"Zuwa Lafiya mai Kyau" shine taken taken na yanzu na Babban Daraktan Kiwon Lafiyar Jama'a na gundumar Jefferson (JCPH) Dawn Comstock. Comstock PhD ne, in ba haka ba an san shi azaman ilimi, wanda ke mulki da ƙarfe na ƙarfe akan ɗaya daga cikin manyan larduna a yankin Denver. Abin baƙin ciki ga Comstock, rashin ƙwarewar aikinta na asibiti ya sa ta yi tunanin cewa ma'anar lafiya yana nufin rashin COVID-19.
Amma duk da haka kiwon lafiya ya fi yawa, kuma an fi auna shi a mutum maimakon matakin yawan jama'a da kuma ta hanyar mai ba da kulawa ta farko (PCP) maimakon ta hanyar ilimi tare da fahimtar yadda ake gudanar da lafiya a cikin mahallin kusancin likita da haƙuri.
Na fara fahimtar wannan da kaina ne bayan na zama likitan yara na al'umma. Kafin wannan ni ma ina cikin ƙasar ilimi. A lokacin da nake zama a Asibitin Yara na Colorado kusan shekaru 2 da suka gabata na halarci Rahoton Safiya na yau da kullun inda muka yi bitar shari'o'in asibiti daga al'umma inda likitan yara na iya ganin yara a lokuta da yawa kafin in gabatar da shi a asibiti inda aka gano cutar. A gare ni shi ne sha'awar da ba za a iya faɗi ba don kada ta zama ɗan wawan ƙauyen likitan yara wanda da alama ya rasa abin da ya bayyana a fili.
Kuma sai na zama kawai a cikin Denver kuma na gane cewa ƙwararrun ilimi a waccan Rahoton Safiya ba su san game da yara 90 da suka gabatar da irin wannan alamun ba duk da haka sun yi kyau. Sun ga guda 10 da suka ci gaba zuwa wani abu mai tsanani.
Waɗannan malaman kimiyya kuma sun yi kama da kallon kiwon lafiya ta hanyar ruwan tabarau na jagororin aikin asibiti da ƙididdige ƙididdigewa na asibiti wanda ke ɗauka cewa tsarin cutar a matakin majinyaci kuma yana bin waɗannan jagororin da ƙima.
Na ga wannan wasa akai-akai a cikin aikin asibiti, kamar majiyyata da ke da tarihin cizon sauro da aka gani a asibitin yara na ER don zazzabi da ciwon makogwaro kuma an sallame shi ba tare da gwajin strep ba saboda bai cika ka'idodin Centor ba, sai dai ya sake gabatar mini da washegari don gano strep ɗinsa kuma ya fara shi a kan maganin warkewa.
A gare ni waɗannan misalan suna taimaka mini in daidaita dangantakar da ke tsakanin waɗannan ƙwararrun ƙwararrun yara na ilimi waɗanda ke ba da shawarwari a matakin ƙasa da na Jiha na Cibiyar Nazarin Ilimin Yara ta Amurka (AAP), wanda hakan ya ba da shawarar Sashen Kiwon Lafiyar Jama'a da Muhalli na Colorado (CDPHE) da kuma lafiyar jama'a na gida don manufofin COVID waɗanda suka lalata lafiyar marasa lafiya na yara a duk tsawon wannan cutar.
Abin takaici mun san yadda wannan labarin ke gudana ga yaranmu: kara kiba, asarar ilimi, da annoba rikicin tabin hankali; ya bar ni ina tunanin wane ne ainihin wawan kauye a cikin wannan duka?
Shin ni a matsayina na PCP na kasa rage wannan iatrogenesis a cikin marasa lafiya na? Me game da Asibitin Yara na Colorado wanda ba shi da ma'aikata da gadaje don ɗaukar annobar yaran da ke ƙoƙarin kashe kansu saboda ainihin manufofin COVID da kwararrun cututtukan nasu ke ba da shawara? Me game da ƙwararriyar cututtukan cututtukan cututtukan yara a wani sanannen Asibitin Yara na Midwest wanda ya tambayi iyayen majiyyata mai shekaru 5, an yarda da shi saboda zazzabi daga kamuwa da cutar ta COVID-19, idan yaron zai iya samun rigakafin COVID-XNUMX na farko kafin a sallame shi?
Lokacin gini jagororin aikin asibiti, AAP ta ce: "Ga kowane mahimmin bayani game da aiki, an tantance ingancin shaida da alaƙar cutarwa kuma an ƙididdige su don sanin ƙarfin shawarwarin. Idan ya dace, ƙimar iyaye da abubuwan da suka zaɓa ya kamata a haɗa su a matsayin wani ɓangare na yanke shawara tare."
Amma duk da haka babu CDC, AAP, jiha ko lafiyar jama'a na gida da suka yi wani abu game da manufofin COVID da aka sanya wa yaranmu. Ina wannan ingancin shaidar da ta wajaba abin rufe fuska a makaranta or gaggawar yiwa yara allurar rigakafi yana hana kamuwa da cuta ko yadawa tare da gamsar da alaƙar fa'ida da cutarwa?
