27th August
No need to order breakfast today – they brought me exactly what I had yesterday without asking! Cornflakes, eggs and bacon; perfectly acceptable.
Another excursion to South Hwang Hae Province. Yesterday’s heavy rain has resulted in flooding. Today we pass through a number of places where the road is under a foot of water and the North Koreans are wading stoically through with their bicycles. At one point the road had collapsed completely and we had to cancel our visit to Umpah.
We did manage to visit Sariwon Provincial TB hospital, where we saw the new CFK-supplied operating theatre in use; in advanced TB cases, surgery is required to remove cavities which the body forms. This can contain but not cure the disease. 
CFK has renovated and re-equipped a number of old fashioned operating theatres with a resulting increase in successful operations and a reduction in infections post-surgery.
We also see the Sariwon and Hwangju TB rest homes, the latter most improved since my last visit. 
Local officials have prioritised the construction and it has been completely rebuilt and fitted out with window frames and roofing material imported from China by CFK. A fine team effort.
The North Korean government has very scarce foreign exchange resources and is not in a position to import supplies for the TB hospitals. Even basic items such as construction materials have to be imported from China and paid for by CFK. This is the cheapest way to do it – these items are not available locally and it would be very expensive to ship from the US.