Pura Goa Lawah: The Original Bali Bat Cave with Rabies potential?

Pura Goa Lawah: The Original Bali Bat Cave with Rabies potential?

Pura Goa Lawah literally meaning the Bat Cave Pura in English.

This unique Pura is known for having a live bat cave for its entrance, with the rest of the compound built around the cave. So cool that even Bruce Wayne will be impressed when he sees the place.

Where is this cool place? Pura Goa Lawah is located in the village of Pesinggahan, Klungkung Regency, Bali. The large complex of Pura Goa Lawah is located on the north side of Jalan Raya Goa Lawah main road, on the beach of Goa Lawah.

It was established in the 11th century by Mpu Kuturan, one of the earliest priests who introduced Hinduism to the Balinese people. The temple complex  was originally the center of meditation for Hindu priests.

When the Dutch with its Royal Netherlands East Indies Army under Andreas Victor Michiels  attacked the Klungkung kingdom under Dewa Agung Istri Kanya in 1849 (famously known as the War of Kusamba), the temple was one of the key points during the war.

As time progressed, the temple decoration evolves. In the early 20th-century, it was pretty common to attach porcelain ceramic plates onto the shrines and gates of Pura Goa Lawah. This treatment can also be found on the other old temples in Bali such as Pura Kehen. Today, the porcelain ceramic plates decoration on the shrines and gates has been greatly reduced.

Pura Goa Lawah was built over a hilly outcrop and is divided into three areas: the outer sanctum of the temple (jaba pisan or nistaning mandala), the middle sanctum (jaba tengah or madya mandala), and the inner main sanctum (jero or utamaning mandala).

A Candi Bentar gate marks the entrance to the temple complex; a pavilion to keep a ceremonial drum called Bale Kulkul is placed on the West area of the entrance. Within the first courtyard of the temple, the outer sanctum or the jaba pisan, there are three pavilions (bale) located in three corners of the temple complex. One of the pavilions is the Bale Gong, where the gamelan set is kept for musical performance. Access to the middle sanctum or jaba tengah is located to the west of the outer sanctum.

Next, three paduraksa portals mark the entrance to the innermost sanctum of the temple (jero). The inner main sanctum consists of three meru towers, one of which is dedicated to the God, Shiva. Several smaller shrines are nested into a cave, where hoards of nectar bats rest. The entrance to the mouth of the cave is marked with the Candi Bentar gates. Other shrine is a Bale or pavilion adorned with motifs of Naga Basuki flanking its steps. Naga Basuki is a primordial dragon who is believed to keep the balance of the cosmos.

Well, it’s almost impossible to talk about Bat Caves (however cool they are), we honestly get so many questions about the bats -and if they are rabies-free. We’re sure that the majority of people in the world know what a rabies is by now, but, just to be sure, let’s see what the world can tell us about it. According to WHO, Rabies is a zoonotic disease (a disease that is transmitted from animals to humans), caused by the rabies virus, of the Lyssavirus genus, within the family Rhabdoviridae.

The virus is transmitted in the saliva of rabid animals and generally enters the body via infiltration of virus-laden saliva from a rabid animal into a wound (e.g. scratches), or by direct exposure of mucosal surfaces to saliva from an infected animal (e.g. bites). The virus cannot infiltrate intact skin. Once the virus reaches the brain, it further replicates, resulting in presentation of clinical signs from the patient. There are two clinical manifestations of rabies – furious (classical or encephalitic) and paralytic. Furious rabies is the most common form of human rabies, accounting for approximately 80% of cases.

With the exception of Antarctica, rabies is endemic on all continents. Of the tens of thousands of deaths occurring annually due to rabies, 95% of cases are reported in Asia and Africa. That sounds like a bad news, right? Well, the good news is, Rabies is a 100% vaccine-preventable disease. Rabies vaccine is a vaccine used to prevent rabies. There are a number of vaccines available that are both safe and effective. They can be used to prevent rabies before and for a period of time after exposure to the virus such as by a dog or bat bite.

The immunity that develops is long lasting after a full course. Doses are usually given by injection into the skin or muscle. After exposure vaccination is typically used along with rabies immunoglobulin. It is recommended that those who are at high risk of exposure be vaccinated before potential exposure. Vaccines are effective in humans and other animals. Vaccinating dogs is very effective in preventing the spread of rabies to humans.

Rabies immunoglobulin (RIG) is a medication made up of antibodies against the rabies virus. It is used to prevent rabies following exposure. It is given after the wound is cleaned with soap and water or povidone-iodine and is followed by a course of rabies vaccine. It is given by injection into the site of the wound and into a muscle. It is not needed in people who have been previously vaccinated against rabies.

