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Sha'awa ta Keɓanta da Haɓaka manufofin Cutar
Ya kamata saƙon lafiyar jama'a ya ba da sahihan bayanai ta yadda jama'a da shugabanninsu za su iya tsara martanin da suka dace, waɗanda aka auna su da abubuwan da al'umma ke da fifiko. Tsare-tsare na gaba yana buƙatar ƙarancin albarkatun da za a mai da hankali kan wuraren da ake buƙata mafi girma kuma tare da tsammanin za su iya samun fa'ida mafi girma. Koyaya, manufofin na iya zama karkata zuwa ga kunkuntar abubuwan da ba su da alaƙa lokacin da manufofin marasa lafiya, kamar ribar kuɗi, suka zo don yin gogayya da fa'idodin kiwon lafiya yayin aiwatar da yanke shawara. Don haka, yanke shawara game da manufofin kiwon lafiya dole ne ya kasance mai fahimta, kuma mai jurewa, rikice-rikice na sha'awa da labarun da ke haɓaka waɗannan abubuwan.
Don samun halacci, dole ne a ba da manufofin kiwon lafiyar jama'a ga cibiyoyi masu amsa ga jama'a kuma bisa tabbataccen shaida. Dangane da taron tattalin arzikin duniya na baya-bayan nan (WEF2) Ƙaddamar da shawarwari kan manufofin kiwon lafiyar jama'a a Davos, ba a cika kowane ɗayan waɗannan matakan ba. Har ila yau, abin tambaya shi ne halacci a cikin labaran watsa labaru, inda ainihin ka'idojin aikin jarida - shaidar tambaya, tabbatar da tushe, samar da mahallin, da fahimtar rikici na sha'awa - kamar sun ɓace.
A ranar 17 ga Satumba, 2024, WEF ta gudanar da wani gamuwa game da shirye-shiryen barazanar kiwon lafiya na annoba, wanda ya dogara da yanayin cutar sankara,'Cuta X.' Kalmar Disease X tana nufin wani nau'in cutar da ba a sani ba wanda zai iya haifar da babbar barazana ga bil'adama. WHO ta kara da cutar X a cikinta list na cututtukan cututtukan da aka ba da fifiko a cikin 2018 don haɓaka ingantattun shirye-shirye don waɗannan nau'ikan barazanar zato, musamman al'amuran da ba a samun alluran rigakafi da sanannun hanyoyin warkewa.
WEF wani taro ne mai zaman kansa wanda ke goyan bayan, kuma yana wakilta, buƙatun kamfanoni masu zaman kansu waɗanda ke sarrafa yawancin ayyukan kuɗi da tattalin arzikin duniya. A saboda wannan dalili, yana jawo hankalin manyan 'yan siyasa da masu tsara manufofin jama'a. Duk da yake ana iya jayayya cewa wannan wuri ne mai ma'ana ga shugabannin siyasa don yin shari'ar shigar da kamfanoni masu zaman kansu da kuma alkawurran kudi na manufofin kiwon lafiyar jama'a da aka riga aka kafa, za a iya cewa dandalin da bai dace ba don tsara manufofin jama'a. Ko da kuwa, A cikin gudu har zuwa Davos, Cutar X an yi la'akari da cewa tana iya yin kisa sau 20. fiye da Covid-19. Yin amfani da alkalumman hukumar WHO Covid-19, wannan zai yi daidai da mutuwar kusan miliyan 140 a duk duniya.
Kamar yadda ake tsammani, muhawarar da ke kewaye da Cuta-X da WEF da sauri sun zama polarized. A gefe guda, masu shakka ya ba da shawarar cewa WEF taron 'ƙananan duniya' ne kawai da nufin tauye ikon mallakar ƙasa kuma an tsara cutar-X don tabbatar da manufofin cutar da ke rage 'yancin ɗan adam. A kan wasu, An sami kariya ta yin amfani da Disease-X a matsayin ma'auni don bunkasa manufofi da kuma yin amfani da dandalin WEF a matsayin wuri don taimakawa wajen mayar da martani ga wannan 'barazanar wanzuwa' na gabatowa.
