Children who grew up in North Korea over the past 30 years, and particularly those raised during the 1990s famine that killed several million people, continue to suffer from “injuries both physical and psychological,” said a report issued Friday by the Committee for Human Rights in North Korea (HRNK), a Washington-based NGO.

Lost Generation: The Health and Human Rights of North Korean Children 1990-2018, discussed the lasting effects of what North Korea euphemistically called the “Arduous March,” a period of man-made famine in North Korea following the collapse of the Soviet Union, which resulted in as many as 3.5 million deaths.