South Korea's elite contact tracers show how to beat Covid-19


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In May, when a coronavirus outbreak hit nightclubs in the South Korean capital of Seoul, health officials quickly sent in elite teams of epidemiologists, database specialists and laboratory technicians.

An old-school, shoe-leather investigation showed the virus had jumped from a nightclub visitor to a student, to a taxi driver and then to a warehouse employee who worked with 4,000 others.

Thousands of the employee’s co-workers, their family members and contacts were approached and 9,000 people were tested. Two weeks later, the warehouse flare-up was mostly extinguished and infections curtailed at 152.

The work of such so-called Immediate Response Teams offers a look at how South Korea – once the second worst hit by the coronavirus – has succeeded in largely quelling its spread without the lockdowns that have derailed lives worldwide.

At a time when cities from Los Angeles to Melbourne to Tokyo are grappling with resurgences, South Korea’s playbook offers one of the most successful blueprints yet for containing a disease that has killed more than 600,000 people.

The tally of new cases in the Asian country – which pioneered the testing strategy – has never fallen to zero, but the number of daily new cases has largely ranged from 30 to 60 for two months after peaking at more than 800 in February. Compare that with Los Angeles county, which reported 2,014 cases on Thursday alone.

South Korea’s strategy is also a contrast with the harsh shutdowns instituted in parts of China, or the tourism blockade implemented by New Zealand in an attempt to completely stamp out the virus. The Asian nation meticulously targets danger hotspots and then allows most people to lead lives and run businesses unimpeded.

“We step in when there’s a chance of large-scale transmission and our main work is to find the connecting links between cases and prevent a flare-up,” said Kwon Donghyok, deputy scientific director at the country’s Centres for Disease Control and Prevention, who oversees the investigative squads. “Finding potential contacts and investigating the cause of infection are the backbone of what we do.”

The country now has one of the lowest rates for infections with unknown origin, at about 8 per cent, compared to more than 50 per cent for other countries with recent virus resurgences. Flare-ups have shrunk from a weekly average of about a dozen to less than six this week.

South Korea has a successful strategy because it learned from the bitter experience of the past, something western countries did not have the benefit of. The bulk of its more than 14,000 cases and nearly 300 deaths are related to the flare-up at a religious sect in February and March. Since then, processes developed after the country’s 2015 outbreak of the Middle East Respiratory Syndrome have helped it prevent a second wave of the new coronavirus.

South Korea’s CDC has about 100 epidemiology investigators, up from just two during the Mers outbreak. During a large potential outbreak, several are pulled for the Immediate Response Team, which usually has about six to eight members.

On any given day, officials investigate potential flare-ups at diverse locations from church group gatherings to clubs for badminton or exotic cars. Infections at low-risk facilities are first handled by municipal health officials, while an Immediate Response Team is called in for high-risk locations.

Other nations have also taken steps to trace contacts and widen testing, with countries like Taiwan and Germany successfully screening to curb the virus. But some have had more difficulty recently. Infections in Melbourne spiked to a record this month because its efforts were not suitably designed for its migrant population.

India has had some success in following contacts and curtailing an outbreak in the Mumbai slum of Dharavi, but replicating that in a country with 1.3 billion people has proven to be hard.

“The key strength of South Korea’s handling of the coronavirus pandemic is its ability to do a thorough epidemiology investigation on every patient,” said Jung Ki-suck, a former CDC director and now professor at Hallym University Medical Centre, referring to the detailed public health tracing conducted by officials. “The epidemiology investigation has never been so important because we can reduce the size of outbreaks and even block new cases from occurring.”

That exhaustive and meticulous investigation strategy paid off when investigators were able to trace the warehouse outbreak following a flare-up at nightclubs in the trendy Itaewon neighbourhood, said Mr Kwon, who investigated the Mers outbreak and was in Rio de Janeiro to investigate a potential outbreak of the Zika virus during the 2016 Olympics.

The CDC discovered that a nightclub visitor who was a private tutor spread the virus to one of his students. The student, who was unaware of the infection, used a coin-operated karaoke room, transmitting the virus to a taxi driver singing in an adjoining room.

The taxi driver also worked as a part-time photographer and took photos of a birthday party at a buffet restaurant in the area where the distribution centre is located.

