Due to the close proximity between China and South Korea, the Korean government became cautious about the new cases of "pneumonia" spreading in China. According to The Week, the Korean government built a response team for COVID-19 in late December to study the disease in case it spread. When China eventually released the genetic code for COVID-19 to the public, South Korea started building test kits, before a single case even appeared. The first case was reported on January 20.
Daegu, South Korea is home to the main outbreak and epicenter of COVID-19 in the country. The city has a total population of 2.4 million, making it the third largest in the country. “Patient 31” attended the services of Shincheonji Church of Jesus in Daegu, South Korea while infected and kept returning to the church after showing symptoms of the virus. It is because of "Patient 31" that the Korean Center for Disease Control (KCDC) considers the Shincheonji Church as the initial outbreak location for the virus within the country. The church overall has 240,000 members and 1,100 churches all over South Korea. The majority of the initial COVID-19 patients were either members of church, or those who came into contact with them. Due to the secrecy of the church and its members, Korean officials had issues tracking down members for testing. Church members were told to deny being members when the outbreak was reported in congregation, further adding to the diffusion of the disease and extending the potential patient pool. As of March 9, 2020, an estimated 63.5% of confirmed cases were related to Daegu's Shincheonji Church.
Despite the city labeled as the epicenter of the South Korean outbreak, businesses are still open. And just before the height of the epidemic, the city borrowed medical staff and hospital rooms in surrounding areas and towns in preparation. The city also closed down all public libraries, museums, schools, churches, day-care centers, and courts. On April 19, Daegu health officials reported no new cases for the first time in more than 2 months.
At the start of the COVID-19 breakout in South Korea, the government made sure that there was a quick dissemination of information by the KCDC to the general population. These government alerts provide information about cases in neighborhoods or if they are ordered to isolate themselves. Those who test positive and are ordered into isolation could be fined up to $2500 for breaching isolation orders. These alerts allow people to better protect themselves from the virus and to help prevent its spread.
Like other countries, social distancing practices have become commonplace in South Korea. However, while other countries have had their governments mandate social distancing practices, they are voluntary in South Korea. While it may be voluntary it is highly recommended to the point that the government extended their social distancing campaign to May 5th, according to NBC News.
An example of the effectiveness of these tactics is best seen in what has been called “Building X” in Seoul, South Korea. On March 8, an outbreak was detected in Building X. On March 9th, the building was closed down and the infected were placed into isolation. 1,145 people were placed under immediate investigation, with 97 confirmed cases. Even those who tested negative were asked to remain in quarantine for another 2 weeks and to be retested during those weeks. The authorities investigated, tested, and monitored everyone the infected had come into contact with in the previous 2 weeks. Among those tested were people who were near the building for more than 5 minutes. This information, taken from phone data provided by telecom operators, was used to alert those people via-text to isolate themselves due to possible contamination. Out of the 97 confirmed cases, 94 of those people were coworkers who worked on the same floor of the building. This fact shows how vulnerable people can be to the spread of the disease as well as why social distancing practices have become the “new normal.”
According to The Week, when COVID-19 first broke out in South Korea there were no full lock downs, instead they decided that early mass testing would be the quickest way to handle the virus. The government authorized the private sector to build testing facilities. They, along with the Korean Center for Disease Control (KCDC), established drive-thru centers and labs to process these tests. Overall, South Korea has opened up 600 testing centers and 50 drive thru stations in the hope that mass testing would aid in flattening the curve.
These testing centers are not just for South Korean citizens. Visitors from abroad who go to the testing centers are required to download an app that guides them through self-check symptoms. In addition, Reuters reports that mandatory testing and quarantine is required for all recent arrivals into the countries, even citizens. This extensive two week process stems from the reports that some of the most recent cases in the country are stemming from people coming into the country from overseas.
After the “super-spreader” incident in Daegu, the government increased the severity of their tactics to keep the disease contained. They increased their use of surveillance technology to track members of the Shincheonji church. The technology included using cellphones, CCTV cameras, and credit card statements to track and catalog who the possible infected had come into contact with. Those who came in contact with them were told to self-isolate and to check their temperature daily. Because the government knew where the major outbreak occurred it made contract tracing so much easier. In Daegu, officials started to monitor the main train station. They watched and tracked the body temperatures of every passenger through cameras that were installed in the station.
This tactic has had great success and the government has decided to expand on it. According to Reuters, the government is implementing a “smart city” database. This database is not a new idea to the South Korean government, but its purpose is new. It was originally supposed to be for sharing knowledge between cities about traffic and pollution, but instead will now be used to isolate COVID-19 cases. The database will be operated by the KCDC. This gives health officials and investigators access to real-time data feeds on patients. It also compiles information from the National Police Agency, the Credit Finance Association of Korea, three telecommunications companies, and 22 credit card companies. The live-feeds will not only track a patient’s whereabouts but also their credit card transactions and how long they spend at each place they visit. This allows for easier contact tracing. Understandably, this has raised some privacy concerns. So, access to the database will be limited and must have police approval before being used by anyone.
South Korea, like other countries, faced a face mask shortage. As a solution, the government and the Korean Pharmaceutical Association initially bought 50% of masks from manufacturers and shipped them at discounted prices to pharmacies to be sold. However, on March 5 they increased purchases to 80% of masks from manufacturers. 70% of these masks were given to pharmacies to sell. In order to stop over-buying and hoarding of masks, registered citizens and non citizens could buy 2 masks per week on an assigned day depending on their year of birth.
According to Bloomberg, on April 9, 51 patients who were confirmed as cured of COVID-19 have tested positive again. To be considered cured or fully recovered a person must have two tests conducted within 24 hours of each other come up negative for the virus. This could mean that the disease can be reactivated or that there was a miscalculation in the tests. As of April 22, Reuters reported that that number rose to 180 new cases. However they also reported that those that retested positive did not infect anyone else. The Korean Center for Disease Control director Jeon Eun-kyeong said that the virus “relapse cases have little to no infectiousness,” based on their tests and the data collected from these new ‘resurgent’ cases.
Late December 2019: The government established a response team to study the pneumonia cases in China
January 12, 2020: China publicly released the genetic code to COVID-19. South Korea started to build testing kits.
January 20, 2020: The first case was reported
February 18, 2020: Patient 31 was confirmed by the government as having visited the Shincheonji Church in Daegu, South Korea.
February 20, 2020: The first death is reported
February 24, 2020: 15 countries imposed travel restrictions on South Korea
April 18, 2020: Daegu reported no new cases of COVID-19, the first time since the initial outbreak in January
April 20, 2020: The government announced its plans to start lifting restrictions on businesses and churches
*Dates and information taken from various news outlets and wikipedia