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1Department of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea
2Artificial Intelligence and Big-Data Convergence Center, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
3Center for Public Healthcare, Gachon University Gil Medical Center, Incheon, Korea
© 2022, Korean Society of Epidemiology
This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DATA AVAILABILITY
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. All requests will be reviewed.
CONFLICT OF INTEREST
The authors have no conflicts of interest to declare for this study.
FUNDING
This study was supported by grants from the Korea Disease Control and Prevention Agency (grant No. 20210608D90-00); Gachon University Gil Medical Center (grant No. 2019-11) and a National Research Foundation of Korea grant funded by the Korean government (NRF-2021R1C1C101177411 and NRF-2021R1A5A2030333). Also supported in part by the MSIT (Ministry of Science and ICT), Korea, under the “AI Convergence New Infectious Disease Response System” supervised by the NIPA (National IT Industry Promotion Agency).
AUTHOR CONTRIBUTIONS
Conceptualization: Jung J. Data curation: Gong S, Moon JY. Formal analysis: Gong S, Moon JY. Funding acquisition: Jung J. Methodology: Jung J, Gong S. Project administration: Jung J. Visualization: Gong S. Writing – original draft: Gong S. Writing – review & editing: Gong S Moon JY, Jung J.
COVID-19, coronavirus disease 2019; KDCA, Korean Disease Control and Prevention Agency; CCTV, closed-circuit television.
Source from: Incheon Communicable Diseases Center. Novel respiratory infec tious disease epidemiological investigation manual version 1.0; 2021 [6].
Category | Item | Details | Responsible parties |
---|---|---|---|
Stage 1 | Incidence reporting | • In the event of a confirmed case, the public health center that first identifies the case reports it to the KDCA and city/province without delay | County/district (gun/gu)-level public health centers |
• The case is registered in the COVID-19 Information Management System (https://covid19.kdca.go.kr/) | |||
• The case classification is changed from “suspected” to “confirmed” as appropriate | |||
Stage 2 | Basic contact tracing | • Implement a timely investigation to contain and prevent the spread of infection | County/district (gun/gu)-level public health centers |
- Personal information, symptoms, pre-existing conditions, and contact with family (cohabitants) and public facilities | |||
• Request a bed assignment | |||
• Investigate routes of movement in confirmed cases | |||
- Request access to CCTV footage, credit card information, visits to multi-purpose facilities, etc. | |||
Stage 3 | In-depth contact tracing | • Classify additional contacts and identify epidemiological associations | City/province |
- Additional investigations, including remembered routes, history of contacts with a confirmed patient (suspicious circumstances), clinical symptoms, route of movement, and contacts | |||
Stage 4 | Contact tracing support | • Update and verify contact tracing | City/province |
- Check confirmed patient’s location information, drug utilization review, credit card records, use of multi-purpose facilities (QR codes), etc. | County/district (gun/gu)-level public health centers | ||
Communicable Diseases Center | |||
Stage 5 | Cluster contact tracing | • Conduct a field investigation related to cluster outbreak | City/province |
- Decide appropriate actions for patients, contacts, and environment | County/district (gun/gu)-level public health centers | ||
• Draft a cluster investigation report | Communicable Diseases Center | ||
- Include results of contact tracing of confirmed patients related to the cluster outbreak and field contact tracing (facility risk assessment, environmental sample results, etc.) | |||
• Register cluster investigation report | |||
