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Early Intervention Reduces the Spread of COVID-19 in Long-Term Care Facilities in the Republic of Korea

Osong Public Health and Research Perspectives 2020;11(4):259-264.
Published online: July 31, 2020

aCentral Disease Control Headquarters, Korea Centers for Disease Control and Prevention, Cheongju, Korea

bInfectious Disease Management Division, Gyeonggi Provincial Office, Suwon, Korea

cHealth Administration Department, Gunpo Health Center, Gunpo, Korea

dDirector of Public Health Center, Guro-gu Health Center, Seoul, Korea

eRegional Health Department, Guro-gu Health Center, Seoul, Korea

fHealth Administration Department, Guro-gu Health Center, Seoul, Korea

*Corresponding author: Young Joon Park, Central Disease Control Headquarters, Korea Centers for Disease Control and Prevention, Osong Health Technology Administration Complex, 187, Osongsaengmyeong 2-ro, Osong-eup, Heungdeok-gu, Cheongju, Chungcheongbuk-do, Korea, E-mail: pahmun@korea.kr
• Received: July 20, 2020   • Revised: July 31, 2020   • Accepted: August 2, 2020

Copyright ©2020, Korea Centers for Disease Control and Prevention

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Early Intervention Reduces the Spread of COVID-19 in Long-Term Care Facilities in the Republic of Korea
Osong Public Health Res Perspect. 2020;11(4):259-264.   Published online August 31, 2020
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Early Intervention Reduces the Spread of COVID-19 in Long-Term Care Facilities in the Republic of Korea
Image Image
Figure 1 Confirmed cases of COVID-19 and the total population in LTCFs. Differences between LTCFs A, B, and C were dependent upon when the COVID-19 cases were detected. LTCF = long-term care facility.
Figure 2 Timeline showing confirmed cases of COVID-19 at long-term care facilities A, B, and C.
Early Intervention Reduces the Spread of COVID-19 in Long-Term Care Facilities in the Republic of Korea

Characteristics of COVID-19 cases in the metropolitan LTCFs.

Characteristics Institutions

A B C
Type Nursing hospital Nursing hospital Nursing home
 No. of beds/no. of hospitalized patients 163/142 404/392 35
 No. of employees 87 375 31

Source case characteristics
 Occupation Caregiver Nurse Physical therapist
 Symptoms Asymptomatic Rhinorrhea, pharyngitis, headache Fever
 Symptom-time to confirmation (d) 0 2 9
 Symptom-work days until confirmation (d) * 1 0 4

Contacts
 No. of patients (resident) 142 0 35
 Age (y, mean ± SD) 78.0 ± 13.3 86.9 ± 5.8

Gender
 Male 55 (38.7) 13 (37.1)
 Female 87 (61.3) 22 (62.9)

No. of employees 16 0 30

Age (y, mean ± SD) 53.1 ± 11.9 57.9 ± 6.2

Gender
 Male 1 (6.3) 5 (16.7)
 Female 15 (93.8) 25 (83.3)

Method of initial quarantine of contacts Transfer to other institution, Cohort - Cohort

No. of new cases among contacts (%)
 Patients (%) 0 (0) 0 (0) 18 (51.4)
 Employee (%) 0 (0) 0 (0) 6 (20.0)

*Workdays until 1 day prior to symptom onset (1 day prior to sampling if asymptomatic).

Includes 2 discharged residents.

Employees who worked more than 1 day between 9th March and 8th April, 5 of 20 original employees confirmed, 1 of 10 new employees confirmed.

LTCF = long-term care facility.

Table 1 Characteristics of COVID-19 cases in the metropolitan LTCFs.

Workdays until 1 day prior to symptom onset (1 day prior to sampling if asymptomatic).

Includes 2 discharged residents.

Employees who worked more than 1 day between 9th March and 8th April, 5 of 20 original employees confirmed, 1 of 10 new employees confirmed.

LTCF = long-term care facility.