Covid-19 Pandemic has become a worldwide issue that also impacts Indonesia. An adaptive and agile governance system is needed to overcome the pandemic issue in both central and regional. One area that is considered successful is Surabaya City. Even so, there is a phenomenon of the high number of Covid-19 positives rates in Surabaya. It indicated that this is a form of policy hampered by local culture. Arek Suroboyo and their cangkrukan were contradicting due to the government's policy regarding large-scale social restrictions. Therefore, the purpose of this study is to analyze agile governance form in the implementation of Surabaya City Government policies in handling Covid-19. Then, identify the impacts that occur on policies due to the culture and custom of Arek Suroboyo. The method used is qualitative descriptive with the questioner and related documents-based analysis. Its results showed that with the existence of decentralization, regional policies were influenced by the central government strategy. Regarding the Central Government's Instruction, the public policies taken handling Covid-19 in the City of Surabaya includes promotional, preventive, curative, and rehabilitative efforts. The dominant concept of agile governance in this policy is "based on quick wins policy" in which one public policy stimulates another. With this effort, the City of Surabaya has passed the first wave of Covid-19 in its region. Nevertheless, the implementation of the policy was hampered by the culture of Arek Suroboyo, namely cangkrukan. Even the worst impact is that this culture potentially conducts the second wave of Covid-19 in Surabaya City.

All these patients suffered from symptomatic infections and when signs and symptoms were collected (in 6 of them), back pain, myalgia, loss of appetite and asthenia were the most frequent followed by fever, arthralgia and vomiting. Noticeably, none experienced a severe episode nor required to be hospitalized. At this stage, typing using type-specific RT-PCR assays of the two positive samples was performed in one patient and confirmed the secondary infection. DENV1 was isolated in 3 samples from 2019 from 3 patients also diagnosed in 2018. Because of an IgG positive serology, it strongly suggests the heterologous infection despite no typing in 2018. Due to technical issues, 3 samples could not be typed. Four typing results are pending. The median length between the 2 infections was 13 months [min-max: 4.5-18 months].Discussion: These preliminary findings showed that two symptomatic dengue infections can occur even if infections are only distanced of 4 months and suggests that heterologous protection is shorter than expected.Conclusion: These results contrast with the 24 months protection usually reported. Of note and as previously described, it seems that the risk of developing a severe form during secondary infection is increasing with the time interval between the 2 infections.

We present a timely evaluation of health effects of COVID-19 related lockdown events in Pakistan. Using parametric t tests and non-parametric Wilcoxon signed ranks tests we find that the coronavirus cases and deaths in the four-weeks after lockdown lifting are significantly greater than those reported over the same time periods during lockdown. This paper is meant to aid in handling interventions to manage COVID-19 outbreak across the Asia and Pacific region, especially to the ones that have similar settings of health care systems and economic development. However, the direct economic and environmental effects of imposing and easing lockdown measures remain a matter of further investigation.