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Democratic people's republic of korea 2015 human rights report

DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA
2015 HUMAN RIGHTS REPORT

See endnote.
EXECUTIVE SUMMARY

The Democratic People's Republic of Korea (DPRK or North Korea) is an
authoritarian state led by the Kim family for more than 60 years. Shortly after Kim
Jong Il's death in late 2011, his son Kim Jong Un was named marshal of the DPRK
and supreme commander of the Korean People's Army. Kim Jong Un's
grandfather, the late Kim Il Sung, remains "eternal president." The most recent
national elections, held in March 2014, were neither free nor fair. Authorities
maintained effective control over the security forces.
Citizens did not have the ability to change their government. The government
subjected citizens to rigid controls over many aspects of their lives, including
denial of the freedoms of speech, press, assembly, association, religion, movement,
and worker rights. The government operated a network of political prison camps
in which conditions were often harsh, life threatening, and included forced and
compulsory labor.
Defectors continued to report extrajudicial killings, disappearances, arbitrary
detention, arrests of political prisoners, and torture. The judiciary was not
independent and did not provide fair trials. There were reports of female victims
of trafficking among refugees and workers crossing the border into China. Forced
labor was practiced domestically, through mass mobilizations and as a part of the
re-education system. NGOs noted that DPRK foreign contract workers also faced
conditions of forced labor.
The government made no known attempts to prosecute officials who committed
human rights abuses. Impunity was a widespread problem.
Section 1. Respect for the Integrity of the Person, Including Freedom from:

a. Arbitrary or Unlawful Deprivation of Life

There were numerous reports that the government committed arbitrary and
unlawful killings.
Defector and refugee reports noted instances in which the government executed
political prisoners, opponents of the government, repatriated defectors, government
officials, and others accused of crimes. The law prescribes the death penalty for
the most "serious" or "grave" cases of "antistate" or "antination" crimes, which
included: participation in a coup or plotting to overthrow the state; acts of
terrorism for an antistate purpose; treason, which includes defection or handing
over of state secrets, broadly interpreted to include providing information about
economic, social, and political developments routinely published elsewhere;
suppressing the people's movement for national liberation; and "treacherous
destruction." Additionally, the law allows for capital punishment in less serious
crimes such as theft, destruction of military facilities and national assets, fraud,
kidnapping, distribution of pornography, and trafficking in persons.
Nongovernmental organizations (NGOs) and press reports indicated that border
guards had orders to shoot to kill individuals leaving the country without
permission, and prison guards were under orders to shoot to kill those attempting
to escape from political prison camps.
During the year NGOs reported that high profile public executions continued, and
in April, the press reported that 15 executions were carried out in the first four
months of the year as part of an ongoing purge of senior government officials. The
press widely reported that at least 70 officials had been executed for various
reasons since Kim Jong Un took power in 2011. In May, Republic of Korea
(South Korea or ROK) officials reported that North Korean Defense Minister Hyon
Yong Chol was publicly executed by antiaircraft fire in front of an audience of
hundreds. Other DPRK senior officials including Vice Premier Choe Yong Gon
were reportedly executed around the same time. In April the Committee for
Human Rights in North Korea (HRNK) published a report supported by satellite
imagery of a public execution in the country using antiaircraft machine guns.
Private citizens were also subjected to public executions. For example, in April
Radio Free Asia reported the execution of the director general of North Korea's
Unhasu Orchestra along with three members of the troupe. Reports stated they
were first forced to strip naked and then shot by firing squad wielding machine
guns in front of 400-500 members of the Pyongyang artistic community.
b. Disappearance

NGO, think tank, and press reports indicated that the government was responsible
for disappearances.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor
After bilateral talks between the DPRK and Japan in May 2014, the DPRK agreed
to reopen the investigation into the whereabouts of 12 Japanese citizens believed to
have been abducted by the DPRK. The DPRK suspended bilateral negotiations on
the abductions issue in April, citing Japan's move to raise the issue in a UN
Human Rights Council resolution. In September the DPRK announced it had
completed its reinvestigation and had no new information to report.
ROK government and media reports noted that the DPRK also kidnapped other
foreign nationals from locations abroad in the 1970s and 1980s. The DPRK
continued to deny its involvement in the kidnappings. The ROK Ministry of
Unification reported that an estimated 517 of its civilians, abducted or detained by
DPRK authorities since the end of the Korean War, remained in the DPRK. South
Korean NGOs estimated that during the Korean War the DPRK abducted 20,000
civilians who remained in the North or who have died.
HRNK's Hidden Gulag IV: Gender Repression & Prisoner Disappearances
reported that the Sorimchon/Kumchon-ri zone within Yodok political penal-labor
camp (Camp 15) in South Hamkyung Province was demolished in late 2014. The
whereabouts of the former prisoners of this section of the camp remain unknown.
c. Torture and Other Cruel, Inhuman, or Degrading Treatment or
Punishment

The penal code prohibits torture or inhuman treatment, but many sources reported
these practices continued. Numerous defector accounts and NGO reports released
during the year described the use of torture by authorities in detention facilities.
Methods of torture and other abuse reportedly included severe beatings; electric
shock; prolonged periods of exposure to the elements; humiliations such as public
nakedness; confinement for up to several weeks in small "punishment cells" in
which prisoners were unable to stand upright or lie down; being forced to kneel or
sit immobilized for long periods; and being hung by the wrists or forced to stand
up and sit down to the point of collapse. Mothers were in some cases reportedly
forced to watch the infanticide of their newborn infants. Defectors continued to
report many prisoners died from torture, disease, starvation, exposure to the
elements, or a combination of these causes.
The 2015 White Paper on Human Rights in North Korea, published by the Korea
Institute for National Unification (KINU), a South Korean government-affiliated
think tank, and the 2014 UN Commission of Inquiry (COI) report stated that
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor officials had in some cases prohibited live births in prison and ordered forced
abortions as recently as 2013. The KINU white paper found that, in some cases of
live birth, the prison guards killed the infant or left the baby to die, and reported
cases of guards sexually abusing or exploiting female prisoners.
Detainees in re-education through labor camps reported they were forced to
perform difficult physical labor under harsh conditions (see section 7.b.).
Prison and Detention Center Conditions