Duk da haka, gaskiyar tana iya zama wani wuri a tsakiya. Tabbas akwai fa'idodi ga amfani da hasashe a cikin tsara manufofin. Hakazalika, akwai ma'auni na geopolitical da 'duniya' abubuwan haɗin gwiwar da aka wakilta a ciki Davos. Wadancan bukatu sun hada da fiye da gujewa babban farashin tattalin arziƙin annoba na gaba, tunda akwai kuma damar kasuwanci masu jan hankali waɗanda irin wannan hasashe da ɗan buɗe ido na iya gabatar da su. Yana haifar da hankali, mayar da martani, da yuwuwar saka hannun jari daga masu hannun jari masu zaman kansu, amma har ma gwamnatoci, waɗanda suka haɓaka dogaro mai yawa. alurar riga kafi kamar yadda tsarin farko don shirye-shiryen annoba da mayar da martani.
Bugu da ƙari kuma, ƙungiyoyin gwamnatoci irin su WHO kuma fahimci damar da Cuta X ke haifarwa. Yana taimakawa wajen haifar da ma'anar gaggawa, yana ba da damar dawowa kan labarin saka hannun jari, kuma yana halatta wurin hukumar a matsayin ikon da ya dace don manufofin kiwon lafiya bayan Covid-19. Don sanya shi a fili, ƙirƙirar ma'anar gaggawa da rikice-rikice na gaba zai rage tunani, ba da damar manufofin da yawa. da sauri samar da yarjejeniya da tattara albarkatu.
A nan ne bukatu ke daidaitawa a WEF. Kuma a nan ne wannan daidaitawar zai iya karkata da gurɓata manufofin kiwon lafiya ta hanyoyin da ba a cikin fa'idodin kiwon lafiyar jama'a na duniya ba. Hanya ɗaya don sanin yadda ya dace waɗannan abubuwan da suka dace da lafiyar jama'a, da kuma ko ya kamata su taimaka wajen ƙayyade makomarta, ita ce kwance da kuma fahimtar hasashen da ke haifar da labarin martani na WEF. A wannan yanayin, cutar X.
Yaya Girman Barazanar Cutar?
https://www.weforum.org/agenda/2018/03/a-mysterious-disease-x-could-be-the-next-pandemic-to-kill-millions-of-people-heres-how-worried-you-should-be/
WEF ta bayyana dalilin da ya sa aka kira taron na wannan makon a cikin wani 2018 labarin akan gidan yanar gizon sa, wanda aka sabunta don taron 2024. Labarin yana cewa:
Gaskiyar da ba za a iya gujewa ba ga waɗanda ke nazarin barkewar cututtuka, sabbin ƙwayoyin cuta, da yaduwar cututtuka abu ne mai ban tsoro.
Cutar ta gaba tana zuwa.
Sanannu, cututtuka marasa magani suna ɓoye a cikin tafkunan ɓoye a duk faɗin duniya. Dubban ƙwayoyin cuta da ba a san su ba suna yawo a duniya.
Yawancin wannan magana daidai ne a fasaha. Ko da yake 'yan kaɗan waɗanda ke nazarin barkewar cutar na iya kasancewa a matsayin "haunted" ta waɗannan tsoro kamar yadda WEF ta nuna, tun da fashewar yanayi na babban tasiri ba su da haɗari kuma ba su da illa fiye da yawancin cututtuka masu yaduwa (duba ƙasa). Bugu da ƙari, gaskiya ne da ba za a iya tserewa ba cewa dubban ƙwayoyin cuta suna wanzu kuma ba a gano su ba, tun da bambancin yanayi yana da yawa. Duk da haka, kusan duka ba su da lahani ga ’yan Adam, kamar yadda muke ci karo da su ko kuma bambancinsu shekaru dubbai da yawa. Lokaci-lokaci, a cikin waɗannan haduwar yau da kullun, fashewa mai mahimmanci zai faru. Abin da ke da mahimmanci shine yawanta da tsananinsa.
Matsalolin da ke da yuwuwa, kamar yadda WEF ta ci gaba da nunawa, shine gabatarwar da ba ta dabi'a ba ta hanyar sarrafa ƙwayoyin cuta. Koyaya, a matsayin batun tsaro na rayuwa, wannan yawanci zai faɗi ƙarƙashin matakai da manufofin tsaro na ƙasa da ƙasa kuma ba zai fi dacewa da ƙungiyoyi masu zaman kansu masu zaman kansu ko dakunan gwaje-gwajen geopolitical na ƙasa waɗanda ƙila suna da hannu wajen ƙirƙirar su ba. Don haka wannan baƙon batu ne ga ƙungiyar haɗin gwiwar Switzerland mai zaman kanta. Don haka, dole ne mu ɗauka, don dalilai na gardama, cewa cutar X ana ɗaukarta asalin halitta ce a cikin labarin WEF.