Ta yaya daidai ake shigar da iyaye cikin wannan yanke shawara tare? A duk tsawon wannan annoba na sami kaina a ciki rashin daidaituwa tare da AAP, CDC da sauransu a cikin ilimin kimiyya saboda gazawarsu na ɗaukar lafiya a matsayin ba komai face rashin samun COVID-19.
A watan Agusta na ƙaura da iyalina daga Jeffco zuwa wani ƙaramin garin Midwest da fatan in dawo da rayuwa ta al'ada. A halin yanzu dangi da abokaina a gundumar Jefferson suna ci gaba da shan wahala a ƙarƙashin ƙaƙƙarfan hani na COVID na Babban Darakta Comstock ko da bayan Gwamna Polis ya ayyana dokar ta baci. gaggawa ta kare.
Komawa ziyara don Kirsimeti ya kasance labari na birane biyu tare da zama duka a cikin Douglas da Jefferson County inda mutum zai iya cewa tsohon yana fuskantar mafi kyawun lokuta yayin da na ƙarshe ya kasance mafi munin lokuta. Paul Klee rubuta, wannan zai ƙare ne kawai idan muka ce zai ƙare kuma abin da Douglas County ya yi ke nan don mayar da martani ga sashen kula da lafiyar jama'a na gundumar su, Tri-County Health, wanda ke jagorantar. Babban Daraktan Dr. John Douglas, wanda ke son Comstock, yana ci gaba da dorawa mazaunanta da dalibanta takunkumin hana rufe baki da kuma fita daga keɓewar makaranta.
Madadin rashin hankali da bin ƙa'idodin Sashen Kiwon Lafiya na Tri-County (TCHD) mara tushe, kwamishinonin Douglas County sun rabu daga TCHD zuwa kafa nasu hukumar lafiya kuma mazauna yankin sun zabi sabon rinjayen hukumar makarantar wanda nan take kawar da wajibai a makarantunsa da kasuwancinsa.
A halin da ake ciki, Babban Darakta na JCPH Dawn Comstock ya ayyana yaki a kan mazauna gundumar Jefferson, yana mai cewa bai kamata a bar mutanen da ba a yi musu allurar ba su shiga cikin al'umma kuma duk wanda ba a yi masa allurar rigakafi ko ya ki sanya abin rufe fuska yana fada a bangaren cutar ba. A cikin yakinta don tabbatar da lafiyar makomarmu, Comstock ta ci gaba da tilasta wa yara masu shekaru 3 zuwa sama su sanya abin rufe fuska a makarantu yayin da suke ci gaba da keɓe kansu a makaranta duk da rashin samun damar koyo.
Lokacin da makarantu suka ki yarda ta yi amfani da dalar masu biyan haraji a tuhume su da yin biyayya. A wajen makarantu, Comstock yana yaƙi da kasuwancin gida ta hanyar ƙarfafa mazauna su yi siyayya a wajen gundumar a wuraren da ke da mafi girman yarda da abin rufe fuska. Amma duk da haka watakila babban abin da ya fi muni a fannin likitanci shi ne cin zarafin da ta yi wa likitocin da majinyata ta hanyar tattara sunayen ma’aikatan jinya da suka sanya hannu kan dokar hana majinyaci da nufin kai rahotonsu ga Hukumar Kiwon Lafiya ta Jiha saboda keta musu lasisi.
Sakamakon manufofin Comstock shine cewa masu tunani iri ɗaya suna yin zaɓe da ƙafafu ta hanyar fitar da 'ya'yansu daga Makarantun Jama'a na Jefferson County (JCPS) da tuki zuwa kasuwanni a wurare kamar gundumar Douglas inda ba a buƙatar abin rufe fuska. Wannan zai ƙare ne kawai lokacin da Sufurtandar JCPS Tracy Dorland, zaɓaɓɓun kwamishinonin gundumomi Kerr, Dahlkemper, Kraft-Tharp da mazauna da kasuwancin gundumar Jefferson suka ce zai ƙare.
Har zuwa wannan lokacin, za mu ci gaba da zama masu tada hankali bayan da ba a zaba Babban Darakta Dawn Comstock ba daga kan dutsen karin magana, yana kara jefa lafiyar tattalin arzikinmu, jiki da tunaninmu, duk da sunan rashin samun COVID. Ta yaya hakan yake don samun lafiya a nan gaba?
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Dokta Todd Porter ƙwararren likitan yara ne na al'umma wanda ya yi aiki a cikin babban tsarin asibiti na aminci-net wanda ke kula da yawancin ƙananan yara masu launi. Ya kasance mai shaida ga rashin daidaituwar cutar da martanin lafiyar jama'a na Covid-19 ya yi kan yara. MD, MSPH.
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