NGO, refugee, and press reports noted there were several types of prisons,
detention centers, and camps, including forced labor camps and separate camps for
political prisoners. NGO reports documented six types of detention facilities:
kwanliso (political penal-labor camps), kyohwaso (correctional or re-education
centers), kyoyangso (labor-reform centers), jipkyulso (collection centers for low-
level criminals), rodong danryeondae (labor-training centers), and kuryujang or
kamok (interrogation facilities or jails). According to the 2015 KINU white paper,
the Ministry of State Security administered kwanliso camps, and either it or the
Ministry of People's Security administered the other detention centers.
There were reportedly between 5,000 and 50,000 prisoners per kwanliso.
Defectors claimed the kwanliso camps contained unmarked graves, barracks,
worksites, and other prison facilities. NGOs reported the existence of five
kwanliso facilities, including Kaecheon (Camp 14), Hwasung (Camp 16),
Pukchang (Camp 18), and Chongjin (Camp 25). During the year reports continued
to indicate that areas of Yodok (Camp 15) in South Hamkyung Province were
closed or operating at a reduced capacity.
Kwanliso camps are comprised of total control zones, where incarceration is for
life, and "rerevolutionizing zones," from which prisoners may be released.
Reports indicated those sentenced to prison for nonpolitical crimes were typically
sent to re-education prisons where authorities subjected prisoners to intense forced
labor. Those who were considered hostile to the government or who committed
political crimes reportedly were sentenced to indefinite terms in political prison
camps. In many cases family members also were detained if one member was
accused or arrested. The government continued to deny the existence of political
prison camps.
According to the Hidden Gulag IV report, since late 2008, Jongo-ri (Camp 12) in
North Hamkyung Province was expanded to include a women's annex. Camp 12's
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor women's annex holds approximately 1,000 women, most of whom were imprisoned after being repatriated from China. The existence of this women's annex was corroborated by satellite imagery and defector testimony. Defector testimony cited food rations below subsistence levels, forced labor, and high rates of death due to starvation at Camp 12. Reports indicated that conditions in the prison camp and detention system were harsh and life threatening, and that systematic and severe human rights abuses occurred. Many prisoners in political prison camps and the detention system were not expected to survive. Detainees and prisoners consistently reported violence and torture. Defectors described witnessing public executions in political prison camps. According to defectors, prisoners received little or no food and were denied medical care in some places of detention. Sanitation was poor, and former labor camp inmates reported they had no changes of clothing during their incarceration and were rarely able to bathe or wash their clothing. The South Korean and international press reported that kyohwaso held populations of up to thousands of political prisoners, economic criminals, and ordinary criminals. Physical Conditions: Estimates of the total number of prisoners and detainees in the prison and detention system ranged between 80,000 and 120,000. The 2015 KINU white paper reported that the decrease in the number of inmates from previous years might be the result of natural reduction from harsh circumstances rather than any change in government policy. NGO and press reports estimated there were between 182 and 490 detention facilities in the country. Anecdotal reports from the NGO Database Center for North Korean Human Rights and the UN 2014 COI report stated that in some prisons authorities held women in separate units from men and often subjected the women to sexual abuse. One NGO reported that male and female political prisoners sent to punishment facilities were tortured. By law criminal cases against a person under age 14 are dismissed. Public education is applied in case of a crime committed by a person above age14 and under age 17, but little information was available regarding how the law was actually applied. Authorities often detained juveniles along with their families and reportedly subjected them to torture and abuse in detention facilities. Administration: No information on recordkeeping processes or alternatives to incarceration for nonviolent offenders was publicly available. No information was available indicating whether prisoners and detainees had reasonable access to Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor visitors. In past years defectors reported that authorities subjected Christian
inmates to harsher punishment if their faith was made public, but no information
was available regarding religious observance. No information was available on
whether prisoners or detainees could submit complaints to judicial authorities
without censorship or request investigation of credible allegations of inhuman
conditions.
Independent Monitoring: There was no publicly available information on whether
the government investigated or monitored prison and detention conditions. The
government did not allow the UN special rapporteur on the human rights situation
in the DPRK or the UN COI access into the country to assess prison conditions.
The government did not permit other human rights monitors to inspect prisons and
detention facilities.
d. Arbitrary Arrest or Detention

The law prohibits arbitrary arrest and detention, but reports pointed out that the
government did not observe these prohibitions.
Role of the Police and Security Apparatus

The internal security apparatus includes the Ministries of People's Security and of
State Security. The security forces do not have adequate mechanisms to
investigate possible security force abuses. There was no information that the
government took action to reform the security forces.
Arrest Procedures and Treatment of Detainees

Revisions to the criminal code and the criminal procedure code in 2004 and 2005
added shortened periods of detention during prosecution and trial, arrest by
warrant, and prohibition of collecting evidence by forced confessions. There was
no confirmation that these changes were applied.
Members of the security forces arrested and reportedly transported citizens
suspected of committing political crimes to prison camps without trial. According
to a South Korean NGO, beginning in 2008 the People's Safety Agency was
authorized to handle criminal cases directly without the approval of prosecutors.
The change was reportedly made because of prosecutorial corruption. An NGO
reported that investigators could detain an individual for the purpose of
investigation for up to two months.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor
There were no restrictions on the government's ability to detain and imprison
persons at will or to hold them incommunicado. Family members and other
concerned persons reportedly found it virtually impossible to obtain information on
charges against detained persons or the lengths of their sentences. Judicial review
or appeals of detentions did not exist in law or practice. According to an opinion
adopted in April 2014 by the UN Working Group on Arbitrary Detention, family
members have no recourse for petitioning for the release of detainees accused of
political crimes, as any such advocacy for political prisoners may be deemed an act
of treason against the state. There was no known bail system and no information
on whether a lawyer was provided to detainees.
Arbitrary Arrest: Arbitrary arrests reportedly occurred. In August and September
2013, the UN Working Group on Arbitrary Detention transmitted inquiries to the
government requesting information about the current situations of 19 North Korean
citizens arbitrarily arrested and detained by the government. Authorities replied in
October 2013, categorically rejecting the cases as an alleged political plot against
the DPRK.
e. Denial of Fair Public Trial

