Muna sa ran cewa ilimin da aka samar da kuma amfani da shi a cikin gaggawa na lafiya zai samar da bayanan da ke kare lafiya. Amma yana ƙara fitowa fili cewa a cikin shekaru biyu da suka gabata gwamnatin Ardern ta New Zealand ta tsara manufofi, tsari, da bayanai don tilasta wa ƴan ƙasa su karɓi magani ƙarƙashin izinin ɗan lokaci.
An kulle kulle-kulle yayi alkawarin kawo karshen lokacin da aka yiwa kashi 90% na al'ummar kasar allurar. Wannan ba a taɓa yin irinsa ba: ƙarshen manufofin manufofin suna buƙatar ɗaukar matakin yawan jama'a na fasahar zamani, ko da mutum yana cikin haɗari ko a'a.
Bugu da kari, an yi kwangilar samar da bayanai ta hanyar niyyar sashen akan adadin allurar kashi 90%. Shekaru da yawa gwamnatoci sun inganta 'kimiyyar da ta dogara da shaida' a matsayin ma'aunin zinare don tunanin jama'a da tuntuɓar haɗari. Abin da muka gani an samar da shi a cikin gida da kuma kwangilar kimiyya wanda ya mayar da hankali kan ƙimar shari'ar, yayin da (marasa dacewa) bayanai a cikin wallafe-wallafen kimiyya da aka buga game da hadarin rigakafi, raguwa da ci gaba ba a yi watsi da su ba.
Wannan ya samar da ingantaccen tsarin samar da ilimi wanda ya kasa bin ka'idojin dimokiradiyya da lafiyar jama'a da aka dade ana kafawa. Gudanar da haɗarin haɗari yana buƙatar gwamnatoci su mai da hankali ga bayanan da ke nuna fasahar ba ta da tasiri ko kuma mai yiwuwa ta fi illa fiye da yadda aka ƙiyasta, - don aikin gwamnatin demokraɗiyya na farko shine kariya da amincin dukkan 'yan ƙasa. Ba dole ba ne a inganta fasaha, kuma a ajiye rashin tabbas a gefe, don cimma manufofin manufofin.
Ana ɗaukar Alurar rigakafin Duniya daga Afrilu 2021
New Zealand's Unite Against Covid-19 dabarun 'kawar' an tabbatar da su a cikin kwata na farko na 2020. Manufa, farfaganda da dokoki galibi sun shafi lamarin, ko adadin kamuwa da cuta, maimakon yawan mace-mace a matsayin ma'aunin haɗari.
Duk da cewa gwajin asibiti bai nuna cewa maganin ya hana yaduwa da kamuwa da cuta ba, Gwamnati ta inganta 'jab' a matsayin wata hanya ta kare iyalai a cikin yakin Unite Against Covid-19. Ba da dawwamammen ba da rahoton adadin shari'o'in ya haifar da yanayi na tsoro da rashin tabbas a tsakanin jama'a, waɗanda suka fahimci kamuwa da cuta daga kwayar cutar ta SARS-CoV-2 wani abu ne kamar Ebola.
An ayyana manufar gwamnatin Ardern ga daukacin jama'a don samun rigakafin mRNA ta hanyar sanya hannu kan yarjejeniyar samar da kayayyaki. An shigar da wannan niyya a cikin tsari da tsari ta hanyar Tsarin Hasken Traffic, an ƙera don nufewa yawan jama'a sama da 12 cikin yarda.
An sani a watan Yuli 2021 cewa maganin ya ragu kuma yana yoyo. Cututtukan da aka samu sun zama ruwan dare gama gari kuma ga mutane da yawa. Gwajin gwaji na asibiti sun kasance ba cikakke ba, rashin bayanan aminci na dogon lokaci. Gwaje-gwaje ya yi ba nuna cewa maganin ya hana asibiti da mutuwa.
Koyaya, a cikin Afrilu 2022 a New Zealand, tilas alurar riga kafi zama wajibi ga ma'aikatan kan iyaka, da ma'aikatan lafiya da nakasa; gyara; tsaro; Wuta da Gaggawa New Zealand (FENZ) da 'yan sanda. Dole ne a yi wa waɗannan sana'o'in rigakafin kuma sun sami ƙarin rigakafin cutar COVID-19.
