Lee Yo Han, Yoon Seok-Jun, Kim Young Ae, Yeom Ji Won, Oh In-Hwan
Graduate School of Public Health, Korea University, Seoul, Korea.
J Prev Med Public Health. 2013 May;46(3):111-7. doi: 10.3961/jpmph.2013.46.3.111. Epub 2013 May 31.
This article evaluates the overall current disease burden of North Korea through the recent databases of international organizations. It is notable that North Korea as a nation is exhibiting a relatively low burden from deaths and that there is greater burden from deaths caused by non-communicable diseases than from those caused by communicable diseases and malnutrition. However, the absolute magnitude of problems from communicable diseases like TB and from child malnutrition, which will increase the disease burden in the future, remains great. North Korea, which needs to handle both communicable and nutritional conditions, and non-communicable diseases, whose burden is ever more increasing in the nation, can now be understood as a country with the 'double-burden' of disease.
本文通过国际组织的最新数据库评估了朝鲜当前的整体疾病负担。值得注意的是，作为一个国家，朝鲜的死亡负担相对较低，非传染性疾病导致的死亡负担高于传染病和营养不良导致的死亡负担。然而，结核病等传染病以及儿童营养不良问题的绝对规模仍然很大，这些问题将在未来增加疾病负担。朝鲜既需要应对传染病和营养状况问题，又要应对国内负担日益加重的非传染性疾病，现在可以被理解为一个面临“双重疾病负担”的国家。
