Duk rikicin, a cewarsu, dama ce. Gwamnatoci, ma'aikatan kiwon lafiya da masu kula da magunguna a duk faɗin duniya sun yi amfani da rikicin Covid-19 don ɗaukar iko da samun iko akan rayuwarmu. A iya hasashen, maimakon abin mamaki ga yawancin mutane, da yawa suna nuna juriya ɗaya ɗaya don barin ikonsu na ban mamaki, maimakon haka suna tsawaita dokar ta-baci tare da faɗaɗa ikonta don rungumar wasu batutuwa.
Kokarin shawo kan cutar ta fara ne da tsarin dakile duk wata shawara da ta samo asali daga dakin bincike na Cibiyar Nazarin Kwayoyin cuta ta Wuhan, sannan ta ci gaba da tozarta, yin shiru da batanci ga masu sukar kulle-kulle, abin rufe fuska da ingancin alluran rigakafi da umarni.
Dokokin Ƙasa na Ƙwararrun Ƙwararrun Ƙwararrun Lafiya ta Ostiraliya
Sabbin abubuwan da suka faru a Ostiraliya sun faru ne a ranar 13 ga Oktoba lokacin da Majalisar Queensland ta yi gyara Dokar Dokar Kasa ta Ma'aikatan Lafiya don sake fasalin dangantakar da ke tsakanin likitoci, marasa lafiya da masu kula da lafiya. Dangane da yarjejeniyar tsakanin gwamnatocin da ake da ita, za a yi irin wannan canjin na Queensland wajen yin gyaran fuska ga gyare-gyaren majalisa a wasu jihohi da yankuna don tabbatar da kafa dokar kasa iri daya.
A ranar 22 ga Fabrairu, tarayya da jihar Ostiraliya ministocin lafiya sun amince Kundin Dokar Gyara Dokar Kasa ta Ma'aikatan Lafiya. Sabuntawa ga ƙa'idodin jagora sun haɗa da "ƙara a cikin martanin ka'idoji don kare lafiyar jama'a." A mafi kyau, wannan m kuma m.
Mafi muni, yana jujjuya ma'auni da yanke hukunci daga mutum-mutumi a cikin dimokuradiyya mai sassaucin ra'ayi zuwa amincin gama gari na masu fasaha da masana, yana ba da hujjar hani kan haƙƙoƙin mutum da hukuma don kyakkyawan sakamako kamar yadda hukumomin gwamnati suka ƙaddara. Za a haramta wa likitoci bayyana ra'ayinsu da kuma amfani da kwarewarsu, horarwa, ilimi da ilimin marasa lafiya, idan wannan ya saba wa abin da ma'aikatan kiwon lafiya suka ce yana da muradin "amincin jama'a a cikin aminci." Wannan na ƙarshe zai sarrafa yadda ya kamata likitoci su bi shawarwarin jiyya ga marasa lafiya.
An yi jawabai da dama da ke jayayya akan abubuwa daban-daban na gyaran. The Medicalungiyar Likitocin Australiya queried abin da "babban jagora" ke nufi "a aikace" kuma yayi jayayya da cewa "ra'ayin amincewar jama'a ba koyaushe yake yanke ba." The Royal Australian College of General Practitioners sun gabatar da cewa gyare-gyaren za su daidaita tsarin har ma da nisa daga kare lafiyar majiyyata da kuma zuwa ga "hargitsin ma'aikata," don lalata amincewar likitoci ga Dokar Kasa.
Mafi mahimmancin ƙaddamarwa ya fito ne daga Ƙungiyar Ma'aikatan Lafiya ta Australiya da Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ostiraliya mai wakiltar fiye da 10,000 kwararrun kiwon lafiya. Sun bayyana damuwa cewa "za a iya yin amfani da faffadan yanayin da'awar "amincin jama'a da amincewa" "a matsayin hanyar tilasta bin umarnin gwamnati." A gefe guda, waɗannan za a iya katse su daga kimiyya da shaida.