A 'Traffic Light Orange' Kiwis 'dole ne a sanya abin rufe fuska' a cikin kasuwancin dillalai, kan zirga-zirgar jama'a da na jama'a, a wuraren gwamnati da lokacin ziyartar sabis na kiwon lafiya. Wannan shi ne duk da cewa Omicron ya ratsa New Zealand a cikin Fabrairu.
A cikin makon farko na baya a makaranta da jami'a bayan hutun bazara - abokanan yara na masu biyayya da ke sanye da abin rufe fuska, gami da dana, daga Otago da Canterbury har zuwa Tsibirin Kudu har zuwa babban birnin Wellington da Auckland - an kulle su tare da Omicron a cikin makonnin farko da suka dawo jami'a. Babu wani kimantawar Omicron da ingancin abin rufe fuska da jihar ta bayar.
Masu Risk Modellers
Ayyukan manufofin gwamnati sun ci gaba da cire su ilimi mara dadi wanda ke nuna rashin tabbas ko haɗari. Na farko, manufofin da ke rakiyar da kuma tabbatar da doka da oda na Covid-19, da ƙirar ƙira ta cibiyar kwangila. Te Pūnaha Matatini (TPM) ya ƙunshi kunkuntar tunani a tsakiyar iƙirarin jihar, kulle a cikin labarin cewa kamuwa da cuta ita ce ma'anar haɗari, yin ƙira bayan guguwar kamuwa da cuta.
Na biyu, manufofin da ke goyan bayan doka sun cire la'akari da hadarin shekaru-stratified kuma ya kasa magance ƙa'idodin gama gari na kula da cututtukan da aka saka a cikin Dokar Kiwon Lafiya ta New Zealand. Na uku, sake dubawa na wallafe-wallafen kimiyya waɗanda za su iya ganowa a bainar jama'a da kuma sadar da haɗarin da ke da alaƙa da cutarwa da ke da alaƙa da inganci ba ta taɓa faruwa ba.
Tazarar suna da yawa. Gwamnatin Covid-19 Unite yaƙin neman zaɓe ya kasa isar da ƙayyadaddun haɗarin asibiti da mutuwa yayin da cutar ta bulla. Sabbin shaida akan yawan mace-macen kamuwa da cuta ba a sanar da jama'a ba. A cikin takaddun ƙirar ƙira, ana amfani da TPM kididdigar yawan mace-macen kamuwa da cuta wanda ya yi kiyasin adadin mutuwa.
An yi watsi da yuwuwar allurar rigakafi ko kamuwa da cuta mai saurin faruwa a cikin wani manyan takardar manufofin mayar da hankali kan kawarwa da kuma masu ƙira a TPM. Matsayin kamuwa da cuta na halitta wajen samar da fa'ida, da kariya amsawar tsari, taimakon al'umma don matsawa zuwa matsayin rigakafi ya kasance saukar da shi. Yayin garken rigakafi aka gane, an gudanar da gwaji da ƙirar bayanai don gano rigakafin garken garken da aka samu ta halitta a cikin jama'a. Daga baya yin samfuri keɓaɓɓen alaƙa rigakafi ga garken tare da alurar riga kafi.
Wataƙila matsalolin da aka magance a nan ba abin mamaki ba ne, lokacin da aka gudanar da yawancin ƙirar ƙira a wajen cibiyoyin kiwon lafiyar jama'a na New Zealand. Madadin haka, masu binciken bayanai ne suka aiwatar da ƙulla lamba, waɗanda ke da alaƙa da mathematics TPM, tare da ƙarancin ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwaƙƙwarar waɗanda waɗanda aka horar da su a cikin halayen kiwon lafiyar jama'a. Kuma ba shakka, ilimin kimiyya da ƙirar bayanai kai tsaye daga ma'aikatun gwamnati da ma'aikatun gwamnati da aka sadaukar don ƙare Kashi 90% na yarda da rigakafin.
