Muna da tabbacin World Health Organization (WHO), da Bankin duniya, da G20, Da kuma m abokai waɗanda annoba ta haifar da barazana ga rayuwarmu da jin daɗin rayuwarmu. Cututtukan sun zama ruwan dare gama gari, kuma idan ba mu matsawa cikin gaggawa ba za mu zama alhakin kanmu don ƙarin mutuwar jama'a na 'annoba mai zuwa'.
Hujjar hakan ita ce mummunar cutar da COVID-19 ta yi wa duniya, wanda za a iya hana maimaita hakan ne kawai ta hanyar tura kudaden da ba a taba gani ba da ikon yanke shawara ga cibiyoyin kiwon lafiyar jama'a da abokan huldar su. Suna da albarkatu, gogewa, ilimi da sanin fasaha don kiyaye mu.
Wannan shi ne babu-kwakwalwa, duka, kuma wawa ne kawai mai son mutuwar jama'a zai yi adawa da shi. Amma har yanzu akwai wadanda suka yi iƙirarin cewa mahada tsakanin cibiyar kula da lafiyar jama'a da manyan kamfanoni ya bayyana a matsayin ɓangare ne kawai na wannan labarin da ke jure wa bincike.
Idan gaskiya ne, wannan yana nuna cewa shugabanninmu, da hukumomin lafiya, da galibin kafafen yada labarai na yaudare mu; zargi mai ban dariya a cikin al'umma mai 'yanci da dimokuradiyya. Mulkin farkisanci ko kuma wani tsarin mulkin kama-karya ne kawai zai iya gudanar da irin wannan babbar yaudara mai hade da juna, kuma mutanen da ke da mugun nufi ne kawai za su iya raya ta.
Don haka bari mu yi fatan irin waɗannan 'bayyanar' yaudara ne. Yin imani da cewa jigon da ke tattare da Shirye-shiryen Ba da Amsa da Jagororinmu na Cutar Kanjamau da sanin ya kamata ya dogara ne akan ƙagaggen ƙirƙira zai zama ka'idar makirci mai nisa. Ba zai zama da daɗi ba mu yarda cewa mutanen da muka zaɓa da kuma cibiyoyin kiwon lafiya da muka amince da su suna yaudararmu da gangan; cewa tabbacin haɗa kai, daidaito da kuma haƙuri facade ne kawai da ke ɓoye ƴan fasikanci. Ya kamata mu bincika mahimman ikirari da ke tallafawa ajanda na bala'in a hankali kuma muna fatan samun sahihanci.
Labari na #1: Cututtuka sun zama ruwan dare gama gari
A cikin jagororin cutar mura na 2019, WHO ta jera 3 annoba a cikin karni tsakanin 1918-20 mura na Spain da COVID-19. Cutar mura ta Spain ta fi kashewa ta hanyar sakandare cututtuka na kwayan cuta a wani lokaci kafin maganin rigakafi na zamani. A yau za mu sa ran yawancin waɗannan mutane, yawancin matasa kuma masu dacewa, za su rayu.
Daga baya WHO ta yi rikodin barkewar cutar mura a cikin 1957-58 ('Murar Asiya') da 1968-69 ('Murar Hong Kong'). Barkewar cutar murar alade da ta faru a shekarar 2009 WHO ta ware shi a matsayin 'cututtuka' amma ya yi sanadiyar mutuwar mutane 125,000 zuwa 250,000 kawai. Wannan bai kai shekara ta mura ta al'ada ba kuma bai cancanci alamar cutar ba. Sannan muna da COVID-19. Shi ke nan har tsawon karni guda; barkewar cutar guda daya da WHO ta ware a matsayin annoba a kowane zamani. Rare, ko aƙalla sabon abu, abubuwan da suka faru.
Labari na #2: Cututtuka sune babban sanadin mutuwa
Mutuwar Baƙar fata, Cutar Bubonic ya mamaye Turai a cikin 1300s, an kashe watakila kashi ɗaya bisa uku na dukan jama'a. Maimaita barkewar cutar a cikin ƙarnuka masu zuwa ya haifar da irin wannan lahani, kamar yadda aka sani da annoba Girkanci da Roman sau. Ko da mura na Sifen bai kwatanta da waɗannan ba. Rayuwa ta canza kafin maganin rigakafi - ciki har da abinci mai gina jiki, masauki, samun iska da tsafta - kuma waɗannan abubuwan da suka faru na yawan mace-mace sun ragu.
Tun da mura na Sipaniya mun ƙirƙiro ɗimbin maganin rigakafi waɗanda ke da tasiri sosai kan cutar huhu da al'umma ke samu. Matasa masu dacewa har yanzu suna mutuwa daga mura ta hanyar kamuwa da cuta ta biyu, amma wannan yana da wuya.