However, we understand that playing safe is much, much better than being sorry in the end. That’s why we encourage you to not take the risk and get that Rabies Shot, especially if you plan to see some wild monkeys this weekend. Hey, we believe that the government has done its best to prevent Rabies, and those monkeys are mostly safe. Still, there might be a verrrryyy small chance that a stubborn one was not in place, and therefore missed its last shot.

If we comvinced you to get a shot while you are here, look no further: you’re in the right place. Hydro Medical is a medical service that provides serving mainly for hydration therapy and injection rabies vaccine. We also serve medical check up, oncalls service, wound care, home visit and home care. Talk about convenience, huh?

As you may have read in our About section, Hydro Medical offers you not only Rabies vaccines but also  hydration therapy, which is conducted by minimally invasive procedure delivering the uid, medications, vitamins, and other nutritional supplement intravenously to relief multiple symptoms associated with the effects of dehydration. All Hydro Medical procedures are administered by certifed experienced physicians and registered nurses with a very promising asvantage of a Painless Neddle procedure.

Speaking about Rabies Shots, do you actually know how it is given? According to some journals, Rabies vaccine is unique in that it is most often used after exposure to the disease. The only people who typically get vaccinated as a preventive measure (before exposure) are those who are at high risk for exposure, such as laboratory workers, veterinarians, animal handlers, spelunkers, and travelers going to parts of the world where exposure to rabies is likely. For these people three doses of vaccine are given; the second is given seven days after the first dose and the third 21 to 28 days after the first dose.

For those who have been exposed to rabies, the vaccine is given to prevent the progressive, invariably fatal disease, rabies. In these situations, a total of four shots are given in the shoulder muscle: The first shot is given immediately after exposure to a rabid animal, then again three days later, seven days later, and 14 days later. Don’t hesitate to call before you come in so you know exactly what they are offering and what treatments you will get. We wish you a wonderful, rabies-free holiday!

 

 

 

 

Nadiem Makarim: A New Hope for Indonesia’s Education World

Nadiem Makarim: A New Hope for Indonesia’s Education World

Gojek became a staple in urban (and even rural) living in no time, thanks to its CEO and the man behind the brand, Nadiem Makarim, we are now free from having to walk to taxi pools, watching in fear as the meter goes up and up due to cheeky drivers trying to get more money from our wallets, and being afraid that the driver is going to do something bad thanks to their emergency alert feature.

Born in Singapore on 4 July 1984, Nadiem is the son of Nono Anwar Makarim, an activist and lawyer of Minangkabau-Arabian descent; and Atika Algadri, the daughter of Hamid Algadri. Nadiem’s two sisters are Hana Makarim and Rayya Makarim, who is known as a filmmaker.

He married Franka Franklin and they have two daughters together. An Ivy League alumni, Nadiem attended high school in Jakarta and United World College of Southeast Asia (UWC SEA), Singapore, proceeding to Brown University for a Bachelor’s Degree in International Relations. He then did his Master’s Degree at Harvard University.

Nadiem created Gojek in 2010, an online transportation company which has become a decacorn company with valuation over US$10 billion today. First established as some kind of a call centre, offering only courier delivery and two-wheeled ride-hailing services, Gojek has been transforming into a super app, providing more than twenty services all and all, ranging from transportation, food delivery, groceries shopping, massage, house cleaning, and logistics services, all the way to a cashless digital payment platform GoPay.

The idea of Gojek comes from the fact that he often uses a motorcycle taxi, known in Indonesia as Ojek. Combined with the idea of online transport like its successor Über and Grab, he brewed the idea to a very promising business opportunity and developed it into Gojek, founded in 2010.

When he saw that Gojek was very well received (by customers, not so much by conventional taxi drivers, initially,) and eventually received US$1,3 billion funding from investors, in a 2018-round led by Alphabet Inc’s Google, JD.com Inc and Tencent Holdings. Gojek became the first Indonesian Unicorn. By 2019, however, the firm grows even larger and became Indonesia’s first decacorn with a valuation of up to US$10 billion.

It was a stunning and perhaps rather surprising thing when President Joko Widodo appointed Nadiem as the Ministry of Education when he was elected for a second term; a decision that makes more and more sense in the next couple of months after the appointment was made.