The constitution states that courts are independent and that judicial proceedings are
to be carried out in strict accordance with the law; however, an independent
judiciary did not exist.
Trial Procedures

The Ministry of Public Security dispensed with trials in political cases and referred
prisoners to the State Security Department (SSD) for punishment. Little
information was available on formal criminal justice procedures and practices, and
outside access to the legal system was limited to trials for traffic violations and
other minor offenses.
The constitution contains elaborate procedural protections, providing that cases
should be public, except under circumstances stipulated by law. The constitution
also states that the accused has the right to a defense, and when trials were held,
the government reportedly assigned lawyers. Some reports noted a distinction
between those accused of political, as opposed to nonpolitical, crimes and claimed
that the government offered trials and lawyers only to the latter. The KINU 2015
white paper reported that the SSD conducted "pretrials" or preliminary
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor examinations in all political cases but the court system conducted the trial. Some
defectors testified that the SSD also conducted trials. There was no indication that
independent, nongovernmental defense lawyers existed. According to the 2013
Hidden Gulag report, most inmates in prison camps were sent there without trial,
without knowing the charges against them, and without having legal counsel. The
2010 Witness to Transformation study reported that only 13 percent of the 102
respondents surveyed who had been incarcerated in the country received a trial.
There were no indications authorities respected the presumption of innocence.
Political Prisoners and Detainees

While the total number of political prisoners and detainees remained unknown, the
KINU 2015 white paper reported that between 80,000 and 120,000 were detained
in the kwanliso. Political prisoners were held separately from other detainees.
NGOs and the media reported that political prisoners were subject to harsher
punishments and fewer protections than other prisoners and detainees. The
government considered critics of the regime to be political criminals. The
government did not permit access to persons by international humanitarian
organizations. Reports from past years described political offenses as including
attempting to defect to South Korea, sitting on newspapers bearing Kim Il Sung's
or Kim Jong Il's picture, mentioning Kim Il Sung's limited formal education, or
defacing photographs of the Kims.
Civil Judicial Procedures and Remedies

According to the constitution, "…citizens are entitled to submit complaints and
petitions. The state shall fairly investigate and deal with complaints and petitions
as fixed by law." Under the Law on Complaint and Petition, citizens are entitled to
submit complaints to stop encroachment upon their rights and interests or seek
compensation for the encroached rights and interests. Reports noted that these
rights were not respected.
f. Arbitrary Interference with Privacy, Family, Home, or Correspondence

The constitution provides for the inviolability of person and residence and the
privacy of correspondence; however, the government did not respect these
provisions. The regime subjected its citizens to rigid controls. The government
reportedly relied upon a massive, multilevel system of informants to identify critics
and potential troublemakers. Entire communities sometimes were subjected to
security checks. Authorities entered homes without judicial authorization.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor The government appeared to monitor correspondence, telephone conversations, e-mail, text messages, and other digital communications. Private telephone lines operated on a system that precluded making or receiving international calls; international telephone lines were available only under restricted circumstances. Egypt-based Orascom Telecom, the country's sole 3G cellular network service provider, estimated the number of persons with access to an internal mobile phone network was 3 million as of October 2015. Authorities strictly monitored mobile phone use. The system for citizens was segregated from systems used by foreigners and could not be used for international calls or to access the internet. In the border regions adjacent to China, unauthorized Chinese mobile phones reportedly were used for making international calls. Authorities arrested those caught using such cell phones and required violators to pay a fine or face charges of espionage or other crimes with harsh punishments, including lengthy prison terms. Press reports indicated that DPRK authorities jammed cellular phone signals along the China-DPRK border in order to block the use of Chinese mobile phones within the DPRK. In 2013 the media reported that the government began allowing foreign visitors to bring in their mobile phones and use the 3G network for mobile internet access and international calls from the DPRK. In August 2014 the DPRK State Radio Regulatory Department issued a decree banning foreign embassies and international organizations from using Wi-Fi in the country. The Worker's Party of Korea (WPK) is the key governing body in the country; party membership is dictated by social and family background and is the key determinant of social mobility. The government divided citizens into strict loyalty-based classes known as "songbun," which determined access to employment, higher education, place of residence, medical facilities, certain stores, marriage prospects, and food rations. In its 2012 report, Songbun: Marked for Life, North Korea's Social Classification System, HRNK reported that authorities placed citizens into one of 51 songbun categories based on the perceived loyalty of their family to the government. The HRNK estimated that 28 percent of citizens were classified as "loyal," 45 percent as "wavering," and 27 percent as "hostile" to the government. Numerous reports noted that authorities practiced collective punishment. Entire families, including children, were imprisoned when one member of the family was accused of a crime. Collective punishment reportedly can extend to three generations. Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor
NGOs reported the eviction of families from their places of residence without due
process.
Section 2. Respect for Civil Liberties, Including:

a. Freedom of Speech and Press

The constitution provides for freedom of speech and press, although the
government prohibited the exercise of these rights.
Freedom of Speech and Expression: There were numerous instances of persons
interrogated or arrested for saying anything that could be construed as negative
towards the government.
The constitution provides for the right to petition, but the government did not
respect this right. For example, when individuals submitted anonymous petitions
or complaints about state administration, the Ministries of People's Security and
State Security sought to identify the authors, who could be subjected to
investigation and punishment.
Press and Media Freedoms: The government sought to control virtually all
information. The government tightly controlled print media, broadcast media, and
book publishing. Independent media did not exist. The government carefully
managed visits by foreigners, especially journalists. The Associated Press (AP)
operated an all-format news bureau in Pyongyang. International AP reporters were
not resident in country.
Violence and Harassment: Domestic journalists had little freedom to investigate
stories or report freely. During visits by foreign leaders, authorities permitted
groups of foreign journalists to accompany official delegations and file reports. In
all cases journalists were monitored strictly. Journalists generally were not
allowed to talk to officials or to persons on the street.
Censorship or Content Restrictions: Domestic media censorship continued to be
strictly enforced, and no deviation from the official government line was tolerated.
The government prohibited listening to foreign media broadcasts except by the
political elite, and violators were subject to severe punishment. Radios and
television sets, unless altered, are set to receive only domestic programming; radios
obtained from abroad were similarly altered. Elite citizens and facilities for
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor foreigners, such as hotels, had access to international television broadcasts via
satellite. The government continued to attempt to jam all foreign radio broadcasts.
Citizens were imprisoned and punished for listening to foreign radio or watching
foreign television broadcasts, and in some cases for simply owning radio or
television sets that were able to be tuned in order to listen to nongovernment
broadcasts.
Internet Freedom