Dangane da barazanar cututtuka na halitta, WEF ta jera a jerin cututtukan fifiko WHO ta haɓaka a cikin 2018, wanda ya bayyana abin da ta fahimci cewa zai iya zama babbar barazana ga lafiyar ɗan adam (Gaggawar Kiwon Lafiyar Jama'a na Damuwa ta Duniya). Abin lura, baya haɗa da mura, azaman babban sa ido da hanyoyin amsawa ya riga ya wanzu don barkewar cutar mura:
Bayan Covid-19, cuta daya tilo a cikin wannan jerin da aka yi rikodin mutuwar sama da 10,000 ita ce Ebola. Barkewar cutar Ebola ta yammacin Afirka na 2014-15 - mafi girma a tarihi - yana da a mutuwa na 11,325. Sai dai cutar zazzabin Lassa, cuta ce da ta barke a yammacin Afirka, babu wata cuta a cikin jerin da ta bayyana cewa tana da mace-mace sama da 1,000 da aka ruwaito a duniya. SARS da kuma MERS-CoV ya haddasa kusan 800 kowanne.
Wannan shine inda mahallin ke da mahimmanci don fahimtar haɗarin lafiyar jama'a da ba da labarin manufofin WEF na yanzu wasu hangen nesa. Tuberculos yana haddasawa Mutane miliyan 1.3 sun mutu a kowace shekara, ko fiye da mutuwar 3,500 a kowace rana, yayin da zazzabin cizon sauro ke kashewa 600,000 yara kowace shekara. Ciwon daji da cututtukan zuciya suna kashe, a duniya, sau da yawa fiye da mutane (10 miliyan da kuma 17.9 miliyan). A sakamakon haka, irin waɗannan cututtuka suna haifar da waɗannan cututtuka idan aka kwatanta, amma suna daɗaɗa tsoro yayin da muka saba da irin wannan adadi, ko da a lokuta kamar zazzabin cizon sauro, ana iya yin rigakafin su cikin sauri.
Daga yanayin lafiyar jama'a wannan shine abin da yakamata ya burge mafi yawan sha'awa kuma har sai an sami mafi yawan kudade. Dangane da, manyan abubuwan da ke haifar da tsawo na matsakaicin rayuwa a cikin ƙasashe masu tasowa - ingantacciyar tsafta, abinci mai gina jiki, yanayin rayuwa gabaɗaya, da maganin rigakafi - sune babban abin da aka fi mayar da hankali kan inganta lafiya (sabili da haka tattalin arzikin cikin ƙananan hanyoyin samun kudin shiga).
Abin takaici, wannan canjin kwanan nan don mai da hankali kan cututtukan da ba a saba gani ba da ƙarancin tasiri na iya samun farashi mai mahimmanci. Misali, shirye-shiryen annoba na baya-bayan nan da labarun manufofin mayar da martani suna dagewa cewa ƙasashen da ke da nauyin lafiya da za a iya rigakafin su, kamar zazzabin cizon sauro, su karɓi karkatar da albarkatu don magance haɗarin da ba a sani ba. A cewar rahoton G20 Yarjejeniyar Duniya don Zaman Cutar Cutar, an yi kiyasin dala biliyan 26.4 a kowace shekara na saka hannun jarin hadarin kamuwa da cutar daga kasashe masu karamin karfi da masu matsakaicin ra'ayi don cike gibin shirye-shiryen da ake da su, tare da karin dala biliyan 10.5 daga Taimakon Raya Kasashen Waje.
A cikin mahallin barkewar annobar da aka sani, Covid-19 wani abu ne mai ban mamaki - kuma yana wakiltar mafi girman annoba cikin shekaru 50 dangane da mace-mace. WHO ta ruwaito (da Barkewar cutar mura ta 2009 kashe kasa da murabba'in lokaci da aka saba yi). A takaice dai, jerin sa ido na fifiko na WHO yana da ƙarancin nauyin cututtuka dangane da manyan masu kisan gilla a duniya.