Through surveillance footage and mobile phone records, investigators contacted everyone who had been at the restaurant around the time of the birthday party. Among those who were infected at the restaurant was a woman who had worked for a day at the warehouse.

To be sure, some of the tactics used in South Korea, which has a population of about 51 million, might be difficult to replicate in vastly populated emerging countries. And the Asian country has benefited from surveillance technology that might not be acceptable to citizens of many western nations.

Tracing potential contacts in South Korea involved reviewing hundreds of hours of surveillance camera footage and going through mobile phone and credit card transactions. So-called CCTVs are ubiquitous in South Korea as virtually all streets and workplaces have them.

"Other countries simply don't have the capacity to do these thorough investigations on patients," said Mr Jung, the former CDC director. "We had a smaller absolute number of cases than other nations, but more importantly, the social norm, where people are okay with their privacy being infringed for the wider public interest, allowed comprehensive investigations, which is just unimaginable in western countries."

South Korea has said it is expecting some spike in cases among construction workers returning from virus-hit Iraq and more cases from a Russian ship at one of its ports. While those are mostly imported cases brought in from the outside, South Korea’s virus squad knows how tenuous its gains are, and the importance of vigilance. Many countries, including Asia’s financial capital, Hong Kong, have successfully beaten back the virus for months, only to see it make a sudden comeback.

“Any mass infections we have witnessed have happened in the blink of an eye,” Mr Kwon said. “If we miss a tiny piece of a link or let a small detail slip by, we’ll for sure be experiencing a resurgence in cases.”

The burning issue

The internal combustion engine is facing a watershed moment – major manufacturer Volvo is to stop producing petroleum-powered vehicles by 2021 and countries in Europe, including the UK, have vowed to ban their sale before 2040. The National takes a look at the story of one of the most successful technologies of the last 100 years and how it has impacted life in the UAE. 

Read part four: an affection for classic cars lives on

Read part three: the age of the electric vehicle begins

Read part two: how climate change drove the race for an alternative 

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UAE currency: the story behind the money in your pockets

Ready Player One
Dir: Steven Spielberg
Starring: Tye Sheridan, Olivia Cooke, Ben Mendelsohn, Mark Rylance

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Name: Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

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The specs: 2018 Nissan 370Z Nismo

The specs: 2018 Nissan 370Z Nismo
Price, base / as tested: Dh182,178
Engine: 3.7-litre V6
Power: 350hp @ 7,400rpm
Torque: 374Nm @ 5,200rpm
Transmission: Seven-speed automatic
​​​​​​​Fuel consumption, combined: 10.5L / 100km

The five pillars of Islam
How to apply for a drone permit
  • Individuals must register on UAE Drone app or website using their UAE Pass
  • Add all their personal details, including name, nationality, passport number, Emiratis ID, email and phone number
  • Upload the training certificate from a centre accredited by the GCAA
  • Submit their request
What are the regulations?
  • Fly it within visual line of sight
  • Never over populated areas
  • Ensure maximum flying height of 400 feet (122 metres) above ground level is not crossed
  • Users must avoid flying over restricted areas listed on the UAE Drone app
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THE SIXTH SENSE

Starring: Bruce Willis, Toni Collette, Hayley Joel Osment

Director: M. Night Shyamalan

Rating: 5/5

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Australia tour of Pakistan

March 4-8: First Test, Rawalpindi

March 12-16: Second Test, Karachi

March 21-25: Third Test, Lahore

March 29: First ODI, Rawalpindi

March 31: Second ODI, Rawalpindi

April 2: Third ODI, Rawalpindi

April 5: T20I, Rawalpindi

What can victims do?