Internet access for citizens was limited to high-ranking officials and other
designated elites, including select university students. A tightly controlled and
regulated "intranet" was reportedly available to a slightly larger group of users,
including an elite grade school; select research institutions, universities, and
factories; and a few individuals. The Korea Computer Center, which acts as the
gatekeeper to the internet, granted access only to information it deemed acceptable.
The NGO Reporters Without Borders reported that some e-mail access existed
through this internal network. Government employees sometimes had closely
monitored access to the internet and had limited, closely monitored access to e-
mail accounts.
In June the press reported that foreign visitors in Pyongyang began receiving
mobile alerts when they attempted to access Instagram, a social media app. Some
experts speculated the block was in response to leaked photos of a fire in a luxury
hotel in Pyongyang that were shared online through the app.
Academic Freedom and Cultural Events

The government restricted academic freedom and controlled artistic works.
Curriculum was highly controlled by the state. The government severely restricted
academic travel. The primary function of plays, movies, operas, children's
performances, and books was to buttress the cult of personality surrounding the
Kim family and support the regime.
Indoctrination was carried out systematically through the mass media, schools, and
worker and neighborhood associations. Indoctrination continued to involve mass
marches, rallies, and staged performances, sometimes including hundreds of
thousands of persons.
The government continued its attempt to limit foreign influence on its citizens.
Listening to foreign radio and watching foreign films are illegal. Individuals
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor accused of viewing or possessing foreign films were reportedly subject to
imprisonment and possibly execution. According to the 2015 KINU white paper,
in 2013, the government executed two men in Sunam District, Chongjin, North
Hamkyung Province for a crime related to South Korean video recordings.
Nonetheless, numerous NGOs reported that foreign DVDs, CDs, and USB drives
continued to be available in the country.
Based on defector interviews, during the year the independent consulting firm
InterMedia estimated that as many as 29 percent of defectors listened to foreign
radio broadcasts while inside North Korea and that approximately 92 percent of
defectors who were interviewed had seen foreign DVDs in North Korea.
The government intensified its focus on preventing the import of South Korean
popular culture, especially television dramas. According to media and NGO
reports, in enforcing restrictions on foreign films, authorities authorized police to
search homes for contraband DVDs. The website Daily NK reported that Kim
Jong Un created a special police unit to restrict and control the flow of outside
information into the country.
b. Freedom of Peaceful Assembly and Association

Freedom of Assembly

While the constitution provides for freedom of assembly, the government did not
respect this provision and continued to prohibit public meetings not previously
authorized and not under government control.
Freedom of Association

The constitution provides for freedom of association, but the government failed to
respect this provision. There were no known organizations other than those
created by the government. Professional associations existed primarily to facilitate
government monitoring and control over organization members.
c. Freedom of Religion

See the Department of State's International Religious Freedom Report
at
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor d. Freedom of Movement, Internally Displaced Persons, Protection of
Refugees, and Stateless Persons

The law provides for the "freedom to reside in or travel to any place"; however, the
government did not respect this right. The government continued to control
internal travel carefully. The government did not cooperate with the Office of the
UN High Commissioner for Refugees or other humanitarian organizations in
providing protection and assistance to internally displaced persons, refugees,
returning refugees, asylum seekers, stateless persons, or other persons.
In-country Movement: The government continued to restrict freedom to move
within the country. Only members of a very small elite class and those with access
to remittances from overseas reportedly had access to personal vehicles. A lack of
infrastructure hampered movement, as did security checkpoints on main roads at
entry and exit points from every town.
The government strictly controlled permission to reside in, or even to enter,
Pyongyang, where food availability, housing, health, and general living conditions
were much better than in the rest of the country. Foreign officials visiting the
country observed checkpoints on the highway leading into Pyongyang.
Foreign Travel: The government also restricted foreign travel. The government
limited issuance of exit visas for foreign travel to officials and trusted
businessmen, artists, athletes, academics, and workers. Short-term exit papers
were available on a very limited basis for some residents to visit with relatives, for
short-term work opportunities, or to engage in small-scale trade.
Exile: The government reportedly forced the internal exile of some citizens. In the
past it forcibly resettled tens of thousands of persons from Pyongyang to the
countryside. Sometimes this occurred as punishment for offenses and included
those judged to be politically unreliable based on the social status of their family
members.
Emigration and Repatriation: The government did not allow emigration, and
reports stated that it continued severe, tight security on the border, dramatically
limiting the flow of persons crossing into China without required permits. NGOs
reported strict patrols and surveillance of residents of border areas and a
crackdown on border guards who may have been aiding border crossers in return
for bribes.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor Reports suggested that the number of North Koreans living illegally in northeastern China declined in recent years. News reports in 2013 stated that Chinese authorities installed additional miles of barbed-wire fencing along the Tumen River that divides China from North Korea, making it more difficult for North Koreans to cross into China. News reports in May stated that the DPRK had erected additional barbed-wire fencing on the North Korean side of the Tumen River. The South Korean press reported that the government issued orders for guards to shoot to kill those attempting to leave without official sanction. NGOs reported that Kim Jong Un called for stricter punishments for those suspected of illegal border crossing. The law criminalizes defection and attempted defection, including the attempt to gain entry to a foreign diplomatic facility for the purpose of seeking political asylum. Individuals who cross the border with the purpose of defecting or seeking asylum in a third country are subject to a minimum of five years of "labor correction." In "serious" cases defectors or asylum seekers are subjected to indefinite terms of imprisonment and forced labor, confiscation of property, or death. Many would-be refugees who were returned involuntarily were imprisoned under harsh conditions. Some sources indicated that authorities reserved particularly harsh treatment for those who had extensive contact with foreigners, including those with family members resettled in South Korea. Past reports from defectors noted that the government differentiated between persons who crossed the border in search of food (who might be sentenced only to a few months of forced labor or in some cases merely issued a warning) and persons who crossed repeatedly or for political purposes (who were sometimes sentenced to harsh punishment, including death). The law stipulates a sentence of up to two years of "labor correction" for the crime of illegally crossing the border. The government subjected repatriated refugees to harsh punishments, including imprisonment. The government reportedly continued to enforce the policy that all border crossers be sent to prison or re-education centers. In November media reported that in October Vietnamese authorities transferred nine North Korean asylum seekers to Chinese authorities to be repatriated to the DPRK. The group had been detained while transiting through Vietnam on their way to a third country. As of December the nine remained in detention in China. According to the ROK Ministry of Unification, the ROK resettled 1,277 DPRK defectors, compared with 1,396 in 2014--a decline of 8 percent. The media and Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor NGOs attributed the continuing decline to strengthened DPRK border controls.
While the overall number of defectors has been decreasing, the media reported an
increase in the number of senior DPRK officials who have defected. According to
South Korean media reports, the National Intelligence Service disclosed on
October 20 to the Intelligence Committee of the National Assembly that 46
members of the North Korean elite fled from North Korea in the past three years.
Protection of Refugees

