Does the Implementation of Regulation Affect COVID-19 Transmissibility and Mortality? Lessons Learned from Nganjuk Regency
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Background: Coronavirus disease 2019 (COVID-19) as a global pandemic is ineluctable, transmission that originated from a foreign country became the local transmission in Indonesia. As several regional authorities implemented a large-scale social restriction policy to reduce the transmission of COVID-19, the Nganjuk Regency government chose to implement a different strategy with the implementation of Regent Regulation number 28 of 2020 about novel practice in the COVID-19 pandemic situation. Objective: This study aimed to analyze the impact of the implementation of the regulation on COVID-19 transmissibility and mortality at the Nganjuk Regency. Methods: Data were collected from the daily confirmed cases and death of COVID-19 made accessible for the public by the Nganjuk Regency Task Force for COVID-19 and Nganjuk Regency Health Office starting from March 30th to September 20th. Interrupted time series analysis was performed to estimate the impact of the implementation of regent regulation on COVID-19 transmission and mortality parameters. Result: The trend of new confirmed cases and deaths of COVID-19 in the Nganjuk Regency continued to fluctuate before and even after the implementation of regent regulation. It was found that there were reductions in case of fatality rates by -0.002 ± 0.003 (Ï 0.002) on CFR and -0.008 ± 0.008 (Ï 0.007) on eCFR after the regent regulation was implemented but there was no significant reduction on COVID-19 transmissibility parameter. Conclusion: Implementation of regent regulation in Nganjuk Regency significantly affected the reduction of case fatality rate but failed to slow down the COVID-19 transmissibility. Intensive community engagement to comply with the health preventive measures should be considered as an effective preventive strategy to reduce the transmission of COVID-19.
Alzyood, M. et al. (2020) ‘COVID-19 reinforces the importance of handwashing', Journal of Clinical Nursing, 29(15–16), pp. 2760–2761. doi: 10.1111/jocn.15313.
Aziz, A.-M. (2021) ‘Hand hygiene and stopping the spread of COVID-19', Journal of Paramedic Practice, pp. 1–7.
Baud, D. et al. (2020) ‘Real estimates of mortality following COVID-19 infection', The Lancet, 20(July), pp. 776–777. doi: https://doi.org/10.1016/S1473-3099(20)30195-X.
Binny, R. N. et al. (2020) ‘Effect of alert level 4 on Reff : review of international COVID-19', medRxiv, (April), pp. 1–17.
van den Broucke, S. (2021) ‘Why health promotion matters to the COVID-19 pandemic, and vice versa', Health Promotion International, 35(2), pp. 181–186. doi: 10.1093/HEAPRO/DAAA042.
Ganyani, T. et al. (2020) ‘Estimating the generation interval for COVID-19 based on symptom onset data', MedRix Preprint. doi: 10.1101/2020.03.05.20031815.
Guzek, D., Skolmowska, D. and GÅ‚abskaË›, D. (2020) ‘Analysis of gender-dependent personal protective behaviors in a national sample: Polish adolescents' covid-19 experience (place-19) study', International Journal of Environmental Research and Public Health, 17(16), pp. 1–22. doi: 10.3390/ijerph17165770.
Han, E. et al. (2020) ‘Lessons learnt from easing COVID-19 restrictions: an analysis of countries and regions in Asia Pacific and Europe', The Lancet, 396(10261), pp. 1525–1534. doi: 10.1016/S0140-6736(20)32007-9.
Information Services Department, the G. of H. K. and Region., S. A. (2020) Some anti-epidemic measures eased, Some anti-epidemic measures eased.
Kementerian Kesehatan Republik Indonesia (2020) Situasi Terkini Perkembangan Coronavirus Disease, Infeksi Emerging.
Kementerian Kesehatan Republik Indonesia (2021) Situasi Terkini Perkembangan Coronavirus Disease (COVID-19) 04 Maret 2021, Infeksi Emerging.
