Epidemiology and Surveillance

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Public Health Weekly Report 2022; 15(27): 1908-1922

Published online July 7, 2022

© The Korea Disease Control and Prevention Agency

An epidemiological study of imported coronavirus disease 2019 cases; Incheon airport 2021

Ji Hye Moon, Myeong Eun Song, In Soo Choi, Seung Eun Lee, Chong Hee Choi

Incheon Airport National Quarantine Station, Korea Disease Control and Prevention Agency (KDCA)

This report aimed to analyze confirmed cases of coronavirus disease 2019 (COVID-19) among imported cases at the Incheon Airport National Quarantine Station (IANQS) and to report on their epidemiological characteristics and trends while under quarantine.
In 2021, among the 11,961 imported COVID-19 cases, 1,287 (10.8%), excluding those confirmed via air ambulance, were confirmed through quarantine at the IANQS. Of these, 849 (66.0%) were male and 616 (47.9%) were in their 20s and 30s. Approximately 76.2% of the cases were Korean nationals.
According to the findings, approximately 19.3% of the cases were observed in June due to an increase in imported cases from Indonesia while, the number of imported cases gradually decreased to 2.8% in November. An analysis of the quarterly distribution of confirmed cases showed the highest number (n=420) in the third quarter and a rapid decrease in the fourth quarter (n=124). The decrease in confirmed cases was attributed to the reduced number of patients with symptoms and quarantine targets who were subjected to testing, from 2,941 in January to 1,000 in March and less than 1,000 after August. Among the 14,977 symptomatic cases and quarantine targets, 1,263 were confirmed (8.4%). Only 860 (66.8%) of 1,287 total confirmed cases were symptomatic. An additional 261 (20.3%) showed unrecognized fever during quarantine without reporting symptoms and 166 (12.9%) were asymptomatic. Among foreign nationals, 169 cases of unrecognized fever were reported, more than twice the 78 confirmed symptomatic cases.
In summation, the new COVID-19 variants and increased vaccination rates led to changes in the overall quarantine situation and the number of COVID-19 cases confirmed during quarantine in 2021. Analysis of these epidemiological characteristics is expected to povide reference data for future quarantine responses.

Key words Coronavirus disease 2019 (COVID-19), Quarantine, Airport

Table 1. Main characteristics of confirmed COVID-19 cases under quarantine at Incheon airport, per quarter, 2021
CategoryTotalFirst quarterSecond quarterThird quarterFourth quarter
n%n%n%n%n%
Total128710037329.037028.742032.61249.6
Sex
Male84966.023964.127875.126663.36653.2
Female43834.013435.99224.915436.75846.8
Age group, years
<10312.461.6102.7133.121.6
10-19977.5308.0195.1368.6129.7
20-2933125.78723.36818.412429.55241.9
30-3928522.18121.79124.68219.53125.0
40-4922817.76216.68322.47016.71310.5
50-5919715.36517.46216.86315.075.6
60-69987.6328.6349.2266.264.8
70-79201.6102.730.861.410.8
≥8000.000.000.000.000.0
Nationality
Local98176.228877.228777.631174.09576.6
Foreigner30623.88522.88322.410926.02923.4
Continent of residence
Asia78060.614037.529479.531575.03125.0
America23117.912734.0205.4256.05947.6
Europe17213.46417.2349.25212.42217.7
Africa1038.04211.3225.9286.7118.9
Oceania10.100.000.000.010.8


Table 2. Positive rate of samples collected from symptomatic and quarantined targets at Incheon Airport National Quarantine Station (Jan. to Dec. 2021)
Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
Number of tested cases2,9412,5571,0651,2671,1461,0161,1841,2625603795411,05914,977
Confirmed cases1581377313270167236133421616831,263
Positive rate5.45.46.910.46.116.419.910.57.54.23.07.88.4


Table 3. Symptoms of confirmed COVID-19 cases at Incheon Airport National Quarantine Station according to month in 2021

unit: n (%)

Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
Symptomatic cases111924561551231488835141375860
(69.4)(67.2)(59.2)(45.9)(78.6)(73.7)(60.7)(65.7)(83.3)(70.0)(72.2)(87.2)(66.8)
Unrecognized fever3233144162367335214261
(20.0)(24.1)(18.4)(30.8)(8.6)(13.8)(27.5)(24.6)(11.9)(10.0)(5.6)(4.7)(20.3)
Asymptomatic fever1712173192129132447166
(10.6)(8.8)(22.4)(23.3)(12.9)(12.6)(11.9)(9.7)(4.8)(20.0)(22.2)(8.1)(12.9)


Figure 1. Percentage of confirmed COVID-19 cases at Incheon Airport National Quarantine Station (IANQS) among total and monthly imported cases in 2021

Figure 2. Trend of Incheon Airport National Quarantine Station inbound travelers and symptomatic/quarantine targets in 2021 PCR, Polymerase chain reaction

Figure 3. Emergency COVID-19 patients requiring urgent transfer at Incheon Airport National Quarantine Station in 2021

Figure 4. Nationality of patients with confirmed COVID-19 at Incheon Airport National Quarantine Station in 2021 according to symptom

Figure 5. Delta variant occurrence and quarantine response enforcement status according to initial delta variant introduction date.
IANQS, Incheon Airport National Quarantine Station; VOIs, Variants of Interest; WHO, World Health Organization

Figure 6. COVID-19 cases from versus those in Indonesia (June to July 2021)
  1. 코로나바이러스감염증-19. 2022 [cited 2022 May 11].
    Available from: http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&board_id=&gubun=
  2. 장진화, 박신영 안선희 등. 2021년 국내 코로나19 확진자 발생 주요 특징. 주간 건강과 질병 2022;15(4):225-234.
  3. Centers for Disease Control and prevention. COVID Data Tracker [Internet]. Available from:covid.cdc.gov/covid-data-tracker/#trends_dailycases
  4. Our World In Data. Coronavirus Pandemic(COVID-19) [Internet]. Available from: Ourworldindata.org/covid-vaccinations
  5. World Health Orginization. WHO Coronavirus(COVID-19) Dashboard [Internet].
    Available from: https://covid19.who.int/data

Epidemiology and Surveillance

Public Health Weekly Report 2022; 15(27): 1908-1922

Published online July 7, 2022

Copyright © The Korea Disease Control and Prevention Agency.

An epidemiological study of imported coronavirus disease 2019 cases; Incheon airport 2021

Ji Hye Moon, Myeong Eun Song, In Soo Choi, Seung Eun Lee, Chong Hee Choi

Incheon Airport National Quarantine Station, Korea Disease Control and Prevention Agency (KDCA)

Abstract

This report aimed to analyze confirmed cases of coronavirus disease 2019 (COVID-19) among imported cases at the Incheon Airport National Quarantine Station (IANQS) and to report on their epidemiological characteristics and trends while under quarantine.
In 2021, among the 11,961 imported COVID-19 cases, 1,287 (10.8%), excluding those confirmed via air ambulance, were confirmed through quarantine at the IANQS. Of these, 849 (66.0%) were male and 616 (47.9%) were in their 20s and 30s. Approximately 76.2% of the cases were Korean nationals.
According to the findings, approximately 19.3% of the cases were observed in June due to an increase in imported cases from Indonesia while, the number of imported cases gradually decreased to 2.8% in November. An analysis of the quarterly distribution of confirmed cases showed the highest number (n=420) in the third quarter and a rapid decrease in the fourth quarter (n=124). The decrease in confirmed cases was attributed to the reduced number of patients with symptoms and quarantine targets who were subjected to testing, from 2,941 in January to 1,000 in March and less than 1,000 after August. Among the 14,977 symptomatic cases and quarantine targets, 1,263 were confirmed (8.4%). Only 860 (66.8%) of 1,287 total confirmed cases were symptomatic. An additional 261 (20.3%) showed unrecognized fever during quarantine without reporting symptoms and 166 (12.9%) were asymptomatic. Among foreign nationals, 169 cases of unrecognized fever were reported, more than twice the 78 confirmed symptomatic cases.
In summation, the new COVID-19 variants and increased vaccination rates led to changes in the overall quarantine situation and the number of COVID-19 cases confirmed during quarantine in 2021. Analysis of these epidemiological characteristics is expected to povide reference data for future quarantine responses.

