DKI Jakarta Governor Anies Baswedan decided to pull the emergency brake applying large-scale social restrictions (PSBB). Thus, the implementation of the transitional PSBB in Jakarta was also revoked and the PSBB was re-implemented on Monday, 14 September. This decision was made taking into account a number of factors such as the availability of almost full hospital beds and high mortality rates. “There are not many options for Jakarta except to pull the emergency brake as soon as possible,” Aniaes said in a press conference broadcast on the DKI Jakarta Provincial Government’s Youtube channel, Wednesday (9/9/2020).
Buffer area preparation and collaboration In response to this decision, Indonesian epidemiologist at Australia’s Griffith University Dicky Budiman said the potential for collapse of health facilities such as referral hospitals is indeed a strong indicator as a reason for Anies’s emergency brake. “In the last few days, it has been 70 percent. Especially if it is close to 90 percent, above 80 percent is very vulnerable and very serious especially 90 percent,” he said when contacted by Kompas.com, Wednesday (9/9/2020) night. Total PSBB is an option made as an emergency brake. However, Dicky reminded, learning from the previous PSBB, this policy must be well prepared. “I see 1-2 weeks of preparation, don’t force it quickly before it’s ready, unless the indicator in hospital facilities is above or close to 90 percent,” he said. According to Dicky, PSBB needs readiness from a cross-sectoral perspective. Then, also the readiness of the community so that all parties have the same understanding and know the active role of each so that the PSBB can run effectively.
The reason is, keep in mind, PSBB has high financial and social consequences. “All gaps in the potential to reduce effectiveness, such as lack of collaboration synergy, must be prevented. This must be done,” he said. The movement of people in Jakarta is also influenced by the surrounding buffer zone. Therefore, according to Dicky, PSBB will be very optimal and effective if it is carried out simultaneously with the buffer zones. “Except during the PSBB and after PSBB, there will be strict screening for people entering Jakarta. If not, it will be difficult and recovery or the impact of PSBB will not last long,” continued Dicky.
Testing strategy as the main
In addition, Dicky emphasized that the main pandemic control strategies, namely testing, tracing and quarantine isolation, must continue to be carried out. Therefore, as an additional strategy, it is necessary to ascertain the readiness and optimization of the main strategy so that the PSBB will function effectively in supporting the main strategy.
Thus, when many people stay at home, tracing or case tracking activities can be carried out more freely without a greater potential for spreading due to human mobilization or movement. “This must be properly utilized during the PSBB, testing strategies are carried out on the intended target, tracing is carried out optimally. Apart from centralized quarantine isolation, this should not be forgotten,” he explained again. Dicky also said that during the PSBB, the positive rate should be targeted to be below 5 percent. “Testing that continues to be carried out is not actually decreasing, vacuuming, or stopping. This must be continuously improved, including isolation and quarantine,” he concluded.