Table 1. Summary of key policies and practices for COVID-19 epidemic control and responses, South Korea, January 1‒May 15, 2020 (8)*.
Pillars | Category | Description |
---|---|---|
Country-level coordination, planning, and monitoring |
School closure |
Postpone nationwide school opening after winter break. |
|
Workplace closure |
Voluntary participation of employers to enable work from home and closure of nonessential business. |
|
Public events cancellation |
Recommended cancelling religious services and large in-person gatherings. |
|
Public transport |
All public transport systems remained open. The Seoul Metro system made it mandatory to wear a mask when riding the subway. |
|
Restriction of internal movement |
Daegu City and Gyungbuk Province were designated as special management regions for COVID-19 on February 23, but no city-wide lockdown or stay-at-home restrictions were imposed. However, many persons voluntarily refrained from movement and gatherings. |
|
Promotion of personal protective measures |
Promoted mask wearing in all public locations and frequent handwashing. |
|
National hotline for case reporting and testing |
Opened a national hotline (#1339) for anyone who had fever, cough, or difficulty breathing to report and provided tests at screening stations. |
Risk communication and community engagement |
Rapid policy updates |
The KCDC held daily briefings to provide status updates and policy guidance. |
|
Public disclosure of the trajectories of confirmed cases and alert system |
The government publicly shared the trajectories of confirmed cases and sent alerts to those living in the areas where the cases were confirmed. |
Surveillance, rapid-response teams, and case investigation |
Contact tracing of direct contacts |
Contact tracers called and traced all direct contacts of confirmed cases, where direct contacts were defined as anyone exposed to a confirmed COVID-19 case from 2 d (or 1 d since April 3) before symptom onset (or confirmed testing date for asymptomatic cases) to the last day of quarantine of the index case. For example, >99% of Shincheonji Church members were traced. A mobile app was launched on March 29 to trace the trajectories of confirmed cases in 10 min by linking the data from 28 related national institutions. |
|
Self-quarantine of contacts |
All close contacts of confirmed case were required to self-quarantine for at least 2 weeks. |
|
Active monitoring and wide testing of potential contacts |
Anyone who had overlapping trajectories with cases was alerted and offered free testing. |
Points of entry, international travel, and transport |
Self-quarantine and monitoring of in-bound travelers |
At entry screening, travelers entering South Korea (both Korean and foreign nationals) were tested if they have fever or respiratory symptom. Korean nationals or foreign nationals on long-term visas were asked to self-quarantine since March 19. Foreign nationals on a short-term visa were quarantined at a temporary quarantine facility. A self-health check app has been used to monitor the health of in-bound travelers at least once daily for the 14 d following their arrival date. |
|
Travel history monitoring at hospitals |
Tracing and alarm system (DUR/ITS) connected to the national insurance system filtered and screened persons who had an international travel history. |
National laboratories |
Rapid increase in testing capacity |
Rapid set-up for RT-PCR for COVID-19 diagnosis in late January. RT-PCR became available in 46 laboratories by February 7, and 77 laboratories by February 20 with a testing capacity for 13,000 tests/day by the end of March. |
Infection prevention and control |
Designated hospitals for nonrespiratory medical visits only |
From February 21, national safe hospitals were designated for medical visits related to nonrespiratory symptoms to separate these patients from potential COVID-19 patients. |
|
Preparation of negative pressure beds in hospitals |
50 beds in NPIRs were added in Daegu on February 21 and additional 120 beds with NPIR on March 17. |
|
Preparation of personal protective equipment in hospitals |
Healthcare workers were prioritized to receive public mask supply. |
|
Screening residents in long-term facilities (i.e., nursing homes) |
Thorough investigation for unexplained pneumonia and COVID-19 testing were performed among the residents in 450 nursing homes on March 5. |
Case management |
Isolation of confirmed cases |
Asymptomatic case-patients were isolated in designated CTCs starting on March 2. Symptomatic case-patients who had moderate and severe symptoms were isolated in hospitals. Anyone who violates the self-quarantine rule was to be charged a penalty of up to $10,000 or 1-y imprisonment. |
|
Triage of severe cases |
Introduced a COVID-19 triage system based on disease severity (grades 1 to 4). |
|
Reallocation of hospital and ICU beds |
Prioritization and reallocation of hospital and ICU beds for critically ill patients. |
Operational support and logistics |
Staff surge capacity and deployment at hospitals and airports |
Special health workforce of ≈2,000, including 750 public health doctors, 172 specialists, 346 physicians, and 728 nurses were recruited and dispatched to hospitals in Daegu and Gyeongsangbuk Province to support COVID-19 case management as of March 9. |
|
|
Approximately 300 military doctors and nursing officers had supported screening and quarantine at airports and seaports until April 27. |
|
Face mask supply |
The government rapidly increased the supply chain to produce 12 million disposable masks per day and set a mask rationing system to secure mask supplies and meet demands. Each person was permitted to buy 2 masks/week on an assigned weekday based on the last digit of the person’s birth year. |
|
Preparation of public health centers, hospital beds, and medical equipment |
Total number of hospital beds with NIPRs was expanded from 198 to 1,077 beds by February 22. |
|
Screening stations |
523 screening clinics were launched nationwide including drive-thru and walk-thru screening stations that had reversible negative/positive pressure booths. |
Maintaining essential health services and systems |
Triage and separation of non-COVID-19 patients |
Daegu Dongsan Hospital and Daegu medical centers were designated as COVID-19 central hospitals where a massive surge developed on February 21; admitted patients with other disease were evacuated to other hospitals on February 23. |
National safe hospitals were designated where only nonrespiratory patients could seek medical care. |
*COVID-19, coronavirus disease; CTC, community treatment center; DUR/ITS, drug utilization review/international traveler system; ICU, intensive care unit; KCDC, Korea Centers for Disease Control and Prevention; NPIRs, negative-pressure isolation rooms; RT-PCR, reverse transcription PCR.