Kementrian Kesehatan Republik Indonesia (2020) ‘Peraturan Menteri Kesehatan Republik Indonesia Nomor 9 Tahun 2020 Tentang Pedoman Pembatasan Sosial Berskala Besar Dalam Rangka Percepatan Penanganan Corona Virus Disease 2019 (COVID-19)', Kementrian Kesehatan Republik Indonesia. Jakarta, Indonesia: Kementrian Kesehatan Republik Indonesia. doi: 10.4324/9781003060918-2.
Kim, D. D. and Goel, A. (2020) ‘Real Estimates of Mortality Following COVID-19 Infection', The Lancet, 20(July), pp. 773–774. doi: 10.1001/jama.2020.1585.WHO.
Michie, S. et al. (2020) Slowing down the covid-19 outbreak: changing behaviour by understanding it, The BMJ Opinion.
Pachetti, M. et al. (2020) ‘Impact of lockdown on Covid-19 case fatality rate and viral mutations spread in 7 countries in Europe and North America', Journal of Translational Medicine, 18(1), pp. 1–7. doi: 10.1186/s12967-020-02501-x.
Pasley, J. (2020) Here's how Indonesia ” where ‘ghosts' representing trapped souls are scaring people into maintaining lockdown ” went from no cases in early March to having the second highest death rate in Asia, INSIDER.
Pemerintah Daerah Kabupaten Nganjuk (2020) ‘Peraturan Bupati Nomor 28 Tahun 2020 Tentang Pedoman Persiapan Tatatan Kebiasaan Baru Pada Kondisi Pandemi Corona Virus Disease (COVID-19) di Kabupaten Nganjuk'. Indonesia: Pemerintah Daerah Kabupaten Nganjuk.
Ratcliffe, R. (2020) First coronavirus cases confirmed in Indonesia amid fears nation is ill-prepared for outbreak, The Guardian.
Shim, E. et al. (2020) ‘Transmission potential and severity of COVID-19 in South Korea', International Journal of Infectious Diseases, 93, pp. 339–344. doi: 10.1016/j.ijid.2020.03.031.
Sipahutar, T. and Eryando, T. (2020) ‘COVID-19 case fatality rate and detection ability in Indonesia', Kesmas, 15(2), pp. 14–17. doi: 10.21109/KESMAS.V15I2.3936.
Smith, J. A. and Judd, J. (2020) ‘COVID-19: Vulnerability and the power of privilege in a pandemic', Health Promotion Journal of Australia, 31(2), pp. 158–160. doi: 10.1002/hpja.333.
Suraya, I. et al. (2020) ‘The impact of large-scale social restrictions on the incidence of covid-19 : A case study of four provinces in Indonesia', Kesmas, 15(2), pp. 49–53. doi: 10.21109/KESMAS.V15I2.3990.
Taljaard, M. and Hemming, K. (2020) ‘Why proper understanding of confidence intervals and statistical significance is important: Covid-19 randomised trials as a case in point', The Medical Journal of Australia, (July), pp. 1–11.
Thompson, R. N. et al. (2019) ‘Improved inference of time-varying reproduction numbers during infectious disease outbreaks', Epidemics, 29. doi: 10.1016/j.epidem.2019.100356.
Tindale, L. et al. (2020) ‘Transmission interval estimates suggest pre-symptomatic spread of COVID-19', MedRix Preprint. doi: 10.1101/2020.03.03.20029983.
VERTIC (2020) Addendum to Fact Sheet 15 on National Implementation Measures for the International Health Regulations 2005 ( IHR ) COVID-19 as a Public Health Emergency of International Concern ( PHEIC ) under the IHR protect against , control an. London.
World Health Organization (2020a) Covid-19 Situation Report, World Health Organization. Geneva.
World Health Organization (2020b) Estimating mortality from COVID-19: Scientific brief.
World Health Organization (2020c) Recommendation to Member States to improve hand hygiene practices widely to help prevent the transmission of the COVID-19, WHO Interim Report.
World Health Organization Indonesia (2020) Coronavirus disease 2019 (COVID-19) Situation Report-66, WHO Situation Report. Geneva. doi: 10.1056/nejmc2004973.
Yuan, J. et al. (2020) ‘Monitoring transmissibility and mortality of COVID-19 in Europe', International Journal of Infectious Diseases, 95, pp. 311–315. doi: 10.1016/j.ijid.2020.03.050.
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