Yayin da ake yawan yin tambayoyi daga masana kimiyya da kwararrun masana kiwon lafiya da 'yan jarida, labarin "lafiya da inganci" rigakafin Covid-19 yana rugujewa a rana, kuma gaskiyar kimiyya sannu a hankali ta fara sanya kanta.
Gaskiyar kimiyya mai sauƙi ita ce waɗannan alluran rigakafi asibiti mara amfani, amma ba gaba ɗaya mara lahani ba (babu taimakon likita).
Ba abin mamaki ba ne cewa duk wadanda suka tallata su a yanzu suna kokarin manne da labarinsu. yaya? To, bari mu buga wasu samfura, kamar yadda muka yi tun farkon farfagandar Covid da damuwa. Wanene ke buƙatar bayanan asibiti mai wuya?
Wani binciken samfurin, kwatankwacin a cikin ainihin zato, algorithms da sakamakon zuwa wanda aka buga a The Lancet 'yan makonnin da suka gabata, yanzu yana iƙirarin cewa allurar rigakafin Covid sun ceci miliyoyin mutane daga mutuwa da asibiti. A wannan karon a cikin Amurka kawai - a cikin kusan shekaru biyu (Disamba 2020 zuwa Nuwamba 2022) - mutane miliyan 3.2 za su mutu kuma miliyan 18.5 za su buƙaci jiyya a cikin marasa lafiya, idan ba don Covid jabs ba.
Ba cewa Adadin mutuwar shekara-shekara a Amurka ya kusan miliyan 3.4 a cikin 2020 da 2021, samfurin ya yi kama da ya nuna cewa adadin mace-mace da zai karu da kusan kashi 50 cikin dari ba tare da allurar rigakafin ba. Mutane miliyan biyar za su mutu a cikin 2021 da 2022, miliyan 2 za a kidaya su a matsayin "Corona-mutuwa" (haɓakar fiye da kashi 500 idan aka kwatanta da "shekarar annoba" 2020), kuma Covid-19 da haka zai zama babban dalilin mutuwa a cikin Amurka ta Amurka.
Wanda ke nufin cewa Covid-19 a yanzu dole ne ya zama babban abin da ke haifar da mutuwa a cikin ɓangaren jama'ar da ba a yi wa allurar rigakafi ba - kuma a cikin ƙasashen da ke da ƙarancin allurar rigakafi.
Wataƙila fitattun samfuran mu sun rabu da gaskiyar asibiti cewa a zahiri sun yi imani da wannan fitarwa, kamar yadda m kamar yadda yake.
Marubutan kimiyya da likitanci na Brownstone ba “anti-vaxxers ba ne.” Dukanmu mun san fa'idodin tarihi da na yanzu na rigakafi. Wasu daga cikinmu har yanzu sun yi imanin cewa za a iya samun wuri don rigakafin Covid a cikin mutanen da ke cikin haɗarin.
Kuma ba mu adawa da ci gaban kimiyya - akasin haka. Yawancin mu mun yarda cewa fasahar mRNA tana riƙe da babban alƙawari na warkewa. A lokacin da nake Merck & Co., na ziyarci BioNTech a Mainz sau da yawa sannan na yi ƙoƙari na shawo kan masana kimiyya na hedkwata game da sha'awar shirye-shiryen rigakafin ciwon daji na kamfanin.
Koyaya, duk muna da'awar 'yancin yin tunani kyauta, da kuma neman shaidar asibiti. Ba mu yarda da gardamar ba: "Ta yaya za ku ɗauka cewa FDA, EMA, mujallun da aka bita da su, 'yan siyasa, da kafofin watsa labaru duk sun yi kuskure?" Muna ɗaukar 'yanci don bincika bayanan, da kuma zana ƙarshen ma'ana. Kuma duk mun kasance a buɗe ga duk wani tattaunawa mai ma'ana na waɗannan ƙarshe.
Ɗaya daga cikin ra'ayi na shine cewa mutuwar Covid sune wani bangare na al'ada kuma babu makawa yawan mace-mace wanda ba za a iya hana shi ta hanyar rigakafi daga kwayar cutar numfashi guda ɗaya ba. Idan gwajin asibiti na maganin alurar riga kafi ya nuna fa'idar mace-mace, da an yi nisa a cikin wannan ƙarshe - kuma Fitzpatrick et al. da sun sami ingantaccen tushe mai mahimmanci ga tsarin yawan su.
Koyaya, ƙarshen ƙarshen duk gwajin rigakafin Covid-19 na asibiti sun kasance alamun mura da mura, da ingantaccen gwaji.
Ƙarshe na daga bayanan gwajin da ake samu (kamar yadda wallafe-wallafen da takaddun gabatar da FDA) sune masu zuwa:
- Ragewar da aka lura a cikin ingancin gwajin cutar ta SARS-CoV-2 ("ƙwararrun kashi 95") a cikin mutanen da ke fama da mura ko mura abu ne mai ban sha'awa. nazarin halittu sakamakon - idan sun kasance ainihin (Lambobin ƙananan ƙananan, kuma gaskiyar asibiti ya bayyana ba tabbatar da wannan sakamakon ba).
- Asibiti, mutane sun fi rashin lafiya (mafi yawan mura da alamun mura) a cikin maganin fiye da ƙungiyoyin placebo.
- Ba za a iya yanke hukunci game da mummunan nau'in ciwon huhu da mace-mace ba.
- Kamar yadda Covid-19 cuta ce da ke da alamun da ba takamaiman ba, babban ƙarshen gwaji dole ne ya zama sanadin ciwon huhu da kuma mace-mace, don auna fa'idar asibiti (ko cutarwa).
Duk wani samfurin lafiyar jama'a yana buƙatar ingantattun bayanai na asibiti da cututtukan cututtuka don shigar da algorithms. Don allurar rigakafin Covid-19, bayanai masu kyau da sahihanci waɗanda ke nuna rigakafin cutar huhu, asibiti, da mutuwa babu su. Ƙarshe na daga asibitin da cututtukan cututtuka shine ba za su iya zama ba.
Don haka ba abin mamaki bane cewa samfuran da aka buga suna haifar da sakamako mara kyau. Abin baƙin ciki, ko dai ba abin mamaki ba ne cewa waɗannan sakamakon rashin hankali suna kasancewa hadiye ya kuma saketa ta jaridun likitanci da kafafen yada labarai, da ‘yan siyasa da hukumomi.
Yana iya zama dogon gwagwarmaya, amma gaskiyar kimiyya za ta yi nasara a ƙarshe.
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Manfred Horst, MD, PhD, MBA, yayi karatun likitanci a Munich, Montpellier da London. Ya shafe mafi yawan aikinsa a masana'antar harhada magunguna, kwanan nan a cikin sashen bincike & ci gaba na Merck & Co/MSD. Tun daga 2017, yana aiki a matsayin mai ba da shawara mai zaman kansa don harhada magunguna, fasahar kere-kere da kamfanonin kiwon lafiya (www.manfred-horst-consulting.com).
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