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Press Release

Review of Shift from Mandatory to Voluntary Isolation

  • Regdate2022-05-26 17:02
  • Hit1,453

Review of Shift from Mandatory to Voluntary Isolation
격리여부 전환 여부 검토

PRESS RELEASE
MAY 20, 2022

As the Central Disaster and Safety Countermeasures Headquarters drafted the nation’s post-Omicron response plan, they downgraded COVID-19 to a “Class-2” infectious disease but postponed the decision on whether to shift toward voluntary isolation by one month to assess the COVID-19 situation while maintaining the mandatory isolation and support measures for that period.

After the one-month assessment of comprehensive factors, including the ongoing safety and public health situation, possibility of new Omicron subvariants emerging and spreading in the nation, new COVID-19 forecasts, level of preparedness for a transition to general healthcare, and expert opinions, the government has decided to maintain the current restrictions and reassess COVID-19-related developments after another four weeks (on June 20, 2022).

(COVID-19 Situation) After peaking in the third week of March, the number of confirmed cases, deaths and critically ill cases, have decreased steadily, although the pace of the decline has slowed recently.

The average number of newly confirmed cases remains in the 20,000 to 30,000 range, and the COVID-19 reproduction number for the second week of May stands at 0.90, an 0.18 increase from the previous week.

Moreover, highly-infectious new variants have appeared overseas, including in the United States and South Africa, and have also been detected in South Korea*, increasing the risk of emerging variants entering and spreading in the nation.
* 19 BA.2.12.1 cases (17 cases from inbound travelers and 2 domestic cases), 1 BA.4 case (1 case from an inbound traveler), and 2 BA.5 cases (1 case from an inbound traveler and 1 domestic case)

Given the current vaccines’ declining effectiveness against infection and the growing possibility of immune escapes, the new variants are highly likely to spark another wave of COVID-19 infections if imported into the country.

 (COVID-19 Forecast) The emergence of new variants, waning effectiveness of social distancing, and transition to voluntary isolation could precipitate another surge of the pandemic, which is expected in the second half of the year.

In particular, if the nation shifts to voluntary isolation, it will not be able to sustain the current downward trend in COVID-19 infections, with new cases under such a scenario expected to rebound in June or July by 1.7 times (50% participating in isolation) to 4.5 times (none participating in isolation).

A number of COVID-19 trend projection models from researchers also point to the same conclusion: a slowing decline before a resurgence when the existing isolation mandate is completely lifted.

 

 

< Key Findings of COVID-19 Trend Projection Modeling

After isolation Is Lifted >

 

9 out of 10 research institutes predicting a surge in infection cases

(1 study predicting the current trend will remain)

Scale of new infections to differ by 4.5 to 7.5 times depending on whether isolation is fully complied with or dismissed

 

(Comparison with Other Countries) A majority of countries around the world are keeping their isolation rules in place, and South Korea still suffers higher rates of infection and death compared to major nations.

Considering that COVID-19 is highly contagious, the current WHO guidance says that people with symptoms should stay isolated for a minimum of 10 days after the first day they developed symptoms, plus another 3 days after the end of symptoms – when they are without fever and without respiratory symptoms, and that people without symptoms should stay isolated for a minimum of 10 days after testing positive. Many other countries are maintaining their quarantine mandate.

There are some countries that are implementing quarantine measures on a voluntary basis, but they have opted for this easing as part of their efforts to keep essential social functions intact at the time of a rapid surge in infections.

< Major Countries’ Quarantine Standards >

 

Quarantine of

Up to 5 Days

Quarantine of 7 Days

Quarantine Recommended

U.S., Sweden, Canada, Denmark, Finland, U.K., Norway, Iceland, Portugal, and Switzerland

France and Poland

Quarantine Required

Germany, Greece, the Netherlands, Israel, and Slovakia

Australia, Czech Republic, Latvia, New Zealand, Ireland, Italy, Japan, Costa Rica, Turkey, Hungary, and Singapore

(Preparation Efforts) Some have highlighted the need to speed up the transition to general healthcare and to raise positive public awareness on voluntary quarantine before the nation completely drops the current compulsory quarantine measures.

Efforts are necessary to secure more hospitals and clinics that offer face-to-face medical consultation and care for COVID-19 patients and to build social consensus on staying home, not going to work or class, when feeling ill.

According to a recent public awareness survey*, 42.7% of the respondents are for and 54.7% are against voluntary quarantine, showing that the majority of the public, regardless of gender and age, oppose the complete lifting of quarantine requirements.

*(Sample size) 1,000 men and women aged 18 and over across the nation; (Survey period) May 16 to 17; (Survey agency) Hankook Research

There are concerns that people will be less motivated to voluntarily take quarantine measures if all quarantine-related support, such as paid sick leave, is no longer available.

(Expert Opinions) A number of experts from the Advisory Committee on Infectious Disease Risk Management are taking a reserved stance on an early transition to voluntary isolation. Pointing out that COVID-19 is more contagious and fatal compared to other “Class-2” infectious diseases and that the U.S. is witnessing another COVID surge sooner than expected due to the risk of novel variants, they are voicing caution on the transition at the moment.

 Accordingly, the government will retain quarantine requirements, while also implementing settlement-period tasks consecutively in a flexible manner depending on the circumstance in each area.

In addition, before making the decision on whether to implement the transition four weeks later, it will develop a set of criteria after continuing to monitor the COVID-19 infection trend, comparing it with previous trends after collecting the opinions of experts, comparing its indices with those of other “Class-2” infectious diseases, forecasting future infection trends, and monitoring changes in the characteristics of COVID-19.


// For inquiries, contact Media Relations, Ministry of Health and Welfare
044-202-2047 or fairytale@korea.kr


http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=371523

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