Richard StoneScience 327 (5971), 1312-b - 1313 (12 Mar 2010)
info:doi/10.1126/science.327.5971.1312-bResearchers from Stanford University and a consortium of nonprofit organizations have been working side by side with colleagues from the North Korean Ministry of Public Health—from student nurses on up to senior physicians—to help set up the isolated nation's first laboratory capable of growing the mycobacterium that causes tuberculosis (TB) and detecting drug-resistant strains. That can't happen a moment too soon. Following years of economic decline and the severe famines of the mid-1990s, TB and other infectious diseases have surged in North Korea ... Last fall, Sharon Perry pulled her first shift on a North Korean labor brigade. The Stanford University epidemiologist spent 10 days in November in Pyongyang, working side by side with Ministry of Public Health colleagues—from student nurses on up to senior physicians—to help set up the isolated nation's first laboratory capable of growing the mycobacterium that causes tuberculosis (TB) and detecting drug-resistant strains. The weather was unseasonably cold, so for 12 hours a day the unlikely comrades toiled in their parkas on tasks that included smashing old floor tiles with sledgehammers, testing microscopes, and installing ultramodern cabinets in which pathogens can be handled. "We all pitched in," says Perry, director of the Stanford-led Bay Area TB Consortium.
Perry and her colleagues have defied the odds in getting the project off the ground. U.S. scientists have long had fitful relations with counterparts in North Korea: No matter how noble the intentions, science cooperation efforts have, with few exceptions, ended up stillborn or abandoned. In recent months, some U.S. nonprofits engaged with North Korea "have found their counterparts to be reeling from the effects of intensive reeducation, dispersed overseas or to the provinces, or moved behind intermediaries," says one seasoned observer. Yet the budding TB lab has proceeded at a fevered clip. "We've kept our heads down and stayed out of politics," explains Heidi Linton, executive director of Christian Friends of Korea (CFK) in Black Mountain, North Carolina, a humanitarian organization and project partner along with the Bay Area TB Consortium and the Nuclear Threat Initiative (NTI). A team plans to return to Pyongyang next month to get the lab up and running.
That can't happen a moment too soon. Following years of economic decline and the severe famines of the mid-1990s, TB and other infectious diseases have surged in North Korea. Due to increased surveillance and an expanding epidemic, Perry says, between 2006 and 2008 the number of TB cases doubled to 344 per 100,000 people. "That's similar to rates seen in sub-Saharan Africa," says Gary Schoolnik, an infectious disease researcher and physician at Stanford University School of Medicine in California.Posted by
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