Keywords: Coronavirus disease 2019 (COVID-19), Quarantine, Airport

Body

Main characteristics of confirmed COVID-19 cases under quarantine at Incheon airport, per quarter, 2021
CategoryTotalFirst quarterSecond quarterThird quarterFourth quarter
n%n%n%n%n%
Total128710037329.037028.742032.61249.6
Sex
Male84966.023964.127875.126663.36653.2
Female43834.013435.99224.915436.75846.8
Age group, years
<10312.461.6102.7133.121.6
10-19977.5308.0195.1368.6129.7
20-2933125.78723.36818.412429.55241.9
30-3928522.18121.79124.68219.53125.0
40-4922817.76216.68322.47016.71310.5
50-5919715.36517.46216.86315.075.6
60-69987.6328.6349.2266.264.8
70-79201.6102.730.861.410.8
≥8000.000.000.000.000.0
Nationality
Local98176.228877.228777.631174.09576.6
Foreigner30623.88522.88322.410926.02923.4
Continent of residence
Asia78060.614037.529479.531575.03125.0
America23117.912734.0205.4256.05947.6
Europe17213.46417.2349.25212.42217.7
Africa1038.04211.3225.9286.7118.9
Oceania10.100.000.000.010.8


Positive rate of samples collected from symptomatic and quarantined targets at Incheon Airport National Quarantine Station (Jan. to Dec. 2021)
Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
Number of tested cases2,9412,5571,0651,2671,1461,0161,1841,2625603795411,05914,977
Confirmed cases1581377313270167236133421616831,263
Positive rate5.45.46.910.46.116.419.910.57.54.23.07.88.4


Symptoms of confirmed COVID-19 cases at Incheon Airport National Quarantine Station according to month in 2021

unit: n (%).

Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
Symptomatic cases111924561551231488835141375860
(69.4)(67.2)(59.2)(45.9)(78.6)(73.7)(60.7)(65.7)(83.3)(70.0)(72.2)(87.2)(66.8)
Unrecognized fever3233144162367335214261
(20.0)(24.1)(18.4)(30.8)(8.6)(13.8)(27.5)(24.6)(11.9)(10.0)(5.6)(4.7)(20.3)
Asymptomatic fever1712173192129132447166
(10.6)(8.8)(22.4)(23.3)(12.9)(12.6)(11.9)(9.7)(4.8)(20.0)(22.2)(8.1)(12.9)


Figure 1. Percentage of confirmed COVID-19 cases at Incheon Airport National Quarantine Station (IANQS) among total and monthly imported cases in 2021

Figure 2. Trend of Incheon Airport National Quarantine Station inbound travelers and symptomatic/quarantine targets in 2021 PCR, Polymerase chain reaction

Figure 3. Emergency COVID-19 patients requiring urgent transfer at Incheon Airport National Quarantine Station in 2021

Figure 4. Nationality of patients with confirmed COVID-19 at Incheon Airport National Quarantine Station in 2021 according to symptom

Figure 5. Delta variant occurrence and quarantine response enforcement status according to initial delta variant introduction date.
IANQS, Incheon Airport National Quarantine Station; VOIs, Variants of Interest; WHO, World Health Organization

Figure 6. COVID-19 cases from versus those in Indonesia (June to July 2021)

Fig 1.

Figure 1.Percentage of confirmed COVID-19 cases at Incheon Airport National Quarantine Station (IANQS) among total and monthly imported cases in 2021
Public Health Weekly Report 2022; 15: 1908-1922

Fig 2.

Figure 2.Trend of Incheon Airport National Quarantine Station inbound travelers and symptomatic/quarantine targets in 2021 PCR, Polymerase chain reaction
Public Health Weekly Report 2022; 15: 1908-1922

Fig 3.

