North Korea is suffering from severe malnutrition and food insecurity, with one of the highest gaps in daily caloric intake in all of Asia, according to a new U.S. Department of Agriculture (USDA) report. Those estimates also became slightly worse after the COVID-19 novel coronavirus spread around the world.

The new International Food Security Assessment report, which covers projections for 2020 to 2030, estimates that 15.3 million North Koreans — or 59.8% of the population — is “food insecure.” This means that more than half of the North Korean population does not have enough food to eat or suffers from uncertain access to food.