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http://dx.doi.org/10.15434/kssh.2015.28.3.188

Schools' Response to MERS(MERS-CoV) Outbreak: Schools' Discretionary Response in Absence of Control Tower  

Lee, In Sook (College of Nursing, Seoul National University)
Yoon, Jae Hee (College of Nursing, Seoul National University)
Hong, Eun Joo (College of Nursing, Seoul National University)
Kim, Chae Yoon (Guryong Middle School)
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Abstract
Purpose: This study aims to understand schools' response to infectious disease, perceived problems and suggestions, with regard to the 2015 MERS outbreak in South Korea, in order to improve the infectious disease response system. Methods: Data were collected by focus group interviews with three groups composed of school health teachers, other teachers, and parents in Seoul-located schools. Results: The major theme was "Schools' Discretionary Response in the Absence of the Control Tower." Four major categories and 11 sub-categories were drawn from the findings. Four major categories were as follows: (a) Temperature monitoring caused lots of complaints, (b) Closure decisions were left at the discretion of schools, (c) Precautions are now being more emphasized, and (d) The support system were malfunctioning. Conclusion: The main areas to be improved are as follows: (1) School district offices should have an expanded role in infectious disease response and build cooperative partnerships with health authorities. (2) Preparedness for infectious disease should be strengthened. (3) Temperature monitoring systems should be improved, (4) Closure decisions should be made at a local community level. These are expected to help schools establish advanced infectious disease response systems.
Keywords
MERS; Infection coronavirus; Schools; Focus groups; Qualitative research;
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1 Balkhair, A., Alawi, F. B., AlMaamari, K., AlMuharrmi, Z., & Ahmed, O. (2014). MERS-CoV: Bridging the knowledge gaps. Oman Medical Journal, 29(3), 169-171.   DOI
2 Cauchemez, S., Ferguson, N. M., Wachtel, C., Tegnell, A., Saour, G., Duncan, B., et al. (2009). Closure of schools during an influenza pandemic. The Lancet Infectious Diseases, 9(8), 473-481.   DOI
3 Copeland, D. L., Basurto-Davila, R., Chung, W., Kurian, A., Fishbein, D. B., Szymanowski, P., et al. (2013). Effectiveness of a school district closure for pandemic influenza A(H1N1) on acute respiratory illnesses in the community: A natural experiment. Clinical Infectious Diseases, 56(4), 509-516.   DOI
4 Fung, I. C. H., Gambhir, M., Glasser, J. W., Gao, H., Washington, M. L., Uzicanin, A., et al. (2015). Modeling the effect of school closures in a pandemic scenario: Exploring two different contact matrices. Clinical Infectious Diseases, 60(1), 58-63.   DOI
5 Jang, J. L. (2011). Responsiveness and its related factors to the H1N1 epidemic of public health center. Unpublished master's thesis, Kyungpook National University, Daegu.
6 Kim, J. H. (2015). School responses to pandemic influenza A (H1N1) and its improvements in Korea. Unpublished master's thesis, Seoul National University, Seoul.
7 Kim, W. J. (2009). Epidemiology, clinical manifestations, and management of pandemic novel Influenza A(H1N1). Korean Journal of Medicine, 77(2), 157-164.
8 Kim, Y. B., Kim, H. K., & Kim, M. (2012). Developing strategies to improve efficiency of school health education in an outbreak of pandemic disease. Korean Journal of Health Education and Promotion, 29(2), 71-81.
9 Korea Centers for Disease Control and Prevention [KCDC]. (2015a, September 11). A study on the occurrence of MERS in overseas. Retrieved August 05, 2015, from http://mers.go.kr/mers/html/jsp/Menu_B/content_B3.jsp
10 Korea Centers for Disease Control and Prevention [KCDC]. (2015b, May 21). The confirmation of a influx of MERS patients from overseas into Korea. Retrieved August 05, 2015, from http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0011&fid=21&q_type=&q_value=&cid=62905&pageNum=1
11 Korea Centers for Disease Control and Prevention [KCDC]. (2015f, June 8). The MERS response manual in school 1-2(for kindergarten, elementary school, middle school).
