Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)

Objectives: The aim of this study was to assess how coronavirus disease 2019 (COVID-19) clustered across districts in South Korea and to assess whether the pattern and duration of clusters changed following the country's containment strategy. Methods: A spatiotemporal analysis of COVID-19 daily...

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Main Authors: Sun Kim, Marcia C. Castro
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971220305464
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author Sun Kim
Marcia C. Castro
author_facet Sun Kim
Marcia C. Castro
author_sort Sun Kim
collection DOAJ
description Objectives: The aim of this study was to assess how coronavirus disease 2019 (COVID-19) clustered across districts in South Korea and to assess whether the pattern and duration of clusters changed following the country's containment strategy. Methods: A spatiotemporal analysis of COVID-19 daily confirmed cases by 250 districts in South Korea from January 20 to May 31, 2020, obtained from the Korea Centers for Disease Control and Prevention and each provincial website, was conducted. The global Moran's I statistic was used for spatial autocorrelation analysis, and the retrospective space-time scan statistic was used to analyze spatiotemporal clusters of COVID-19. Results: The geographical distribution showed strong spatial autocorrelation, with a global Moran's I coefficient of 0.784 (p = 0.0001). Twelve statistically significant spatiotemporal clusters were identified by space–time scan statistic using a discrete Poisson model. The spatial pattern of clusters changed and the duration of clusters became shorter over time. Conclusions: The results indicate that South Korea's containment strategy for COVID-19 was highly effective in both early detection and mitigation, with recent clusters being small in size and duration. Lessons from South Korea should spark a discussion on epidemic response.
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spelling doaj.art-6c3c3354ced04dc6b9784fab8851b4792022-12-22T01:53:16ZengElsevierInternational Journal of Infectious Diseases1201-97122020-09-0198328333Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)Sun Kim0Marcia C. Castro1Harvard T.H. Chan School of Public Health, Department of Global Health and Population, 665 Huntington Avenue, Boston, MA 02115, USACorresponding author.; Harvard T.H. Chan School of Public Health, Department of Global Health and Population, 665 Huntington Avenue, Boston, MA 02115, USAObjectives: The aim of this study was to assess how coronavirus disease 2019 (COVID-19) clustered across districts in South Korea and to assess whether the pattern and duration of clusters changed following the country's containment strategy. Methods: A spatiotemporal analysis of COVID-19 daily confirmed cases by 250 districts in South Korea from January 20 to May 31, 2020, obtained from the Korea Centers for Disease Control and Prevention and each provincial website, was conducted. The global Moran's I statistic was used for spatial autocorrelation analysis, and the retrospective space-time scan statistic was used to analyze spatiotemporal clusters of COVID-19. Results: The geographical distribution showed strong spatial autocorrelation, with a global Moran's I coefficient of 0.784 (p = 0.0001). Twelve statistically significant spatiotemporal clusters were identified by space–time scan statistic using a discrete Poisson model. The spatial pattern of clusters changed and the duration of clusters became shorter over time. Conclusions: The results indicate that South Korea's containment strategy for COVID-19 was highly effective in both early detection and mitigation, with recent clusters being small in size and duration. Lessons from South Korea should spark a discussion on epidemic response.http://www.sciencedirect.com/science/article/pii/S1201971220305464COVID-19Spatiotemporal analysisGovernment responseSouth Korea
spellingShingle Sun Kim
Marcia C. Castro
Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)
International Journal of Infectious Diseases
COVID-19
Spatiotemporal analysis
Government response
South Korea
title Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)
title_full Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)
title_fullStr Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)
title_full_unstemmed Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)
title_short Spatiotemporal pattern of COVID-19 and government response in South Korea (as of May 31, 2020)
title_sort spatiotemporal pattern of covid 19 and government response in south korea as of may 31 2020
topic COVID-19
Spatiotemporal analysis
Government response
South Korea
url http://www.sciencedirect.com/science/article/pii/S1201971220305464
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