Almost 12 million North Koreans are undernourished, a new U.N. report shows, a massive surge of more than 1 million people compared to data from the same assessment last year. 

45.5% of the North Korean population was undernourished between 2020 and 2022, according to the annual “The State of Food Security and Nutrition in the World Report” published Wednesday, up from 41% from between 2019 and 2021.

The report was jointly published by the Food and Agriculture Organization (FOA), International Fund for Agricultural Development, U.N. Children’s Fund, U.N. World Food Programme (WFP) and World Health Organization.

The latest assessment comes