REKOR 10 JUTA KASUS DI SELURUH DUNIA

Pandemi virus corona: Rekor 10 juta kasus di seluruh dunia, di mana virus corona meningkat pesat dan menurun?

Dengan kasus virus corona di dunia yang telah mencapai 10 juta orang, pimpinan Badan Kesehatan Dunia (WHO) memperingatkan akan fase baru yang berbahaya dalam krisis ini.

Ketika banyak negara di Eropa Barat dan Asia berada dalam situasi penanganan virus yang dapat dikatakan di bawah kendali, kawasan lain di dunia sekarang justru mengalami penyebaran penyakit pada tingkat yang semakin cepat.

Butuh tiga bulan untuk satu juta orang pertama terinfeksi, tetapi hanya delapan hari untuk mencatat jutaan orang lain terinfeksi.

Dan karena angka-angka ini hanya mencerminkan siapa yang dites positif, data tersebut cenderung menjadi “puncak gunung es”, menurut seorang pejabat senior Amerika Latin.

Di mana kasus Covid-19 meningkat cepat?

Grafik bergerak sepenuhnya ke arah yang salah di beberapa bagian Amerika, Asia Selatan dan Afrika.

AS, yang sudah mencatat paling banyak infeksi dan sebagian besar kematian akibat Covid-19 dibandingkan negara lain di dunia, mengalami peningkatan yang lebih mengejutkan.

Jumlah tes positif yang dicatat dalam beberapa hari terakhir telah mencapai rekor harian total 40.000, dan data itu masih naik, didorong oleh ledakan klaster di Arizona, Texas dan Florida.

Ini bukan “gelombang kedua” infeksi. Sebaliknya, ini adalah kebangkitan penyakit dan kebanyakan terjadi di negara-negara yang memutuskan untuk meloggarkan lockdown, keputusan yang bisa dibilang terlalu dini.

Brasil, negara kedua setelah AS yang menembus 1 juta kasus, juga mengalami kenaikan berbahaya.

Kota-kota terbesarnya, São Paulo dan Rio de Janeiro, adalah yang paling terpukul, tetapi banyak daerah lain di negara ini yang melakukan sedikit pengujian, dan jumlah kasus yang sebenarnya akan jauh lebih tinggi.

Hal serupa terjadi di India. Baru-baru ini India mencatat jumlah terbesar kasus baru dalam satu hari – 15.000.

Tetapi karena ada pengujian yang relatif sedikit di beberapa negara bagian yang paling padat penduduknya, skala sebenarnya dari krisis tersebut-tidak dapat dihindari-lebih besar.

Mengapa ini terjadi? Komunitas yang kekurangan dan kondisi padat penduduk di negara-negara berkembang menjadikan mereka rentan.

Virus corona telah menjadi “penyakit orang miskin”, menurut David Nabarro, utusan khusus WHO untuk Covid-19.

Ketika seluruh keluarga dijejalkan ke rumah satu kamar, penjarakan sosial tidak mungkin dilakukan, dan tanpa air mengalir, mencuci tangan secara teratur tidaklah mudah.

Di mana orang harus mencari nafkah sehari-hari untuk bertahan hidup, interaksi di jalan-jalan dan di pasar tidak bisa dihindari.

Untuk kelompok masyarakat adat di hutan hujan Amazon dan daerah terpencil lainnya, layanan kesehatan bisa terbatas atau bahkan tidak ada.

Dan tingkat infeksi sering kali sangat tinggi: dari semua orang yang dites di Meksiko, lebih dari setengahnya ternyata positif.

Proporsi yang jauh lebih tinggi daripada yang ditemukan di episentrum seperti New York atau Italia utara bahkan pada saat-saat terburuknya.

Kekurangan alat pelindung diri (APD) untuk staf medis garis depan jauh lebih parah di mana anggarannya kecil.

Di Ekuador, di mana pada satu tahap jenazah dibuang di jalan-jalan karena pihak berwenang tidak bisa mengatasinya, sebuah laboratorium utama kehabisan bahan kimia yang diperlukan untuk menguji virus corona.

Dan di mana ekonomi sudah lemah, memaksakan lockdown untuk mengekang virus berpotensi membawa risiko yang jauh lebih besar daripada di negara maju.

Dr Nabarro mengatakan masih ada peluang untuk memperlambat penyebaran infeksi tetapi hanya dengan dukungan internasional yang kuat.

“Saya tidak suka memberikan pesan yang menyedihkan,” katanya, “tetapi saya khawatir tentang persediaan dan keuangan sampai bagi mereka yang membutuhkannya.”

Sudut pandang politik

Namun hal tersebut bukan satu-satunya hal yang mendorong peningkatan kasus virus corona. Banyak politisi telah memilih alasan mereka sendiri untuk tidak mengikuti saran dari ahli kesehatan.

Presiden Tanzania mengambil langkah berani dengan menyatakan bahwa negaranya sebagian besar telah mengalahkan virus tersebut.

