Mutuwar bakin ciki na Colin Powell yakamata ya kawo kulawar da ake bukata ga al'amuran ci gaba na cututtukan COVID na cikakken rigakafin. Kuna iya zaɓar yin imani da kafa cewa ci gaba da kamuwa da cuta ba wani abin damuwa bane. Karamin rashin jin daɗi ne saboda allurar COVID ba su da kuma ba za su iya yin tasiri 100% ba. Ko kuma za ku iya yin la'akari da bayanan duniya na ainihi waɗanda ke nuna yadda cututtuka masu tsanani suke da gaske.
Sakin bayanai na baya-bayan nan daga wani muhimmin bincike da Ma'aikatar Tsaro ta yi ya cancanci kulawa sosai. Ana kiran shi binciken Project Salus. Ɗaya daga cikin alamun yadda mahimman bayanai ke da shi shine cewa an saukar da gidan yanar gizon hukuma wanda ke ba da bayanan. Amma yana samuwa akan wannan shafin. Fassarar ma'ana ita ce hukumomin tarayya da ke tafiyar da cutar, wato NIH, CDC da FDA, sun ji haushi da bayanan (na kusa ba ku).
Me yasa? Saboda bayanan sun yanke hukunce-hukuncen kafawa don goyon bayan allurar COVID da rage saurin kamuwa da cututtukan. Ya kamata a lura cewa wannan binciken bai sami kulawa ta hanyar watsa labarai na yau da kullun ba.
Taken rahoton shine "Ingantacciyar rigakafin mRNA COVID-19 akan Bambancin Delta Daga cikin Masu Amfani da Medicare Miliyan 5.6 Shekaru 65 da Tsofi," kwanan wata 28 ga Satumba, 2021.
Nazarin DOD ya sami damar yin amfani da bayanan likita ga mutanen da suka sami cikakkiyar rigakafin. Daga cikin wannan rukunin, miliyan 2.7 sun sami harbin Pfizer kuma miliyan 2.9 sun sami na Moderna. Ga mahimman binciken:
- Akwai lokuta 161,000 na ci gaba.
– An kwantar da asibitoci 33,000.
– An sami shigar da sashin kulawa mai zurfi 10,400.
- An sami mutuwar mutane 3,381.
Farkon martanin da aka samu daga kafa masu bayar da shawarwarin rigakafin shine cewa duk waɗannan lambobi kaɗan ne kaɗan na jimlar adadin mutane miliyan 5.6 da aka yi wa cikakken rigakafin. Wannan daidai ne. Duk abin da ke misalta shi ne zalunci na ƙananan kaso yayin duban tasirin lafiyar alurar riga kafi.
Bugu da ƙari, akwai dalilan da ya sa bayanan da ke sama suka yi la'akari da ainihin mummunan tasirin cututtuka na ci gaba. Babban abu shine binciken da aka bi tsarin CDC a cikin rashin kirga duk wani mummunan tasirin lafiya da ke faruwa a cikin kwanaki 14 na allurar rigakafin ƙarshe.
Wannan yana da mahimmanci, saboda wasu ƙididdiga sun gano cewa babban ɓangarorin tasirin lafiya mara kyau, kamar alurar rigakafin da ke haifar da matsalolin jini suna faruwa tare da ƴan kwanaki na rigakafin. Wannan tsallake yaudara ce da gangan da aka yi niyya don ƙididdige mummunan tasirin alurar riga kafi.
Hakanan ya kamata a lura cewa wannan binciken bai bincika mummunan tasirin kiwon lafiya ba, gami da mutuwa, sakamakon alluran rigakafi ba tare da kamuwa da cutar ta COVID ba da daɗewa kafin kuma maiyuwa da daɗewa bayan kamuwa da cuta. Wannan ya kasance cikakken da wannan marubucin.
Wani abin la'akari shi ne cewa binciken DOD ya kasance a kan ƙungiyar kusan kashi 10 na dukan yawan jama'ar Medicare. Kuma yana da ma'ana a yarda cewa yawan alƙaluman mutane 65 da tsofaffi da alama an yi musu allurar zuwa babban mataki. Don haka, jimillar adadin wadanda suka mutu na wannan babban rukunin da ke haifar da kamuwa da cuta na iya zama babba. Tabbas, an ba da rahoton ko'ina cewa sama da kashi 80 na mutuwar COVID suna cikin wannan adadin.