A gefe guda, ana iya amfani da su don sarrafa ma'aikatan kiwon lafiya kai tsaye "rikici da ayyukansu na ɗabi'a da code of hali wajibai." Ba su da kwarin gwiwa cewa tanade-tanaden kiwon lafiyar jama'a da amincin za su a zahiri ko dai "inganta kariya ta jama'a daga rashin da'a na asibiti" ko kuma "kara amincewa ga tsarin kiwon lafiyar jama'a." Madadin haka, ikon da aka gabatar zai "yi aiki don rufe muryoyin ƙwararrun da ke son gyara hukumomin kiwon lafiya" da kuma tabbatar da rashin amfani ta hanyar hana "bayanan da ake buƙata da sadarwa shiga cikin jama'a."
Duk abin da ma'aikatan kiwon lafiya da masu kula da lafiya suka yi tun daga Maris 2020, da sunan tabbatar da amincin jama'a da dakatar da ɓarna, yana nuna cewa ya kamata mu ji tsoron mafi muni kuma zai zama butulci don fatan mafi kyau. Wannan ya haɗa da magudin tunani na motsin rai da ji don ƙulla mutane cikin bin umarnin lafiya.
Dokokin da suka daɗe waɗanda suka jagoranci likitocin Australiya da kuma tabbatar da tsarin lafiyar sa na biyu ba za a rushe shi ba: aikin Hippocratic Oath na "Kada ku cutar da," yarda da majiyyaci bisa ga kimanta fa'idar cutarwa na zaɓuɓɓukan magani daban-daban, haɗarin da ke tattare da su a cikin mafi kyawun hukunci na ƙwararrun likita, da kuma tsarkin dangantakar likita da haƙuri.
Imani da mutane game da GPs na iya rugujewa da zarar sun fahimci an hana likitoci yin tambaya game da fa'idodin sakawa ko kuma nuni ga yiwuwar haɗarin jiyya da aka ba da shawarar. Madadin haka, dole ne su kasance a cikin iyakokin da ma'aikata da masu mulki suka shimfida, na karshen galibi yana ƙarƙashin kamawar masana'antu.
California ta zartar da irin wannan doka da ke ba wa hukumar kula da lafiya ta jihar damar soke lasisin likitocin da ke bayyana ra'ayoyin "wanda ya saba wa ijma'in kimiyya na zamani ga ma'auni na kulawa." Ko, kamar yadda taimako ya fassara ta New York Post sub-editors: "California ta sa doka ta haramta wa likitoci rashin jituwa da 'yan siyasa."
Muhawara kan Ma'auni na Amfanin Cutarwa na Covid
Ga ma'aikatan kiwon lafiya da masu kula da lafiya, na ƙarshe sau da yawa tare da daidaita alaƙar masana'antu, da'awar keɓantacce kan gaskiyar kimiyya abin kunya ne. Ƙoƙarin rufe halaltattun muhawarar game da zafin korar da ma'aikatan kiwon lafiya ke yi na wakiltar hatsarin gaske ga lafiyar jama'a.
Bayan shafe shekaru ɗari na ilimin kimiyya da ka'idodin ka'idoji game da sarrafa cutar sankara tare da Covid, muna da niyyar kawo sauyi ga aikin yau da kullun na likitanci ta hanyar bin diddigin ƙwararrun ƙwararrun likitocin kan mafi kyawun zaɓin jiyya ga majinyata, ga umarnin ma'aikata da masu kula da lafiya. . Tare da mutuncin jama'a ga 'yan siyasa a kowane lokaci mai rauni, wannan ba zai yuwu ya haifar da kwarin gwiwa ga sabis na kiwon lafiya ba.
Yi la'akari da ra'ayi na duniya game da ma'aunin fa'ida- lahani na rigakafin Covid ga yara. Hadarin su na rashin lafiya mai tsanani ko mutuwa daga Covid kadan ne, mummunan halayen halayen sun fi girma kuma ba a san tasirin da zai haifar da dogon lokaci ba. A ranar 7 ga Oktoba, Florida ta ba da sanarwar latsa release ba da shawarar rigakafin mRNA Covid ga maza masu shekaru 18-39. Binciken su ya gano kashi 84 cikin ɗari mafi girma na haɗarin mutuwa da ke da alaƙa da zuciya a cikin kwanaki 28 na allurar rigakafi a cikin wannan rukuni. Sama da 60s suna da haɗarin haɓaka kashi 10.
