As early as January 5, 2020, notification was expanded to include any individual who had traveled to Wuhan in the past 14 days and had a fever or symptoms of upper respiratory tract infection at the point of entry suspected cases were screened for 26 viruses including SARS and Middle East respiratory syndrome (MERS). On December 31, 2019, when the World Health Organization was notified of pneumonia of unknown cause in Wuhan, China, Taiwanese officials began to board planes and assess passengers on direct flights from Wuhan for fever and pneumonia symptoms before passengers could deplane. The NHCC unified a central command system that includes the Central Epidemic Command Center (CECC), the Biological Pathogen Disaster Command Center, the Counter-Bioterrorism Command Center, and the Central Medical Emergency Operations Center. The NHCC is part of a disaster management center that focuses on large-outbreak response and acts as the operational command point for direct communications among central, regional, and local authorities. In 2004, the year after the SARS outbreak, the Taiwan government established the National Health Command Center (NHCC). This rapid response included hundreds of action items (eTable in the Supplement). The government addressed the issue of disease stigma and compassion for those affected by providing food, frequent health checks, and encouragement for those under quarantine.
It is not known how often this hotline has been used.
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The toll-free number 1922 served as a hotline for citizens to report suspicious symptoms or cases in themselves or others as the disease progressed, this hotline has reached full capacity, so each major city was asked to create its own hotline as an alternative. Moreover, Taiwan enhanced COVID-19 case finding by proactively seeking out patients with severe respiratory symptoms (based on information from the National Health Insurance database) who had tested negative for influenza and retested them for COVID-19 1 was found of 113 cases. Persons with low risk (no travel to level 3 alert areas) were sent a health declaration border pass via SMS (short message service) messaging to their phones for faster immigration clearance those with higher risk (recent travel to level 3 alert areas) were quarantined at home and tracked through their mobile phone to ensure that they remained at home during the incubation period.
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It also used new technology, including QR code scanning and online reporting of travel history and health symptoms to classify travelers’ infectious risks based on flight origin and travel history in the past 14 days. Taiwan leveraged its national health insurance database and integrated it with its immigration and customs database to begin the creation of big data for analytics it generated real-time alerts during a clinical visit based on travel history and clinical symptoms to aid case identification. Taiwan quickly mobilized and instituted specific approaches for case identification, containment, and resource allocation to protect the public health. Given the continual spread of COVID-19 around the world, understanding the action items that were implemented quickly in Taiwan and assessing the effectiveness of these actions in preventing a large-scale epidemic may be instructive for other countries.ĬOVID-19 occurred just before the Lunar New Year during which time millions of Chinese and Taiwanese were expected to travel for the holidays. 4 As such, Taiwan has been on constant alert and ready to act on epidemics arising from China ever since the severe acute respiratory syndrome (SARS) epidemic in 2003. 2, 3 In 2019, 2.71 million visitors from the mainland traveled to Taiwan. 1 The country has 23 million citizens of which 850 000 reside in and 404 000 work in China. Taiwan is 81 miles off the coast of mainland China and was expected to have the second highest number of cases of coronavirus disease 2019 (COVID-19) due to its proximity to and number of flights between China.
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