The current COVID-19 situation and response measures in Republic of - - PowerPoint PPT Presentation

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

Dec 31, 2019 Cluster of cases of pneumonia

• f unknown origin reported to

China National Health Commission Jan n 20, 2020 2020 First confirmed case in Korea Jan n 20, 2020 2020 Raise up the alert level to Yellow Jan n 3, , 2020 2020 Raise up the alert level to Blue Jan n 12 12, 2020 Named as 2019-nCoV; Whole genome sequence shared with WHO Jan n 8, 2020 1st case in Thailand Jan n 28, 2020 2020 Raise up the alert level to Orange Feb 23, 2020 2020 Raise up the alert level to Red Jan n 30, 2020 2020 Secondary infection case Jan n 31, , 2020 2020 Tertiary infection COVID-19 test available at local government Jan n 22-23, 23, 2020 1st Emergency Committee Feb 20, 2020 2020 First death case in Korea Feb 19, 2020 2020 Big cluster occur (Shincheonji, Daenam Hopistal) Feb 7, , 2020 2020 COVID-19 test available at private Feb 12 12, 2020 2020 Expand strict quarantine to HK, Macau

Evolution of COVID-19 in Republic of Korea

Jan n 30, 2020 2020 WHO declare PHEIC of COVID19 Feb 1, 2020 2020 1st Wuhan evacuee Feb 21, 2020 2020 Declare a ‘special management region’ in Daegu, Chengdo March h 5, , 2020 2020 Declare a ‘special management region’ in Gyeongsan Jan n 23, 2020 2020 Containment of Wuhan Feb 4, 2020 Entry ban on foreigners with travel history to Hubei, China March h 1, , 2020 2020 Establishment of Life Treatment Center Focus on treatment of severe cases March h 19, 2020 2020 Special Entry Procedure extended for all travelers March h 12 12, 2020 2020 Guideline for high-risk working environment distributed

The number of confirmed cases (as of 27 March)

1 1 1 1 3 4 1 3 1 5 3 3 1 2 2 3416 74 190 210 207 130 253 449 427 909 595 686 600 516 438 518 483 367 248 131 242 114 110 107 76748493 152 87 147 98 6476 100 10491

9332 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 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)

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

1000 2000 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 25 29 5 7 16 36 0.0 0.0 0.0 0.1 0.1 0.6 1.8 6.5 fatality rate 15.2 %

2 4 6 8 10 12 14 16

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%

Distribution by regions and clusters

(as of 27 March)

Distribution by clusters Regional 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 372 113 46 20 31 39 44 412 31 41 124 10 8 1283 91 7 144 100 200 300 400 500 600 700 800 900 1000 1100 1200 1300

(as of 25 March)

Response measures along with the progress of outbreaks

2 34 16 74 190 210 207 130 253 449 427 909 595 686 600 516 438 518 483 367 248 131 242 114 110 107 76 74 84 93 152 87 147 98 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

• f 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

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 1,445 723 1,057 665400252 1,094 1,146 1,750 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 12,251 12,603 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

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 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

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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

• 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

• f contacts
• Interview
• Patient
• Primary physician
• Family

Close contact Casual contact Sx. monitoring Move restriction

• Perform contacts classification and

management by following guidelines

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

Start to Mobile app Proceed with special quarantine form Proceed with daily Self Health Check Check screening clinics

Self Health Check Mobile App

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.

Sta tay ho home as as much as as po poss ssib ible.

Cancel or postpone non-essential travel, events, and social gatherings.

Hig High-ris risk fa facil ilit ities s ar are stro strongly rec ecommended to to su susp spend op

• pera

ration.

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