12 Korea Centers for Disease Control and Prevention [KCDC]. (2015c, September 11). A study on the occurrence of MERS in Korea. Retrieved September 11, 2015, from http://mers.go.kr/mers/html/jsp/Menu_B/content_B1.jsp
13 Korea Centers for Disease Control and Prevention [KCDC]. (2015d, July 29). Status on domestic MERS breakouts. Retrieved August 05, 2015, from http://www.mers.go.kr/mers/html/jsp/Menu_B/content_B1.jsp?cid=26740
14 Korea Centers for Disease Control and Prevention [KCDC]. (2015e, June 25). The MERS response manual in school 2-1(for kindergarten, elementary school, middle school). Retrieved August 05, 2015, from http://www.cdc.go.kr/CDC/info/CdcKrHealth0295.jsp?menuIds=HOME001-MNU1132-MNU1013-MNU1509-MNU1915&fid=5747&q_type=&q_value=&cid=63724&pageNum
15 Lee, J. G. (2001, April). Current issues and prospects on the informationalization system of epidemics. Papers presented at 2001 Spring Conference of The Korean Society for Preventive Medicine, Seoul.
16 Lee, K. J. (2015, June 24). 44% of School teachers think authorities'support was insufficient with regard to MERS prevention, KBS NEWS. Retrieved August 05, 2015, from http://news.kbs.co.kr/news/view.do?ncd=3101374
17 Min, S. (1998). A comparison study of measured values and subjective experience of mercury thermometer and tympanic thermometer. The Journal of Korean Academic Society of Nursing Education, 4(1), 95-106.
18 Nishiura, H., Ejima, K., Mizumoto, K., Nakaoka, S., Inaba, H., Imoto, S., et al. (2014). Cost-effective length and timing of school closure during an influenza pandemic depend on the severity. Theoretical Biology & Medical Modelling, 11 , 5.   DOI
19 Park, S. P., & Cho, H. J. (2010). Critical appraisal of the risks of the 2009 Novel influenza and the strategies of the South Korean government to manage and treat it. Journal of Critical Social Policy, 30(30), 7-48.
20 Park, S. H. (2011). A study on disaster response system of largescale hospitals. Unpublished master's thesis, Korea University, Seoul.
21 School was not ready for fever check despite government's announcement (2015, June 8). The Yonhapnews Agency. Retrieved August 05, 2015, from http://media.daum.net/society/others/newsview?newsid=20150608105619465
22 Shin, S. M., Kim, H. M., Hong, M. S., & Lee, H. W. (2010). The Job status of health teacher, school nurse, during epidemic outbreak of Influenza H1N1 in school. Journal of the Korean Society of School Health, 23(1), 63-70.
23 Shin, Y. S., Kim, S. R., Yoo, S. H., Kim S. H., Kim, J. H., Kim, H. J., et al. (2013). Development and evaluation of an evidencebased nursing protocol for fever management in adult patients]. Korean Journal of Adult Nursing, 25(3), 250-262.   DOI
24 Song, I. H., Kwon, S. W., & Lim, H. J. (2011). Knowledge and perceived threat about 2009 Infuenza A( HINl) and discriminative attitudes towards completely recovered patients among elementary students. Journal of the Korean Society of School Health, 24(1), 61-70.
25 Suh, M. A., Lee, J. H., Hur, N. W., Chi, H. J., Ha, K. H., Kim, Y. K., et al. (2010). Mathematical modeling of the Novel Influenza A(H1N1) Virus and evaluation of the epidemic response strategies in the Republic of Korea. Journal of Preventive Medicine and Public Health, 43(2), 109-116.   DOI
26 Woo, S. K. (2015, June 12). 2900 schools closed nationwide... dramatic increase in Seoul and Kyungnam. KBS NEWS. Retrieved August 05, 2015, from http://news.kbs.co.kr/news/view.do?ncd=3093979
27 World Health Organization [WHO]. (2015b, June 19). Middle East respiratory syndrome coronavirus(MERS-CoV): Summary and risk assessment of current situation in the republic of Korea and China. Retrieved August 05, 2015, from http://www.who.int/emergencies/mers-cov/mers-cov-republic-of-korea-and-china-risk-assessment-19-june-2015.pdf?ua=1
28 World Health Organization [WHO]. (2015a, July 3). Investigation of cases of human infection with Middle East respiratory syndrome coronavirus(MERS-CoV): Interim guidance. Retrieved August 05, 2015, from http://www.who.int/iris/handle/10665/178252#sthash.6lNuYl1f.dpuf