Deborah Birx ita ce mai ba da amsa ta White House Covid-19 a karkashin Shugaba Donald Trump. Jeffrey Tucker kwanan nan ya rubuta wani mummunan hali takedown na batancin da ta yi na kimiyya da bayanai da gangan don yin amfani da Trump wajen yin tafiya tare da manufofin da ta fi so amma bata kai don magance barkewar Covid.
A cikin faifan bidiyo na ABC ranar 15 ga Disamba, 2020, ta ya ce: “Na fahimci amincin rigakafin… Na fahimci zurfin ingancin wannan maganin. Wannan shi ne daya daga cikin mafi inganci alluran rigakafin da muke da su a cikin makamanmu masu yaduwa."
Ta bayyana akan Fox News a ranar 22 ga Yuli, duk da haka, ta da'awa: “Na san waɗannan alluran rigakafin ba za su yi kariya daga kamuwa da cuta ba. Kuma ina tsammanin mun wuce gona da iri akan allurar. Kuma hakan ya sa mutane su damu da cewa ba za a yi kariya daga cututtuka masu tsanani da kuma asibiti ba."
Wannan na iya taimakawa wajen bayyana dalilin da yasa aka sami irin wannan game da rugujewar amincewar jama'a game da jagorantar cibiyoyin kiwon lafiya da "hukumai."
Da'awar Biden na annobar cutar da ba a yi ba
Yayin wani taron zauren CNN a ranar 21 ga Yuli, 2021, Shugaba Joe In ji Biden: "Idan an yi muku allurar, ba za a kwantar da ku a asibiti ba, ba za ku kasance a sashin ICU ba, kuma ba za ku mutu ba."
A ranar 16 ga Mayu, 2021, Dr. Anthony Fauci ya yi iƙirarin cewa allurar rigakafin ba wai kawai ta kare mutum ba ne, har ma da al'umma, saboda "ta hanyar hana yaduwar cutar… mutuwa karshen zuwa cutar. Kuma idan akwai matattu da yawa a kusa da su, kwayar cutar ba za ta je ko'ina ba."
Dangane da hukuncin babban mai ba shi shawara kan kiwon lafiya, Biden ya yi magana game da lamarin annoba na marasa lafiya a cikin wani yunƙuri na hanya biyu don ƙarfafa ɗaukar allurar rigakafi da kuma tozarta, aljanu da kunyata waɗanda ba su da tabbas game da ma'auni na fa'ida da haɗarin gajere da na dogon lokaci na rigakafin Covid-19 da aka garzaya don guje wa fadawa cikin matsin lamba da yawa. ku tafi tare da zage-zage don samun jituwa da kowa.
Yanzu muna da Dr. Fauci, fuskar jama'a ta yadda Amurka ke tafiyar da cutar, ana girmama su a wasu ɓangarorin kuma ana zagin wasu, kuma Shugaba Biden da kansa ya kamu da cutar ta Covid, duk da allurar rigakafin biyu da haɓaka biyu.
Babu makawa, don gwadawa da dakatar da labari na hukuma game da fa'idodin rigakafin daga bayyana gaba ɗaya kuma don ƙarfafa ci gaba da ɗaukar allurar rigakafi da haɓaka haɓaka, sun dage cewa sabunta matsayinsu na rigakafin ya taimaka wajen iyakance tsananin kamuwa da cutar. Wannan ya dogara ne akan bangaskiya irin ta ibada, mai kama da tabbatarwa da kai da kuma soke bayanin da masana taurari suka yi don tsinkayar da ta tabbata kuma ba ta kasance ba, kamar yadda al'amarin yake.
Ko da yake a ranar 20 ga Yuli, Fauci ya yarda bayanan sun bayyana karara cewa "alurar rigakafi - saboda yawan yaduwar wannan kwayar cutar - ba sa karewa sosai, kamar dai, daga kamuwa da cuta." Robert F. Kennedy Jr. ya tambaya me yasa kafofin watsa labarai ba su rike Fauci "masu ƙima game da manufofin ƙasa masu tsada da kuma kulle-kullen da aka gina gaba ɗaya akan furucinsa na farko cewa allurar za ta hana watsawa da kawo ƙarshen cutar."
