BTS Group to offer Thailand’s first ‘Sustainability-Linked Bonds (SLB)’ to general public 

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BTS Group to offer Thailand’s first 'Sustainability-Linked Bonds (SLB)' to general public 

BTS Group to offer Thailand’s first ‘Sustainability-Linked Bonds (SLB)’ to general public 

THURSDAY, OCTOBER 20, 2022

With the issue credit rating of “A”, the subscription period for the SLB is expected to take place at the end of November 2022. The SLB will serve as an alternative investment for investors who seek to find attractive investment and to provide support on sustainability development. BTS Group together with 5 leading financial institutions will act as joint lead arrangers for this offering.

Bangkok, October 20, 2022 – BTS Group Holdings Public Company Limited (BTS Group) is preparing to offer sustainability-linked bonds (SLB) under the placement of Public Offering (PO) for the first time in Thailand. The offering consists of 4 tranches with the tenors ranging from approximately 2 years, 4 years 6 months, 7 years 6 months, and to 10 years. Interest payment for SLB will be paid semi-annually until the SLB’s maturity. The final coupon rate for each SLB tranche will be announced later. 

The SLB were rated “A” by TRIS Rating on September 19, 2022. The rating reflects the strength of the business. BTS Group appoints 5 leading financial institutions, including Bangkok Bank, Krung Thai Bank, Kasikornbank, Siam Commercial Bank, and CIMB Thai Bank, as joint lead arrangers. The subscription period for SLB is expected to be at the end of November. BTS Group is confident that “Sustainability-linked Bonds” will receive warm welcome from a general public, following previous BTS Group’s SLB offering to high-net-worth and institutional investors at the beginning of this year. In addition to the return on investment and the acceptable risk level, SLB is also an important alternative investment instrument that gives investors the opportunity to contribute to the sustainability development together with the company. This is expected to be the major trend for future investment.

BTS Group to offer Thailand’s first 'Sustainability-Linked Bonds (SLB)' to general public 

Mr Surayut Thavikulwat, Chief Financial Officer, BTS Group Holdings Public Company Limited, the issuer of the first-ever public offering sustainability-linked bond in Thailand, revealed that the Company is in the process of filing a registration statement (filing) for the offering of named, unsubordinated, unsecured, with debenture holders’ representative Sustainability-Linked Bonds to the Securities and Exchange Commission of Thailand (SEC). The 4 tranches of SLB consist of bond tenor around 2-10 years. Interest payment term will be on semi-annual basis. The final interest rate will be announced later. Subscription period is expected to be at the end of November with a minimum subscription of 100,000 baht and a multiple of 100,000 baht.

“The sustainability issue is no longer a matter of one person, but it is related to everyone. The company has a determination to introduce SLB to a wide range of investors. Therefore, this time, we intend to offer SLB through a public offering, which is considered to be the first-ever in Thailand for SLB to be offered to retail investors. Previously, the company has issued SLB for high-net-worth and institutional investors, which was very successful. Hence, we believe this SLB will be well-received by retail investors as well. Investing in SLB provides more than just monetary return from investment, but also gives investors the opportunity to participate in building sustainability along with the company.” said BTS Group Chief Financial Officer. 

Sustainability-linked bonds (SLB) are debentures that tie the issuer to certain conditions, depending on the achievement of the predetermined targets, i.e. Key Performance Indicators (KPIs) and Sustainability Performance Targets (SPTs). Such targets are required to be ambitious and material to the issuer as well as to have a positive impact on the environment and/or society.

For BTS Group, there are 2 KPIs and SPTs that the company uses as reference for this SLB issuance: 1) Improvement in energy efficiency in green line network (which is currently the main network); BTS Group has a target to reduce electricity consumption by 8% from business-as-usual operations within 9 years or by 2031, and 2) Production and/or procurement of Electricity consumption from renewable energy sources; the company has target to use electricity from renewable energy sources at least 10% each year of total electricity used in the operation of the green line network. Further details of KPIs and SPTs can be found in the registration statement and the draft prospectus (Filing).

