Jakarta – Pemerintah provinsi DKI Jakarta berlakukan kembali PSBB Transisi sampe 14 hari ke depan.
Hal ini berdasarkan hasil pemantauan dan evaluasi Gugus Tugas Percepatan Penanganan Covid-19 Provinsi DKI Jakarta, ada pelambatan kenaikan kasus positif dan kasus aktif meski masih terjadi peningkatan penularan.
Pemprov DKI Jakarta memutuskan mengurangi kebijakan rem darurat secara bertahap dan memasuki Pembatasan Sosial Berskala Besar (PSBB) Masa Transisi dengan ketentuan baru, mulai tanggal 12 sampai 25 Oktober 2020.
Gubernur Provinsi DKI Jakarta Anies Baswedan mengatakan, keputusan ini didasarkan pada beberapa indikator, yaitu laporan kasus harian, kasus kematian harian, tren kasus aktif, dan tingkat keterisian rumah sakit rujukan Covid-19.
“Yang terjadi selama satu bulan ini adalah kebijakan emergency brake (rem darurat) karena sempat terjadi peningkatan kasus secara tidak terkendali yang tidak diharapkan. Setelah stabil, kita mulai mengurangi rem tersebut secara perlahan, secara bertahap. Kami perlu tegaskan bahwa kedisiplinan harus tetap tinggi sehingga mata rantai penularan tetap terkendali dan kita tidak harus melakukan emergency brake kembali,” kata Anies.
Menurut Anies, grafis penambahan kasus positif dan kasus aktif harian mendatar (stabil) sejak dilakukan PSBB ketat, yaitu 13 September 2020. Kemudian, terdapat tanda awal penurunan kasus positif harian dalam 7 hari terakhir. Pelandaian pertambahan kasus harian sejak pengetatan PSBB tampak pada grafik kasus onset dan juga pada nilai Rt atau reproduksi virusnya. Grafik onset merupakan grafik kasus positif yang didasarkan pada awal timbulnya gejala, bukan pada keluarnya laporan hasil laboratorium.
Berdasarkan data yang disusun FKM UI, nilai Rt Jakarta adalah 1,14 pada awal September dan saat ini berkurang menjadi 1,07. Artinya, saat ini 100 orang berpotensi menularkan virus kepada 107 orang lainnya. Penurunan angka Rt ini harus terus diupayakan oleh Pemerintah, pihak Swasta dan masyarakat bersama-sama agar mata rantai penularan wabah terputus dengan tetap disiplin menerapkan protokol kesehatan di PSBB Masa Transisi.
Anies menjelaskan, pada periode 26 September sampai 9 Oktober 2020, kembali terjadi penurunan dari kondisi 14 hari sebelumnya, di mana jumlah kasus positif meningkat 22% atau sebanyak 15.437 kasus, dibanding sebelumnya meningkat 31 % atau sebanyak 16.606 kasus. Sedangkan, kasus aktif meningkat hanya 3,81% atau sebanyak 492 kasus, dibanding sebelumnya meningkat 9,08% atau 1.074 kasus. Sejak akhir September hingga awal Oktober jumlah kasus aktif harian mulai konsisten mendatar, menunjukkan adanya perlambatan penularan.
Sementara itu, untuk jumlah kasus meninggal 7 hari terakhir sebanyak 187 orang, sedangkan minggu sebelumnya sebanyak 295 orang.
“Hasil pengamatan 2 minggu terakhir terjadinya penurunan kejadian kematian pada kasus terkonfirmasi positif Covid-19. Penurunan ini terlihat sejak 24 September 2020 sampai dengan saat ini. Tingkat kematian atau CFR Jakarta juga terus menurun hingga ke angka 2,2% saat ini. Laju kematian juga menurun, prediksi tanpa PSBB ketat, kematian harian kasus positif di Jakarta saat ini mencapai 28 per hari, saat ini lajunya 18 per hari. Walaupun demikian, kematian harus dilihat dari angka absolut dan ditekan serendah mungkin hingga angka 0,” jelasnya.
Pergerakan penduduk semenjak PSBB ketat terlihat menurun signifikan pada tempat rekreasi, taman, dan perumahan. Sedangkan pada pasar, kantor dan pabrik, serta transportasi publik sempat menurun, namun kembali naik pada 1 minggu terakhir. Selain itu, terjadi penurunan proporsi penemuan kasus pada klaster perkantoran selama 1 minggu terakhir. Akan tetapi, terjadi peningkatan penemuan kasus pada klaster keluarga/pemukiman. Kepatuhan protokol kesehatan di lingkungan rumah dan penguatan RT/RW/kader diperlukan.
