Dying at home: With hospitals full, Indonesians forgo much-needed Covid-19 treatment


Health workers remove the body of a Covid-19 victim who died while isolating at home in Bandung, on July 28, 2021. - AFP

JAKARTA (The Straits Times/ANN): Despite Indonesia's efforts to curb surging Covid-19 cases and ease the burden of overwhelmed hospitals, many Covid-19 patients are still dying at home, out of sight to all but their families.

A 70-year old woman in Indramayu, West Java, died at home on July 24 while in self-isolation after her 56-year-old daughter died of a high fever following a trip to Jakarta, reported local media.

According to citizen data platform LaporCovid-19, 2,705 Covid-19 patients have died at home over the past two months, with many unable to access much-needed treatment at overwhelmed hospitals.

Standing in front of her house, Yulia (not her real name) could only look at her sick younger brother from a distance after he and his family were turfed out of their company-provided house and had to go in search of an isolation facility.

It was the last time she saw him. The 42-year old man died 12 days later on July 19, shortly after he had finally been admitted to a hospital.

In his texts to her the night before he died, he said the nurses were busy with many patients. "He also complained he did not receive maximum treatment. I tried to motivate him to recover, pray and do what the nurses asked him," Yulia told The Straits Times.

The surge in Covid-19 cases in Indonesia is severely straining the health system, even as authorities try to increase space in hospitals.

The epicentre of the pandemic in Asia, Indonesia reported 47,791 new cases on Wednesday (July 28), bringing the total to 3.29 million. Deaths in the past 24 hours rose by 1,824, with overall fatalities now numbering 88,659.

As fully occupied hospitals reject patients, infected people have gone home to recover without the necessary interventions during the early days of their infections.

Health experts said that the Delta variant, which is driving the exponential spike in caseloads across Indonesia, can cause rapid deterioration in Covid-19 patients' conditions.

Jakarta resident Darussalam, 63, took his wife to a hospital in late June after she had experienced Covid-19 symptoms for a week, starting with a runny nose and cough that progressed to breathing difficulties which her family relieved with a mobile oxygen canister.

"Some of our relatives were infected and mostly isolated themselves," he told ST. "She did the same. We thought she must be positive even before she was tested. But we knew the hospitals were full."

The 44-year old mother of three died on July 4, just a few days after being admitted to a regular ward in Pelni hospital in Jakarta, where there were more than 30 patients on the queue to get into the intensive care unit. A tent had been erected to treat emergency patients.

Dr Nur Chandra Bunawan, an internal medicine physician at Jakarta's Kramat Jati general hospital, acknowledged that most patients rushed into emergency at the hospital since June had shown severe symptoms, such as shortness of breath.

"Many patients likely come too late because they decided to self-isolate. Those testing positive with no symptoms or mild symptoms think it's okay to do so, whereas this should be determined by medical workers," he said. "If medical examinations, such as blood and X-ray tests, show they are safe, they can self-isolate. So, this should not be a patient's decision."

Dr Chandra also noted that combined drugs recommended by doctors would also be crucial to treat patients.

The situation has improved since authorities began imposing a partial lockdown across most affected regions since early July, with five provinces across Java, Indonesia's most populous island, reporting dwindling caseloads, according to the Health Ministry. - The Straits Times/Asia News Network

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