Ya kamata a sami tsararren layi tsakanin wallafe-wallafen likita da farfaganda. Babu kasa da haka a cikin shafukan da Lancet, wanda a baya an ɗauke shi a matsayin tushen aminci a cikin bugawa. Gaskiya a cikin wallafe-wallafen likitanci, ma'ana bugawa a kan ingantaccen bita da rashin son kai, yana da mahimmanci musamman ga magani da lafiyar jama'a. Sakamakon irin waɗannan littattafan suna ba da gudummawa ga ceto ko kashe mutane.
A cikin 2020 da Lancet ya buga wata zamba a fili binciken rashin amincewa da amfani da hydroxychloroquine a cikin sarrafa COVID-19. Yayin da wannan ya kasance daga baya janye, bai kamata ya wuce kallon farko na edita mai mahimmanci ba, saboda bayanan da wata cibiyar da ba a sani ba ta buga a baya ba za a iya tattara su cikin gaskiya ba a cikin lokacin da abin ya shafa.
A Lancet 'Hukumar' don bincika asalin SARS-CoV-2 sun haɗa da mutanen da suka yi rikici kai tsaye na sha'awa, kamar yadda za su iya zama masu laifi idan bincikensa ya bayyana asalin tushen lab. Hakan ya biyo bayan buga wani wasika yana mai bayyana cewa asalin sakin SARS-CoV-2 shine 'ka'idar makirci' da 'rashin fahimta', duk da kararrakin farko da aka bayar a cikin 'yan mil mil na Cibiyar Nazarin Kwayoyin cuta ta Wuhan inda ake gudanar da bincike kan ƙwayoyin cuta-kamar SARS, ɗaruruwan mil mil daga wurin zama na rundunonin zoonotic.
The Lancet sake a fili ya rasa bayyane rikici na ban sha'awa a cikin marubucin wannan wasiƙar har sai an tilasta musu fuskantar ta.
Tare da Lancet ta karbuwar da babu shakka taro alurar riga kafi a cikin kasashen da ke da karancin mace-mace da manyan abubuwan da suka dace, da kuma turawa 'zero-Covid' a cikin mahallin yaduwar duniya ba tare da hana watsawa ba, mummunan tarihin mujallolin kan COVID-19 yana ba da shawarar son zuciya.
Modeling fantasy don riba
Makon da ya gabata, da Lancet buga a nazarin tallan kayan kawa ta Oliver Watson da wasu daga Kwalejin Imperial ta London, wanda ke tallafawa, da sauransu, Gidauniyar Bill & Melinda Gates. Wannan samfurin tsinkaya daga Kwalejin Imperial yana ba da shawarar cewa rigakafin COVID-19 da aka gabatar a ƙarshen 2020 ya sami ceto. 14.4 zuwa miliyan 19.8 suna rayuwa a cikin watanni 12 masu zuwa. An bayar da taƙaitaccen bayani nan. Ƙungiyar ƙirar Kwalejin Imperial a baya da yawa karin bayani ana tsammanin mutuwar COVID-19 a cikin 2020.
Ya kamata samfura su wuce ƙa'idodin aminci na asali don buga su, bisa la'akari. A madadin, ya kamata a bayyana rashin daidaituwa tare da bayanan duniya ko sanannun ilimin halitta. Saboda dalilan da kawai mutum zai iya yin hasashe, da Lancet kuma da alama ba a zahiri tantance sahihancin takardar ba kafin bugawa. Wannan yana da mahimmanci, kamar yadda wasu waɗanda ba su da cikakkiyar fahimtar tsarin kimiyya, kamar su The Economist da masu sharhi daban-daban akan kafofin watsa labarun, sannan yada hasashen samfurin a matsayin gaskiya.
Mutane na iya mutuwa idan an karkatar da lafiyar jama'a ta wannan hanyar.
An fara yin allurar rigakafin cutar SARS-CoV-2 a ƙarshen 2020, kuma ba a sami gagarumin adadin allurar rigakafin cutar ba a yawancin al'umma har sai aƙalla 'yan watanni zuwa 2021. Duk da haka, wannan shekara ta farko bai samar da wani abu kamar mace-macen da aka ce an cece su ta hanyar alluran rigakafin a 2021. Lockdowns da sauran abubuwan da ba na magunguna ba. kar a yi lissafi Don wannan.