Not many people know, but Nadiem, along with Melinda Gates (yes, THE Melinda Gates) and the Minister of Finance of Indonesia, Sri Mulyani, served as one of the commissioners of Pathways for Prosperity for Technology and Inclusive Development, an organization focusing in helping developing countries to adapt with various new digital innovations that change the working culture.  This is very much in line with The World Education Congress which focuses on “Evolving Trends in Education”. With the fast changes in the world, it is necessary to examine modern as well as traditional knowledge system and further explore how education can help develop mental, emotional and physical skills to help facilitate personal excellence as well as psychological and Socio–economic wellbeing, in the challenging times the world faces today. A new and unique in-depth approaches to understanding important academic issues is very much needed in today’s fast-paced business environment.

According to The World Education Congress, new education system needs to influence the evolving culture of education and educational pedagogy, with the objective of deep systemic change. It also needs to build strategies for Higher Education Institutes and provide exposure to latest education tools, technologies and solutions to encourage better learning environtment and experiences. The last sentence is most certainly what Nadiem knows best. With such a giant company in his hands, it is no wonder that he is accustomed to think big, think different, and think quick. In less than two months since President Joko Widodo appointed him the new Minister of Education, Nadiem and his fresh non-bureaucratic eyes have already mustered up four changes to be applied to the Indonesian Education System in the near future.

The first one is the change in format for USBN (Ujian Sekolah Berstandar Nasional – National Standard School Exams.) From the usual exam mode, Nadiem instructed school teachers to transform the boring questions-answers method with a much more personal projects like making a porto-folio, a paper, or even a group assesment. With such freedom in their hands, Nadiem wishes for the teachers to factor in the students’ personality and traits into the final scoring.

The second, and the most exciting one, is the removal of the infamous UN (Ujian Nasional or National Exams.) Although not going to be applied before the next school year (2020-2021), the idea surprisingly came from the FSGI (Federasi Serikat Guru Indonesia-The Federation of Indonesian Teachers Union) who have been saying that UN has brought so much pressure upon not only the teachers but also the students and their parents; the kind of pressure that snatches away the fun in learning and producing students that are good in reciting without understanding what it really means. To make things even easier for everybody, the new format of national exam is planned to be held in the middle classes too, as opposed to the highest level classes we all know these years.

According to Nadiem, instead of the former UN format, 2020-2021 students will face Minimum Competency Assesment (Asesmen Kompetensi Minimum or AKM) and Character Survey (Survey Kompetensi or SK) for a change. With the AKM based on Literacy and Numeracy (not the same with Bahasa and Matematika,) Nadiem hoped that students will be able to apply their literacy and numeracy skills to solve almost any problem in any subject.

According to him, “These materials are the basic competency needed to study any materials on any subjects.” In lieue to the AKM is the SK, which he said is necessary to map the overall education system in the country. The survey will hopefully reveal the well-being levels of students across the nation: whether they are doing okay at home, their living conditions, if they are being bullied, and so forth. This brings tears to our eyes as we sigh in relief upon realizing that public schools will finally be a happier place for our children to learn and study; that the government is finally going to a new direction, that there is finally hope for a change in Indonesia’s conventional education system (one we inherited from the Dutch hundreds of years ago.)

The third change is formulated specifically to reduce the workloads of the teachers; in which the RPP (Rencana Pelaksanaan Pembelajaran- Teaching Plan) is simplified into one single page; a simple thing that has got teachers feeling grateful already. The final change that Nadiem is going to do is loosening up the Zonation method which has been carried out fo the last few years. Instead of the previous 15%, Nadiem is going to increase the excelled students admission quota to 30%, giving chances for more students to get into the closest schools from their houses, hence reducing the time they have to spend on the way to and back from school and invest them in something else.

For millenial parents that have had enough of the old school teaching method, these changes are just what they want their children to experience. To have fun and enjoy the learning process, to be able to socialize with their friends, and to have an overall better learning environtment to be the best version of themselves. Nadiem Makarim is a new hope, and hopefully from his cool hands, our sons and daughters will no longer have to fake being sick just to avoid going to school. Happy working, Mr. Nadiem, Sir. Our best wishes to you and your office.

 

 

Dog Meat Culinary Tradition, Will it Transmitting Rabies?

Dog Meat Culinary Tradition, Will it Transmitting Rabies?

Eating dog meat is common in many Asian countries, but research conducted as part of the South East Asian Infectious Diseases Clinical Research Network has discovered a potentially lethal risk associated with preparing dog meat: rabies.

In research published in the PLoS Medicine, Dr Heiman Wertheim and colleagues from the National Institute of Infectious and Tropical Diseases and the National Institute of Hygiene and Epidemiology in Hanoi, Viet Nam, report on two patients admitted to hospital showing signs of rabies infection. Neither patient was thought to have been bitten by a rabid animal in the preceding months.