Manufofin rigakafi na duniya sun yi watsi da gaskiyar cewa haɗarin kamuwa da cuta ko da yaushe wanda ya ta'allaka ne akan tsofaffi da marasa lafiya da kuma waɗanda ke da hadaddun yanayin cututtukan da yawa. Abin takaici, bayanan gwajin asibiti sun yarda cewa ingancin rigakafin ya kasance ba shi da tabbas ga mafi yawan haɗarin cutarwa daga Covid-19 - masu rigakafin rigakafi, autoimmune da mutanen da ba su da ƙarfi, da waɗanda ke da yanayin kumburi. (duba shafi na 115). Bugu da kari, yayin da coronaviruses ke canzawa cikin sauri, yana da yuwuwar rigakafin zai sami ɗan gajeren rayuwa.
Jiyya na Farko An Sideline
An danƙa wa gwamnatoci wani babban nauyi na kare lafiya - wannan ya haɗa da sanya jama'a cikin haɗari kai tsaye ta hanyar mummunar manufa. Akwai ko da yaushe rawar don aminci, kafaffen magunguna tare da dogon tarihin amfani mai aminci waɗanda aka yi cikakken gwaji kafin ƙaddamar da kasuwa.
Magani na farko za a iya haɗa shi azaman babban kayan aiki don hana asibiti da mutuwa. Magani na farko suna guje wa matsalar bambance-bambancen rikidewa yayin da suke aiki don kare ƙungiyoyi masu haɗari waɗanda tsarin garkuwar jikinsu ba zai iya ɗaukar maganin rigakafi ba.
Likitoci na al'ada suna da 'yancin sake yin amfani da magunguna ga majiyyatan su, kamar maganin rigakafi tare da dogon tarihin amintaccen amfani. Koyaya, a cikin Yuli 2021, gwamnati ta kulle yarda da magunguna don magani.
Daga aƙalla Oktoba, likitocin New Zealand sun kasance umarni da 'Kada a yi amfani da wani antiviral a wajen gwajin asibiti' yayin da Medsafe yayi gargadi akan amfani da lafiyayyen antiviral Ivermectin don ƙwayoyin cuta na numfashi. Amma duk da haka jagororin asibiti an yi niyya ne azaman magani na ƙarshe don masu kwance a asibiti, maimakon tsara su azaman kariya ko rigakafi a cikin hanyoyin kwantar da hankali na gida.
Waɗannan umarnin sun karya aikin yarda da aka sanar, wanda ke zama tushen dogaro ga dangantakar likita da haƙuri. Ko da Majalisar Likitoci ta New Zealand, ƙungiyar da ke ba da lasisi don yin aikin likita, ta bayyana cewa akwai 'babu wurin saƙon rigakafin rigakafi a cikin aikin ƙwararru.' Waɗannan ayyukan na iya lalata amincewa da alluran rigakafi ba da gangan ba da dangantakar likita da haƙuri na shekaru masu zuwa.
Abubuwan da ke tattare da rufe bakin likitoci, wasu da aka dakatar da lasisin aikin likita, idan aka lura da su tare da gibin bayanan da aka ambata a sama, na ban mamaki.
Tambayoyin da'a na ci gaba da kasancewa a gefe. Ka'idar daidaituwa, wanda aka saka a cikin 1956 Dokar Lafiya, an yi watsi da shi yadda ya kamata. Daidaituwa, wanda ke ba da damar haɗarin mutum, shine babban abin la'akari a lafiyar jama'a. Magunguna fasaha ce, kuma sararin da ilmin halitta ya hadu da fasaha - ciki har da magani - ba ya dawwama, kuma yana buƙatar yanke hukunci mai ƙima. Gudanar da haɗarin sa baki na likita ga mace mai ciki, matashiya ko yaro yana buƙatar shawarwari daban-daban ga mai shekara 75.
Dokokin Demokraɗiyya Ba Zasu Iya Ba
Tun daga watan Janairun 2020, an aiwatar da tsunami na iyakance haƙƙin da gangan kuma akai-akai. Babu ƙarancin shawarwarin ɗan ƙasa tare da shigar da jama'a iyakance ga ƴan gajerun kwanaki a mafi yawan lokuta. Rikicin da ba a taba yin irinsa ba na dokoki da umarni Gwamnatin Ardern ta fito da ƙayyadaddun buƙatu don kusan kowa da kowa don samun rigakafin mRNA.
