A Study on the Legal Improvement for the Crisis Management of New-Infectious Diseases: Focused on the revision of the Act on the Prevention and Management of Infectious Diseases

Seon-Wook Kim,Seol A Kwon 위기관리 이론과 실천 2020 Journal of Safety and Crisis Management Vol.10 No.1

The MERS hit the South Korea served as a turning point in the crisis management response system on infectious diseases. In South Korea, about 80 kinds of legal infectious diseases are controlled under the “Infection Disease Control and Prevention Act.” This study examined improvement with an aim of managing crisis of new infectious diseases mainly focusing on prevention of infectious diseases. As part of establishing an effective and efficient crisis management system of infectious diseases, the Korea Centers for Disease Control and Prevention had established a complete control tower in well preparation for a possible outbreak. In terms of prevention and response, an article on punishment is revised such as the enactment of prevention act for new infectious diseases spread from foreign countries and disinfection. In terms of response and restoration, there is a capacity-building for crisis and communication in response to infectious diseases. New infectious diseases will continue to appear. In responding to the uncertain change, a government-wide crisis management system should be reinforced in an effort to prevent further incoming and transmission of new infectious diseases into the society.

감염병환자 등 및 감염병의심자에 대한 정보수집 및 감염병환자의 정보공개와 개인정보 보호

김선량(Kim, Sun-Ryang) 한국언론법학회 2020 언론과 법 Vol.19 No.3

우리나라는 코로나19(Corona Virus Disease-19)의 확산을 막기 위해 감염병환자 등 및 감염병의심자에 대한 광범위한 개인정보를 수집하고 감염병환자의 이동경로 등 국민들이 감염병 예방을 위해 알아야 하는 정보를 일반에게 공개하는 방법을 시행하고 있다. 이러한 조치는 감염병환자를 선제적 적극적으로 찾아내 신속한 치료와 격리를 할 수 있다는 점에서 긍정적이지만, 감염병환자 등 및 감염병의심자에 대한 개인정보 자기결정권의 제한에 따른 침해가능성이 존재한다. 따라서 코로나19 확산이라는 재난상황에서 국민의 생명과 신체의 보호라는 우월적 가치와 함께 감염병환자 등 및 감염병의심자의 개인정보 자기결정권이 최대한 보장되는 조화로운 방식이 필요하다. 이러한 취지에서 ①최소한의 개인정보 수집과 공개, ②민감정보 및 고유식별 정보 구분, ③개인정보의 안전한 관리, ④적법절차원리(의견진술권 등 보장), ⑤제3의 기관에 의한 검증, ⑥감염병환자의 정보공개 범위에 대한 법률유보원칙, ⑦「개인정보 보호법」 제58조 규정의 위헌성에 대해 순차적으로 검토하였다. 무엇보다도 감염자환자 등 및 감염병의심자의 개인정보의 수집과 공개가 정당성을 갖는다고 하더라도, 그 이후에는 자신의 개인정보 처리에 대한 정보주체인 감염병환자 등의 의견진술권 등의 권리가 구체적으로 보장되어야 하고, 재난상황이 어느 정도 안정을 찾은 후에는 독립된 제3의 기관으로부터 개인정보의 수집 및 이용 등 그 처리에 대한 정당성의 검증이 필요하다고 본다. In Korea, our government is enforcing the measure of collecting personal information broadly from patients of infectious diseases, etc. and persons suspected of contracting infectious diseases and releasing the information that people must know to prevent the infectious disease, including infectious disease patient’s moving route, etc., to prevent the spread of Corona Virus Disease-19. This measure is positive in that it can locate infectious disease patients, etc proactively and aggressively and place them under quarantine and treat them promptly, but there is a possibility of infringement of the right to informational self-determination against the patients of infectious diseases, etc. and persons suspected of contracting infectious diseases. Therefore, it is necessary to have a harmonious way of combining maximum guarantee of the informational self-determination of the patients of infectious diseases, etc. and persons suspected of contracting infectious diseases with the superior value of protection of people’s life and body under disaster situation of the spread of corona-19. In this respect, this study conducted a sequential review of the followings: ①collection and disclosure of personal information to a minimum, ②classification of sensitive information and unique identification information, ③safe management of personal information, ④ procedural due process principle(guarantee of right of statement, etc.), ⑤verification by the third party agency, ⑥statutory reservation principle on the scope of the disclosure of information on the patients of infectious diseases and ⑦unconstitutionality of Act 58 「Personal Information Protection Act」 due to limitation of processing of personally identifiable information. Although the collection and disclosure of personal information of the patients of infectious diseases, etc. and persons suspected of contracting infectious diseases has legitimacy, the right of statement, etc. of the patients of infectious diseases, etc. i.e. principal of personal information must be guaranteed concretely and after the disaster situation becomes stabilized to some extent, the legitimacy of the collection and use, etc. of personal information by the independent third agency needs to be validified.

