Setiati Siti, Azwar Muhammad Khifzhon
Department of Internal Medicine - Clinical Epidemiology and Evidence-Based Medicine, Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Acta Med Indones. 2020 Jan;52(1):84-89.
Coronavirus disease 2019 (COVID-19) pandemic is an ongoing problem in more than 200 countries in the world. Indonesia has been greatly affected by COVID-19 with case fatality rate (CFR) being 8.9% in the end of March 2020. We have some room for improvement related to the unreadingess of healthcare facility and the major steps taken by the government. It is suggested that the country should have stricter Stay-at-Home notice, suppress the spread by imposing lockdown on a large scale, improve healthcare service, and increase the availability of personal protective equipments (PPE). It is important to avoid an epidemic peak that potentially overwhelms healthcare service by quarantining the case contacts. Lockdown may prolong the epidemic doubling time significantly. Demand of health system is likely to grow since the number of COVID-19 case is likely to rise. Effective procedures for protecting medical staff from infection are essential. Scientific research in Indonesia is also crucial to provide suggestion and recommendation pertinent to COVID-19.
2019年冠状病毒病(COVID-19)大流行是世界上200多个国家持续存在的问题。印度尼西亚受到COVID-19的严重影响,2020年3月底的病死率(CFR)为8.9%。在医疗设施的准备情况和政府采取的主要措施方面,我们还有改进的空间。建议该国应发布更严格的居家通知,通过大规模实施封锁来抑制传播,改善医疗服务,并增加个人防护装备(PPE)的供应。通过对病例接触者进行隔离来避免可能使医疗服务不堪重负的疫情高峰非常重要。封锁可能会显著延长疫情的倍增时间。由于COVID-19病例数量可能会上升,卫生系统的需求可能会增加。保护医护人员免受感染的有效程序至关重要。印度尼西亚的科学研究对于提供与COVID-19相关的建议和推荐也至关重要。