Institute of Global Health, University of Geneva, 1211 Geneva, Switzerland.
Department of Cancer Control and Policy (DCCP), Graduate School of Cancer Science and Policy, National Cancer Centre (NCC), Goyang 10408, Korea.
Int J Environ Res Public Health. 2020 Dec 21;17(24):9571. doi: 10.3390/ijerph17249571.
This case study focuses on the epidemiological situation of the COVID-19 outbreak, its impacts and the measures South Korea undertook during the first wave of the COVID-19 pandemic. Since the first case was confirmed on 20 January 2020, South Korea has been actively experiencing the COVID-19 outbreak. In the early stage of the pandemic, South Korea was one of the most-affected countries because of a large outbreak related to meetings of a religious movement, namely the Shincheonji Church of Jesus, in a city called Daegu and North Gyeongsang province. However, South Korea was held as a model for many other countries as it appeared to slow the spread of the outbreak with distinctive approaches and interventions. First of all, with drastic and early intervention strategies it conducted massive tracing and testing in a combination of case isolation. These measures were underpinned by transparent risk communication, civil society mobilization, improvement of accessibility and affordability of the treatment and test, the consistent public message on the potential benefit of wearing a mask, and innovation. Innovative measures include the mobile case-tracing application, mobile self-quarantine safety protection application, mobile self-diagnosis application, and drive-thru screening centres. Meanwhile, the epidemic has brought enormous impacts on society economically and socially. Given its relationship with China, where the outbreak originated, the economic impact in South Korea was predicted to be intense and it was already observed since February due to a decline in exports. The pandemic and measures undertaken by the government also have resulted in social conflicts and debates, human-right concerns, and political tension. Moreover, it was believed that the outbreak of COVID-19 and the governmental responses towards it has brought a huge impact on the general election in April. Despite of the large outbreak in late February, the Korean government has flattened the COVID-19 curve successfully and the downward trend in the number of new cases remained continuously as of 30 April. The most distinctive feature of South Korea's responses is that South Korea conducted proactive case finding, contacts tracing, and isolations of cases instead of taking traditional measures of the containment of the epidemic such as boarder closures and lockdowns.
本案例研究聚焦于 COVID-19 疫情的流行病学情况、其影响,以及韩国在 COVID-19 大流行第一波期间所采取的措施。自 2020 年 1 月 20 日首例病例确诊以来,韩国一直在积极应对 COVID-19 疫情。在疫情早期,由于与大邱和庆尚北道一个名为“新天地教会”的宗教运动相关的大规模爆发,韩国成为受疫情影响最严重的国家之一。然而,韩国似乎通过独特的方法和干预措施减缓了疫情的传播,因此被许多其他国家视为典范。首先,韩国采取了激烈而早期的干预策略,结合病例隔离进行大规模追踪和检测。这些措施以透明的风险沟通、动员民间社会、提高治疗和检测的可及性和可负担性、一致的公众信息表明戴口罩的潜在好处,以及创新为支撑。创新措施包括移动病例追踪应用程序、移动自我隔离安全保护应用程序、移动自我诊断应用程序和免下车筛查中心。与此同时,疫情在经济和社会方面给社会带来了巨大影响。鉴于韩国与疫情爆发地中国的关系,自 2 月以来,由于出口下降,韩国的经济影响预计将很严重,而且已经观察到了这种情况。疫情和政府采取的措施也导致了社会冲突和争论、人权问题和政治紧张局势。此外,人们认为 COVID-19 的爆发以及政府对其的应对措施对 4 月的大选产生了巨大影响。尽管 2 月底爆发了大规模疫情,但韩国政府成功地平息了 COVID-19 疫情曲线,截至 4 月 30 日,新增病例数量持续呈下降趋势。韩国应对措施的最显著特点是,韩国主动发现病例、追踪接触者,并对病例进行隔离,而不是采取传统的疫情遏制措施,如关闭边境和封锁。