Wato, ba shakka, har sai Cutar X ta buge.
Cuta X: Tsananin Kera
A cikin ginawa har zuwa WEF 2024 da ƙungiyar cututtukan cututtuka, gidan yanar gizon WEF ya gabatar da tambaya mai zuwa: “tare da sabbin gargaɗi daga Hukumar Lafiya ta Duniya cewa 'Cutar X' da ba a sani ba na iya haifar da cutar. 20 sau fiye da mace-mace fiye da cutar ta coronavirus, wane sabon yunƙuri ne ake buƙata don shirya tsarin kiwon lafiya don ƙalubalen da ke gaba? ” Nan take aka dauko wannan faɗakarwa aka maimaita ta ta hanyar gidajen labarai da yawa, wanda kuma ya haifar da cece-kuce da dama a shafukan sada zumunta da kuma ta hanyar maganganun jama'a da 'yan siyasa da masana kiwon lafiyar jama'a suka yi.
Koyaya, dangane da shaida, har yanzu ba a sani ba ko WHO da gaske ta yi iƙirarin cewa ya kamata a taɓa fahimtar cutar X a matsayin mai tsanani. A zahiri, a cikin bincikenmu, ba a iya gano inda WHO ta yi wannan sifa ta lambobi kai tsaye ba. Mafi ban sha'awa, da'awar cewa Cuta X na iya zama m sau 20 fiye da Covid-19 yanzu ya kasance. cire daga gidan yanar gizon WEF, yana nuna cewa yanzu an gane wannan kuskuren.
Ta hanyar yin bincike na asali, asalin wannan lissafin "sau 20" da alama ya fito ne daga labarin gidan yanar gizon da aka buga Birmingham Mail a ranar 24 ga Satumba, 2023 Birmingham Mail Labarin ya ce "sabuwar cutar na iya zama mai kisa sau 20 fiye da coronavirus, wanda ya haifar da mutuwar mutane miliyan 2.5" (ya kamata a lura cewa wannan ba daidai ba ne, kuma ba a bayyana dalilin da ya sa labarin ya yi amfani da wannan adadi ba - adadi na hukuma na Covid-19 ya kusan miliyan 7 a ranar). Wannan ikirari na 'sau 20' a fili ya samo asali ne daga wata sanarwa da Kate Bingham, tsohuwar shugabar Hukumar Kula da Alurar riga kafi ta Burtaniya ta yi, wacce ta fada. da Daily Mail a wani talifi da ya gabata cewa “cutar mura ta 1918-19 ta kashe aƙalla mutane miliyan 50 a dukan duniya, wanda ya ninka adadin da aka kashe a Yaƙin Duniya na ɗaya. A yau, muna iya sa ran adadin waɗanda suka mutu daga ɗaya daga cikin ƙwayoyin cuta da yawa da suka wanzu.”
Sakamakon haka, ya bayyana cewa marubucin littafin Birmingham Mail Labari ya zo a lissafin "sau 20 mafi mutuwa" ta hanyar ɗaukar mutuwar mutane miliyan 50 na Mutanen Espanya tare da raba ta da mutuwar 2.5 Covid-19 don danganta girman girman cutar X. Ga WEF, wannan mai yawa ya kasance da alama an tsince shi don amfani da gidan yanar gizon sa, amma wannan lokacin yana nufin mafi girma Covid-19 mace-mace bisa ainihin mutuwar mutane miliyan 7 na WHO.
Ta wannan rashin fahimta, Cutar X za ta kai adadin mutuwar Covid 7 miliyan x 20 = mutuwar miliyan 140. Wannan zai sanya Cuta X a cikin yankin da ba a bayyana shi da gaske ba, fiye da kowace irin annoba ta tarihi. Kuma abin mamaki ne cewa babu wanda, ciki har da ƙwararrun ƙwararrun ƙwararrun kiwon lafiya, da suka yi tir da wannan lambar mai jan ido. Wani abu kuma mai ban mamaki shi ne cewa manyan gidajen labarai irin su Daily Mail ci gaba da yin watsi da waɗannan da'awar da ba ta da tabbas bayan Davos, wanda ke sake fitar da ruwayoyi ta yadda za su zama al'adar gaskiya mai tasiri a cikin al'umma, duk da samun raunin tushe na kimiyya.
