As a baya ya ruwaito, a Amurka, Reshen tsaro na gwamnati ne ya tsara shi kuma ya jagorance shi, ba ta kowace hukumar kula da lafiyar jama'a ko jami'ai ba.
Bugu da ƙari, ba mu da tarihin jama'a na abin da a zahiri shirin tsaro na kasa ya bayyana.
To me? Kuna iya tambaya. Me zai sa mu damu idan Kwamitin Tsaro na Kasa (NSC) ya ƙaddara manufofin Covid maimakon Cibiyar Kula da Cututtuka da Cututtuka (CDC)? Menene ke da muni game da Hukumar Ba da Agajin Gaggawa ta Tarayya (FEMA) da ke ɗaukar nauyin jagorancin hukumar tarayya don mayar da martani, maye gurbin Lafiya da Ayyukan Jama'a (HHS)?
Tsaron kasa shine kare mu daga barazanar yaki da ta'addanci
Amsar waɗannan tambayoyin ita ce, a taƙaice, tsare-tsaren mayar da martani ga matakan tsaro na ƙasa, waɗanda aka tsara a ƙarƙashin ƙa'idar biodefense, ne da nufin magance hare-haren ta'addanci. Suna maida hankali akai hana ƴan wasan gaba daga samun makamai masu guba, sa ido kan yuwuwar amfani da makaman kare dangi, da haɓaka hanyoyin magance magunguna.
A cewar Kungiyar Lafiya ta Duniya, “makamai masu guba ko dai ƙwayoyin cuta ne kamar ƙwayoyin cuta, ƙwayoyin cuta ko fungi, ko abubuwa masu guba waɗanda rayayyun halittu ke samarwa waɗanda ake samarwa da fitowa da gangan don haifar da cuta da mutuwa ga mutane, dabbobi ko tsirrai.”
A cikin abin da ba kasafai ba na ainihin harin bioweapons - dabarun biodefense za a iya taƙaita shi azaman keɓe-har zuwa allurar rigakafi: kiyaye daidaikun mutane kamar yadda zai yiwu daga bioweapon, muddin ya cancanta, har sai an sami ingantacciyar hanyar magance magunguna (magani/alurar rigakafi).
Shirye-shiryen mayar da martani ga ta'addanci - a ƙarƙashin babban laima na ta'addanci – ba a tsara su don haɗa da rikitattun nuances na ƙa'idodin kiwon lafiyar jama'a, wanda ke daidaita buƙatar kare mutane daga kamuwa da cuta tare da buƙatar kiyaye al'umma kamar yadda zai yiwu don kula da lafiyar gaba ɗaya.
Idan an tura matakan yaƙi da ta'addanci a kan barazanar lafiyar jama'a, don haka ba abin mamaki ba ne a shaida manyan cikas ga al'umma, Da kuma illa ga lafiyar jama'a - kamar yadda muka gani tare da amsawar cutar ta Covid-19.
Matakan yaki da ta'addanci ba su dace da lafiyar jama'a ba
Kyakkyawan misali na rata tsakanin biodefense da manufofin kiwon lafiyar jama'a a cikin mahallin martanin Covid shine Model Dokar Ikon Lafiya ta Gaggawa (MSEHP) - wani mataki da gwamnonin jihohi suka dauka don farawa da kuma ci gaba da kulle-kullen. An tsara wannan doka musamman don baiwa jihohi tsarin doka don mayar da martani ga ta'addanci. Kamar yadda William Martin ya ruwaito a cikin Jaridar Amirka ta Lafiya ta Jama'a a 2004,
A ƙarshen 2001, bayan harin wasiƙar anthrax, an gabatar da dokar ƙirar ga hukumomin jihohi don sabunta dokokin lafiyar jama'a na jihohinsu don fuskantar barazanar ta'addanci. Wannan dokar ita ce Dokar Ikon Lafiya ta gaggawa ta Jiha.