A tsakiyar 2021 - kafin mafi yawan umarni - wallafe-wallafen kimiyya ya bayyana cewa maganin ya ragu; cewa ci gaba da kamuwa da cuta ya faru kuma akwai shaidu masu yawa da ke nuna cewa ya haifar da sakamako masu yawa, har ma da mutuwa. Ya kamata wannan ilimin ya rushe duk wani umarni na rigakafin ma'aikata, amma a maimakon Oktoba, jihar ta ninka sau biyu kuma ta kulle cikin umarni da ka'idoji waɗanda za su tilastawa yawancin jama'a sama da 12 bisa doka da zamantakewa su karɓi harbin.
Mai yiyuwa ne dutsen dokokin ya samar a cikin shekaru biyu da suka gabata faufau cika ka'idojin dimokuradiyya na gaskiya da gaskiya. Domin a yi amfani da kimiyya a cikin annoba don amfanin jama'a, cibiyoyin da suka tsara waɗannan sharuɗɗan dole ne su kasance masu jagorancin ƙa'idodin da ke kare lafiya.
gazawar hukumomin gwamnati wajen zana adabin kimiyyar da ’yan’uwa suka yi nazari a kai yayin da suke ba da fifikon yin samfurin cikin gida ya fito fili daga bin diddigin wallafe-wallafen da aka adana a kan layi tare da hukumomin da suka dace. Mafi mahimmanci, an rubuta shi a cikin manufofin da aka kawo don tallafawa yawan yin doka da ba a taɓa yin irinsa ba.
Ya bayyana cewa daga karshen shekarar 2019, bukatun hukumomi ana tsammanin za a yi shakku game da amincin rigakafin. Duk da haka babu wani taron jama'a. Madadin haka, ƙungiyoyin da suka nemi yin tambaya game da amincin rigakafin mRNA na novel sun kasance a waje 'an yarda'Kafofin watsa labarai, maiyuwa ne saboda yanayin sanyi na Covid-19 wanda ba a taɓa gani ba kudade da kuma talla yana haɓakawa wanda ya kama kafofin watsa labarai na yau da kullun yadda ya kamata.
Cewa jihar New Zealand ta ba da umarnin mutanen da ba su da haɗari su karɓi sabuwar fasahar zamani, ƙirƙirar dokoki (kamar yadda manufofin nudge) waɗanda ke iyakance rayuwar tattalin arziki da zamantakewa ga waɗanda ba a yi musu allurar ba lokacin da aka sami shaidar farko cewa maganin yana da lahani kuma yana iya cutarwa, zai ɗauki shekaru kafin a yanke shi. Kamar yadda umarni ke ci gaba, ƙungiyoyin da suka ji rauni suna ci gaba da yin hakan fuskantar shingen adalci biyo bayan raunin allurar rigakafi da mutuwa.
A ƙarshe, ayyuka irin wannan suna haifar da shakku game da ikon jihar don girmama manyan ayyuka na kare lafiya da muradun jama'a a cikin yanayin gaggawa na gaba. Martanin New Zealand game da cutar ta Covid-19 tana aiki azaman nazarin shari'a - abin koyi, don abubuwan gaggawa na lafiya na gaba.
Za a iya samun nutsewa mai zurfi a kan wannan tattaunawa a cikin takarda, Ikon Gaggawa na Covid-19 da kuma a kan Rumble. Ana ba da takardar don taimakawa masana ilimi da na shari'a, 'yan ƙasa da al'ummomi don yin la'akari da amfani da manufofin da kimiyya ta Gwamnatin Ardern daga 2020-2022. Ina tambayar yuwuwar jihar New Zealand don gudanar da balaguron bala'i a nan gaba, da takaddamar fasaha a nan gaba, cikin maslahar jama'a.
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JR Bruning mashawarcin masanin ilimin zamantakewa ne (B.Bus.Agribusiness; MA Sociology) wanda ke zaune a New Zealand. Ayyukanta sun bincika al'adun mulki, manufofi da samar da ilimin kimiyya da fasaha. Ƙididdiga ta Jagoranta ta bincika hanyoyin dabarun kimiyya ke haifar da shinge ga samun kuɗi, ƙwaