Sunday, October 4, 2020

AS INFECTIONS SPIKE, JAKARTA PRIORITIZES HEALTH OVER RECOVERY by Fardah


 

Jakarta, 4/10/2020 (ANTARA) - Several Indonesian provinces reported a sharp spike in coronavirus infections in August and September, with the highest single-day rise of 4,494 cases recorded nationally on September 26, 2020, to which Jakarta alone contributed 1,322 cases.

When the Indonesian capital celebrated its 493rd anniversary on June 24 this year, it had clocked 195 fresh COVID-19 cases over a 24-hour period, which had taken its total tally to 10,472. Nationwide, the tally had reached 49,009, with 1,113 fresh cases registered that day.

In comparison, Indonesias COVID-19 tally was pegged at 200,506 cases as of October 3 this year, with 4,007 fresh cases reported in the previous 24 hours. Jakarta accounted for 1,265 of the total infections, which took its total caseload to 77,452.This surge in infections has not just been seen in Indonesia, but in many countries across the world after they relaxed COVID-19 measures from May this year, when the rate of infections slowed, to make way for the new normal.

The Indonesian government also eased restrictions starting May to begin the transition to the new normal in several regions, including Jakarta, where the number of COVID-19 cases had shown a declining trend.

Jakarta had imposed Large-Scale Social Distancing (PSBB) measures for the first time from April, to June 3, 2020. Starting from June 4, the capital city had implemented a transitional PSBB as part of the shift towards the new normal.

However, after the COVID-19 infection rate climbed, Jakarta Governor Anies Baswedan decided to re-enforce PSBB measures from September 14, 2020 for a period of 14 days.

The measures include imposition of sanctions and fines on those found violating the health protocols, which prescribe wearing masks, maintaining physical distancing, restricting the capacity of spaces, and refraining from activities that lead to gathering of crowds.

Considering the emergency situation in Jakarta, there are no other choices, but to put the emergency brakes. This means that we have to implement the PSBB as it was in the beginning of the pandemic. This is the emergency brake that we have to pull, Baswedan said on September 9, 2020.

Data shows infections were climbing in Jakarta at the time: The capital city had recorded 7,960 active cases on August 30, 2020, and 12 days later, on September 11, 2020, the number had jumped to 11,824 active cases, an increase of 3,864 cases, or 49 percent.

According to data provided by the Jakarta provincial government, over 12 days of the PSBB implementation from September 12-23, 2020, the number of active cases was recorded at 13,277, an increase of 1,453, or 12 percent, compared to the figure for September 11.

Despite the slowing of active cases, the Jakarta authorities have remained vigilant over concerns the infections could spike again.

Therefore, Anies Baswedan has decided to extend the PSBB until October 11, 2020, by enforcing health protocols focusing on the 3Ms (wearing masks, maintaining distance, and washing hands) .

The Association of Indonesia's Indigenous Businessmen (HIPPI), Jakarta chapter, has said it understands the Jakarta Governors rationale for extending the PSBB measures.

In a statement released recently, chairman of HIPPI Jakarta, Sarman Simanjorang, said entrepreneurs have no choice but to support the policy.

The PSBB extension has burdened entrepreneurs owing to minimal transactions, a fall in turnover of up to 80 percent, decrease in cash flow, and increase in operating costs, he noted.

"But this is a risk that we must face and share. Our hope is that this PSBB is the last one so that there is certainty for the business sector," he said.

According to President Joko Widodo (Jokowi), the nations main focus is handling the COVID-19 pandemic as economic recovery will follow suit.

However, on September 14, 2020, he asked regional heads to not be hasty in imposing lockdowns in their territories to curb the transmission of COVID-19.

Once again, do not rush to close an area, city, or district, and if we work based on data, the intervention steps will be more effective and can immediately solve problems on the field, Jokowi remarked while chairing a limited cabinet meeting at the Merdeka Palace.

To deal with the rise in infections, Jakarta has increased the number of referral hospitals for COVID-19 patients from 67 to 100. The authorities have later added 13 regional public hospitals (RSUD) and 26 private hospitals on the list of referral hospitals for COVID-19 treatment.

Furthermore, the government has instructed that residents who test positive for COVID-19 undergo self-quarantine at facilities offered by the government.

However, it is also allowing people to self-isolate at home as per the requisite criteria.

"Well, the point is that every citizen exposed to and infected with COVID-19 must undergo independent isolation, either individually or through government facilities, but not without control," Governor Baswedan explained.

Several hotels are also offering rooms for the treatment of COVID-19 patients, in accordance with President Widodos directions. Currently, at least 15 one-, two-, and three-star rated hotels are being readied as quarantine facilities.

The decision has been taken on account of the high number of COVID-19 family clusters.

Patients exposed to COVID-19 who have undergone independent isolation at home could raise the likelihood of virus transmission, Baswedan stated.

One positive news is that the COVID-19 recovery rate in Jakarta has reached 75.2 percent of the total cases, according to Coordinating Minister for Economic Affairs, Airlangga Hartarto.

"The central government is paying special attention to the situation development and will always increase the capacity of hospitals and health facilities," he stated.

Meanwhile, Prof. Dr. Hasbullah Thabrany, a community health expert, has lauded the decision of the Jakarta Governor to re-enforce the PSBB to check the spike in COVID-19 cases, saying strict implementation of PSBB will effectively control the virus spread.

In the past, when PSBB implementation had not been relaxed, it had proved quite effective in controlling (COVID-19 transmission). After relaxing it, the number of cases increased. So, it must be tightened again, Thabrany noted.

The tightening of PSBB would certainly have an impact on the economy, but the government has a bigger responsibility -- prioritizing public health above other interests, he remarked.

So, by prioritizing public health, it is hoped economic recovery would also be realized more quickly "lest people whose businesses are affected influence the government to not implement strict PSBB", he said.

He said anyone who disagrees with the strict implementation of the PSBB must be held responsible for the impact of the spike in COVID-19 cases on public health.

"If they are willing to (take) the responsibility, to pay the (medical cost) of someone infected with (COVID-19), go ahead," he averred.

In addition to strict PSBB, the Jakarta authorities must also impose a curfew to limit outdoor activities at night, he advised.  
 
 

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(T.H-FDH/A/R013/R013) 04-10-2020 04:36:45

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