What is COVID-19?

On February 11, 2020, World Health Organization (WHO) announced the official name for the disease caused by a new type of Corona Virus that caused an outbreak in Wuhan, Hubei Province, China at the end of 2019. The official name of the disease is COVID-19 which is an acronym for ‘CO’ namely ‘ corona ‘,’ VI ‘for’ virus’, and ‘D’ for ‘disease’. The virus that causes it is called SARS-CoV2 (previously known as 2019-nCOV).

Coronavirus belongs to a group of viruses that generally infect the respiratory tract of the nose, sinuses, or upper throat. This group of viruses has been around for a long time and most of them are harmless but a small number of types can cause infections that create the risk of death, such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS).

How is COVID-19 Transmitted?

The SARS-CoV2 virus can be transmitted from COVID-19 patients to healthy people through:

1. inhalation of saliva or droplets from the patient when coughing or sneezing.
2. close contact with an infected person (touching, shaking hands, or speaking at close range without wearing a mask).
3. contact with objects contaminated with the virus and touching the nose, eyes, or mouth without washing hands with soap first.

Who Can be Infected by COVID-19?

Corona virus can infect anyone. However, parents, especially those over 60 years of age, have a double risk of getting infected by Covid-19. Likewise, people with low immune systems such as cancer patients who receive chemotherapy or autoimmune sufferers who use steroids and / or immunomodulatory. The effects of this disease will also be more dangerous if it infects elderly people, pregnant women, people who have comorbidities such as diabetes, heart, kidney, cancer, or people whose immune systems are weak.

What are the Symptoms of COVID-19?

Symptoms of Corona virus infection or COVID-19 can resemble flu-like symptoms such as fever, runny nose, dry cough, sore throat, and headache. Symptoms can become severe, in which the patient has a high fever, persistent cough, shortness of breath and chest pain.

In general, there are 3 symptoms that can indicate a person is infected with the Corona virus, namely:

1. Fever (with body temperature above 38 degrees Celsius)
2. Cough
3. Shortness of breath

The symptoms above will appear within 2 to 14 days after exposure to the Corona virus.

Case Definitions (Suspect, Probable, Confirmation, and Close Contact)

Based on the Decree of the Indonesian Minister of Health Number HK.01.07 / MENKES / 413/2020 concerning the Guidelines for the Prevention and Control of Covid-19, there are four terms in the Covid-19 case: suspect, probable, confirmed, and close contact.

What is a Suspected Case?

Previous suspected cases of Covid-19 referred to the term patient under surveillance (PDP); patients who are suspected of having Covid-19 based on certain criteria below are classified as suspect cases.

Criterion A

In criterion A, a suspected case occurs if the patient meets more than one clinical criterion and more than one of the following epidemiological criteria:

Clinical Criteria

• Have acute fever / a history of fever with a temperature of 38 degrees Celsius and above and cough, or
• Has three or more of the following acute symptoms / signs:
  • Fever / history of fever
  • Cough
  • Exhausted
  • Headache
  • Myalgia (muscle pain)
  • sore throat
  • Coryza / runny nose / stuffy nose
  • Hard to breathe
  • Anorexia / nausea / vomiting
  • Diarrhea
  • Decreased consciousness

Epidemiological Criteria

In the last 14 days before symptoms develop:

• Have lived or worked in a place with a high risk of infection, or
• Have lived or traveled in a country or area of ​​Indonesia that reports local transmission, or
• Work in health facilities both as medical and non-medical officers as well as officers who carry out investigations and monitoring cases and Covid-19 contacts.

Criterion B

In criterion B, a person is a suspected case if he has severe acute respiratory infections (ARI).

Criterion C

Under criterion C, a suspected case applies to a person who:

• has no symptoms.
• does not meet epidemiological criteria.
• has the positive result of SARS-CoV-2 antigen test.

What Is a Probable Case?

There are four criteria for determining probable cases of Covid-19, namely:

Criterion A

• Meets clinical criteria in suspected cases.
• Have a history of close contact with probable or confirmed cases or related to the Covid-19 cluster.

Criterion B

• Meet the criteria for a suspect case.
• Radiological examination results point to Covid-19.

Criterion C

• The faculty of smell or taste disappears for no apparent reason.

Criterion D

• Adults who die of respiratory failure due to fluids filling the oxygen pockets of the lungs (respiratory distress).
• Have a history of close contact with probable or confirmed cases or associated with the Covid-19 cluster.