Wannan ya dace da jagorar Florida akan jagorar rigakafin yara wanda aka bayar a watan Maris wanda ke ba da shawarar yaƙi da allurar rigakafin Covid don lafiyar 'yan ƙasa da 18. Sun lura da ƙayyadaddun haɗari ga jarirai da yara masu tsananin rashin lafiya saboda Covid, yawan rigakafin da ke akwai a tsakanin su, rage tasirin rigakafin da kuma “mafi girma fiye da tsammanin” munanan abubuwan da suka faru, gami da myocarditis.
Florida haka ta shiga Denmark, Norway da kuma Sweden a kawo karshen shawarwarin rigakafin rigakafi ga masu shekaru 12-17 da kuma, a cikin biyu daga cikin waɗannan, na ƙasa da 50s da 65s. Ko da yake an yi takara, akwai a gwaji da kuma girma jiki of kimiyya karatu masu goyon bayan su skepticism zuwa ga amfanin net na rigakafin Covid ga jarirai, yara da matasa.
Florida shiriya ya ƙunshi shawarwari guda uku waɗanda suka dace kai tsaye ga Dokar Ƙasa ta Ostiraliya:
- Ana ƙarfafa mutane su tattauna duk fa'idodin rigakafi da haɗari tare da mai ba da lafiyar su.
- Ya kamata a auna haɗarin da ke da alaƙa da rigakafin mRNA akan wannan tare da kamuwa da cuta na Covid.
- Likitoci ya kamata su sanar da majiyyata yiwuwar rikice-rikicen zuciya da za su iya tasowa bayan sun karɓi maganin mRNA.
Duk da haka Ostiraliya ta Therapeutic Kayayyaki yana da amince alluran rigakafi ga yara masu shekaru 6-5 shekaru. A halin da ake ciki, da yawa daga cikin iƙirarin da suka ci gaba don tallafawa rigakafin - suna dakatar da kamuwa da cuta da watsawa da kuma hana mummunar cuta da mutuwa - dole ne a yi watsi da su ɗaya bayan ɗaya amma dandamalin kafofin watsa labarun ba su taɓa “duba gaskiya” ba, yayin da masu sukar farko. Daga cikin waɗannan da'awar an tantance su ta hanyar masu binciken gaskiya da kansu don yada rashin fahimta da haɓaka ka'idodin makirci - har sai sun kasance.
Haka kuma, mutanen da suka mutu a cikin kwanaki 14 na maganin alurar riga kafi sune kuskure classified kamar "ba a yi alurar riga kafi ba." Wannan yana karkatar da ƙididdiga akan ma'auni mai lahani-amfani zuwa madaidaicin ƙididdiga. A cikin wani misali na musamman, labarin in Nature a ranar 23 ga Satumba ya bayyana cewa marubutan (1) sun rarraba marasa rigakafi da alluran rigakafi guda ɗaya zuwa kashi ɗaya na kama-dukkan marasa alurar riga kafi, da (2) waɗanda ba a yi musu allurar riga-kafi da suka kamu da cutar a baya an rarraba su a matsayin “cikakken alurar riga kafi” (Ƙarin Shafi na 2).
Wannan a cikin a binciken wanda babban makasudin shi shine tantance kwatankwacin kamuwa da kamuwa da cuta ta Omicron bambance-bambancen allurar rigakafin da ba a yi musu ba a cikin gidajen Danish a cikin Disamba 2021. Sun kammala cewa masu allurar ba su da saukin kamuwa. Zan iya tausayawa da martanin Julian Conradson cewa bayan irin wannan nazarce-nazarcen legerdemain a cikin wata babbar jarida da aka yi bita, "Ilimi ya mutu.” Ba mamaki cewa a zabe Cibiyar Bincike ta Pew a watan Fabrairu ta zana taswirar faɗuwar dogaro ga masana kimiyyar likita tun daga 2020.
Misalai na Batutuwan Kashe Iyaka
Misalan binciken da likitoci ba za su iya tattaunawa ba ba tare da fargabar bincike da illa ba sun hada da:
- A cikin sabon karatu a preprint wanda ya duba 31 pre-alurar riga-kafi na kasa nazari na seroprevalence don kimanta yawan kamuwa da cuta (IFR) da aka tsara ta shekaru, John Ioannidis da tawagarsa sun gano cewa matsakaicin IFR ya kasance 0.0003% a shekaru 0-19, 0.003% a shekaru 20-29, 0.011% a shekaru 30-39, da 0.035% a shekaru 40-49. Matsakaici na masu shekaru 0-59 ya kasance kawai 0.035%. Waɗannan suna da kyau a ciki kuma galibi suna ƙasa da kewayon mura na yanayi na ƙasa da 60s. Za a fitar da jumla ta ƙarshe a matsayin ɓarna, ko ɓarna, ko aƙalla abin da ya ɓace.
