In Indonesia, the first ASHUE case was announced by the Indonesian Health Ministry on 1st May 2022 and as of 24th May 2022, there were 16 cases in children (including 3 deaths) reported in different provinces.

As of 13th May 2022, more than 450 cases and 11 deaths were reported to be linked to the mysterious hepatitis outbreak globally. The disease was then reported to have spread to 11 European countries with a total of 169 cases as of 21st April 2022, and to countries outside the European continent, including Israel, Argentina, Serbia, Japan, and Indonesia. As of 5th April 2022, 10 cases of severe acute hepatitis in children aged under 10 years in Scotland were confirmed by the World Health Organization (WHO), and another 74 cases were reported in the UK on 8th April 2022. The disease spread quickly, prefacing a global outbreak.

It can be used to develop public awareness programs in Indonesia about both the ASHUE and its possible consequences and the available healthcare support.ĪSHUE first emerged in children in the United Kingdom (UK) of Great Britain and Northern Ireland in early April 2022. The knowledge from this study will provide an understanding of why disease prevention measures might not be followed. The findings advance knowledge about public perceptions, reactions and attitudes towards the emergence of ASHUE and the efficacy of disease countermeasures. We identified 5 main themes, including (1) disbelief in the existence of the infection (2) suspicion about a potential new business after COVID-19 (3) suspicion that COVID-19 vaccine(s) are the cause (4) religion-related fatalism and (5) trust in government measures. Of these, 64 were from Facebook, 57 were from YouTube, and 16 were from Twitter. ResultsĪ total of 137 response comments collected from 3 social medial platforms were analyzed. We inductively generated the codes, from which we formed a construct and then grouped to identify themes. Data were extracted on a daily basis from 1st May 2022 to 30th May 2022 and analyzed manually. Social media users’ responses to information disseminated via Facebook, YouTube, and Twitter were analyzed to understand public perceptions about ASHUE outbreak and their attitudes toward Government-led prevention measures. Understanding how the public perceived government-led preventive messaging about the hepatitis outbreak is crucial to controlling viral spread – particularly given the rapid and unforeseen emergence of ASHUE coincided with COVID-19 and public trust in the Indonesian Government to manage health outbreaks was already tenuous. This study aimed to understand public reactions and responses to the emergence of ASHUE Indonesia and to Government-led disease prevention responses. Acute Severe Hepatitis of Unknown Etiology (ASHUE) emerged as a new global outbreak in Indonesia early May 2022, coinciding with the COVID-19 pandemic.

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