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Vaccination Roll out in Kudus.3 Coronavirus Disease 2019 (COVID-19) World Health CoronavirusCoronavirus Disease Disease 2019 2019 (COVID (COVID-19) -19) World Health OrganizationOrganization Situation Report - 59 Situationn Report - 7 Indonesia Indonesia 16 JuneData 2021 as of 07 May 2020 HIGHLIGHTS • As of 16 June, the Government of Indonesia reported 1 937 652 (9944 new) confirmed cases of COVID-19, 53 476 (196 new) deaths and 1 763 870 recovered cases from 510 districts across all 34 provinces.1 • With increased transmission due to variants of concern (VOCs), urgent action is needed to contain the situation in many provinces. Drastic increase in bed occupancy rates this week in high-risk provinces is a major concern and necessitates the implementation of stricter public health and social measures including large-scale social restrictions (pembatasan sosial berskala besar (PSBB)). • WHO supported a webinar as part of the ‘2021 U.S. – ASEAN Women’s Leadership Academy for Young Southeast Asian Leaders Initiative’ and discussed the role of women during the COVID-19 pandemic (page 19). Fig. 1. Geographic distribution of cumulative number of confirmed COVID-19 cases in Indonesia across the provinces reported from 10 to 16 June 2021. Source of data Disclaimer: The number of cases reported daily is not equivalent to the number of persons who contracted COVID-19 on that day; reporting of laboratory-confirmed results may take up to one week from the time of testing. 1 https://covid19.go.id/peta-sebaran-covid19 1 WHO Indonesia Situation Report - 59 who.int/indonesia GENERAL UPDATES • Indonesia continues to experience a significant increase in the number of COVID-19 cases in several provinces and districts. On 12 June, the National COVID-19 Task Force (Satuan Tugas (Satgas)) reported that provinces with the highest number of new confirmed cases were DKI Jakarta, Central Java, West Java, DI Yogyakarta and Riau. On 10 June, Satgas reported that the bed occupancy rate (BOR) in several provinces in Java has reached more than 50%, including in Banten, DKI Jakarta, West Java, DI Yogyakarta and Central Java.2 The greatest increase in the number of cases and BOR was in Kudus, Central Java and Bangkalan, East Java. The Ministry of Health (MoH) continues to strengthen the COVID-19 response in these two districts, in collaboration with multiple stakeholders including the National Army (TNI) and Police (Polri). MoH has also distributed around 50 000 doses of COVID-19 vaccines to accelerate vaccination roll out in Kudus.3 • On 10 June, Indonesia received an additional 1.5 million doses of AstraZeneca COVID-19 vaccine, which was part of the 11.7 million doses of the vaccine allocated from the COVAX Facility. With this addition, MoH reported that Indonesia has received approximately 8.2 million doses of the vaccine from the COVAX Facility.4 • To accelerate the national COVID-19 vaccination roll out, MoH approved DKI Jakarta provincial government’s request to start vaccinating residents aged 18 years and older. The decision also took into consideration the recent increasing trend in the number of COVID-19 cases in the province.5 On 9 June, DKI Jakarta started to vaccinate certain groups of foreigners. Foreigners who are eligible to receive vaccination through the government’s vaccination programme have to hold a valid residence certificate (Surat Keterangan Tempat Tinggal (SKTT)) or a foreigner identification card and meet one of the following criteria: (1) a teacher/lecturer or supporting staff who works in schools/universities, (2) aged 60 years or older, or (3) living in vulnerable areas with high risk of COVID-19 transmission.6 2 https://nasional.kompas.com/read/2021/06/13/07564991/penambahan-covid-19-dan-tingginya-lonjakan-kasus- di-pulau-jawa?page=all 3 https://www.kompas.com/sains/read/2021/06/12/160200123/lonjakan-kasus-covid-19-di-bangkalan-dan-kudus- ppkm-mikro-diperketat?page=all 4 https://nasional.kompas.com/read/2021/06/10/22590691/15-juta-dosis-vaksin-covid-19-astrazeneca-tiba-di- indonesia 5 https://www.cnbcindonesia.com/news/20210608193623-4-251567/resmi-warga-dki-18-tahun-ke-atas-sudah- bisa-vaksinasi-covid 6 https://jakartaglobe.id/news/jakarta-allows-some-foreigners-to-receive-free-covid19-vaccine-shots/ 2 WHO Indonesia Situation Report - 59 who.int/indonesia SURVEILLANCE • On 16 June, 9944 new and 1 937 652 cumulative confirmed COVID-19 cases were reported nationwide (Fig. 2). The average for the last seven days from 10 to 16 June was 8657 cases per day, compared to 6468 cases per day reported in the previous week. 16000 2500000 14000 2000000 12000 10000 1500000 8000 6000 1000000 Daily numberDaily 4000 number Cumulative 500000 2000 0 0 6-Jul 2-Jan 4-Oct 7-Apr 2-Apr 7-Feb 24-Jul 9-Nov 2-Mar 8-May 20-Jan 18-Jun 13-Jun 22-Oct 25-Apr 20-Apr 25-Feb 16-Sep 15-Dec 11-Aug 29-Aug 27-Nov 20-Mar 15-Mar 13-May 31-May 26-May Daily number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases Fig. 2. Daily and cumulative number of cases reported in Indonesia, as of 16 June 2021. Source of data Disclaimer: The number of cases reported daily is not the number of persons who contracted COVID-19 on that day and might be influenced by the number of people tested on that day (see Fig. 17); reporting of laboratory-confirmed results may take up to one week from the time of testing. Therefore, caution must be taken in interpreting this figure and the epidemiological curve for further analysis, either at the national or subnational level. 