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A woman enters a Covid-19 testing booth outside the Yangji hospital in Seoul. Photograph: Ed Jones/AFP via Getty Images

Containing COVID-19 – Lessons from South Korea and Taiwan

新冠病毒防護措施 - 韓國和台湾案例分析

April 27, 2020
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Author:
Arthur Liao, 丁香园AV Centre for Comparative Muslim Studies Research Assistant

*Mandarin Chinese version follows.

The impact of the highly infectious Novel Coronavirus, resulting in the disease of COVID-19, has been. State authorities have responded in different ways, some more effectively and successfully than others. Results have depended on several factors, including efficiency, availability of resources, transparency, and the level of trust between state and society.  Nevertheless, as WHO (World Health Organization) official and Canadian Physician,, because “the virus spreads so rapidly, the steps countries take to flatten the curve need to be equally as aggressive.” But what are those needed steps? The remarkable success of South Korea and Taiwan in flattening the curve provides valuable answers. This article looks at the measures adopted by these two countries and how they helped contain the spread of the virus.

1)   South Korea

Both confirmed their - Jan 20, 2020, for South Korea, Jan 21, 2020, for the United States. Yet, the approaches taken by both countries to prevent the spread of COVID-19 are drastically different. The significant drop in the infection cases for COVID-19 in South Korea is due to the fast intervention of the government and civilians.

I. Early Vigilance

Even before the first confirmed case in South Korea on Jan 20, 2020, South Korean Biotech company Seegene  in anticipation of an outbreak. And within days, detection kits were developed. One week after the first case of confirmed COVID-19 in South Korea, to immediately develop test kits for mass production. Before February 18, South Korea had recorded a total of 30 cases and no deaths. That slow increase in infections soon changed.

II. Mass Testing

With South Korea’s confirmation of its 31st COVID-19 case on Feb 18 in the city of Daegu, the nation’s infection rate suddenly multiplied within a two-week span., The individual known as Case 31 had taken part in a mass religious congregation and other events, and passed the virus onto unsuspecting residents of Daegu. As the virus spread wider, medical experts were diagnosing more than 900 new cases a day, making South Korea the in the world at the time. Authorities quickly, with testing taking 10 minutes at most and the results. These  frequently administered tests have also helped to catch asymptomatic COVID-19 patients, enabling tracing and quarantining of infected citizens. South China Morning Post explains this mass testing in its.

III. Isolation and Contact Tracing

In the case that the test comes back positive, the individual is then required to go into isolation in government shelters, with their phones and credit card data traced for previous movements, As this explains:“When someone tests positive, health workers retrace the patient’s recent movements to find, test — and, if necessary, isolate — anyone the person may have had contact with, a process known as contact tracing.”

IV. Technology and Surveillance

In combination with mass testing and quarantine, the South Korean government has also created a to monitor those under quarantine and to set off an alarm to the police if they venture outdoors. by the government. Furthermore, travelers entering the country are asked to record their health status on a state-sponsored app. In addition, people who are self-isolating, including those who have yet to test positive, to cover basic living expenses. For example, restaurants check the temperatures of their customers before accepting them, and offices, hotels, and other large privately owned buildings use thermal image cameras to identify people with fevers.

2)   Taiwan

The first case of COVID-19 was confirmed in Taiwan on, also the same day as the United States. Yet, the trajectory of the two areas has been extremely different. With a significant number of Taiwanese working in China and the high frequency of flights and travelers between the two areas (),  COVID-19 outbreaks in Taiwan were a matter of time. Yet Taiwan acted swiftly and effectively, containing early on COVID-19 outbreaks on the Island.

I. Getting Ready: the CDC of Taiwan

 Following the 2004 SARS outbreak, additional resources were already set aside for the establishment of the National (NHCC) by Taiwan’s Centers for Disease Control (CDC) to aid specifically in disaster management for epidemics. As soon as news from Wuhan began to emerge in December 2019, authorities in Taiwan began to prepare for a potential outbreak. On December 31, 2019, Centers for Disease Control in Taiwan implemented on all inbound flights from Wuhan in response to a report for an unidentified infected passenger; once the plane had arrived in Taiwan, all passengers were inspected by health officials. And by January 5 2020, the Taiwan CDC began monitoring all individuals who had travelled to Wuhan within 14 days and exhibited a fever or symptoms.. By January 20, 2020, the (CECC) under NHCC was activated, mobilizing government funds and the military to facilitate surgical mask production.