국제법상 전염병의 통제에 관한 연구

박진아(PARK, Jina) 국제법평론회 2012 국제법평론 Vol.0 No.35

The effective control of infectious diseases such as Severe Acute Respiratory Syndrome (SARS) and Influenza A (H1N1) 2009 which threaten the health of entire human race is infeasible without international cooperation because of their peculiar characteristics. Therefore, it is imperative that international framework be constituted for the control of infectious diseases according to international law. For last 150 years, the international infectious disease control law has been primarily developed in the forms of 'soft law' whether it is labelled as treaty, recommendation, resolution or guideline. Since the establishment of WHO, WHO itself and the International Health Regulations (IHR) concluded under WHO Constitution have been the central roles to prevent and control infectious diseases. The IHR, the sole global normative order for infectious disease control, was first adopted in 1969, and was completely revised in 2005. The revision was necessary because the initial IHR (1969) only regulated short list of stipulated diseases, and accordingly could not effectively control re-emerging disease and new emerging diseases. Moreover, WHO's surveillance system was not effective to promote member states complying to IHR 1969. Consequently, IHR 1969 failed to achieve the its purpose and underwent full revision in 2005. The major changes of IHR are followings: i) the ground-breaking expansion of the scope of the IHR's disease application, ii) the reenforcement of WHO surveillance system by granting WHO the power to access and use non-official sources provided by non-governmental entities in addition to Sate Parties' notification, and also granting WHO the authority to declare the existence of public health emergencies of international concern (PHEIC) and to issue recommendation on health measures to be implemented by the Sate Parties, iii) the expansion of obligations on member states to develop minimum core surveillance and response capacities, iv) inclusion of human rights protection in their provisions. The issue of infectious disease has been regulated directly or indirectly under various areas of international law, e.g. international economic law, international human rights law, and international environmental law. First, in international economic law, the SPS agreement permits WTO States Parties to adopt or enforce measures to protect human, animal or plant life or health from infectious disease threat and the TRIPS agreement sets standards in the international rules governing patents, including medicines which are essential in preventing infectious diseases and treating disease. In addition, TBT agreement and GATS agreement are related to the infectious disease issue. Next human rights-based approach to public health measures contributes positively to the control of infectious diseases, and international human rights law plays the role of regulating infectious disease by restricting environmental degradation which may cause the spread of infectious diseases. Besides, other categories of international law related to infectious disease include International Humanitarian Law governing infectious disease issue during armed conflicts, international disaster relief, state responsibility and individual criminal responsibility caused from infectious disease. IHR 2005 was a significant improved previous rules and went a step ahead as the international norm to effectively respond to public health emergencies caused by infectious diseases, and norms of infectious disease control in other areas of international law have significantly improved. Nonetheless, difficulties in the implementation and compliance of the norms are pointed out and their main reasons are following: i) conflicts with national interests, ii) uncertainty of the norms and lack of will to comply, iii) the possibility of conflict between international law and national sovereignty, iv) the lack of ability to implement the norms.

