East Bali Tour

Enjoy the best places to see in Denpasar with a plan including Bali Driver Gede

Thursday, April 16, 2020

Bali’s mysterious immunity to Covid-19

Bali’s mysterious immunity to Covid-19
Indonesian tourist island has relatively few cases while the disease rips through other areas of archipelagic nation

By JOHN MCBETH
https://asiatimes.com/

Nearly three months into the Covid-19 pandemic and there is little to suggest that the Indonesian resort island of Bali is in the grip of a pending public health disaster with only 86 cases and two deaths.

That’s despite the fact the wider archipelagic nation is now widely seen as Southeast Asia’s slow-ticking coronavirus time bomb with the region’s highest number of cases at 4,839 as of April 14. Infections to date have been heavily concentrated on populous Java island. 

“I find it puzzling too because it doesn’t make sense,” says Rio Helmi, a long-time Balinese resident who writes a regular blog on life around the mountain town of Ubud about the low number of cases on Bali. “We don’t have the data, but there’s been no sign of a spike in deaths.”

Nor are there stories of hospitals overflowing, a sharp increase in cremations or any other anecdotal evidence that the coronavirus is running rampant on the Hindu-majority island’s 4.2 million population, among them thousands of foreign residents.

For example, the coastal village of Pererenan, a popular surfing location at the northern end of the Balinese tourist strip, has yet to have a Covid-19 case, according to local Balinese residents.  Other nearby villages also appear to be free of the virus.

“We’re just not hearing about a huge death toll out there,” says Jack Daniels, a long-established tour operator and editor of the weekly on-line newsletter Balidiscovery.

He notes that both of the island’s Covid-19 deaths so far have been foreigners, including a British woman with underlying health issues.

The Bali capital of Denpasar has four crematoriums which don’t appear to be any more active than usual, even if Balinese do sometimes temporarily bury their dead to wait for an auspicious day to perform traditional funeral rites.

Private hospitals only now appear to be acquiring test kits, but the doctor at one Bali institution says it has referred only two or three suspected cases to the island’s state-run hospitals in the past fortnight without getting any feedback, supposedly because of patient confidentiality.

In fact, state hospitals are refusing to make public figures that may be at variance with Health Ministry data, which also lists only 38 cases and two deaths on the neighboring Nusa Tenggara island chain, including Lombok, Sumbawa, Flores and West Timor with a combined 9.8 million population.

With Jakarta and the surrounding provinces of West Java and Banten declaring a range of new social restrictions, President Joko Widodo finally announced a state of national emergency on April 13 and urged officials to be more transparent in sharing information.

But it isn’t clear what the new emergency status means on the ground, apart from setting clearer lines of authority. The president has again felt compelled to urge his much-criticized health minister, Terawan Agus Putranto, to raise Covid-19 swab tests to 10,000 a day.

That would be almost the same number the government has conducted in all of the past two months, equivalent to 41 per million people. There have been more rapid-tests, but they are far less reliable and are not included in the government’s tally.

The weak social distancing policy so far has seen passengers crammed together on Jakarta’s bus and train services, and city dwellers are uncertain about what travel restrictions, if any, will be imposed on the usual exodus from the capital Jakarta for the post-Ramadan holidays next month.

Worried about social unrest, Widodo is struggling to strike a balance between confronting an ever-growing caseload of 300-400 new infections a day, and trying to keep the economy ticking over so workers in the informal sector can at least retain an income.

He is also irritated at the slow dispersal of funds to an estimated 2.8 million newly-unemployed in the real economy as part of an initial $6.6 billion social safety net package announced last week.

Health workers in Bali have had to deal with the added threat of a recent outbreak of dengue fever, a sometimes fatal disease which has similar flu-like symptoms as Covid-19. Late rains have been responsible for about 2,000 dengue cases in the Ubud area and an unusually high number in southern Bali.

There has also been a serious outbreak of dengue fever further afield, in East Tenggara province, which only reported its first case of Covid-19 last weekend.

What makes the Bali situation so perplexing is that the number of Chinese tourist arrivals to Bali actually increased by 3% in January, the same month of the Wuhan lockdown. In fact, they were still arriving up until February 5 when authorities finally moved to ban anyone who had been in China in the previous 14 days.

While all foreign tourism was finally stopped on March 31, significant numbers of the estimated 20,000 Balinese employed in the international cruise ship industry, often described as a petri dish for the virus, have filtered back to the island without going into quarantine, claim local residents.

Australians and Chinese made up about 2.5 million of the 5 million tourists who visited Bali last year. Economists and travel experts are now saying it will take a year for the industry to begin recovering and even then it may only be a trickle because of doubts about whether the virus is being properly contained.

According to diplomatic sources, there are up to 5,000 Australians still in Bali, many of them residents who either have businesses or are living in retirement. That’s the largest bloc of foreigners, but there are also thousands of other nationalities on the legendary tourist island.

Among them are scores of foreign prisoners who are being offered early freedom under a controlled release program provided they have served two-thirds of their sentences and are not in jail for narcotics and other international crimes.

As of April 1, the Indonesian Hotel and Restaurant Association listed 270 Bali hotels among 1,149 hotels that had closed nationwide because of the pandemic. But officials say the list is growing longer by the day, with those which have stayed open reporting occupancy rates below 10%.

The Bali Hotel Association has denied reports circulating on social media that some of the island’s first class hotels have recently gone up for sale, but acknowledges that many of the 170 four and five-star establishments have temporarily closed their doors.

