National Response to COVID-19 in the Republic of Korea and Lessons Learned for Other Countries
National Response to COVID-19 in the Republic of Korea and Lessons Learned for Other Countries
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DOI：
10.1080/23288604.2020.1753464
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发表时间：
2020-01-01
影响因子：
4.1
通讯作者：
Hirschhorn, Lisa R.
中科院分区：
文献类型：
--
作者：
Oh, Juhwan;Lee, Jong-Koo;Hirschhorn, Lisa R.
在COVID-19大流行的前两个月，大韩民国（韩国）的病例数在全球排名第二，但却能够大幅降低新发病例的发生率并维持低死亡率，使其成为国家强有力应对的典范。我们描述了所采取的主要战略以及选定的促进因素和挑战，以便为其他致力于控制COVID-19传播和影响的国家确定可借鉴的经验教训。已确定的战略包括：及早认识到威胁并在国家领导人的领导下迅速启动国家应对方案;迅速建立诊断能力;扩大预防社区传播的措施;重新设计分诊和治疗系统，为临床护理调动必要的资源。促成因素包括现有的医院能力、COVID-19疫情的流行病学以及强有力的国家领导，尽管2015年中东呼吸综合征相关冠状病毒（MERS-CoV）疫情导致政治变化和人口敏感化。面临的挑战包括在案件量高的地区维持充足的人力资源和用品。主要建议包括（1）认识到问题，（2）建立诊断能力，（3）实施积极措施以防止社区传播，（4）为新环境重新设计和重新分配临床资源，以及（5）通过并同时优先控制COVID-19的传播和影响，努力限制经济影响。韩国预防、检测和应对疫情的策略代表了适用的知识，可供面临COVID-19巨大挑战的其他国家和国际社会采用。
In the first two months of the COVID-19 pandemic, the Republic of Korea (South Korea) had the second highest number of cases globally yet was able to dramatically lower the incidence of new cases and sustain a low mortality rate, making it a promising example of strong national response. We describe the main strategies undertaken and selected facilitators and challenges in order to identify transferable lessons for other countries working to control the spread and impact of COVID-19. Identified strategies included early recognition of the threat and rapid activation of national response protocols led by national leadership; rapid establishment of diagnostic capacity; scale-up of measures for preventing community transmission; and redesigning the triage and treatment systems, mobilizing the necessary resources for clinical care. Facilitators included existing hospital capacity, the epidemiology of the COVID-19 outbreak, and strong national leadership despite political changes and population sensitization due to the 2015 Middle East respiratory syndrome-related coronavirus (MERS-CoV) epidemic. Challenges included sustaining adequate human resources and supplies in high-caseload areas. Key recommendations include (1) recognize the problem, (2) establish diagnostic capacity, (3) implement aggressive measures to prevent community transmission, (4) redesign and reallocate clinical resources for the new environment, and (5) work to limit economic impact through and while prioritizing controlling the spread and impact of COVID-19. South Korea's strategies to prevent, detect, and respond to the pandemic represent applicable knowledge that can be adopted by other countries and the global community facing the enormous COVID-19 challenges ahead.