North Korea Travel Health Advice
Recommended routine vaccinations include MMR (measles-mumps-rubella) updates, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and a yearly flu shot.
Typhoid and hepatitis A vaccinations are recommended for most travellers and some travellers should consider hepatitis B, Japanese encephalitis and rabies vaccines. Proof of a yellow fever vaccination is required when travelling from countries with yellow fever risks. In the southern provinces of North Korea, malaria can be contracted, so use anti-malarial medication and take plenty of insect repellent.
The most common ailment is travellers' diarrhoea and can be avoided with basic precautions. Don't eat food that has not been cooked or unwashed fruits and vegetables. Don't drink tap water unless it has been disinfected, boiled or filtered. When using prescription medication, take a letter from your doctor detailing your condition and confirming the necessity of your medication; it is also important to find out, from your tour operator, what OTC medication you are allowed to take.
Medical facilities are limited, so people with underlying problems should avoid travelling to North Korea. The Friendship Hospital in Pyongyang provides adequate surgical facilities, but it's not comparable to other major hospitals in nearby Asian countries. It is advisable to have medical insurance with provision for air evacuation to well-developed medical facilities in Beijing should an emergency warrant high-end medical care.