II. Aggressive Border Measures and Rationing of PPE

Following the first confirmed case on the island on Jan 21, 2020, the Taiwanese authorities announced a on the export of surgical masks to secure a supply of masks for its own residents. Surgical face masks were then released by a mask rationing system instituted by the government to prevent individuals from overstocking face masks. This DW’s video discusses. From February 6 to 11, were placed to temporarily halt all direct and transfer flights traveling through or from mainland China, Hong Kong and Macau. In addition, all visitors to Taiwan since March 19, 2020 have had to be in mandatory home, and required to download a GPS enabled application  tracked by authorities.This explains the quarantine measure in brief details.

III. Quarantine and Big Data

Authorities in Taiwan implemented smart phone technology in conjunction with rationing of surgical masks, and strict border policies to contain the spread of COVID-19. So-called ‘,’ monitors phone signals, and gives alerts to the police and local officials if individuals in home quarantines moved away from their address or turned off their phones, with authorities responding by contacting, or visiting those who trigger an alert within 15 minutes. Officials also call twice a day to ensure people do not avoid tracking by leaving their phones at home. In addition,  immigration data has been integrated with the local health care system to track individuals' travel history. This explains the additional big data integration measures taken by Taiwan.

SARS, MERS and Lessons from History

The success of South Korea’s containment of Covid-19 is tied to lessons learned from the SARS and MERS outbreaks in 2002 and 2012 respectively, during which South Korea developed tools and practices for aggressive contact tracing. Health officials were retracing patients’ movements using security camera footage, credit card records, even GPS data from their cars and cellphones. As South Korea's foreign minister, Kang Kyung-wha, told BBC news, lessons learned from previous outbreaks allowed the development of testing for COVID-19 even before the country had a significant number of cases, thus leading to a dramatic drop in new cases.

In Taiwan’s case, its handling of the outbreak has received international praise for its effectiveness in quarantining citizens , in using the "electronic fence", as well as in the early procurement and rationing of PPE to prevent shortage. The memories of SARS which ultimately took the lives of infected patients, has kept both the Taiwanese authorities and its peoples vigilant about the COVID-19 outbreak.

KEY STEPS behind Successful Containment

  1. Mass testing, and as early as possible
  2. Strict border measures and restrictions on local mobility
  3. Transparency of information
  4. Procurement and rationing of medical supplies (PPE and COVID-19 testing kits)

中文版本

高度传染性的新型冠状病毒的爆发导致颁翱痴滨顿-19,许多不同地区採取了不同的应对方式,其中一些防护措施比其他方式更有效和成功。结果取决於几个因素,包括效率,资源的可用性,透明度和国家与社会之间的信任程度。不过,正如奥贬翱(世界卫生组织)官员和加拿大医师新聞說 “病毒傳播如此之快,各國為平緩曲線所採取的步驟也必須同樣具有侵略性”。但是,這些步驟是什麼?韓國和台湾在拉平曲線方面所取得的顯著成就提供了寶貴的答案。本文將描述於這兩個範例採取所遏制病毒傳播的關鍵。

南韩

病例-韩国為,美国為2020年1月21日。但是,两国為防止颁翱痴滨顿-19扩散所採取的方法截然不同。在韩国,颁翱痴滨顿-19的感染病例显着下降是由於政府和平民的快速建立干预防护措施。

韩国和美国在同一两天期间(韩国為2020年1月20日,美国為2020年1月21日)确认了第一例颁翱痴滨顿-19病例。但是,两国為防止颁翱痴滨顿-19扩散所採取的方法截然不同。在韩国,颁翱痴滨顿-19的感染病例显着下降是由於政府的快速乾预和公民警惕的努力。

一 - 早期警惕

早在2020年1月20日韩国首次确诊病例之前,韩国生物技术公司厂别别驳别苍别就已於1月16日。几天之内,开发了检测套件。在韩国首例确诊的颁翱痴滨顿-19病例一周后,立即大規模生產的測試套件。 2月18日之前,韓國共記錄了30例病例 (但沒有死例)。

二 - 大规模测试

由於韩国於2月18日在大邱市确认了第31例颁翱痴滨顿-19病例,该国的感染率在两週内突然成倍增长并将病毒传播给大邱毫无戒心的居民。随着病毒传播范围的扩大,医学专家每天要诊断900多个新病例,使韩国成為当时。当局很快建立了,测试最多花费10分鐘,结果通常在。這些經常進行的檢測還有助於捕獲無症狀的COVID-19患者,從而能夠追踪和隔離受感染的公民。 《南華早報》在簡短的2分鐘視頻中解釋了這項。

