- Incidence of isoman patients whose symptoms worsened and died continued to occur.
- Jakarta is the most open with data on the number of isoman patients who died.
- Epidemiologists predict that the peak death rate from Covid-19 will occur in mid-August 2021.
The events on July 10, 2021 are still vividly remembered in Harya Rifky’s memory. The 25-year-old graduate student from Gadjah Mada University, Yogyakarta, had to be rushed tohospitalt due to its oxygen saturation dropping below 90%.
Three days before the incident, as a patient Covid-19, Harya is self-isolating or isoman in the Baciro Dormitory. There he gets complete facilities, from health to entertainment. At that time, the only symptom he experienced was fever.
However, his condition deteriorated. His fever rose so suddenly that he was delirious in his sleep. Symptoms worsened when Harya began to have difficulty breathing. His oxygen saturation is only 88%.
At the UGM Academic Hospital, Harya was lucky to get a room even though he had to wait two days. In fact, the condition of the hospital at that time was very full. “When I was there, I heard doctors keep apologizing for not being able to accept patients anymore,” he told Katadata.co.id, Wednesday (28/7).
Harya then received intensive care for seven days in the hospital. The doctor sentenced him to pneumonia or a lung infection, the impact of corona virus that infects it.
Kristiana Natasya, 21, also experienced a similar incident. On July 6, he was diagnosed as positive for Covid-18 and decided to isoman at his home.
Nana’s house is multi-storey so she can isolate upstairs. He can communicate all of his communication and needs to other family members through the WhatsApp short message application. Her brother who is a doctor also continues to monitor his condition.
At that time, he was sure his condition would not drop. Moreover, he has already received two doses of the AstraZeneca vaccine. “So, yesterday when I was positive, I decided to just stay at home,” said the Yogyakarta resident.
However, a week after the isoman his oxygen saturation decreased, plus a high fever, shortness of breath, nausea, and dizziness. Her condition is also made worse because she is menstruating and has a history of anemia or lack of red blood cells.
His family went looking for oxygen but to no avail. The hospital was also full at that time. Her sister decides that Nana stays at home, with medication and proning to increase her saturation. He finally got through a critical period.
Harya and Nana are lucky enough to get proper and fast treatment. The story of Aulia Anggiesta, 17 years old, is quite different.
This resident of Cisoka Subdistrict, Tangerang, Banten, has to take care of his mother, Rosilawi (39 years), to do isoman at home. Worried about infecting other family members, her mother just stayed in her room for about two weeks.
Sometimes Rosilawti goes out to sunbathe or just goes to the toilet. Recovery efforts are carried out by taking drugs and vitamins. “The medicine only uses over the counter medicine, Panadol. Then regularly drink vitamins and lots of water. And there are lots of fruits in stock,” said Anggi.
Rosilawati is suspected of contracting the virus due to frequent trips to traditional markets. Every day, she works weighing and delivering the bean sprouts that her husband produces to the market.
Initially, the symptoms were mild fever accompanied by headache. Then, followed by flu and cough. Shortly after, his sense of smell and taste began to be disturbed.
After approximately two weeks of isoman at home, his condition began to recover. However, he has not had time to test again whether it is negative or not. “Have started work, haven’t been to the market, the hell, only wake up early every day to weigh bean sprouts, “said Anggi.
After about a week of returning to work, earlier this week her mother’s condition dropped again. His fever was high, his face was red. There are complaints of shortness of breath as well.
Anggi said to this day, his mother is still in this condition. However, he did not know for sure what his mother’s oxygen saturation was. “I don’t have the tools at home,” he said.
His family had not yet had time to report to the local neighborhood association and community unit (RT/RW) administrator. Currently, he and his family are looking for information related to hospital treatment procedures.
“We received information at the hospital that the process would take a long time, not to mention if it was rejected later. We are trying to find information to get access to free hospitals too,” said Anggi.
–
Infographics_Covid 19 self-isolation guide at home (Katadata)
–
Covid-19 Patient Death Rise
The high spike in Covid-19 cases in Indonesia has made this country the epicenter of the current global pandemic. The Delta variant is said to be the culprit. This variant can infect faster than the original virus.
Along with these conditions, the number of deaths from the corona virus also continues to soar. The numbers continue to set records, even though since July 3, the government has tightened community movements, aka PPKM.
