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 :
Photo credit: roc-taiwan.orgTAIPEI, Taiwan (CNA) — The British Virgin Islands (BVI) will be the 125th country or region to grant visa-free entry or landing visas to Taiwan passport holders, the Ministry of Foreign Affairs (MOFA) in Taipei said on Wednesday. The details and when the privilege will take effect, however, will be announced after negotiations with the BVI government, the MOFA said in a press statement. The statement noted that the visa-waiver program will follow the one adopted by the British government in March 2009. The BVI is the sixth British overseas territory — after Bermuda, Gibraltar, Turks and Caicos, St Helena, and Falkland Islands — to establish such an agreement with Taiwan, it said. The visa-free entry scheme should boost bilateral ties, increase cultural exchanges and encourage tourism, it added. Although the BVI consists of a small population of 25,000, its tourism and financial service industries have made it one of the most thriving economic areas in the Caribbean, according to the MOFA. By Nancy LiuCaribbean News Now Share Share Share NewsRegional British Virgin Islands to grant Taiwan visa-free entry by: – January 5, 2012 Tweet Sharing is caring! 12 Views no discussions
It’s been another frantic week in the world of esports news. There’s been plenty going on as always – and we’re on hand to bring you the biggest stories before the weekend hits.Amongst the biggest headlines this week include Blizzard’s reveal of Overwatch League expansion plans and the revelation they expect to make a profit on its first year. Additionally, 100 Thieves and Fnatic have both made big appointments – whilst rounding off the weekly news is Team Vitality securing substantial investment as the organisation continues to grow.Here’s your weekly roundup:Blizzard eye second season Overwatch League expansionBlizzard has revealed that it will be looking to expand the Overwatch League later this year with the second season.A representative from Blizzard confirmed the news to PC Gamer, saying: “We expect to begin selling additional expansion teams in the Overwatch League later this year. We have no further details to share at this time”. The quarterly earnings call also revealed that it expects the price of expansion teams to increase on the reported $20 million for initial franchises, and also that it expects the Overwatch League to turn a profit in its first full year of operation. The other notable points from the call are that Blizzard is set to focus on expanding the audience and improving the viewer experience. The current season will finish in June and one would assume a second season will get underway and finish before the end of the year.Currently there’s nine of twelve franchises over in the United States, with only three outside of the US. London Spitfire, Seoul Dynasty and Shanghai Dragons are the sole representatives from outside of North America so one would assume Blizzard will be targeting further global expansion.Read the full article here.100 Thieves welcome John Robinson as COO100 Thieves, the organisation founded and owned by Matt “Nadeshot” Haag, has brought John Robinson on board as its first President and Chief Operating Officer.Robinson will report to Nadeshot and serve on 100 Thieves’ board of directors – predominately focusing on growing monetisation capabilities and partnerships for the organisation.John Robinson and Matthew “Nadeshot” Haag, 100 ThievesFirst announced in a tweet, this is just another new development for 100 Thieves. Initially starting as a lifestyle and clothing brand run by Nadeshot, the organisation entered the Call of Duty scene during Black Ops II before exiting on July 7, 2016, following a last place finish in the second season of the Call of Duty World League.Discussing the new hire, Nadeshot tweeted that he was “thrilled to announce one of the most important pieces we’ve added to 100 Thieves this year. John’s passion for esports paired with his deep business experience makes him the perfect partner for me. We’ll be working side by side to take 100T to new heights.”More recently, 100 Thieves joined the North American League of Legends Championship Series (NA LCS) after receiving an investment from Dan Gilbert, Cleveland Cavaliers, and his venture capital firms. The organisation also joined the Counter-Strike: Global Offensive competitive scene by acquiring the ex-Immortals roster. It then withdrew from the 2018 season on January 31 due to roster and visa complications.Read the full article here.Nick Fry joins Fnatic as Head of Commercial StrategyLondon based Fnatic have made a major appointment this week with the former CEO of the Mercedes AMG Formula One team, Nick Fry, joining the esports org asHead of Commercial Strategy.Acting as an advisor both commercially and strategically, Fry and his firm Stonehaven Partners will look to continue to grow the esports brand.Announced on February 5, Fnatic will use Fry’s knowledge and experience in performance management and media rights to boost its footprint in the esports industry, as well as improving its potential for partnerships with other brands.Fry began his long-forged career in the automotive industry with Ford Motor Companyover 40 years ago in 1977, initially working in Product Development. 25 years later he became the Managing Director of BAR F1. More recently, he was a main player in Formula One, acting as CEO of Mercedes’ team before leaving in 2013.Read the full article here.Team Vitality secure €2.5 million investmentThe co-founders of Team Vitality, Fabien Devide and Nicolas Maurer, have today announced that they have secured a major investment to the tune of €2.5 million (£2.21m). This has come from investment groups Korelya Capital, Kima Ventures and H26. H26 is an investment company owned by Olivier Decourt, the President of Ligue 1 side Dijon FCO. Team Vitality have stated that they will use the funds to ‘recruit the best players, participate in major professional video game competitions and leagues around the world, and create an academy dedicated to League of Legends’. This academy aspect is perhaps the most interesting, and it’s something more teams are looking to as they aim to train and nurture the next generation of pros. Nicolas Maurer, CEO of Team Vitality said of the news: “Vitality’s ambition is to become an undisputed European leader whose teams participate in all the major professional e-sports leagues. The fundraising, along with our partners, will let us accelerate our growth and consolidate our position among the biggest e-sports brands in Europe.”Team Vitality is one of the top organisations hailing from France, and recently announced that they would be one of four currently announced new teams to join the new season of Gfinity’s Elite Series in London. This investment is notable too as whilst an increasing number of esports orgs over in the States have found major investors, this is a rarer occurrence here in Europe. Vitality field players and teams across a dozen games including League of Legends, FIFA, and PUBG. Read the full article here.