Kariyar bayan kamuwa da cuta shine m a rage COVID-19, da fiye da haka fiye da allurar rigakafi kadai. Binciken serological ya nuna cewa yawancin mutane sun sami rigakafi bayan kamuwa da cuta daga tsakiyar zuwa ƙarshen 2021. Kamar yadda yawan kamuwa da cuta ne mafi girma fiye da Yawan allurar rigakafin ga yawancin al'ummar duniya, ana sa ran rigakafin kamuwa da cuta zai taka rawar gani fiye da allurar rigakafin rage mace-mace masu zuwa. Nahiyar Afirka, tare da mafi ƙarancin allurar rigakafi, tana da mafi ƙarancin mace-mace - dangantaka mai yawa amma wacce yakamata ta ba da Lancet, The Economist, kuma duk mai tunani ya dakata don tunani.
Mutum na iya jayayya cewa rigakafin ya fi niyya ga masu rauni sosai kuma yana da tasiri sosai - amma wannan zai ci gaba da fuskantar. Lancet takarda da'awar cewa yawan adadin allurar rigakafin zai ceci mutane da yawa. Alurar ba ta hana watsawa ba, don haka ƴan tsiraru masu rauni suna lissafin kusan duk tasirin rigakafin.
Shawarar ta Watson et al. cewa za a iya amfani da duk-mutuwar mace-mace a matsayin wakili don COVID-19 kuma yana yin ɓarna da shaidar a wurare biyu:
- Da farko, gwaje-gwajen da aka sarrafa bazuwar rigakafin mRNA COVID-19 sun nuna a ƙananan wuce haddi mace-mace duka-duka a cikin rukunin da aka yiwa alurar riga kafi akan placebo. Wannan kadai yana haifar da raguwa mai yawa a cikin yawan mace-mace ta hanyar yin rigakafi da ba zai yuwu ba, tare da munanan abubuwan da ke haifar da mace-mace marasa COVID-19.
- Na biyu, babban karuwa a cikin duk-mutuwar mace-mace yana da alaƙa da, kuma ana tsammanin, matakan kulle-kulle. Wannan yana tabbatar da tashi da zazzabin cizon sauro da kuma da tarin fuka, rage yawan rigakafin yara, kuma sama 75 miliyan kara mutane cikin matsanancin talauci. Talauci yana haifar da mace-mace, yana kashe jarirai musamman. UNICEF ta kiyasta yara 228,000 kulle-kulle mutuwa a cikin kasashe 6 na Kudancin Asiya a cikin 2020 kadai, kuma lokacin da aka fitar da su a cikin yankin kudu da hamadar Sahara kuma ta hanyar 2021 wannan yara ne da yawa da suka mutu. Don haka mutuwar kulle-kulle, waɗanda ba daga COVID-19 ba, sun ƙunshi babban ɓangare na yawan mace-mace.
Yin ƙira ko ba da rahoton COVID-19 'mutuwar' ko' ceton rayuka' ya haifar da ƙarin batun cewa Lancet kuma manyan kafofin watsa labarai sun yi watsi da su akai-akai. Mutuwar COVID-19 ta ta'allaka ne a cikin tsofaffi (shekaru> 75 shekaru) tare da yawa rikice-rikice. Wannan rukuni ne na yawan jama'a da zai iya mutuwa a watanni ko shekara masu zuwa.
Yaron da aka ceto daga zazzabin cizon sauro yana iya samun shekaru 70 na rayuwa, yayin da wanda aka ceto daga COVID-19 zai iya samun shekara ɗaya ko ƙasa da hakan. Duk da yake waccan shekarar tana da mahimmanci, kaɗan ne za su daidaita ta da yuwuwar asarar jikokinsu. Hakanan yana nufin kalmar 'ceto' tana buƙatar ƙima mai yawa, kamar waɗanda suke Watson et al. da'awar an 'ceto' ta allurar a farkon rabin 2021 mai yiwuwa ya mutu a yanzu daga wani abu dabam.