Death cases as of July 28, 2021 increased by 1,824 people, after the previous day it set a record at 2,069 people. The total number of people reached 88,659 people, as shown in the graph Databoks following.
Covid-19 sufferers who do isoman at home and outside the hospital have contributed greatly to this condition.
The latest data from the Covid-19 Report website shows that the total death of Covid-19 sufferers who commit isoman has reached 2,706 people. This figure is compiled from the recap of the Covid-19 Report, civil society organizations (CSOs), communities, local governments, the number of provinces tracked, and the number of cities or districts tracked.
The capital city recorded the highest number. However, this figure does not mean the death rate in other areas is lowest. The Covid-19 report stated that so far only the DKI Jakarta Provincial Government has officially and openly recorded and provided data on the deaths of isoman patients. “In other areas it is still like the tip of the iceberg phenomenon,” the site wrote.
Epidemiologist at Griffith University, Australia, Dicky Budiman, said that the high number of deaths from Covid-19 was due to a weak testing strategy.testing), tracking and follow-up (3T) by the government.
“Death is a chronic product. Occurs due to various delays, from being detected, found, referred, to treated. That’s the cause of his death,” Dicky told Katadata.co.id.
He predicts, the peak of the high death rate due to Covid-19 will occur in mid-August. Death cases will be dominated by death cases in the community. Among them, many even go undetected. “This is a consequence of the low 3T,” he said.
–
Illustration of residents who are self-isolating or isoman at home. (BETWEEN PHOTO/Galih Pradipta/foc.)
–
Causes of High Deaths in Isoman Covid-19
Head of the Mitigation Team for the Indonesian Doctors Association (PB IDI) Adib Khumaidi said that the cause of the high mortality rate in isoman patients was due to inadequate capacity in health facilities. overload.
On the other hand, many Covid-19 patients who are isoman do not have access to health facilities. Not to mention, the problem of lack of availability of drugs, oxygen and other medical devices. “Many of them finally choose isoman because they are pessimistic that even if they go to the hospital they will not get a place,” said Adib.
There are currently two isoman groups in society. First, those who are isoman because they have been confirmed positive through the results of the polymerase chain reaction test or PCR.
Second, those who are isoman only because they understand the symptoms. “They chose not to do a swab test or swab PCR and directly isoman,” he said.
Many of these isoman groups are not monitored by health workers. They also end up not getting access to health facilities. “So many died at home,” said Adib.
In addition, according to Dicky, the Covid-19 case detection and reporting system in Indonesia is still low. DKI Jakarta, with only the best detection and reporting system in the country, still finds cases of isoman who died.
“Moreover, other areas have inadequate detection and reporting systems,” he said. “So it’s no wonder the contribution of isoman deaths contributes a lot to the total deaths from Covid-19 in Indonesia.”
Last Sunday, DKI Jakarta Governor Anies Baswedan said that the isoman residents who died actually had severe and critical symptoms. However, the patient did not have time to get treatment at the hospital.
The following day, Health Minister Budi Gunadi Sadikin said the condition of the isoman patient who died was closely related to social problems. “There is still a negative stigma in society towards Covid-19 patients,” he said during a press conference.
–
Assistance for residents who are self-isolating or isoman. (BETWEEN PHOTOS/Asprilla Dwi Adha/rwa.)
–
What is the Right Treatment for Isoman Patients?
Adib said, when confirmed positive for Covid-19, residents should immediately report to the RT/RW or local health center. Later, the local task force or task force will monitor the patient’s condition.
But the problem is, many do not report. Many of those who handle it at home do not understand the danger signs of this virus. “So, when things get worse, they can’t be helped,” he said.
The worsening condition in question is when the oxygen saturation is less than 94. Then, the respiratory rate is more than 20 times per minute. Adib believes that the public should be more educated regarding this matter.
Dicky said the same thing. Before deciding on an isoman, there needs to be an initial risk analysis. “Or should it be centralized in a place that is closely monitored. Or even need to be referred to the hospital,” he said.
To avoid adverse risks, isoman patients should be given early supportive care. The trick is to provide adequate medication and regular monitoring.
Even though he is isoman at home, said Adib, patients must still be monitored by doctors or health workers in their area. “Thus, patients understand when to be isoman and when to be taken to the hospital,” he continued.
Material contributors: Dhia Al Fajr and Alfida Febrianna (interns)
– .
