An examination of Indonesia’s death toll: Could it be higher?

first_imgSome of these administrations have even gone a step further by revealing the number of fatalities among suspected patients.Banten, a neighboring province to Jakarta, revealed on its website that as of Tuesday 144 of its 1,382 PDPs had died. East Java also reported 235 fatalities among its 2,769 PDPs and 53 among its 18,509 ODPs. These figures are higher than both regions’ number of fatalities among confirmed cases, which reached 41 and 90 deaths, respectively, as of Tuesday.Jakarta does not provide such data but has disclosed on its website that 1,666 people had been buried according to COVID-19 protocols as of April 24. The figure is higher than the city’s official death toll of 370 as of Tuesday.Central Java, meanwhile, does not provide the exact number but rather a map of the spread of such fatalities, which according to The Jakarta Post’s estimation could amount to around 200, while its official death toll is 58. Yogyakarta recorded seven fatalities among its suspected patients, while its official count is seven. South Sulawesi reported 81 of its suspected patients had died despite recording only 37 official deaths, although it has published a disclaimer that the former figure also includes those who later test negative. The actual number of COVID-19 deaths in Indonesia may be substantially higher than officially reported as several regions have recorded hundreds of fatalities among patients under surveillance (PDPs), who are suspected of having contracted the highly contagious coronavirus.Patients under surveillance refer to people with COVID-19 symptoms who have not been confirmed as having the disease, meaning that they are waiting either to be tested or for their test results to come back.The central government’s daily count of fatalities, at 773 as of Tuesday, does not include all PDPs who have died. And it was only recently that the government started announcing the number of PDPs and people under observation (ODPs) nationwide. Previously, only local administrations would reveal such figures. “ODPs and PDPs who died might have tested positive for COVID-19,” biostatistics researcher at the University of Indonesia’s (UI) School of Public Health, Iwan Ariawan, said. “Therefore, it is important [for authorities] to disclose how many of the ODPs and PDPs who died had been tested and later turned out to be positive, not only COVID-19 patients who have died.”In its latest weekly situation report on Indonesia, the World Health Organization said that as of April 11, it had updated the guidance for reporting COVID-19 deaths, in which a COVID-19 death was defined as a death resulting from a clinically compatible illness in a probable or confirmed COVID-19 case, unless there was a clear alternative cause of death that could not be related to COVID-19.”Based on this definition, cumulative deaths from people who had or may have had COVID-19 should be reported as COVID-19 related deaths,” the report said.The government’s spokesperson for COVID-19 affairs, Achmad Yurianto, said he was not aware of such a guideline. He said the tally of deaths he was announcing daily only included people who had tested positive for the virus, which was reported by hospitals. He said that even if Indonesia was to announce fatalities among suspected patients, the figures would be separated from those of confirmed cases.Other countries have begun to revise their death toll linked to COVID-19. New York, the hardest-hit city in the United States, for instance, revised in mid-April its official COVID-19 death toll to include victims presumed to have died from lung diseases but never tested, resulting in a 60 percent spike, Reuters reported.China also revised its death toll by adding some 1,290 deaths in Wuhan, the city where the virus first emerged in December, Bloomberg said, citing Chinese state media reports.The late reporting of deaths was attributed to several reasons, including the fact that some patients had died at home without seeking treatment or being tested for the virus and the late and incomplete reporting by medical workers and institutions overwhelmed by the outbreak.”It would be better if fatalities among ODPs and PDPs [in Indonesia] were also announced. However, I don’t think 100 percent of the fatalities would certainly be due to COVID-19,” epidemiologist at Padjadjaran University, Panji Hadisoemarto said, warning of overestimation.Read also: Govt claims Jakarta, epicenter of Indonesia’s COVID-19 outbreak, has flattened the curveSo far 9,511 of 62,544 people who have been tested in Indonesia have been confirmed to have the virus, a positive testing rate of 15.2 percent as of Tuesday.Persahabatan Central General Hospital, a referral hospital for COVID-19 patients in Jakarta, said 65 percent of PDPs it was treating had tested positive. While the Eijkman Institute for Molecular Biology said between 20 and 30 percent of the specimens it processed daily came back positive.Nevertheless, experts agree that fatalities among suspected patients paint the possibility of Indonesia recording a higher number of deaths than it is currently reporting because of the lack of testing and a testing backlog. This remains a problem in the country, despite calls from President Joko “Jokowi” Widodo to boost testing capacity to 10,000 tests per day.”Local administrations need to statistically verify the PDP fatalities into groups: how many had not been tested, were waiting for their results and were tested positive or negative,” said Iqbal Ridzi Fahdri Elyazar, disease surveillance and biostatistics researcher at the Eijkman-Oxford Clinical Research Unit. “They need to provide this public information because it’s important for assessing the severity of the disaster and evaluating their control measures.”Iwan of the UI, meanwhile, said the government would need data on suspected patients’ deaths to evaluate how it had been handling suspected patients.Read also: COVID-19: Indonesia claims daily testing capacity increase to 12,000Indonesian Medical Association (IDI) spokesperson Halik Malik said such data would help hospitals evaluate their services and also act as a warning for the public not to undermine the scale of the COVID-19 outbreak to avoid complacency.”Because of late testing results, the IDI is recommending the need for a new policy in handling patients under surveillance,” Halik said. “There’s no need to wait for [polymerase chain reaction] PCR test results; [hospitals] can treat the patients as COVID-19 patients with clinical criteria […] Otherwise, there’ll be many whose conditions will deteriorate while waiting for their test results and not receiving treatment as COVID-19 patients.”Persahabatan Hospital spokesperson Erlina Burhan told the Post on Monday that the hospital was treating PDPs according to COVID-19 protocols until proven otherwise. She acknowledged, however, in an online discussion on April 17, that the testing backlog was a problem.”We should be receiving results in two days, but in reality […] we sometimes receive them in five to seven days. This is making things quite difficult, especially when the patients are in a severe condition,” Erlina said, adding that around 10 percent of the hospital’s COVID-19 patients needed intensive care and ventilators.Wiku Adisasmito, an expert with Indonesia’s COVID-19 task force, said in an April 22 online press briefing to address international media, that limitations in early detection, coupled with tardy diagnostics, had led to the country’s high mortality rate, but he gave an assurance that the government had been improving the country’s laboratory capacity.”Improvements in the quality of data also need to be made, so that mortality rate data can become more reliable,” he said.– Fiqih Prawira Adjie contributed to this storyTopics :last_img read more

