Strategi Melawan COVID-19:

Pelajaran Bagi Banten

Dr. Dian Kusuma, SKM, MPH, ScD
IG: @kusuma_scd

Webinar ILUNI UI Banten, 10 April 2020

Penanganan Pandemi COVID-19 di Berbagai Negara dan Daerah:
Pelajaran Bagi Banten
30 Maret 2020
9 April 2020
ß Kasus: 2.2x (10 hari)
Kematian: 2.8x
(10 hari) à
 Top 10: Kematian 1 hari
8 April 9 April

www.worldometers.info
 Amerika Serikat Spanyol
(Pddk: 327 jt) (Pddk: 47 jt)

Italia Jerman
(Pddk: 60 jt) (Pddk: 83 jt)

www.worldometers.info (s/d 9 Maret)

 Amerika Serikat: CFR 3.5% Spanyol: 10%

Italia: CFR 13% Jerman: 2.2%

www.worldometers.info (s/d 9 Maret)

 Berhasil
Korea Selatan CFR 2%

Cina CFR 4%

www.worldometers.info (s/d 9 Maret)

 Berhasil
Selandia Baru CFR <0.1%
Pddk: 4.8 jt

Australia CFR <0.1%

Pddk: 25 jt
INDONESIA
www.worldometers.info (s/d 9 Maret)
 2-Mar 2

3-Mar 2

4-Mar 2

5-Mar 2

Sumber: kawalcovid19.id
6-Mar 4

7-Mar 4

8-Mar 6
Kasus positif
9-Mar 19

10-Mar 27

11-Mar 34
2
12-Mar 34
4
13-Mar 69
4
Meninggal

14-Mar 96
5
15-Mar 117
5
16-Mar 134
5
17-Mar 172
7
18-Mar 227
19
19-Mar 309
25
20-Mar 369
32
21-Mar 450
38
22-Mar 514
48
23-Mar 579
49
24-Mar 685
55
25-Mar 790
58
Kasus: 9x

26-Mar 893
78
27-Mar 1046
87
Kematian: 9x

28-Mar 1155
102
29-Mar 1285
Kasus positif dan meninggal s/d 9 April

114
30-Mar 1414
122
31-Mar 1528
136
1-Apr 1677
157
2-Apr 1790
170
3-Apr 1986
181
4-Apr 2092
191
5-Apr 2273
198
6-Apr 2491
209
7-Apr 2738
221
8-Apr 2956
240
9-Apr 3293
280
 s/d 9 April

Sumber: kawalcovid19.id
 s/d 9 April

Sumber: kawalcovid19.id
Dreamstime.com
BANTEN
 Data nasional (?)
218 kasus positif
20 meninggal
s/d 9 April https://infocorona.bantenprov.go.id/
 98% kasus

Banten Dalam Angka 2019; https://infocorona.bantenprov.go.id/

 3 Strategi Utama Melawan Covid-19

1. Test, test, test: Besar & di mana masalah

2. Menurunkan kematian di RS: APD, ventilator,
ICU, obat
3. Menurunkan kematian dengan mengurangi
penularan di masyarakat: Social distancing
(karantina diri, rumah, wilayah/PSBB)
Pelajaran #1: Test, test, test (Korea)

Dampak kurang test (harus ke Jakarta):

• Secara kesmas, jumlah kasus di daerah terlihat

sedikit, padahal menunggu hasil à Tidak tahu
besar masalah di daerah & tidak bisa contact
tracing, karantina diri/rumah, dan PSBB

• Secara medis, banyak pasien diketahui positif

setelah kondisi parah (meningkatkan kematian).
Jumlah test di Korsel s/d 9 April Ada PDP meninggal menunggu hasil.
edition.cnn.com/2020/03/02/asia/coronavirus-drive-through-south-korea-hnk-intl/index.html
www.statista.com/statistics/1095848/south-korea-confirmed-and-suspected-coronavirus-cases/
 Pelajaran #1 Test, test, test (Angka kematian rendah, Jerman)

ß Jumlah test di Eropa s/d 8 April

• Test 300,000 orang per pekan

• A culture NOT supporting a

centralized diagnostic system; so
no laboratory that would restrict
other labs from doing the tests.

