Jakarta – In September 2020, the DKI Jakarta Government implemented Large-Scale Social Restrictions (PSBB) again. This was done because the number of confirmed patients did not show a significant decrease. Data held by the DKI Jakarta Provincial Health Office shows that the number of positive Jakarta residents continues to increase even though it is accompanied by the number of daily recovered cases. Keep in mind that it takes a treatment process of at least 14 days and various tests to state that a patient who has had COVID-19 is declared cured. Therefore, the comparison of the two data is not at the same time. The patient recovered one day is the result of a positive patient a few weeks ago. In essence, the graph of the ever-increasing trend has become a strong warning to be increasingly alert to the presence of the virus in the people of DKI Jakarta.
The following are some important telephone numbers that may be needed at this time (the telephone number information comes from Pemprov DKI Jakarta):
- Call center 112 or phone number 081-112-112-112. If you experience symptoms of COVID-19 and need an explanation or guidance, other than going to the nearest medical facility, you can call that number. But remember, don’t panic. You can carry out independent isolation with several recommendations from the DKI Jakarta Provincial Government as follows:
- Make sure you can be contacted and stay at home, well ventilated, and separated from other family members.
- Apply clean and healthy living habits such as coughing/sneezing etiquette, wearing a mask, washing hands regularly with running water, throwing tissues in a closed trash can, and so on.
- Avoid sharing items such as separating used cutlery.
- Perform routine cleaning of spaces or areas that are often touched. In addition, ensure the hygiene of the clothes you wear every day.
- Check body temperature every day and observe clinical symptoms such as coughing or difficulty breathing. Contact the Puskesmas immediately if the condition worsens (shortness of breath, fever> 38 ° C) for further treatment.
- Phone number 0811-9600-0196 / 0811-9600-0197 / 0811-8348-899. You can contact this number if you want to collaborate/donate through the DKI Jakarta Provincial Government. Distribution of aid is recommended through third parties, for example, community organizations in the disaster sector or the DKI Jakarta Provincial Government. Try to stay at home. It is advisable for the distribution of goods in the form of a courier / not to be delivered independently and follow the applicable PSBB procedures. Make sure you get proof of receipt of assistance.
Those numbers are intended to help us. And keep in mind, we also have to help others. What should we do as a society that cares about others?
If you find residents who are gathering and do not apply physical distancing, if you know them then inform the prevention of transmission by maintaining the distance between fellow residents. If you don’t know them, activate the communication channel with local residents to monitor the situation and report to the RT and RW level Task Force or to several official complaint channels. In addition, encourage residents to build a conducive situation in their respective areas.
If you find local residents with COVID-19 signs and need help, do not exclude them. Report to the head of the RT or RW to talk to residents with symptoms of COVID-19 via telephone / other communication channels about what is needed for self-isolation for the next 14 days or to call the call center 112 or 081-112112112. Encourage local residents to help affected residents and educate them so they don’t give a bad stigma to residents with the status of People Under Supervision (ODP), Patients Under Supervision (PDP), or Positive COVID-19.
It should be noted that we should not immediately see all positive cases lead to death cases. Data shows that the number of positive cases who did not die in DKI Jakarta is (until 16 September 2020) 97.4% with a presentation of independent isolation of around 13.5%. Therefore, to ensure that independent isolation can work well, empathy from the surrounding community is needed.
In the DKI Jakarta COVID-19 Monitoring Data, there is no information about symptoms and comorbidities. The national distribution map of the Task Force for the Acceleration of Handling COVID-19 shows that the three highest symptoms are cough, shortness of breath, and a history of fever. The top three conditions that accompany COVID-19 are hypertension (high blood pressure), diabetes mellitus (too much sugar in the blood), and heart disease (a heart condition that includes diseased vessels, structural problems, and blood clots). The author uses data from a population of patients who died because it shows more valid conditions for the worst situations of being exposed to the COVID-19 virus. This information is only based on known information, because more than 90% of the data entered have no data, incomplete, or no data on comorbidities.
According to the authors some of the key metrics that we suggest more attention to are:
- First Treatment Time: how fast the treatment/isolation recommendation is given after a case of COVID-19 indication is reported (with or without symptoms).
- First Treatment Recovery Rate: how many cases are cured with one treatment without changing treatment locations.
- Average Hospital and Independent Isolation Time: how quickly a case has recovered since it was detected positive, both in-hospital stay and in independent isolation.
- Hospital and Independent Isolation Recovery Rate: how many cases recover after being given treatment in-hospital or after independent isolation.
- Positive Readmission Rate: how many positive cases are not the first positive cases from the same patient.
Note: as the above metrics are specified by the author, the more standard metrics may apply.
With the in-depth measurement of these metrics, the government is expected to think more critically about a condition of care and the availability of medical facilities. The public is also increasingly aware that anyone who has COVID-19 does not immediately die so that there is a condition of mutual empathy between people.