Dengue Health Alert - INDONESIA

The Situation:

Indonesia is reporting an unusual pattern of dengue fever as the Health Ministry recently brought attention to at least 68,000 cases reported from 1 January to 22 June with continued reports of 100-500 daily new cases. Dengue fever usually sees the peak of its outbreak in Indonesia in March/April and declines in the following months.

  • 346 deaths linked to dengue fever have been reported so far in 2020

  • 460 jurisdictions in the country's 34 provinces are reporting cases of dengue fever and 439 of those have also reported cases of Covid-19

  • Over 400 cities have reported cases of double infections – patients with both dengue and Covid-19

  • The health ministry is also reporting that provinces with the highest number of dengue fever cases are also reporting the most number of Covid-19 cases, including West Java, Bali, East Nusa Tenggara, East Java, Lampung, West Nusa Tenggara, Jakarta, Central Java, Yogyakarta, Riau and South Sulawesi. 


Symptoms of Dengue:

  • Sudden onset of fever for 2-7 days

  • Severe headache with pain behind the eyes

  • Joint and muscle pain

  • Skin rashes

  • Nausea and vomiting

  • Mild bleeding (e.g. nose or gum bleed, or easy bruising of the Symptoms usually appear 4-7 days after being bitten (ranges from 3-14 days).

Warning Signs of Severe Dengue:

Warning signs generally begin 24-48 hours after the fever subsides. If you develop any of the following symptoms, immediately go to a local clinic or emergency room:

  • Stomach or belly pain, tenderness

  • Vomiting (at least 3 times in 24 hours)

  • Bleeding from the nose or gums

  • Vomiting blood, or blood in the stool

  • Feeling tired, restless, or irritable

Mitigating Measures to Apply:

  • Wear long sleeves and pants, preferably permethrin-treated clothing 

  • Use mosquito repellant, preferably with at least one of the following EPA-approved active ingredients:

  • DEET

  • Picaridin (known as KBR 3023 and icaridin outside the US)

  • IR3535

  • Oil of lemon eucalyptus (OLE)

  • Para-menthane-diol (PMD)

  • 2-undecanone

  • Avoid spending time outdoors when mosquitoes are most active, such as at dawn and dusk

  • Avoid accommodations near standing or stagnant water

  • Stay in air-conditioned rooms

  • Make sure windows are screened properly

  • Use insecticide-treated bed nets

  • Speak with your healthcare provider for additional information regarding Dengue prevention

  • Seek medical attention if fever or any other symptoms appear after travel to an area with a known risk for dengue transmission

Affected Travelers:

Individuals visiting the country for the foreseeable future until infection rates decline to manageable levels.


DISCLAIMER and Hold Harmless

Disclaimer: LSDS™ gathers information from multiple sources and offers insight and perspective to travelers. Sources cannot be validated for accuracy in every instance. Travelers assume all risk associated with their travel and are responsible for the decisions associated with travel and for their own safety. Users of this reference document agree, to hold harmless LSDS™ (LLC) its employees and clients associated with any risk or injury incurred during travel.



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