- a cikin rahoton mako-mako na Agusta 14-20, Kiwon Lafiya na NSW ya ce: "Yan tsiraru na yawan jama'ar da ba a yi musu allurar rigakafi ba sun fi yawa a tsakanin marasa lafiya a asibitoci da kuma ICU tare da Covid-19" (shafi na 2). Shafuka biyu daga baya, wannan rahoton ya ba mu bayanan asibiti da shigar da ICU ta matsayin rigakafin. Adadin wadanda ba a yi musu allurar ba daidai ba ne ga duka biyun. Yanzu, wannan ya sa ba zai yiwu a lissafi ba ga waɗanda ba a yi musu allurar ba su zama “masu yawa” tsakanin asibitoci da marasa lafiya na ICU Covid. Akwai mahimmin banbancin ra'ayi tsakanin bayanin da ke shafi na 2 da kididdigar da ke cikin Tebur 1 shafuka biyu daga baya. Na farko wani bangare ne na saƙon jama'a ta sashen kiwon lafiya na allurar rigakafin Covid yana da "lafiya da inganci." Na biyu shine ainihin bayanai. Yadda na karanta dokar kasa da aka yi wa kwaskwarima, sabili da haka yadda wasu jami'an AHPRA (Hukumar Kula da Lafiya ta Ostiraliya) za su iya karanta ta a wani lokaci nan gaba a kan kowane likita, na karshen dole ne ya dace da saƙon jama'a ba tare da faɗi ainihin ainihin abin da ke faruwa ba. bayanai.
- Ka yi tunanin dangin iyaye ’yan shekara 45 da yara ƙanana uku masu shekaru 5-12 da suka ziyarci likitan danginsu don tattaunawa game da allurar rigakafi ga ’ya’yansu da kuma ƙarfafa wa kansu, duka don kare kansu da iyayensu yayin da suke ɗaukar yaran don ciyarwa. ingancin lokaci tare da kakanni. Da sunan amincin jama'a, shin likitocin Australiya za su inganta rigakafin mRNA ga yara, masu haɓakawa ga manya kuma a hana su ambaton shawara akasin haka a Scandinavia da Florida? A cikin New South Wales, daga cikin mutuwar mutane 2,311 da ke da alaƙa da Covid tun daga ranar 22 ga Mayu, 3 ne kawai ke ƙasa da 20 da 34 a ƙarƙashin 50. Shin wani mai lafiya na ƙasa da 20 ya mutu daga Covid a Ostiraliya ta hanyar cutar? Idan kusan yara ba su da haɗari kuma alluran rigakafin ba su daina yaɗuwa ba, me yasa yara ke fallasa haɗarin haɗari masu haɗari?
- Menene wahayi mai ban mamaki cewa Pfizer bai taɓa gwada alluran rigakafinsa don yaduwa ba don haka duk fasfo din da ake bukata na allurar an gina shi a kan makircin karya? A cikin wata hira da NBC a ranar 26 ga Fabrairu, 2021 Shugaban Pfizer Albert Bourla ya ce a fili "Akwai alamu da yawa a yanzu da ke nuna mana cewa akwai kariya daga kamuwa da cutar" da allurar ta bayar. A cikin hirar da aka yi da CBS a watan Mayu, 26, 2021, Anthony Fauci ya ce: "Idan aka yi muku allurar, ba kawai kuna kare lafiyar ku ba, ta iyali, amma kuna ba da gudummawa ga lafiyar al'umma ta hanyar hana yaduwar cutar a ko'ina. al'umma… kun zama a mutuƙar cutar.” Bayanai na Australiya kuma sun tabbatar da cewa yayin da alluran rigakafi da masu haɓakawa ke ci gaba da ba da fa'idodin kariya daga mummunan cuta da mutuwa, duk da kashi 95 na allurar rigakafin manya ba sa ba da rigakafi daga kamuwa da cuta, asibiti, shigar ICU ko ma mutuwa (Hoto 1).
