North Korea reported the eruption of another infectious disease in addition to its ongoing COVID-19 outbreak, saying leader Kim Jong Un has donated his private medicines to those stricken with the new disease. It’s unclear how serious the new epidemic is, but some outside observers say North Korea likely aims to burnish Kim’s image as a leader caring about public livelihood as he needs greater public support to overcome pandemic-related hardships.

Kim on Wednesday offered his family’s reserve medicines for those diagnosed with ‘an acute enteric epidemic’ in southeastern Haeju city, the official Korean Central News Agency reported. The North’s main Rodong Sinmun newspaper separately carried a front-page photo showing Kim and his wife Ri Sol Ju reviewing saline solutions and other medicines that they were donating.

KCNA didn’t elaborate on exactly what the epidemic is and how many people have been infected.

Some observers say the “an enteric epidemic” in North Korea refers to an infectious disease like typhoid, dysentery or cholera, which are intestinal illnesses caused by germs via contaminated food and water or contact with feces of infected people.

Such diseases routinely occur in North Korea, which lacks good water treatment facilities and whose public healthcare infrastructure largely remains broken since the mid-1990s.