Tare da rigakafin bayyanar cututtuka na dabi'a da jiyya na farko, kuma idan aka haɗa tare da ba tare da rahoton ƙarar mace-mace ba, matakin da WHO ta yi na haifar da firgita ga "Omicron" yana haifar da tsoro da firgita mara amfani. Haka kuma, tare da sabbin takunkumin hana zirga-zirgar da gwamnatin Biden ta sanya wanda ba zai cimma komai ba kuma zai sake kawo cikas ga kasuwanci da keta haƙƙin ɗan adam.
WHO ta ce bambance-bambancen Omicron na iya yaduwa cikin sauri fiye da sauran bambance-bambancen. Wataƙila gaskiya ne. Kwayar cutar tana nuna halin yadda ƙwayoyin cuta ke yi. Suna canzawa kuma suna canzawa kuma, ta hanyar Muller's ratchet, muna tsammanin wannan zai zama mafi sauƙi da sauye-sauye masu sauƙi kuma ba mafi yawan masu mutuwa ba idan aka ba da kwayar cutar tana neman cutar da mai watsa shiri kuma ba ta isa ƙarshen ƙarshen juyin halitta ba.
Kwayar cutar za ta rikide zuwa kasa ta yadda za ta iya amfani da mai gida (mu) don yada kanta ta hanyar injin mu na rayuwa. Delta ta nuna mana wannan: tana da saurin yaduwa kuma galibi ba ta da kisa. Musamman ga yara da masu lafiya. Don haka WHO ta firgita duniya ba dole ba? Shin wannan Covid-19 Fabrairu 2020 kuma?
Matsalar Afirka ta Kudu kamar yadda yake tare da Ostiraliya da New Zealand har ma da ƙasashen tsibirin kamar Trinidad shine cewa tana da ƙarancin rigakafi na halitta zuwa SAR-Cov-2. Domin kuwa, kamar yadda muka shaida a cikin shekarar da ta gabata da ma fiye da haka, idan kun kulle al'ummarku da tsayi da yawa, kun hana al'umma da yawan jama'a daga kusanci zuwa matakin yawan jama'a. Kuma ba ku da tattalin arziki ko al'ummar da za ku sake tasowa. Kuna lalata al'ummar ku don kamuwa da cuta wanda ba shi da lahani ga yawancin mutane musamman yara.
Haka kuma, gwamnatoci sun nemi mu dauki makonni biyu don daidaita tsarin don taimakawa shirya asibitoci don su iya kamuwa da cutar da sauran cututtukan da ba na Covid-2 ba. Mu a matsayinmu na al'umma mun ba gwamnatocinmu makonni 21, ba watanni XNUMX ba. Sun kasa kula da cututtukan da ba na Covid kuma mun kulle masu lafiya da lafiya (yara da matasa da masu matsakaicin lafiya) yayin da suka kasa kare masu rauni da masu haɗari kamar tsofaffi. Mun gaza kuma ya zama kamar wuraren kashe mutane a gidajen jinya.
Wannan gazawar ta dogara ne akan saƙon lafiyar jama'a da gwamnati. Bugu da ƙari, menene gwamnatocinmu na Amurka, Kanada, Burtaniya, Australia da sauransu. suka yi da kuɗin haraji na asibitoci da PPE da sauransu? Dole ne a shirya asibitoci zuwa yanzu. Gwamnatoci sun gaza! Ba mutane ba. Task Forces sun gaza, ba mutane ba.
Waɗannan al'ummomin sun yi tunanin cewa za su iya kasancewa a kulle su jira maganin rigakafi. Wannan ra'ayi ne mai ma'ana duk da cewa na yi adawa da kulle-kulle kamar yadda za su yi kuma suna haifar da murkushe murkushe musamman talakawa da yara. Matsalar ita ce akwai tsadar damar saboda maganin da muke jira an samar da shi ba tare da ingantaccen gwajin lafiya ko kimanta ingancinsa ba.
Muna da bayanai cewa maganin Pfizer yana rasa kashi 40% na ƙwayoyin rigakafi a kowane wata, ma'ana a cikin watanni 3 bayan harbi, kuna da ƙarancin rigakafin rigakafi. Mun gan shi a fili yana wasa yanzu ta yadda za ku iya yadawa tare da makullin draconian, amma kun yi shi a farashin rigakafi na halitta. Wannan shine kudin damar. Don haka muka kashe wajen samun allurar kuma hakan ya jawo mana hasarar garkuwar jiki kuma ta haka ne muke kiwon garkuwar jiki.