고등학생의 감염병 관련 교육에 대한 인식 조사

한화정,심규철 한국생물교육학회 2022 생물교육 Vol.50 No.3

This study set out to investigate high school students' perceptions about the education related to infectious diseases. An inventory of high school students' perceptions about the education related to infectious diseases consisted of four areas including the understanding of infectious diseases, sources of information about infectious diseases, needs for education related to infectious diseases, and lesson methods for education related to infectious diseases. High school students had a slightly above-average level of perception that they had good knowledge of infectious diseases. They responded that the Internet of the sources of information about infectious diseases was used mostly. They perceived that the internet was the most useful for understanding infectious diseases. They did not believe that the education related to infectious diseases provided by their schools was enough, but they wanted to learn more about infectious diseases including their symptoms, spreading courses, causes, types, prevention methods, countermeasures, and the related occupations. Especially, they showed a greater need for learning about the causes and countermeasures than others of the education related to infectious diseases. They received the education related to infectious diseases in the expository instruction approach most in school and considered expository instructions as the most effective method of education related to infectious diseases in school. These findings imply that school education needs to promote its systematic and continuous management and expansion so that high school students can have access to opportunities to obtain academic and accurate information about infectious diseases, understand infectious diseases correctly, and learn about practical prevention and countermeasures effectively.

감염병 발생과 노인복지시설의 대응 현황 및 과제

유병선 ( Yoo Byung Sun ),정요한 ( Jung Yo Han ),정규형 ( Jeong Kyu Hyoung ) 한국장기요양학회 2021 장기요양연구 Vol.9 No.1

본 연구는 노인복지시설을 대상으로 감염병 발생에 따른 시설의 변화와 감염병 확산 방지를 위한 대응 현황, 현장에서의 문제점과 어려움, 그리고 향후 감염병 예방과 대응을 위해 필요한 정책 및 방안을 조사하는 데에 목적이 있다. 본 연구를 위한 조사 자료는 2020년 3월 30일부터 4월 8일까지 경기도의 각 노인복지시설별 협회의 협조 및 장기요양보험 사이트에 등록된 경기도 장기요양시설(노인요양시설, 주간보호시설)의 이메일 주소를 확인 한 후 설문조사를 실시하여 수집하였다. 회수된 조사 자료의 분석은 SPSS 20.0 Win. 패키지를 사용하였으며, 기초통계분석 및 교차분석(χ2)과 평균 비교분석(ANOVA)을 실시하였다. 연구결과는 다음과 같다. 첫째, 코로나바이러스감염증-19 발생에 따른 기관 종사자의 근로 조건의 변화는 적었으나 대부분의 기관 운영상황은 변화된 것으로 나타났다. 둘째, 종사자의 감염병 발생에 따른 생활시설 업무량은 과중된 것으로 나타났다. 셋째, 조사대상시설들은 감염병 확산을 방지하기 위한 기관매뉴얼을 보유하고, 다양한 감염병 확산 방지 정책을 실시하고 있었다. 넷째, 감염병 발생에 따른 어려움은 마스크 등 방역관련 물품 구입이 34.4%로 가장 높게 나타났다. 다섯째, 감염병 대응을 위한 정부 매뉴얼과 확진자·접촉자 등의 동선 공개는 적절하다는 평가가 나왔다. 마지막으로 감염병 확산 방지를 위해 가장 필요한 항목은 마스크, 소독약 등 감염예방 물품 구비로 나타났다. 이와 같은 연구결과를 바탕으로 향후 노인복지시설에서의 감염병 예방 및 대응을 위한 과제와 정책적 제언을 하였다. The purpose of this study is to investigate the changes in facilities for elderly welfare facilities and the current status of response to the spread of infectious diseases, problems and difficulties in the field, and policies and measures necessary to prevent and respond to infectious diseases in the future. The survey data for this study were collected from March 30 to April 8, 2020, from the cooperation of the associations of each elderly welfare facilities in Gyeonggi-do and checking the e-mail address of long-term care facilities registered on the ling-term care insurance site. The SPSS 20.0 Win. package was used for basic analysis and cross-analysis (χ2), and average comparison analysis(ANOVA). The results of the study are as follows. First, there was little change in the working conditions of institutional workers due to the occurrence of the Corona 19 Infectious Disease, but most of the institutions' operating conditions were changed. Second, according to the occurrence of infectious diseases of workers, the workload of living facilities was overwhelmed, while the utilization facilities were reduced and there was no difference. Third, facilities under investigation had institutional manuals to prevent the spread of infectious diseases and implemented various policies to prevent the spread of infectious diseases. Fourth, the difficulty associated with the occurrence of Corona 19 infectious disease was the highest, with the purchase of related items such as masks. Fifth, it was evaluated that the government policy according to the occurrence of corona19 infectious disease was appropriate to disclose the government manual. Lastly, the most necessary items for preventing the spread of infectious diseases were masks, disinfectants, and other items to prevent infection. Based on the research results, policy suggestions were made to prevent and prevent the spread of infectious diseases in the future..