Ward ready for top-level test

first_img “We are creating chances, getting the ball wide and getting the ball into the box.” One of the main beneficiaries of O’Neill’s approach is playmaker Wes Hoolahan, a man whose treatment by Trapattoni baffled his admirers. The Norwich man has started three of the four games of the Ulsterman’s reign to date and is revelling in the opportunity afforded him, even if results have not necessarily gone his side’s way. Hoolahan said: “It’s lovely. It’s great to get on the pitch and hopefully show what I can do. “We are playing well. We are passing the ball well, we are creating a lot of chances. It’s not like we are not playing well – then you have something to worry about. “But you are playing against a world-class team in Turkey, they are well-drilled, so there were positives.” Press Association The 28-year-old defender, who has spent the last season on loan at Sky Bet Championship side Brighton from Wolves, has returned to the Ireland squad under new manager Martin O’Neill this season after being discarded by predecessor Giovanni Trapattoni. He started Sunday night’s 2-1 home defeat by Turkey and will hope to retain his place as the degree of difficulty increases markedly over the next fortnight with friendlies against Italy, Costa Rica and Portugal, all of whom are using the games as part of their preparations for the World Cup finals in Brazil. However, that is a challenge Ward insists he and his team-mates welcome as they look towards September’s opening qualifier in Georgia. He said: “You want to test yourself and especially for us going into a tough qualifying group, you want to play against these teams. “People will look at it and say it might be tougher to get results, but sometimes you learn a lot more about yourself and about the squad when you play against these top teams, and that’s what the management will think, especially going into a tough qualifying campaign. “The more they know about us, the better. You could maybe have chosen easier fixtures, but they want us to go in against these teams and they will definitely learn a lot about us in these next three weeks.” Ward, of course, was part of the Ireland team which fared so poorly in the Euro 2012 finals in Poland and Ukraine as they slipped to successive defeats by Croatia, Spain and Italy, and a disappointing showing in the World Cup qualifying campaign that subsequently cost Trapattoni his job. Replacement O’Neill is busily trying to put his stamp on the squad, and while a more expansive style is yet to pay dividends in terms of results, Ward believes significant progress is being made. He said: “I feel we are getting very close. I think these next couple of weeks will be really vital for us in terms of getting to know how he wants us to play and getting the philosophy on board. “At the minute, we are playing a really attractive style of football. We are keeping the ball well and we are not just keeping it without purpose. Stephen Ward is relishing the chance to test himself against World Cup opposition as he targets qualification for Euro 2016.last_img read more

