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North Korean leader Kim Jong Un ordered officials to wage a tougher epidemic prevention campaign in “our style” after he turned down some foreign COVID-19 vaccines offered via the UN-backed immunization program.

During a Politburo meeting Thursday, Kim said officials must “bear in mind that tightening epidemic prevention is the task of paramount importance which must not be loosened even a moment,” the official Korean Central News Agency reported Friday.

While stressing the need for material and technical means of virus prevention and increasing health workers’ qualifications, Kim also called for “further rounding off our style epidemic prevention system,” KCNA said.

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Kim previously called for North Koreans to brace for prolonged COVID-19 restrictions, indicating the nation’s borders would stay closed despite worsening economic and food conditions. Since the start of the pandemic, North Korea has used tough quarantines and border closures to prevent outbreaks, though its claim to be entirely virus-free is widely doubted.

On Tuesday, UNICEF, which procures and delivers vaccines on behalf of the COVAX distribution program, said North Korea proposed its allotment of about 3 million Sinovac shots be sent to severely affected countries instead. North Korea was also slated to receive AstraZeneca shots through COVAX, but their delivery has been delayed.

According to UNICEF, North Korea’s health ministry still said it would continue to communicate with COVAX over future vaccines.

Some exports believe North Korea may want other vaccines, while questioning the effectiveness of Sinovac and the rare blood clots seen in some recipients of the AstraZeneca vaccine.

The previously allocated 1.9 million AstraZeneca doses would be enough to vaccinate 950,000 people – only about 7.3 per cent of the North’s 26 million people – meaning North Korea would still need much more quantities of vaccine to inoculate its population.

Leif-Eric Easley, a professor of international studies at Seoul’s Ewha Womans University, said North Korea is likely angling to receive more effective jabs from COVAX and then strategically allocate them domestically.

“Pyongyang appears to have issues with COVAX involving legal responsibility and distribution reporting requirements. So it might procure vaccines from China to deliver to border regions and soldiers while allocating COVAX shots to less sensitive populations,” Easley said.

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“The Kim regime likely wants the most safe and effective vaccine for the elite, but administering Pfizer would require upgraded cold chain capability in Pyongyang and at least discreet discussions with the United States. The [Johnson & Johnson] option could also be useful to North Korea given that vaccine’s portability and one-shot regimen,” he said.

In a recent UN report on the North’s human rights situation, UN Secretary-General Antonio Guterres asked North Korea to “take all necessary measures, including through international co-operation and assistance, to provide access to COVID-19 vaccines for all persons, without discrimination.”

He also asked North Korea to form a plan to enable diplomats and aid workers to return to the North and revive humanitarian aid distribution systems as soon as possible in conjunction with the COVID-19 vaccine rollout plan.

During his visit to Seoul last month, Sung Kim, the top U.S. diplomat on North Korea affairs, told reporters that Washington and Seoul discussed possible humanitarian co-operation with North Korea on health care, epidemic prevention and other areas.

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