- To be uploaded to the COVID-19 Information Management System within 48 hours after the case investigation by the public health center that identified the cluster outbreak | |||
Stage 6 | Review and circulation | • Assess the situati• Assess the situation and confirm additional disease control measures | City/province |
Stage 7 | Conclusion of contact tracing | • Decide whether to conclude contact tracing | City/province |
Characteristics | n (%) |
---|---|
Sex | |
Male | 75 (39.5) |
Female | 115 (60.5) |
Age (yr) | |
20-29 | 61 (32.1) |
30-39 | 82 (43.2) |
40-49 | 33 (17.4) |
50-59 | 12 (6.3) |
≥60 | 2 (1.1) |
Affiliation | |
Higher-level unit of local government | 31 (16.3) |
Basic unit of local government | 139 (73.2) |
Communicable Diseases Center | 7 (3.7) |
KDCA | 13 (6.8) |
Position | |
Public health doctor | 39 (20.5) |
Officer | 151 (79.5) |
Working period (yr) | |
<1 | 90 (47.4) |
1-3 | 81 (42.6) |
3-10 | 13 (6.8) |
≥10 | 6 (3.2) |
Location | |
Capital area | 148 (77.9) |
Non-capital area | 29 (15.3) |
KDCA | 13 (6.8) |
Variables | Response |
||
---|---|---|---|
Positive | Neutral | Negative | |
Statement from the confirmed patient or facility manager | 131 (68.9) | 41 (21.6) | 18 (9.5) |
KI-Pass (QR code) | 158 (83.2) | 24 (12.6) | 8 (4.2) |
Credit card records | 164 (86.3) | 16 (8.4) | 10 (5.3) |
GPS and CCTV | 153 (80.5) | 29 (15.3) | 8 (4.2) |
Safe Call | 122 (64.2) | 47 (24.7) | 21 (11.1) |
Sending a disaster message | 75 (39.5) | 70 (36.8) | 45 (23.7) |
Handwritten visitor logs | 40 (21.1) | 61 (32.1) | 89 (46.8) |
Variables | Response |
||
---|---|---|---|
Positive | Neutral | Negative | |
Information match rate | |||
KI-Pass (QR code) | 169 (88.9) | 18 (9.5) | 3 (1.6) |
Credit card records | 167 (87.9) | 22 (11.6) | 1 (0.5) |
Safe Call | 115 (86.5) | 71 (12.8) | 1 (0.7) |
Handwritten visitor logs | 30 (15.8) | 74 (38.9) | 86 (45.3) |
Screening test rate | |||
KI-Pass (QR code) | 141 (74.2) | 44 (23.2) | 5 (2.6) |
Credit card records | 139 (73.2) | 44 (23.2) | 7 (3.7) |
Safe Call | 99 (74.4) | 31 (23.3) | 3 (2.3) |
Handwritten visitor logs | 53 (27.9) | 90 (47.4) | 47 (24.7) |
Response rate | |||
KI-Pass (QR code) | 153 (80.5) | 34 (17.9) | 3 (1.6) |
Credit card records | 149 (78.4) | 37 (19.5) | 4 (2.1) |
Safe Call | 100 (75.2) | 33 (24.8) | 0 (0.0) |
Handwritten visitor logs | 56 (29.5) | 77 (40.5) | 57 (30.0) |
Helpfulness | |||
KI-Pass (QR code) | 173 (91.1) | 13 (6.8) | 4 (2.1) |
Credit card records | 157 (82.6) | 23 (12.1) | 10 (5.3) |
Safe Call | 104 (78.2) | 26 (19.5) | 3 (2.3) |
Handwritten visitor logs | 42 (22.1) | 86 (45.3) | 62 (32.6) |
KI-Pass (QR code) | Credit card records | GPS and CCTV | Safe Call | Handwritten visitor logs | |
---|---|---|---|---|---|
Usually | |||||
1st | 30 (15.8) | 76 (40.0) | 60 (31.6) | 8 (4.2) | 16 (8.4) |
2nd | 59 (31.1) | 35 (18.4) | 57 (30.0) | 17 (8.9) | 22 (11.6) |
3rd | 67 (35.3) | 33 (17.4) | 24 (12.6) | 33 (17.4) | 33 (17.4) |
4th | 31 (16.3) | 26 (13.7) | 27 (14.2) | 55 (28.9) | 51 (26.8) |
5th | 3 (1.6) | 20 (10.5) | 22 (11.6) | 77 (40.5) | 68 (35.8) |
In case of a mass outbreak | |||||
1st | 58 (36.7) | 45 (28.5) | 33 (20.9) | 6 (3.8) | 16 (10.1) |
2nd | 46 (29.1) | 32 (20.3) | 31 (19.6) | 28 (17.7) | 21 (13.3) |
3rd | 31 (19.6) | 20 (12.7) | 24 (15.2) | 38 (24.1) | 45 (28.5) |
4th | 18 (11.4) | 28 (17.7) | 38 (24.1) | 41 (25.9) | 33 (20.9) |
5th | 5 (3.2) | 33 (20.9) | 32 (20.3) | 45 (28.5) | 43 (27.2) |
COVID-19, coronavirus disease 2019; KDCA, Korean Disease Control and Prevention Agency; CCTV, closed-circuit television. Source from: Incheon Communicable Diseases Center. Novel respiratory infec tious disease epidemiological investigation manual version 1.0; 2021 [
KDCA, Korean Disease Control and Prevention Agency.
Values are presented as number (%). GPS, global positioning service; CCTV, closed-circuit television.
Values are presented as number (%). GPS, global positioning service; CCTV, closed-circuit television.