An san Kanada don kula da duk ƴan ƙasarta, ta hanyar misali kula da lafiya na duniya da ingantattun makarantun gwamnati. Me ya canza?
[Lura: wannan shafi ya fara fitowa ne a ranar 28 ga Nuwamba, 2020, kuma ana sake bugawa saboda bai isa ya canza cikin shekara guda ba.]
Dabarar kullewar COVID-19 ta Kanada ita ce hari mafi muni a kan ma'aikata cikin shekaru da yawa. Ƙananan daliban koleji da ƙwararrun matasa suna da kariya; kamar lauyoyi, ma'aikatan gwamnati, 'yan jarida, da masana kimiyya waɗanda za su iya aiki daga gida; yayin da tsofaffin manyan ma'aikata masu haɗari dole ne su yi aiki, suna jefa rayuwarsu cikin haɗari suna haifar da rigakafin yawan jama'a wanda a ƙarshe zai taimaka wajen kare kowa. Wannan baya baya ne, yana haifar da mutuwar mutane da yawa daga COVID-19 da sauran cututtuka.
Yayin da kowa zai iya kamuwa da cutar, babban fasalin COVID-19 shine cewa akwai bambanci fiye da ninki dubu a cikin haɗarin mutuwa tsakanin babba da ƙarami. A zahiri, yara suna da ƙarancin haɗari daga COVID-19 fiye da kamuwa da mura na shekara-shekara. Yin la'akari da wannan, dole ne mu yi aiki mafi kyau don kare tsofaffi da sauran ƙungiyoyi masu haɗari har sai an sami maganin rigakafi.
Sabanin haka, ya kamata yara su je makaranta da kansu yayin da muke ƙarfafa matasa su zauna kusa da rayuwar yau da kullun don rage barnar da cutar ta haifar. A gare su, lalacewar lafiyar jama'a daga kulle-kulle ya fi muni fiye da ƙarancin haɗarin su daga COVID-19. Bin ainihin ka'idodin kiwon lafiyar jama'a da tsare-tsare da yawa na shirye-shiryen rigakafin cutar, wannan dabara ce ta kariyar da aka mai da hankali, kamar yadda aka tsara a cikin Babban Sanarwar Barrington, tare da cikakkun bayanai kan yadda ake kare tsofaffi yadda ya kamata.
Makarantu da jami'o'i ba wai kawai suna da mahimmanci ga ilimi ba, har ma don lafiyar jiki da tunani da ci gaban zamantakewa. Yana da kyau cewa yawancin makarantun Kanada a buɗe suke don koyarwa ta cikin mutum, amma ba duka ɗalibai ne ke halarta ba, kodayake babu wata hujja ta lafiyar jama'a don nisantar da su.
Don zama kimiyya game da shi, dole ne mu kalli Sweden. Ita ce kawai babbar ƙasar yammacin da ta buɗe kulawar rana da makarantu ga duk yara masu shekaru 1 zuwa 15 a duk tsawon lokacin bala'in cutar a cikin bazara. Ba tare da wani abin rufe fuska ba, gwaji, tuntuɓar ko kuma nisantar da jama'a, babu ainihin mutuwar COVID-19 a cikin yara miliyan 1.8 a cikin wannan rukunin, tare da 'yan asibiti kaɗan kawai.
Bugu da ƙari, malamai suna da haɗari iri ɗaya kamar matsakaicin sauran sana'o'i, yayin da tsofaffi da ke zaune a cikin gidaje masu yawa ba su da haɗari mafi girma idan suna zaune tare da yara. Gwaji da ware yara da iyaye suna da illa ga yara da iyalai ba tare da yin amfani da manufar lafiyar jama'a ba.
Duk da jarumtakar da jama'a suka yi, kulle-kulle na watanni tara da dabarun tuntuɓar mutanen Kanada sun yi kasa a gwiwa sosai, yayin da kashi 97% na mutuwar COVID-19 ta kashe waɗanda suka haura shekaru 60. Inda ya yi "nasara" yana ɗaukar nauyin COVID-19 daga ƙwararrun ƙwararrun mawadata zuwa ga marasa galihu.
Misali, a cikin Toronto, adadin abubuwan da suka faru iri daya ne a farkon barkewar cutar, amma bayan kulle-kulle na 23 ga Maris, an gano kararrakin sun ragu a cikin matsugunan mawadata yayin da suka yi tashin gwauron zabi a yankunan da ba su da wadata. An sami irin wannan tasiri daga baya don mace-mace (duba Hoto).
Duk da yake ba shi yiwuwa a kare kowa 100% yayin bala'i, ra'ayin cewa ba za mu iya kare tsofaffi da sauran ƙungiyoyi masu haɗari ba shirme ne. Ba shi da wuya a kare tsofaffi fiye da kare mawadata, kuma na farko yana haifar da rashin mutuwa.
Lockdowns sun haifar da babbar illa ga wasu sakamakon kiwon lafiya, kamar raguwar adadin allurar rigakafin yara, mummunan sakamakon cututtukan zuciya, ƙarancin gwajin cutar kansa, da tabarbarewar lafiyar hankali, kawai don suna. Ko da an ɗage duk kulle-kulle gobe, wannan wani abu ne da za mu rayu da shi - kuma mu mutu da shi - shekaru da yawa masu zuwa.
Ɗaya daga cikin ka'idodin kiwon lafiyar jama'a shine la'akari da duk sakamakon lafiya, kuma ba kawai cuta guda ɗaya ba. Bayan fitar da wannan ƙa'idar daga taga, muna buƙatar dawo da ita cikin gaggawa don rage yawan mace-mace kuma don haɓaka lafiya da walwala gabaɗaya.
Rubuta daga Toronto Sun
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Martin Kulldorff masanin cututtukan cututtuka ne kuma masanin halittu. Shi Farfesa ne na Magunguna a Jami'ar Harvard (a kan hutu) kuma Fellow a Kwalejin Kimiyya da 'Yanci. Bincikensa ya mayar da hankali kan barkewar cututtuka da kuma lura da rigakafin rigakafi da amincin magunguna, wanda ya samar da SaTScan, TreeScan, da software na RSequential kyauta. Co-Marubucin Babban Sanarwa na Barrington.
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