Increasing trends in mortality and costs of infectious diseases in Korea: trends in mortality and costs of infectious diseases

백다혜,김병우,기모란 한국역학회 2022 Epidemiology and Health Vol.44 No.-

OBJECTIVES: In an era when the average life expectancy and overall mortality rate have improved, Korea remains at risk for infectious disease outbreaks that place substantial burdens on the healthcare system. This study investigated trends in mortality and the economic burden of infectious diseases. METHODS: Healthcare data from the Health Insurance Review and Assessment Service (2009-2019) and the Korean Statistics Information Service (1997-2019) were used. We selected 10 infectious disease groups (intestinal infections, tuberculosis, vaccinepreventable diseases, sepsis, viral hepatitis, HIV-related diseases, central nervous system infections, rheumatic heart diseases, respiratory tract infections, and arthropod-borne viral diseases). RESULTS: The age-standardized mortality rate for infectious diseases increased from 27.2 per 100,000 population in 1997 to 37.1 per 100,000 population in 2019 and has had an upward trend since 2004. During this same period, significant increases were seen in respiratory tract infections and among elderly persons, especially those aged ≥ 85 years. The costs for infectious diseases increased from 4.126 billion US dollar (USD) in 2009 to 6.612 billion USD in 2019, with respiratory tract infections accounting for 3.699 billion USD (69%). The annual cost per patient for visits for medical care due to infectious diseases increased from 131 USD in 2009 to 204 USD in 2019. CONCLUSIONS: Mortality among elderly persons and those with respiratory tract infections increased during the study period. The economic burden of infectious diseases has consistently increased, especially for respiratory tract infections. It is therefore essential to establish effective management policies that considers specific infectious diseases and patient groups.

The Effect of Acute Respiratory Disease Infectious Diseases on the Life Change of People with Developmental Disabilities and Their Families

김정현 국제문화기술진흥원 2024 International Journal of Advanced Culture Technolo Vol.12 No.1

Patients with acute respiratory diseases, such as Middle East Respiratory Syndrome (MERS) due to COVID-19, must wear masks, protective clothing, face shields, and gloves to prevent infection during treatment and performance. Even if it is applied to disabled people, families who protect them are severely mentally tired from severe physical fatigue and stress from exposure to high-risk infectious diseases. As such, the spread of infectious diseases such as respiratory diseases has not only caused difficulties in using existing welfare and medical services but also caused various problems throughout the daily life of disabled people due to the prolonged infectious disease, and its scope is gradually expanding. Therefore, it should not be overlooked that disabled people may experience various difficulties, from the spread of infectious diseases such as respiratory diseases to isolation, diagnosis, and treatment, and it is time to actively assess the life changes felt by families caring for disabled people and consider and research to provide adequate services. According to the survey of disabled people is being conducted in the context of the spread of infectious diseases such as respiratory diseases, while research on the spread of infectious diseases such as respiratory diseases is rare for parents with disabilities. There is a need for additional investigation into the characteristics in other areas of everyday life, including the health field, which is deteriorating through prior research. Therefore, through this survey, the purpose of this study is to investigate the life changes of parents with disabilities in the context of the spread of infectious diseases such as respiratory diseases and to compare and analyze them to find out how parents were affected by each type of disability. It will be used as evidence to identify more necessary needs and problems for parents with disabilities in the spread of infectious diseases such as respiratory diseases and to provide more appropriate health care and welfare services in the future.