Mummunan ƙarshen Colin Powell, mai shekaru 84 wanda ke da manyan matsalolin kiwon lafiya guda biyu, shi ma ya shafi yawan mutane 65 da tsofaffi. Suna da haɗari musamman don samun tsarin rigakafi ba zai iya toshe kamuwa da cuta ba lokacin da rigakafin rigakafin ya ragu sosai. Lallai Powell ya sami rigakafin farko watanni da yawa da suka wuce.
Binciken ya jaddada cewa bayanan da ke sama suna wakiltar ingantaccen ingantaccen bayanai daga Maris zuwa Disamba 2020 lokacin da COVID ya yi kamari da kuma kafin allurar rigakafi. Misali, adadin mutuwar kashi 2.1 cikin 12 na kamuwa da cututtukan da aka yi wa allurar idan aka kwatanta da kashi 3,000 cikin 9 a lokacin riga-kafin. Lafiya. Wannan daidai ne. Amma la'akari da cewa kusan mutuwar 11 na bala'in na 3,381/XNUMX ana ɗaukar babban mahimmancin kafofin watsa labarai. Don haka, me yasa aka bayar da rahoton mutuwar XNUMX a cikin binciken DOD na ƙaramin sha'awar kafofin watsa labarai na yau da kullun?
Mutuwar tana da mahimmanci saboda suna nuna ainihin iyakancewar allurar COVID na yanzu. Yanzu an gane cewa tasirin su yana raguwa da sauri a kan lokaci. Gabaɗaya magana, bayan kimanin watanni shida sun zama marasa aiki. An gano a cikin wannan binciken cewa yawan kamuwa da cuta watanni 5-6 bayan allurar ya ninka sau biyu fiye da watanni 3-4 bayan allurar.
Hakanan an lura shine cewa bayanan sun nuna cewa tasirin rigakafin mRNA ya gaza abin da aka annabta a cikin binciken kamfanonin magunguna wanda ya sanya su FDA takunkumi. Kuma cewa maganin na Moderna ya fi na Pfizer kyau wajen dorewar tasiri.
Hoton da ba a buga ba na bayanan CDC (wanda aka yi shi akan Fasalin Ma'ana Newsletter, Oktoba 14, 2021) ya nuna karuwar mutuwar COVID a asibitoci tun daga watan Afrilu 2021, wanda ya tashi daga kashi 3.1 zuwa 15.1 na marasa lafiya da aka yi wa allurar a watan Mayu 2021. lokacin da alluran rigakafi suka rasa tasirin su. Yayin da lokaci ya ci gaba, mutane da yawa suna rasa kariya daga alluran rigakafin da ke haifar da ƙarin cututtuka.
Wannan mummunan raguwar tasirin rigakafin ya kamata ya jagoranci masu hankali, masu manufa don kammala duk wata rigakafin da ke ba da kariya ta 'yan watanni kawai bai kamata a bayyana shi azaman maganin likita wanda ya cancanci amfani da umarni na yawan jama'a ba. Kuma, dangane da rashin tasiri a kan bambance-bambancen delta, shin yana da ma'ana a yi imani da cewa buƙatar maimaita ƙarar alluran rigakafi iri ɗaya zai haifar da kyakkyawan sakamako? A mafi kyau, za su iya jinkirta kamuwa da cututtuka kawai.
An fassara tabarbarewar sakamakon kiwon lafiya bayan allurar rigakafi sakamakon lalacewa ga tsarin rigakafi da rigakafin ke haifarwa. Ana kiran wannan azaman Haɓaka Dogara na Antibody a cikin wallafe-wallafen binciken likita. Yana nufin raunin tsarin rigakafi daga alluran rigakafi.
