Harkar MAHA: Ra'ayi Daga Ciki

Ci gaba da balaguron balaguron mu na duniya, biyo bayan yin magana a Kanada, Brussels, da Amsterdam, Jill da ni mun kammala komawar Cibiyar Brownstone ta Salt Lake City.

Tasha ta gaba, Mar-a-Lago don CPAC MAHA kickoff, sa'an nan kuma nan da nan zuwa Roma don ba da shaida a Majalisar Dattijan Italiya da yiwuwar gabatar da rahoto ga wani babban memba na Cocin Katolika a Vatican.

A taron shekara-shekara na Brownstone a Salt Lake City, an shirya ni don yin hira na mintuna 30 akan mataki, amma a cikin minti na ƙarshe, an yanke shawarar cewa kawai in yi magana kai tsaye ga masu sauraro. A ƙasa akwai rubutun da na shirya a takaice.

A wani labarin mai alaka, ya bayyana cewa 'yan jarida na "labarai" na Gidauniyar Kaiser Family Foundation suna shirya wani yanki. Na buga tambayarsu a rubuce a kasa rubutu don magana, don jin daɗinku idan ba komai. Kuma don tunanin cewa sun kira ni mai ra'ayin makirci!

A halin yanzu, ainihin aikin da ke tattare da juyar da kasuwancin HHS da mai da hankali kan Sake Lafiyar Amurka ta ci gaba.

Kawai wata taga "rana a cikin rayuwa" cikin abin da yake kama da Pharma, masana'antun masana'antu-masu hada-hadar magunguna kamar KFF, da trolls na yau da kullun da wakilan rikice-rikice waɗanda ke yiwa Mordor hidima.

Brownstone, Nuwamba 01, 2025

Motsin MAHA: Ra'ayi Daga Ciki (Rubutun Rubuce-rubucena don Magana, Ba Rubutun Kai tsaye ba)

Ni likita ne mai lasisi na Maryland, kuma ina aiki a matsayin mai ba da shawara na Kwamitin Ba da Shawarwari na CDC kan Ayyukan rigakafi, kuma a matsayin Mai ba da Shawarar Kiwon Lafiya ga kawancen MAHA, 501(c) 4 mara riba.

A fasaha, a cikin aikina na yanzu na tallafawa Gwamnatin Tarayya, Ina aiki a matsayin "Ma'aikacin Gwamnati na Musamman" ba tare da biya ba.

Ra'ayoyin da aka bayyana anan nawa ne, kuma ba lallai ba ne suna wakiltar na Gwamnatin Amurka, Cibiyar Kula da Cututtuka da Cututtuka ta Amurka, ko Kwamitin Ba da Shawarwari na CDC kan Ayyukan rigakafi.

Ethabi'ar Lafiya

Ina fata da amincewa da ku raba goyon bayana mai karfi ga duk wani bayanin yarda na mutum (kamar yadda aka ayyana a yarjejeniyar Nuremberg da Helsinki) da kuma ka'idar Subsidiaity da ke cikin duka koyaswar Cocin Katolika da kuma Mataki na 5(3) na Yarjejeniyar Tarayyar Turai (TEU).

Wannan hazikin ginshiki na ginshikin yarjejeniyar hadin kan Turai ya bayyana cewa;

"A ƙarƙashin ƙa'idar haɗin kai, a cikin yankunan da ba su faɗo cikin ikonta na keɓancewa ba, Ƙungiyar za ta yi aiki ne kawai idan kuma har ya zuwa yanzu maƙasudin aikin da aka tsara ba za a iya cimma su ta hanyar Membobin Jihohi ba, ko dai a matakin tsakiya ko a matakin yanki da yanki, amma za su iya, ta dalilin ma'auni ko tasirin aikin da aka tsara, za a iya cimma mafi kyau a matakin Ƙungiyar.

Cibiyoyin Ƙungiyar za su yi amfani da ƙa'idar haɗin gwiwa kamar yadda aka tsara a cikin Yarjejeniyar kan aiwatar da ka'idodin haɗin kai da daidaito. Majalisun dokoki na kasa suna tabbatar da aiwatar da ingantaccen tsarin tallafi ta hanyar da aka tsara a waccan yarjejeniya."

A ra'ayina, a cikin lamuran jinya, majiyyaci shine mafi ƙasƙanci matakin shugabanci, domin, idan ba a ba mu damar gudanar da jikinmu ba da kuma irin magungunan da muke karɓa, to babu 'yanci na mutum kuma ba za a iya samun daidaito ba.

Tushen wannan tsarin ɗabi'a shine ƙa'idodin Yarjejeniyar Sanar da Mara lafiya, waɗanda aka keta haddi sosai yayin Covid. A cikin al'umma mai 'yanci, 'yan ƙasa dole ne su sami 'yancin yanke shawarar irin hanyoyin likitancin da suke son karba wa kansu da 'ya'yansu. Dole ne a samar musu da cikakkiyar dama ga cikakken bayani game da kasada da fa'idojin hanya, gami da allurar rigakafi. Kuma dole ne a ba su damar zaɓar ko za su karɓi aikin likita - ko gwaji ne ko a'a - ba tare da tilastawa, tilastawa, ko sha'awa ba. Bai kamata maslahar al'umma ta zarce haƙƙin ɗan adam na cin gashin kansa ba.