Access to Asylum: The law does not provide for the granting of asylum or refugee
status, nor has the government established a system for providing protection for
refugees. The government did not grant refugee status or asylum. The government
had no known policy or provision for refugees or asylees and did not participate in
international refugee fora.
Section 3. Freedom to Participate in the Political Process

Citizens do not have the ability to choose their government peacefully.
Elections and Political Participation

Recent Elections: The most recent national elections to select representatives to
the Supreme People's Assembly (SPA) occurred in March 2014. These elections
were neither free nor fair. The government openly monitored voting, resulting in a
reported 100 percent participation rate and 100 percent approval of the pre-selected
government candidates. Local elections on July 19 were likewise neither free nor
fair. The government reported a 99.97 percent turnout, with 100 percent approval
for the government candidates.
Political Parties and Political Participation: The government has created several
"minority parties." Lacking grassroots organizations, the parties existed only as
rosters of officials with token representation in the SPA. The government
regularly criticized the concept of free elections and competition among political
parties as an "artifact of capitalist decay."
Participation of Women and Minorities: Women constituted approximately 4.5
percent of the membership of the Central Committee of the WPK but held few key
WPK leadership positions.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor The country is racially and ethnically homogenous. There are officially no
minorities.
Section 4. Corruption and Lack of Transparency in Government

It was not known whether the law provides criminal penalties for official
corruption, whether the government implemented any such laws effectively, or
how often officials engaged in corrupt practices with impunity. Corruption was
reportedly widespread in all parts of the economy and society and endemic in the
security forces.
Corruption: Reports of diversion of food to the military and government officials
and bribery were indicative of corruption in the government and security forces.
Multiple ministries and party offices were responsible for handling issues of
corruption.
Financial Disclosure: It was not known whether public officials are subject to
financial disclosure laws and whether a government agency is responsible for
combating corruption.
Public Access to Information: There are no known laws that provide for public
access to government information.
Section 5. Governmental Attitude Regarding International and
Nongovernmental Investigation of Alleged Violations of Human Rights

There were no independent domestic organizations to monitor human rights
conditions or comment on the status of such rights. The country reported that
many organizations, including the Democratic Lawyers' Association, General
Association of Trade Unions, Agricultural Workers Union, and Democratic
Women's Union, engaged in human rights activities, but the activities of these
organizations could not be verified.
The international NGO community and numerous international experts continued
to testify to the grave human rights situation in the country. The government
decried international statements about human rights abuses in the country as
politically motivated interference in internal affairs. The government asserted that
criticism of its human rights record was an attempt by some countries to cover up
their own abuses and that such hypocrisy undermined human rights principles.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor The United Nations or Other International Bodies: The government emphasized
that it had ratified a number of UN human rights instruments, but it continued to
refuse to cooperate with UN representatives. The government prevented the UN
special rapporteur on the situation of human rights in the DPRK from visiting the
country to carry out his mandate, which it continued to refuse to recognize.
On June 26, the UN Office of the High Commissioner for Human Rights opened a
field office in Seoul, South Korea to monitor and document human rights abuses in
the DPRK. The DPRK state media issued a number of violent threats in advance
of the office opening.
Government Human Rights Bodies: The government's DPRK Association for
Human Rights Studies denied the existence of any human rights violations.
Section 6. Discrimination, Societal Abuses, and Trafficking in Persons

While the constitution grants equal rights to all citizens, the government reportedly
did not actually grant its citizens most fundamental human rights, and it continued
pervasive discrimination based on social status.
Women

