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An outbreak of
Middle East respiratory syndrome coronavirus ''Middle East respiratory syndrome–related coronavirus'' (''MERS-CoV''), or EMC/2012 ( HCoV-EMC/2012), is the virus that causes Middle East respiratory syndrome (MERS). It is a species of coronavirus which infects humans, bats, and camels. Th ...
occurred in
South Korea South Korea, officially the Republic of Korea (ROK), is a country in East Asia, constituting the southern part of the Korea, Korean Peninsula and sharing a Korean Demilitarized Zone, land border with North Korea. Its western border is formed ...
from May 2015 to July 2015. The virus, which causes
Middle East respiratory syndrome Middle East respiratory syndrome (MERS) is a viral respiratory infection caused by ''Middle East respiratory syndrome–related coronavirus'' (MERS-CoV). Symptoms may range from none, to mild, to severe. Typical symptoms include fever, cough, ...
(MERS), was a newly emerged
betacoronavirus ''Betacoronavirus'' (β-CoVs or Beta-CoVs) is one of four genera (''Alpha''-, ''Beta-'', '' Gamma-'', and '' Delta-'') of coronaviruses. Member viruses are enveloped, positive-strand RNA viruses that infect mammals (of which humans are part). ...
that was first identified in a patient from
Saudi Arabia Saudi Arabia, officially the Kingdom of Saudi Arabia (KSA), is a country in Western Asia. It covers the bulk of the Arabian Peninsula, and has a land area of about , making it the fifth-largest country in Asia, the second-largest in the A ...
in April 2012. From the outbreak, a total of 186 cases were infected in the country, with a death toll of 38.


Outbreak

South Korea reported its first MERS case on 20 May 2015. A 68-year-old man returning from the Middle East was diagnosed with MERS nine days after he initially sought medical help. The following table shows the daily statistics on the number of infected persons since 20 May 2015, based on the official report of the Central MERS Management Task Force, Ministry of Health and Welfare at the beginning of each day. Includes a case reported in China Parentheses indicate interim value File:2015 MERS in South Korea.svg, 2015 MERS outbreak in South Korea File:2015 MERS Cases in South Korea.svg, MERS confirmed cases status File:2015 MERS Quarantine in South Korea.svg, MERS quarantine status


Main transmission route and event timeline


Government reaction

The Korean Ministry of Health and Welfare initially withheld details from the public, as identifying the medical institution treating a MERS patient might cause unnecessary anxiety to its other patients. This policy lacked public acceptance, and was heavily criticized as preventing the Ministry from properly notifying hospitals and municipal governments. On 3 June, it was found that the Ministry had not notified the Incheon municipal government of the transfer of an infected patient to its local medical institution. The following day the Seoul municipal government announced that it had learned by chance, through an official attending a meeting, that a hospital doctor, who began to show symptoms on 29 May and tested positive on 1 June, had been moving freely within the city and had attended a gathering of 1,565 people in Gaepo-dong on 30 May. The municipal government obtained a list of the 1,565; the Ministry proposed to undertake "passive surveillance"; the municipal government rejected this as "lukewarm" and intervened directly: initially by contacting those listed. On 7 June, after 2,361 people were isolated, 64 patients were confirmed infected and 5 had died, the central government finally disclosed the names of MERS-exposed medical institutions.


Hospitals

On 7 June 2015, the South Korean government released the names of 24 MERS-affected hospitals to the public. These hospitals include the
Pyeongtaek Pyeongtaek () is a city in Gyeonggi Province, South Korea. Located in the southwestern part of the province, Pyeongtaek was founded as a union of two districts in 940, during the Goryeo dynasty. It was elevated to city status in 1986 and is home t ...
St. Mary's (SeongMo) Hospital (평택성모병원) and the
Seoul Seoul (; ; ), officially known as the Seoul Special City, is the capital and largest metropolis of South Korea.Before 1972, Seoul was the ''de jure'' capital of the Democratic People's Republic of Korea (North Korea) as stated iArticle 103 ...
Samsung Hospital (삼성서울병원), an affiliate of
Samsung Medical Center Samsung Medical Center (SMC) is a tertiary hospital located in Irwon-Dong of Gangnam-Gu, Seoul, South Korea. SMC is composed of Samsung Seoul Hospital, Kangbook Samsung Hospital, Samsung Changwon Hospital, and Samsung Life Sciences Research Cent ...
.


