Three Years of African Swine Fever in South Korea (2019-2021): A Scoping Review of Epidemiological Understanding.

African swine fever (ASF) is a highly contagious viral disease in domestic pigs and wild boar that causes tremendous socioeconomic damage in related industries. In 2019, the virus emerged in South Korea, which has since reported 21 outbreaks in domestic pig farms and over 2,600 cases in wild boar. In this review, we synthesize the epidemiological knowledge generated on ASF in South Korea during the first three years of the epidemic (2019-2021). We searched four international and one domestic Korean database to identify scientific articles published since 2019 and describing ASF epidemiology in South Korea. Fourteen articles met our selection criteria and were used to synthesize the origin of ASF in South Korea, the risk factors of disease occurrence, the effectiveness of the surveillance and intervention measures that were implemented, and the viral transmission dynamics. We found that timely intensive surveillance and interventions on domestic pig farms successfully blocked between-farm transmission. However, in wild boar, the ASF virus has spread massively towards the south primarily along the mountain ranges despite ongoing fence erection and intensive depopulation efforts, endangering domestic pig farms across the country. The current devastating epidemic is suspected to be the consequence of an ASF control strategy unaligned to the epidemiological context, the challenging implementation of control measures hindered by topological complexities, and inappropriate biosecurity by field workers. To improve our understanding of ASF epidemiology in South Korea and enhance disease management, future research studies should specify the ecological drivers of disease distribution and spread and devise effective control strategies, particularly in relation to Korean topography, and the latent spread of the virus in wild boar populations. Additionally, research studies should explore the psychosocial factors for ASF management, and develop tools to support evidence-based decision-making for managing ASFV in wild boar.