Always use only regulated platforms

Stop all transactions and communication on suspicion

Save all evidence (screenshots, chat logs, transaction IDs)

Report to local authorities

Warn others to prevent further harm

Courtesy: Crystal Intelligence

Race results:

1. Thani Al Qemzi (UAE) Team Abu Dhabi: 46.44 min

2. Peter Morin (FRA) CTIC F1 Shenzhen China Team: 0.91sec

3. Sami Selio (FIN) Mad-Croc Baba Racing Team: 31.43sec

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UAE currency: the story behind the money in your pockets
The specs
 
Engine: 3.0-litre six-cylinder turbo
Power: 398hp from 5,250rpm
Torque: 580Nm at 1,900-4,800rpm
Transmission: Eight-speed auto
Fuel economy, combined: 6.5L/100km
On sale: December
Price: From Dh330,000 (estimate)
Company Fact Box

Company name/date started: Abwaab Technologies / September 2019

Founders: Hamdi Tabbaa, co-founder and CEO. Hussein Alsarabi, co-founder and CTO

Based: Amman, Jordan

Sector: Education Technology

Size (employees/revenue): Total team size: 65. Full-time employees: 25. Revenue undisclosed

Stage: early-stage startup 

Investors: Adam Tech Ventures, Endure Capital, Equitrust, the World Bank-backed Innovative Startups SMEs Fund, a London investment fund, a number of former and current executives from Uber and Netflix, among others.

The five pillars of Islam

1. Fasting

2. Prayer

3. Hajj

4. Shahada

5. Zakat 

Dr Afridi's warning signs of digital addiction

Spending an excessive amount of time on the phone.

Neglecting personal, social, or academic responsibilities.

Losing interest in other activities or hobbies that were once enjoyed.

Having withdrawal symptoms like feeling anxious, restless, or upset when the technology is not available.

Experiencing sleep disturbances or changes in sleep patterns.

What are the guidelines?

Under 18 months: Avoid screen time altogether, except for video chatting with family.

Aged 18-24 months: If screens are introduced, it should be high-quality content watched with a caregiver to help the child understand what they are seeing.

Aged 2-5 years: Limit to one-hour per day of high-quality programming, with co-viewing whenever possible.

Aged 6-12 years: Set consistent limits on screen time to ensure it does not interfere with sleep, physical activity, or social interactions.

Teenagers: Encourage a balanced approach – screens should not replace sleep, exercise, or face-to-face socialisation.

Source: American Paediatric Association
Day 4, Abu Dhabi Test: At a glance

Moment of the day Not much was expected – on Sunday or ever – of Hasan Ali as a batsman. And yet he lit up the late overs of the Pakistan innings with a happy cameo of 29 from 25 balls. The highlight was when he launched a six right on top of the netting above the Pakistan players’ viewing area. He was out next ball.

Stat of the day – 1,358 There were 1,358 days between Haris Sohail’s previous first-class match and his Test debut for Pakistan. The lack of practice in the multi-day format did not show, though, as the left-hander made an assured half-century to guide his side through a potentially damaging collapse.

The verdict As is the fashion of Test matches in this country, the draw feels like a dead-cert, before a clatter of wickets on the fourth afternoon puts either side on red alert. With Yasir Shah finding prodigious turn now, Pakistan will be confident of bowling Sri Lanka out. Whether they have enough time to do so and chase the runs required remains to be seen.

The specs

Engine: 2.0-litre 4-cylinder turbo

Power: 240hp at 5,500rpm

Torque: 390Nm at 3,000rpm

Transmission: eight-speed auto

Price: from Dh122,745

On sale: now

Specs

Engine: Dual-motor all-wheel-drive electric

Range: Up to 610km

Power: 905hp

Torque: 985Nm

Price: From Dh439,000

Available: Now

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Children who witnessed blood bath want to help others

Aged just 11, Khulood Al Najjar’s daughter, Nora, bravely attempted to fight off Philip Spence. Her finger was injured when she put her hand in between the claw hammer and her mother’s head.

As a vital witness, she was forced to relive the ordeal by police who needed to identify the attacker and ensure he was found guilty.

Now aged 16, Nora has decided she wants to dedicate her career to helping other victims of crime.

“It was very horrible for her. She saw her mum, dying, just next to her eyes. But now she just wants to go forward,” said Khulood, speaking about how her eldest daughter was dealing with the trauma of the incident five years ago. “She is saying, 'mama, I want to be a lawyer, I want to help people achieve justice'.”

Khulood’s youngest daughter, Fatima, was seven at the time of the attack and attempted to help paramedics responding to the incident.

“Now she wants to be a maxillofacial doctor,” Khulood said. “She said to me ‘it is because a maxillofacial doctor returned your face, mama’. Now she wants to help people see themselves in the mirror again.”