The Bali tourist industry hasn’t been hit this hard since the 2002 terrorist bombings, which left the local economy in tatters for the following two years as Australian holiday-makers stayed away in droves. A further bombing in 2005 only compounded its difficulties.

Tuesday, April 14, 2020

Coronavirus: Who needs masks or other protective gear?

Face masks, gloves and other protective gear can help stop the spread of coronavirus in the right circumstances, but there has been a lot of discussion about who should use them.

World Health Organization (WHO) special envoy Dr David Nabarro has suggested that more widespread use of masks will become "the norm" as the world adjusts to living with Covid-19.

Why doesn't everyone wear a mask now?
Coronavirus is spread by droplets that can spray into the air when those infected talk, cough and sneeze. These can enter the body through the eyes, nose and mouth, either directly or after touching a contaminated object

The World Health Organization says it remains the case that medical masks should be reserved for healthcare workers, not the general public.

Only two groups of people should wear protective masks, those who are:

sick and showing symptoms
caring for people suspected to have the coronavirus
Masks are not recommended for the general public because:

they can be contaminated by other people's coughs and sneezes or when putting them on or removing them
frequent hand-washing and social distancing are more effective
they might offer a false sense of security
How might things change?
Dr Nabarro told Radio 4's Today programme that healthcare workers and those with symptoms remained the priority, especially given the worldwide shortage of the best quality masks.

But he said masks might also need to be worn by non-medical workers who are in frequent contact with others and who can't distance themselves, such as people operating cash registers, or hairdressers.

Among society as a whole, he said that he expected "some form of facial protection is going to become the norm", not least to offer people reassurance when they encounter others.

But Dr Nabarro warned against complacency: "Don't imagine that you can do what you like when you are wearing a mask. [It] doesn't give you the excuse to disregard social distancing."

The UK is not advising most people to wear either medical or homemade masks.

Sir Patrick Vallance, the UK's chief scientific adviser, says there is a review ongoing at the moment and it has already seen "more persuasive" data on it stopping you passing on the virus, rather than catching it. However, the advice has yet to change.

Do homemade face masks work?
Americans are advised to use clean cloth or fabric to cover their faces whilst in public. Officials say medical masks are in short supply and should be left for healthcare workers.

Only the sick, or those caring for patients of coronavirus, had previously been told to wear masks. But US officials hope the new rules could stop people without symptoms unknowingly spreading coronavirus.

However, reusable cloth masks are also not recommended and may even increase the chance of infection, say European advisers.

They say there is a high chance virus particles could go through cloth. Problems with moisture could also mean the cloth retains the virus, they warn.

By Michelle Roberts
Health editor, BBC News online

Friday, April 3, 2020

BREAKING NEWS: Good News from Bali! – A Total of 10 Patients Heal from COVID-19

BREAKING NEWS: Good News from Bali! – A Total of 10 Patients Heal from COVID-19

The Bali Covid-19 Handling Task Force Chief Dewa Made Indra announced six patients with confirmed cases of Covid-19 have recovered. There are now 10 patients with confirmed cases of Covid-19 who have recovered in the province of Bali. “Today there is good news in that 6 people have recovered so that brings the total of recovered people to 10 people,” Dewa Indra said in a press conference.

Dewa Indra stated that of the 10 patients who recovered, two were foreign citizens and eight Indonesian citizens. The recovery of the six patients gives hope to all those who struggle to deal with the Covid-19 virus; that the disease can be cured.

The key, said Dewa Indra, is discipline in maintaining health and following quarantine procedures. According to Dewa Indra, two of the six patients who were declared recovered had just been announced as confirmed Covid-19 cases. “So, these two people tested positive and recovered at the same time,”

COVID-19 COUNTERMEASURES UPDATES, THURSDAY, APRIL 1, 2020

On behalf of the Government of the Province of Bali, the Covid-19 Countermeasure Task Force reports updates of Covid-19 countermeasures in Bali.

1. For case growths up to today, suspected cases total 157 people (increased by 2 Indonesian nationals). 136 out of 157 tested samples resulted in 111 negative and 25 positive results. There are 14 negative and 6 positive results from Indonesian nationals. Today, 6 people have recovered (5 Indonesians and 1 foreign citizen). Total recovered cases include 10 people (8 Indonesians and 2 foreign citizens). The additional 6 positive cases are Indonesian nationals and not from local transmission, but were infected when they travelled to other provinces.

2. Increasing recoveries from Covid-19 is evidence this disease can be cured. The keys are discipline to take care of our health and follow quarantine procedures. What should come to our attention is the fact that 6 additional patients were confirmed as recovered and just 2 announced as confirmed cases. The recovered and confirmed cases are announced in the same time.

The reason for this is that confirming positive results requires time and detailed procedures. Although results of sample tests at the Sanglah Hospital may test positive, they must be sent to a recommended laboratory in Jakarta. However, the Regional Government is allowed to announce negative results. If while waiting for the Jakarta laboratory test results, the suspect has recovered, this becomes the reason for announcing positive and recovered cases at the same time.

3. Being aware of the growth of Covid-19 in the province of Bali, we ask all the community to continue their prevention measures, including social distancing, limiting outside activities, cancelling attractions and events that involve crowds and implementing a clean, healthy lifestyle by washing your hands using soap and running water. Furthermore, communities are advised to wear face masks when they have to go outside. If people follow all those protocols responsibly, we hope the confirmed cases will not increase and more patients will recover. The keys are discipline and personal awareness for people to take care of their own health and safety, their families and others.

Source : Pemprov Bali Facebook Page (balipuls.com )