In terms of SLB evaluation, the longest tenor of approximately 10-Year SLB, will be evaluated 4 times whether BTS Group has achieved the predetermined targets. The evaluation dates are at the end of selected fiscal year of the company i.e. 31 March 2024, 31 March 2026, 31 March 2028 and 31 March 2031. For shorter-tenor SLB, the number of evaluation will be less, depending on the tenor. If BTS Group fails to meet the predetermined sustainability goals, the Company will be required to purchase Renewable Energy Credits (RECs) – a certification that certifies that the source of electricity is from renewable energy source – from agencies and/or organizations that are well-recognized nationally and/or internationally. The amount of such Renewable Energy Credits (RECs) purchase will depend on how many predetermined sustainability goal is not achieved; if the company fails both of sustainability goals, BTS Group will be obliged to purchase an equivalent amount of 0.10% per annum of the offering value of the debentures, whereas if the company fails only one of sustainability goal, BTS Group will be obliged to purchase an equivalent amount of 0.05% per annum of the offering value of the debentures. Such obligation portrays the company’s commitment on sustainability and environmental issues.

BTS Group Chief Financial Officer also stated that the issuance of BTS Group’s SLB is in line with the company’s long-term Climate Strategy, that is to maintain Carbon Neutral status and to commit in increasing the use of electricity generated from renewable energy to at least 10% of total energy used for its operations. Currently, the company is well-recognized for its sustainable business practices both nationally and internationally. The company has been included into the Dow Jones Sustainability Indices (DJSI) for 4 consecutive years (2018-2021) and ranked first globally in the DJSI Transportation and Transportation Infrastructure (TRA) Sector for 2 consecutive years (2020-2021). Recently, it was selected to be the first and only rail transportation company in the world to be certified as a Carbon Neutral Transportation Company from Thailand Greenhouse Gas Management Organization.

BTS Group’s core business consists of 3M. First, MOVE business, which is a door-to-door transportation service provider for passengers with various modes of travel, whether by rail, road, water or air. Also, the company is the pioneer of sky train operator for more than 20 years. Second, MIX business or marketing comprehensive service provider in the form of O2O solutions, that covers the advertising media business, payment service business and distribution business. And lastly, MATCH business seeks new business opportunities and cooperation through the company’s platform sharing to the group of companies and business partners.

Currently, the Company is in the process of filing the registration statement and the draft prospectus, which are not yet effective. Investors who are interested to invest in the Sustainable-Link Bond of BTS Group may find out more information and details in the prospectus on SEC’s website (www.sec.or.th) or may contact the followings 5 financial institutions:

1. Bangkok Bank Public Company Limited (except Micro Branches) Tel. 1333, or book online via Bualuang mBanking application (https://www.bangkokbank.com/th-TH/Personal/Digital-Banking/Bualuang-mBanking/).

2. Krung Thai Bank Public Company Limited, or book online via Krungthai Next application or via Money Connect by Krungthai (https://moneyconnect.krungthai.com/)

3. KASIKORNBANK Public Company Limited (Retail investors can subscribe via online online channel (https://www.kasikornbank.com/kmyinvest), non-residents can subscribe at head office and branches) Tel. 02-888-8888 press 819, including KSecurities Public Company Limited, as a sales unit of KASIKORNBANK  Public Company Limited, Tel. 02-796-0000 or 02-796-0011

4. The Siam Commercial Bank Public Company Limited Tel. 02-777-6784, or book online through the SCB EASY application.

5. CIMB Thai Bank Public Company Limited Tel. 02-626-7000, or book online through the CIMB Thai Digital Banking application

Riverside Terminal 21 finally opens after being delayed by Covid

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https://www.nationthailand.com/business/corporate/40021215

Riverside Terminal 21 finally opens after being delayed by Covid

Riverside Terminal 21 finally opens after being delayed by Covid

THURSDAY, OCTOBER 20, 2022

Bangkok shoppers have a stunning new option in the city. The brand new, riverside Terminal 21 Rama 3 shopping centre officially opened on Thursday.

Managed by LH Mall & Hotel, a developer under Land & Houses Plc, Terminal 21 Rama 3 is the fourth shopping mall in the company’s Terminal 21 series following Terminal 21 Asok (opened in 2011), Terminal 21 Korat (2016) and Terminal 21 Pattaya (2018).

