Six people have died and 350,000 have been treated for a fever that has spread “explosively” across North Korea, state media said Friday, a day after acknowledging a COVID-19 outbreak for the first time in the pandemic.

North Korea likely doesn’t have sufficient COVID-19 tests and other medical equipment and said it didn’t know the case of the mass fevers. But a big COVID-19 outbreak could be devastating in a country with a broken health care system and an unvaccinated, malnourished population.

The North’s official Korean Central News Agency said of the 350,000 people who developed fevers since late April, 162,200 have recovered. It said 18,000 people were newly found with fever symptoms on Thursday alone, and 187,800 people are being isolated for treatment.

One of the six people who died was confirmed infected with the omicron variant, KCNA said, but it wasn’t immediately clear how many of the total illnesses were COVID-19.

More details on North Korea’s COVID outbreak:

– Government reports more than 18,000 new suspected cases
– 350,000 fever cases “of unknown cause” since late April, most in Pyongyang
– 6 deaths, including 1 confirmed to have Omicron BA.2
– Exact number of confirmed cases unclear

— BNO|Medriva Newsroom (@medriva) May 12, 2022

North Korea imposed a nationwide lockdown Thursday after acknowledging its first COVID-19 cases. Those reports said tests from an unspecified number of people came back positive for the omicron variant.

It’s unusual for isolated North Korea to admit to the outbreak of any infectious disease, let alone one as menacing as COVID-19, as the country is intensely proud and sensitive to outside perception about its self-described “socialist utopia.”

While Kim had occasionally been candid about his worsening economy and other problems in recent years, he had repeatedly expressed confidence about North Korea’s pandemic response and wasn’t seen wearing a mask in public until a ruling party meeting on Thursday where the North announced the COVID-19 infections.

Kim Jong Un appears on television with a face mask for the first time to order nationwide lockdowns after the country confirmed its first-ever Covid-19 cases on May 12, 2022.AFP via Getty Images

It’s possible that the spread of the virus was accelerated by a massive military parade in Pyongyang on April 25, where North Korean leader Kim Jong Un took center stage and showcased the most powerful missiles of his military nuclear program in front of tens of thousands.

Cheong Seong-Chang, an analyst at South Korea’s Sejong Institute, said the pace of the fever’s spread suggests the crisis could last months and possibly into 2023, causing major disruption in the poorly equipped country.

Some experts say the North’s initial announcement communicates a willingness to receive outside aid.

Kim Jong Un attends a meeting of the Central Committee of the ruling Workers’ Party, where attendees are seen masked up in Pyongyang, North Korea on May 12, 2022.AP

The North last year shunned millions of shots offered by the U.N.-backed COVAX distribution program, including doses of AstraZeneca and China’s Sinovac vaccines, possibly because of questions about their effectiveness and unwillingness to accept monitoring requirements. The country lacks the extreme-cold storage systems that are required for mRNA vaccines like Pfizer and Moderna.

South Korea’s Unification Ministry, which handles inter-Korean affairs, said the South was willing to provide medical assistance and other help to North Korea based on humanitarian considerations. The ministry’s spokesperson Boo Seung-chan said Seoul doesn’t immediately have an estimate on the number of vaccine doses it could share to North Korea if Pyongyang requests help.

Chinese Foreign Ministry spokesperson Zhao Lijian said Thursday that Beijing was offering North Korea help in dealing with the outbreak.

“As its comrade, neighbor and friend, China stands ready to provide full support and assistance to the DPRK in the fight against the epidemic,” Zhao told reporters at a daily briefing, using the initials for North Korea’s official name, the Democratic People’s Republic of Korea.

North Korea likely doesn’t have sufficient COVID-19 tests and other medical equipment and said it didn’t know the case of the mass fevers.KCNA VIA KNS/AFP via Getty Image

KCNA said Kim was briefed about the fever outbreak when he visited the emergency epidemic prevention headquarters on Thursday and criticized officials for failing to prevent “a vulnerable point in the epidemic prevention system.”

He said the spread of the fever has been centered around the capital Pyongyang and underscored the importance of isolating all work and residential units from one another while providing residents with every convenience during the lockdown.

“It is the most important challenge and supreme tasks facing our party to reverse the immediate public health crisis situation at an early date, restore the stability of epidemic prevention and protect the health and wellbeing of our people,” KCNA quoted Kim as saying.

KCNA said Kim was briefed about the fever outbreak but criticized officials for failing to prevent a vulnerable point in the epidemic prevention system.via REUTERS

Last year, North Korea declined millions of shots offered by the U.N.-backed COVAX distribution program.AP

North Korea’s claim of a perfect record in keeping out the virus for two and a half years was widely doubted. But it was believed to have avoided a huge outbreak until now, in part because it instituted strict virus controls almost from the start of the pandemic.

The strict border closures and other measures further battered an economy already damaged by decades of mismanagement and crippling U.S.-led sanctions over North Korea’s nuclear weapons and missile programs, pushing Kim to perhaps the toughest moment of his rule.

Hours after confirming the COVID-19 outbreak Thursday, North Korea launched three short-range ballistic missiles toward the sea in what possibly was meant to be a display of its strength. It was the North’s 16th round of missile launches this year.

Some experts say that North Korea’s initial announcement communicates a willingness to receive outside aid.AFP via Getty Images

Citing North Korea’s shunning of the COVAX vaccines, White House press secretary Jen Psaki said the United States supported international aid efforts but doesn’t plan to share its vaccine supplies with the North.

“We do continue to support international efforts aimed at the provision of critical humanitarian aid to the most vulnerable North Koreans, and this is, of course, a broader part of the DPRK continuing to exploit its own citizens by not accepting this type of aid,” Psaki said Thursday in Washington.

“It’s not just vaccines. It’s also a range of humanitarian assistance that could very much help the people and the country and instead they divert resources to build their unlawful nuclear and ballistic missiles programs.”

North Korea’s Kaepoong town is seen from the observatory in Paju, South Korea on May 13, 2022. AP

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