Misali, maganin ya gaza hana kamuwa da cuta da yaduwa a kan Delta. Muna da binciken binciken ta Singanayagam et al. (cikakkiyar alurar riga kafi tare da kamuwa da cuta suna da nauyin ƙwayar cuta mai kama da waɗanda ba a yi musu allurar rigakafi ba kuma suna iya watsa kamuwa da cuta yadda ya kamata a cikin saitunan gida, gami da cikakkun abokan hulɗar alurar riga kafi), ta Chau et al. (yawan nau'in kamuwa da cuta na Delta bambance-bambancen kamuwa da cuta a cikin ma'aikatan aikin jinya sun ninka sau 251 fiye da waɗanda suka kamu da nau'ikan da suka gabata a farkon 2020), kuma ta Riemersma et al. (babu wani bambanci a cikin nauyin ƙwayar cuta yayin kwatanta waɗanda ba a yi musu alluran rigakafi da waɗanda ke da allurar rigakafin cutar "nasara" ba kuma idan mutanen da aka yi wa alurar riga kafi sun kamu da bambance-bambancen delta, suna iya zama tushen watsa SARS-CoV-2 ga wasu) wanda ke nuna allurar tana da inganci sosai.
Wannan yanayin na masu allurar rigakafin kamuwa da cuta da kuma yada kwayar cutar ya kuma bullo a cikin takardun barkewar cutar ta asibiti ta hanyar. Chau et al. (HCWs a Vietnam), da Barkewar asibiti a Finland (ya yadu tsakanin HCWs da marasa lafiya), da Barkewar asibitin Isra'ila (ya yadu tsakanin HCWs da marasa lafiya). Waɗannan karatun sun kuma bayyana cewa PPE da masking ba su da tasiri sosai a cikin tsarin kiwon lafiya. Dukkanin HCWs an yi musu alluran rigakafi sau biyu duk da haka an bazu sosai ga kansu da majiyyatan su.
Bugu da kari, Nordstrom da al. (Tasirin rigakafin Pfizer akan kamuwa da cuta ya ragu a hankali daga 92% rana 15-30 zuwa 47% ranar 121-180, kuma daga ranar 211 zuwa gaba babu wani tasiri). Suthar et al. (yawan raguwar martanin rigakafin mutum da rigakafin T cell zuwa SARS-CoV-2 da bambance-bambancen sa, a cikin watanni 6 bayan rigakafin na biyu), Yahi et al. (tare da bambance-bambancen Delta, ƙwayoyin rigakafin ƙwayoyin cuta suna da raguwar alaƙa ga furotin mai karu, yayin da sauƙaƙe ƙwayoyin rigakafi suna nuna haɓakar alaƙa mai ban mamaki). Juthani et al. (mafi yawan adadin marasa lafiya masu tsanani ko rashin lafiya a cikin waɗanda suka karɓi maganin Pfizer), Gazit et al. (SARS-CoV-2-naïve alluran rigakafi yana da haɗarin ninka sau 13 don kamuwa da cuta tare da bambance-bambancen Delta, da haɓakar haɗarin alamun Covid da asibiti), kuma Acharya et al. (babu wani babban bambanci a cikin ƙimar madaidaicin zagayowar tsakanin allurar rigakafi da marasa alurar riga kafi, asymptomatic da ƙungiyoyin alamomin da suka kamu da cutar ta Delta) tare da bayyana rashin ingancin inganci har ma da mummunan tasirin rigakafin Covid. Levine-Tiefenbrun et al. ya ba da rahoton cewa tasirin rage nauyin ƙwayar cuta yana raguwa tare da lokaci bayan rigakafin, "yana raguwa sosai a cikin watanni 3 bayan rigakafin kuma yana ɓacewa sosai bayan kimanin watanni 6."
