This article is part of The Jakarta Post’s “Forging the New Norm” special coverage series, on how people are forging their lives anew to adjust to the new realities of COVID-19 in Indonesia.Dentists and dental clinics in Indonesia are attempting to minimize the high risks they face amid the COVID-19 pandemic by embracing telemedicine and tighter health protocols in order to continue treating patients and to keep their businesses afloat.Dental procedures frequently generate formations of droplets and fine water particles in the air that can carry the novel coronavirus that causes COVID-19, which may end up on the clothes of, or be inhaled by, both dental healthcare personnel and patients. Read also: Indonesian dentists walk on tightrope as practices forced to close due to COVID-19The Indonesian Dentists Association (PDGI) has advised the public not to see dentists unless for emergency or serious dental problems, such as oral bleeding or severe dental pain during the COVID-19 pandemic. In April, the PDGI reported that six dentists had died of COVID-19 after treating patients.“Patients can understand their degrees of urgency by consulting the dentists virtually. It has never been more obvious that dental organizations must embrace teledentistry,” PDGI chair Sri Hananto Seno told The Jakarta Post on Thursday.Take pictures Many patients, including Intan Kurnia Marka, have decided to postpone going to the dentist. Intan, herself a 24-year-old dental student in Yogyakarta, has skipped her routine braces checkups during the outbreak. “A loose bracket is a common problem for people with braces but it doesn’t need emergency care. I fear the COVID-19 transmission more,” she said.Hananto said that patients nowadays might want to communicate with dentists online, especially if their dentists have established good relationships with them. Hananto, for example, asks his patients to take several pictures of their mouth and send them through WhatsApp so he can analyze the problem.“This is the closest we can get to solving the dilemma of whether to continue to work and keep earning or to reduce the risk of COVID-19 transmission,” he said, adding that in outbreak epicenter Jakarta, the COVID-19 situation had prompted nearly 70 percent of dentists to stop practicing and lose their source of income.Hananto said the PDGI, which has 272 branches across the country, was also starting to collaborate with telemedicine apps such as Klikdokter and Halodoc so that dentists could register easily.Limited servicesDentistry, however, has yet to settle on an established new normal. Dentists and clinics are still grappling with how best to serve needy patients and the results are either a limited service or a costly one.Artist Yustiansyah Lesmana told the Post that his wife, whose gums had swollen, went to RE Martadinata Dental Naval Hospital in Central Jakarta on May 8 where she was asked to cover the cost of personal protective equipment (PPE) for the medical workers in order to obtain emergency treatment. They did not use the national healthcare system BPJS Kesehatan because that system requires the patient to go see their nearest dentist first before being treated as a dental emergency in the hospital.“My wife was expected to pay Rp 500,000 [US$ 33.50] outside the treatment fees. We declined to see the dentist eventually,” he said. The couple spent hours, calling several dentists and clinics, to find a dentist that could treat Yustiansyah’s wife’s problem. Finally, they went to the University of Indonesia clinic in Salemba, where she left her number and was called and treated remotely by a dentist because the dental clinic was closed to visitors.RE Martadinata Dental Naval Hospital head Col. Agus Gamal Mulya said the policy of patients buying PPE for dentists applied to general patients, to partially cover the cost of PPE given the scarcity of protective gear in the first weeks of the outbreak and subsequent skyrocketing prices.“We needed to procure protective gear but were unable to do it without aid from other parties. A set of PPE cost around Rp 500,000 per staff member. Meanwhile, a patient with an emergency case is treated by two personnel, a doctor and a dental assistant. We decided to charge the patient for the PPE at half the cost if they agreed,” Agus told the Post on Tuesday.He added that the policy did not apply to patients covered by the Health Care and Social Security Agency (BPJS Kesehatan).Atika Nurmalia was also only able to obtain a limited dental service recently. Unable to bear the incessant pain from her swollen gums, the 24-year-old woman from Kudus regency in Central Java, decided to see a dentist, despite her fear of contracting COVID-19.When she visited the clinic, she went through a body temperature check and was told to maintain physical distance. However, she was surprised when she saw the dentist only wore a surgical mask and did not examine her mouth at all.“I was not told to open my mouth, I didn’t even remove my mask. I understand that must be dangerous to do especially as the dentist only wore a mask but what’s the point then of visiting the dentist?” she said. Her experience demonstrated the necessary shift in dental practice as some procedures may be now carried out without visiting a hospital or clinic.Tighter protocolsEndodontist Rio Suryantoro, who owns a clinic in Tebet, South Jakarta, said he had been conducting assessments regarding COVID-19 through WhatsApp as a routine procedure.