Preparedness and response

Preparedness and response to COVID-19

in Republic of Korea

Current Situation

Daily new confirmed and discharged cases (as of 30 June)

Total confirmed cases and status (as of 30 June)

Daily new confirmed cases by chain of transmission (as of 30 June)

Daily new confirmed cases by chain of transmission (as of 30 June)

Seoul

Incheon

Gyeonggi

Imported cases (as of 30 June)

New cases (for last 2 weeks) by chain of transmission (as of 30 June)

Preparedness

Public Health Emergency Preparedness

 24-hour / 7 days EOC operation

 Foster field officers required for early, rapid response - Hire / train more EIS officers

- Create rapid response teams

 Expand and maintain infrastructure in preparation for possible emerging infectious disease outbreaks

- More isolation rooms and negative pressure isolation rooms

 Develop emerging infectious disease manual and strengthen on-site emergency

response education exercises

About KCDC EOC (1) History of EOC Construction building

Temporary EOC

Completed building EOC

Completed interior design

& IT system of EOC

2016.3 2018.1 2019.1

About KCDC EOC (2)

The Zone of New EOC

About KCDC EOC (3)

Current New KCDC EOC

Disease and Health Portal Management System

Response & Measures

Dec 31, 2019

Cluster of cases of pneumonia of unknown origin reported to China National Health

Commission Jan 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 2019-nCoV;

Whole genome sequence shared with WHO Jan 8, 2020

1^stcase 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 1^stWuhan 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

National Laboratory System establishment before COVID-19

 Operating tiered laboratory network from the national to the local level that is evenly distributed throughout the country

- Hospitals and other commercial facilities → 256 Public Health Centers → 18 RIHEs → KCDC

 Establishing specimen transport arrangement

- Specimens can be transferred to the KCDC within 24 hours for confirmatory testing

 Development of laboratory capacity to diagnosis of infectious diseases - KCDC is able to test 86 nationally notifiable infectious disease

- Developing laboratory test methods to identify unknown and emerging infectious diseases

 Operating Emergency Use Authorization(EUA) system

- EUA permits temporary use of unapproved in vitro diagnostic devices during infectious disease outbreak

KCDC

RIHE(Research Institutes of Health and Environment)

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

7231,0576654002521,0941,1461,750 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

6,877 6,292

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

2.08 2.09 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 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

New Culmulative

• Capacity :

Average ca. 15,000/day

~ Max. ca. 20,000/day

• Turn Around Time: 6 ~ 24hrs

- Operation of Drive-Thru Sample Collection & Screening Clinics

Ensuring early patient detection

through screening clinics and diagnostic testing

Investigation Risk 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

• 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

2 34 16 74

190210207 130

253 449427

909

595 686

600 516

438 518483

367

248

131 242

114110107

76 74 84 93 152

87 147

98 64 7610010491146 10578

12510189 86 94 81

47 47 53 39 27 30 32 25

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 3.26 3.27 3.28 3.29 3.30 3.31 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11 4.12 4.13

Screening tests of all staffs in Cheongdo daenam hospital

Response measures along with the progress of outbreaks (as of 10 May)

Confirmed 31^stcase related to Shincheonji 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

Social distancing campaign

Focus on treatment of severe cases

Establishment of Life treatment centers for mild cases

2^ndpostpone of school opening to Mar 23rd

Drive thru screening center SOP established

Designation of special management region for Gyeongsan 742 public health doctors deployed

Provincial level

case management team established

Immunofluorescence Assay established

Identification of

Guro call center cluster

Guideline for high risk working Environment distributed

Special Entry Procedure expanded to travelers from Europe

3^rdpostpone of the beginning of schools to April 6th

Special Entry Procedure expanded to all incoming travelers

Enhanced social distancing for next 15 days

4^thpostpone of the beginning of schools to April 9th

Mandatory self-quarantine for 14 days of all incoming travelers

Enhanced social distancing extended for two more weeks

Strengthened screening procedure for incoming travelers from US

Guideline for people in self-quarantine to vote for general election Designation of

290 national safe hospitals 27 27 22 22 18 8 13 9 11 8 6 10 10 10 14 9 4 9 6 13 8 3 2 4 12 18 34

4.14. 4.15. 4.16. 4.17. 4.18. 4.19. 4.20. 4.21. 4.22. 4.23. 4.24. 4.25. 4.26. 4.27. 4.28. 4.29. 4.30. 5.1. 5.2. 5.3. 5.4. 5.5. 5.6. 5.7. 5.8. 5.9. 5.10.

Confirmation of Yong-in 66^thcase (Index case of Itaewon clubs) Distancing in daily life Relaxed social distancing

Treatment and care system differentiated based on severity

• Epidemiological investigation

• Extensive lab testing

• Special entry procedure

• Self-health check

application

• Mild

• Moderate

• Severe

• Very severe

Early detection Classification of

confirmed cases Treatment and care

• Self-quarantined or

• Living and

treatment support center

• General hospital or

• Infectious diseases designated hospital

or

• Tertiary hospital

Living and treatment support centers

Start

mobile app Proceed with special quarantine form Proceed with daily Self

Health Check Check screening clinics

Self Health Check Mobile App

Social distancing, distancing in daily life 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

As of 23 March

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 21 March

As of 6 May