Rabies is a very serious – and in nearly all cases fatal – disease. It is estimated to kill over 30,000 people each year in Asia, and the number of cases in China and Viet Nam is increasing. Symptoms include agitation, severe spasms, fever, fear of water and inability to drink liquids, and eventually death. Humans are usually infected after being bitten by an infected animal such as a dog or bat.

Rabies kills about 60 000 people each year, mostly in Asia and Africa. Children are at higher risk of rabies because they often play with animals; are more likely to receive a bite to the face or neck; and may not report bites or scratches received during play. Bites from rabid dogs cause up to 99% of human rabies cases. Rabies is almost always fatal once clinical signs occur. There is currently no effective treatment for rabies after clinical signs appear. However, the disease is preventable through vaccination either before or immediately after an exposure.

Rabies caused about 17,400 deaths worldwide in 2015. More than 95% of human deaths from rabies occur in Africa and Asia. About 40% of deaths occur in children under the age of 15. Rabies is present in more than 150 countries and on all continents but Antarctica. More than 3 billion people live in regions of the world where rabies occurs. A number of countries, including Australia and Japan, as well as much of Western Europe, do not have rabies among dogs. Many Pacific islands do not have rabies at all. It is classified as a neglected tropical disease.

When the researchers investigated whether the patients had come into contact with infected animals in the preceding months, they found that both had been involved in preparing and eating animals which may have been infected. In the first patient’s case, he had prepared and eaten a dog that had been killed in a road traffic accident; rabid dogs were known to inhabit the neighbourhood. The second patient had butchered and eaten a cat that had been sick for a number of days.

In both cases seen by Dr Wertheim and colleagues, it is thought that infection occurred during the slaughtering, and not by eating the meat as the meal was shared by others who did not become infected. In Asia, it is believed that eating dog meat enhances health and longevity. It is eaten throughout the year in the second half of the lunar month, particularly in the winter months, when it is believed to increase body heat.

Existing published research outlined below reveals evidence of rabies infection to humans at the following stages of the dog meat supply chain as referenced below – dog slaughter, butchering, preparation and consumption of raw meat. Furthermore, dog capturing and handling associated with the trade also increases the risk of dog bites and scratches, given the stressful circumstances surrounding dog capture and that many of the dogs are not used to be handled. However, inadequate research has been conducted to evaluate the circumstances in which dog bite incidences occur.

Vietnam

  1. Outbreak of rabies in Ba Vi, 2007: The District Department of Animal Health (DAH) reported that up to 30% of human rabies deaths were linked to exposure to the virus during slaughter and butchery of dogs.
  2. Research by the National Institute of Hygiene and Epidemiology (NIHE), 2007: Of ten laboratory confirmed cases of human rabies from northern hospitals, four did not have a history of dog bite- three of these patients had prepared dog meat from sick animals prior to onset of rabies illness, and the fourth patient had not handled or prepared a dog for consumption but had eaten dog meat.
  3. Research by the National Institute of Hygiene and Epidemiology (NIHE), 2007- 2009: Of 23 patients with laboratory confirmed rabies between 2007 and 2009, 22% did not have any history of dog or cat bites, but they had an experience of butchering dogs or cats, or consuming their meat
  4. Research by the Wellcome Trust of Great Britain, 2009: Wertheim et al. Published a case study of two men who died of laboratory confirmed rabies after killing, butchering, preparing and eating rabies infected animals.
  5. Statement by NIHE, 2011: ‘Butchering of dogs or cats for consumption is one of the routes of rabies transmission with cause of 1.6% human rabies in recent years.

Thailand

In contrast to other commercial dog meat countries, such as Vietnam, China and the Philippines, there are no cases of human rabies cases reported in published literature associated with the dog meat trade in Thailand. However, this could be because dog meat is only consumed by a minority of Thais, and the majority of Thais involved in the dog meat trade are not involved in dog slaughtering, butchery or consumption. They are, however, involved in activities associated with dog capture and transport. It is therefore suggested that further research is conducted to analyze the circumstances surrounding dog bites, focusing in dog trading ‘hot spots’ in Thailand so as to evaluate the impact of dog trading on human rabies cases in Thailand. Interestingly, research conducted in Nakhon Phanom Province (a ‘hot spot’ for the dog meat trade) revealed that people who did eat dog meat were significantly less likely to know about rabies and its transmission, than those who did not eat dog meat

Laos

Whilst there is evidence of dogs being traded and transported between provinces and internationally within and from Laos, there have been no studies in these rabies endemic countries specifically reviewing the link of rabies and the dog meat trade. Further research is required.

