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KMID : 1143420220150392666
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Public Health Weekly Report
2022 Volume.15 No. 39 p.2666 ~ p.2677
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The Establishment of the Monkeypox Response System and the Result of the Initial Response - Secondary Publication
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Lee Su-Yeon
Park Young-Joon
Lee Hyung-Min
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Abstract
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Monkeypox is an endemic disease mainly occurring in some countries in Central and West Africa, but unusual outbreaks have been observed since May 2022 in many countries across Europe and North America. From January 1 to August 11, 2022, a total of 32,760 confirmed cases (12 deaths) were reported in 91 countries and the World Health Organization declared a public health emergency of international concern on July 23, as the cumulative number of confirmed cases is rapidly increasing and there are concerns about the disease spreading globally. The Korea Disease Control and Prevention Agency has been closely monitoring the status of overseas cases and conducting risk assessment to prepare a response system for possible domestic outbreaks before the first case in the Republic of Korea was reported. The first expert advisory meeting was held on May 23, followed by a domestic risk assessment on May 24, consultation with the Infectious Disease Crisis Management Expert Committee on May 30, and a Risk Assessment Meeting on May 31; a crisis
alert level of ‘interest’ was issued and the monkeypox countermeasure team commenced operation. In addition, on June 8, a legal basis for responding to infectious diseases was prepared by revising the notification that designated it as Class 2 legal infectious disease and quarantinable infectious disease. Preemptive management through the announcement of an emerging infectious disease syndrome was initiated prior to the revision of the notification to prepare countermeasures for the infectious disease, including reporting suspected cases, assigning diagnostic criteria, designating of institutions for treatment, conducting epidemiological investigations, and instituting quarantine measures. Further, pre-training was performed on response guidelines for local governments, related departments, and medical institutions. For early detection of monkeypox and prevention of its spread in regional communities, information brochures were distributed for healthcare professionals and travelers from affected countries in order to raise awareness of suspected symptoms and prevention measures while strengthening quarantine measures for incoming travelers and encouraging medical institutions to report any potential cases as a part of domestic monitoring. Following the report of the first domestic patient on June 22, the crisis alert was raised to ‘caution’ and the Committee was upgraded to a Central Quarantine Countermeasure Headquarters. As of June 27, ‘Regional Quarantine Countermeasure Teams’ were installed in cities and provinces across the country to cooperate with the central government. Among the cases reported until August 8, 18 were identified as potential cases and were tested; to date, there are no additional cases exclude one confirmed case. This report aims to provide reference information for facing emerging infectious diseases by introducing the process of establishing a domestic response system and reporting the actual response outcome for an emerging infectious disease that had never occurred in the Republic of Korea.
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KEYWORD
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Monkeypox, Risk assessment, Crisis alert, Establishment emerging infectious disease of response system
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