Malnutrition
North Korea is known for having malnutrition issues. In June of 2019, North Korea experienced the worst harvest they've had in recent years that affected 40% of the population. Food shortages are extremely common in the country and most of their population suffers from growth issues because of it.
Elite Supermarkets
The photographer wasn't permitted to bring his camera into the capital's supermarkets, which is why this photo was quite rushed. There are only two markets in the capital in total, and they are reserved only for most elite citizens. Here, they even have Evian water for sale...