The ongoing forest fires on parts of Sumatra and Kalimantan, brought about by people's slash-and-burn practices to clear land for palm oil and paper industries, are now labelled a crime against humanity by global media while Indonesia has turned into the world's largest daily carbon dioxide emissions surpassing China and the USA. The severe haze that has been plaguing parts of Southeast Asia brings health problems, economic costs and bad publicity amid a time when most countries are teaming up to combat global warming.

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Indonesia’s reference thermal coal price hit another all-time low. The Ministry of Energy and Mineral Resources set the September coal price (in Indonesian: Harga Batubara Acuan, or HBA) at USD $58.21 per metric ton (FOB), down 1.6 percent from the August reference rate, and the fifth consecutive month of decline. Indonesia is the world’s largest thermal coal exporter.

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The United Nations Children's Fund (UNICEF) stated in a recently published report that Indonesia has made significant progress in reducing the country’s child mortality rate. According to the report, entitled “Committing to Child Survival: A Promise Renewed (Progress Report 2015)", Indonesia’s mortality rate for children below the age of five years currently stands at 27 deaths per 1,000 births, a significant improvement from the 85 deaths per 1,000 births that was recorded in 1990.

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Indonesia dan Malaysia kembali dilanda oleh kabut asap tahunan yang disebabkan oleh kebakaran hutan di Palangkaraya (Kalimantan Tengah). Kabut asap yang tebal ini telah menyebabkan pembatalan sejumlah penerbangan komersil di bandara-bandara lokal di Jambi (Sumatra) dan Surabaya (Jawa). Sejauh ini, dilaporkan bahwa sejumlah tempat di Malaysia memiliki kualitas udara yang tidak sehat.

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The number of smokers in Indonesia continues to rise from year to year. Based on the latest data from Basic Health Research (Riset Kesehatan Dasar) a total of 58.8 million Indonesians aged over ten years smoked in 2013, more than ten times the population of neighbouring Singapore. In one year, these smokers lit around 225 billion cigarettes making Indonesia the third-largest tobacco consumer after China and India. More alarming, about four million of these Indonesian smokers are children between the age of 10 to 14 years.

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In the Safe Cities Index 2015, launched by the Economist Intelligence Unit (EIU), Indonesia’s capital city of Jakarta is ranked at the bottom of the index. The Safe Cities Index, which covers 50 large cities worldwide (selected on factors which include regional representation and availability of data), based its ranking on an average score across four categories: digital security, health security, infrastructure safety and personal safety. In 2014, data from the Jakarta Police showed that 213 out of every 100,000 Jakartans were victims of various crimes.

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Starting from January 2015, Indonesian tobacco products are subject to an average tax rise of 8.7 percent. The excise tax on machine-rolled cigarettes becomes IDR 355 (USD $0.03) and on hand-rolled cigarettes IDR 290 (USD $0.02) per stick. The tax hike is implemented by the government in a move to increase state income through tax revenues. The higher excise tax is expected to have a minor effect on tobacco sales in Indonesia as retail prices for cigarettes remain among the lowest in the Southeast Asian region.

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Indonesia Investments has updated the company profile of PT Kalbe Farma Tbk. Kalbe Farma is the largest listed pharmaceutical company in Indonesia and Southeast Asia (listed on the Indonesia Stock Exchange/IDX). The company’s main business focus rests on four divisions: prescription pharmaceuticals, consumer health products, nutritionals as well as distribution & logistics. Its a leading provider of “comprehensive healthcare solutions”, from pharmaceuticals, nutrition, health foods and beverages to medical devices, including primary healthcare service.

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According to the Indonesian Ministry of Health, approximately one-third of Indonesians aged over ten years smoke (36 percent), with 67 percent of men and 4.5 percent of women smoking some form of tobacco. While Indonesia is the fifth-largest tobacco market in the world, it is the only World Health Organization (WHO) member state in Southeast Asia that has not ratified the Framework Convention on Tobacco Control (FCTC). The FCTC was developed in response to the globalisation of the tobacco industry and tobacco use.

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Direct investment in the medical device industry of Indonesia soared nearly seven-fold to IDR 4.7 trillion (approx. USD $343 million) in 2017 (compared to the preceding year). Rising investment stems from new as well as existing local companies, foreign investors, and local-foreign joint ventures. But what is behind this growth?