Khulood’s son, Saeed, was nine in 2014 and slept through the attack. While he did not witness the trauma, this made it more difficult for him to understand what had happened. He has ambitions to become an engineer.

MATCH INFO

Uefa Champions League final:

Who: Real Madrid v Liverpool
Where: NSC Olimpiyskiy Stadium, Kiev, Ukraine
When: Saturday, May 26, 10.45pm (UAE)
TV: Match on BeIN Sports

Abu Dhabi Grand Slam Jiu-Jitsu World Tour Calendar 2018/19

July 29: OTA Gymnasium in Tokyo, Japan

Sep 22-23: LA Convention Centre in Los Angeles, US

Nov 16-18: Carioca Arena Centre in Rio de Janeiro, Brazil

Feb 7-9: Mubadala Arena in Abu Dhabi, UAE

Mar 9-10: Copper Box Arena in London, UK

Specs
Engine: Electric motor generating 54.2kWh (Cooper SE and Aceman SE), 64.6kW (Countryman All4 SE)
Power: 218hp (Cooper and Aceman), 313hp (Countryman)
Torque: 330Nm (Cooper and Aceman), 494Nm (Countryman)
On sale: Now
Price: From Dh158,000 (Cooper), Dh168,000 (Aceman), Dh190,000 (Countryman)
BMW M5 specs

Engine: 4.4-litre twin-turbo V-8 petrol enging with additional electric motor

Power: 727hp

Torque: 1,000Nm

Transmission: 8-speed auto

Fuel consumption: 10.6L/100km

On sale: Now

Price: From Dh650,000

THE BIO

Bio Box

Role Model: Sheikh Zayed, God bless his soul

Favorite book: Zayed Biography of the leader

Favorite quote: To be or not to be, that is the question, from William Shakespeare's Hamlet

Favorite food: seafood

Favorite place to travel: Lebanon

Favorite movie: Braveheart

Western Region Asia Cup Qualifier

Results

UAE beat Saudi Arabia by 12 runs

Kuwait beat Iran by eight wickets

Oman beat Maldives by 10 wickets

Bahrain beat Qatar by six wickets

Semi-finals

UAE v Qatar

Bahrain v Kuwait

 

High profile Al Shabab attacks
  • 2010: A restaurant attack in Kampala Uganda kills 74 people watching a Fifa World Cup final football match.
  • 2013: The Westgate shopping mall attack, 62 civilians, five Kenyan soldiers and four gunmen are killed.
  • 2014: A series of bombings and shootings across Kenya sees scores of civilians killed.
  • 2015: Four gunmen attack Garissa University College in northeastern Kenya and take over 700 students hostage, killing those who identified as Christian; 148 die and 79 more are injured.
  • 2016: An attack on a Kenyan military base in El Adde Somalia kills 180 soldiers.
  • 2017: A suicide truck bombing outside the Safari Hotel in Mogadishu kills 587 people and destroys several city blocks, making it the deadliest attack by the group and the worst in Somalia’s history.
Pharaoh's curse

British aristocrat Lord Carnarvon, who funded the expedition to find the Tutankhamun tomb, died in a Cairo hotel four months after the crypt was opened.
He had been in poor health for many years after a car crash, and a mosquito bite made worse by a shaving cut led to blood poisoning and pneumonia.
Reports at the time said Lord Carnarvon suffered from “pain as the inflammation affected the nasal passages and eyes”.
Decades later, scientists contended he had died of aspergillosis after inhaling spores of the fungus aspergillus in the tomb, which can lie dormant for months. The fact several others who entered were also found dead withiin a short time led to the myth of the curse.

Tips to keep your car cool
  • Place a sun reflector in your windshield when not driving
  • Park in shaded or covered areas
  • Add tint to windows
  • Wrap your car to change the exterior colour
  • Pick light interiors - choose colours such as beige and cream for seats and dashboard furniture
  • Avoid leather interiors as these absorb more heat
Need to know

Unlike other mobile wallets and payment apps, a unique feature of eWallet is that there is no need to have a bank account, credit or debit card to do digital payments.

Customers only need a valid Emirates ID and a working UAE mobile number to register for eWallet account.

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