Construction of the latest shopping mall had finished late last year but the grand opening had been postponed due to the Covid-19 situation. The mall features 140,000 square metres of usable space with an investment budget of 4 billion baht.

Located on 15 rai (2.4 hectares) land on Rama 3 Road in Bangkok’s Bang Kho Laem district, Terminal 21 Rama 3 comprises a seven-storey neo-classic style building plus two floors of basement, a parking lot for 1,658 cars, and an iconic clock tower that will be a new tourist landmark in central Bangkok by the Chao Phraya River.

Terminal 21 Rama 3 assigns different international themes for each of its floor, starting with Caribbean Village theme on lower ground floor, England Village on G floor, Italy Village on 1st, France Village on 2nd, Japan Village on 3rd, and San Francisco Village on 4th and 5th.

The mall can be reached by a variety of public transport, namely bus No. 22, 35, 59 and 205, Orange Line speed boat (Wat Rajsingkorn pier), BRT bus (Charoen Rat Station), and BTS Skytrain (Surasak station), where free shuttle bus service is provided.

Parking is free for the first four hours.

Google map: https://goo.gl/maps/MQw5FtyuWj7fcDdM9

EGCO Group Forum 2022: Carbon Neutral Pathway

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EGCO Group Forum 2022: Carbon Neutral Pathway

EGCO Group Forum 2022: Carbon Neutral Pathway

THURSDAY, OCTOBER 20, 2022

To celebrate its 30th anniversary, EGCO Group invites you to join forces and head toward the low carbon society in the seminar “EGCO Group Forum 2022: Carbon Neutral Pathway”.

Explore the ways to:

 – Stop the rising temperature

– Stop the global warming, and

– Reduce carbon footprint in electricity and energy industries.


The seminar is scheduled on Tuesday, November 8, 2022, from 8.30 to 12.00 hours, at the Grand Ballroom, Grand Hyatt Erawan Bangkok Hotel.

To register: www.bangkokbiznews.com/seminar/egcogroupforum2022

For more information, contact 02 338 3000 press 1 

#EGCOGroup #30yearsEGCOGroup #EGCOGroupForum2022 #carbonneutralpathway

Two Fujifilm entities join hands with goal to become No. 1 total printing solutions provider

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Two Fujifilm entities join hands with goal to become No. 1 total printing solutions provider

Two Fujifilm entities join hands with goal to become No. 1 total printing solutions provider

WEDNESDAY, OCTOBER 19, 2022

Nongluck Ajanapanya

Fujifilm Business Innovation is teaming up with Fujifilm to modernise the traditional printing format by digitising the analog system to keep up with the evolving digital world.

This first-time collaboration also implies that the companies can provide the best solutions and meet the needs of a wide range of customers in terms of usage and budget.

Ratchakrit Temboonsakdi, Fujifilm (Thailand) Unit Head of Graphic Communication Business Division and Industrial, stated at a press conference on Wednesday that the overall outlook for global printing is still positive.

He estimated that the printing industry would grow at a rate of 5-10 per cent a year.

However, as businesses go digital, many entrepreneurs, particularly those in small and medium-sized enterprises (SMEs), are looking for printing machines that can cut costs, save time, and boost productivity, said Ratchakrit

“Demand for digital printing services is increasing, particularly among SMEs and businesses in the e-commerce sector. As a result, the company is proud to present our advanced printing technologies and innovations in order to demonstrate our leadership and expertise in printing technology,” Ratchakrit noted.

Kitti Pornpipatwong, general manager of Graphic Communication Service at Fujifilm Business Innovation (Thailand), stated that the two forward-thinking companies will collaborate to optimise remarkable business performance and foster sustainable business development, with the goal of becoming the No. 1 total printing solutions provider in the future.

The announcement of the collaboration took place as Fujifilm Business Innovations, and Fujifilm participated as exhibitors at Pack Print International 2022, being held from October 19-22 at Bitec, Bangna.
 