Indonesia

  1. Introduction of rabies to Bali, 2008 (WHO): Rabies was introduced to the south of Bali, Indonesia, in 2008, when inadequate quarantine measures allowed the import of an unvaccinated rabid dog from Flores where dogs are routinely eaten. To avoid restricting the commerce in dog meat, the Flores authorities had decided not to impose effective controls on the translocation of dogs despite the obvious human cost. Rabies has since spread from the south of the island to the north as a result of the movement of dogs to supply the demand for dog meat, and there are now no rabies-free regencies.
  2. The rabies burden is now increasing in Indonesia, and rabies is now present in 24 out of 33 provinces in the country, and disappointingly, even more islands have been reporting rabies outbreaks in the last decade due to movement of dogs for various reasons.
  3. The current outbreak of rabies in Central Java has been attributed to the trade in dogs for meat from West Java.
  4. The number of people seeking post-exposure treatment and human rabies cases are increasing every year in Indonesia, and are expected to continue to increase unless the geographical spread of canine rabies is controlled.

There is increasing recognition, and evidence, of the risk all stages of the dog meat trade pose to rabies transmission to humans. Transmission of rabies through contact with the meat of an infected animal has been highlighted by several studies14 15, and the slaughtering of an unvaccinated rabies reservoir species (including dogs) in endemic areas needs to be considered a category III (severe) exposure, requiring prophylaxis. Although the risks vary, these have not yet been quantified and require further research and consideration.

Rabies is almost always fatal if it is left untreated. In fact, once someone with rabies starts experiencing symptoms, they usually do not survive. This is why it is very important to seek medical attention right away following an animal bite, especially if the bite is from a wild animal. Vaccination after exposure, PEP, is highly successful in preventing the disease if administered promptly, in general within six days of infection. Begun with little or no delay, PEP is 100% effective against rabies. In the case of significant delay in administering PEP, the treatment still has a chance of success.

Click this link for professional Rabies Vaccination in Bali, DIRECT WHATSAPP:
https://bit.ly/2VNsoJG Uluwatu Area

https://bit.ly/2Yhy7tg Ubud Area

If you are on your vacations, you always need to make sure you get the best treatment after you got bitten by the animal. When you are in Bali, you can look the best post rabies treatment in Hydro Medical Bali. Located in the Badung and Ubud regency which are famous with tourist place and easy access for foreigner in Bali. If you still want to learn more about Rabies Vaccine and HRIG during your visit in Bali, just don’t forget to go and contact UNICARE CLINIC. They will provide you the information that you needed for Rabies Vaccine and HRIG. Also, they will provide you the vaccine when you needed it with the handling of their professional health care.

Explore “Odalan” Ceremony at Besakih Temple Bali

Explore “Odalan” Ceremony at Besakih Temple Bali

Besakih Temple is a pura complex in the village of Besakih on the slopes of Mount Agung in eastern Bali, Indonesia.

It is the most important, the largest and holiest temple of Hindu religion in Bali, and one of a series of Balinese temples. Perched nearly 1000 meters up the side of Gunung Agung, it is an extensive complex of 23 separate but related temples with the largest and most important being Pura Penataran Agung. The temple is built on six levels, terraced up the slope. The entrance is marked by a candi bentar (split gateway), and beyond it the Kori Agung is the gateway to the second courtyard.

The precise origins of the temple are unclear but its importance as a holy site almost certainly dates from prehistoric times. The stone bases of Pura Penataran Agung and several other temples resemble megalithic stepped pyramids, which date back at least 2,000 years. It was certainly used as a Hindu place of worship from 1284 when the first Javanese conquerors settled in Bali. By the 15th century, Besakih had become a state temple of the powerful Gelgel dynasty.

The temple is on the southern slopes of Mount Agung, the principal volcano of Bali. Pura Besakih is a complex made up of twenty-three temples that sit on parallel ridges. It has stepped terraces and flights of stairs which ascend to a number of courtyards and brick gateways that in turn lead up to the main spire or Meru structure, which is called Pura Penataran Agung. All this is aligned along a single axis and designed to lead the spiritual person upward and closer to the mountain which is considered sacred. The main sanctuary of the complex is the Pura Penataran Agung. The symbolic center of the main sanctuary is the lotus throne, or padmasana, which is therefore the ritual focus of the entire complex. It dates to around the seventeenth century.

A series of eruptions of Mount Agung in 1963, which killed approximately 1,700 people also threatened Pura Besakih. The lava flows missed the temple complex by mere meters. The saving of the temple is regarded by the Balinese people as miraculous, and a signal from the gods that they wished to demonstrate their power but not destroy the monument the Balinese faithful had erected.