Hakazalika, ba shakka, dole ne mutum ya sake tambaya: idan alluran rigakafin ba su daina watsawa ba, ta yaya gwamnati za ta ba da izinin yin rigakafin balaguro zuwa Amurka?
A cikin jijiya mai dacewa, Lafiya ta New South Wales (NSW). rahoton mako mai ƙare 16 ga Yuli ya yi iƙirarin cewa: "Masu tsirarun yawan jama'ar da ba a yi musu allurar ba suna da yawa sosai a tsakanin marasa lafiya a asibitoci da kuma ICUs masu fama da Covid-19."
Kalubale masu zuwa waɗanda ke da'awar yin amfani da bayanan nasu.
Ta hanyar zana bambanci tsakanin inganci da ingancin alluran rigakafin, yana yiwuwa a yi gardama cewa a cikin NSW, maimakon annoba ta marasa lafiya, abin da muka shaida annoba ce ta allurar rigakafin sau uku.
Bayanan lafiyar NSW
A cikin Satumba 2021, NSW yana da 844 gadaje ICU ma'aikata, wanda kashi 173 (kashi 20.5) marasa lafiya na Covid-19 ne suka mamaye su. (A faɗin Ostiraliya, adadin gadaje ICU 2,183 ne.) Zuwa Janairu 2022, adadin ya ƙaru zuwa kusan 1,000. Idan ya cancanta, ana iya ƙara haɓaka wannan ta hanyar amfani da iyakataccen adadin gadaje ICU a asibitoci masu zaman kansu.
akwai 9,500 gadaje gamayya a cikin jama'a da wasu gadaje 3,000 a asibitoci masu zaman kansu a NSW. A tsakiyar watan Yuli 2022, akwai Mutane 2,058 suna asibiti tare da Covid-19 a cikin NSW, ko kashi 21.7 na karfin tsarin jama'a da kashi 16.5 na jimillar ƙarfin gadajen asibiti na jihar. Ƙarin ƙarin mutane 6,500 suna asibiti saboda dalilan da ba na COVID-XNUMX ba.
A cikin makon na Yuli 10-16, an kwantar da mutane 806 a asibiti tare da Covid-19, wani 77 a cikin ICU, kuma mutane 142 sun mutu tare da cutar ta Covid-19 (duk da cewa ba lallai ba ne a matsayin babban dalilin mutuwa). Haka kuma, daga cikin mutuwar 142, hudu ne kawai shekarun su kasa da 60, ta yadda mutane masu shekaru 60 zuwa sama sun kai kashi 97.2 na duk mace-macen da ke da alaka da Covid a cikin jihar.
Bugu da ƙari, daga cikin 142 da suka mutu, ba a san matsayin rigakafin na 2 ba. Dari da goma sha takwas na sauran kashi 140 - 84.3 - aƙalla an yi musu allura biyu kuma 69 sun karɓi allurai uku na rigakafin: ya zuwa yanzu babbar ƙungiya ɗaya kuma kusan daidai da duk sauran a hade. Don haka tunanin cewa watakila abin da muke fuskanta shi ne annoba ta allurar rigakafin sau uku.
Tasiri vs. tasiri
Kamus na Cambridge ya bayyana inganci kamar yadda "yadda wani magani ko magani ke aiki a ƙarƙashin kulawar yanayin gwajin kimiyya a hankali." Sabanin haka, tasiri an bayyana shi a matsayin "yadda wani magani ko magani ke aiki lokacin da mutane ke amfani da shi, sabanin yadda yake aiki a ƙarƙashin yanayin gwajin kimiyya da aka sarrafa sosai."