전염병관리 관련법령의 변화 추이분석 및 향후 개정방향에 관한 연구

황창용,오희철,이덕형,박기동,이종구,Whang, Chang-Yong,Ohrr, Hee-Choul,Lee, Duk-Hyoung,Park, Ki-Dong,Lee, Jong-Koo 대한예방의학회 1998 예방의학회지 Vol.31 No.3

This Study has been carried out to make a recommendation for the next amendment of the Infectious Disease Prevention Act with a specific focus on the kind of notifyable disease. Korean, Japanese, German, U.S, English and French acts on infectious diseases prevention were reviewed, compared with and analized in regards of numbers and kinds of notifyable infectious diseases and their tendency of amendments. An criteria was designed to assess the level of validity of diseases to be designated in the act. Four items, the fatality (greater than 10% or not), the possibility to make a big epidemic, the availability of efficient vaccination and the usefulness of isolation, are used in the assessment. This index is applied to the diseases in Korean and other countries' Infectious Disease Prevention Acts. Results are as follows: 1. The Korean Infectious Disease Preventon Act has a unique way of classifying the notifyable infectious disease, that is, the first, the second and the third class. But the author cannot find the basis of classification. No other countries reviewed have the similar classification. 2. The ten diseases, cholera, plague, yellow fever, diphtheria, typhoid fever, poliomyelitis, rabies, tetanus, malaria, and meningococcal meningitis are designated as the notifyable diseases not only in Korea but also in Japan, Germany, United States, England and france. 3. Thirty seven diseases including small pox, Lassa fever, anthrax, influenza, German measles, Legionellosis, infection with E. coli O157:H7, Q-fever, brucellosis, Lyme disease are designated as legal disease at least one of the above mentioned countries. 4. The Korea has been coped with the change of the infectious disease occurrence for last fifty years in amendment of the Infectious Disease Prevention Act. 5. Japan has a special infectious surveillance system composed of 3,880 clinics throughout the whole country. 6. Germany has classified infectious diseases in five categories which are based on seriousness of disease. Any confirmed death, cases and suspected cases in class I should be reported within 24 hours. But only confirmed death and cases in class II, but not suspected cases, are reportable in Germarny. 7. Plague, bacillary dysentery, pertussis, mumps, Japanese encephaltis and Korean hemorrhagic fevers are diseases with high credits validity index among Korean legal disease. 8. German measles, anthrax, E. coli O157 : H7 infection, Lassa fever, Q-fever, brucellosis are high in validity index among those which are not designated in Korea but designated in other countries. In conclusion, the Korean Infectious Disease Prevention Act has well been coped with the changes of infectious disease occurrence for last fifty years, but the classification basis and the validity of diseases to be designated as legal diseases is worth reevaluating.