Related incidents

A 44-year-old South Korean man travelled to
Huizhou Huizhou ( zh, c= ) is a city in central-east Guangdong Province, China, forty-three miles north of Hong Kong. Huizhou borders the provincial capital of Guangzhou to the west, Shenzhen and Dongguan to the southwest, Shaoguan to the north, Heyu ...
, China via
Hong Kong Hong Kong ( (US) or (UK); , ), officially the Hong Kong Special Administrative Region of the People's Republic of China ( abbr. Hong Kong SAR or HKSAR), is a city and special administrative region of China on the eastern Pearl River Delt ...
, on business, on 26 May, contrary to a doctor's advice and in breach of a self-quarantine order from the government: his father and elder sister were both confirmed infected by MERS. He was later found to have a fever, and was subsequently confirmed infected. He was suspected of dishonestly failing to disclose to Hong Kong border quarantine officers that he had visited his father in hospital on 16 May for nearly 4 hours. On 30 May 2015, a website said that a driver in Huizhou who transported a South Korean male MERS patient was suspected to be infected but later the government clarified that this was a rumor. A Chinese fugitive who stayed in South Korea for 3 years turned himself in as he was afraid of the outbreak. He arrived at Dalian Zhoushuizi International Airport on 4 June. On 8 June 2015, a South Korean couple who did not follow the self-quarantine notice were found to have visited the
Philippines The Philippines (; fil, Pilipinas, links=no), officially the Republic of the Philippines ( fil, Republika ng Pilipinas, links=no), * bik, Republika kan Filipinas * ceb, Republika sa Pilipinas * cbk, República de Filipinas * hil, Republ ...
on 6 June. They had visited the respective clinics in Sunchang County where a 72-year-old woman was confirmed positive for MERS after having visited the clinic for lumbago treatment. The couple said that they only knew that the 72-year-old woman was a MERS-positive patient only after reading the news. On 9 June 2015, two Hong Kong students from
City University of Hong Kong City University of Hong Kong (CityU) is a world-class public research university located in Kowloon Tong, Hong Kong. It was founded in 1984 as City Polytechnic of Hong Kong and became a fully accredited university in 1994. Currently, CityU is ...
doing a three-month exchange program in
Sungkyunkwan University Sungkyunkwan University (SKKU or simply ''Seongdae'', Hangul: 성균관대학교; Hanja: 成均館大學校) is a private comprehensive research university in South Korea. The institution traces its origins to the historic Sungkyunkwan, found ...
were ordered by a professor to get out of the classroom as they refused to remove their
protective masks A mask is an object normally worn on the face, typically for protection, disguise, performance, or entertainment and often they have been employed for rituals and rights. Masks have been used since antiquity for both ceremonial and practi ...
. The professor also said that they were too sensitive to the outbreak because of the history of
SARS Severe acute respiratory syndrome (SARS) is a viral respiratory disease of zoonotic origin caused by the severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), the first identified strain of the SARS coronavirus species, ''seve ...
in Hong Kong in 2003. Sungkyunkwan University replied that some professors saw wearing masks as impolite and said if students insist on wearing masks, they might be refused to give presentations in class and may be unable to graduate due to this. Affected students said this reflected that the South Korean public was not attentive to the threat of the MERS outbreak. On 25 June, a South Korean man who had been treated at a Chinese hospital after being diagnosed with the MERS virus in late May, was released from the hospital and returned to South Korea.


Effects


Education

The following table shows the number of schools that temporarily closed due to the outbreak:


Economy

On 11 June 2015, South Korea's central bank cut interest rates by 0.25 percentage points to stem the economic fallout from the outbreak. South Korea's department store sales decreased by 16.5% compared to the same period last year, and retail shops also decreased 3.4%, according to the Minister of Strategy and Finance, as of 17 June 2015. As of 17 June 2015, 100,000 tourist visits to the nation had been cancelled.


Testing infrastructure

After the outbreak, South Korea developed a system to rapidly expand testing capabilities during future disease outbreaks. This has been credited as a reason for South Korea's widespread testing and effective response to the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
.


See also

* South Korea foot-and-mouth outbreak


References


External links


MERS.go.kr
Korea Centers for Disease Control and Prevention Korea Disease Control and Prevention Agency (KDCA; ), formerly Korea Centers for Disease Control and Prevention (KCDC, ), is an organization under the South Korean Ministry of Welfare and Health that is responsible for the advancement of public ...

MERS Propagation Path
infographics by KBS News (in Korean).
Anatomy of the South Korean MERS outbreak
infographics by Science News {{Epidemics 2015 disease outbreaks Middle East respiratory syndrome 2015 disasters in South Korea Disease outbreaks in South Korea