In North Korea the child death rate is between 60 and 90 per thousand, ten times higher than in Europe. Hospitals have no heating during the winter and no cooling in summer, when the temperature reaches over 40 degrees celsius. Windows and doors can hardly be closed. Worse still, there are no medicines. After the devastating famine of the mid-nineties the population is chronically undernourished, and is an easy prey for any kind of disease. According to official figures, 17 percent of women giving birth weigh less than 45 kgs, a condition labeled dangerous by the World Health Organization. Independent sources claim the percentage could be three times higher. A situation much worse than in Sub-Saharian Africa.