Wannan yana da damuwa saboda dalilai da yawa, amma galibi dangane da manufofin tushen shaida da kuma gurɓatar da za ta iya faruwa lokacin da tarukan kamar WEF suka wuce gona da iri. Ko da yake amfani da hasashe irin su Cuta X na iya zama da amfani sosai don shirye-shiryen gwaji na damuwa da kuma fa'idar manufofin manufofin, bai kamata su kasance marasa sanin kwarewa ba. Bugu da kari, kamar yadda a cikin yanayin shigarta cikin jerin sa ido na WHO, cututtukan da ake tsammani kamar Disease X na iya zama alamar gabaɗaya ga cututtukan da ba a san su ba waɗanda kuma yakamata a yi la’akari da su a cikin ƙoƙarinmu na shirye-shiryen. Amma kuma, wannan ba a sani ba ya kamata a dogara ne akan 'sanantattun abubuwan da ba a sani ba,' don aron cliché.
Don haka, duk wani hasashe kamar Cuta X da ƙirar ƙira da ke da alaƙa yakamata su dogara ne akan yanayi mai ma'ana maimakon hasashe kawai. In ba haka ba, za mu iya ɗaukar kowane lamba mai bala'i daga iska mai iska kuma mu ninka ta ta hanyar Covid-19 na hukuma ko mutuwar mura ta Sipaniya. Game da na ƙarshe, wannan na iya zama ƙirar matsala daidai lokacin da aka sake maimaitawa, tunda yuwuwar cutar mura ta Sifen da ke haifar da adadin mace-mace a cikin 2024 ya ragu sosai. Yawancin mutuwar mura na Mutanen Espanya ana danganta su da a rashin maganin rigakafi (Wannan ya kasance fiye da karni daya da suka wuce, muna da maganin rigakafi yanzu!). Kulawar lafiya, muna fata, ta kuma inganta a cikin shekaru 100 da suka gabata. A kan wannan yanayin, irin waɗannan kwatancen suna da ɗan ban sha'awa.
A }arshe, an tsara manufofin tushen shaida akan ra'ayin cewa ya kamata a tabbatar da hukunce-hukuncen manufofin ta hanyar ingantacciyar hujjar da aka kafa ba wai kawai kan akida ko akida ba. Wannan ma'auni yana ɗaga damuwa da yawa game da yadda ake amfani da Cuta X a halin yanzu da kuma tushen da WEF da wasu da yawa suka yi zargin ba daidai ba. A takaice dai, tushen shaidar da aka rubuto don tattaunawar lafiyar jama'a, kamar waɗanda suka faru a Davos, bai kamata a dogara da su ba. Birmingham Mail labarin da ke fayyace ƙididdiga na ƙididdiga daga wani sharhi mara tushe da aka yi yayin hira ta amfani da ƙididdigar mace-mace ba daidai ba. Wannan ba zai iya jure ko da natsuwa bincike ba kuma ya sa al'amarin Davos gabaɗaya ya zama abin kunya ga tunani na hankali.
Kiwon Lafiyar Jama'a da Ribar Pharma Ba iri ɗaya bane
Shirye-shiryen barkewar cutar shine fifikon ma'ana a lafiyar jama'a. Bayar da albarkatu a cikin mahallin gasa manyan abubuwan da suka fi dacewa da fahimtar farashin kiwon lafiya na karkatar da albarkatu daga manyan cututtuka masu nauyi yana da mahimmanci ga ci gaban manufofin. Abin da ke gaba da kyakkyawar lafiyar jama'a shi ne haɓaka tsoro, wuce gona da iri, da ƙididdige ƙididdiga na bazuwar waɗanda suka sake bayyana ba tare da la'akari da yawancin hanyoyin sadarwa da manufofin ba tsawon watanni.
A cikin mahallin haɓaka sha'awa, yana da ma'ana cewa kamfanonin harhada magunguna, masu saka hannun jari, masu amfana da sauri, har ma da kafofin watsa labarai suna samar da irin wannan kayan. Batu ne da suka tsaya don samun riba da tasiri. Amma duk da haka, bai kamata a yi kuskuren wannan a matsayin halaltacciyar hanya ta manufofin kiwon lafiya ko lafiyar jama'a ba, kuma ya kamata a yi watsi da shi kai tsaye a matsayin ingantaccen tsarin inganta manufofin kiwon lafiyar jama'a.
