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Table of Contents
EDITORIAL
Year : 2020  |  Volume : 4  |  Issue : 3  |  Page : 89

How indonesia copes with coronavirus disease 2019 so far (part two): Is the country ready for the new norm?


Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia

Date of Submission15-Jun-2020
Date of Decision24-Jun-2020
Date of Acceptance25-Jun-2020
Date of Web Publication18-Jul-2020

Correspondence Address:
Dr. Christopher Ryalino
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University, Jl. PB Sudirman, Denpasar, Bali
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/BJOA.BJOA_108_20

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How to cite this article:
Ryalino C. How indonesia copes with coronavirus disease 2019 so far (part two): Is the country ready for the new norm?. Bali J Anaesthesiol 2020;4:89

How to cite this URL:
Ryalino C. How indonesia copes with coronavirus disease 2019 so far (part two): Is the country ready for the new norm?. Bali J Anaesthesiol [serial online] 2020 [cited 2020 Sep 30];4:89. Available from: http://www.bjoaonline.com/text.asp?2020/4/3/89/290081



New norm has been planned by the Government of Indonesia in a pandemic situation. This step is carried out so that the economy may run under new health protocols to prevent the spread of the coronavirus disease 2019 (COVID-19). His majesty, President Joko Widodo, echoed the new norm amid the coronavirus pandemic, which is increasingly widespread and infecting millions of people in the world, including in Indonesia. As a result of this pandemic, the world has changed its way of life. Works, school, and worships must be done at home. New norm is planned even though the drug and vaccine have not been found; however, the economic wheel is screaming and screeching everywhere.

New norm is a new lifestyle that must be done to continue normal activities during the pandemic. This change in lifestyle was adjusted to promote health protocols to prevent the COVID-19 spread. In some countries, where new cases of COVID-19 already hit single-digit numbers daily, leniency in social restrictions was imposed. Germany, South Korea, and Singapore implemented the new norm on June 1, 2020.

Jakarta, the capital of the Archipelago, has begun to loosen its social restriction toward a new norm transition period. This was carried out despite the health system's capacity in conducting screening tests that were still inadequate. Germany, as a comparison, gradually eased the lockdown when the number of positive cases in the country reached 400 cases per day, after reaching a peak of 6000 cases per day. However, Indonesia, because of the small number of screening tests, has not discovered its peak. Ever since the first case was found on March 26, 2020, the number of cases in Indonesia (until June 15, 2020) was 39,294, with 2198 death-toll.[1],[2]

The World Health Organization requires six criteria to be met by a country before easing restrictions and entering the new norm era.[3] The first criterion is that countries that implement the new norm must prove that COVID-19 transmission in their territory has been controlled. When referring to the reproduction rate (R0), a situation is defined as can be controlled if the R0 number is <1. Currently, Indonesia's R0 range is 2.2–3.58.[4]

The second criterion is that the existing health system can identify, isolate, test, contact tracing, and quarantine infected people. The health system includes hospitals, staff, and medical equipment. The third criterion is that the risk of coronavirus outbreaks must be suppressed for areas or places with high vulnerability, such as nursing homes, mental health facilities, and populated areas.

The fourth criterion is the establishment of precautionary measures in the working environment. These measures embrace maintaining physical distance, hand-washing facilities and customs, and the use of masks. The fifth criterion is that the risk of a virus carrier entering an area must be controlled. Furthermore, the sixth criterion is that the community must be allowed to provide input and opinion and be involved in the process of transition to the new norm.

History will note that in this era, economics plays a more important role compared to health and education. Health-wise speaking, there was no reason to implement new norm for now in Indonesia. However, when the economic burden hits so many people in this country, only time will tell if better days are coming, or will it be the second wave.



 
  References Top

1.
Ryalino C. Covid-19: What we know so far. Bali J Anaesthesiol 2020;4:1-2.  Back to cited text no. 1
  [Full text]  
2.
Ryalino C. How Indonesia copes with coronavirus disease 2019 so far (part one): The country, the government, and the society. Bali J Anaesthesiol 2020;4:33-4.  Back to cited text no. 2
  [Full text]  
3.
World Health Organization. WHO Director-General's Opening Remarks at the Media Briefing on COVID-19; 13 April, 2020. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-13-april-2020. [Last accessed 2020 Jun 15].  Back to cited text no. 3
    
4.
The Jakarta Post. Indonesia's R0, Explained. Available from: https://www.thejakartapost.com/news/2020/06/01/indonesias-r0-explained.html. [Last accessed 2020 Jun 15].  Back to cited text no. 4
    




 

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