What Is a Confirmed Case?

A confirmed case occurs when a person meets one of the following three criteria:

• Positive RT-PCR swab test results.
• The results of the SARS-CoV-2 antigen test are positive and meet the criteria for probable cases or criteria A and B for suspected cases.
• Have no symptoms and a positive SARS-CoV-2 antigen test result and have a history of close contact with probable or confirmed cases.

What Is Close Contact?

The definition of close contact is having a history of contact with a probable case or a confirmed case of Covid-19 such as:

• Face to face or close together within 1 meter with a duration of 15 minutes or more.
• Direct physical contact.
• Provide direct care without personal protective equipment according to standards.
• The results of the local risk assessment by the local epidemiological investigation team indicates that there is a contact.

Management of Patients Who Have Not Confirmed Covid-19

The procedure for confirming a Covid-19 patient includes testing with the SARS-CoV-2 antigen and RT-PCR. The RT-PCR examination remains the standard for the diagnosis of Covid-19.

RT-PCR examination

• As a diagnostic tool, an RT-PCR test is done once if the result is positive. Meanwhile, if the test results are negative, it is necessary to re-check the next day.
• RT-PCR test only three times for inpatients.
• Follow-up RT-PCR test only for patients presenting with severe and critical symptoms. The test was carried out 10 days after the test which showed positive results.

SARS-CoV-2 Rapid Antigen (Antigen Swab)

The World Health Organization (WHO) provides recommendations for the implementation of the SARS-CoV-2 antigen test for patients who have not been confirmed Covid-19. The recommendations include:

• The use of an antigen test with a sensitivity rate of 80 percent and a specificity of 97 percent compared to the RT-PCR test.
• Performed only when RT-PCR testing is not available or requires an immediate diagnosis according to clinical judgment.
• Test administrators are only trained personnel and the test is conducted within the first 5-7 days after symptoms appear.

WHO recommends BioSensor Inc and Abbot SD antigen kits. Meanwhile, the Ministry of Health has issued distribution permits for more than 37 antigen test kits, such as:

• SD BioSensor Inc
• Abbot
• Indec
• GenBody
• And others

Flow of Management of Patients with Covid-19 Symptoms

The flow of handling patients with Covid-19 symptoms refers to the results of examining the following three conditions:

1. Respiratory rate of more than 30 times per minute or according to the child’s age group.
2. Oxygen saturation is less than 93 percent or less than 92 percent in children in room air.
3. There are signs of sepsis or respiratory distress.

If there are one or more of these conditions, the patient’s symptoms can be classified as severe or critical. The next actions taken are:

• Administration of vitamins, azithromycin / levofloxacin (antibiotics in the treatment of pneumonia), antivirals, and anticoagulants (drugs that function to prevent blood clots) based on a doctor’s evaluation; administration of drugs according to symptoms; fluid and nutritional therapy; and antibiotics.
• Oxygen therapy if oxygen is required.
• Treatment in case of shock, if there are signs of shock.

If patients do not need oxygen therapy, patients can be treated with the therapy of:

• Tocilizumab (a drug often used in people with arthritis).
• IVIG (a drug that serves to treat antibody deficiency).
• Convalescent plasma (blood plasma taken from a patient who has recovered from Covid-19).
• Stem cells (therapy using stem cells that are implanted into the damaged cell area so that it can carry out a process to replace damaged cells)

If the patients need oxygen therapy, the patients will receive a breathing apparatus in accordance with the provisions for handling Covid-19.

Meanwhile, if the results of the examination are not found in one of the three conditions above, the patient still needs to be checked whether he has pneumonia or not. If there is no pneumonia, the patient’s symptoms can be classified as mild.

Patients with mild symptoms who are able to undergo self-isolation need vitamins, medication according to symptoms, and antivirals (if available). Meanwhile, if the patient is unable to undergo self-isolation, the patient must be hospitalized.

If there is pneumonia but does not require oxygen, the patient’s symptoms are moderate. Moderate symptomatic patients need to be hospitalized and given vitamins, azithromycin / levofloxacin (antibiotics in pneumonia therapy), antivirals (if available), drugs according to symptoms, anticoagulants (drugs to prevent blood clots) based on a doctor’s evaluation, as well as fluid and nutritional therapy. f during treatment the patient experiences shortness of breath and the pneumonia condition worsens, the patient will be diverted to the flow of severe or critical symptoms management.