Pinnick to Commission France, Belgium S’final Tomorrow

first_imgEmbattled President of the Nigeria Football Federation (NFF), Amaju Pinnick, has been confirmed as the Match Commissioner for the 2018 FIFA World Cup first semi final match between France and Belgium in Saint Petersburg tomorrow. The match will begin at 7pm Nigeria time.The potentially explosive clash at the 67,000-capacity Zenit Arena will be the fifth match Pinnick would commission at the finals in Russia.He remains the only Nigerian involved at such high level of operation at the FIFA World Cup. That match will bring together some of the best artists of the round leather game in the universe at the present, including France’s Paul Pogba, Antoine Griezmann and Kylian Mbappe, and Belgium’s Romelo Lukaku, Kevin De Bruyne and Eden Hazard.Last Friday in Nizhny Novgorod, Pinnick was also the Match Commissioner of the quarter final clash between France and Uruguay which the Blues won.The NFF boss and Member of the Organising Committee of FIFA Competitions took charge of the group phase matches between Iran and Portugal in Saransk on 25th June (1-1) and between Panama and Tunisia (1-2) also in Saransk on 28th June, as well as the Round of 16 encounter between Sweden and Switzerland in Saint Petersburg on 3rd July (1-0).The newly appointed First Vice President of CAF will also commission the 2018 FIFA World Cup third place match in Saint Petersburg on Saturday. The second semi final will take place at the Luzhniki Stadium in Moscow (venue of the Final match) on Wednesday, between England’s Three Lions and Luka Modric –led Croatia.A total of 152 goals have been scored in the 60 matches played so far at this year’s World Cup, with four of the knockout round matches (Spain Vs Russia in the Round of 16); Croatia Vs Denmark in the Round of 16); Colombia Vs England in the Round of 16) and; Russia Vs Croatia in Saturday’s last quarter final match, settled only after penalty shootouts.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegramlast_img read more

NPBL Wrap: Rivers Hoopers Extend Lead; Kwara Falcons Stumble On The Road

first_imgAtlantic Conference leaders Rivers Hoopers extended their lead at the top of the table with an 81-74 points win in overtime on Saturday against Delta Force in Asaba.The KingsMen who had already booked a place in this seasons conference 6 playoffs, received a scare from seventh-place Delta Force, the game ending 68-68 after the fourth quarter.Kudos to Delta Force who rallied back to win the last quarter, taking the game into overtime. Rivers Hoopers won the first quarter 25-6, second quarter 40-19, third quarter 52-39, the fourth quarter ending in a 68-68 tie.Rivers Hoopers Forward, Ikechukwu Benjamin scored 16 points and 9 rebounds, while Emmanuel Akhimen of Delta Force finished the game with a double-double scoring 13 points and 12 rebounds.In Ibadan, Second-place Kwara Falcons experienced a setback as they aim to improve their position on the conference table, when they lost on the road against fifth-place Oluyole Warriors 78-62 on Saturday.The Coach Adewunmi Aderemi team won the first half, after comfortably winning the first quarter but took their foot off the pedal eventually losing the game.Kwara Falcons, who won the first quarter 12-20 and second quarter 40-39. Oluyole Warriors, proved to be giant killers rallying back to win the third and fourth quarters 62-52, 78-62.Forward, David Godwin recorded the highest point tally in the game, netting 17-points for Kwara Falcons, Aribiyu Sunday of Oluyole Warriors contributing a team high 16 points. Relatedlast_img read more