Two Fujifilm entities join hands with goal to become No. 1 total printing solutions providerKitti pointed out that the goal of participating in the event was to demonstrate the company’s printing potential and the advancements in printing technology from Fujifilm so that business operators and industry stakeholders can stay up to date on the latest printing innovations in the printing industry.

“The company will be showcasing a variety of advanced printing technologies and solutions, as well as software that supports automation, such as software developed for automatic calibration of colour presses and programmes that enhance illustration and graphic development before going into production print,” he explained.

“There are also a variety of highly efficient functions for greater convenience in digital printing that exquisitely help to increase the value of each digital print work.”

Fujifilm Thailand has specialised in developing technologies and innovations to meet the needs of customers all over the world for over 30 years.

Meanwhile, Fujifilm Business Innovation is a manufacturer and distributor of well-known products, such as multi-functional printers, office printers, and advanced printers for publishing companies, as well as a provider of IT solutions and outsourcing services, including research and development to improve production efficiency.

Nongluck Ajanapanya

Army collecting evidence on alleged graft in military housing project

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Army collecting evidence on alleged graft in military housing project

Army collecting evidence on alleged graft in military housing project

THURSDAY, OCTOBER 20, 2022

The Army is collecting information relating to alleged graft in a military housing project and will submit the evidence to the Defence Ministry, Army Chief General Narongpan Jitkaewtae said on Thursday.

He made the remark after lawyer Paisarn Ruangrit and victims submitted a letter to the House of Representatives Committee on Political Development, Mass Communications and Public Participation on Wednesday, asking it to investigate alleged graft in the military housing project, which resulted in the Nakhon Ratchasima massacre of 2020.

A sergeant-major shot dead 29 people and injured 58 others in the province reportedly due to a conflict with an Army officer and others involved in the project, which allowed lower ranks to borrow money to purchase houses.

Paisarn claimed the Army had completed an investigation a long time ago.

General Narongpan advised victims to file complaints with the police. He added that they can lodge a complaint with the Army as well if they can identify officers involved in the case.

The victims have filed complaints with a host of organisations, such as the National Anti-Corruption Commission and even the court, he said.

“The Army is ready to provide information on the case,” he said, adding that it is responsible for punishing its officers if they are found guilty.

The Army had already punished a number of officers involved in the case, he pointed out.

Former Army chief General Apirat Kongsompong had put a stop to the housing project in 2021 before his retirement, Narongpan noted.

“Army officers have to borrow money from banks to buy houses,” he acknowledged.

Narongpan said it was essential to revise Army rules to meet with the current situation.

The Army will appoint a military unit responsible for the case if the House of Representatives Committee on Political Development, Mass Communications and Public Participation wants to summon the Army to clarify the case, he said.

“It is usual for any organisation to tackle issues that occur over time,” the general added.

Several houses, buildings in Chiang Mai develop cracks after mild quakes

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Several houses, buildings in Chiang Mai develop cracks after mild quakes

Several houses, buildings in Chiang Mai develop cracks after mild quakes

THURSDAY, OCTOBER 20, 2022

A series of nine mild earthquakes hit Chiang Mai and Phrae provinces on Wednesday and Thursday, leaving cracks in several houses and buildings in Doi Saket district of Chiang Mai province.

The Mineral Resources Department explained during a press conference via Facebook Live late on Thursday morning that the series of eight quakes in Phrae and Chiang Mai were attributed to a moving fault.

Tinnakorn Thathong, director of the geological environment division of the department, said during the press conference that there were eight quakes measuring 1.5 to 3.9 magnitude in Phrae’s Long district on Wednesday and Tuesday.

Tinnakorn said the quakes were unleashed by a fault that lies from the direction of northeast to the southwest and moved horizontally to the left.

He said the quakes in Phrae were felt in Song, Sung Men, Wang Chin, Den Chai and Muang districts, and Tha Pla district of Uttaradit province with no reports of damage.

A 4.1-magnitude quake was recorded in Chiang Mai’s Doi Saket district at 4.36am on Thursday.

Tinnakorn said the quake in Chiang Mai was caused by the Mae Tha fault that moved horizontally to the right.

He said the tremors were felt in several districts of Chiang Mai and neighbouring Lamphun province.