An Odalan is a Balinese village temple festival in Indonesia. It is an occasion when the Hindu village community comes together, invite the gods to visit them for three or more days, perform religious services together offering refreshments and entertainment. It is a periodic event, one that celebrates Balinese Hindu heritage and performance arts. The Odalan celebrations are a social occasion among Indonesian Hindus, and have historically contributed to the rich tradition of theatre and Balinese dance forms.

An Odalan marks the founding of a particular Hindu temple, and is celebrated on its birthday according to the Pawukon – the 210 day Balinese calendar. Since Bali has thousands of Hindu temples, with at least three in each village, several Odalan are celebrated in some part of Bali almost everyday of the Gregorian calendar. The celebration rituals are called Dewa Yadnya (Sanskrit: Deva Yajna), includes processions, decorations of the village temple, entertainment and dancing in the temple courtyard, the village community pools its resources and observes it together.

The Odalan at a few large temples, such as the Pura Besakih – the biggest Hindu temple in Bali, has major cultural importance beyond its location. It is an island wide event, and therefore celebrated with major preparations once every 100 Balinese years. Each of the individual temples in Pura Besakih has its own odalan, or temple festival; you’re almost certain to come across one being celebrated whenever you visit the temple complex. But for the biggest temple festivals in Pura Besakih, you should time your visit to one of the following dates:

Batara Turun Kabeh: the eve of the tenth lunar month marks the high point of a full month’s festivities, the name of which translates to “the gods descend together”. The Balinese believe the gods of all temple shrines on Pura Besakih simultaneously descend to earth during Batara Turun Kabeh, and villagers from all over the island converge to offer them sacrifices and celebrate. Watch the purification pilgrimage, where Balinese make a slow procession bearing heirlooms and holy objects, all to be sanctified in the temple’s holy waters. The date corresponds to the Balinese saka calendar, and occurs on the following dates relative to the western Gregorian calendar:  2020: April 4, 2021: March 28.

Odalan of Pura Penataran Agung: the odalan (temple festival) of Besakih’s biggest single temple occurs every 210 days. Come for the spectacle of thousands of Balinese converging on the stairs ascending the terraces, and praying facing the largest temple bearing altars to the Hindu trimurti. The date corresponds to the Balinese pawukon calendar, and occurs on the following dates relative to the western Gregorian calendar: 2020: January 31, August 28, 2021: March 26, October 22, 2022: May 20, December 16.

Pura Besakih and other loosely-connected Hindu temples around Mount Agung can be explored on a day trip from Ubud or Denpasar. Tourists can wander from temple to temple; each site differs according to deity and purpose. The Pura Besakih temple complex is extremely active; scores of different Hindu ceremonies are held throughout the year. Pura Pentataran Agung and other temples may be closed to tourists during special worship days – ask in Ubud before making the journey to Pura Besakih. While tourism has caused the region around the temple complex to explode in growth, the popularity has attracted a horde of guides, touts, and hawkers hoping to relieve visitors of extra cash. Pura Besakih is open from sunrise to dusk, however tour buses begin to pour in around 9 a.m.

In Hindu belief, the Eka Dasa Rudra ceremony must be performed every 100 years to purify and save the world. The ritual was scheduled to be performed in 1963 at Pura Besakih. In March of that same year, Mount Agung erupted violently blowing the top 400 feet off the volcano. Thousands are thought to have died on Bali as gas and lava spewed from Mount Agung. Miraculously, Pura Besakih remained relatively untouched on top of the volcano as lava poured down the slopes.

An small entrance fee is charged at Pura Besakih, however an additional donation is expected. Trivial fees are also charged for parking, cameras, and video cameras. Other temples in the area may charge additional entrance fees; always pay directly at the entrance and not to the numerous people loitering around the temple to exploit tourists.

Avoiding Scams Around Pura Besakih. The numerous scams and excessive hassle around Pura Besakih ruin the entire experience for many tourists. The temple is sadly exploited as a way to shake tourists down for money; people will literally be lined up as your car or bus arrives in the parking lot – be prepared.