A Columbia Law Review Labari daga Oktoba 2021, nazarin ayyukan gaggawar da jihohi suka yi a lokacin bala'in cutar ta Covid - gami da ainihin MSEHP da ƙarin na zamani, nau'ikansa da aka sake fasalin - sun yanke shawarar cewa waɗannan ayyukan ba a yi niyya ba a matsayin tsare-tsare don ba da amsa ga abin da ke faruwa a zahiri, cututtukan ƙwayar cuta mai dorewa kamar Covid:
A bayyane yake cewa har ma da ƙarin ƙa'idodi na zamani ba a yi niyya don aiwatar da abubuwan gaggawa na yau da kullun kamar COVID-19 ba, tare da yanke shawara guda ɗaya sama da shekara guda, ko kuma ga martani kamar ƙa'idodin nisantar da jama'a ko kulle-kullen jama'a.
A wasu kalmomi, dokokin da aka yi niyya don kare mu daga ta'addanci ba su dace ba a cikin yanayin da ya ƙunshi "matsalolin gaggawa," kamar cututtukan ƙwayar cuta.
Menene ya faru lokacin da matakan yaƙi da ta'addanci suka maye gurbin manufofin kiwon lafiyar jama'a?
Wataƙila ba mu da tarihin abin da manufofin Kwamitin Tsaro na Ƙasa na Covid-19 ya kasance, ko kuma irin matakan da suka yi don aiwatar da waccan manufar. Koyaya, duk abin da ke gaba da lafiyar jama'a, rashin kimiyya ko rashin hankali a cikin kwarewarmu ta Covid za a iya bayyana shi, idan muka ɗauka cewa martanin Covid bai dogara da lafiyar jama'a ba amma kan ta'addanci, keɓewa-har allurar rigakafi, manufa.
Anan ga wasu daga cikin abubuwan da ba za a iya bayyana su ba waɗanda ke bayyana a fili lokacin da muka ɗauka biodefense/kin ta'addanci ya maye gurbin manufofin lafiyar jama'a a cikin martanin gwamnatin Amurka na Covid-19:
Tabbatar da matakan ragewa ya samo asali ba daga iyawarsu ta inganta ko kiyaye lafiyar jama'a ba, amma daga iyawarsu na cimma manufofin yaƙar ta'addanci (keɓewa-har allurar rigakafi).
- Gwaji: pre-Covid jama'a shirye-shiryen cutar sankara babu tushen kimiyya don gwaji da kuma ware da zarar kwayar cutar ta yadu. Amma yayin da kuke gwadawa da keɓancewa, yawancin mutane suna keɓe sosai, kuma suna ƙara matsawa don dabarun fita (alurar rigakafi).
- Makulli: tsare-tsaren lafiyar jama'a kafin Covid, abin mamaki ciki har da PanCAP-A an yi kira ga, a mafi yawan, rufewar iyakance a cikin lokaci (a lokacin babban rashin lafiya mai tsanani) da kuma labarin kasa (wuri masu girma). A faɗin ƙasar, tsawaita kulle-kulle ba tare da la’akari da raƙuman ruwa ko bambancin gida an aiwatar da su a karon farko a tarihi ba. bayan kwamitin tsaron kasa ya karbi ragamar mulki Hanyar Covid, bin misali na mulkin kama-karya na kasar Sin.
Wannan lamari ne mai mahimmanci: jayayya game da ko umarnin abin rufe fuska, gwaji da warewa, nisantar da jama'a, kulle-kulle da dai sauransu kyawawan manufofin kiwon lafiyar jama'a ne ko kuma munanan manufofin kiwon lafiyar jama'a matsala ce. Ba manufofin lafiyar jama'a ba ne kwata-kwata.
Duk waɗannan matakan an ƙirƙira su ne kawai a cikin sabis na samun biyan buƙatu da tsarin kariya / yaƙi da ta'addanci na keɓewa-har allurar rigakafi. Sau ɗaya samuwar taro ya faru, aiwatar da aiwatar da waɗannan matakan jami'an kiwon lafiyar jama'a ne suka ɗauka da himma ba tare da sanin ajandar yaƙi da ta'addanci ba.
Saƙon gwamnati ya kiyaye lafiyar jama'a, yayin da yake ƙalubalantar ajandar yaƙi da ta'addanci.
