Nationwide Results of COVID-19 Contact Tracing in South Korea : Individual Participant Data From an Epidemiological Survey

©Seung Won Lee, Woon Tak Yuh, Jee Myung Yang, Yoon-Sik Cho, In Kyung Yoo, Hyun Yong Koh, Dominic Marshall, Donghwan Oh, Eun Kyo Ha, Man Yong Han, Dong Keon Yon. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 25.08.2020..

BACKGROUND: Evidence regarding the effectiveness of contact tracing of COVID-19 and the related social distancing is limited and inconclusive.

OBJECTIVE: This study aims to investigate the epidemiological characteristics of SARS-CoV-2 transmission in South Korea and evaluate whether a social distancing campaign is effective in mitigating the spread of COVID-19.

METHODS: We used contract tracing data to investigate the epidemic characteristics of SARS-CoV-2 transmission in South Korea and evaluate whether a social distancing campaign was effective in mitigating the spread of COVID-19. We calculated the mortality rate for COVID-19 by infection type (cluster vs noncluster) and tested whether new confirmed COVID-19 trends changed after a social distancing campaign.

RESULTS: There were 2537 patients with confirmed COVID-19 who completed the epidemiologic survey: 1305 (51.4%) cluster cases and 1232 (48.6%) noncluster cases. The mortality rate was significantly higher in cluster cases linked to medical facilities (11/143, 7.70% vs 5/1232, 0.41%; adjusted percentage difference 7.99%; 95% CI 5.83 to 10.14) and long-term care facilities (19/221, 8.60% vs 5/1232, 0.41%; adjusted percentage difference 7.56%; 95% CI 5.66 to 9.47) than in noncluster cases. The change in trends of newly confirmed COVID-19 cases before and after the social distancing campaign was significantly negative in the entire cohort (adjusted trend difference -2.28; 95% CI -3.88 to -0.68) and the cluster infection group (adjusted trend difference -0.96; 95% CI -1.83 to -0.09).

CONCLUSIONS: In a nationwide contact tracing study in South Korea, COVID-19 linked to medical and long-term care facilities significantly increased the risk of mortality compared to noncluster COVID-19. A social distancing campaign decreased the spread of COVID-19 in South Korea and differentially affected cluster infections of SARS-CoV-2.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:8

Enthalten in:

JMIR medical informatics - 8(2020), 8 vom: 25. Aug., Seite e20992

Sprache:

Englisch

Beteiligte Personen:

Lee, Seung Won [VerfasserIn]
Yuh, Woon Tak [VerfasserIn]
Yang, Jee Myung [VerfasserIn]
Cho, Yoon-Sik [VerfasserIn]
Yoo, In Kyung [VerfasserIn]
Koh, Hyun Yong [VerfasserIn]
Marshall, Dominic [VerfasserIn]
Oh, Donghwan [VerfasserIn]
Ha, Eun Kyo [VerfasserIn]
Han, Man Yong [VerfasserIn]
Yon, Dong Keon [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Contact tracing
Coronavirus
Epidemiology
Health data
Journal Article
South Korea
Survey
Transmission

Anmerkungen:

Date Revised 28.09.2020

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.2196/20992

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313589720