Alal misali, da Nazarin Sweden (na baya tare da nau'i-nau'i 842,974 (N = 1,684,958) yana da ban sha'awa kuma musamman game da shi ya nuna cewa yayin da maganin ya ba da kariya ta wucin gadi daga kamuwa da cuta, tasirin ya ragu a hankali kuma masu bincike sun ba da rahoton "Tasirin rigakafin BNT162b2 game da kamuwa da cuta ya ragu da ci gaba daga 92% (95% 92, 93) P 0-001 zuwa 15% (30% CI, 47-95, P <39 · 55) a ranar 0-001, kuma daga ranar 121 zuwa gaba ba za'a iya gano wani tasiri ba (180%; 211% CI, -23-95, P = 2 · 41) Tasirin ya ragu kadan - 0% RNA (07%). 1273-59) daga ranar 95 zuwa gaba, da bambanci, tasirin ChAdOx18 nCoV-79 gabaɗaya ya ragu kuma yana raguwa cikin sauri, ba tare da wani tasiri da aka gano daga ranar 181 da gaba (-1%, 19% CI, -121-19), yayin da tasirin daga heterologous ChAdOx95 ya kasance a cikin kwanaki 97. (28%; 1% CI, 19-121).
Wani karin misali ya fito daga Ireland wanda rahoto ya nuna cewa gundumar Waterford tana da mafi girman adadin cututtukan Covid-19 a cikin Jiha, yayin da gundumar kuma ke da mafi girman adadin allurar rigakafi a Jamhuriyar (99.7% allurar). Rahotanni sun ce Amurka Mutuwar Covid-19 a 2021 ya zarce adadin wadanda suka mutu daga shekarar 2020, lamarin da ya sa wasu suka bayyana cewa “mutane da yawa sun mutu COVID-19 a cikin 2021, tare da yawancin manya da aka yi wa alurar riga kafi kuma kusan dukkanin tsofaffi), fiye da na 2020 lokacin da babu wanda aka yi wa alurar riga kafi."
Don haka waɗannan al'ummomin da suka kulle kuma suka tsaya a haka suna cikin rudani don ba su san abin da za su yi ba a yanzu. Idan ka bude za a samu karuwa a kamuwa da cuta. Ina kudin da za a je shirin asibiti? Shin gwamnatoci sun yi almubazzaranci da sata da karkatar da kudaden asibitocin har yanzu ba a shirya su ba?
Muna da rigakafi da yawa na halitta a cikin Amurka, misali kusan 65-70% na yawan jama'a. Bude jihohin (waɗanda ba su daɗe da kullewa ba kuma suna da ƙarfi da buɗewa da sauri) za su yi kyau sosai tare da wannan Omicron ko kowane sabon bambance-bambancen. Wannan kuma shine ikon rigakafi na halitta.
Kuma ba ma bukatar mu manta da ƙarfin garkuwar da ba a kula da ita ba tare da ƙwayoyin rigakafi na halitta da kuma sashin salula na kisa na halitta. Wannan martani na asali yana da ƙarfi musamman a cikin yara (layinmu na farko na kariya daga ƙwayoyin cuta) kuma shine abin da ya kare yara daga Covid da kuma yadda yara kan hana ƙwayoyin cuta, musamman yara ƙanana har yanzu suna kwance ƙwaƙwalwar rigakafi.
Bugu da ƙari, babu wani rahoto game da ƙarar virulence/mutuwar wannan sabon bambance-bambancen Omicron. Har yanzu wannan zai ci gaba da kasancewa a kan Delta da bambance-bambancen da suka gabata. Babu garanti amma muna aiki bisa ga haɗari kuma duk abubuwa suna nuni iri ɗaya don wannan sabon bambance-bambancen.
Kawai saboda ana iya samun taguwar ruwa a SA ba yana nufin za a sami taguwar ruwa a Amurka ko Isra'ila ko wasu wurare da ke da ƙarin rigakafi na halitta ba. Wannan ita ce lambar yabo ta barin mutane su more rayuwar yau da kullun. Kasashen da suka kawo karshen kulle-kulle da alama za su wuce wannan sabon abin tsoro, kuma su yi kyau. Wannan karin tsokaci ne na WHO da gwamnatoci da yawa game da komai.
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Dokta Paul Alexander masanin cututtukan cututtuka ne da ke mai da hankali kan cututtukan cututtuka na asibiti, magungunan shaida, da hanyoyin bincike. Yana da digiri na biyu a fannin ilimin cututtuka daga Jami'ar Toronto, sannan ya yi digiri na biyu a Jami'ar Oxford. Ya sami PhD ɗinsa daga Hanyoyi, Shaida, da Tasirin Ma'aikatar Lafiya ta McMaster. Yana da wasu horo na asali a Bioterrorism/Biowarfare daga John's Hopkins, Baltimore, Maryland. Paul tsohon mai ba da shawara ne na WHO kuma babban mai ba da shawara ga Sashen HHS na Amurka a cikin 2020 don amsawar COVID-19.
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