2015 MERS outbreak in South Korea

2015 Middle East respiratory syndrome outbreak in South Korea
2015 MERS outbreak in South Korea is located in South Korea
Seoul
Seoul
Pyeongtaek
Pyeongtaek
Daejeon
Daejeon
Asan
Asan
Hwaseong
Hwaseong
Busan
Busan
Daegu
Daegu
Yongin
Yongin
Sokcho
Sokcho
Gyeongju
Gyeongju
Sunchang
Sunchang
Jeju
Jeju
Boryeong
Boryeong
Hospital where confirmed MERS cases were exposed
Location where confirmed MERS cases visited[1]
Date20 May 2015
LocationSouth Korea
Casualties

An outbreak of Middle East respiratory syndrome coronavirus occurred in South Korea from May 2015 to July 2015.[5] The virus, which causes Middle East respiratory syndrome (MERS), was a newly emerged betacoronavirus that was first identified in a patient from Saudi Arabia in April 2012. From the outbreak, a total of 186 cases were infected in the country, with a death toll of 38.[3]

Outbreak

South Korea reported its first MERS case on 20 May 2015.[6] A 68-year-old man returning from the Middle East was diagnosed with MERS nine days after he initially sought medical help.[7]

The following table shows the daily statistics on the number of infected persons since 20 May 2015, based on the official report of the Central MERS Management Task Force, Ministry of Health and Welfare at the beginning of each day.[2][8]

^*1 Includes a case reported in China[9]

^*2 Parentheses indicate interim value

Main transmission route and event timeline

MERS-CoV, 2015, South Korea [10]
Key (see also within diagram):
   H            hospital / clinic
   HCW      health care worker
   circled number    patient case number
   Dates are dates of diagnosis

Government reaction

The Korean Ministry of Health and Welfare initially withheld details from the public,[11] as identifying the medical institution treating a MERS patient might cause unnecessary anxiety to its other patients. This policy lacked public acceptance,[12] and was heavily criticized as preventing the Ministry from properly notifying hospitals and municipal governments. On 3 June, it was found that the Ministry had not notified the Incheon municipal government of the transfer of an infected patient to its local medical institution.[13] The following day the Seoul municipal government announced that it had learned by chance, through an official attending a meeting, that a hospital doctor, who began to show symptoms on 29 May and tested positive on 1 June, had been moving freely within the city and had attended a gathering of 1,565 people in Gaepo-dong on 30 May.[14] The municipal government obtained a list of the 1,565; the Ministry proposed to undertake "passive surveillance"; the municipal government rejected this as "lukewarm" and intervened directly: initially by contacting those listed.[14]

On 7 June, after 2,361 people were isolated, 64 patients were confirmed infected and 5 had died,[15] the central government finally disclosed the names of MERS-exposed medical institutions.[16]

Hospitals

On 7 June 2015, the South Korean government released the names of 24 MERS-affected hospitals to the public.[17] These hospitals include the Pyeongtaek St. Mary's (SeongMo) Hospital (평택성모병원) and the Seoul Samsung Hospital (삼성서울병원), an affiliate of Samsung Medical Center.[18][19][20]

Hospitals where confirmed MERS cases were exposed, as of 12 July 2015, 11:00[21]
HospitalKorean nameCity/ProvinceNo. of cases
Samsung Medical Centre삼성서울병원Gangnam-gu/ Seoul90
Pyeongtaek St. Mary's Hospital평택성모병원Pyeongtaek/ Gyeonggi Province37
Dae Cheong Hospital대청병원Seo-gu/ Daejeon14
KonYang University Hospital건양대학교병원Seo-gu/ Daejeon11
Hallym University Medical Centre한림대학교동탄성심병원Hwaseong/ Gyeonggi Province6
Gangdong Gyeonghee University Hospital강동경희대학교의대병원Gangdong-gu/ Seoul5
Gunguk University Hospital건국대병원Gwangjin-gu/ Seoul4
Pyeongtaek Good Morning Hospital평택굿모닝병원Pyeongtaek/ Gyeonggi Province4
Asan Seoul Clinic아산서울의원Asan / Chungnam Province1
Yangji Samsung Medical Center양지 서울삼성의원Yongin/ Gyeonggi Province1
365 Yeol Lin Clinic365 열린의원Gangdong-gu/ Seoul1
Yeouido St. Mary's Hospital가톨릭대학교 여의도성모병원Yeongdeungpo-gu/ Seoul1
Asan Medical Center서울아산병원Songpa-gu/ Seoul1
Good gang-an Hospital좋은강안병원Suyeong-gu/ Busan1
Dr. Song Clinic송태의 내과Songpa-gu/ Seoul1
Others (outside hospitals, under investigation)7
Total186

