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The current COVID-19 situation and response measures in Republic of Korea

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Page 1: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

The current COVID-19 situation and response measures

in Republic of Korea

Page 2: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

Dec 31, 2019

Cluster of cases of pneumonia

of unknown origin reported to

China National Health

CommissionJan 20, 2020

First confirmed

case in

Korea

Jan 20, 2020

Raise up the alert

level to Yellow

Jan 3, 2020

Raise up the alert

level to Blue

Jan 12, 2020

Named as 2019-nCoV;

Whole genome sequence

shared with WHO

Jan 8, 2020

1st case in

Thailand

Jan 28, 2020

Raise up the alert

level to Orange

Feb 23, 2020

Raise up the alert

level to Red

Jan 30, 2020

Secondary infection

case

Jan 31, 2020

Tertiary infection

COVID-19 test

available at local government

Jan 22-23, 2020

1st Emergency

Committee

Feb 20, 2020

First death case in

Korea

Feb 19, 2020

Big cluster occur

(Shincheonji,

Daenam Hopistal)

Feb 7, 2020

COVID-19 test

available at private

Feb 12, 2020

Expand strict quarantine

to HK, Macau

Evolution of COVID-19 in Republic of Korea

Jan 30, 2020

WHO declare

PHEIC of COVID19

Feb 1, 2020

1st Wuhan evacuee

Feb 21, 2020

Declare a ‘special

management region’

in Daegu, Chengdo March 5, 2020

Declare a ‘special

management region’

in Gyeongsan

Jan 23, 2020

Containment of

Wuhan

Feb 4, 2020

Entry ban on foreigners

with travel history to

Hubei, China

March 1, 2020

Establishment of Life

Treatment Center

Focus on treatment of

severe cases

March 19, 2020

Special Entry

Procedure extended for

all travelers

March 12, 2020

Guideline for

high-risk working

environment

distributed

Page 3: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

The number of confirmed cases (as of 27 March)

1 1 1 1 3 4 1 3 1 5 3 3 1 2 23416

74

190

210

207

130

253

449427

909

595

686

600

516

438

518483

367

248

131

242

114

110

10776748493

152

87

14798

6476

100

10491

9332

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0

200

400

600

800

1000

1200

1.20 1.22 1.24 1.26 1.28 1.30 2.1 2.3 2.5 2.7 2.9 2.11 2.13 2.15 2.17 2.19 2.21 2.23 2.25 2.27 2.29 3.2 3.4 3.6 3.8 3.10 3.12 3.14 3.16 3.18 3.20 3.22 3.24 3.26

Newly confirmed Total confirmed

(New) (Total)

Page 4: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

Distribution of confirmed cases

All confirmed cases Fatal cases and fatality rate

(as of 27 March)

62 263

1,158

418 370 532 444

261 130

46

233

1,374

542 886

1,220

726

369

298

0

1000

2000

0

Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80 and

above

Male Female

1 1

5

14

2529

5

7

16

36

0.0 0.0 0.0 0.1 0.1 0.6

1.8

6.5

fatality rate

15.2 %

0

2

4

6

8

10

12

14

16

0

Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80 and

above

Male Female

CFR = 1.49%

Page 5: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

Distribution by regions and clusters (as of 27 March)

Distribution by clustersRegional distribution

5079

(54.4%)2556

(27.4%)

309

(3.3%)

1388

(14.9%)

Shincheonji

Other clusters

Imported cases

Under investigation or sporadic cases

6516

6100

6200

6300

6400

6500

6600

372

11346 20 31 39 44

412

31 41

124

10 8

1283

91

7

144

0

100

200

300

400

500

600

700

800

900

1000

1100

1200

1300

Page 6: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

(as of 25 March)Response measures along with the progress of outbreaks

234 16

74

190 210 207

130

253

449 427

909

595

686

600

516

438

518483

367

248

131

242

114 110 10776 74 84 93

15287

14798

64 76 100

2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25

6th update of case definition

Screening tests of all staffs in Cheongdo daenam hospital

Identification and start of

testing for 9,334 members of

Shincheonji Daegu group

Escalation of national alert level to level 4(Red)