Management of Covid-19 Confirmed Patients

For patients who have been confirmed with Covid-19, there are handling procedures related to medication, therapy and treatment according to the symptoms. Patients without symptoms and mild symptoms can undergo self-isolation. Moderate symptomatic patients need to be taken care at the emergency hospital. Meanwhile, patients with severe / critical symptoms should be referred to a referral hospital.

No Symptoms

• Vitamin C and vitamin D with details:

Vitamin C

• 500 milligrams of non-acidic vitamin C 3-4 times per day for 14 days.
• 500 milligram dose lozenges 2 times per day for 30 days.
• Multivitamins that contain vitamin C as much as 1-2 tablets per day for 30 days.

Vitamin D

• Supplement at a dose of 400-1,000 IU per day
• Drugs with a dose of 1,000-5,000 IU per day
• If the patient has comorbid or comorbid complications, treatment for the disease is continued.
• If patients routinely take drugs classified as ACE-inhibitors and ARBs, for example, people with high blood pressure and heart disease, it is necessary to consult with a specialist in internal medicine and a doctor who specializes in heart and blood vessels.
• Consumption of drugs with antioxidant properties and other supporting drugs.
• Undergo self-isolation and apply health protocols.

Mild Symptoms

• Vitamins C and D as in asymptomatic patients with the addition of recommended vitamins C, B, E, and zinc.
• Azithromycin (an antibiotic used to treat a number of infections such as middle ear infections, laryngitis, pneumonia, traveler’s diarrhea, and certain intestinal infections) at a dose of 500 milligrams once per day for 5 days.
• Therapy to treat symptoms and take other supporting drugs.
• Antivirus in the form of oseltamivir (Tamiflu), which is an antiviral drug for influenza with a dose of 75 milligrams 2 times per day for 5-7 days or Favipiravir (an antiviral drug used to treat several types of influenza viruses) with an initial dose of 1,600 milligrams 2 times on the first day and 600 milligrams 2 times per day on days two to five.
• Continue to treat comorbidities, undergo self-isolation, and apply health protocols.

Moderate Symptoms

• Vitamin C according to doctor’s instructions.
• Blood thinners according to the consideration of a specialist in cardiovascular disease.
• Continue treatment of comorbidities and symptoms.
• Azithromycin (antibiotic used for the treatment of a number of infections such as middle ear infections, laryngitis, pneumonia, traveler’s diarrhea, and certain intestinal infections) at a dose of 500 milligrams orally 1 time per day for 5-7 days or levofloxacin (drug quinolone class antibiotics which are useful for treating diseases caused by bacterial infections, such as pneumonia, sinusitis, prostatitis, conjunctivitis, urinary tract infections, and skin infections) at a dose of 750 once per day for 5-7 days if a bacterial infection is suspected.
• Favipiravir (an antiviral drug used to treat several types of influenza virus) with a starting dose of 1,600 milligrams 2 times on the first day and 600 milligrams 2 times per day on the second to fifth days.
• Remdisivir (antiviral drug to treat Corona virus infection) with a dose of 200 milligram drops on the first day and 1.1000 milligrams 1 time per day on the second to fifth day or until the tenth day.

Severe or Critical Symptoms

• Azithromycin (antibiotic used for the treatment of a number of infections such as middle ear infections, laryngitis, pneumonia, traveler’s diarrhea, and certain intestinal infections) at a dose of 500 milligrams orally 1 time per day for 5-7 days or levofloxacin (drug quinolone class antibiotics which are useful for treating diseases caused by bacterial infections, such as pneumonia, sinusitis, prostatitis, conjunctivitis, urinary tract infections, and skin infections) at a dose of 750 once per day for 5-7 days if a bacterial infection is suspected.
• Favipiravir (an antiviral drug used to treat several types of influenza virus) with a starting dose of 1,600 milligrams 2 times per day on the first day and 600 milligrams 2 times per day on the second to fifth days.
• Vitamins C, D, and B1 as directed by your doctor.
• Blood thinners according to the judgment of a Cardiology Specialist.
• The anti-inflammatory, allergy, and autoimmune drug dexamethasone at a dose of 6 milligrams every 24 hours for 10 days.
• Continue to treat comorbidities and symptoms.

