The U.N. has dropped North Korea from a key humanitarian response plan for the second straight year, as the country’s severe COVID-19 restrictions continue to hamper international efforts to provide much-needed food aid and other assistance.

In the latest Global Humanitarian Overview report published Thursday, the U.N. Office for the Coordination of Humanitarian Affairs (OCHA) states that, “Afghanistan, DPR Korea and Myanmar are facing acute food insecurity situations, which are likely to deteriorate further by the year’s end.”