Figure 3.Emergency COVID-19 patients requiring urgent transfer at Incheon Airport National Quarantine Station in 2021
Public Health Weekly Report 2022; 15: 1908-1922

Fig 4.

Figure 4.Nationality of patients with confirmed COVID-19 at Incheon Airport National Quarantine Station in 2021 according to symptom
Public Health Weekly Report 2022; 15: 1908-1922

Fig 5.

Figure 5.Delta variant occurrence and quarantine response enforcement status according to initial delta variant introduction date.
IANQS, Incheon Airport National Quarantine Station; VOIs, Variants of Interest; WHO, World Health Organization
Public Health Weekly Report 2022; 15: 1908-1922

Fig 6.

Figure 6.COVID-19 cases from versus those in Indonesia (June to July 2021)
Public Health Weekly Report 2022; 15: 1908-1922
Main characteristics of confirmed COVID-19 cases under quarantine at Incheon airport, per quarter, 2021
CategoryTotalFirst quarterSecond quarterThird quarterFourth quarter
n%n%n%n%n%
Total128710037329.037028.742032.61249.6
Sex
Male84966.023964.127875.126663.36653.2
Female43834.013435.99224.915436.75846.8
Age group, years
<10312.461.6102.7133.121.6
10-19977.5308.0195.1368.6129.7
20-2933125.78723.36818.412429.55241.9
30-3928522.18121.79124.68219.53125.0
40-4922817.76216.68322.47016.71310.5
50-5919715.36517.46216.86315.075.6
60-69987.6328.6349.2266.264.8
70-79201.6102.730.861.410.8
≥8000.000.000.000.000.0
Nationality
Local98176.228877.228777.631174.09576.6
Foreigner30623.88522.88322.410926.02923.4
Continent of residence
Asia78060.614037.529479.531575.03125.0
America23117.912734.0205.4256.05947.6
Europe17213.46417.2349.25212.42217.7
Africa1038.04211.3225.9286.7118.9
Oceania10.100.000.000.010.8

Positive rate of samples collected from symptomatic and quarantined targets at Incheon Airport National Quarantine Station (Jan. to Dec. 2021)
Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
Number of tested cases2,9412,5571,0651,2671,1461,0161,1841,2625603795411,05914,977
Confirmed cases1581377313270167236133421616831,263
Positive rate5.45.46.910.46.116.419.910.57.54.23.07.88.4

Symptoms of confirmed COVID-19 cases at Incheon Airport National Quarantine Station according to month in 2021

unit: n (%).

Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
Symptomatic cases111924561551231488835141375860
(69.4)(67.2)(59.2)(45.9)(78.6)(73.7)(60.7)(65.7)(83.3)(70.0)(72.2)(87.2)(66.8)
Unrecognized fever3233144162367335214261
(20.0)(24.1)(18.4)(30.8)(8.6)(13.8)(27.5)(24.6)(11.9)(10.0)(5.6)(4.7)(20.3)
Asymptomatic fever1712173192129132447166
(10.6)(8.8)(22.4)(23.3)(12.9)(12.6)(11.9)(9.7)(4.8)(20.0)(22.2)(8.1)(12.9)

References

  1. 코로나바이러스감염증-19. 2022 [cited 2022 May 11]. Available from: http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&board_id=&gubun=
  2. 장진화, 박신영 안선희 등. 2021년 국내 코로나19 확진자 발생 주요 특징. 주간 건강과 질병 2022;15(4):225-234.
  3. Centers for Disease Control and prevention. COVID Data Tracker [Internet]. Available from:covid.cdc.gov/covid-data-tracker/#trends_dailycases
  4. Our World In Data. Coronavirus Pandemic(COVID-19) [Internet]. Available from: Ourworldindata.org/covid-vaccinations
  5. World Health Orginization. WHO Coronavirus(COVID-19) Dashboard [Internet]. Available from: https://covid19.who.int/data

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