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Evaluation of the Public Health Emergency Response to the COVID-19 Pandemic in Daegu, Korea During the First Half of 2020

  • Lee, Hwajin (Department of Preventive Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Keon-Yeop (Department of Preventive Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Jong-Yeon (Department of Public Health, Kyungpook National University Hospital) ;
  • Kam, Sin (Department of Preventive Medicine, Kyungpook National University School of Medicine) ;
  • Lee, Kyeong Soo (Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine) ;
  • Lee, Jung Jeung (Department of Preventive Medicine, Keimyung University College of Medicine) ;
  • Hong, Nam Soo (Department of Preventive Medicine, Kyungpook National University School of Medicine) ;
  • Hwang, Tae-Yoon (Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine)
  • Received : 2022.02.07
  • Accepted : 2022.05.23
  • Published : 2022.07.31

Abstract

Objectives: This study evaluated the response in Daegu, Korea to the first wave of the coronavirus disease 2019 (COVID-19) pandemic according to a public health emergency response model. Methods: After an examination of the official data reported by the city of Daegu and the Korea Centers for Disease Control and Prevention, as well as a literature review and advisory meetings, we chose a response model. Daegu's responses were organized into 4 phases and evaluated by applying the response model. Results: In phase 1, efforts were made to block further transmission of the virus through preemptive testing of a religious group. In phase 2, efforts were concentrated on responding to mass infections in high-risk facilities. Phase 3 involved a transition from a high-intensity social distancing campaign to a citizen participation-based quarantine system. The evaluation using the response model revealed insufficient systematic preparation for a medical surge. In addition, an incorporated health-related management system and protection measures for responders were absent. Nevertheless, the city encouraged the participation of private hospitals and developed a severity classification system. Citizens also played active roles in the pandemic response by practicing social distancing. Conclusions: This study employed the response model to evaluate the early response in Daegu to the COVID-19 pandemic and revealed areas in need of improvement or maintenance. Based on the study results, creation of a systematic model is necessary to prepare for and respond to future public health emergencies like the COVID-19 pandemic.

Keywords

Acknowledgement

We are deeply grateful to the Daegu Metropolitan City for granting permission to use city data.

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