[Results of Combined Training Exercise for Respond to Disease X in the Capital Region]

To report on a combined training exercise (CTX) conducted to strengthen the capacity to respond to an emerging infectious disease (Disease X) in the capital region and to formulate suggestions for improvement to create an efficient training system.

The CTX was conducted twice, focusing on response procedures for suspected and confirmed cases of Disease X, from the quarantine stage to medical institutions. Response to pre detected symptomatic person on board, a symptomatic case at the quarantine response, a symptomatic case in a family group, and a high-risk symptomatic group.

The operations-based exercise was conducted in a role-playing format to simulate quarantine station congestion and the complaint response process, followed by a simulation exercise on bed assignment and post-confirmation response procedures for high-risk cases (pregnant women). In addition, diagrammatic exercises were conducted on bed assignment and transfer procedures for confirmed cases, movement of confirmed patients in medical institutions, and the establishment of control areas. In discussion-based training, bed allocation, securing additional beds, improving the communication system, and responding to high-risk groups were discussed. Results of survey, all categories scored above 4.0, indicating high satisfaction.

CTX involving all relevant organizations is essential to prepare for the inflow of Disease X. Although the CTX had high overall satisfaction, it is necessary to develop standardized questions and conduct a standardization survey to accurately analyze satisfaction. It is also necessary to introduce customized questions for each occupation and organization, and to conduct regular exercises. Based on the CTX in 2024, a training course with the Capital Infectious Disease Hospital will be organized, including a response system in the event of community spread after a confirmed case. The entire cycle of the infectious disease response will be continuously checked and improved to further strengthen the response system in the region.