Don haka shakku game da ingancin sabon samfur wajen magance kowace cuta za a iya warware shi kawai da zarar an sami allurar rigakafi kuma ana gudanar da ita a cikin jama'ar da aka yi niyya. GAVI (Ƙungiyar Global Alliance for Vaccines and Immunization), wanda yanzu ake kira Gavi, Ƙungiyar Alurar riga kafi, haɗin gwiwa ne tsakanin Hukumar Lafiya ta Duniya, Unicef, Bankin Duniya da Gidauniyar Bill & Melinda Gates.
Rubutu don GAVI, Priya Joi tayi irin wannan ma'anar, Yana kwatanta "tasiri" a matsayin ma'auni na yawan maganin rigakafi ya hana kamuwa da cuta (da yiwuwar kuma watsawa) a karkashin yanayi mai kyau, sarrafawa inda aka kwatanta ƙungiyar alurar riga kafi tare da ƙungiyar placebo. Ta kara da cewa: "Ayyukan rigakafin ba koyaushe suna buƙatar samun babban tasiri na musamman don zama masu amfani ba, misali maganin mura yana da tasiri 40-60% amma yana ceton dubban rayuka kowace shekara."
Binciken kashi uku-uku a cikin shigar asibiti, gadaje ICU, da matattu bisa tushen rabonsu a cikin yawan jama'a, zai fi dacewa da shekaru, yana da mahimmanci don ƙididdige ingancin rigakafin. Ban tabbata ba yadda hakan ke taimakawa wajen tantance tasirin alluran rigakafi wajen kiyaye cikakken lambobi ƙasa da iyawar jiha ko ƙasa na asibiti da gadaje ICU.
Idan dalilin farko na lafiyar jama'a don allurar rigakafin duniya shine don rage nauyi akan kayayyakin kiwon lafiya da hana asibitoci da karfin ICU su mamaye - wanda hakika shine babban hujja a cikin yaren makonni biyu zuwa uku don daidaita lankwasa - sannan mabuɗin. Tambayar ta zama: Yaya tasirin maganin rigakafin ke hana shigar asibiti da zama na ICU? Matsayin da suke da shi na rigakafin kamuwa da cuta da kansa ba shi da mahimmanci fiye da tasirin su wajen shawo kan tsananin cutar.
Misali, rahoto daga Ma'aikatar lafiya ta Holland ya gano cewa tasirin allurai biyu na alluran rigakafi bayan shekara guda ya faɗi gabaɗaya zuwa kashi 0 cikin 20 a kan asibitoci da rage kashi XNUMX cikin ɗari akan shigar da ICU. Wataƙila mafi dacewa dangane da NSW, Dokta Eyal Shahar ya lura da alamun a cikin Isra'ila na Yawan mutuwa na ɗan gajeren lokaci na kashi na uku.
Ƙwarewa ya fi taimako ga mutum wajen tantance haɗarin kamuwa da cuta idan an yi masa allura ko a'a. Saboda an ba da izinin yin amfani da gaggawa na Covid kuma ba a samu inganci na dogon lokaci da bayanan martaba ba, shakku sun dage game da amincin, aminci da amincin dogon lokaci na bayanai da sakamakon gwajin da masana'antun rigakafin suka gudanar.
Haka kuma, kamar yadda aka sanar da mu game da Burtaniya, sassan gwamnati daban-daban kamar Hukumar Tsaro ta Lafiya da Ofishin Kididdiga ta Kasa suna amfani da dabaru daban-daban da zazzafan fada don kirga lambobi da adadin yawan mutanen da suka kamu da cutar ta Covid, wanda hakan ke tabbatar da kiyasin adadin masu kamuwa da cuta (IFR).
A kowane hali, ko da mun yarda cewa IFR da adadin mace-mace (CFR) na mura da Covid suna kama da juna a yanzu, girman da girman Covid yana nufin cewa IFR da CFR iri ɗaya har yanzu suna ba da umarni daban-daban na kalubale ga lafiyar jama'a. siyasa.