Despite an extensive legal framework providing for equality for women, such as
equal employment opportunities and equal pay, societal and legal discrimination
continued. A 2013 report on the Status of Women's Rights in the Context of Socio-
Economic Changes in the DPRK
, by the ROK-based NGO Citizens' Alliance for
North Korea Human Rights, stated that it could not detect any major changes as a
result of the 2010 Women's Rights Protection Act. The report noted the act was
vague, lacked the designation of an administering agency, did not include
punishments for noncompliance, and had no accompanying implementing
legislation.
Rape and Domestic Violence: The government appeared to criminalize rape, but
no information was available on details of the law or how effectively it was
enforced. Prison guards reportedly raped women in prison camps and forced them
to have abortions. Violence against women was reported as a significant problem
both inside and outside the home. No information was available on government
efforts to combat rape, domestic violence, and other societal violence directed
against women. According to the KINU 2015 white paper, the 2012 revision of
the country's criminal code indicated a sentence reduction for rape and domestic
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor violence. The UN COI report found the subjugation of inmates and a general climate of impunity created an environment in which guards and other prisoners in privileged positions raped female inmates. When cases of rape came to light, the perpetrator often escaped with mere dismissal or no punishment. Sexual Harassment: Women who left the country reported that although "sexual violation" was understood, the term "sexual harassment" was not defined in the country. Despite the 1946 "Law on Equality of the Sexes," defectors reported that sexual harassment of women was generally accepted due to patriarchal traditions. Defectors reported that there was little recourse for women who had been harassed. Reproductive Rights: Obtaining accurate information regarding reproductive rights was difficult. The country's initial report to the Convention on the Elimination of All Forms of Discrimination Against Women, submitted in 2002, claimed "family planning is mapped out by individual families in view of their actual circumstances and in compliance with laws, regulations, morality, and customs…women have the decision of the spacing of children in view of their own wish, health condition, and the like. But usually the spacing of children is determined by the discussion between the wife and the husband." Independent sources were not able to substantiate this claim. According to UN Children's Fund (UNICEF) statistics, the maternal mortality rate in 2013 was 87 per 100,000 live births. Final results from the 2012 National Nutrition Survey--conducted by the Central Bureau of Statistics, with technical assistance from the World Food Program, UNICEF, and World Health Organization--estimated that the maternal mortality rate from 2008 to 2010 decreased slightly, from 85 to 76 per 100,000 live births. UNICEF reported that the deteriorating health system, lack of medicine, and emergency referrals affected the high rate of maternal mortality. The World Food Program found that 31 percent of women surveyed suffered from anemia, which increases the likelihood of maternal mortality. The country reported in its 2009 National Human Rights Report submitted to the UN Universal Periodic Review that 98 percent of women received professional help during childbirth. The 2012 UN Overview of Needs and Assistance in the DPRK report found that 68 percent of monthly deliveries took place at county hospitals or clinics at the village level, but approximately 42 percent of these facilities did not have resuscitation equipment for mothers and 36 percent did not have resuscitation equipment for newborns. A KINU survey of defectors found that 86 percent of respondents stated the family doctor system was "useless." Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor The KINU 2015 white paper also cited very high levels of maternal and infant
mortality. Pregnant women sentenced to detention centers following their
repatriation to the country reportedly were subjected to forced abortions.
Discrimination: The constitution states that "women hold equal social status and
rights with men"; however, few women reached high levels of the party or the
government. KINU reported that discrimination against women emerged in the
form of differentiated pay scales, promotions, and types of work assigned to
women.
The press and think tanks reported that while women were less likely than men to
be assigned full-time jobs, they had more opportunity to work outside the socialist
economy.
According to the KINU 2015 white paper, divorces were not approved without
bribes.
Children

Birth Registration: Citizenship is derived from one's parents and, in some cases,
birth within the country's territory.
Education: The law provides for 12 years of free compulsory education for all
children. Reports indicated that authorities denied some children educational
opportunities and subjected them to punishments and disadvantages as a result of
the loyalty classification system and the principle of "collective retribution" for the
transgressions of family members. NGO reports also noted some children were
unable to attend school regularly because of hidden fees or insufficient food.
NGOs reported that children in the total control zones of political prisons did not
receive the same curriculum or quality of education.
Foreign visitors and academic sources reported that from the fifth grade schools
subjected children to several hours a week of mandatory military training and that
all children received political indoctrination.
Medical Care: It was not known whether boys and girls had equal access to state-
provided medical care. Access to health care largely depended on loyalty to the
government.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor Child Abuse: Information about societal or familial abuse of children remained
unavailable. The law states that a man who has sexual intercourse with a girl
under age 15 shall be "punished gravely." There was no reporting on whether the
government upheld this law.
Early and Forced Marriage: The law provides that the minimum ages for marriage
are 18 for men and 17 for women.
Sexual Exploitation of Children: There were reports of trafficking in young girls
to destinations outside the country. Little information was available regarding the
sexual exploitation of children.
See the Department of State's Trafficking in Persons Report
at
Displaced Children: According to NGO reports, there were numerous street
children, many of them orphans, who were denied entrance to public schools.
Institutionalized Children: There were reports of children born into kwanliso
political prison camps as a result of "reward marriages" between inmates. Reports
noted that authorities subjected these children to forced labor for up to 12 hours per
day and did not allow them to leave the camps. Children living in prison camps
were subjected to torture if they or a family member violated the prison rules.
International Child Abductions: The country is not a party to the 1980 Hague
Convention on the Civil Aspects of International Child Abduction.
Anti-Semitism

There was no known Jewish population, and there were no reports of anti-Semitic
acts.
Trafficking in Persons

See the Department of State's Trafficking in Persons Report
at
Persons with Disabilities

Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor In 2013 the country announced that it modified its Person with Disability Protection Law in order to meet the international standards of rights for persons with disabilities. In the national report it presented during the May Universal Periodic Review, the government estimated persons with disabilities constituted 5.8 percent of the population. While a 2003 law mandates equal access to public services for persons with disabilities, implementing legislation has not been enacted. Traditional social norms condone discrimination against persons with disabilities, including in the workplace (also see section 7.d.). Although veterans with disabilities were treated well, other persons with physical and mental disabilities reportedly were sent from Pyongyang to internal exile, quarantined within camps, and forcibly sterilized. Persons with disabilities experienced discrimination in accessing public life. The Korean Federation for the Protection of the Disabled coordinated work with persons with disabilities countrywide. The UN Committee on the Rights of the Child repeatedly expressed concern about de facto discrimination against children with disabilities and insufficient measures taken by the state to ensure these children had effective access to health, education, and social services. The Citizens' Alliance for North Korean Human Rights 2013 report on the Status of Women's Rights in the Context of Socio-Economic Changes in the DPRK found that the birth of a baby with disabilities--regardless of circumstances--was considered a "curse," and doctors were poorly trained to diagnose and treat such persons. The report stated there were no welfare centers with specialized protection systems for those born with disabilities. Citizens' Alliance also cited reports that the country maintained a center (Hospital 8.3) for abandoned individuals with disabilities, where residents were subjected to chemical and biological testing. UNICEF noted that very high levels of malnutrition indicated serious problems for both the physical growth and psychosocial development of young children. Final results from the 2012 National Nutrition Survey estimated 475,868 children (28 percent) were stunted and 68,225 children (4 percent) acutely malnourished. The report concluded that the acute nutritional status of children had improved moderately since 2009 when the last nationwide survey including nutrition indicators was carried out. Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor Acts of Violence, Discrimination, and Other Abuses Based on Sexual
Orientation and Gender Identity

