A Silent Epidemic? Experts Fear the Coronavirus Is Spreading Undetected in Southeast Asia

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Statistically, there should be many more cases across the region, researchers say

As coronavirus cases continue to soar globally, in at least one region a steady façade of optimism persists. Southeast Asia’s foreign ministers have joined hands with China and declared their intention to “stay strong!”

Strangely absent from the list are Myanmar and Laos, which border China, as well as Brunei, East Timor, and Indonesia—of which the latter had daily, direct flights to the virus epicenter, Wuhan. Every other country in the region, all beneficiaries of Chinese aid, investment and tourism, has reported cases.

Story continuesIn Cambodia, which has increasingly gravitated into China’s orbit, Prime Minister Hun Sen insists he won’t cut air travel, beyond suspending the six weekly flights from Wuhan. He also refuses to evacuate citizens stranded in Wuhan, as other countries have done. While Beijing chided the U.S. for banning Chinese travelers, saying it “set a bad example,” Hun Sen earned plaudits when he flew to China earlier this month.

“There are definitely cases. We just haven’t found them yet,” says Dr. Shela Putri Sundawa, an Indonesian physician who hosts health podcast “Relatif Perspektif.”Doctors in Indonesia are not testing all respiratory infections for coronavirus, relying instead on weeding out suspected patients by their links to known cases or their travel history, she says.

‘So what can we investigate?’In Indonesia, despite mounting evidence to the contrary, security minister Mohammad Mahfud MD has told reporters “the coronavirus does not exist” in the country. Two tourists who traveled through Indonesia before later testing positive have prompted alarm. A Chinese visitor who traveled to Bali from Wuhan was reportedly confirmed to have the virus on Feb. 4, after he left, while a man from Tokyo was hospitalized with the infection soon after returning to Japan on Feb. 19.

Relying on self-reporting once cases are introduced to the country creates further problems if patients and medical workers don’t know what to look for. An Indonesian woman with viral pneumonia was reportedly discharged because she had not been to China, while a nurse who cared for her had “no idea” the case could have been a coronavirus suspect.

In a country with limited political freedoms and a kneejerk reaction to negative press, the government has kept a tight lid on coronavirus. Even government spokespeople said they did not have permission to comment on what preparations were being taken for an outbreak.

 

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