Sementara itu, untuk fasilitas kesehatan jumlahnya juga terus ditingkatkan, dari 67 RS rujukan saat ini menjadi 98 RS rujukan, dilengkapi sebanyak 5.719 tempat tidur isolasi dan 766 tempat tidur ICU. Keterpakaian tempat tidur isolasi Covid-19 pada tanggal 10 Oktober sebesar 66% dan tempat tidur ICU COVID-19 sebesar 67%. Penurunan keterpakaian tempat tidur tersebut dapat dilihat pada perbandingan dengan pekan sebelumnya sebagai berikut:
Tanggal | Rawat Inap | ICU
13 Sep | 3.190 (75%) | 493 (83%)
20 Sep | 3.741 (83%) | 519 (79%)
27 Sep | 3.762 (78%) | 522 (72%)
04 Okt | 4.076 (72%) | 553 (72%)
Pemprov DKI Jakarta akan terus meningkatan 3 T sebagai antisipasi potensi pelonjakan. Untuk diketahui, jumlah orang dites di Jakarta terus meningkat seiring dengan bertambahnya kapasitas testing. Pada periode 3 – 9 Oktober, jumlah orang yang dites PCR mencapai 63.474, setara dengan testing rate 6 per-1.000 penduduk dalam satu minggu (6 kali lipat melebihi rate minimum yang ditetapkan WHO).
Selain itu, Gubernur Anies juga menyampaikan, berdasarkan indikator yang ditetapkan oleh Satuan Tugas Penanganan COVID-19 Tingkat Pusat, saat ini Jakarta juga sudah berada pada tingkat risiko sedang (skor: 2,095) dibandingkan pada tanggal 13 September berada pada tingkat risiko tinggi (skor: 1,4725). Penilaian dari FKM UI dengan indikator Epidemiologi, Kesehatan Publik, Fasilitas Kesehatan juga menunjukan perbaikan pada 4 Oktober dengan skor 67 dibandingkan pada 13 September dengan skor 58.
Pemprov DKI Jakarta telah berkoordinasi dengan Pemerintah Pusat untuk memutuskan menerapkan kembali PSBB Masa Transisi, dengan sejumlah ketentuan baru yang harus dipatuhi oleh semua pihak. Seperti disebutkan di awal bahwa sejumlah sektor telah diizinkan beroperasi kembali (rincian sektor akan diumumkan lebih lanjut). Kebijakan baru yang diterapkan dalam PSBB Masa Transisi saat ini adalah pendataan pengunjung dan karyawan dalam sektor yang dibuka, dapat menggunakan buku tamu (manual) ataupun aplikasi teknologi yang telah berkolaborasi dengan pemerintah untuk memudahkan analisis epidemiologi khususnya contact tracing (pelacakan kontak erat) terhadap kasus positif. Adapun informasi yang harus tersedia, yaitu nama, nomor telepon, dan NIK.
Dengan demikian, Pemprov DKI Jakarta akan melaksanakan kegiatan tracing secara massif selama PSBB Masa Transisi. Di sisi lain, kegiatan testing maupun upaya isolasi dan treatment di RS akan terus ditingkatkan kapasitasnya.
Gubernur Anies menyebut, setiap penanggung jawab kegiatan harus memberlakukan protokol pencegahan COVID-19. Bila ditemukan klaster (bekerja bersama, berinteraksi dekat) di sebuah tempat kerja, maka wajib melakukan penutupan tempat kerja selama 3 x 24 jam untuk desinfeksi. Setiap bisnis wajib menyiapkan ‘COVID-19 Safety Plan’. Adapun protokol khusus setiap sektor diatur oleh ketentuan Kepala Dinas yang terkait.
“Semua warga ikut bertanggung jawab terhadap pencegahan penularan COVID-19. Jika satu tempat tidak disiplin, maka satu kota yang harus merasakan akibatnya. Maka, kita harus benar-benar disiplin menerapkan protokol kesehatan 3M, dan pemerintah akan terus meningkatkan 3T,” pungkas Gubernur Anies.
Penjelasan mengenai data dan situasi wabah di Jakarta dapat dilihat pada lampiran 1. Adapun perincian protokol khusus pada sejumlah sektor yang dapat beroperasi kembali pada PSBB Masa Transisi dapat dilihat pada lampiran.
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