Sejak awal Mei ia telah memblokir rilis data yang tepat tentang itu, meskipun tanda-tanda bahwa ancaman Covid-19 masih sangat besar.

Di AS, Presiden Trump telah mengecilkan Covid-19 atau menyalahkan China dan WHO untuk itu, serta mendesak pembukaan kembali cepat ekonomi Amerika.

Dia memuji gubernur Partai Republik Texas, Greg Abbott, karena termasuk orang pertama yang memutuskan negaranya keluar dari lockdown, suatu langkah yang sekarang berbalik ketika kasus-kasus meningkat.

Bahkan pemakaian masker di tempat publik, yang telah menjadi rekomendasi resmi pemerintah AS sejak awal April, menjadi simbol perpecahan politik.

Abbott telah menolak untuk mengizinkan walikota Texas untuk mendesak mereka sehingga, seperti yang ia katakan, “kebebasan individu tidak dilanggar”.

Sebaliknya gubernur California, yang berasal dari partai Demokrat, mengatakan “sains menunjukkan bahwa masker berperan”. Sementara itu, Trump menolak untuk mengenakannya.

Presiden Brasil Jair Bolsonaro, telah terjebak dalam argumen yang sama. Setelah menganggap Covid-19 sebagai “flu ringan”, dia berulang kali mencoba untuk menghentikan pejabat melakukan apa pun yang dapat mengganggu perekonomian.

Dan setelah secara teratur tampil di depan umum tanpa masker, dia sekarang diperintahkan oleh pengadilan untuk mengenakannya.

Sikap seperti inilah yang mendorong kepala WHO, Tedros Adhanom Ghebreyesus, untuk memperingatkan bahwa ancaman terbesar bukanlah virus itu sendiri melainkan “kurangnya solidaritas global dan kepemimpinan global”.

Di mana kasus Covid-19 terkendali?

Sebagai pulau terpencil di Pasifik, Selandia Baru dapat mengisolasi diri dengan mudah, dan pemerintahan Jacinda Ardern telah dipuji secara luas atas tanggapan agresif yang baru-baru ini mengarah ke periode 24 hari tanpa ada kasus baru.

Situasi itu berakhir ketika warga mulai kembali dari luar negeri, beberapa dari mereka terinfeksi, dan tindakan lebih lanjut diperlukan untuk memantau orang-orang pada saat kedatangan.

Tetapi alih-alih hal ini menjadi pukulan terhadap harapan Selandia Baru untuk bebas Covid-19, banyak ahli melihatnya sebagai bukti sistem pengawasan yang pada umumnya bekerja secara efektif.

Demikian pula, Korea Selatan dipuji karena menggunakan teknologi dan pelacakan kontak untuk menurunkan infeksi ke jumlah yang sangat rendah dan mengalami tiga hari berturut-turut tanpa kasus baru.

Pejabatnya sekarang mengatakan mereka melihat gelombang kedua, dengan klaster-klaster yang berpusat di klab malam di ibukota Seoul, meskipun jumlahnya relatif kecil.

Walikota Seoul telah memperingatkan bahwa jika kasus di atas 30 selama tiga hari, langkah-langkah penjarakan sosial akan diberlakukan kembali.

Sebaliknya, Inggris memiliki sekitar 1.000 kasus baru per hari, juga Indonesia memiliki rata-rata lebih dari 1.000 kasus per hari.

Yang paling membanggakan adalah Vietnam, yang mengklaim tidak memiliki kematian sama sekali dari Covid-19. Penguncian cepat dan kontrol perbatasan ketat digabungkan untuk menjaga agar jumlah infeksi tetap rendah.

Apa berikutnya? Yang tidak diketahui adalah apa yang terjadi di sebagian besar negara-negara Afrika, yang dalam banyak kasus belum melihat skala penyakit dibandingkan yang dikhawatirkan.

Sebuah pandangan menyatakan kurangnya infrastruktur untuk pengujian massal mengaburkan penyebaran virus yang sebenarnya. Yang lain adalah bahwa dengan populasi yang relatif muda, jumlah yang tertular cenderung lebih rendah.

Perspektif ketiga adalah bahwa komunitas dengan koneksi yang lebih sedikit ke dunia luar akan menjadi yang terakhir disentuh oleh pandemi.

Di negara-negara yang paling berhasil mengendalikan virus, tantangannya tetap waspada ketika mencoba kemungkinan sejumlah normalitas berjalan kembali.

Tetapi kenyataan bagi banyak kawasan lain adalah ramalan suram Dr Nabarro tentang “peningkatan terus jumlah orang dengan Covid-19 dan penderitaan yang terkait”.

Itulah sebabnya ia dan banyak negara lain berharap bahwa negara-negara berkembang akan mendapatkan bantuan yang mereka butuhkan, sebelum krisis semakin parah.
sumber: bbc

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