Isolation Finish Criteria

The patient was declared complete isolation after fulfilling the following criteria:

• Asymptomatic patients: no RT-PCR test required *. Isolation is complete after 10 days from the release of positive test results.
• Patients with mild-moderate symptoms: RT-PCR test is not required *. For patients with moderate symptoms with comorbid conditions or whose condition is at risk of worsening, an RT-PCR test can be performed. Isolation is complete after 10 days since the appearance of initial symptoms plus at least 3 days without symptoms of fever and respiratory problems.
• Severe / critical symptom patients: need to undergo RT-PCR test. Isolation was complete after a negative follow-up RT-PCR test plus at least 3 days of no loss
• Show symptoms of fever and respiratory distress. If you cannot undergo the RT-PCR test, isolation is complete after being treated for 10 days in the hospital since initial symptoms appear plus 3 days free from symptoms of fever and respiratory problems. These patients were either transferred to a non-isolation ward or were discharged.
• WHO still recommends evaluation by RT-PCR if laboratory capacity still allows

Cure Criteria

The criteria for recovery are the same for patients without symptoms, mild, moderate, severe or critical symptoms:

• Meets the criteria for completion of isolation.
• Receive a letter of completion of monitoring from the health service facility or the doctor in charge of the service.

Return-to-home Criteria

Patients are allowed to go home after meeting the criteria for completion of isolation and clinical criteria, namely:

• The doctor in charge allows the patient to go home based on a thorough clinical study, including radiology and blood tests
• Patients no longer need treatment or action related to Covid-19 or other health problems

Especially for patients with severe or critical symptoms, after discharge, they must undergo self-isolation for at least 7 days for recovery and monitoring of symptoms that may recur.

What is SARS-CoV-2 Reinfection?

A person may be re-infected by the SARS-CoV-2 virus (the virus that causes Covid-19). There have been a number of reports of reinfection of SARS-CoV-2 of different types. However, it is also possible for someone to be infected with the same type of virus and experience reactivation. Antibodies formed after infection will disappear within 3-12 months. Reinfection or second infection may cause more pain than the first infection because:

• Virus levels are very high
• Viruses are more virulent
• Immune response increases

What Is Persistent Positive?

Persistent positive is a condition when the patient has improved but the RT-PCR test result is still positive. This means that the test can still detect components of the virus that are no longer active in the patient’s body. Viruses that are inactive can no longer be contagious. Patients with persistent positive test results can still be declared cured according to the evaluation of the responsible doctor.

Recognize the Long Covid-19 Phenomenon

Generally, the patient’s recovery process from Covid-19 symptoms lasts 2-6 weeks. The Long Covid-19 phenomenon occurs when patients still experience symptoms that exceed the average duration of recovery time for Covid-19 patients even though they have been declared cured. In fact, symptoms can persist or recur for weeks to months after recovering. The phenomenon of Long Covid-19 mostly occurs in patients with mild to moderate symptoms.

Long-lasting symptoms include:

• Fatigue
• Cough, phlegm buildup, shortness of breath
• Headaches and aches
• Diarrhea and nausea
• Abdominal and chest pain
• Confusion
• Loss of ability to taste and smell

Risk factors for the Long Covid-19 phenomenon include hypertension, obesity and mental conditions. As many as 35% of adults who previously tested positive for Covid-19 admitted that their condition had not recovered to what it was when interviewed by telephone within 2-3 weeks after the examination. In the 18-34-year-old group with good health, there are about 20% who experience prolonged symptoms.

Additional Therapy for Covid-19 Patients

There is no cure for Covid-19. However, there are a number of additional therapeutic options using drugs and other methods to reduce the impact of Covid-19 until recovery, including:

1. Anti Il-6 (Tocilizumab): an immune-suppressing drug to fight interleukin 6 (IL-6). IL-6 is a cytokine that plays an important role in the immune response.
2. Anti IL-1 (Anakinra): a biopharmaceutical drug to treat inflammation due to Covid-19 virus infection.
3. IVIG (Intravenous Immunoglobulin): a drug to treat the lack of antibodies.
4. Convalescent plasma: blood transfusions from Covid-19 survivors who already contain antibodies to SARS-CoV-2.
5. Mesenchymal stem cells: administration of mesenchymal stem cells by intravenous infusion to treat symptoms of acute respiratory distress.
6. Spironolactone: a drug that provides protection for Covid-19 patients, especially those with hypertension and obesity, especially in the early stages.
7. Colchicine: an analgesic drug that can reduce the need for oxygen use and shorten treatment.

How Can I Safely Check in a Health Facility?