Hoto 1: Kididdigar Covid-19 na New South Wales (NSW) ta matsayin rigakafin, Mayu 22-Oktoba 10, 2022. Source: Lafiya na NSW, Rahoton Sa ido na mako-mako.
A cikin labarin labarai.com.au, Frank Chung ya yi wa 'yan Australiya babban hidima ta hanyar tattara jerin kalamai daga ministocin Australiya da ma'aikatan kiwon lafiya da ke bayyana tabbataccen tabbacinsu cewa alluran sun daina yaduwa. Michael Senger Ya yi mana hidima duka tare da irin wannan kallon baya ga aljani na marasa lafiya da hukumomi daban-daban na jama'a, kawai kafofin watsa labarai suka ƙarfafa su, kuma duk sun faɗi a cikin imanin ƙarya cewa alluran sun daina watsawa.
Ga masu karatu masu sha'awar Australia, Richard Kelly yana ba da bita game da hukunce-hukuncen girgiza kai da aiwatar da aiwatarwa da yawa - kamar tarar mai bayarwa saboda wanke motarsa a wani wankin mota da ƙarfe 1.15 na safe da wata matashiya direba don tafiya darasi tare da mahaifiyarta - waɗanda jama'a suka bayar. jami'an lafiya. Jahilcinsu game da cutar ya wuce kawai saboda girman kai da ƙwaƙƙwaran ikonsu na sarrafa halayen coronavirus. Shin likitocin Australiya za su kasance cikin haɗarin soke rajista saboda ambaton kowane ɗayan waɗannan?
Oliver May ta Labarai UNCUT ya rubuta wani bude wasika zuwa 20 editocin labaran Burtaniya a ranar 12 ga Oktoba, suna neman su bayyana dalilin da ya sa suka kasa gudanar da wani labari ko dai kan wani labari mai karfi kan raunin rigakafin da ake kira. Amintacce kuma Mai inganci: Ra'ayi Na Biyu, ko a kan Dr. Aseem Malhotra gaskiya mai raɗaɗi nazarin ɗan adam binciken suna kira da a dakatar da rigakafin Covid saboda munanan abubuwan da suka faru har sai an yiwa duk bayanan da suka dace don cikakken bincike mai zaman kansa. Dukansu biyu za su kasance masu ban sha'awa ga jama'a kuma duka biyun suna da matukar amfani ga jama'a. Bai kamata mu ja numfashin mu don amsa ba. Peter Doshi na Makarantar Magunguna ta Maryland, babban editan British Medical Journal, daidai ne a kira kafofin watsa labarai na gado don su rashin daidaiton ɗaukar hoto allurar rigakafin Covid.
Abin sha'awa, MSM na Australiya ya yi watsi da shigar da Pfizer. Idan na rasa labarin hirar da aka yi da bama-bamai a kafafen yada labarai na Australia, na yi bincike a gidan yanar gizon ABC (BBC na Australia) Shekaru, Australian da kuma Sydney Morning Herald takardu. Na samu sifili hits ga Robert Roos, Dutch MEP wanda ya yi tambaya a Majalisar Turai na Pfizer darektan Janine Small, da kuma na karshen wanda ya furta rashin gwajin ga transmissibility. Rage amincewa da manyan cibiyoyinmu yana ba da gudummawa ga rikice-rikice na dimokuradiyya na duniya.
Rashin sha'awar kafofin watsa labarai da watsa labarai yana nufin akwai ɗan matsin lamba ga jama'a lissafin kuɗi. Idan ba haka ba, ba za a yi wani hukunci da za a yi wa ministoci da ma’aikatan gwamnati ba saboda yawan munanan ayyuka na cin zarafin miliyoyin ‘yan kasarsu; babu wani abin da zai sa jama'a su kasance cikin rudani saboda raunin da suka ji, ciki har da mutuwar yanke kauna da halaka da aka haifa ta hanyar kadaici; jinkirin tsammanin talakawa suna zubar da tsananin fargabar kwayar cutar da ga mafi yawan mutane masu lafiya a kasa da shekaru 70 ko 65 ba cuta ce mai tsanani ba; da ƙin ƙaddamar da mafi ƙarfin hana duk wani maimaituwar aikata laifukan jama'a a sikelin.
A maimakon haka, dukkanmu za mu iya sa ido ga sake zagayowar kurkura da maimaita sa ido, tilastawa da tilastawa talakawa bisa son ci gaban fasaharsu.
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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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