COVID-19 kills elderly, haunts the young in Indonesia

first_imgAs Indonesia continues to report hundreds of new COVID-19 cases daily, the government appears to be preparing for the “new normal” by allowing people aged 44 years and below to work outside their homes despite mobility restrictions to contain the epidemic.COVID-19 task force head Doni Monardo triggered criticism after he said last week that the age group in question had a lower fatality rate at 15 percent and was less vulnerable than the elderly. Even so, State-Owned Enterprises (SOEs) Minister Erick Thohir issued a circular days later, setting out an example of a “new normal” scenario that entails a plan to allow SOE employees under 45 years of age to return to their offices starting on May 25, albeit with several precautions. The above figures do not include hundreds of fatalities among suspected patients reported by local administrations.Soedarsono, the senior pulmonologist and the head of emerging and re-emerging infectious diseases at the COVID-19 referral hospital Dr. Soetomo in Surabaya, East Java, said fatalities were indeed more common among the elderly with comorbidity factors, but there had also been cases of young adults with such factors succumbing to the disease.”Young patients aged between 30 and 40 years have died as well, mostly because of underlying health conditions. Young people without such conditions have a higher chance of recovering. The most common conditions are hypertension, heart disease and diabetes,” he told The Jakarta Post on Saturday.Read also: COVID-19: Govt to allow people under 45 to work outside to prevent more layoffsSome patients with such conditions might develop complications, and treating these complications was often difficult even after they were cleared of the virus, Soedarsono said.The task force’s data collected from 585 patients show that half of them had underlying conditions, such as hypertension (52.9 percent), diabetes (33.8 percent) or heart disease (20.5 percent). Others include pulmonary and respiratory diseases, cancer, asthma, immune disorders, liver disease and tuberculosis.Around 20.9 percent of the patients with hypertension died, while the death rate for those with diabetes is 15.9 percent, for those with heart disease is 10.1 percent and for those with other conditions in question is below 5 percent.Noncommunicable diseases account for the largest burden on Indonesia’s deficit-stricken National Health Insurance (JKN) — being the cause of 66 percent of morbidity and mortality in 2015, up from about 37 percent in 1990, according to a 2016 World Bank report.While the prevalence of the noncommunicable diseases is indeed higher among the elderly than other age groups, as shown by the 2018 Basic Health Survey (Riskesdas), a growing number of younger people are suffering from such diseases. They were at a heightened risk when exposed to the coronavirus, said epidemiologist Dicky Budiman.Read also: ‘Puskesmas’ move up to COVID-19 front lines amid overburdened health systemThe Riskesdas shows that the prevalence of hypertension in the 35-44 age group is 31.6 percent, in the 25-34 age group it is 20.1 percent and in the 18-24 age group it is 13.2 percent. The prevalence of diabetes and heart disease among the 35-44-year olds is 1.1 percent and 1.3 percent, respectively.”The government’s policy to allow people [below] 45 years to work should not apply generally to everyone in that age group. Not everyone in the age group will be safe [if infected],” Dicky said.The stigma surrounding COVID-19, which was “almost worse than with HIV”, coupled with inadequate testing, would likely affect how people sought help, forcing them to only show up at hospitals when it was already too late to treat them, he said.Indonesia has seen 1,148 fatalities in less than three months since it recorded the first two confirmed cases in early March. The tally of confirmed cases rose to 17,514 nationwide on Sunday.Pulmonologist Soedarsono said he believed there were many undetected cases, given the considerably high fatality rate. He cautioned against complacency among young people as even medical professionals still had much to learn about the new virus.He said his teaching hospital was beginning to study possible blood clotting in COVID-19 patients, including in younger people, after studies in several countries found that some patients had developed dangerous blood clots.”With COVID-19 patients, oftentimes there’s incompatibility between patients’ complaints and analyses of lungs, thorax or blood tests. This sometimes makes doctors wonder,” he said.Topics : Data updated daily by the task force show that people aged 60 and above account for 44.2 percent of the deaths as of Sunday, followed by people aged between 46 and 59 years old at 39.8 percent, while those aged 45 and below make up the remaining 16 percent.This is despite data on the distribution of cases showing that the 60-and-above age group only accounts for 16.2 percent of total infections, while the 46-to-59 group accounts for 28.7 percent and those aged 45 and below contribute the majority at 55.1 percent.The task force said no clear age information was available for 9.3 percent of the infected patients.last_img read more

Women’s World Cup 2019: How did USWNT get here?