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The tobacco and cigarette business in Indonesia is big business. Two tobacco companies are positioned within the top ten of largest companies listed on the Indonesia Stock Exchange (in terms of market capitalization) as there exists a huge market for cigarettes in Indonesia with some 65 percent of Indonesian men being smokers (due to Indonesia's socio-cultural context few Indonesian women smoke). Moreover, the Indonesian government seems unwilling to limit cigarette consumption (both active and passive smoking) among the population.

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Relatively frequently Indonesia is shocked by major scandals; usually it is a high-profile corruption case involving politicians or big businessmen but since Friday (24/06) a new scandal arose that has been keeping local media busy. This scandal is more sensitive as it involves the health of little children. Apparently, fake vaccines have been given to children - primarily to babies under one year old - across Java for the past 13 years. Police arrested a total of 16 people on grounds that they have been involved in the production and distribution of fake counterfeit vaccines.

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Indonesia's slowing economic growth, weaker purchasing power and an 8.7 percent increase in excise on tobacco products (in early 2015) had a relatively small impact on the financial performance of Indonesia's listed tobacco companies HM Sampoerna, Gudang Garam, Bentoel Internasional Investama and Wismilak Inti Makmur. Whereas companies active in various other sectors of the Indonesian economy were plagued by falling revenue and profit figures, these tobacco firms still posted solid gains in revenue and - to a lesser degree - net profit growth. This shows that Indonesian smokers are faithful to their "death stick".

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Although Indonesia's National Health Insurance program is not without problems, it does benefit Indonesian hospitals and makes investment in the nation's hospital sector attractive, particularly as the Indonesian government targets to provide universal health care to all Indonesians by the year 2019. Reportedly, those hospitals that receive patients that fall under Indonesia's Healthcare and Social Security Agency (Badan Penyelenggara Jaminan Sosial, or BPJS Kesehatan) are the busiest hospitals in Indonesia at the moment.

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Companies active in the pharmaceutical industry of Indonesia need to find strategies to overcome sharp rupiah depreciation. Indonesia’s pharmaceutical industry is still - to a large extent - dependent on the import of raw materials, hence a weakening rupiah raises the costs of imports thus eroding profit margins. Since May 2013, when the US Federal Reserve started to hint at monetary tightening, the US dollar has experienced bullish momentum. Between the May 2013 and July 2015, the rupiah depreciated around 37 percent against the US dollar.

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One of the solid growing markets in Indonesia that remains untapped is the water purifier market. Although Indonesia holds six percent of the world’s fresh water resources, the quality of Indonesia’s public piped water is inadequate (contaminated with E. coli, fecal coliforms and other pathogens). Moreover, roughly 80 percent of the Indonesian population lacks access to piped water hence relying on river water for drinking, washing and bathing. However, the water of most Indonesian rivers do not meet drinking water requirements.

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Although most Indonesians still prefer to eat rice and noodles as part of their daily diet, an increasing number of Indonesians (particularly those who live in the urban environments and have adjusted to an ‘urban lifestyle’) have started to consume cereals and bread. In fact, Indonesia has become the world’s second-largest wheat importer and ranks among East Asia’s largest cereal importers. The country is dependent on these imports as domestic production of grains is close to zero (the climate doesn’t suit cultivation).

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A new World Bank report, entitled “The Double Burden of Malnutrition in Indonesia”, says that 37.2 percent of Indonesian children under the age of five - or 8.4 million children - are stunted (meaning excessively small for their age) and suffer from chronic malnutrition. As such, Indonesia has the fifth-highest level of stunting in the world. The report also states that 19.6 percent of Indonesian children under five years old (approximately 4.4 million) are underweight as a result of malnutrition. Public awareness about this issue is low in Indonesia.

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Mitra Keluarga Karyasehat, operator rumah sakit dan unit usaha dari Grup Kalbe, menargetkan untuk meraup Rp 4,2 trilliun dalam penawaran umum perdana (IPO) di Bursa Efek Indonesia (BEI) pada Maret 2015. Perusahaan ini akan menawarkan 261,9 juta saham, setara dengan 18% dari modal ditempatkan dan disetor penuh perseroan. Lima persen dari total saham ini adalah saham baru, sementara 13% adalah saham didivestasi private equity firm Lion Investment Partners.

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