The WHO ya gaya mana cewa an sami mutuwar mutane miliyan 1.1 daga 1957-58 'Murar Asiya', da kuma miliyan guda daga mura na Hong Kong na 1968-69. A cikin mahallin, mura na yanayi yana kashe tsakanin 250,000 da kuma 650,000 mutane a kowace shekara. Kamar yadda yawan mutanen duniya ya kai biliyan 3 zuwa 3.5 lokacin da waɗannan cututtukan guda biyu suka faru, an rarraba su a matsayin munanan shekarun mura wanda ke kashe kusan 1 cikin 700 galibi tsofaffi, tare da ƙarancin tasiri kan yawan mace-mace. An bi da su kamar haka, tare da Bikin Woodstock da ke ci gaba ba tare da fargabar firgita ba (game da kwayar cutar, aƙalla…).
COVID-19 yana da alaƙa da mace-mace mafi girma, amma a cikin wani tsofaffi matsakaicin shekaru daidai da na duk-sabuntu mace-mace, kuma kusan koyaushe ne hade tare da rikice-rikice. Yawan mace-mace kuma ya faru a gaban janyewar kulawar tallafi na yau da kullun kamar kulawar jinya da ilimin motsa jiki, kuma intubation ayyuka watakila ya taka rawa.
Daga cikin miliyan 6.5 cewa WHO ta rubuta kamar yadda muke mutuwa daga COVID-19, ba mu san nawa ne za su mutu ba ta wata hanya daga cutar kansa, cututtukan zuciya ko rikice-rikice na ciwon sukari kuma kawai suna faruwa suna samun ingantaccen sakamako na SARS-CoV-2 PCR. Ba mu sani ba saboda yawancin hukumomi sun yanke shawarar ba za su bincika ba, amma sun yi rikodin irin wannan mutuwar kamar ta COVID-19. Hukumar ta WHO ta ba da rahoton mutuwar sama da miliyan 15 a duk lokacin barkewar cutar ta COVID-19, amma wannan ya haɗa da mutuwar kulle-kulle.tamowa, tasowa cututtuka, sabon haihuwa mutuwa da sauransu).
Idan muka dauki 6.5 miliyan mai yiwuwa, za mu iya fahimtar mahallinta ta wajen kwatanta ta da tarin fuka, cuta mai saurin kamuwa da numfashi a duniya da wasu kalilan ke damuwa a rayuwarsu ta yau da kullum. Cutar tarin fuka tana kashe kusan mutane miliyan 1.5 a kowace shekara, wanda kusan rabin adadin COVID-19 na shekara-shekara a 2020 da 2021. Tarin fuka na kashe mai nisa a matsakaita fiye da COVID, cire ƙarin yuwuwar rayuwa-shekara tare da kowace mutuwa.
Don haka dangane da ma'auni na yau da kullun don nauyin cututtuka, muna iya cewa sun yi daidai - COVID-19 ya yi tasiri kan tsawon rayuwa gabaɗaya daidai da tarin fuka - mafi muni a cikin tsofaffi a cikin ƙasashen Yamma, ƙasa da ƙasa Kasashe masu karamin karfi. Ko da a Amurka An danganta COVID-19 da ƙasa da (da tsofaffi) mutuwar a cikin 2020-21 fiye da yadda aka saba faruwa daga cutar kansa da cututtukan zuciya.
Saboda haka COVID-19 bai zama barazana ga rayuwar mutane da yawa ba. Yawan mace-macen kamuwa da cuta a duniya tabbas yana kusa 0.15%, mafi girma a cikin tsofaffi, da yawa ƙananan a cikin samari masu lafiya da yara. Ba daidai ba ne a yi tunanin cewa idan an bi daidaitattun ilimin likitanci, irin su physiotherapy da motsi ga tsofaffi marasa ƙarfi da kuma kari na micronutrient ga waɗanda ke cikin haɗari, ƙila adadin mace-macen ya yi ƙasa da ƙasa.
Ko menene ra'ayin mutum game da ma'anar mutuwar COVID-19 da gudanarwa, ba zai yuwu ba cewa mutuwa ba kasafai ba ce a cikin samari masu lafiya. A cikin karnin da ya gabata duk mace-macen cututtukan da suka yi rauni sun yi kadan. Matsakaicin mutane ƙasa da 100,000 a kowace shekara gami da COVID-19, ƙaramin juzu'i ne na abin da mura na yanayi ke haifarwa.
