The humanitarian situation in North Korea remains dire, according to a new UN report released Wednesday, with over 43% of the population reportedly in need of international aid in order to have access to adequate food and health services and domestic food production at its lowest levels since before 2009.

The 2019 Needs and Priorities report for North Korea, released today, reviewed the work of multiple UN aid agencies and other partner organizations in the country in 2018, and laid out the overall strategies to address chronic ongoing issues in the coming year.