Yawan lalacewar tattalin arziki da zamantakewa, cututtuka, mutuwa, da rashin imani da halaccin lafiyar jama'a da sana'o'in warkaswa sakamakon shekaru biyar na karkatattun manufofin jama'a yana da yawa, kuma ba za a iya gyarawa cikin sauƙi ba.

Sakamakon wannan rashin adalci da aka yi, yanzu muna fuskantar matsalar amincewa ga lafiyar jama'a da halaccin kula da lafiya a Amurka da Turai. Babban bambanci a yanayin siyasa da al'amuran da ke tsakanin Amurka da Tarayyar Turai shi ne sakamakon zabukan shugabannin da aka yi kwanan nan. Turawa suna da Ursula von der Leyen, kuma a nan Amurka muna da Donald Trump - da kuma na kusa da shi Robert F. Kennedy, Jr.

Shugaba Trump da Sakatare Kennedy sun yi tarayya mai zurfi, da dadewa wajen sadaukar da kai ga lafiyar 'yan kasar da suke yi wa hidima, musamman ga yaran Amurka. Tare da dukkan maganganu da kiyayya da makami a halin yanzu da ake ta yadawa ga shugabannin biyu na canji, abin da ba a manta da shi ba shi ne cewa sun kasance da haɗin kai a cikin alƙawarin samar da kyakkyawar makoma ga yaranmu.

Lokaci ya wuce don wannan sadaukarwar siyasa, zamantakewa da gwamnati. Kamar yadda shugaba Trump ya sha nuna, bayanai sun nuna cewa idan ba a yi komai ba, yaran Amurka za su yi gajeru, rashin lafiya fiye da na iyayensu.

Hukumar MAHA

Don fahimtar da gyara wannan lamarin, Shugaba Trump ya ƙaddamar da martani na gwamnati, ta wasu hanyoyi makamancin abin da ya yi wa Covid tare da Operation Warp Speed, kuma ya sanya Sakatare Kennedy ya jagoranci wannan sabon shiri. Ana kiranta Hukumar MAHA.

The Presidential Make America Healthy Again (MAHA) Hukumar an kafa ta ta Dokar Zartarwa a ranar 13 ga Fabrairu, 2025, jim kadan bayan Robert F. Kennedy, Jr. ya tabbatar da shi a matsayin Sakataren HHS. Kennedy wanda ke shugabanta, kwamitin membobi 14 ya hada da shugabanni daga HHS, USDA, EPA, NIH, FDA, da sauran hukumomi. Manufarta tana mai da hankali kan magance cututtukan cututtukan yara na yau da kullun (misali, kiba, ciwon sukari, Autism, rashin lafiyar hankali) ta hanyar gano tushen tushen kamar rashin abinci mara kyau, gubar muhalli, wuce gona da iri, da rashin aiki.

Ba a taɓa samun irin wannan sahihanci da cikakkiyar amsa ga rikicin lafiyar jama'a ba a tarihin Amurka.

Ya zuwa yanzu dai hukumar ta fitar da muhimman rahotanni guda biyu:

Na farko shine ainihin kimantawar barazana. A ranar 22 ga Mayu, 2025, an buga "Sake Sake 'Ya'yanmu Lafiya: Ƙimar" - bincike mai shafuka 72 da ke gano abubuwa da yawa da ke haifar da raguwar lafiyar yara kamar abinci mai sarrafa gaske, bayyanar sinadarai, damuwa na yau da kullun, da magungunan da ba dole ba. Ya zayyana shirye-shiryen bincike guda 10 na farko kuma ya yi kira ga sake fasalin tarayya.

Na biyu tsarin aiki ne. A ranar 9 ga Satumba, 2025: “Ka Sake Sake Lafiyar Yaranmu: Dabarun” an buga. Wannan cikakken shiri ne na aiki tare da ayyuka sama da 120, yana mai da hankali kan ayyukan zartarwa don haɓaka abinci mai gina jiki, rage guba, haɓaka gaskiya, da daidaita abubuwan ƙarfafawa. Don jagorantar aiwatar da waɗannan ayyuka, ta ba da shawarar ƙirƙirar sabuwar hukuma a cikin HHS na Amurka da ake kira da Gudanarwa don Lafiyar Amurka (AHA).