There are no laws against consensual same-sex activity, but no information was
available on discrimination based on sexual orientation or gender identity. In April
2014 the Korean Central News Agency, the state news agency, denied the
existence of consensual same-sex activity in the country and reported, "The
practice can never be found in the DPRK boasting of sound mentality and good
morals."
HIV and AIDS Social Stigma

No information was available regarding discrimination against persons with
HIV/AIDS.
Section 7. Worker Rights

a. Freedom of Association and the Right to Collective Bargaining

The constitution provides for freedom of association, but workers do not have the
right to form or join independent unions, strike, or bargain collectively. Unlawful
assembly may result in five years of correctional labor. Although the law
stipulates that employees working for foreign companies may form trade unions
and that foreign enterprises must guarantee conditions for union activities, the law
does not protect workers who might attempt to engage in union activities from
employer retaliation, nor does it provide penalties for employers who interfere in
union activities.
There were no known labor organizations other than those created and controlled
by the government. The WPK purportedly represents the interests of all labor.
The Central Committee of the WPK directly controls several labor organizations in
the country, including the General Federation of Trade Unions of Korea and the
Union of Agricultural Workers of Korea. Operating under this umbrella, unions
functioned according to a classic Stalinist model, with responsibility for mobilizing
workers to support production goals and for providing health, education, cultural,
and welfare facilities.
The government controlled all aspects of employment, including assigning jobs
and determining wages. Joint ventures and foreign-owned companies were
required to hire their employees from government-vetted lists. Factory and farm
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor workers were organized into councils, which had an effect on management
decisions. The first special economic zone (SEZ) was established in the Rajin-
Sonbong area in 1991. The same labor laws that apply in the rest of the country
apply in the Rajin-Sonbong SEZ. The government selected the workers permitted
to work in the SEZ. The government announced the establishment of 13 new SEZs
in 2013, six additional SEZs in 2014, and two more SEZs during the year.
Under a special law that created the Kaesong Industrial Complex (KIC), located
close to the demilitarized zone between the ROK and the DPRK, special
regulations covering labor issues negotiated with the ROK are in effect for the
management of labor in the area. Those regulations do not contain provisions that
stipulate freedom of association or the right to bargain collectively. The
government reportedly selects worker representatives in KIC workplaces, subject
to the approval of South Korean company management (also see sections 7.b. and
7.e.).
b. Prohibition of Forced or Compulsory Labor

The law prohibits forced or compulsory labor. Nonetheless, the government
mobilized the population for construction and other labor projects. "Reformatory
labor" and "re-education through labor," sometimes of entire families, have
traditionally been common punishments for political offenses. Forced and
compulsory labor in such activities as logging, mining, tending crops, and
manufacturing continued to be the common fate of political prisoners. Re-
education involved memorizing speeches by Kim Il Sung and Kim Jong Il.
The law requires all citizens of working age to work and "strictly observe labor
discipline and working hours." There were numerous reports that farms and
factories did not pay wages or provide food to their workers. Forced labor
continued to take place in brick making, cement manufacturing, coal mining, gold
mining, logging, iron production, agriculture, and textile industries. NGOs
reported authorities ordered some university students to abandon their studies to
work on campus beautification projects early in the year.
According to reports from an NGO, during the implementation of short-term
economic plans, factories and farms increased workers' hours and asked workers
for contributions of grain and money to purchase supplies for renovations and
repairs. By law failure to meet economic plan goals may result in two years of
"labor correction." There were reports that workers were required to work at
enterprises to which the government assigned them and that many of these workers
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor were not compensated or undercompensated for their work. In addition in the
Kaesong Industrial Complex, wages for North Korean workers were paid directly
from South Korean companies to DPRK authorities. Though workers were
reportedly aware of their monthly earnings as companies require them to sign time
records acknowledging salaries paid to North Korean managers on their behalf, it
remained unclear how much of these earnings were transferred to individual
workers (also see section 7.e.).
The NGO Human Rights Watch reported that the government operated regional,
local, or sub-district level "labor training centers" and forced detainees to work for
short periods doing hard labor, receiving little food, and subject to abuse, including
regular beatings. Authorities reportedly sent individuals to such centers if they
were suspected of engaging in simple trading schemes or were unemployed.
There were an estimated 50,000 to 60,000 North Korean citizens working as
overseas laborers, primarily in Russia and China. The UN Special Rapporteur on
the DPRK noted that, while most were sent to Russia and China to work, they were
also reportedly found in Algeria, Angola, Cambodia, Equatorial Guinea, Ethiopia,
Kuwait, Libya, Malaysia, Mongolia, Myanmar, Nigeria, Oman, Poland, Qatar, and
the United Arab Emirates. Numerous NGOs noted that these citizens were in
conditions of forced labor. NGO reports indicated the laborers were managed by
the government as a matter of state policy and were under constant and close
surveillance by DPRK security agents. Laborers worked between 12 and 16 hours
per day, and sometimes up to 20 hours per day, with only one or two rest days per
month. The average wage was stated as $120 to 150 per month, but in most cases
employing firms paid salaries directly to the DPRK government, and it was not
known how much of that salary the workers received. The government reportedly
received in the low $100s of millions from this system per year. Wages reportedly
were withheld until the laborers returned home after the completion of their three-
year contracts, making them vulnerable to deception and exploitation by
authorities.
Also see the Department of State's Trafficking in Persons Report
at
c. Prohibition of Child Labor and Minimum Age for Employment