Sabanin ingancin allurar rigakafi don sarrafa shigar da asibiti, ana auna yawan kwana da mace-macen ICU ta hanyar ingantaccen ingantaccen bayani wanda yake cikakke kuma cikakke a cikin ƙasashen Yamma. Wannan ya sa tasirin rigakafin ya zama mafi kyawun kayan aiki don yanke shawara kan wajibcin yawan jama'a yayin da inganci na iya zama mafi dacewa ga yanke shawara na mutum ɗaya.
Covid a cikin NSW
A cikin tsawon makonnin da suka ƙare daga Mayu 28 zuwa Yuli 16, 2022 a NSW, daga cikin waɗanda aka san matsayinsu na rigakafin, mutane takwas ne kawai waɗanda ba a yi musu allurar ba suna cikin 3,509 waɗanda suka buƙaci shigar da asibiti (Hoto na 1). Lambobin da ke cikin ICU sun kasance 5 ba a yi musu rigakafi ba da 316 tare da allurai 2-4 (Hoto 2); Adadin wadanda suka mutu na Covid sun kasance 110 ba a yi musu rigakafi ba kuma 662 tare da allurai 2-4 (Hoto na 3).
Tare da kashi 83 na mutane aƙalla allurar biyu, sun kai kashi 99.4, 96.3, da kashi 85.4, bi da bi, na shigar da asibiti na NSW Covid, ICU da mace-mace a cikin waɗannan makonni bakwai.
A cikin satin ƙarshe na wannan lokacin na makonni bakwai, na waɗanda aka san matsayinsu na rigakafin, babu daidaitattun mutane - zilch, nada - waɗanda ba a yi musu allurar ba a cikin asibitocin 624 da 59 ICU Covid-19 da aka shigar, idan aka kwatanta da 615 tare da biyu, uku da alluran rigakafin guda hudu a asibiti da 58 a cikin gadaje ICU. Wadanda aka yi wa allurar sau uku, wadanda ke da kashi 68 na yawan jama'ar NSW, sun kai kashi 57.5 a asibiti, kashi 53.7 a cikin ICU da kashi 53.5 na Covid ya mutu.
Iƙirarin cewa waɗanda ba a yi musu allurar ba suna "masu yawa sosai" a cikin shigar da asibiti na Covid-19 da zama na ICU ba kawai yaudara ba ne, ƙarya ce. Da gaske, shin suna duban bayanan a cikin rahoton nasu kafin su yanke shawarar manufofin?
Kamar yadda ilimi game da saurin raguwar ingancin alluran, kuma musamman na kowane kashi na gaba, ya karu, kuma yayin da rigakafin rigakafin sabbin bambance-bambancen na Covid-19 ya zama sananne sosai, tambayar daidai yanzu ita ce: su ne: mun shiga zamanin annoba ta allurar rigakafin sau uku? Babban damuwa a asibitocin NSW da gadaje ICU yana zuwa daga lambobin su.
Jami'an kiwon lafiyar jama'a na iya yin magana da rarraba duk abin da suke so game da tushe don kwatancen kuma su yi kama da suna da ƙwarewa sosai a fahimtarsu game da halin da cutar ke ciki. Har yanzu ba za su iya juyar da hanyarsu ta fita daga bayanan mai wuya ba.
Madadin haka suna nuna wani yanayi mai tsanani na rashin fahimta a cikin ƙarfafa masu allurar biyu don samun haɓaka da haɓaka sau biyu. Rashin tasiri na alluran rigakafi wajen rage shigar da asibiti da kuma bukatar ICU a kanta ya isa ga umarnin rigakafin torpedo. Shakku kan ingancinsu da damuwa game da illolinsu da aminci na dogon lokaci yana ƙara ƙarfafa shari'ar da aka ba da izini.
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Ramesh Thakur, Babban Babban Masanin Cibiyar Brownstone, tsohon Mataimakin Sakatare-Janar na Majalisar Dinkin Duniya ne, kuma farfesa na farko a Makarantar Siyasa ta Crawford, Jami'ar Kasa ta Australiya.
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