Dabarar tana tsara tsare-tsare zuwa ginshiƙai huɗu: haɓaka kimiyya, daidaita abubuwan ƙarfafawa, wayar da kan jama'a, da haɓaka haɗin gwiwa. Yawancin bangarori na wannan shirin na iya zama masu tsattsauran ra'ayi ga Turawa. Zan takaita a takaice mahimmin ginshikan wannan shiri;

A fannin Nutrition & Food Policy:

• -Haɓaka ƙa'idodin abinci ga Amurkawa don ba da fifiko ga abinci gabaɗaya, iyakance abubuwan da aka sarrafa sosai, da hana rini na roba.
• - Cire hane-hane akan madarar madara a makarantu; kwadaitar da jihohi suyi watsi da fa'idodin SNAP ga abubuwan sha/ alawa masu zaki.
• -Bayyana / lakabi kayan abinci masu sarrafa gaske; inganta matakan abinci na makaranta/soja (misali, ƙarin sabbin kayan girki).
• -Haɓaka abinci mai ƙarancin-carb/cikakken abinci a cikin jagorori da ilimi.

Don Gudun Muhalli & Chemicals Pillar:

• -Kashe rinayen kayan abinci na roba na tushen man fetur; bita matsayin GRAS (wanda aka sani gabaɗaya a matsayin mai lafiya) don ƙari na abinci.
• -Kimanta/rage fallasa magungunan kashe qwari (misali, glyphosate, atrazine) ta hanyar sake dubawa na EPA, kodayake waɗannan manufofin an sassauta su daga shawarwarin farko.
• - Cire fluoride daga kayan ruwa; nazarin radiation electromagnetic da nauyi karafa a cikin ƙasa/ruwa.
• -Haɗa lafiyar ƙasa da lafiyar ɗan adam ta hanyar shirye-shiryen tallafawa manoma da bincike.

Game da Ayyukan Jiki & Salon Rayuwa:

• -Sake Kafa Jarrabawar Jiyya na Shugaban Ƙasa a Makarantu; asusu na shirye-shiryen ayyukan bayan makaranta.
• -Haɗin gwiwa tare da Majalisar Shugaban Ƙasa akan Wasanni, Jiyya, da Abinci don yaƙar rashin aikin yara.
• -Haɗa ilimin abinci mai gina jiki/salon rayuwa cikin makarantun likitanci da yaƙin neman zaɓe na wayar da kan jama'a.

Magunguna & Ciwon Magunguna shine fifiko na musamman:

• -Bita fiye da rubutaccen magani na SSRIs, antipsychotics, stimulants, da magungunan rage nauyi ga yara.
• -Tabbatar da farashin magani "mafi-fi-fi-fi-ƙasa"; hana tallace-tallacen kantin kai tsaye zuwa mabukaci.
• -Kashe gwajin dabbobi don magunguna / sinadarai; dage haramcin akan peptides na Category 2.
• -Cikakken bayyana gaskiya akan bayanan rigakafin; sake kafa ACIP don kawar da rikice-rikice na sha'awa.

Don Rukunin Bincike & Fassara:

• -Bayar da dala miliyan 50 don binciken autism/cuta na yau da kullun; rufe gibin bayanai akan tushen tushen.
• -Kawar da tasirin masana'antu ta hanyar tsarin ɗa'a da ƙa'idodin gaskiya.
• - Rike taron sauraren ra'ayoyin jama'a/taburbura; kimanta shirye-shiryen tarayya don tasiri.

Kuma Tushen Ƙarshe, Gyaran Hukumomi:

• - Ƙirƙirar Gudanarwa don Ƙwararrun Amurka (AHA) don daidaita ƙoƙarin cututtuka na yau da kullum.
• - Wuta / maye gurbin jami'an CDC / NIH masu rikici; yanke $500M daga ayyukan mRNA.
• - Daidaita jihohi 30+ tare da manufofin MAHA; gurfanar da masu hannu da shuni da yin amfani da kudaden kula da lafiyar jama'a.

Shin wadannan kalmomi ne kawai, ko an samu ci gaba?

• Karkashin jagorancin Sakatare Kennedy, HHS ta riga ta ci gaba da ƙetare shirin abinci mai gina jiki na musamman, gyare-gyaren abinci, da sake fasalin ACIP. Har ya zuwa yau, dabarar ta jaddada haɗin gwiwar kamfanoni masu zaman kansu (misali, tare da manoma) da haɗin gwiwar jama'a.
• Duk da haka, an samu koma baya. Ƙungiyoyin ayyukan noma sun yi tasiri ga yaren kashe qwari, suna jawo suka daga ƙungiyoyin muhalli da sauran jama'a - musamman a madadin kafofin watsa labarai. Faɗin gyare-gyare na fuskantar matsalolin kasafin kuɗi da kuma cikas ga majalisa.
• Faɗaɗɗen, burin dogon lokaci sun haɗa da rage kiba na yara (daga 20% zuwa ƙasa da 10% ta 2030), yanke yawan cututtukan cututtuka, da sake dawo da tsarin kiwon lafiya gaba ɗaya daga mai da hankali kan magance rashin lafiya don haɓaka kiwon lafiya, don haka ceton tiriliyan a cikin farashin kiwon lafiya ta hanyar rigakafin cututtuka.

Canje-canje a CDC da ACIP

Don kwatanta yadda ake fassara waɗannan tsare-tsare zuwa aiki da manufofi, yanzu zan mai da hankali kan sauye-sauyen da ke gudana a Cibiyar Kula da Cututtuka da Cututtuka ta Amurka (CDC). Akwai abubuwa da yawa da ke haifar da waɗannan canje-canje.

