As South Korea Eases Limits, Virus Cluster Prompts Seoul to Close Bars

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As South Korea Eases Limits, Virus Cluster Prompts Seoul to Close Bars

With no vaccine in sight, the country is urging people to reclaim more of their daily lives, while bracing for new waves that are all but inevitable.

Credit…Woohae Cho for The New York Times

Choe Sang-Hun

Go out, socialize and have fun, South Korea’s government told its people, declaring the start of “a new daily life with Covid-19” — while keeping a vigilant eye out for any sign of backsliding, any need for restrictions to snap back into place.

It didn’t take long.

On Saturday, just the fourth day of the new phase, the mayor of Seoul ordered all the capital’s bars and nightclubs shut down indefinitely after the discovery of a cluster of dozens of coronavirus infections.

South Korea initially attacked the pandemic with such success that it became a model cited worldwide, all but halting a large outbreak without choking off nearly as much of its economy as other nations have. Now it is attempting something just as difficult: moving gradually, safely closer to something resembling everyday life.

Government officials, health workers and much of the public know full well that until there is a vaccine, relaxing restrictions will lead to more infections, and possibly more deaths. The trick will be to do it without allowing the contagion to come roaring back.

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Credit…Woohae Cho for The New York Times

Other nations, eager to reopen but fearful of the consequences, will be watching closely to see what happens in South Korea.

“A second wave is inevitable,” said Son Young-rae, a senior epidemiological strategist at the government’s Central Disaster Management Headquarters. “But we are running a constant monitoring and screening system throughout our society so that we can prevent it from exploding rapidly into hundreds or thousands of cases like the one we had in the past.”

“We hope to slow the spread and keep the size down to small, sporadic outbreaks, hopefully of 20 to 30 cases, that come and go,” he said, “so that we can handle them while the people go on with their daily lives.”

South Korea has had nearly 11,000 confirmed cases of the virus and reported 256 deaths. But it has slowed the spread from several hundred new infections recorded daily in late February and early March, to around 10 per day in recent weeks.

The country adopted a massive, multipronged approach, including aggressive testing and contact-tracing, near-universal use of masks, social distancing, and localized clampdowns on hot spots. It was aided by a high degree of public cooperation.

Now it is counting on the same tools to prevent a resurgence, creating a new strategy on the fly.

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Credit…Woohae Cho for The New York Times

“We can’t sustain our society with our daily life and economic activities standing still​,” said Health Minister Park Neung-hoo.​ “But unfortunately, we could not find a precedent for what we are trying to do​. More likely, our experience, with its trials and errors, will serve as a reference for other nations​ down the road.”

After a 29-year-old man tested positive for the virus on Wednesday, epidemiologists quickly learned that he had visited three nightclubs in Itaewon, a popular nightlife district in Seoul, on May 2. By Saturday evening, they said they were tracking down 7,200 people who had visited five Itaewon nightclubs where the virus might have ben spread.

So far, 27 cases have been found among the club-goers and people who had close contact with them, Kwon Jun-wok, a senior disease-control official, said during a news briefing on Saturday.

The mayor, Park Won-soon, cited a higher figure, saying that at least 40 infections had been linked to the nightclubs. As he closed the clubs, he scolded patrons who had failed to practice safeguards like wearing masks, accusing them of putting the entire nation’s health at risk.

“Just because of a few people’s carelessness, all our efforts so far can go to waste,” he said.

Under the newly eased policy that went into effect on Wednesday, the government is urging people to reclaim pieces of their daily lives, and gathering places like schools, museums, libraries, stadiums and concert halls are expected to reopen in the coming weeks.

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Credit…Woohae Cho for The New York Times

If it weren’t for the ubiquitous masks, South Korean cities these days would look almost as they did before the virus. Subways have filled up with commuters. Long lines have started forming on sidewalks in Seoul, not to buy masks but to get seats in favored restaurants.

​The government estimates that the medical system can ​comfortably ​control Covid-19 if there are fewer than 50 new cases per day, and epidemiologists can trace the source of infection at least 95 percent of the time — milestones the country passed last month.

It also gained confidence when 30 million people participated in parliamentary elections on April 15 without triggering a​ new outbreak.

But things are far from normal. Nightclubs and bathhouses take the temperatures of everyone who enters. Students wear masks in class and are not allowed to play contact sports. At Suwon Hi-Tech High School in Suwon, a city south of Seoul, every student’s temperature is checked four times a day.

South Korea’s baseball league started its delayed season on Tuesday and the soccer league got underway on Friday — with spitting prohibited and no fans in the stands. Some stadiums played recorded fan noise, while coaches and players on the sidelines wore masks.

“Complacency is the biggest risk,” said Jung Eun-kyeong, head of the Korea Centers for Disease Control and Prevention.

​South Korea still finds occasional patients whose origin of infection ​cannot be established. Ms. Jung said, “this means that the virus that has infected these people is still out there in the community.”

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Credit…Woohae Cho for The New York Times

A government task force of ​economists and sociologists, as well as infectious-disease experts, drafted a 68-page “guidebook for distancing in daily life.” It outlined measures like installing partitions at cafeteria and dining-hall tables, keeping masks on in church and having visitors to weddings, funerals, karaoke bars, nightclubs and internet-game parlors write down their names and telephone numbers so they can be traced later.

It calls for workers with even minor potential symptoms of Covid-19 to call in sick for a few days — a tall order in a culture where reporting for work even when sick is considered a virtue.

The draft was posted online in mid-April ​for public feedback. One change made with citizens’ suggestion: keeping every other seat empty in movie theaters.​

“There is no going back to the life we had before Covid-19,” said Kim Gang-lip, a senior policy coordinator at Central Disaster Management Headquarters. “Instead, we ​are creating a new set of social norms and culture.”

  • Updated April 11, 2020

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • When will this end?

      This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • How does coronavirus spread?

      It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

    • Is there a vaccine yet?

      No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

    • What makes this outbreak so different?

      Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

    • What if somebody in my family gets sick?

      If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

    • Should I stock up on groceries?

      Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

    • Should I pull my money from the markets?

      That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.


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