三 - 隔離和接觸跟踪

在测试结果呈阳性的情况下,然后该人被要求隔离在政府庇护所中,并追踪其往来的移动电话和信用卡数据,正如《》的这篇文章所述:“当某人测试呈阳性时,健康工作人员追踪患者最近的动作,以发现,测试并在必要时隔离与该人可能接触过的任何人,这一过程称為接触者追踪。”

四 - 預防措施技術與監控

結合大规模测试和檢疫,韓國政府還創建了一個具有,可以监控那些在检疫中的人,并在警察到户外时向警察发出警报。。此外,要求进入该国的旅行者在国家赞助的应用程序上记录其健康状况。此外,那些自我孤立的人,包括尚未测试出阳性的人,,用於支付基本生活费用。。例如,饭店在接待顾客之前先检查顾客的温度,而办公室,旅馆和其他大型私人建筑物则使用热像仪来识别发烧的人。

台湾

2020年1月21日(与美国同一天)在。但是,這兩個地區的軌跡截然不同。由於大量台湾人在中國工作,並且兩個地區之間的航班??和旅客頻繁(),在台湾爆發COVID-19只是時間問題。然而,台湾採取了迅速有效的行動,遏制了早在島上爆發的COVID-19。

一 - 準備措施:台湾疾病預防控制中心

 2004年SARS爆發後,台湾疾病控制中心(CDC)已撥出更多資源用於建立(NHCC),專門用於流行病的災難管理。 2019年12月,來自武漢的消息開始浮出水面,台湾當局開始為可能爆發的疫情做好準備。 2019年12月31日,台湾疾病預防控制中心對從武漢出發的所有入境航班實施了,以回應一名身份不明的受感染旅客的報告; 飛機抵達台湾後,衛生官員對所有乘客進行了檢查。到2020年1月5日,台湾疾病預防控制中心開始監控所有在14天內到武漢旅行並出現發燒或症狀的個人。那些測試呈陽性的人被隔離。到2020年1月20日,NHCC下的(颁贰颁颁)啟用,动员政府资金和军队促进外科口罩的生产。

二 - 邊境措施和個人防護裝備的配給

繼2020年1月21日島上首例確診病例後,台湾當局宣布臨時,以確保為其居民提供口罩的供應。然後由政府建立的口罩配給系統發布外科口罩,以防止個人積壓過多的口罩。該DW的視頻討論了台湾的。从2月6日至11日,,暫時停止所有往返中國大陸,香港和澳門的直航和中轉航班。此外,自2020年3月19日起,所有來台湾的訪客必須進行,並必須下載由當局跟踪的具有骋笔厂功能的应用程序。此视频简要介绍了隔离措施。

三 - 隔離和大數據

台湾當局實施了智能電話技術,並配以了醫用口罩,並製定了嚴格的邊境政策,以遏制COVID-19的擴散。所謂的“”,监视电话信号,并在家庭隔离人员离开其住所或关闭电话的情况下,向警察和当地官员发出警报,当局会通过联繫或访问触发警报的人员做出响应在15分鐘内。官员还每天打电话两次,以确保人们不会因為将手机留在家中而避免跟踪。此外,移民数据已与当地医疗系统集成在一起,以跟踪个人的旅行歷史。该介紹了台湾採取的其他大數據整合措施。

成功案例-韓國和台湾

韩国成功遏制颁辞惫颈诲-19与从厂础搁厂和惭贰搁厂爆发中吸取的教训有关,在此期间,韩国开发了积极追踪联繫做法。卫生官员正在使用安全摄像机镜头,信用卡记录,甚至是汽车和手机中的骋笔厂数据来追踪患者的活动。正如韩国外交大臣姜京华对叠叠颁新闻说的那样,从以前的疫情中学到的经验教训使得即使在该国发生大量病例之前,就已经进行了颁翱痴滨顿-19检测的开发,从而导致新病例的急剧下降。

以台湾為例,其對疫情的處理在隔離居民,使用“电子围栏”以及在早期採購和配給個人防護設備以防止短缺方面的有效性得到國際讚譽。 SARS的記憶最終導致,這使台湾當局及其人民對COVID-19爆發保持警惕。

韓國和台湾案例關鍵

  1. 儘早的進行大规模测试
  2. 严格的边境措施和对当地流动性的限制
  3. 信息的透明性建立了政府与公眾之间的信任
  4. 採购和配给医疗用品(笔笔贰和颁翱痴滨顿-19测试套件)