North Korea to Welcome Russian Tourists, the Country's First since the Pandemic, Report Says

Russian and North Korean flags fly at the Vostochny Сosmodrome, the venue of the meeting between Russia's President Vladimir Putin and North Korea's leader Kim Jong Un, in the far eastern Amur region, Russia, September 13, 2023. Sputnik/Artem Geodakyan/Pool via REUTERS/File Photo
Russian and North Korean flags fly at the Vostochny Сosmodrome, the venue of the meeting between Russia's President Vladimir Putin and North Korea's leader Kim Jong Un, in the far eastern Amur region, Russia, September 13, 2023. Sputnik/Artem Geodakyan/Pool via REUTERS/File Photo
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North Korea to Welcome Russian Tourists, the Country's First since the Pandemic, Report Says

Russian and North Korean flags fly at the Vostochny Сosmodrome, the venue of the meeting between Russia's President Vladimir Putin and North Korea's leader Kim Jong Un, in the far eastern Amur region, Russia, September 13, 2023. Sputnik/Artem Geodakyan/Pool via REUTERS/File Photo
Russian and North Korean flags fly at the Vostochny Сosmodrome, the venue of the meeting between Russia's President Vladimir Putin and North Korea's leader Kim Jong Un, in the far eastern Amur region, Russia, September 13, 2023. Sputnik/Artem Geodakyan/Pool via REUTERS/File Photo

Russian tourists reportedly going on a ski trip to North Korea will be the first international travelers to visit the country since its borders closed in 2020 amid the global pandemic lockdown.
The report, published Wednesday by the Russian state-run Tass news agency, underscores deepening cooperation between Moscow and Pyongyang. It also follows the meeting last September between North Korean leader Kim Jong Un and Russian President Vladimir Putin at a cosmodrome in Russia’s Far East, The Associated Press said.
Tass did not specify a timeframe but the report brought some surprise to Asia observers who had expected the first post-pandemic tourists to North Korea to come from China, the North’s biggest diplomatic ally and economic pipeline.
According to Tass, an unspecified number of tourists from Russia's far eastern region of Primorye will first fly to the North Korean capital of Pyongyang, where they will visit monuments such as the “Tower of Juche Idea,” named after the North’s guiding philosophy of “juche” or self-reliance.
The tourists will then travel on to the North’s Masik Pass on the east coast, where the country’s most modern ski resort is located, Tass said. It said the trip was arranged under an agreement reached between Oleg Kozhemyako, governor of the Primorye region, and North Korean authorities.
Kozhemyako traveled to Pyongyang in December for talks on boosting economic ties as part of a flurry of bilateral exchanges since the Kim-Putin summit. Ahead of the trip, he told Russian media he expected to discuss tourism, agriculture and trade cooperation.
The Kim-Putin summit deepened outside belief that North Korea is supplying conventional arms to Russia for its war in Ukraine, in return for high-tech Russian weapons technologies.
The White House said last week that it has evidence Russia fired additional North Korea-provided missiles at Ukraine. The United States, South Korea, Japan and others issued a joint statement condemning the missile's transfer.
North Korea and Russia are locked in separate confrontations with the United States and its allies — North Korea for its advancing nuclear program and Russia for its protracted war with Ukraine.
North Korea has been slowly easing pandemic-era curbs and opening its international borders as part of its efforts to revive its economy devastated by the lockdown and persistent US-led sanctions. Its reputation also suffered a blow in August 2022, when Pyongyang made a highly dubious claim that it had beaten a domestic COVID-19 outbreak.
“For North Korea, tourism is the easiest way to earn foreign currency under the international sanctions regime,” said Koh Yu-hwan, former president of Seoul’s Korea Institute for National Unification.
Koh said he expects Pyongyang to eventually also open North Korea to Chinese tourists.
Leif-Eric Easley, a professor at Ewha University in Seoul, said "visitors from Russia are unlikely to be as financially lucrative for North Korea as the return of more numerous visitors from China.”
“But the domestic political risk is relatively low while providing symbolism of revitalized relations with Moscow in line with Pyongyang’s current geopolitical narrative,” he added.



Obesity Won’t Be Solely Defined by BMI under New Plan for Diagnosis by Global Experts

A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
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Obesity Won’t Be Solely Defined by BMI under New Plan for Diagnosis by Global Experts

A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)

A group of global experts is proposing a new way to define and diagnose obesity, reducing the emphasis on the controversial body mass index and hoping to better identify people who need treatment for the disease caused by excess body fat.

Under recommendations released Tuesday night, obesity would no longer be defined solely by BMI, a calculation of height and weight, but combined with other measurements, such as waist circumference, plus evidence of health problems tied to extra pounds.

Obesity is estimated to affect more than 1 billion people worldwide. In the US, about 40% of adults have obesity, according to the US Centers for Disease Control and Prevention.

"The whole goal of this is to get a more precise definition so that we are targeting the people who actually need the help most," said Dr. David Cummings, an obesity expert at the University of Washington and one of the 58 authors of the report published in The Lancet Diabetes & Endocrinology journal.

The report introduces two new diagnostic categories: clinical obesity and pre-clinical obesity.

People with clinical obesity meet BMI and other markers of obesity and have evidence of organ, tissue or other problems caused by excess weight. That could include heart disease, high blood pressure, liver or kidney disease or chronic severe knee or hip pain. These people would be eligible for treatments, including diet and exercise interventions and obesity medications.

People with pre-clinical obesity are at risk for those conditions, but have no ongoing illness, the report says.

BMI has long been considered a flawed measure that can over-diagnose or underdiagnose obesity, which is currently defined as a BMI of 30 or more. But people with excess body fat do not always have a BMI above 30, the report notes. And people with high muscle mass — football players or other athletes — may have a high BMI despite normal fat mass.

Under the new criteria, about 20% of people who used to be classified as obese would no longer meet the definition, preliminary analysis suggests. And about 20% of people with serious health effects but lower BMI would now be considered clinically obese, experts said.

"It wouldn't dramatically change the percentage of people being defined as having obesity, but it would better diagnose the people who really have clinically significant excess fat," Cummings said.

The new definitions have been endorsed by more than 75 medical organizations around the world, but it's not clear how widely or quickly they could be adopted in practice. The report acknowledges that implementation of the recommendations "will carry significant costs and workforce implications."

A spokesman for the health insurance trade group AHIP, formerly known as America's Health Insurance Plans, said "it's too early at this point to gauge how plans will incorporate these criteria into coverage or other policies."

There are practical issues to consider, said Dr. Katherine Saunders, an obesity expert at Weill Cornell Medicine and co-founder of the obesity treatment company FlyteHealth. Measuring waist circumference sounds simple, but protocols differ, many doctors aren't trained accurately and standard medical tape measures aren't big enough for many people with obesity.

In addition, determining the difference between clinical and pre-clinical obesity would require a comprehensive health assessment and lab tests, she noted.

"For a new classification system to be widely adopted, it would also need to be extremely quick, inexpensive, and reliable," she said.

The new definitions are likely to be confusing, said Kate Bauer, a nutrition expert at the University of Michigan School of Public Health.

"The public likes and needs simple messages. I don't think this differentiation is going to change anything," she said.

Overhauling the definition of obesity will take time, acknowledged Dr. Robert Kushner, an obesity expert at the Northwestern Feinberg School of Medicine and a co-author of the report.

"This is the first step in the process," he said. "I think it's going to begin the conversation."