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REPPARE (Sake kimanta Shirye-shiryen Cutar Kwayar cuta Da Ajandar Amsa) ya ƙunshi ƙungiyar darussan da yawa da Jami'ar Leeds ta kira.
Garrett W. Brown
Garrett Wallace Brown shine Shugaban Manufofin Lafiya na Duniya a Jami'ar Leeds. Shi ne Co-Jagoran na Sashen Bincike na Lafiya na Duniya kuma zai zama Darakta na sabuwar Cibiyar Haɗin gwiwar WHO don Tsarin Lafiya da Tsaron Lafiya. Binciken nasa ya mayar da hankali kan gudanar da harkokin kiwon lafiya na duniya, ba da kuɗaɗen kiwon lafiya, ƙarfafa tsarin kiwon lafiya, daidaiton lafiya, da ƙiyasin farashi da yuwuwar bayar da tallafi na shirye-shiryen rigakafin cutar da martani. Ya gudanar da manufofi da haɗin gwiwar bincike a cikin lafiyar duniya fiye da shekaru 25 kuma ya yi aiki tare da kungiyoyi masu zaman kansu, gwamnatoci a Afirka, DHSC, FCDO, Ofishin Majalisar Dinkin Duniya na Birtaniya, WHO, G7, da G20.
David Bell
David Bell likita ne na asibiti da lafiyar jama'a tare da PhD a cikin lafiyar jama'a da asali a cikin likitancin ciki, ƙirar ƙira da cututtukan cututtukan cututtuka. A baya can, ya kasance Darakta na Fasahar Kiwon Lafiya ta Duniya a Asusun Intellectual Ventures Global Good Fund a Amurka, Shugaban Shirin Malaria da Cutar Cutar Kwalara a Gidauniyar Innovative New Diagnostics (FIND) a Geneva, kuma ya yi aiki a kan cututtuka masu yaduwa da daidaita dabarun gano cutar zazzabin cizon sauro a Hukumar Lafiya ta Duniya. Ya yi aiki na tsawon shekaru 20 a fannin kimiyyar halittu da lafiyar jama'a na duniya, tare da wallafe-wallafe sama da 120. David yana zaune a Texas, Amurka.
Blagovesta Tacheva
Blagovesta Tacheva ƙwararren mai bincike ne na REPPARE a Makarantar Siyasa da Nazarin Duniya a Jami'ar Leeds. Tana da PhD a cikin Harkokin Ƙasashen Duniya tare da gwaninta a ƙirar cibiyoyi na duniya, dokokin kasa da kasa, 'yancin ɗan adam, da martanin jin kai. Kwanan nan, ta gudanar da bincike na hadin gwiwa na WHO game da shirye-shiryen cutar sankara da kiyasin farashin mayar da martani da yuwuwar samar da sabbin hanyoyin samar da kudade don saduwa da wani yanki na wannan kiyasin. Matsayinta a cikin ƙungiyar REPPARE shine ta bincika shirye-shiryen cibiyoyi na yanzu waɗanda ke da alaƙa da shirye-shiryen balaguron balaguro da ajandar mayar da martani da kuma tantance dacewarta ta la'akari da nauyin haɗari da aka gano, farashin dama da sadaukarwa ga wakilci / yanke shawara mai adalci.
Jean Merlin von Agris
Jean Merlin von Agris dalibi ne na REPPARE wanda ke samun tallafin PhD a Makarantar Siyasa da Nazarin Duniya a Jami'ar Leeds. Yana da digiri na biyu a fannin raya tattalin arziki tare da sha'awar ci gaban karkara na musamman. Kwanan nan, ya mai da hankali kan yin bincike kan iyaka da tasirin ayyukan da ba na magunguna ba yayin bala'in Covid-19. A cikin aikin REPPARE, Jean zai mai da hankali kan tantance zato da kuma ƙwaƙƙwaran tushen shaida da ke ƙunshe da shirye-shiryen balaguron bala'in duniya da ajandar mayar da martani, tare da mai da hankali musamman kan abubuwan da ke haifar da jin daɗi.
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