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COVID-19 cluster at Eunpyeong St. Mary's Hospital had important positions in this crisis, which occurred with the first case of a patient transfer staff from February 21, 2020.1 Firstly, this was the first mass infection of COVID-19 in Seoul Metropolitan area. While Daegu crisis related with Shinchoenji just turned for the worse, this could threat the community who was afraid of the uncontrolled transmission of Seoul, the most populated area in Korea. Secondly, this arose in the university hospital. If a university hospital infection spread out massively, many deaths could break out due to high severity of patients. Otherwise, unmet supply of health care services of north-west of Seoul was inevitable if the hospital was locked down in order to prevent hospital transmission. Thirdly, this was the first case that local government of Seoul took charge to control COVID-19 instead of Korea Centers for Disease Control and Prevention (KCDC). In the past, field epidemiologists of KCDC mostly investigated the outbreak and made decision while local government and hospital followed the KCDC's recommendation. However, because central government and KCDC withdrew the most of manpower in order to focus on the crisis of Daegu and Gyeongsangbuk-do, they devolve the authorities to the local government of Seoul. Therefore, the five stakeholders, KCDC, Seoul Metropolitan Government, field epidemiologists of Seoul, Eunpyeong-gu district, and Eunpyeong St. Mary's Hospital, confronted a whole other level of difficulty than long-term care or small sized hospitals.

journal of korean medical science

Letter to the Editor: Risk Communication, Shared Responsibility, and Mutual Trust are Matters: Real Lessons from Closure of Eunpyeong St. Mary's Hospital Due to Coronavirus Disease 2019 in Korea