The authorities of Indonesia complained on Wednesday that hundreds of people had refused the testing for the coronavirus orCOVID-19 as social taboos grow as another hurdle for stopping the spread in the fourth most populous nation of the world.

Indonesia has the highest number of confirmed infections cases in Southeast Asia, crossing 49,000, while at least 2,573 people have lost their lives, as per official data, the highest COVID-19 death toll in East Asia outside China.

Despite an acceleration in infections, this week hundreds of traditional traders in Bali and Sumatra refused to get tested, even as bustling, densely packed markets have emerged as common coronavirus infection points, officials said. In Bali, authorities had aimed to test 2,200 traders in the area of Tabanan but on Tuesday 200 traders failed to turn up.

People Refusing COVID-19 Testing

Coronavirus
Workers of Junjiang Industrial Limited Company produce medical masks in Yilong New District at Bouyei-Miao Autonomous Prefecture of Qianxinan in southwest China's Guizhou Province, Feb. 21, 2020. Medical supply companies in Yilong New District have been producing medical supplies at full capacity to support the fight against the novel coronavirus, or COVID-19. (Xinhua/Yang Wenbin/IANS) Xinhua/IANS

"They are afraid of the stigma," Klungkung Regent Nyoman Suwirta, told Reuters, "That later if it is discovered they will have to be isolated." Authorities at Solok market in West Sumatra said 150 there had also refused to be tested.

"Maybe there is fear, maybe there is trauma, we need to explore the reasons why," said Jasman Rizal, the spokesperson of West Sumatra's COVID-19 Taskforce, "The government must take persuasive action and educate." Indonesia's 270 million people are spread across 18,000 islands that span more than 5,000 km (3,000 miles).

Some villages in Java and Kalimantan have not allowed funerals for those who have died from COVID-19, afraid the burials could spread the disease, while local doctors have reported that some patients exhibiting symptoms have refused to go to designated coronavirus hospitals because of the stigma they might face. In Sulawesi, one community forcibly retrieved the bodies of suspected coronavirus victims from hospitals so they can be buried according to religious ritual rather than COVID-19 protocol.

The application of social distancing measures has varied across the country, with some communities paying little heed to them. Sulfikar Amir, a disaster sociologist at Nanyang Technological University in Singapore, told Reuters that stigma arises from limited information. "Stigma is an indicator of how communication and information dissemination in Indonesia hasn't been successful," he said.

(With agency inputs)