Labari #3: Karɓar albarkatun zuwa shirye-shiryen annoba yana sa ma'anar lafiyar jama'a
Yanzu haka dai G20 ta amince da Bankin Duniya don rabon $ 10.5 biliyan a kowace shekara don rigakafin cutar sankara da mayar da martani Asusun Intermediary Fund (FIF). Akwai, a ganinsu, game da $ 50 biliyan da ake bukata gabaɗaya a kowace shekara. Wannan shine shekara-shekara, kasafin kuɗi don shirye-shiryen annoba. A matsayin misali na martanin da suka fi so lokacin da fashewa ta faru, masu ƙirar Jami'ar Yale sun kiyasta cewa yin allurar rigakafin mutane a cikin ƙasashe masu ƙanƙanta da matsakaicin matsakaici tare da allurai 2 na rigakafin COVID-19 zai kashe kusan. $ 35 biliyan. Ƙara mai ƙarfafawa ɗaya zai zama duka $ 61 biliyan. Sama da $ 7 biliyan ya zuwa yanzu an dage da yin hakan COVAX, Cibiyar ba da tallafin rigakafin cutar ta WHO, wanda ke ba da allurar mafi yawan waɗanda ke riga rigakafi zuwa cutar.
Don sanya waɗannan jimlar a cikin mahallin, kasafin kuɗi na shekara-shekara na WHO yawanci yana ƙasa $ 4 biliyan. Duk duniya tana kashewa $ 3 biliyan a kowace shekara kan zazzabin cizon sauro – cuta ce da ke kashe kananan yara sama da rabin miliyan a kowace shekara. Mafi girma wurin samar da kuɗaɗe don tarin fuka, HIV/AIDS da zazzabin cizon sauro, da Asusun Duniya, yana kashe kasa da dala biliyan hudu a kowace shekara kan wadannan cututtuka guda uku a hade. Sauran kuma mafi girma masu kashe yara, - kamar ciwon huhu da gudawa, sami har yanzu ƙasa da hankali.
Malaria, HIV, tarin fuka da cututtuka na rashin abinci mai gina jiki duk suna karuwa, yayin da tattalin arziki a duniya - babban abin da ke tabbatar da tsawon lokaci na rayuwa a cikin kasashe masu tasowa - raguwa. Ana tambayar masu biyan haraji, daga cibiyoyin da su kansu za su amfana, su kashe makudan kudade a kan wannan matsala maimakon cututtukan da ke kashe mutane da yawa. Mutanen da ke tura wannan ajanda ba su da alama sun sadaukar da kansu don rage mace-macen shekara-shekara ko inganta lafiyar gaba ɗaya. A madadin, ko dai ba za su iya sarrafa bayanai ba ko kuma suna da taga a nan gaba da suke ajiye wa kansu.
Labari #4: COVID-19 ya haifar da babbar illa ga lafiya da tattalin arzikin duniya
Yawan shekarun mace-mace na COVID ya kasance ba a sani ba tun farkon shekarar 2020, lokacin da bayanai daga kasar Sin suka nuna kusan babu mace-mace a cikin koshin lafiya matasa zuwa manya da yara. Wannan bai canza ba. Wadanda ke ba da gudummawa ga ayyukan tattalin arziki, aiki a masana'antu, gonaki da sufuri, ba su taɓa fuskantar haɗari sosai ba.
Lalacewar tattalin arziki da na mutum da ya taso daga takunkumin da aka yi wa waɗannan mutane, rashin aikin yi, lalata ƙananan ƴan kasuwa da rushewar layin samar da kayayyaki, zaɓi ne da aka yi a kan. manufar orthodox na WHO da lafiyar jama'a gabaɗaya. Tsawaita rufe makarantu, kulle-kulle cikin talauci da rashin daidaito a matakin kasa da kasa, zabi ne na watakila sayen watanni ga tsofaffi.
2019 WHO jagororin annoba an ba da shawara game da kulle-kulle saboda babu makawa za su kara talauci, kuma talauci yana haifar da rashin lafiya da rage tsawon rayuwa. Hukumar ta WHO ta lura cewa hakan yana cutar da mutane marasa galihu. Wannan ba rikitarwa ba ne - har ma da waɗanda ke tsakiyar kulle-kulle da ajanda na dijital na gaba kamar su Bank of International ƙauyuka (BIS) sun yarda da wannan gaskiyar. Idan manufar matakan haɓaka talauci ya kasance don rage mutuwar tsofaffi, shaidar nasara talaka ne.