If you feel that you have symptoms and / or a history of contact with a confirmed / probable Covid-19 case and want to go to a Health Facility or Hospital, then you can choose to be examined at the Fever Clinic (a room for suspected, probable, and confirmed Covid-19 patients), Rapid IgG and IgM antibody test, PCR test drive thru, or Primaya Hospital serological antibody test.

Fever Clinic

The Fever Clinic Service Guide is as follows:

1. Make sure you have made an online appointment or registration to avoid patient congestion and speed up visit times at Fever Clinic Primaya Hospital. You can do an online registration
2. If you intend to take the inspection package, make sure you have understood the information about the inspection package. You can see the Fever Clinic examination package
3. Wait for confirmation or reply from Primaya Hospital officers regarding the schedule and hours of visits or examinations (replies can be in the form of e-mail, WhatsApp, or telephone).
4. After receiving confirmation or reply from Primaya Hospital officers, come to Fever Clinic at Primaya Hospital on time
5. Use a mask when visiting the Fever Clinic Primaya Hospital.
6. Upon arrival, you will be scanned with a thermal scan, a brief interview by the staff at the entrance, and you will be directed to the Fever Clinic.
7. Always maintain a safe distance from other people while inside the hospital building.

Corona virus antibody examination or SARS CoV2 can be done in several ways:

1. PCR Test
2. Antibody Rapid Test
3. Antigen Rapid Test
4. Serological Antibody Test

1. What is PCR Test?

The PCR Test is one of the examinations to diagnose Covid-19 with a swab sample on the back of the nose or throat to detect the SARS-CoV2 virus. This examination has a higher level of accuracy for diagnosing conditions exposed to Covid-19 as once the Corona virus infects the body, the virus will be detected through this examination.

Drive Thru PCR Test Package

Drive Thru PCR Test is a practical test package conducted in a car outside the hospital building using the PCR Test method. This process is done by taking a swab sample on the back of the nose or throat. The test results will be sent via e-mail and WhatsApp within a maximum of 2 × 24 hours.

This examination is preferable for someone suspected. Suspects are people who have symptoms of fever and cough or shortness of breath and have a travel history or live in a country / territory of Indonesia that reports local transmission or has a history of contact with a confirmed / probable Covid-19 case.

However, you can also do a self-examination if you feel you have symptoms of fever, cough, or shortness of breath even though you don’t have a travel history or a history of contact with a confirmed or probable Covid-19 case.

If you are in the suspect category and have symptoms of fever, cough and shortness of breath; then you are advised to do an examination at the Fever Clinic.

The following are guidelines that must be done when taking Drive Thru PCR Test:

1. Wear a mask even if you are in the car and stay in your car during the examination.
2. An officer will come to you, conduct a brief interview, and take a back nose or throat swab in the car.
3. After taking the swab sample, you can immediately return home which can save your time.
4. You will get the test result maximum 2 × 24 hours from the time of the examination. The results of the examination will be sent via the WhatsApp number or e-mail address
5. If the test results are negative, then you will be advised to be careful and apply stay at home, social distancing, and hand hygiene protocols. Please do a free teleconsultation regarding the results of the examination through the Healthy Link application which you can find here.
6. If the test result is positive, you will be notified by telephone to get suggestions for further examination and therapy.

2. IgG and IgM Antibody Rapid Test

You can choose the Rapid Test Drive Thru service if you:

1. have no symptoms with or without a history of contact and want an examination.
2. have mild symptoms of fever and / or cough (flu like siphon) with or without a history of contact and want to be examined.

The following are guidelines that must be done when taking Drive Thru PCR Test:

1. Wear a mask even if you are in the car and stay in your car during the examination.
2. The officer will come to you, conduct a short interview, and take a blood sample in the car.
3. After the blood draw, you can immediately return home which can save your time.
4. You will get the test result maximum 1 × 24 hours from the time of the examination. The results of the examination will be sent via the WhatsApp number or e-mail address
5. If the test result is negative, then you will be advised to take a retest after 7 days from the time of the first test. Please do a free teleconsultation regarding the results of the examination through the Healthy Link application which you can find here.
6. If the test result is positive, you will be notified by telephone to get suggestions for the next examination (PCR Test or Swab Test).

3. Rapid Antigen Test (Swab Antigen)

The Covid-19 antigen swab is a swab test to detect the presence of the SARS-CoV-2 which indicates the occurrence of infection by the virus in a person’s body. The test takes a sample through a swab from the nose (nasopharynx) or throat (oropharynx). WHO recommends the use of an antigen test kit with a sensitivity rate of at least 80 percent and a specificity rate of 97 percent. The antigen swab test is carried out by trained health personnel in specialized laboratories. There are two possible results of the antigen swab test; positive or negative.

