South Korea Offers a Lesson in Best Practices

Taiwan, Singapore, South Korea, Hong Kong, and Japan all implemented similar comprehensive public health emergency plans that successfully reduced the spread of coronavirus in each region. Although each country used tactics such as travel restrictions, widespread testing, transparent communication, and quarantine protocols, Taiwan and South Korea are emerging as models for other countries due to the structure of democracy.

Rwanda, a country with the same population of Ohio, has emerged as an example of how to slow the spread of coronavirus, with only 1,500 cases reported so far. Besides initiating a lockdown, implementing free testing, and recruiting community health care workers, police, and college students to be contact tracers, officials also used "the same structure, same people, same infrastructure and laboratory diagnostics" that had been working to contain the spread of HIV.

Singapore, Hong Kong, and South Korea have each seen success through their efforts to contain the coronavirus. Using methods such as aggressive isolation methods that include penalties, contact tracing and rapid intervention strategies that were in place from previously dealing with other communicable diseases, the lessons these countries have learned could provide information for countries still struggling to slow the spread.

Having learned lessons from the 2015 MERS outbreak, South Korea was quick to implement both widespread testing and contact tracing at the onset of the Covid-19 pandemic. Although cases were only just beginning to be reported in the country, government officials were already working with bioengineers to create test kits in order to "prepare for the worst."

Italy, once a major hotspot for Covid-19 cases, has seen a significant decrease in the spread of the coronavirus after implementing strict government regulations including mandatory travel restrictions and isolation protocols. The success of the measures has been evident as the country begins to reopen – lifting restrictions in two-week increments to account for the "virus’s incubation period" – with no sign of the virus still spreading and hospitals remaining largely empty of critical cases.

Germany has implemented a variety of methods to contain the coronavirus, but their policy of "open public testing" has been a vital component of successfully slowing the spread of the virus. Although the policy was not in place from the start due to insurance limitations, once enacted, it allowed for asymptomatic people to be tested and has reportedly slowed outbreaks throughout the country.

Due to its proximity to China, experts forcasted that Taiwan would experience a high number of coronavirus cases, but aggressive intervention strategies have kept the overall caseload much lower than expected. New regulations, especially focused on people traveling through the airport – such as enrolling travelers in a national coronavirus database, taking their temperature in the airport, and mandating a two-week quarantine – granted the government the capability of being able to track the spread of potential incoming cases.

When Covid-19 cases began to be reported in Washington state, the state government – at the suggestion of local health officials – enacted some of the most stringent restrictions in the nation. Although these actions did not come without trade-offs, in Seattle, the strategy has resulted in "the lowest death rate of the 20 largest metropolitan regions in the country."

Finland, Norway, and Denmark are three countries that have largely been able to contain the spread of COVID-19 and keep average daily deaths low, by implementing some of the "most relaxed combinations of restrictions." Although the virus has not been entirely eradicated, the success so far has been tied to a high rate of public compliance, preventative measures, and clear communication.

Despite never mandating a lockdown, South Korea has been able to better control the spread of COVID-19 as compared to other countries of similar economic and development status. Focusing on information management and testing, as well as the use of technology to aid both of these tactics, the country has kept the case count to fewer than 80 cases per day. According to the chairman of the World Health Organization’s global outbreak alert and response network, “No country has adapted to living with, and containing, the virus like South Korea."