A cikin kalmomi da yawa - da bayanai - CDC ta yarda a hankali cewa duk rashin mutuncin kula da cutar ta Covid-19 ya gaza: abin rufe fuska, nisantar da kai, kulle-kulle, rufewa, musamman ma alluran rigakafi; duk ya kasa shawo kan cutar.
Ba kamar ba mu san cewa duk wannan zai gaza ba, saboda mun ce kamar yadda abubuwan suka faru tun farkon shekarar 2020, cewa kula da lafiyar jama'a na wannan kwayar cutar ta numfashi ta kusan gaba daya. ka'idodi wanda aka kafa da kyau ta hanyar lokacin mura, a cikin 2006. Yaduwar sabuwar cutar tare da abubuwan kwafi R0 na kusan 3, tare da fiye da mutane miliyan daya a fadin kasar nan da Afrilu 2020, ba tare da wata allurar rigakafin cutar ba a gani na aƙalla watanni da yawa, kusan tabbas wannan kamuwa da cuta ya zama annoba kuma a duniya.
Covid-19 yana farawa azaman mai ban haushi, mai tsanani, rashin lafiya mai kama da mura, kuma ga yawancin mutane, yana ƙarewa ba tare da wata matsala ba bayan makonni 2-3. Don haka, kula da cutar ta Covid-19 bai kamata ya dogara da adadin lokuta ko kamuwa da cuta ba, amma a kan adadin wadanda suka mutu, adadin mutanen da ke asibiti ko kuma sakamakon kamuwa da cutar na dogon lokaci, da kuma mummunan lalacewar lafiya, tattalin arziki, da na tunani da ayyuka da manufofin da aka yi don mayar da martani ga cutar, a cikin wannan tsari na rage fifiko.
Kodayake lambobin shari'o'in Covid sun yi daidai da waɗannan bayyanar cututtuka, wannan ba hujja ba ne don amfani da lambobin da za a yi amfani da su azaman ma'aunin aiki, saboda mutuwar kamuwa da cuta ta Covid-19 shine. kiyasta don kewayon ƙasa da 0.1% a cikin ma'ana a duk shekaru daban-daban, kuma rigakafin kamuwa da cuta yana ba da fa'ida ga jama'a don kare mutane daga mummunan sakamakon sake kamuwa da cuta ga mafi yawan waɗanda ba sa samun "dogon-Covid" a kamuwa da cuta ta farko.
Koyaya, da zarar an fitar da allurar rigakafin cutar ta Covid-19, tare da sabon babban guguwar ruwan Delta da ke yaɗuwa a cikin Amurka a cikin Yuli-Agusta 2021 ko da bayan watanni takwas na allurar rigakafin da rabin Amurkawa suka ɗauka, maimakon yarda da kuskuren manufofin cewa allurar rigakafin cutar ba ta da cutar da yawa, hukumar kula da lafiyar jama'a ta ninka sau biyu, ƙoƙarin tilasta wa mutane da yawa yin barazanar. Wannan bai yi aiki sosai ba kamar yadda aka gani lokacin da babban igiyar ruwan Omicron ta afkawa ƙasar a tsakanin Disamba 2021-Janairu 2022 duk da kusan kashi 10% na yawan jama'ar da ke samun rigakafin daga Satumba zuwa Disamba na 2021.
Misali na yau da kullun: a cikin Satumba 2021, Gwamnan Washington Jay Inslee ya bayar Sanarwar Gaggawa 21-14.2, suna buƙatar rigakafin Covid-19 ga ƙungiyoyin ma'aikatan jihar daban-daban. A cikin sanarwar, manufar da aka bayyana ita ce, "INDA, rigakafin COVID-19 yana da tasiri wajen rage kamuwa da cuta da cututtuka masu tsanani, kuma rigakafin yaduwa shine hanya ta farko da muke da ita a matsayin jiha don kare kowa da kowa… daga cututtukan COVID-19." Wato, manufar da aka bayyana ita ce a rage yawan cututtuka.
Abin da CDC kwanan nan ruwaito (duba ginshiƙi da ke ƙasa), duk da haka, shine a ƙarshen 2023, a jimlace, aƙalla kashi 87% na Amurkawa suna da ƙwayoyin rigakafi na anti-nucleocapsid don haka sun kamu da cutar ta SARS-CoV-2, wannan duk da mammoth, tsawaitawa da sake maimaita kamfen ɗin rigakafin da ya haifar da kusan Kashi 90% na Amurkawa suna ɗaukar harbi. Hujjata ita ce ta hanyar yin manufofin da suka danganci adadin cututtukan da ke da fifiko mafi girma fiye da waɗanda suka dogara da mafi muni amma ƙarancin sakamako na kamuwa da cuta da lalacewar manufofin, manufar da aka ayyana na umarnin rigakafin don rage yaɗuwar ya gaza a cikin cewa kashi 87% na Amurkawa sun kamu da cutar ta wata hanya.
A haƙiƙanin gaskiya, ba rigakafin rigakafi ko rigakafin kamuwa da cuta ba ya taɓa samun cikakkiyar ikon sarrafa yaduwar cutar. A ranar 11 ga Agusta, 2022 CDC ta bayyana, "Samun jerin firamare kadai, idan ba a sabunta shi tare da allurar rigakafi ba * ta hanyar karɓar duk allurai masu ƙarfafawa da aka ba da shawarar, yana ba da kariya kaɗan daga kamuwa da cuta da watsawa (3,6). Kasancewa da zamani tare da allurar rigakafin yana ba da lokaci na wucin gadi na ƙarin kariya daga kamuwa da cuta da watsawa bayan kashi na baya-bayan nan, kodayake kariya na iya raguwa a kan lokaci." Matakan cutar amai da gudawa da ke “raguwar lokaci” ba su da yuwuwa su yi amfani don shawo kan yaɗuwar kamuwa da cuta, aƙalla ba tare da sake yin rigakafi akai-akai ba kowane ƴan watanni.
Amma duk da haka, kamuwa da cuta da ke yaɗuwa ba zai haifar da sakamako ba, saboda ƙidayar cututtuka ba kuma bai kamata su kasance babban fifikon kula da cututtukan cututtukan da ke tattare da lafiyar jama'a ba. Maimakon haka, sakamakon yaɗuwar da kuma mummunan sakamakon manufofin da aka zayyana ya kamata su kasance abubuwan da suka sa gaba. Hukumomin kiwon lafiyar mu sun zaɓi ba da fifiko ga gazawar manufar rage yaduwar cutar maimakon rage mace-mace ko kulle-kulle da cutar da makarantu da kasuwanci, wanda ya haifar da lalacewar miliyoyin rayuka da ba dole ba. Mun cancanci mafi kyau daga cibiyoyin kiwon lafiyar jama'a.
An sake bugawa daga marubucin Mayarwa
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Harvey Risch, Babban Masanin Kimiyya a Cibiyar Brownstone, likita ne kuma Farfesa Emeritus na Epidemiology a Makarantar Yale na Kiwon Lafiyar Jama'a da Makarantar Magungunan Yale. Babban sha'awar bincikensa shine ilimin ilimin ciwon daji, rigakafi da ganewar asali, da kuma hanyoyin cututtukan cututtuka.
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