Tinnakorn said the tremors caused cracks in the Mae Khue Witthaya School building.

Chiang Mai News reported that many people in Tambon Mae Khue in Doi Saket reported cracks in their houses and buildings following the quake.

The Centre for Excellence in Natural Disaster Management of Chiang Mai University said a larger quake of 5.1 magnitude was experienced in Chiang Mai’s Mae Rim district in December 2006 and a 4.1-magnitude quake was reported in the province on October 18, 2020.

Japanese bakery offers a delicious bargain and a mystery through vending machine

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Japanese bakery offers a delicious bargain and a mystery through vending machine

Japanese bakery offers a delicious bargain and a mystery through vending machine

THURSDAY, OCTOBER 20, 2022

A confectionary shop in Matsue, the capital city of Shimane prefecture, in Japan’s Chugoku region, has found a novel way of disposing of unsold cakes to avoid wastage.

The confectionery shop, Matsue Claude, has set up a vending machine for customers to buy up the bakery’s unsold cakes.

Customers select cakes that are already boxed, so they cannot see what they are purchasing. The idea of selling the shop’s unsold cakes this way has not only cut back on food loss but also encouraged a work-style reform.

The machine was already set up near the entrance of Matsue Claude to sell cookies and other baked goods. However, on August 15 the shop started selling fresh cakes — each of which costs about 500 yen (127 baht) for two slices — only on days when there were cakes left unsold.

The shop started referring to the selling method as “SDGs gacha for imperfect cakes”, which is named after the UN Sustainable Development Goals (SDGs). “Gacha” comes from the gachapon vending machines that dispense toys in capsules. Customers do not know what they have bought until they open it.

As dozens lined up in front of the machine, some customers said they were delighted by the bargain or excited by the mystery of it. It is uncommon to be able to purchase fresh cakes from a vending machine, but it has grown in popularity, and the shop no longer has to throw away unsold cakes.

“I was happy to find a cheesecake I wanted inside the box,” said a 42-year-old woman, who stood in line with her junior high school-aged daughter for almost 20 minutes. “Not only is it inexpensive, it’s also delicious. It makes me want to line up again.”

Since April, Matsue Claude has been closing an hour earlier at 6pm and increased the number of days the shop is closed from four days a month to nine. Initially, the bakery was worried that more closed days would lead to a loss of customers, but the vending machine has helped attract customers to maintain its overall sales.

“With more days off, our employees are more motivated to work,” said the shop’s managing director Risa Ishikawa, 46. “I’m grateful to know that we are supported by the community.”

The Japan News

Asia News Network

As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms

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As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms

As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms

THURSDAY, OCTOBER 20, 2022

Mohammad Mostafa, a farmer in the low-lying deltas of southwestern Bangladesh, has revived his forefathers’ farming practice of growing crops on floating rafts as rising seas and storm floods threaten more and more farmland.

With prolonged waterlogging posing an increasing threat to families growing their own food, more have turned to use rafts as secure platforms to start seedlings and grow vegetables and fruit, such as cucumbers, radishes, pumpkins, papayas, and tomatoes.

The rafts, woven from the stems of invasive hyacinths, are providing a lifeline for families during the increasingly extreme monsoon seasons when dry land can be especially scarce.

“When I was a boy, this area was dry land, we used to play in the fields and grow rice,” said 42-year-old Mostafa, as he planted balls of seedlings on floating beds.

“But with the water levels rising in both the sea and river, water started to accumulate here, so we can’t cultivate crops anymore. I have been growing seedlings on floating beds for the past five years, growing seedlings of different vegetables,” said Mostafa, the sole breadwinner of his six-member family.

The 200-year-old technique was initially adopted by farmers in the region during the flooding season, which used to last about five months each year. But nowadays the area remains underwater for 8-10 months and more land is being flooded.

Floating farms now cover a total 120 hectares (296.53 acres), up from 80 hectares (197.68 acres) five years ago, farm officials in Nazirpur said.

The approach, now practised by some 6,000 subsistence farmers, having risen from around 4,500 five years ago, across the swampy southwest, may prove crucial as climate change sends sea levels higher and makes the monsoons more erratic. More than a quarter of Bangladesh’s population of 165 million live in the coastal zone.

