https://asiatimes.com/2020/04/balis-mysterious-immunity-to-covid-19/

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*INDONESIA* <https://asiatimes.com/southeast-asia/indonesia/>

*Bali’s mysterious immunity to Covid-19*

Indonesian tourist island has relatively few cases while the disease rips
through other areas of archipelagic nation

*By **JOHN MCBETH <https://asiatimes.com/author/john-mcbeth/> *APRIL 16,
2020

A mask-clad Balinese woman during the Galungan holiday at Jagatnata temple
in Denpasar, Indonesia's resort island of Bali. Photo: AFP/Sonny Tumbelaka

Nearly three months into the Covid-19 pandemic and there is little to
suggest that the Indonesian resort island of Bali is in the grip of a
pending public health disaster with only 86 cases and two deaths.

That’s despite the fact the wider archipelagic nation is now widely seen as
Southeast Asia’s slow-ticking coronavirus time bomb with the region’s
highest number of cases at 4,839 as of April 14. Infections to date have
been heavily concentrated on populous Java island.

“I find it puzzling too because it doesn’t make sense,” says Rio Helmi, a
long-time Balinese resident who writes a regular blog on life around the
mountain town of Ubud about the low number of cases on Bali. “We don’t have
the data, but there’s been no sign of a spike in deaths.”

Nor are there stories of hospitals overflowing, a sharp increase in
cremations or any other anecdotal evidence that the coronavirus is running
rampant on the Hindu-majority island’s 4.2 million population, among them
thousands of foreign residents.



For example, the coastal village of Pererenan, a popular surfing location
at the northern end of the Balinese tourist strip, has yet to have a
Covid-19 case, according to local Balinese residents.  Other nearby
villages also appear to be free of the virus.

“We’re just not hearing about a huge death toll out there,” says Jack
Daniels, a long-established tour operator and editor of the weekly on-line
newsletter Balidiscovery.

He notes that both of the island’s Covid-19 deaths so far have been
foreigners, including a British woman with underlying health issues.

Goverment officers spray the desinfectan liquid to road users to prevent
the spread of the Covid-19 coronavirus in Bali, Indonesia, on March 23,
2020. Photo: AFP via NurPhoto/Agoes Rudianto

The Bali capital of Denpasar has four crematoriums which don’t appear to be
any more active than usual, even if Balinese do sometimes temporarily bury
their dead to wait for an auspicious day to perform traditional funeral
rites.



Private hospitals only now appear to be acquiring test kits, but the doctor
at one Bali institution says it has referred only two or three suspected
cases to the island’s state-run hospitals in the past fortnight without
getting any feedback, supposedly because of patient confidentiality.

In fact, state hospitals are refusing to make public figures that may be at
variance with Health Ministry data, which also lists only 38 cases and two
deaths on the neighboring Nusa Tenggara island chain, including Lombok,
Sumbawa, Flores and West Timor with a combined 9.8 million population.

With Jakarta and the surrounding provinces of West Java and Banten
declaring a range of new social restrictions, President Joko Widodo finally
announced a state of national emergency on April 13 and urged officials to
be more transparent in sharing information.

But it isn’t clear what the new emergency status means on the ground, apart
from setting clearer lines of authority. The president has again felt
compelled to urge his much-criticized health minister, Terawan Agus
Putranto, to raise Covid-19 swab tests to 10,000 a day.



That would be almost the same number the government has conducted in all of
the past two months, equivalent to 41 per million people. There have been
more rapid-tests, but they are far less reliable and are not included in
the government’s tally.

A woman wearing a face mask stands on a street in Jakarta on March 2, 2020.
Photo: AFP/Adek Berry

The weak social distancing policy so far has seen passengers crammed
together on Jakarta’s bus and train services, and city dwellers are
uncertain about what travel restrictions, if any, will be imposed on the
usual exodus from the capital Jakarta for the post-Ramadan holidays next
month.

Worried about social unrest, Widodo is struggling to strike a balance
between confronting an ever-growing caseload of 300-400 new infections a
day, and trying to keep the economy ticking over so workers in the informal
sector can at least retain an income.

He is also irritated at the slow dispersal of funds to an estimated 2.8
million newly-unemployed in the real economy as part of an initial $6.6
billion social safety net package announced last week.

Health workers in Bali have had to deal with the added threat of a recent
outbreak of dengue fever, a sometimes fatal disease which has similar
flu-like symptoms as Covid-19. Late rains have been responsible for about
2,000 dengue cases in the Ubud area and an unusually high number in
southern Bali.

There has also been a serious outbreak of dengue fever further afield, in
East Tenggara province, which only reported its first case of Covid-19 last
weekend.

What makes the Bali situation so perplexing is that the number of
Chinese tourist arrivals to Bali actually increased by 3% in January, the
same month of the Wuhan lockdown. In fact, they were still arriving up
until February 5 when authorities finally moved to ban anyone who had been
in China in the previous 14 days.

While all foreign tourism was finally stopped on March 31, significant
numbers of the estimated 20,000 Balinese employed in the international
cruise ship industry, often described as a petri dish for the virus, have
filtered back to the island without going into quarantin

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