A cikin Amurka, muna da ƙarin kariya a wurin don tabbatar da sirrin matakin matakin haƙuri fiye da yadda ake wanzuwa a cikin yawancin Turai. Wannan yana haifar da cikas ga aiwatar da fasahar Big Data da ke tasowa da mafita. Ɗaya daga cikin sakamakon wannan shi ne cewa yana da wuya a tattara da kuma nazarin bayanan da suka dace don jagorantar shawarwarin manufofin kiwon lafiyar jama'a, kuma lokacin tattarawa da tantance waɗannan bayanai akwai damar da yawa don gabatar da nau'o'in ra'ayi da suka hada da tabbatarwa.

Hukunce-hukuncen da ke da sabani na "Ci gaba da Kariya"

Kamar yawancin hukumomin Tarayyar Amurka, CDC tana fama da hukunce-hukunce masu karo da juna. Game da alluran rigakafi, an ba ta aikin tattara bayanai kan aminci da ingancin alluran, amma kuma an ba da aikin haɓaka alluran rigakafi da rigakafin. Wannan yana haifar da babban rikici na sha'awa a cikin hukumar wanda ya rage ba a warware shi ba. An sami ƙarin ba da fifiko da kasafin kuɗi don haɓaka rigakafin, wanda ya haifar da haɓaka mai da hankali mai kama da ɗabi'a kan haɓaka ɗaukar rigakafin.

Wannan ya mamaye dukkan sassan ayyukan kiwon lafiya, har ta kai ga cewa duk wani yunƙuri na ƙima da inganci da inganci ana ɗaukarsa a matsayin barazanar al'adu ga lafiyar jama'a. Bukatu da al'adun kiwon lafiyar jama'a da na masana'antar rigakafin sun zama ba za a iya raba su ba, kuma ba a yarda a yi musu tambayoyi ba.

Tagar Overton na maganganun jama'a da aka yarda da su game da alluran rigakafi an rufe su da aiki, tare da matakan masu tsaron ƙofa a cikin kafofin watsa labarai na kamfanoni, ilimi, ƙungiyoyin kiwon lafiya, tallan masana'antu, mujallu na kimiyya, da jam'iyyun siyasa duk sun mai da hankali kan hana duk wani haƙiƙanin kimanta kimiyya na kasada da fa'idodi. Wannan ya dace bisa ka'idar cewa duk wani bayani game da haɗarin rigakafin zai haifar da "jinkirin rigakafin," wanda hakan zai haifar da asarar rayuka.

CDC ta zama farkon wanda ya fara aiwatar da wannan dabarar, har ta kai ga daukar nauyin yakin neman zabe na gungun jama'a da ke cin karensu babu babbaka. A lokacin gwamnatin Biden, Tsaron Tsaro na Tarayya da Al'ummar Leken Asiri sun yi haɗin gwiwa tare da CDC don saka idanu da tantance duk waɗanda suka ƙalubalanci ko suka keta wannan tsarin imani na al'ada. Matsayin da aka yarda da shi a hukumance ya zama cewa duk wanda ya yi tambaya game da kowane bangare na inganta amincin rigakafin rigakafi da labarun inganci yana kashe mutane. Wadanda suka yi zalunci an zarge su a zahiri ko a zahiri da kasancewa masu kisan kai ta hanyar latsawa da kuma CDC mai tallafawa da masu fafutuka. Wadanda ke neman karbar lasisina na likita a lokacin Covid a zahiri sun zarge ni da kasancewa mai kisan kai don tattaunawa a bainar jama'a game da haɗarin samfuran mRNA.

Ga misali ɗaya da ke nuna karkatacciyar dabarar da ta ba da damar wannan al'adar rigakafin. Bisa ga likitan da ke da shaida, "mafi kyawun shaida" ya kamata ya jagoranci yanke shawara na asibiti. Binciken da aka yi na baya-bayan nan ya fito yana nuna yaran da aka yi wa alurar riga kafi sun fi rashin lafiya, amma waɗannan karatun koyaushe suna yin watsi da su ta hanyar "ƙwararrun alurar riga kafi" da kafofin watsa labarai na yau da kullun don rashin "masu kulawa."

Duk da haka, tun da ba a taɓa yin gwajin placebo akan alluran rigakafin ba don dalilai na "da'a", ta hanyar ka'idodin magani na tushen shaida, binciken da muka yi na baya-bayan nan da muke da shi shine "mafi kyawun shaidar da aka samu" kuma ba za a iya watsi da ra'ayoyinsu game da cutar da maganin alurar riga kafi ba sai dai idan an gudanar da mafi kyawun (gwajin sarrafa placebo) don tabbatarwa ko karyata su.

Madaidaicin ra'ayin kare lafiyar alurar rigakafin al'umma shine ainihin dalilin da yasa ba a taɓa yin gwajin placebo ba saboda nan da nan za su nuna yadda haɗarin rigakafin ke da shi - don haka me yasa masana'antar allurar ta kasance koyaushe suna ba da uzuri don rashin yin su yayin da suke iƙirarin cewa idan an yi, za su nuna alluran ba su da illa.