As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms
As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms
As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms
As seas and rivers rise, Bangladesh farmers revive old practice of floating raft farms

Low-lying Bangladesh is considered among the most climate-vulnerable countries, with the impact of rising waters compounded by storms, floods, and erosion.

The climate impact is being compounded by natural factors, such as tectonic shifts that are causing the land beneath to sink, and upstream dams holding back silt that would replenish the eroding delta.

Between 2000 and 2019, Bangladesh was ranked seventh in a list of countries hit hardest by climate change, according to the Global Climate Risk Index 2021 produced by non-profit Germanwatch.

Bangladesh is also frequently hit by cyclones that barrel up the Bay of Bengal, while global warming makes rainfall patterns increasingly erratic.

Rising sea levels and coastal erosion could cause Bangladesh to lose 17 per cent of its land surface and 30 per cent of food production by 2050, according to a 2019 International Monetary Fund report.

Farmer Mostafa says thanks to his seedling sales, he is now able to feed his family without asking for help but the profit margins have been shrinking as costs rise. This year, he spent about 4,500 taka (1,700 baht) for a boatload of water hyacinths weighing about 1.2 tonnes to weave into new rafts for the year. Last year, the cost was just 1,000 taka (360 baht).

The rafts, which take two months to make, are typically around six metres long and one metre wide, but can be several times that length, farmers said. They need to be replaced with new ones after each harvest.

The number of floating farms has increased so much that local authorities say they are now offering support for farmers so they can grow quality seedlings to ensure good yields.

Reuters

Minister Chaiwut attends all-important Asean cybersecurity meet in S’pore

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Minister Chaiwut attends all-important Asean cybersecurity meet in S’pore

Minister Chaiwut attends all-important Asean cybersecurity meet in S’pore

THURSDAY, OCTOBER 20, 2022

Thailand’s Digital Economy and Society Minister Chaiwut Thanakamanusorn attended a crucial Asean cybersecurity meeting in Singapore on Thursday to discuss cooperation in fighting cybercrime.

The 7th Asean Ministerial Conference on Cybersecurity (AMCC) was chaired by Singapore’s Communications and Information Minister Josephine Teo.

On the sidelines of the AMCC, Association of Southeast Asian Nations representatives also held a meeting with senior officials from its dialogue partners – Australia, Canada, China, India, Japan, New Zealand, Russia, the United Kingdom, the United States and the European Union.

Chaiwut told reporters the meeting reaffirmed the importance of the Asean-Japan Cybersecurity Capacity Building Centre (AJCC BC) in Bangkok to provide training for IT personnel and others so they can fight cybercrime.

The AJCC BC was set up to advance the skills of those working on cybersecurity, particularly in government agencies and Asean’s Critical Information Infrastructure, to enhance cybersecurity awareness, strengthen information security and data protection, and promote information sharing.

Its objectives also include the development of a standardised Incident Reporting Framework across the region and the establishment of Asean-CERT, which are in line with the Asean ICT Master Plan 2020 Strategic Thrust 8: Information Security and Assurance.

The AJCC BC was one of the key deliverables of Thailand’s Asean 2019 chairmanship under the theme of “Advancing Partnership for Sustainability”.

Minister Chaiwut attends all-important Asean cybersecurity meet in S’poreDuring Thursday’s meeting, Chaiwut also shared his ministry’s operations to promote knowledge among stakeholders of cybersecurity in Thailand so they can handle cyber threats.

Chaiwut told the meeting that to effectively uphold cybersecurity, state agencies must cooperate with the private sector to raise their guard.

He noted that technology companies play an important role in effective cybersecurity, so the government should define how these firms play a part in tackling cyber threats.

Accompanying Chaiwut to the meeting were National Cyber Security Agency secretary-general AVM Amorn Chomchoei and representatives from the Electronics Transactions Development Agency and the Foreign Ministry.

Chaiwut said the meeting also discussed how to leverage cooperation with the United Nations and other international organisations to maintain effective cybersecurity in the region.