Designation of special management region for Daegu, Gyeongbuk

Postpone of the beginning of schools to Mar 9th

Nationwide check

of psychiatric ward

Started monitoring of

all Shincheonji members

Focus on treatment of severe cases

Establishment of Life treatment centers for mild cases

Social distancing campaign

Drive thru sample collection center SOP established

Designation of special management region for Gyeongsan

742 public health doctors deployed

Confirmed 31st case

related to Shincheonji

7th update of

case definition

Designation of 91 national safe hospitals

Designation of

290 national safe hospitals

Identification of

Guro call center cluster

Provincial level case management team

established

Immunofluorescence Assay established

Guideline for high risk working

Environment distributed

Special Entry Procedure expanded to

travelers from Europe

Special Entry Procedure expanded

to all incoming travelers

Testing all incoming travelers

from Europe

3rd postpone of the beginning of schools

to April 6th

2nd postpone of school opening to Mar 23rd

Page 7: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

The number of Laboratory Testing

Testing Institutions (Total 118) :KCDC, National Quarantine Station 4, Research Institutes of Public Health and Environment(RIPHEs) 18, Private medical Laboratories and hospitals 95

(as of 25 March)

357,896

639436853

1,445

7231,057

665400252

1,0941,1461,750

2,655

4,805

3,012

5,982

8,101

9,411

11,863

12,950

14,753

11,292

12,606

16,260

10,856

9,834

18,199

13,449

10,329

8,100

13,526

12,25112,603

13,649

12,688

6,8776,292

12,212

8,931

11,377

9,640

10,845

4,271

6,256

10,546

9,314

188,518

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

20,000

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

2.0

8

2.0

9

2.1

0

2.1

1

2.1

2

2.1

3

2.1

4

2.1

5

2.1

6

2.1

7

2.1

8

2.1

9

2.2

0

2.2

1

2.2

2

2.2

3

2.2

4

2.2

5

2.2

6

2.2

7

2.2

8

2.2

9

3. 1

3. 2

3. 3

3. 4

3. 5

3. 6

3. 7

3. 8

3. 9

3. 10

3. 11

3. 12

3. 13

3. 14

3. 15

3. 16

3. 17

3. 18

3. 19

3. 20

3. 21

3. 22

3. 23

3. 24

New Culmulative

• Capacity :Average ca. 15,000/day ~ Max. ca. 20,000/day

• Turn Around Time: 6 ~ 24hrs

Page 8: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

- Operation of Drive-Thru Sample Collection & Screening Clinics

Ensuring early patient detection through screening clinics and diagnostic testing

Page 9: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

InvestigationRisk

assessment

Contact

classification

Contacts

management

Contact tracing strategy : stepwise approach

• Interview Obtain information

through patient interview (identify route)

If necessary, perform preemptive defense against infectious diseases

Contents

Method/Tool • Investigate medical records

• Phone location information (GPS mobile)

• Card transaction log• CCTV

(Closed-Circuit Television)

• Collective objective information Gather additional

information Check and verify

results of the interview

Perform evaluation for the classification of contacts

• Interview Patient Primary physician Family

Close contact

Casual contact

Sx. monitoring

Move restriction

• Perform contacts classification and management by following guidelines

Page 10: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

SMART quarantine information system after MERS outbreak in 2015

Quarantine process linked to relevant institution

National Quarantine

station

KCDC

Ministry of foreign affairs

Ministry of justice

Health Insurance Review & Assessment Service

National Health Insurance Corporation

Page 11: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

Start to Mobile app

Proceed with special quarantine formProceed with daily Self

Health CheckCheck screening clinics

Self Health Check Mobile App

Page 12: The current COVID-19 situation and response measures in … · 2020-08-03 · Jan 31, 2020 Tertiary infection COVID-19 test available at local government Jan 22-23, 2020 1st Emergency

Social distancing campaign

Avoid physical contact with other people.

Put 2-meter “healthy distance” between yourself and others.

No night out No religious gathering

No indoor fitness

facilities

For the next 15 days,please participate in enhanced social distancing.

Stay home as much as possible.Cancel or postpone non-essential travel, events, and social gatherings.

High-risk facilities are strongly recommended to suspend operation.Religious facilities, indoor fitness facilities, nightlife venues

Venues that remain in operation must strictly comply with the infection prevention guidelines.

As of 23 March

As of 21 March