By law the state prohibits work by children under age 16. Neither the general
labor law nor Kaesong Industrial Complex labor law prohibits hazardous child
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor labor. The law criminalizes forced child labor, but there were reports that such
practices occurred.
Schoolchildren occasionally were sent to work in factories or fields for short
periods to assist in completing special projects, such as snow removal on major
roads, or meeting production goals. The NGO Human Rights Watch reported that
the government required students to work without pay on farms twice a year, for
one month at a time, during ploughing and seeding and again at harvest time. The
effects of such forced labor on students included physical and psychological
injuries, malnutrition, exhaustion, and growth deficiencies. Thousands of children
were reportedly held and forced to work in labor camps alongside their parents.
d. Discrimination with Respect to Employment or Occupation

Although the law provides that all citizens "may enjoy equal rights in all spheres of
state and public activities" and all "able-bodied persons may choose occupations in
accordance with their wishes and skills," neither the general labor law nor Kaesong
Industrial Complex labor law prohibits discrimination with respect to employment
or occupation on the basis of race, color, sex, religion, political opinion, national
origin or citizenship, social status, disability, sexual orientation, gender identity,
age, language, sexual orientation, gender identity, HIV-positive status, or other
communicable diseases. Although there is no direct reference to employment
discrimination in the law, classification based on the songbun system has a bearing
on equal employment opportunities and equal pay.
Although the law accords women equal social status and rights, societal and legal
discrimination against women continued. A 2014 UN COI report noted that,
despite the economic advancement of women, the state continued to discriminate
against them and imposed many restrictions on the woman-dominated market.
Persons with disabilities also faced employment discrimination.
e. Acceptable Conditions of Work

No reliable data were available on the minimum wage in state-owned industries.
Monthly wages in some enterprises in the heavy industrial sectors as well as in the
textile and garment sector reportedly increased from 3,000-4,000 won ($0.30-0.40)
to 300,000 won ($30) in 2013, with approximately one-third of the wage paid in
cash and the remainder in kind.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor The law stipulates an eight-hour workday; however, some sources reported that laborers worked longer hours, perhaps including additional time for mandatory study of the writings of Kim Il Sung and Kim Jong Il. The law provides all citizens with a "right to rest," including one day's rest per week (Sunday), paid leave, holidays, and access to sanitariums and rest homes funded at public expense; however, the state's willingness and ability to provide these services were unknown. Foreign diplomats reported that workers had 15 days of paid leave plus paid national holidays. The law recognizes the state's responsibility for providing modern and hygienic working conditions. The law criminalizes the failure to heed "labor safety orders" pertaining to worker safety and workplace conditions, but only if the conditions result in the loss of lives or other "grave loss." Workers themselves do not have a designated right to remove themselves from hazardous working conditions. Mandatory participation in mass events on holidays and practice sessions for such events sometimes compromised leave or rest from work Workers were often required to "celebrate" at least some part of public holidays with their work units and were able to spend an entire day with their families only if the holiday lasted two days. Failures to pay wages were common and reportedly drove some workers to seek income-generating activity in the informal or underground economy. Many worksites were hazardous, and the industrial accident rate was high. Citizens labored under harsh conditions while working abroad for state-owned firms and under arrangements between the government and foreign firms (see section 7.b.). According to the ROK government, 124 South Korean firms were operational at the KIC and nearly 54,000 North Korean workers were employed there. The DPRK's Central Special Zone Development Guidance Bureau typically provided labor candidates for selection by South Korean companies. Workers at the KIC did not have the right to choose their employers. Under an inter-Korean agreement, North Korean workers at the KIC reportedly earned a monthly basic minimum wage of $70.35 plus overtime (wages are set in U.S. dollars per KIC labor law), in total approximately $140 to $145 per month. In December 2014 North Korean authorities announced changes to regulations governing wage payments increases at the KIC, and in February, unilaterally moved to increase monthly wages by 5.18 percent, which clashed with an inter-Korean agreement to limit wage increases to 5 percent each year. In August both sides agreed to a 5 percent wage increase (up to $73.87) to be followed by additional benefits. Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor
The KIC Management Committee, an agency supervised by the North Korean
Central Special District General Bureau for the KIC, is responsible for
administrative enforcement of KIC labor law. The committee may impose a fine
of between $100 and $2,000 for labor law violations or suspend that employer's
operations, if the employer has failed to heed prior committee warnings to remedy
labor law infractions and the unlawful activity has resulted in "serious
consequence."
It was difficult to determine what proportion of their earned wages workers
ultimately took home. Although laws governing the KIC require direct payment in
cash to the workers, their wages were in fact deposited into accounts controlled by
the government, which withheld a portion for social insurance and other benefits
and then remitted the balance (reportedly approximately 70 percent) to the workers
in an unknown combination of "commodity supply cards" that could be exchanged
for staple goods and won converted at the official exchange rate, which highly
overvalued the won. Nevertheless, the KIC remained a highly sought-after place
of employment.
Endnote: Note on Sourcing

The United States does not have diplomatic relations with the Democratic People's
Republic of Korea. The DPRK does not allow representatives of foreign
governments, journalists, or other invited guests the freedom of movement that
would enable them to assess fully human rights conditions or confirm reported
abuses. While information is becoming more readily available, some reports that
rely on defector testimony can be dated because of the time lapse between
departure from North Korea and contact with NGOs or officials able to document
human rights conditions.
Country Reports on Human Rights Practices for 2015 United States Department of State • Bureau of Democracy, Human Rights and Labor

Source: http://news.kbs.co.kr/datafile/2016/04/0414_20.pdf

Guidelines for the management of the infant with neonatal abstinence syndrome (nas)

GUIDELINES FOR THE MANAGEMENT OF THE INFANT WITH NEONATAL ABSTINENCE SYNDROME Background Neonatal Abstinence Syndrome (NAS) is a syndrome of drug withdrawal observed in infants of mothers physically dependent on drugs. Also known as neonatal withdrawal syndrome or passive addiction, NAS is a condition resulting from exposure in utero or postnatal exposure to opioids and other illicit drugs. It is more common in infants born to opioid-dependent women than in infants born to women dependent on other drugs or alcohol.1

Cop progress 4-05

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