“If a patient needs emergency care, we must first assess their condition and travel history in the last 14 days before agreeing to an arrangement. Meanwhile, all kinds of nonemergency practices should be postponed,” he told the Post.Rio added that even with such precheck measures, the risks were still high as long as the patients were not tested for COVID-19, especially as some COVID-19 patients could be showing no symptoms.“Now is a good time for dental professionals to learn about and improve infection control. All this time, both dental patients and staff could be exposed to various viruses and bacteria through direct or indirect contact with fluids, but even the standard precautions are often overlooked,” said Rio.The standard precautions in dental practices include hand hygiene, use of PPE such as gloves, masks and eyewear, safe injection practices, sterile instruments and a clean and disinfected environment.In the future, patients may expect to see all dental staff wearing gowns, masks, face shields, gloves and boots. Hananto of the PDGI said this protective gear was an absolute condition for any dentists who wanted to work during this pandemic.Hananto added, however, that not all dental healthcare personnel could afford protective gear. The PDGI has received 5,000 PPE items from the National Disaster Mitigation Agency (BNPB) and distributed them to several regions. This amount is far from enough to cover all 34,000 dentists across the country, according to Hananto.“Without an effective vaccine, the pandemic will last but we can’t stop working forever. The way to work is by wearing full protective gear,” he said.Topics :
The New York Post was first to report that the 60-year-old Davis won’t be on site at Citi Field for the beginning of practices because of concerns about the coronavirus.“The timeline for him to join us is uncertain yet,” new Mets manager Luis Rojas said on a video call Thursday.The Post, citing anonymous sources in its report, said Davis does not have the virus.Rojas said all other coaches and players have reported for intake screening. Assistant hitting coach Tom Slater will substitute on site for Davis, who lives in Arizona during the offseason.“I think we’re going to get the best of Chili whether he’s with us at the start of camp or whether he’s working remotely. I mean, we’re in constant communication. Chili and I practically talk every day and he’s in communication with the coaches,” Rojas said. “So he’s going to be helping us. He’s a great asset, he’s got great knowledge, great experience. He helps the players with hitting, with playing the game. He helps the coaches as well with his view of the game. So he is going to be working remotely and we’re going to feel his presence.” Djokovic was the fourth player to come down with the virus after participating in matches held in Belgrade and Zadar, Croatia. The others were three-time Grand Slam semifinalist Grigor Dimitrov, Borna Coric and Viktor Troicki.___Swiss soccer club St. Gallen says a player tested positive for coronavirus after visiting family in Serbia.The Swiss league leaders say they allowed Boris Babić to make the two-week trip while recovering from a serious knee injury.The 22-year-old forward tested positive upon his return. The club says he does not have symptoms and is in self-quarantine. The Latest: Mets hitting coach off-site when camp opens St. Gallen says Babić has not had contact with his teammates.Attention on Serbia’s rising number of coronavirus cases followed Novak Djokovic and three other tennis players testing positive at a tournament he organized in Serbia and Croatia last month.___More AP sports: https://apnews.com/apf-sports and https://twitter.com/AP_Sports The virtual race is open for those who had already registered for the real one, which was scheduled for April 20 and then put off until Sept. 14 before it was canceled.The Boston Athletic Association says it is encouraging the more than 10,000 volunteers who had signed up to give back to their communities in another way. They can receive their volunteer jacket or donate it to a front-line worker.___The French Open will be held with fans when it starts in September.The French Tennis Federation has written on Twitter that tickets will go on sale to the general public on July 16. The FFT did not give more information as to how many fans will be allowed at Roland Garros for the Sept. 27-Oct. Oct. 11 tournament. The club says more than 26,000 strawberries that would have been used for Wimbledon are being prepared by staff for delivery.Wimbledon says it is a “small gesture of appreciation for the dedicated service of the NHS during what would have been The Championships Fortnight.”Wimbledon was canceled this year for the first time since World War II because of the pandemic. The tournament had been scheduled to start on Monday.The link between Wimbledon and strawberries is muddy but the main theory has to do with timing. Strawberry season in Britain just happens to coincide with the tennis tournament.Cream is optional. The school said all scholarships for athletes in the affected programs, including incoming 2020 signings, will be honored.