Wannan shine dalilin da ya sa awo ke haɗawa shekarun rayuwa sun ɓace ko naƙasu sun kasance daidaitattun har zuwa 2020, ciki har da a cikin Lancet ta riba cinikayya tare da IHME akan Kima Nauyin Cuta na Duniya tallafi Gidauniyar Bill & Melinda Gates. Yin watsi da waɗannan ma'auni lokacin da annoba ta bayyana wanda ke kai hari ga waɗanda ke da mafi ƙarancin tsawon rayuwa abu ne na ban mamaki.
Auna rayuka da riba
Dubun biliyoyin daloli ne ake haifarwa ga manyan kamfanonin harhada magunguna da masu saka hannun jarinsu ta hanyar allurar rigakafin cutar COVID-19. The Lancet kasuwanci ne, kuma don haka ya dogara da faranta wa waɗannan manyan masu tasiri na binciken likita. Kamar yadda karkatar da albarkatun daga cututtuka na nauyi mafi girma ga yawan allurar rigakafin rigakafi ga matasa a cikin ƙasashe masu karamin karfi ya nuna cutarwa zuwa ga lafiyar gaba ɗaya ta hanyar karkatar da albarkatu da talauci gabaɗaya, wannan yana kawo wahalhalu Lancet.
Kashe yara gaba ɗaya mummunan kallo ne ga mujallar likita, amma shaidun sun nuna wannan karkatar da albarkatun zai yi, kuma Lancet a fili yana jin son tallafa masa. Lokacin babba Lancet Abokin tarayya yana fuskantar babban asarar samun kudin shiga idan an tambayi tsarin yawan allurar rigakafi, tsayawa kan ka'ida da ɗabi'a da sun ɗauki ƙarfin hali kuma sun haifar da haɗari.
Wannan ita ce tabarbarewar ɗabi'a da babban matakin saka hannun jari a fannin kiwon lafiyar jama'a ya kawo. Masu zuba jari na Pharma suna daukar nauyin makarantun 'kiwon lafiya na duniya', bincike, ƙirar ƙira da cibiyoyin kiwon lafiyar jama'a, gami da Hukumar Lafiya Ta Duniyar, wanda ke amfani da abubuwan da suka fito. Gidajen wallafe-wallafen don riba dole ne su daidaita tare da waɗannan hanyoyin samun kuɗi don bunƙasa.
Wadanda suka yi hasara a cikin wannan duka su ne al'ummar da ke da kayayyaki (watau allurar rigakafi) 'adal' da aka tilasta musu a kan rashin daidaiton lafiya da 'yancin zabar. Yayin da zazzabin cizon sauro, rashin abinci mai gina jiki, da sauran cututtuka na talauci ke ƙaruwa, lafiyar jama'a da mujallunta na likitanci dole ne su mai da hankali a wani wuri kan wuraren da ke samun riba ga masu ba da kuɗi.
Faɗawa ga rikice-rikice na sha'awa ba sabon abu ba ne a cikin al'ummar ɗan adam, kuma mutane suna da kyau wajen tabbatar da hakan. Wannan shine dalilin da ya sa muke buƙatar sa ido na waje a wuraren da irin wannan rikici zai iya haifar da mummunar illa. Ana buƙatar sabbin dokoki game da rikice-rikice na sha'awa da bayyana gaskiya a cikin wallafe-wallafen likitanci, gami da gyare-gyare don tabbatar da sake dubawa ta abokan gaba da buɗe damar yin watsi da takaddun da aka buga. Cibiyoyin samun riba ba za su iya zama babban mai yanke hukunci ba game da abin da bayanin kiwon lafiya ya isa ga jama'a.
A yanzu, duk da haka, yana da wuya a ga hanyar ingantawa sai dai idan ’yan jarida da kansu sun daraja mutunci, kuma ’yan jaridar da ke fassara su suna daraja gaskiya. Mun ƙyale masu hannu da shuni su mamaye maganganun lafiyar jama'a saboda muna daraja kuɗinsu fiye da kalmar da aka buga. Wannan yana da mahimmanci saboda gaskiya a cikin wallafe-wallafen likita yana ƙayyade ingancin rayuwa, da yiwuwar mutuwa, na mutane. Ba matsala bace.
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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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