A takaice, duk lokacin da wani ya soki binciken da aka yi a baya wanda aka kwatanta da allurar rigakafin zuwa marasa lafiya a matsayin "marasa inganci" yana da mahimmanci a tuna waɗancan karatun sune ma'auni na zinare saboda "mafi kyau" ba za a taɓa yin su ba saboda haɓaka, ƙirƙira, da la'akari na ɗabi'a waɗanda ba za a taɓa yin tambaya ba.

Kuma ribar masana'antar allurar ta yi tashin gwauron zabi.

Amma duk magunguna, gami da alluran rigakafi, suna da haɗari da fa'idodi. Duk magungunan yakamata a rubuta su cikin adalci ga wadanda suka fi amfana da magani fiye da cutar da su. Kuma 'yan ƙasa masu 'yanci suna da 'yancin fahimtar waɗannan haɗari da fa'idodin, da kuma tantance idan fa'idodin da za a iya samu ya zarce kasada gare su a matsayin daidaikun mutane. Wannan gaskiya ne musamman tare da rigakafin rigakafi, waɗanda ake gudanarwa ga wasu masu lafiya da niyyar hana wani abin da ba a iya faɗi ba (kamuwa da cuta da cuta mai zuwa) a wani lokaci nan gaba.

Don bincika nisan wannan ya tafi cikin al'adun Amurka, kwanan nan na buga tambayoyi masu sauƙi guda biyu akan "X", duka biyun sama da mutane 200,000 ne suka karanta su kuma sun tsokani dubban tsokaci. Kusan kashi uku na waɗannan maganganun hare-hare ne da za su dace da ƙa'idodin Turai na kalaman ƙiyayya. Waɗannan su ne posts guda biyu:

"Shin za mu iya aƙalla yarda cewa zai yi kyau a sami mafi aminci kuma mafi inganci alluran rigakafin da aka gwada da tsauri bisa ga ka'idojin tsarin zamani?", da kuma "Ina sa ran ranar da ba za a yarda da yin katsalandan da izgili ga iyayen yaran da suka samu maganin alurar riga kafi ba."

Wannan kalaman ƙiyayya da alama sun samo asali ne daga haɗakar masu ra'ayin siyasa masu ra'ayin hagu, asusun karya (bots), da membobin ƙungiyar asiri waɗanda ke ba da shawarar cewa duk alluran rigakafin suna "lafiya da inganci".

Kamar kusan dukkanin bureaucracy, CDC ta sha wahala daga raɗaɗin manufa, wanda wannan al'adar kamar al'ada ce ta ba da shawarar allurar rigakafi ta tsananta, haɗe tare da tsarin tsarin ilimin halittu mara kyau wanda ya dogara da ka'idar cewa ƙarshen ya tabbatar da hanyar, kuma wannan yana buƙatar babban tsari.

Yanzu Ma'aikatar Jiha tana ɗaukar Babban Matsayi a Manufar Kiwon Lafiya ta Duniya

Ana ci gaba da gyare-gyaren babban tsarin kasuwancin Kiwon Lafiyar Gwamnatin Amirka. Tare da USAID, CDC a al'adance ta jagoranci bangarori da yawa na ayyukan kula da lafiyar jama'a na Amurka. A karkashin Shugaba Trump, yanzu wannan yana canzawa. An kori USAID, kuma Amurka na janyewa daga Hukumar Lafiya ta Duniya.

Yanzu ma'aikatar harkokin wajen Amurka za ta taka rawar gani sosai wajen jagorantar manufofin kiwon lafiya na duniya na Amurka. Karkashin Sakatare Rubio, Thomas DiNanno, wanda ke aiki a matsayin Karamin Sakatare na Kula da Makamai da Tsaro na kasa da kasa, zai dauki nauyin taka rawa wajen jagorantar Tsaron Lafiya ta Duniya. Wannan ya zo ne ta hanyar sabon “Dabarun Kiwon Lafiyar Duniya na Farko na Amurka” da aka gina akan ginshiƙai uku: sa Amurkawa su fi aminci, ƙarfi, da wadata.

Ma'aikatar Harkokin Wajen Amurka ta ce shirye-shiryen kiwon lafiyar Amurka sun zama "rashin inganci da almubazzaranci," yana kaiwa ga "al'adar dogaro tsakanin kasashen da aka karɓa. "

Ma'aikatar Harkokin Wajen Amurka ta ɓullo da wani shiri na ƙaura daga tallafin kiwon lafiya na duniya don haɓaka dogaro da kai na ƙasashen da Amurka ta tallafa a shekarun baya. Amurka za ta mayar da hankali ne kan yin aiki kai tsaye da kasashe, inda za ta bukaci su hada hannu a shirye-shiryen kiwon lafiya na duniya domin magance cututtuka kamar su tarin fuka, cutar shan inna, da cutar kanjamau a wani bangare na sabuwar dabara daga gwamnatin shugaba Trump. A matsayin wani ɓangare na haɗin gwiwar hannun jari, gwamnatocin masu karɓa dole ne su hadu "alamomin aiki” domin a samu karin tallafin kiwon lafiyar Amurka a kasashen waje.

