An endless first wave: how Indonesia failed to achieve the virus

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YAKARTA / SYDNEY – Last week, Luhut Pandjaitan, minister of the Indonesian Armed Forces and close confidante of the country’s president, proposed herbal mangostan juice as a coronavirus drug.

His suggestion is the most recent of a series of unrthodox remedies proposed through the Presidential Cabinet over the past six months, ranging from prayer to rice wrapped in banana leaves and eucalyptus necklaces.

The remedies reflect the useless technique against coronavirus in the fourth most populous country in the world, where the test rate is among the lowest in the world, the tactile search is minimal and the government has resisted blockade even as infections have increased.

Indonesia has officially reported 6346 deaths due to COVID-19, the total death toll in Southeast Asia.Including others who died with acute COVID-19 symptoms that have not yet been tested, the death toll is 3 times higher.

The country shows no symptoms of containing the virus and now has the fastest spread of infection in East Asia, with 17% of others testing positive for HIV, expanding to nearly 25% outside the capital, Jakarta.5% mean that an epidemic is not under control, according to the World Health Organization.

“This virus has already spread through Indonesia.What we do is essentially collective immunity,” said Prijo Sidipratomo, dean of the Faculty of Medicine at the National University of Veterans Development in Jakarta.”So we deserve to dig a lot of graves. Collective immunity describes a situation in which a giant proportion of the population contracts the virus and then widespread immunity prevents the disease from spreading.

Government spokesman Wiku Adisasmito did not answer detailed questions.He said the number of infections was “a warning for Indonesia to continuously improve its remediation efforts” and that the positive cases consistent with capital in Indonesia were lower than in the maximum number of countries.President Joko “Jokowi “Widodo’s workplace did not answer questions.

Certainly, the 144,945 that showed infections in Indonesia of a population of 270 million are well below the millions reported in the United States, Brazil and India, as well as in the neighboring Philippines, which account for less than part of Indonesia’s population.The true scale of the epidemic in Indonesia would possibly still be hidden: India and the Philippines are 4 times more consistent with the capita, while the United States controls 30 times more.

Statistics from Our World in Data, an allocation of non-profit studies at Oxford University, show that Indonesia ranks 83rd out of 86 countries studied for all, according to the capita tests.

“We are involved that we have not yet reached the summit, that the summit would possibly come around October and would not end this year,” said Iwan Ariawan, epidemiologist at the University of Indonesia.”At the moment, we can’t say, it’s under control.”

At the beginning of the pandemic, the Indonesian government was slow to respond and was reluctant to disclose what it knew to the public, according to more than 20 government officials, verification lab directors and public fitness experts.

Despite the increase in cases in neighbouring countries and the fact that 3,000 polymerase chain reaction verification kits (PCRs), who-approved control for coronavirus detection, were in condition in early February, the government said fewer than 160 checks had been carried out.March 2.

On March 13, Widodo said the government was withholding data so as not to “sow panic.”In the first two weeks of March, the government hid at least some of the daily infections it was aware of, two other people with access to knowledge said.Both Americans reported that they were then prevented from seeing raw knowledge.

A call through Widodo in March for a large expansion of immediate diagnostic tests could possibly have undermined the country’s testing regime, according to Alvin Lie, commissioner of the Indonesian Ombudsman’s office, an official government control body.

Scientific studies have shown that blood samples for immediate antibodies have been found to be much less accurate than the PCR method, which is nose or throat samples for genetic material.Three lab officials said.

Lie said that immediate current account importers, adding giant state-owned enterprises and personal companies, made “huge profits” by charging consumers up to 1 million rupees ($68), even though check prices only 50,000 rupees ($3.50).

In mid-April, provincial governments reported that there had been lots of false negatives and false positives immediately in The Provinces of West Java, Bali and Yogyakarta.

But the tests continued to be widely used and it wasn’t until July that immediate test imports were stopped and the government brought in a value cap of Rs 150,000 ($ 10). In July, Indonesia also officially pleaded with provincial governments and others not to use immediate tests for diagnostic purposes in its updated rules for prevention and COVID-19.

But Lie said there is massive inventory and that rapid testing was still widely implemented, adding workplace staff and travelers to the screen to allow them to move freely for 14 days.

“It’s like saying that for the next 14 days after the immediate test, they’re free of the virus.It’s natural nonsense. All of this indicates, and not very accurately, that they were free of the virus when the pattern was taken,” Lie said..

Adisasmito declined to say whether the president’s call for immediate testing undermined his overall testing efforts, stating the inaccuracies of the immediate testing, but claimed it was useful in certain conditions where the ability to use PCR testing is limited, and added screening travelers. do not directly answer questions about companies that profit greatly from testing.