https://www.dw.com/en/germanys-coronavirus-response-separating-fact-from-fiction/a-53053822
https://www.statista.com/statistics/1109066/coronavirus-testing-in-europe-by-country/
 Pelajaran #1 Test, test, test (Kerja sama Universitas, UK)

https://www.gla.ac.uk/news/headline_717601_en.html
https://www.nottingham.ac.uk/news/test-kits-for-c-19
https://www.ft.com/content/28bd3126-6ddc-11ea-9bca-bf503995cd6f
 ß Perlu cek kelengkapan
KMK 214/2020 alat diagnostic, reagen, dsb
Jejaring lab

Kerja sama dengan

Universitas lokal à

https://www.ayobogor.com/read/2020/04/10/6616/laboratorium-ipb-kini-dioperasikan-untuk-uji-spesimen-covid-19
www.pbmi2015.com/covid-19
 Pelajaran #2 Menurunkan kematian di RS (APD)

Lin, 2020
 Pelajaran #2 Menurunkan kematian di RS (Ventilator)
Kerja sama dengan industri:

• Banyak negara sedang berupaya menambah jumlah ventilator.

• Pemerintah Jerman sudah memesan 10.000 ventilator ke

perusahaan lokal.

• Pemerintah Perancis bekerja sama dengan perusahaan pembuat

mobil dan elektronik (Valeo, PSA, Schneider Electric) untuk
membuat 10,000 ventilator dalam beberapa pekan.

• Pemerintah AS bekerja sama dengan Ford dan General Electric

untuk membuat 50,000 ventilator dalam 3 bulan.

• Pemerintah Inggris sudah memesan 15,000 ventilator (Ventilator

Challenge UK) kepada konsorsium perusahaan termasuk Airbus,
Rolls Royce, dan Mercedes Benz.

https://www.nytimes.com/2020/03/18/business/coronavirus-ventilator-shortage.html
https://www.dw.com/en/coronavirus-governments-companies-race-to-make-more-life-saving-ventilators/a-52975281
https://www.pikiran-rakyat.com/pendidikan/pr-01362480/ui-ciptakan-ventilator-transport-untuk-rs-dalam-penanganan-covid-19
https://www.tribunnews.com/corona/2020/04/06/itb-dan-unpad-bandung-kolaborasi-ciptakan-vent-i-ventilator-untuk-pasien-virus-corona-di-indonesia
 Pelajaran #3 Lindungi kelompok rentan (Cina, UK)

Wuhan

UK

Lin, 2020; www.bbc.co.uk/news/uk-51893736

 Pelajaran #4 Lockdown, traffic ban, karantina rumah,
selain upaya lain (Wuhan)

Lin, 2020
 Pelajaran #4 Lockdown, herd immunity, test
(Swedia, Belanda, UK, Denmark, Jerman)

https://www.statista.com/statistics/1109066/coronavirus-testing-in-europe-by-country/
Pelajaran #5 Kepemimpinan dan solusi menyeluruh (Italia)
Recognize your cognitive biases.
• In its early stages, the Covid-19 crisis in Italy looked
nothing like a crisis. The initial state-of-emergency
declarations were met by skepticism by both the
public and many in policy circles — even though
several scientists had been warning of the potential
for a catastrophe for weeks.
• In late February some Italian politicians engaged in
public handshaking in Milan to make the point that
the economy should not panic and stop because of
the virus. (A week later, one of these politicians was
diagnosed with Covid-19.)
Avoid partial solutions, need systematic approaches.
• The initial government policy was inconsistent with the
rapid exponential spread of the virus. As a result, Italy
followed the spread of the virus rather than prevented
it.
• The selective approach might have inadvertently
facilitated the spread. Consider the decision to initially
lock down some regions but not others. When the
decree announcing the closing of northern Italy became
public, it touched off a massive exodus to southern Italy,
undoubtedly spreading the virus to regions where it had
not been present.
 Pelajaran #5 Kepemimpinan (Selandia Baru)
Three communication skills every leader needs

Persuading many to act for the collective good

https://www.stuff.co.nz/national/politics/120858256/coronavirus-three-reasons-why-jacinda-arderns-response-is-perfect-crisis-leadership