Amurka na neman kammala kulla huldar hadin gwiwa tare da kasashen da ke samun mafi yawan tallafin kiwon lafiya a kasashen waje nan da karshen wannan shekara, da nufin samar da sabbin yarjejeniyoyin nan da watan Afrilun 2026. A cewar ma'aikatar harkokin wajen Amurka.

"Shirin taimakonmu na kiwon lafiya na duniya ba taimako ba ne kawai - tsari ne mai mahimmanci don cimma muradun mu na kasashen waje a duniya. Ci gaba, za mu yi amfani da taimakon kiwon lafiyar mu na ƙasashen waje don ciyar da manyan abubuwan da Amurka ke ba da fifiko da kuma ciyar da ƙasashe zuwa ga tsarin kiwon lafiya na cikin gida mai dorewa. Za mu yi haka ta hanyar kulla yarjejeniyoyin shekaru da yawa tare da kasashen da suka samu wanda ke tsara maƙasudai da tsare-tsaren ayyuka.. "

"Wadannan yarjejeniyoyin kasashen biyu za su tabbatar da cewa kashi 100 cikin 100 na sayayyar kayayyaki na gaba da ma'aikatan kiwon lafiya na gaba za su ci gaba da samun tallafi a lokacin yarjejeniyar. Za mu yi aiki tare da kowace ƙasa don tabbatar da cewa akwai tsarin bayanan da za su iya sa ido kan yiwuwar barkewar cutar da kuma mafi girman sakamakon kiwon lafiya, "in ji Ma'aikatar Harkokin Wajen.. "

Bude sabon shirin na zuwa ne bayan da gwamnatin kasar ta rusa hukumar raya kasa da kasa ta Amurka a farkon wannan shekarar, yayin da Amurka ta janye tallafin da take baiwa kasashen duniya. Matsayin ma'aikatar harkokin waje shine

"Lokacin da aka samu barkewar cutar, za mu shirya yin aiki tare da kananan hukumomi don mayar da martani cikin gaggawa."

"Lokacin da ya cancanta, za mu kasance a shirye don samar da albarkatu don tabbatar da barkewar barkewar cutar, ana bincikar matafiya yadda ya kamata, kuma - iyakar iyawar - barkewar cutar ba ta isa gabar Amurka ko cutar da Amurkawa mazauna kasashen waje."

Canje-canje a cikin CDC da ACIP Tsarin da Manufofin

A CDC, ana gyara sakamakon shekaru na rashin jagoranci. Har zuwa kwanan nan, an ba da izinin gudanar da mulki ta gudanar da kanta ba tare da wani gagarumin sa ido ko nazari na tsara ba. Sakatare Kennedy ya lura cewa kokarin da ya yi na ba da gudummawar dala miliyan 50 a cikin kudade don tallafawa kokarin Texas don magance barkewar cutar kyanda ya toshe da jami’an da ke gudanar da CDC. Waɗannan ma'aikatan ma'aikata guda kuma sun toshe damar shiga da sake duba bayanan bayanan rigakafin rigakafi. Yanzu dai ba a yi musu aikin Gwamnatin Tarayya ba. Buga na mako-mako na MMWR, wanda ya yi aiki a matsayin mai magana da ba tsara-bita ba don tsarin mulki, ana kuma rage aiki a baya.

Wataƙila saboda haka, Kwamitin Ba da Shawarwari kan Ayyukan rigakafi (ACIP), wanda hukumar CDC ta kama gabaɗaya da ƙungiyoyin ayyukan likitanci, an sake gina su tare da sake yin nazari kan tushen kimiyya da na likitanci na shawarwarin rigakafin yara na CDC. Tun da farko an yi nufin ACIP ne don yin aiki a matsayin hukumar ba da shawara mai zaman kanta ga Daraktan CDC, kuma tana aiki a ƙarƙashin umarnin majalisa wanda Dokar Kwamitin Ba da Shawara ta Tarayya ta bayar. A tsawon lokaci, manufa mai raɗaɗi tana kaiwa ga ACIP aiki a matsayin kwamitin da ba a zaɓa ba wanda ke ƙayyade manufofin rigakafin tarayya, kuma ta haka manufofin rigakafin jihar.

Dangane da ƙa'idar Tarayyar Turai, a cikin Amurka, Jihohi suna da ikon tsara aikin likitanci. Amma kuma kamar a cikin EU, aikin buro-buro a hankali ya lalata wannan har zuwa lokacin da gwamnatin tarayya, kamar majalisar ku ta Turai, ta karɓi ikon aiwatar da manufofin kiwon lafiyar jama'a. A karkashin Shugaba Trump da Sakatare Kennedy, daidaitattun ikon tsarin mulki yana dawowa.