Indonesian medical team probes acute kidney failure that has killed 74 children this year

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Indonesian medical team probes acute kidney failure that has killed 74 children this year

Indonesian medical team probes acute kidney failure that has killed 74 children this year

WEDNESDAY, OCTOBER 19, 2022

Indonesia’s Health Ministry has formed a team of medical experts to investigate cases of acute kidney failure of unknown origin in children as cases continue to pop up around the country.

As of Monday, the ministry had recorded at least 189 cases of fatal kidney failure in 20 provinces with 74 fatalities since January.

Ministry spokeswoman Siti Nadia Tarmidzi said that the team would study the origins of the mysterious disease.

“The team comprises epidemiologists, clinical pathologists, officials from the Health Ministry, doctors from the Indonesian Paediatrician Association [IDAI], officials from the Food and Drug Monitoring Agency [BPOM] and the World Health Organization’s [WHO] representatives in Indonesia,” Siti told The Jakarta Post on Monday.

The ministry has found cases of unusual acute kidney failure in the country since January, with cases beginning to show a significant uptick in August. Most of the patients were under the age of five, with no congenital kidney anomalies, chronic kidney diseases, nor major blood or fluid loss prior to their kidney failure.

According to IDAI head Piprim Basarah Yanuarso, almost all patients developed fever, acute respiratory infection or gastrointestinal infections between one and two weeks before their kidney failure.

“Their kidney function worsened quickly and soon they developed either oliguria – abnormally small amounts of urine production – or anuria – failure to produce urine. Both are predictive biomarkers of acute kidney injury,” Piprim said on Friday.

Medicine contamination

Although no definitive cause of acute kidney failure has been found yet, the ministry is looking into the possibility that it might be linked to similar cases found in Gambia.

Nearly 70 children in Gambia died from acute kidney failure after taking paracetamol syrups made by New Delhi-based Maiden Pharmaceuticals Ltd used to treat fever. Investigators from the WHO have found “unacceptable” levels of diethylene glycol and ethylene glycol, which can be toxic, in four products made by the company.

The BPOM said in a statement the syrups were not registered in Indonesia and the use of the two contaminants in any medicinal syrup products had been banned. The agency, however, is investigating the possibility that the two toxic ingredients had contaminated other materials that are used as solvents in other medicines sold in Indonesia.

Sumariyono, director of nursing and medical services at Cipto Mangunkusumo Hospital (RSCM) in Central Jakarta, said on Friday that doctors so far had not found any indications of ethylene glycol intoxication in the 44 patients treated at the hospital.

“But we’re still continuing to investigate all the medications previously taken by the patients,” he said.

Linked to Covid-19?

Epidemiologist Dicky Budiman has said that although it could not be conclusively proven yet, there was a strong possibility that the influx of acute kidney failure in children was linked to previous Covid-19 infections.

“The influx of this mysterious acute kidney failure occurred just months after reports of more than a thousand cases of severe acute hepatitis of unknown aetiology in children across the globe,” Dicky said recently. “Considering that long Covid has been linked to kidney damage and liver diseases, there is a strong possibility that it might be caused by previous infections of the SARS-CoV-2 virus.”

Dicky said there was a possibility that the Covid-19 virus could attack the lymphatic system and impair immune function, causing one’s body to be more prone to infections. Children under the age of six are especially vulnerable to this phenomenon, as they have not yet been eligible for Covid-19 vaccines.

IDAI nephrologist Eka Laksmi Hidayati said that doctors found hyperinflammation of various organs in patients with acute kidney injury, which was very similar to the multisystem inflammatory syndrome in children (MIS-C). MIS-C is a rare but serious condition associated with Covid-19 in which different body parts – for instance, heart, lungs or kidneys – become inflamed.

“However, after further inspection, we found different viruses and bacteria in patients. Usually, during an outbreak, we’ll find the same virus or bacteria in all patients. So we can’t positively conclude that it is linked to long Covid,” she said.

Based on RSCM data, only 58 per cent of patients treated for acute kidney injury had antibodies against Covid-19, indicating that they had previously contracted the disease.

Nina A. Loasana

The Jakarta Post

Asia News Network