The central government reveals the national point of immediate detection, but knowledge of West Java, Indonesia’s largest province with 50 million inhabitants, shows that it has tested 50% faster than PCR testing.

Government officials say 269 laboratories equipped with PCR machines are in operation lately.However, laboratories cannot meet demand as infections increase.The number of suspected cases, those with UNtested COVID-19 symptoms, has doubled to 79,000 in the following month, according to government data.

Part of the challenge is that the capacity of the laboratories is far from fully used, according to 4 fitness officials.A senior fitness ministry official, Achmad Yurianto, said Indonesia is able to control another 30,000 people a day, more than double the daily average of another 12,650 people registered in the following month.

Five laboratory administrators and experts said the inability to use the country’s testing capability due to poor government management had led to a shortage of workers and reagents, chemicals needed for testing.

Adisasmito answered questions about the government’s handling of evidence.Last week, explaining the lack of evidence, Yurianto said labs did have enough time to review all samples, with some labs running on limited days and times.

Widespread PCR testing and immediate effects are to hint at other people’s touches inflamed by coronavirus.According to national rules issued through Indonesia’s Ministry of Health on July 13, tactile search is “the primary key to breaking the COVID-19 transmission chain.”

Twelve fitnesss in Indonesia described the effort to seek contacts in the country as failed and ineffective.

Rahmat Januar Nor, a fitness officer in the Indonesian city of Borneo in Banjarmasin Delta, said data on new coronavirus cases reached his workplace in various states of disorder, with incomplete names, inactive phone numbers or replaced addresses for patients and their contacts., disorders found through fitness staff across the country.

“We asked about the village chiefs, ” said Nor.” But in the end, we don’t place them (contacts) most of the time.”

When they reached contacts, many refused to get tested, for fear of losing their jobs or being marginalized in the community, Nor and fitness officials said.

Unreleased knowledge of the government organization COVID-19, reviewed through Reuters, shows that only 53.7% of those known as carriers shown or suspected of the disease were tactilely searched before June 6.

Adisasmito did not provide information on the follow-up to the most recent contracts, but stated that they “remain weak” and said the government aimed to track down 30 other people in line with a positive case.This remains low for other Asian countries.South Korea said in May that it had tracked down and examined about 8,000 more people after a guy inflamed by the virus went to a nightclub.

According to five others close to the case, WHO has informed the Indonesian government that the search for contacts involves at least 20 other people in a row through shown and suspected cases, but Indonesia has an average of only two contacts discovered according to the case, according to provincial officials and knowledge reviewed through Reuters.

In Jakarta, where the epidemic first peeked out in the country, knowledge shows that fewer than two contacts are tracked, on average, for cases shown and suspected in July.

In East Java, some other hot spot, tracking rates are 2.8 contacts for suspected and shown patients, according to researchers at Airlangga University.

A WHO spokesperson said Indonesia followed its recommendations on touch tracking in mid-July.

Indonesia’s resolve to reject the entire closure was motivated by economic and security concerns, government advisers said.

Instead, he suggested indonesians wear masks, wash their hands, and practice social estating while working, traveling, and socializing.

“The argument that we couldn’t (pay for it),” said Soewarta Kosen, a fitness economist who consulted the government on his reaction to the coronavirus, “we were afraid there would be social unrest.”

Widodo’s on the economy is popular, according to polls.Indonesia’s economy fell by only 5.3% at the time of the 2020 quarter, much less than many other regional economies.But epidemiologists fear that the resolution will charge Indonesia more in the long run, especially as its fitness formula is ill-equipped to cope if positive cases continue to increase.

Dr. Bambang Pujo, an avid runner and anesthesiologist at the main COVID-19 reference hospital in Surabaya, Indonesia’s second-largest city, said death rates at its branch were between 50 and 80% and that there were enough beds.

“Ten hours in a dangerous tissue cover suit is like running a marathon twice,” he said, describing the long hours he spends with protective equipment inside the intensive care unit.”Imagine how we feel. It’s like betting on God.We hope that we will do so”.let us not make mistakes and, if we do, we will be forgiven”.

According to the country’s national crisis agency, which heads the COVID-19 working group, Indonesia has only 2.5 beds of extensive care, compared to 6.9 in another 100,000 people in India, according to an April report from Princeton University.. Adisasmito said the fitness formula is constantly improving.

“We want to know that our infrastructure is not in a position for a pandemic like this,” Pujo said.”Other countries have heard of the waves of the moment.We’re still on the first wave.”

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