Jami'an da suka sanar da manufofin kwamitin tsaron kasa ga jama'a manyan shugabannin kiwon lafiyar jama'a ne kamar Dr. Fauci, Redfield da Collins ("masana"). Waɗannan jami'an kiwon lafiyar jama'a ba su tsara manufofin da suke ba da shawara ga jama'a ba. Duk da haka, shawarwarin nasu ya yaudari jama'a don karɓar manufofin yaƙar ta'addanci a matsayin bayyanar ainihin ilimin cututtuka da rukunan kiwon lafiyar jama'a ("kimiyya").
lura: Dokta Deborah Birx an gabatar da shi a matsayin jami'in kula da lafiyar jama'a, amma a gaskiya aka shigo da shi ta Ma'aikatar Tsaron Cikin Gida don yin aiki a matsayin "kimiyya" da "kwararre" gaba don ajandar yaki da ta'addanci.
Babban yunƙuri na rufe matakan yaƙi da ta'addanci a cikin haƙƙin lafiyar jama'a shine tushen farfagandar annoba.
Wannan ba yaƙin neman zaɓe na jami'an kiwon lafiyar jama'a ba ne waɗanda suka kasance bebaye don fahimtar ƙa'idodin ƙa'idodin annoba ko jahilci don sanin ainihin ka'idodin kiwon lafiyar jama'a (aƙalla a matakin tarayya - rage sarkar ya zama sabon abu na taro samuwar). Yaƙin neman zaɓe ne na jami'an tsaron ƙasa waɗanda ba su damu da ƙa'idodin cututtukan cututtuka ba kuma ba su da sha'awar mahimman ka'idodin kiwon lafiyar jama'a.
Ƙoƙarin nuna kulle-kulle a matsayin ginshiƙan manufofin kiwon lafiyar jama'a na pre-Covid farfaganda ne da gangan.
An yi nufin su "nudge” jama’a su amince da matakan yakar ta’addanci a matsayin halaltacciyar manufar kiwon lafiyar jama’a.Misalan sun hada da: labarai [ref, ref] da'awar kulle-kulle na karya an kafa su da/ko kuma mai yuwuwar tasiri manufofin cutar ta lafiyar jama'ar Amurka; Michael Lewis' Gabatarwa wanda ya bayyana irin wannan labarin karya; da kuma buga littafin Red Dawn imel by The New York Times - saƙon imel na kulle-kulle, wanda aka kwafi yawancin jami'an kiwon lafiya na gwamnati amma kusan babu wanda ya shiga.
Matakan yaki da ta'addanci da aka tsara don murkushewa da kuma kakkabe makiya jihar kan 'yan kasar Amurka.
Wannan ya faru ba kawai a fagen farfaganda da satar bayanai ba, daidai Dr. Robert Malone ya bayyana a matsayin "abun iyawar bayanan soja da fasaha wanda aka tsara don abokan adawar mu a wajen Amurka kuma an mayar da shi kan 'yan Amurka." An kuma yi amfani da irin wannan dabarun wajen kai hare-hare kan daidaikun mutane da kungiyoyi masu adawa da umarni da kulle-kulle. Misalai kaɗan kaɗan sun haɗa da:
- FBI na cin zarafin mai ba da labari na Ecohealth Alliance Dr. Andrew Huff (Gaskiya Game da Wuhan, Babi na 20)
- Mummunan hare-hare a kan dangin ƙwararrun ƙwararrun ƙwararrun ƙwayoyin cuta waɗanda ke adawa da kulle-kulle, gami da jita-jita na ƙarya cewa. Dr. John Ioannidis'mahaifiyar ta mutu sakamakon Covid-19 - jita-jita wanda ya sa ta kamu da ciwon zuciya [ref]; da nagartaccen, hare-hare iri-iri kan Dr. Ioannidis, Dr. Jay Bhattacharya, da matarsa [ref, ref, ref] don halaltaccen aikin kimiyya. Waɗannan hare-haren ba kawai munanan kalamai na Twitter ba ne ko kuma ƙwararrun ƙwararrun ƙwararru. Yana da wuya wani abokin gaba na kimiyya ko kuma fushin jama'a ya shiga cikinsu. (Abin sha'awa, Michael Lewis - wanda Gabatarwa an ambata a sama a matsayin misali na farfagandar biodefense-kamar-kiwon lafiyar jama'a - kuma fitaccen mai yada hare-hare kan waɗannan masana kimiyya. Daidaito? Ina ganin ba zai yuwu ba.)