A takamaiman shugabanci na shugaban kasa da Sakatare, manyan canje-canje a kiwon lafiyar jama'a da manufofin rigakafin ana yin su ta ƙungiyar Sakatare Kennedy tare da taimakon ACIP da aka sake fasalin kuma aka tura su.

Daga kawo karshen harbin Covid na duniya zuwa gano bayanan RSV da aka yi amfani da su, tawagar Sakatariyar tana sake fasalin tushen manufofin rigakafin Amurka. Ko da jadawalin kuruciya na CDC-da zarar an yi la'akari da shi ba za a iya taɓa shi ba-yanzu ana yin nazari don aminci, tsari, da bayyana gaskiya. Yana nuna babban canji a lura da allurar rigakafi a cikin tsararraki-kuma duk yana kan ka'ida ɗaya: yarda da sanarwa.

Sakataren Lafiya Robert F. Kennedy Jr. da jami'ai a Ma'aikatar Lafiya da Ayyukan Jama'a sun canza shawarwari da manufofi don alluran rigakafi da yawa, gami da harbin Covid-19 da kyanda.

A cikin watan Mayu na wannan shekara, a ƙarƙashin umarni daga Kennedy, CDC ta daina ba da shawarar rigakafin Covid-19 ga yara masu lafiya da mata masu juna biyu. Daga baya Hukumar Abinci da Magunguna ta soke izinin gaggawa na rigakafin. FDA ta kuma amince da harbi hudu don kunkuntar yawan jama'a: waɗanda ke ƙasa da 65 waɗanda ke da yanayin rashin ƙarfi da duk waɗanda shekarunsu suka kai 65 da haihuwa. Bayan amincewa da shawarwari daga ACIP, CDC yanzu tana kira ga mutane su yi magana da mai ba da kiwon lafiya game da haɗari da fa'idodi kafin karɓar maganin Covid-19, canjin da aka amince da shi a ranar 6 ga Oktoba.

Takamaiman sun haɗa da canji daga allurar rigakafin Covid-19 da ake “ba da shawarar” zuwa buƙatar “yanke shawara”. ACIP ta kuma yi kira da a inganta bayyana kasada da fa'idodin waɗannan samfuran a cikin “tassoshin bayanan rigakafi” (VIS) da CDC ta samar. Kennedy ya rubuta a kan X cewa matakin ya kasance "maido da izini na sanarwa." Ba kamar a Turai ba, inda tallan hukuma na allurar Covid ya karu, CDC da Gwamnatin Amurka ba sa tallan tallan don rigakafin Covid.

Dangane da rigakafin cutar kyanda, mumps, Rubella, kwanan nan Shugaba Donald Trump ya ƙarfafa mutane da su ɗauki alluran rigakafin cutar kyanda, mumps, da rubella. Zaɓuɓɓuka na tsaye, ko da yake, ba a samuwa a halin yanzu a Amurka. Mukaddashin Daraktan CDC O'Neill a ranar 6 ga Oktoba ya goyi bayan Trump kuma ya yi kira ga masana'antun da su samar da alluran rigakafin cututtuka na monovalent.

Amurka a cikin 2025 ta sami mafi yawan lokuta na cutar kyanda tun 1992, kodayake waɗannan matakan har yanzu suna ƙasa da lambobi na cutar kyanda na yankin Turai. Sakatare Kennedy ya ce allurar ta takaita yaduwar cutar kyanda kuma ya kamata mutane su samu. Ya kuma nuna damuwa game da illolin da ke tattare da su, wanda zai iya haɗa da kamawa. Jami'ai a Texas, jihar da ta sami adadin adadin wadanda suka kamu da cutar, sun sanar a ranar 18 ga watan Agusta cewa barkewar cutar kyanda a can.

Game da Varicella Vaccine & MMRV, karɓar shawarar ACIP, CDC a cikin sabuntawar Oktoba ta amince da allurar rigakafin varicella ga yara ƙanana saboda suna fuskantar haɗarin kamuwa da zazzabi idan sun sami rigakafin kyanda, mumps, rubella, da varicella haɗin gwiwa. Jadawalin rigakafi na CDC ya lissafa kashi na farko akan cutar kyanda da varicella a kusan lokacin haihuwar farko na yaro. Ana ba da shawarar cewa yara su sami kashi na biyu lokacin da suke da shekaru 4, 5, ko 6. ACIP tana duba waɗannan shawarwari yanzu.

A baya CDC ta ba da shawarar duka zaɓuɓɓukan rigakafin MMR da MMRV. Har yanzu yana ba da shawarar allurar MMRV don kashi na biyu na yaro, saboda babban haɗarin kamuwa da cuta bai bayyana ga manyan yara ba.

Dangane da allurar Hepatitis B, ACIP ta shirya kada kuri'a kan shawarar CDC don jinkirta kashi na farko na rigakafin cutar hanta daga jim kadan bayan haihuwa zuwa akalla wata 1, amma masu ba da shawara sun kawo karshen gabatar da kudirin bisa shawarar da na ba da shawarar, inda na bayyana cewa "Muna buƙatar jinkirta waccan shawarar saboda muna buƙatar da gaske muna da bayanai don magance ko yakamata a ba da rigakafin cutar hanta ta B ga yara kwata-kwata.“Wasu ƙasashe da yawa suna fara tsarin rigakafin ciwon hanta na B tun suna da watanni 2 ko 3, idan suna da tsari kwata-kwata.