의료문화의 사회학적 의미로서 감염병 환자의 헌법적 해석

김은일 한국의료법학회 2020 한국의료법학회지 Vol.28 No.1

In the past, health and sickness of individual members of society have been more accountable to individuals, but modern society places more weight on social responsibility as well as individual responsibility. It means that the whole society is healthy only when the members of society are healthy. Thus, interest in public health, public health, is also increasing. Among them, infectious diseases are closely related to social phenomena from the past, and have a significant connection in recognizing and establishing the concept of public health. And in the modern society, social events about infectious diseases continue to be noticed. In this series of social phenomena, the recognition of infectious patients and the ways of responding to infectious diseases are increasing compared to the past, while the medical treatment is increasing and social perception and prejudice are not much different from the past. Everyone in society has the potential to be infected at any time. Thus, most members of society may have fears and prejudices about infectious diseases. However, while being infected with an infectious disease may be a short-term temporary condition, there are cases of chronic infectious diseases that require long-term treatment and rehabilitation. Because infectious diseases can transmit infectious diseases to others, they are suffering from social constraints and reduced economic capacity. Therefore, these infectious patients are trying to form a medical culture that seeks solutions in the culture by expanding awareness of social responsibility. Thus, there is a need to discuss the search for alternatives to social responsibility in the subordinate concept of infectious patients as socially underprivileged. 사회의 구성원 개인에 대한 건강과 질병은 과거에는 개인의 책임이 더 크게 차지하였지만 현대 사회는 개인의 책임뿐만 아니라 사회적 책임도 많은 비중을 두고 있다. 즉 사회 구성원 개개인들이 건강해야 사회 전체가 건강하다는 의미이다. 그래서 공중보건이라는 공적 의료에 대한 관심도 커지고 있다. 그 중 감염병은 과거부터 사회적 현상과 밀접한 관련 있어 공중보건이라는 개념을 인식하고 확립하는데 상당한 연관이 있다. 그리고 현대 사회에서도 지속적으로 감염병에 대한 사회적 사건들이 발생하여 주목받고 있다. 이런 일련의 사회적 현상들 속에서 감염병 환자에 대한 인식과 감염병에 대한 대응방식을 과거와 비교하면, 의학은 발전하여 치료 가능한 감염병은 증가하고 있지만 사회적 인식과 편견은 과거와 큰 차이가 없어 보인다. 사회 구성원 누구나 언제든지 감염병 환자가 될 수 있는 잠재적 가능성은 지니고 있다. 그래서 감염병에 대한 공포와 편견을 사회 구성원 대부분이 가지고 있을 수 있다. 하지만 감염병에 이환되어 환자가 되는 것이 단기적인 일시적 상황일 수도 있지만 만성 감염병으로 장기적으로 치료와 재활을 받는 경우도 있다. 또한 감염병이 타인에게 감염병을 전염시킬 수 있다는 이유로 사회적 제약과 경제적 능력감소로 이어져 고통받는 현상이 생기는 것이다. 그러므로 이러한 감염병 환자는 사회적 책임이라는 인식을 확대하여 문화 속에서 해법을 찾는 의료문화를 형성하고자 한다. 그래서 감염병 환자를 사회적 약자라는 포섭된 개념 속에서 사회적 책임에 대한 대안을 찾고자하는 논의가 필요하다.

『흠영(欽英)』에 기록된 감염병의 경험 - 1786년 서울의 홍진(紅疹) 유행을 중심으로 -

김하라(Kim, Ha-ra) 국문학회 2021 국문학연구 Vol.- No.43

본고는 감염병의 시대를 사는 오늘날 여기서 감염병의 과거를 살피려는 시도이다. 이를 위해 유만주(兪晩柱)의 『흠영(欽英)』에 남은 감염병의 기록을 들여다보았으며, 그 중 서울에 홍역이 창궐한 1786년 3월부터 6월까지 유만주와 주변 인물들의 질병 관련 경험을 중점적으로 검토했다. 당시에 크게 유행한 홍역은 국왕 정조(正祖)의 장남 문효세자(文孝世子)의 목숨마저 앗아갈 만큼 기세가 대단했다. 이러한 때에 유만주는 자신의 가족, 특히 어린 아우와 자식들을 지켜내기 위해 갖은 노력을 다했고, 그 과정에서 자신이 지닌 의료 지식을 총동원하고 전문 의료인을 만나기 위해 분주히 움직였으며 그 결과 홍역으로부터 가족을 지켜내는 데 성공했다. 아울러 유만주의 부유한 친척인 유준주(兪駿柱)와 유산주(兪山柱)도 각자의 지식과 경제력을 기반으로 감염병에서 비교적 자유로울 수 있었다. 반면 경제적으로 취약한 처지에 놓였던 사람들의 상황은 달랐다. 유만주의 고종사촌 김이중(金履中)은 서울의 사대문 밖에서 극빈의 생활을 하고 있었는데, 자녀 둘이 감염되었음에도 의원을 만나 약을 처방받을 경제력이 없어 괴로워했다. 또한 유만주의 집에 함께 거주하던 행랑사람의 자녀는 홍역이 창궐한 직후에 감염되어 결국 목숨을 잃었다. 이 사례는 같은 집에 살고 있어도 신분과 경제력에 따라 감염병을 겪는 양상이 판이하며, 사회적 약자들이 감염병에 더욱 취약함을 단적으로 보여 준다. 『흠영(欽英)』에 기록된 감염병의 경험으로 보건대, 감염병 자체는 자연발생적이지만 그에 대한 대응은 사회적이고 정치적이다. 같은 감염병을 만나도 그로 인해 받는 고통과 피해는 질병을 겪는 사람들의 사회경제적 지위에 따라 상이함을 이 일기의 기록은 보여 준다. 그리고 이러한 양상은 감염병의 시대를 살고 있는 현재와도 겹치는 부분이 있다. 하지만 1786년, 감염병으로부터 백성을 지키기 위해 국왕 정조가 보인 노력과 그 결실로서 감염병의 종식은 지금을 사는 우리에게도 희망을 준다. 정조는 홍역으로 후계자를 잃은 슬픔을 억누르고 의료소외계층을 위한 국가 의료 시스템의 적극적 운영을 독려했으며, 세자의 치료에 실패한 의원을 처벌하라는 공소한 담론을 단호하게 물리치고 혜민서와 활인서의 담당자를 독려해 백성의 구호에 집중하도록 했다. 결국 정조의 조정에서는 1786년 6월 29일, 홍역의 종식을 선언하기에 이르렀다. This thesis is an attempt to examine the past of infectious diseases here, living in the era of covid-19 Pandemic. To this end, I looked at the records of infectious diseases left in Heumyoung, Yu Man-ju s diary. Among them, from March to June 1786, when the measles epidemic in Seoul, Yu Man-ju and his surrounding people s disease-related experiences were reviewed. Measles, which was very popular at the time, was great enough to take the life of the eldest son of King Jeongjo. At this time, Yu Man-ju made every effort to protect his family, especially his younger brothers and children, and in the process, he mobilized his medical knowledge and moved to meet professional medical personnel. As a result, he succeeds in protecting his family from measles. In addition, Yu Jun-ju and Yu San-ju, wealthy relatives of Yu Man-ju, also protected their families from infectious diseases based on their knowledge and economic power. On the other hand, the situation of those who were in economically vulnerable situation was different. Yu Man-ju s cousin Kim I-jung was living in extreme poverty in the outskirts of Seoul. When the infectious disease spread, he was worried because he did not have the economic power to receive medical treatment. The man who had been living in the house of Yu Man-ju was infected and died shortly after the outbreak of measles. His case clearly shows that even though they live in the same house, they suffer from infectious diseases differently depending on their status and economic power, and that the socially weak are more vulnerable to infectious diseases. The records in this diary show that even if they encounter the same infectious disease, the pain and damage suffered by it differ according to the socio-economic status of those suffering the disease. And this pattern overlaps with the present, living in the era of infectious diseases. However, in 1786, King Jeongjo s efforts to protect the people from infectious diseases and the end of the infectious diseases as a result of them give us hope as well. Jeongjo repressed the grief of losing his successor due to measles, encouraged the active operation of the national medical system, firmly rejected the profane discourse about punishing medical professionals who failed to treat the crown prince, and encouraged the state medical staff to focus on the treatment of the infected people. Eventually, on June 29, 1786, the Jeongjo s government declared an end to measles.