- Wani abu mai ban mamaki, wanda ba za a iya bayyana shi daga hukumomin tsaro a cikin rayuwar abokan adawar kullewa, gami da mai ba da gudummawar Brownstone Robin Koerner, wanda ya ba da labari mai ban mamaki:
Yayin da nake tafiya a kan gadar jet na hau jirgina a filin jirgin sama na Heathrow, wani jami’i mai sandar karfe ya ja ni da baya. Ta ba ni cikakken frisk sannan ta kwashe duka jakunkuna na. Na tambaye ta me ke faruwa. Na gaya mata cewa ba a taɓa ja ni gefe ɗaya kawai daga jirgin ba bayan an yi tsaro da duk binciken ƙarshe.
"Abu ne da Amirkawa suka ce mu yi," in ji ta.
Ba a sami wani abu a jikin mutum ko cikin kayansa ba kuma an ba shi izinin yin tafiya kamar yadda aka saba, amma bayan ya dawo Amurka, an soke matsayin Koerner's Global Entry. Shigowar Duniya wani shiri ne da ke ba da izinin izinin gaggawa ga matafiya waɗanda aka riga aka yarda da su, masu ƙarancin haɗari,” a cewar Hukumar Kwastam da Kariya ta Amurka. (CBP) gidan yanar gizon. Ana tuhumar CBP da "Kiyaye 'yan ta'adda da makamansu daga Amurka yayin da suke ba da izinin tafiye-tafiye da kasuwanci na kasa da kasa" kuma wani bangare ne na Ma'aikatar Tsaron Cikin Gida (DHS).
Koerner har yanzu bai san dalilin da ya sa aka mayar da shi daga matafiyi mai ƙarancin haɗari zuwa ɗan ta'adda ba.
- Kiran gargadi na Eerie ga fitattun abokan adawar kulle-kulle, gami da wanda ya kafa Brownstone Jeffrey Tucker. Kamar yadda Tucker ya bayyana, Dr. Rajeev Venkayya, wanda ya jagoranci wata kungiyar nazarin ta'addanci a fadar White House ta George W. Bush (wanda kuma ba tauraro a cikin kowa ba face The Premonition, ta Michael Lewis), wanda aka kira don roƙon Tucker ya daina adawa da kulle-kulle. "Ya ce zabin mu ne kawai saboda dole ne mu jira maganin rigakafi," in ji Tucker.
Me yasa Venkayya - wanda ba shi da alaƙa na sirri ko na sana'a ga Tucker - zai damu da yin kira da wannan gargaɗin? Ba zai yi ma'ana ba idan ya kasance jami'in kula da lafiyar jama'a yana ƙoƙarin rage tasirin cutar ta kwalara. Yana da ma'ana mai ban tsoro lokacin da muka san shi ƙwararren ƙwararren ƙwararren ƙwayoyin cuta ne da ke ba da shawarar yaƙi da ta'addanci, keɓewa-har zuwa manufar rigakafin.
- Nagartattun kayan aikin gani na kafofin watsa labarun da nufin lalata ƙungiyoyi da daidaikun mutane masu adawa da kulle-kulle. Wane mutum ne ke aiki shi kaɗai zai sami kayan aiki ko albarkatun don samar da gidan yanar gizo mai ban tsoro kamar wannan kuma ya watsa ta kan layi:
An keɓe fitattun masana cututtukan cututtuka da ƙwararrun kiwon lafiyar jama'a da gangan daga shirin gwamnati na cutar.