If it’s positive

4. Perform a confirmation test through the RT-PCR examination.
5. Self-Isolate according to individual conditions.
6. Implement Health protocols.

If it’s negative

1. A negative result does not eliminate the possibility of being infected with the SARS-CoV-2 virus.
2. It is advisable to repeat the antigen test or undergo a confirmation test with RT-PCR, especially if symptomatic or have had close contact with a confirmed Covid-19 patient.
3. Negative results may occur when the specimen antigen quantity is less than the device detection limit.

4. What is the serological antibody test?

A test that is done to find out whether a person already has antibodies (immunity) to certain viruses. If a person is infected with the SARS CoV2 virus, that person’s body will form specific antibodies against the SARS CoV2 virus.

How does it work?

1. On days 5-7 after being infected with the SARS CoV2 virus, the body will form IgM antibodies which will then be followed by the emergence of IgG antibodies on days 8-10. IgM will disappear and IgG will last longer in the body than IgM.
2. Antibodies in the blood can be checked from capillary blood samples (Rapid test) or venous blood (Rapid Test / Antibody serology).
3. The results of the examination will be out within 1 to 2 working days.

Are serological antibodies included in the rapid test? What’s the difference?

The function of the Rapid Test and Serology Test is the same, namely to detect the presence of antibodies against the SARS CoV2 virus. However, the difference between the Rapid Test and the Serology Test is the type of sample and the method / examination tool of the Rapid Test and the Serology Test. The rapid test uses a capillary or venous blood sample and is done using the immunochromatography method, while the serological antibody uses a venous blood sample and is done using the immunochemiluminescent method in a special Immunology tool.

Both the Rapid Test and the Antibody Serology Test each have their own advantages. The advantage of the Rapid Test is that the results can be obtained in less time <1 × 24 hours. Meanwhile, the advantages of serological antibody testing are that it is more sensitive and can eliminate manual errors and readings.

How effective are serological antibodies in detecting Covid-19?

The results of serological examination are highly dependent on the phase of infection of the virus and the response of the body in forming antibodies to the virus. In the early phase, antibody infection has not been detected which can lead to non-reactive test results. In patients with low immunity, antibodies may also go undetected. Therefore, a doctor’s consultation and physical examination of the patient is highly recommended.

The results of the antibody serology test provide a higher level of accuracy compared to the Rapid Test because the sample examination process is carried out in a special tool or machine and is not much affected by the outside environment.

What are the criteria for which patients should be tested for serological antibodies?

This examination is recommended for someone in the suspected category. However, you can also do this examination if you feel you have symptoms of fever, cough, or shortness of breath even though you don’t have a history of traveling to countries / regions in Indonesia that report local transmission or there is a history of contact with a confirmed / probable Covid-19 case.

When should a person be tested for serological antibodies?

Serological antibody examination can be done on days 5-7 of the contact history or on any day when there are symptoms. On non-reactive results, a re-examination can be done after the 7th day of the first examination.

How to Prevent COVID-19?

Do the following things to protect yourself from Covid-19:

1. Avoid traveling when there is no absolute necessity. If you have to go, wear a mask and try not to use public transportation.
2. Wash your hands regularly using soap and running water. If not available, use a hand sanitizer, especially before eating and touching your face area.
3. Clean objects or surfaces that you frequently touch, including cell phones.
4. Maintain your body endurance by adopting a healthy lifestyle, such as exercising regularly (it is recommended to exercise for 30 minutes per day for a total of 150 minutes per week), drink at least 8 glasses of water per day, eat more fruits and vegetables, and get adequate rest.
5. Keep a safe distance from other family members or other people at least 1-1.5 meters.

Covid-19 Service Registration FAQs

For further information, you can contact the PIC of each Primaya Hospital branch below:

Primaya Hospital West Bekasi : Agus 08128258156
Primaya Hospital East Bekasi : Arga 081280060086
Primaya Hospital North Bekasi : Neni  0812-8008-5683
Primaya Hospital Evasari Jakarta : Dayu 0895331597273
Primaya Hospital Tangerang :  Dian 082112414688  / Gina 08568660781
Primaya Hospital Betang Pambelum Palangka Raya : Setny 0811527701
Primaya Hospital Makassar : Fikran 081241981376
Primaya Hospital Karawang : Nungki 08111777811