DKI Provincial Government Issues Circular On Handling Monkeypox In Jakarta

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JAKARTA - The DKI Jakarta Provincial Government and the Ministry of Health have carried out detections to prevent cases of monkeypox or monkeypox in Indonesia, especially Jakarta. One of them is by issuing circulars (SE) to deal with and vigilance. "The Indonesian Ministry of Health and the DKI Provincial Government (via the Health Office) carry out direct (detection), prevent (prevention), response (response) to prevent outbreaks (cases of monkeypox are widespread," said the Head of the DKI Health Service's Surveillance, Epidemiology and Immunization Section (Dinkes). Jakarta Ngabila Salama, Sunday, October 22. First, early detection efforts to be treated. The government has issued Circular Letter (SE) Number HK.02.02/C/4408/2023 concerning Increased Alertness Against Monkeypox in Indonesia. The discovery of active cases is not only on close contact with cases, but also suspected symptomatic suspects who come to health facilities are immediately examined by PCR if they meet the suspect or suspect criteria. If the results show positive, a further "whole" examination will immediately be carried out "Genome sequencing" (WGS) on the instructions of the Ministry of Health. The "case fatality rate" (CFR) death rate is around 1 percent. "Of the 100 positive cases, one can die, the majority due to secondary infection and low immunity conditions in risky groups such as LSL (male like men), pregnant women, breastfeeding mothers, children and the elderly," said Ngabila. Then preventive efforts such as vaccination began to be carried out for 500 people at risk in Jakarta over the next week. Each person is given two people dose, after four weeks, because currently the stock of monkeypox vaccine in Indonesia has 1,000 doses for 500 people. Second, massive socialization and education to prevent illness in three ways. Namely a clean and healthy lifestyle (PHBS), wearing a mask, washing hands with running water and soap, avoiding skin contact and wounds, having safe, healthy and clean sex. Avoid sexual intercourse if you are sick or symptomatic. In addition, every close contact is also monitored by the symptoms every day by The District Health Center, if symptoms are carried out by laboratory examinations. As for the massive anticipation to break the chain of transmission, every positive case is immediately isolated in the hospital even though the case is mild. The travel history of the monkeypox case includes one case in August 2022. The patient was declared cured and one case was on October 13, 2023 (patients are still undergoing isolation in the hospital).

One case on October 19, 2023 (patients are still undergoing isolation at the hospital), four cases on October 21, 2023 are still in the referral process undergoing isolation at the hospital.