Friday, March 06, 2020

South Korea Surpasses 6,000 COVID-19 Cases


Over the past 15 days South Korea has reported a 200-fold increase in confirmed COVID-19 cases,  and while their CDC has done a remarkable job identifying 6,284 cases over the past two weeks, the real number of infected in their country is likely several times higher.
So far, 43 deaths have been attributed to COVID-19, but again that is almost certainly a serious undercount.
Deaths often come a week or more after the patient is identified and hospitalized, and are therefore a lagging indicator. Still, compared to Iran and Italy, South Korea is reporting far fewer fatal outcomes two weeks into their expanded epidemic.   

About 70% of South Korea's cases can still be linked to clusters (particularly to the Shincheon Daegu Church), but roughly 30% of cases are described either still under investigation or likely `community spread'. 
Nationwide, approximately 71.7% have identified associations with group outbreaks. Other cases of sporadic outbreaks or cases under investigation or classification are about 28.3%.
The most recent update from South Korea's CDC adds 518 cases, and 7 deaths, over the past 24 hours. 

  ○ In Gyeonggi-do, 9 * patients were confirmed at medical institution (Bundang Saje Hospital) in Seongnam-si, and inpatients and staff members who had contact with the patron are currently being quarantined. Investigating
    * 3 out of 9 confirmed patients, 5 inpatients, 1 spouse of inpatient 
 ○ In Daegu, the majority of Shincheon district churches accounted for 72.4% (3,397 persons), and during the contact survey of Shincheon district believers, additional occurrences were identified by group facilities and medical institutions.
 ○ In Gyeongbuk, there are various facilities such as Bonghwa Blue Nursing Home (49 out of 117 residents, 13 more than the day before), Gyeongsan Happy Nursing Home (8 out of 53 people including resident and employees, 7 more than the previous day) In particular, monitoring and reinforcement have been strengthened around such welfare and living facilities.
  In addition, three confirmed patients (two inpatients and one employee) were confirmed at the Military Qingdao Senior Clinic located in the same building as Daenam Hospital in Qingdao.
  -The hospital was initially in cohort containment due to the outbreak of Daenam Hospital, and positive test was confirmed on March 5 before the release. Further investigation and quarantine measures are currently underway for the contacts.
□ The Central Defense Agency is doing its best to prevent the spread of infectious diseases in specially managed areas.In addition, as the cases of group outbreaks are identified around group facilities, multi-use facilities, and medical institutions, The local government asked for an organic cooperative system with the facilities.
 ○ Local governments urged them to establish and maintain an emergency contact system with group facilities and to be prepared to ensure rapid epidemiological investigations and quarantine measures in the event of a situation.
  -In particular, it is emphasized that epidemiological investigations that identify early-stage patient outbreaks and contacts from group facilities are the most important role in blocking transmission to groups and communities.
  -Up to now, many local governments have suppressed the propagation of additional radio waves through rapid initial response. However, as the occurrences such as group facilities continue to be confirmed, all municipalities, cities, counties, and districts are centered on the length of each municipality. Do not slow down the tension and asked to make sure that the first action.
 ○ Each facility was required to appoint its own 'symptom reporters' and to receive prompt reports in case of suspicious symptoms of workers or users so that they can be promptly reported and acted through the emergency contact system with the local health authorities.
 -Facility workers are required to strictly observe personal hygiene (hand washing, coughing etiquette, wearing masks), and if necessary, facility managers are asked to check fever or respiratory symptoms twice a day for facility workers and users. did.
  -Employees or users with fever or respiratory symptoms were advised to stop working or using until they no longer exhibit symptoms, refrain from contact with others, rest at home, and observe their progress for three to four days. .
  -The facility manager, etc., urged to proactively guide and manage employees or users with suspicious symptoms in order not to go to work or use them, but to be careful not to disadvantage them.
 ○ In multi-use facilities, it was recommended to have enough soap and hand sanitizer, thoroughly disinfect them, and ventilate them frequently, especially in places where users could reach them.
□ The National Defense Agency asked for compliance with the rules for personal hygiene and the practice of social distancing.