Some tips for avoiding scams around the temple complex:

  1. Guides are not necessary: Locals will tell you that certain temples are “closed” or that you must hire a guide to see “sacred” parts of the temple. Nearly all of the Pura Besakih temple precinct can be explored independently. Unofficial guides may demand a tip to continue halfway through your tour.
  2. Take your own sarong: Proper dress is expected inside of Hindu temples; men must cover their legs with a sarong. Sarongs can be rented at the entrance of each temple, however purchasing your own in Ubud is a better idea.
  3. Do not overdo donations: Upon entering each temple, you will be pressured to give a donation. A logbook of previous guests will show exorbitant amounts of $10 – $40. A typical donation to other Hindu temples in Bali is typically around $1.
  4. Expect Inflated Prices: Food, drinks, and souvenirs around the temples are outrageously priced – wait until you return to Ubud to enjoy delicious Indonesian food.

Pura Besakih is located in East Bali on the southern slope of Mount Agung, around an hour by car from Ubud. Public transportation including buses and bemos (minivans) is available from both Denpasar and Ubud, however many people choose to join a tour or hire a private driver. The last bemo back to Denpasar leaves the temple around 3 p.m. Pura Besakih can also be reached from the Kintamani region in North Bali by driving south along the road to Rendang and Klungkung; the scenic drive takes around an hour. If comfortable enough on a motorbike, scooters can be rented in Ubud for around $5 per day. Having your own transportation is a big plus for exploring the various temples and scenic drives along the slopes of Mount Agung. Always be careful whenever you go and don’t forget to always obey the rules that locals give to you. The locals or the guide will tell you what you can do and cannot do.

Where to find the best post-bite rabies treatment in bali

Where to find the best post-bite rabies treatment in bali

Rabies is a viral disease transmitted from mammals to humans that causes an acute encephalitis.

There are two clinical manifestations of rabies: furious and paralytic. Furious rabies is the most common form of human rabies. Once symptoms of the disease develop, either form is almost always fatal. Rabies is transmitted through mucosal exposure to infected animals, such as rabid dogs, bats and sometimes other species. As dog bites cause almost all human cases, we can prevent rabies deaths by increasing awareness, vaccinating dogs to prevent the disease at its source and administering life-saving post-exposure prophylaxis to people after they have been bitten.

Rabies occurs worldwide and on all continents except for Antarctica. However, the vast majority of human deaths (up to 99%) are caused by the classical rabies virus transmitted by dogs. Anyone bitten by a rabid animal or exposed to the saliva of a rabid animal is at risk from developing rabies and should seek immediate medical advice to initiate life-saving post-exposure prophylaxis.

Rabies kills about 60 000 people each year, mostly in Asia and Africa. Children are at higher risk of rabies because they often play with animals; are more likely to receive a bite to the face or neck; and may not report bites or scratches received during play. Bites from rabid dogs cause up to 99% of human rabies cases. Rabies is almost always fatal once clinical signs occur. There is currently no effective treatment for rabies after clinical signs appear. However, the disease is preventable through vaccination either before or immediately after an exposure.

Rabies caused about 17,400 deaths worldwide in 2015. More than 95% of human deaths from rabies occur in Africa and Asia. About 40% of deaths occur in children under the age of 15. Rabies is present in more than 150 countries and on all continents but Antarctica. More than 3 billion people live in regions of the world where rabies occurs. A number of countries, including Australia and Japan, as well as much of Western Europe, do not have rabies among dogs. Many Pacific islands do not have rabies at all. It is classified as a neglected tropical disease

The period between infection and the first symptoms (incubation period) is typically 1–3 months in humans. Incubation periods as short as four days and longer than six years have been documented, depending on the location and severity of the contaminated wound and the amount of virus introduced. Initial signs and symptoms of rabies are often nonspecific such as fever and headache. As rabies progresses and causes inflammation of the brain and/or meninges, signs and symptoms can include slight or partial paralysis, anxiety, insomnia, confusion, agitation, abnormal behavior, paranoia, terror, and hallucinations, progressing to delirium, and coma. The person may also have hydrophobia. Death usually occurs 2 to 10 days after first symptoms. Survival is almost unknown once symptoms have presented, even with the administration of proper and intensive care.

Hydrophobia (“fear of water”) is the historic name for rabies. It refers to a set of symptoms in the later stages of an infection in which the person has difficulty swallowing, shows panic when presented with liquids to drink, and cannot quench their thirst. Any mammal infected with the virus may demonstrate hydrophobia.

Saliva production is greatly increased, and attempts to drink, or even the intention or suggestion of drinking, may cause excruciatingly painful spasms of the muscles in the throat and larynx. This can be attributed to the fact that the virus multiplies and assimilates in the salivary glands of the infected animal with the effect of further transmission through biting. The ability to transmit the virus would decrease significantly if the infected individual could swallow saliva and water. Hydrophobia is commonly associated with furious rabies, which affects 80% of rabies-infected people. The remaining 20% may experience a paralytic form of rabies that is marked by muscle weakness, loss of sensation, and paralysis; this form of rabies does not usually cause fear of water

Rabies can be difficult to diagnose, because, in the early stages, it is easily confused with other diseases or with aggressiveness. The reference method for diagnosing rabies is the fluorescent antibody test (FAT), an immunohistochemistry procedure, which is recommended by the World Health Organization (WHO).