Game da raguwar tasirin rigakafin ya kamata a lura cewa binciken biyu daga Isra'ila da kuma Qatar wanda aka buga a cikin New England Journal of Medicine ya goyi bayan wannan barazana ga cikakken alurar riga kafi. Kuma a cikin Isra'ila an ba da rahoton hauhawar cutar COVID-19 a cikin mutanen da ke da cikakken rigakafin. A cewar Dr. Haviv. lissafin alurar riga kafi na 85-90% na duk sabbin asibitoci da 95% na lokuta "masu tsanani" a Cibiyar Kiwon Lafiya ta Herzog a Urushalima.
An kuma sami rahotannin cewa kaso mai yawa na shigar asibiti a Amurka na mutanen da ke da cikakken rigakafin. Mai busa usuwa daya ruwaito inda ta yi aiki cewa yayin da adadin allurar rigakafin bai wuce kashi 50 cikin 90 a cikin al'umma ba, kusan kashi XNUMX% na asibitocin da aka kwantar da su an riga an yi musu cikakken rigakafin.
Kuma an ba da rahoton daga jihohi da yawa cewa kashi 40% na marasa lafiyar COVID da ke asibiti an yi musu cikakkiyar allurar rigakafi, gami da daga New York: Tun daga ranar 1 ga Yuli, kusan kashi 40% na dukkan mazauna gundumar Onondaga da suka gwada ingancin cutar sankara na coronavirus an yi musu cikakkiyar allurar rigakafi.
kwanan nan ruwaito don Maryland shine cewa a cikin watanni uku da suka gabata a gundumar Anne Arundel, kusan kashi 30% na mutanen da ke asibiti tare da COVID suna da cikakkiyar rigakafin. A cikin makwabciyar jami'an kiwon lafiya na Howard County sun ce kusan kashi 30% zuwa 40% na mutanen da ke asibiti tare da COVID suna da cikakkiyar rigakafin. Wato yawancin cututtuka masu tasowa.
A kwanan nan rahoto daga Kiwon Lafiyar Jama'a na Ingila ya nuna cewa 163 daga cikin mutane 257 (63.4%) da suka mutu sakamakon bambance-bambancen delta a cikin kwanaki 28 na ingantaccen gwajin COVID tsakanin 1 ga Fabrairu da 21 ga Yuni, sun sami aƙalla kashi ɗaya na rigakafin.
Wani muhimmin bincike na binciken DOD wanda a cikin kansa ya cancanci kulawa ta manyan kafofin watsa labarai shine cewa canjin da ya bayyana juriya ga mummunan tasirin kiwon lafiya daga kamuwa da cututtukan cuta shine rigakafi na halitta wanda ya samo asali daga kamuwa da cutar COVID ta farko.
Cewa gwamnatoci sun ƙi amincewa da ƙayyadaddun rigakafi na halitta yayin da suke ƙara ba da umarnin yin allurar abin kunya ne na ilimin likitanci. Lallai akwai yanzu shaidar likita maras tabbas cewa rigakafi na halitta ya fi tasiri, musamman a kan bambance-bambancen, kuma ya daɗe fiye da rigakafin rigakafi. Cewa an yi watsi da wannan gaskiyar, kuma mutane suna rasa ayyukan yi da rayuwa, abin kunya ne.
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Dokta Joel S. Hirschhorn, marubucin Cutar Kwayar cuta da labarai da yawa kan cutar, ya yi aiki a kan al'amuran kiwon lafiya shekaru da yawa. A matsayinsa na cikakken farfesa a Jami'ar Wisconsin, Madison, ya jagoranci shirin binciken likita tsakanin kwalejojin injiniya da likitanci. A matsayinsa na babban jami’i a ofishin tantance fasaha na majalisar wakilai da kuma kungiyar gwamnonin kasa, ya jagoranci manyan nazari kan batutuwan da suka shafi kiwon lafiya; ya ba da shaida a zaman majalisar dattijai da majalisar wakilai sama da 50 kuma ya rubuta ɗaruruwan labarai da kasidu a manyan jaridu. Ya yi aikin sa kai na zartarwa a babban asibiti sama da shekaru 10. Shi memba ne na Associationungiyar Likitocin Amurka da Likitoci, da Likitoci na Farko na Amurka.
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