A 44-year-old South Korean man travelled to Huizhou, China via Hong Kong,[22] on business, on 26 May, contrary to a doctor's advice and in breach of a self-quarantine order from the government: his father and elder sister were both confirmed infected by MERS.[23] He was later found to have a fever,[23] and was subsequently confirmed infected.[22] He was suspected of dishonestly failing to disclose to Hong Kong border quarantine officers that he had visited his father in hospital on 16 May for nearly 4 hours.[23]

On 30 May 2015, a website said that a driver in Huizhou who transported a South Korean male MERS patient was suspected to be infected but later the government clarified that this was a rumor.[24]

A Chinese fugitive who stayed in South Korea for 3 years turned himself in as he was afraid of the outbreak. He arrived at Dalian Zhoushuizi International Airport on 4 June.[25]

On 8 June 2015, a South Korean couple who did not follow the self-quarantine notice were found to have visited the Philippines on 6 June. They had visited the respective clinics in Sunchang County where a 72-year-old woman was confirmed positive for MERS after having visited the clinic for lumbago treatment. The couple said that they only knew that the 72-year-old woman was a MERS-positive patient only after reading the news.[26]

On 9 June 2015, two Hong Kong students from City University of Hong Kong doing a three-month exchange program in Sungkyunkwan University were ordered by a professor to get out of the classroom as they refused to remove their protective masks. The professor also said that they were too sensitive to the outbreak because of the history of SARS in Hong Kong in 2003. Sungkyunkwan University replied that some professors saw wearing masks as impolite and said if students insist on wearing masks, they might be refused to give presentations in class and may be unable to graduate due to this. Affected students said this reflected that the South Korean public was not attentive to the threat of the MERS outbreak.[27]

On 25 June, a South Korean man who had been treated at a Chinese hospital after being diagnosed with the MERS virus in late May, was released from the hospital and returned to South Korea.[28]

Effects

Education

The following table shows the number of schools that temporarily closed due to the outbreak:

DateNumber of schools closed
2 June 201584[29]
3 June 2015214[30]
4 June 20151,162[31]
5 June 20151,317[32]
7 June 20151,381 (7 in Gyeonggi Province)[33]
8 June 20151,970[34]
9 June 20152,208[35]
15 June 2015475[36]

Economy

On 11 June 2015, South Korea's central bank cut interest rates by 0.25 percentage points to stem the economic fallout from the outbreak.[37]

South Korea's department store sales decreased by 16.5% compared to the same period last year, and retail shops also decreased 3.4%, according to the Minister of Strategy and Finance, as of 17 June 2015.[38]

As of 17 June 2015, 100,000 tourist visits to the nation had been cancelled.[38]

Testing infrastructure

After the outbreak, South Korea developed a system to rapidly expand testing capabilities during future disease outbreaks. This has been credited as a reason for South Korea's widespread testing and effective response to the COVID-19 pandemic.[39]

See also

  • South Korea foot-and-mouth outbreak

References

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  2. 1 2 알림> 보도자료 목록 - '메르스' 검색결과 [Press release - Search result 'MERS'] (in Korean). Ministry of Health and Welfare. Retrieved 9 June 2015.
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