3 WHO Indonesia Situation Report - 59 who.int/indonesia • During the week of 7 to 13 June, the provinces that experienced an increase in the number of weekly cases of more than 50% compared to the previous week were Papua (967%)*, Southeast Sulawesi (205%), DKI Jakarta (123%), South Sulawesi (82%), Maluku (81%), North Maluku (81%), Central Java (73%), Gorontalo (62%), Banten (61%), DI Yogyakarta (61%), Jambi (58%) and East Java (52%) (Fig. 3). It is critical to investigate reasons for the increase in new confirmed cases to guide response decisions and inform the adjustment of public health and social measures (PHSM). Southeast Sulawesi DKI Jakarta South Sulawesi Maluku North Maluku Central Java Gorontalo Banten DI Yogyakarta Jambi East Java Central Sulawesi West Java North Sumatra West Kalimantan Bengkulu Lampung Aceh Central Kalimantan Bali Riau Islands South Sumatra East Kalimantan West Sumatra North Sulawesi South Kalimantan East Nusa Tenggara Riau West Papua North Kalimantan Bangka Belitung Islands West Sulawesi West Nusa Tenggara -100% -50% 0% 50% 100% 150% 200% 250% Percentage change of weekly number of confirmed cases Fig. 3. Percentage change of weekly number of confirmed cases by province during 7 to 13 June 2021 compared to the previous week. Source of data Disclaimer: The number of weekly confirmed cases is calculated taking into consideration the daily number of reported cases. It is important to conduct further investigation if there is a substantial change in new cases, especially in provinces with a change of 50% or more. Other factors, such as testing and contact tracing, may help elucidate the reasons behind substantial changes. Additional indicators, including case incidence and mortality, should be considered to guide adjustment of PHSM. *Papua (967% change based on increase from 12 to 128 weekly cases) is not shown in the graph. Papua had internet connectivity issues from 13 May to 7 June which affected data reporting. 4 WHO Indonesia Situation Report - 59 who.int/indonesia • During the week of 7 to 13 June, the incidence7 of COVID-19 in Indonesia increased to 16.6 per 100 000 population, compared to 14.6 per 100 000 in the previous week (Fig. 4). Incidence in the country has been rapidly increasing since mid-May. 35 30 CT2 (20 - <50) 25 20 15 Case Case incidence 10 CT1 (<20) 5 0 11/05 - 17/0511/05 - 26/0720/07 - 13/0419/04 - 27/0403/05 - 25/0531/05 - 08/0614/06 - 22/0628/06 - 06/0712/07 - 03/0809/08 - 17/0823/08 - 31/0806/09 - 14/0920/09 - 28/0904/10 - 12/1018/10 - 26/1001/11 - 09/1115/11 - 23/1129/11 - 07/1213/12 - 21/1227/12 - 04/0110/01 - 18/0124/01 - 01/0207/02 - 15/0221/02 - 01/0307/03 - 15/0321/03 - 29/0304/04 - 12/0418/04 - 26/0402/05 - 10/0516/05 - 24/0530/05 - 07/0613/06 - Fig. 4. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period reported in Indonesia from 13 April 2020 (when Indonesia first reported community transmission in the country) to 13 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data Disclaimer: There are seven categories for transmission classification: (1) no (active) cases; (2) imported/sporadic cases; (3) cluster of cases; (4) community transmission 1 (CT1); (5) community transmission 2 (CT2); (6) community transmission 3 (CT3); and (7) community transmission 4 (CT4). Caution should be exercised when interpreting this indicator due to limitations listed in the WHO interim guidance. Other epidemiological indicators also need to be evaluated to decide on the level of community transmission. This disclaimer applies to indicators at national (Fig. 4) and subnational levels (Figs. 5 to 11). 7 Weekly incidence of COVID-19 is calculated as the number of new cases per 100 000 population per week averaged over a two-week period. Source of population data 5 WHO Indonesia Situation Report - 59 who.int/indonesia • During the week of 7 to 13 June, the incidence rates of COVID-19 per 100 000 population were 84.4 in Riau Islands, 73.1 in DKI Jakarta and 61.2 in Bangka Belitung Islands; these rates correspond to community transmission level 3 (Fig.
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