A cikin rikicin lafiyar jama'a kamar cutar ta Covid-19, za ku yi tunanin manyan masanan cututtukan cututtuka na duniya da ƙwararrun kula da cututtuka da lafiyar jama'a, ciki har da Dr. Amma idan ana aiwatar da tsarin ta'addanci a asirce, irin waɗannan ƙwararrun za su haifar da babbar barazana ta hanyar fallasa illolin lafiyar jama'a.
Wannan shine dalilin da ya sa aka kai wa waɗannan masana kimiyya mummunan hari lokacin da suka fito da maganganun jama'a kamar haka Babban Sanarwa na Barrington. Shi ya sa Deborah Birx ta yi kakkausar suka ga Dr. Atlas ya shiga Task Force. Alhamdu lillahi, in Annoba A Gidanmu, Dr. Atlas ya gudanar da yin daidai abin da Birx da kuma biodefense cabal so su hana. Ba tare da sanin dalilin da ya sa hakan ke faruwa ba, ya bayyana cikakken ƙarancin ilimin kiwon lafiyar jama'a a cikin manufofin Task Force:
Abin mamaki ne a gare ni, kuskuren da ba za a iya fahimta ba na duk wanda ya tara Task Force, cewa babu ƙwararrun masana manufofin kiwon lafiyar jama'a kuma babu ƙwararrun masana ilimin likitanci waɗanda su ma suka yi nazari kan tasirin tattalin arziki, zamantakewa, da sauran tasirin lafiyar jama'a banda kamuwa da cutar kanta. Abin mamaki, faffadan yanayin kiwon lafiyar jama'a ba ya kasance cikin tattaunawa tsakanin masu ba da shawara kan kiwon lafiya na Task Force sai dai lokacin da na kawo shi. Abin da ya fi ban mamaki shi ne cewa babu wanda ya gani. (shafi 107)
An yi amfani da sirrin tsaro na kasa da ayyukan leken asiri kan abin da ya kamata ya zama martani ga lafiyar jama'a.
Lokacin da muka nemo wanda ke da alhakin manufofin mayar da martani na Covid-19 na Amurka, mun bugi bango. Kwamitin tsaron kasa tarurrukan mayar da martani game da cutar, farawa daga Janairu 2020, sabanin abin da ake tsammani yayin rikicin lafiyar jama'a.
Sakamakon haka shine duk wanda ya san menene manufar mayar da martani na Covid da gaske an hana shi bayyana shi. Mun sani hukumomin kiwon lafiyar jama’a ba su da alhakin tafiyar da manufofin, kuma mun san an kore su daga matsayinsu na jagoranci wajen daidaitawa da aiwatar da martani. So Fauci et al. daidai ne a zahiri idan ba su da'awar wani nauyi - ko da yake yadda za su iya ba da shawarar irin waɗannan manufofin wani lamari ne.
Wataƙila muna buƙatar mai ba da labari tare da babban izinin tsaro don shawo kan wannan ƙaƙƙarfan matsala.
Wadanda suka ci moriyar tallafin tsaro na kasa sun hada da gidan yanar gizon sojoji da hukumomin tsaro na kasa, kamfanoni masu zaman kansu, da kungiyoyin kiwon lafiya na duniya masu zaman kansu.
Duk waɗannan ƙungiyoyin suna ɗokin tara kuɗi da ƙarfi ta hanyar ci gaba da wannan nau'in martanin da ba na lafiyar jama'a ba. Ilimin cututtukan cututtuka, ka'idodin kiwon lafiyar jama'a, da'a na likitanci da jin daɗin rayuwar jama'a ba su da alaƙa da abin da waɗannan ƙungiyoyin ke tunani.
Don haka, babbar tambayar da ke fitowa daga martanin Covid ita ce: Shin za mu iya dakatar da su? Yin hukunci ta hanyar shigar da membobin cabal na biodefense a cikin kujeru mafi girma na ikon lafiyar jama'a, da na Shugaba Biden Dabarun Kare Biodefense na ƙasa na 2022, za a yi tashin gwauron zabi.
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Debbie Lerman, 2023 Brownstone Fellow, yana da digiri a Turanci daga Harvard. Ita marubuciyar kimiyya ce mai ritaya kuma ƙwararren mai fasaha a Philadelphia, PA.
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