The FAT relies on the ability of a detector molecule (usually fluorescein isothiocyanate) coupled with a rabies-specific antibody, forming a conjugate, to bind to and allow the visualisation of rabies antigen using fluorescent microscopy techniques. Microscopic analysis of samples is the only direct method that allows for the identification of rabies virus-specific antigen in a short time and at a reduced cost, irrespective of geographical origin and status of the host. It has to be regarded as the first step in diagnostic procedures for all laboratories. Autolysed samples can, however, reduce the sensitivity and specificity of the FAT.

The RT PCR assays proved to be a sensitive and specific tool for routine diagnostic purposes, particularly in decomposed samples or archival specimens. The diagnosis can be reliably made from brain samples taken after death. The diagnosis can also be made from saliva, urine, and cerebrospinal fluid samples, but this is not as sensitive or reliable as brain samples. Cerebral inclusion bodies called Negri bodies are 100% diagnostic for rabies infection but are found in only about 80% of cases. If possible, the animal from which the bite was received should also be examined for rabies.

Some light microscopy techniques may also be used to diagnose rabies at a tenth of the cost of traditional fluorescence microscopy techniques, allowing identification of the disease in less-developed countries. A test for rabies, known as LN34, is easier to run on a dead animal’s brain and might help determine who does and does not need post-exposure prevention. The test was developed by the CDC in 2018. Post-exposure rabies prophylaxis (PEP) is necessary if you are bitten by a dog, cat or other animal that is rabid or is suspected to be infected with the rabies virus.

The assessment about whether you need PEP should be performed by trained healthcare personnel. PEP is always required if laboratory tests of brain material are positive for rabies. Treatment after exposure can prevent the disease if administered promptly, generally within 10 days of infection. Thoroughly washing the wound as soon as possible with soap and water for approximately five minutes is effective in reducing the number of viral particles. Povidone-iodine or alcohol is then recommended to reduce the virus further.

If you are on your vacations, you always need to make sure you get the best treatment after you got bitten by the animal. When you are in Bali, you can look the best post rabies treatment in Hydro Medical Bali. Located in the Badung and Ubud regency which are famous with tourist place and easy access for foreigner in Bali. They offer you a lot of medical treatment besides rabies treatment. Which are hydration therapy, hangover cure, Bali belly package, even they will provide you with hypnotherapy if you need it.

Why you need Rabies vaccination at Hydro Medical? Why is it to be specific in Hydro Medical? First and the most important thing is it administered by registered & qualified health professionals so you don’t need to faced unnecessary risk. Rabies is 100% preventable with vaccine, so it is perfect term for you to get the vaccine as soon as you got bitten by the animal. All of the treatment in Hydro medical Bali is cashless because all the treatments can fully cover by your insurance.

You got bitten by the animal at 2 am in the morning? No need to worry because UNICARE CLINIC has 24hour ready rapid response. Remember that any bite by invaccinated random animal can cause rabies so it is better to look over the treatment as soon as possible.

Rabies is almost always fatal if it is left untreated. In fact, once someone with rabies starts experiencing symptoms, they usually do not survive. This is why it is very important to seek medical attention right away following an animal bite, especially if the bite is from a wild animal. Vaccination after exposure, PEP, is highly successful in preventing the disease if administered promptly, in general within six days of infection. Begun with little or no delay, PEP is 100% effective against rabies. In the case of significant delay in administering PEP, the treatment still has a chance of success.

If you think you have been bitten by an animal that might be rabid, the first thing to do is wash the wound carefully, then call your doctor right away! Your doctor will figure out whether you need to have a rabies vaccine. If you are a pet owner, be sure to keep vaccinations up to date for your dogs, cats, and ferrets (if you happen to have ferrets). This will protect your pets and it may even help to protect you! If your pet is bitten by a wild animal, get them to the veterinarian immediately. If there are stray or wild animals in your neighborhood, call animal control so that they are removed. Don’t let your kids play with them or pet them.

If you still want to learn more about Rabies Vaccine and HRIG during your visit in Bali, just don’t forget to go and contact UNICARE CLINIC. They will provide you the information that you needed for Rabies Vaccine and HRIG. Also, they will provide you the vaccine when you needed it with the handling of their professional health care.