Is Kim Jong-Il Dying?

Is Kim Jong-Il Dying?

The North Korean leader Kim Jong-il, who suffered a stroke last August, was also found to have “life-threatening” pancreatic cancer around the same time, a South Korean cable television network reported on Monday.

The network, YTN, a cable news channel, quoted unidentified Chinese and South Korean intelligence sources for the report, which was made by YTN’s Beijing-based correspondent.

YTN did not explain how the sources obtained such medical information about Mr. Kim from North Korea, an isolated, nuclear-armed state that historically has kept details of its leader’s health a closely guarded secret.

But if the diagnosis of pancreatic cancer is true, Mr. Kim may not have much longer to live. Pancreatic cancer is one of the most difficult cancers to detect early, it spreads rapidly and the fatality rate is high. The World Health Organization says fewer than 5 percent of patients with pancreatic cancer live longer than five years.

Although Mr. Kim began making occasional public appearances a few months after he mysteriously disappeared last August, photographs of him and television images recently carried by the North Korean media showed him limping and frail.

Mr. Kim’s loss of weight, in particular, has elevated speculation about the severity and nature of what is wrong with him.

His health and who is going to succeed him at the top of one of the world’s most secretive states are most intensely monitored issues.

Mr. Kim looked gaunt during a public appearance last Wednesday at a memorial for his father, the founder of North Korea, Kim Il-sung. Mr. Kim inherited power after his father died in 1994 at the age of 82.

American intelligence officials said last fall that Mr. Kim was seriously ill, although the exact nature of his illnesses has been a matter of speculation.

A French neurosurgeon who has treated Mr. Kim said the North Korean leader did have a stroke last August. In December, the doctor, François-Xavier Roux, told Le Figaro, the French daily newspaper: “Kim Jong-il suffered a stroke but did not undergo an operation. He is now better.”

Mr. Kim’s health is a topic of intense international interest, in large part because world leaders and governments are unclear about who would succeed him. North Korea is one of the world’s most unpredictable nations, and any transfer of power will focus new attention on the security of its nuclear arsenal.

In May, North Korea tested its second nuclear device in a move that shocked and angered the international community. Even China, the North’s closest ally, condemned the test.

Mr. Kim has three known sons, and in recent months there have been widespread reports — many of them thinly sourced — that the youngest son, Kim Jong-un, has been designated the heir apparent.

Mark McDonald contributed reporting from Hong Kong.

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