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REPUBLIC OF INDONESIA
May 2020
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS In The Past 16 Years, There Are 4 New Infectious Diseases
REPUBLIC OF INDONESIA
A(H1N1)pdm09
H7N9
MERS-CoV
MERS-CoV: Total cases 2,494
A(H1N1)pdm09: Total cases 2012-continue this day million and 858 death (CFR
60.8 million and 17,798 death 34.4%) (WHO,2019)
Figure Source : Emerging & Re-Emerging Infectious Disease Challenges. Nature 430: 242-49 (Morenz. DM et al, 2004)
Possible Scenarios
• Daily case growth keeps declining. Since 25th April, daily new cases are around 214-455, despite of the
increase of average daily tests to 5,800 from < 2,000 in the previous weeks.
• Per May 3rd Case touches 11,192 patients, with fatality rate at 7.6% and recovery rate 16,8%
Confirmed Cases (LHS) Daily changes (RHS) Daily Infection Rate Recovery Rate Fatality Rate
12,000 500 30%
450
10,000 25%
400
8,000 350 20%
16.8%
300
6,000 250 15%
11.1%
200
4,000 10%
150
2,000 100 5% 7.6%
50
0 0 0%
2-Apr
4-Apr
6-Apr
8-Apr
11-Mar
13-Mar
15-Mar
17-Mar
19-Mar
21-Mar
23-Mar
25-Mar
27-Mar
29-Mar
31-Mar
10-Apr
12-Apr
14-Apr
16-Apr
18-Apr
20-Apr
22-Apr
24-Apr
26-Apr
28-Apr
30-Apr
2-May
1-Mar
3-Mar
5-Mar
7-Mar
9-Mar
4
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS
Indonesia Has Increased Its Testing Capacity to 5,800
REPUBLIC OF INDONESIA Speciment Tests Per Day
8,000 7,706
7,367
7,000
5,849
6,000
5,362
5,022
Specimen Tested
5,000
4,000
3,000
2,000
1,000
-
22-Apr 23-Apr 24-Apr 25-Apr 26-Apr 27-Apr 28-Apr 29-Apr 30-Apr 1-May 2-May 3-May
Daily test Daily test - 7DMA 5
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS Global Economy Will Experience Deep Contraction In 2020
REPUBLIC OF INDONESIA
6
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS Trade Off: Costly Lockdown vs Unsafe ‘Do Nothing’
REPUBLIC OF INDONESIA
Without vaccine, strict lockdown is the only way to significantly reduce death toll. However, prolonged lockdown
induce costs such as: economic shrinkage, unemployment, disruption in supply chain.
}
between doing nothing (1) and
limited normalization (3) is
significantly lower compared to
}
(2) and (3)
Rp.
1 2 3
10
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS
COVID-19 Accelerates Autonomy in Indonesia Health
REPUBLIC OF INDONESIA Sector
Domestic
Production
A Public Health Crisis Drug, Vaccine, Reagents, Increase in Public
Diagnostic Kit, PPE, Health Resilience
Medical Devices
11
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS
European Countries Start To Annouce Re-Opening Their
REPUBLIC OF INDONESIA Economy
Besides European countries, other countries such as VietNam and US also announce exit from lockdown. For the case of
US, each state may exit on their own timeline. 12
Source: Tony Blair Institute
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS Germany Opens After Peak, but Not Fully Zero Case
REPUBLIC OF INDONESIA
6,000
Exit: 5,000
• Announcement: 15 April
4,000
• Statistics during announcement:
o Tests: 1,7mn (21th/mn people) 3,000
o Cases: 128k (Infection rate: 7,4%)
2,000
o Death: 3,2k (CFR:2,6%)
• Opening requirement: 1,000
o Health protocol (mask, physical distance
stay intact 0
4-Apr
8-Apr
12-Feb
16-Feb
20-Feb
24-Feb
28-Feb
11-Mar
15-Mar
19-Mar
23-Mar
27-Mar
31-Mar
4-Feb
8-Feb
12-Apr
16-Apr
20-Apr
24-Apr
3-Mar
7-Mar
27-Jan
o R0 below 1.1 (with this level of R0, ICU 31-Jan
will have full capacity in October)
13
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS Establishing a Sustainable Exit Strategy
REPUBLIC OF INDONESIA
BEFORE EXIT
• Have necessary pre condition: massive testing & tracing and centralized quarantine.
• Exit decision is not based on a predetermined set date, but based on measurable threshold indicators (e.g. reduce
in new case, reduce in PDP, reduce in infection rate, increase in recovery rate).
EXIT STRATEGY
• Open in 3 phases, every region (province, regency) is treated differently according to its pandemic curve stage.
• Ensure that habit and health protocol that had been applied during PSBB is maintained (e.g. using physical
distancing, hand washing).
• Coordinate with local government to ensure readiness of their region and maintain a good and clear
communication with local people.
Exit strategy has to be reviewed periodically. If case began to increase with previous rate, or people ignore health
protocol, PSBB/lockdown will be applied again.
14
COORDINATING MINISTRY
FOR MARITIME AND INVESTMENT AFFAIRS The Difference in Stages Must be Taken into Account
REPUBLIC OF INDONESIA
1. Daily new case growth is declining with new cases below 400 cases per day, despite of significant increase in testing
capacity.
2. Data points indicate that some of the cities in Indonesia is in the Control stage: Central Kalimantan, Central Java, West
Java, Jakarta.
3. Meanwhile, cities such South Sulawesi, East Java, and Banten is going toward Flattening Stage.
4. There are cities that we would like to prevent to enter Controlling Stage, such as Bali.
5. Hence, cooperation between the Government and the People to conduct health protocol will greatly increase health
resilience and reduce the infection rate.
6. Exit strategy needs to be implemented carefully in stages, with meticulous periodical review. Health protocol will be
maintained.
16
Thank you