first_img Women’s World Cup 2019: Who made the USWNT roster for tournament in France? The team powered its way through the 2018 CONCACAF Women’s Championship, and a quick look at the numbers shows just how dominant the U.S. was during qualifying:0 goals conceded throughout the tournament 1 U.S. hat trick during the tournament2 players scored at least one goal in every game they played 3 individual tournament honors were awarded to the U.S: Golden Ball (Julie Ertz), Golden Boot (Alex Morgan) and Fair Play Award3 braces scored by Morgan during the tournament, which came against Mexico, Trinidad and Tobago and Jamaica4 players scored at least one brace during the World Cup qualifying10 players scored throughout the tournament14 total shots were scored against the U.S. through the five-game tournament19 total assists for the USWNT during the tournament, which were registered by nine different players20 players saw action during the tournament, which turned out to be the entire roster26 goals were scored by the U.S. Here’s a detailed look at the Americans’ journey in the CONCACAF Championship, which served as the qualifying tournament for the World Cup.Oct. 4, 2018: 6-0 win over MexicoThe U.S. had previously faced Mexico twice before the CONCACAF Championship. In both games, the USWNT won by a margin of at least three goals (4-1, 6-2). The team doubled its success against its southern neighbors to open the qualifying tournament.The Americans ended up playing all three of their Group A games in Cary, North Carolina. Morgan and Megan Rapinoe led the team in its first 6-0 victory over Mexico. The pair both scored a brace as the USWNT started its CONCACAF shutout streak. Ertz and Tobin Heath also chipped in goals as part of the team’s high pressure attack. Rapinoe opened with a goal in the third minute after sending a Lindsey Horan assist to the back of the net. The team dominated all game with its fast-paced play. In the first half alone, the U.S. outshot Mexico 11-0.The USWNT’s next five goals all came in the second half.Oct. 7, 2018: 5-goal shutout against PanamaPanama entered the contest fresh off a 3-0 win against Trinidad and Tobago, but didn’t have anything to celebrate in its second game as the USWNT breezed to another victory.Carli Lloyd highlighted the Americans’ second win of qualifying with a hat trick. Her three goals helped push the USWNT past Panama, 5-0.What’s more, the team continued to showcase its defensive talent. When the U.S. entered the game, it had not given up a goal in the competition in 694 minutes, spanning six full games. The streak continued to seven full games … and counting. Oct. 10, 2018: 7-0 victory against Trinidad and TobagoThe U.S. marked its most dominant win of the tournament against Trinidad and Tobago. The 7-0 victory featured a brace from Morgan and Rose Lavelle as well as goals from Crystal Dunn, Heath and Horan.      The match was the final game of the group stage for the USWNT.The U.S. once again had control from the the opening kickoff to the final whistle. In the group stage, the Americans ended up outscoring their opponents a whopping 18-0. ​Oct. 14, 2018: 6-0 win vs. Jamaica The USWNT officially qualified for the World Cup after defeating Jamaica in the semifinals of the CONCACAF Championship as the top three finishers automatically earned berths to France. The win came in dominant fashion with a six-goal shutout.The U.S. scored its first goal in the opening minutes with Heath finding the net to set the team up for the win. She added another goal later in the half for only her second career multi-goal game. Rapinoe, Ertz and Morgan also scored to give the U.S. a 5-0 advantage at halftime.The Americans ended up outshooting Jamaica 15-1 in the first half alone.Morgan capped off the strong scoring in the second half on her way to her 100th international goal. With the victory, the U.S. was unbeaten in its last 25 matches (22-0-3) and outscored its opponents 89-17 while scoring in all 25 games. The U.S. is currently favored along with France to win it all, while Germany and England are also among the favorites. The national team faced both France and England in friendlies leading up to the World Cup.  But before the USWNT punched its ticket to the World Cup, it had to qualify. Related News The U.S. women’s national team is just hours away from opening the defense of its FIFA Women’s World Cup title. While the team cruised to its eighth consecutive World Cup since the tournament began in 1991 — winning the inaugural championship and then earning the 1999 and 2015 titles — the U.S. will likely have a tougher time repeating its championship against a talented field, including host country France. The U.S. went on to defeat Canada 2-0 in the CONCACAF Championship final with goals from Lavelle and Morgan.Since then, the U.S. was tested in a friendly against France, where it lost 3-1, and in 2-2 draws against Japan and England in the SheBelieves Cup, but defeated Australia, Belgium, South Africa, New Zealand and Mexico in friendlies in recent months, posting clean sheets in the final four matches before heading to France. The Americans’ first World Cup group stage game will come June 11 against Thailand.last_img read more