advocate for this issue!
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*Name has been changed to protect the privacy and safety of the individual