Trump ya fada a cikin jawabinsa game da alluran rigakafin cewa yana ganin bai kamata yara su karbi maganin hanta ba har sai suna samari, kamar yadda rahoton kungiyar mata masu zaman kanta ya ba da shawarar. Wasu ƙungiyoyi, ciki har da Cibiyar Nazarin Ilimin Yara na Amirka, suna goyan bayan jadawalin yanzu. Bayan ƙarin nazarin ciki, wannan batu zai zama batun taron ACIP mai zuwa da shawarwarin shawarwari

Dangane da allurar mura na shekara-shekara, ACIP ta ba da shawarar cewa gwamnati ta ci gaba da ba da shawarar ta cewa mutane aƙalla watanni 6 suna samun rigakafin mura a kowace shekara. Masu ba da shawara sun kuma ce ya kamata jami'ai su daina goyan bayan allurar rigakafin mura mai ɗauke da thimerosal, abin da ke da alaƙa da mercury, saboda damuwa game da tarin mercury. A lokacin bazara, ba tare da wani darektan CDC a wurin ba, Kennedy ya sanya hannu kan shawarwarin biyu. Ina aiki a matsayin shugabar ƙungiyar ma'aikata ta allurar mura ta ACIP, kuma CDC ya kamata ta buga wani aikin da HHS ta amince da wannan rukunin aiki nan bada dadewa ba CDC.

Dangane da jadawalin allurar rigakafin gabaɗaya, ACIP na nazarin jadawalin rigakafin yara, wanda ya tashi daga samun alluran rigakafi guda biyar a 1995 zuwa kusan dozin a halin yanzu.

Shugaban ACIP Martin Kulldorff ya ce a ranar 18 ga Satumba "Ayyukan ya haɗa da kallon tasirin hulɗa, ko kuma idan ya fi dacewa a yi maganin rigakafi daya kafin wani...".

CDC ta bayyana akan gidan yanar gizon ta, "Jaddawalin rigakafin da aka ba da shawarar CDC yana da lafiya kuma yana da tasiri wajen kare jariri." Amma yanzu CDC tana fuskantar shari'a a kan jadawalin, tare da likitocin da ke zargin cewa hukumar ba ta gwada mu'amalar allurar rigakafin ba.

Game da yuwuwar haɗin gwiwa tsakanin allurar rigakafin yara da Autism, har yanzu ana yin nazari kan wannan batu amma bisa binciken da aka yi nazari na ƙwararru, sanannen dabarun aiki. da manyan bayanai, Shugaban kasa da Sakatare sun gargadi iyaye da iyaye mata masu juna biyu da su guji amfani da acetaminophen, idan ya yiwu, a lokacin daukar ciki da kuma lokacin da ake magance zazzabin jarirai.

Game da gudanar da alluran rigakafi a lokacin daukar ciki, ƙungiyar aiki ta ACIP tana nazarin alluran rigakafi ga mata masu juna biyu. "Dole ne a ko da yaushe mu yi taka tsantsan da kulawa ba kawai alluran rigakafi ba har ma da magunguna, ko duk wani abu da muke ba uwa mai ciki, saboda haɗarin, misali, lahani na haihuwa."Kulldorff ya ce a taron Satumba. CDC ba ta ba da shawarar rigakafin Covid-19 ga mata masu juna biyu ba tun watan Mayu. Babu wasu shawarwari game da allurar rigakafi yayin daukar ciki da aka canza. A halin yanzu CDC tana ba da shawarar tari, mura, da RSV alurar riga kafi ga mata masu juna biyu.

Kamar yadda kuke gani daga wannan taƙaitaccen taƙaitaccen bayani, ƙarƙashin jagorar Sakatare Kennedy da kuma Sakatare Rubio, Shugaba Trump da tawagarsa suna yin yunƙurin da ba a taɓa gani ba don inganta amincin kimiyya da na likita a cikin Kiwon Lafiyar Jama'a. Waɗannan ayyukan suna haifar da cece-kuce mai ban mamaki, amma a cikin ainihin su alƙawuran duka biyun mahimman ka'idojin likitanci ne, haƙƙin majinyata guda ɗaya, da sadaukarwar bangaranci don inganta lafiyar duka Amurkawa da musamman yaran Amurka.

A ƙarshe, yana da wahala a karyata ko adawa da alƙawari don Sake Samun Lafiyar Amurka. Kuma, ina zargin, daidai yake da wuyar adawa da sabon motsi na sake dawo da Turai Lafiya. Duk Duniyar Yamma tana sa ido ga ƙungiyar MAHA ta Amurka don jagoranci. Lokaci ya wuce don "Kiwon Lafiyar Lafiya" don mayar da hankali kan inganta lafiya maimakon magance cututtuka.

An sake bugawa daga marubucin Mayarwa

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