___Finishers of the virtual Boston Marathon will receive their medals in an Amazon package instead of having a volunteer drape it around their necks on Boylston Street.Race organizers announced plans for the event on Thursday. Runners will have from Sept. 7-14 to complete the 26.2-mile distance and submit proof. There is no time limit, but it must be completed in one continuous run.Also included in the post-race package will be a participation shirt, a program, a bottle opener and other unspecified celebratory items. Share This StoryFacebookTwitteremailPrintLinkedinRedditThe Latest on the effects of the coronavirus outbreak on sports around the world:___New York Mets hitting coach Chili Davis will continue working remotely when the team’s summer camp opens Friday. The clay-court tournament had been scheduled to start on May 24. It then got postponed to Sept. 20 because of the coronavirus pandemic and then pushed back another week.The FFT has prepared a health and safety protocol to ensure the safety of fans.___West Indies cricket coach Phil Simmons has mixed with his squad again in Manchester after passing his latest test for the coronavirus.Simmons returned from his father-in-law’s funeral last week and had been self-isolating in his hotel room at Old Trafford. He had been watching the team’s intrasquad match from his balcony but was allowed to interact with his players after passing a third consecutive virus test.The first test against England starts on Wednesday.___The cancellation of the Wimbledon tennis tournament has led to a “berry” big boon for health care workers in London.The All England Club says it will donate 200 portions of strawberries to workers on the front line of the coronavirus pandemic every day. Associated Press ___Boise State is cutting its baseball and women’s swimming and diving programs as a result of the COVID-19 pandemic.The program cuts, along with additional department and program operating reductions, will reduce the overall athletic budget by nearly $3 million.“This is one of the hardest decisions athletic departments have to make, but it comes at a time when we are facing the most serious financial challenge we have ever seen,” Boise State athletic director Curt Apsey said in a statement Thursday.The cut to baseball comes after the program was recently reinstated. The school announced in 2017 that baseball was being added after it had been discontinued following the 1980 season. The 2020 season was Boise State’s return, but the Broncos played only 14 games before the season was canceled. July 2, 2020 ___Novak Djokovic says he and his wife have now tested negative for the coronavirus.The top-ranked player tested positive for the virus after playing in an exhibition series he organized in Serbia and Croatia with zero social distancing amid the pandemic.His media team says “Novak Djokovic and his wife Jelena are negative for COVID-19. That was shown by the results of the PCR tests that both had in Belgrade.”The statement says both had no symptoms and that they were in self-isolation in the Serbian capital since testing positive 10 days ago.
Its parts of the efforts of the state government to ensure Insurance, once one of Nigeriaâ€™s top sides, return to the elite league, Edo FA boss, Frank Ilaboya, said.â€œThe deputy governor believes with adequate support, Insurance will claw back to the elite division. He describes the Heartland fixture as a must win for the Benin Arsenal.â€œHeartland are table toppers while Insurance are locked in the middle of the table. A win on Wednesday will not only propel the club to title contenders, but also give the players the needed confidence to excel in their remaining matches,â€ Ilaboya, who is also in Owerri with the side, said.In a related development, Shaibu has urged the club, winners of the FROT Group/Edo FA Cup, to â€œfast trackâ€ their journey to the top by winning this year’s Federation Cup and qualify for the continent.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegram The Edo State Deputy Governor Philip Shaibu has mobilised support for Insurance ahead of their Match Day 19 NNL clash with table toppers Heartland FC in Owerri on Wednesday.A second half strike by Oriseweyim ensured the Benin side took all three points in their first fixture at the Samuel Ogbemudia Stadium but Shaibu is not taking chances against the leaders as he arranged buses, which conveyed hundreds of the clubâ€™s fans to Owerri on Tuesday. The delegation is led by a member of the Edo State House of Assembly, Hon. Damian Lawani.“We are here to give all the necessary encouragement to the club, our target is to get promotion and Gov Godwin Obaseki has promised to provide all that is necessary to achieve this,â€ Shaibu stated.Also, seventh-placed Insurance, who are given N1m as win bonus per game, have been promised an enhanced package for the super fixture. Our correspondent learnt that the state government was also set to present new buses to Insurance and Edo Queens.