Da alama kadan m shakka girma tamowa da kuma talauci na dogon lokaci, tashi damuwa na ciwon maɗamfari cuta, da illolin asarar ilimi, ya ƙaru auren yara kuma ya karu rashin daidaito zai yi nisa fiye da duk wani yuwuwar rage mace-macen da aka samu. UNICEF ta kimantawa na mutuwar yara miliyan kwata daga kulle-kulle a Kudancin Asiya a cikin 2020 yana ba da taga ga girman cutarwar da aka yi. Sabon martanin lafiyar jama'a ne ya haifar da mummunar cutar da ke tattare da wannan annoba mai laushi ta tarihi, ba kwayar cutar ba.
Fuskantar gaskiya
Da alama ba za a iya kaucewa cewa masu ba da shawara game da bala'in da ke faruwa a halin yanzu da ajandar shirye-shiryen suna yaudarar jama'a da gangan don cimma burinsu. Wannan ya bayyana dalilin da ya sa, a cikin bayanan baya na WHO, Bankin Duniya, G20 da sauransu, ana guje wa cikakken nazarin fa'idar farashi. Rashi iri ɗaya na wannan ainihin buƙatu yana nuna ƙaddamar da makullin Covid.
Binciken fa'ida mai tsada yana da mahimmanci ga kowane babban sa hannu, kuma rashinsu yana nuna ko dai rashin iyawa ko rashin iya aiki. Kafin shekarar 2019, ana tunanin karkatar da albarkatun don shirye-shiryen annoba da ba zai yuwu ba ba tare da irin wannan bincike ba. Don haka muna iya ɗauka a hankali cewa ci gaba da rashin nasu ya dogara ne akan tsoro ko kuma tabbacin sakamakonsu zai lalata shirin.
Yawancin mutanen da ya kamata su sani mafi kyau suna tafiya tare da wannan yaudara. Dalilinsu na iya zama tambaya a wani wuri. Mutane da yawa suna jin suna buƙatar albashi mai kyau, kuma sakamakon mutuwa da talauta zai yi nisa da za a yi la'akari da shi. Kafofin yada labarai, mallakin su daya gidajen zuba jari wadanda suka mallaki Pharma da kamfanonin software da ke daukar nauyin lafiyar jama'a, galibi shiru. Yana da wuya a yi imani da cewa gidaje masu zuba jari irin su BlackRock da Vanguard suna aiki don haɓaka riba ga masu zuba jari, suna amfani da kadarorin su daban-daban don yin hakan.
'Yan shekarun da suka gabata na zababbun shugabanninmu da suka yi taro na sirri a Davos, tare da tarin dukiya tare da mutanen da suke ganawa, ba za su iya kai mu ko'ina ba.
Mun san wannan shekaru 20 da suka gabata, lokacin da kafofin watsa labarai har yanzu sun yi gargaɗi game da cutarwar da ƙara rashin daidaito zai haifar. Lokacin da daidaikun mutane da kamfanoni masu wadata fiye da matsakaicin ƙasashe ke sarrafa manyan ƙungiyoyin kiwon lafiya na duniya kamar gavi da kuma CEPI, ainihin tambaya ita ce me yasa mutane da yawa ke gwagwarmaya don amincewa da cewa rikice-rikice na sha'awa suna bayyana manufofin kiwon lafiya na duniya.
Lalacewar lafiya don samun riba ya saba wa duk ɗabi'ar yaƙin yaƙin duniya na biyu bayan yaƙin ƴan-fashist, masu adawa da mulkin mallaka. Lokacin da mutane a fadin siyasa za su iya gane wannan gaskiyar, za su iya ajiye rarrabuwar kawuna da wannan rashawa ta shuka.
Ana yaudare mu akan dalili. Komai ma'ana, tafiya tare da yaudara zaɓi ne mara kyau. Inkarin gaskiya baya kaiwa ga kyakkyawan wuri. Lokacin da manufar kiwon lafiyar jama'a ta dogara ne akan wani labari na ƙarya da ke nuna, aikin ma'aikatan kiwon lafiyar jama'a ne, da jama'a, su yi adawa da shi.
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David Bell, Babban Masanin Kimiyya a Cibiyar Brownstone, likitan lafiyar jama'a ne kuma mai ba da shawara kan ilimin halittu a cikin lafiyar duniya. David tsohon jami'in kiwon lafiya ne kuma masanin kimiyya a Hukumar Lafiya ta Duniya (WHO), Shugaban Shirin Malaria da cututtukan zazzabi a Gidauniyar Innovative New Diagnostics (FIND) a Geneva, Switzerland, kuma Daraktan Fasahar Kiwon Lafiya ta Duniya a Asusun Kula da Lafiya na Duniya na Intellectual Ventures a Bellevue, WA, Amurka.
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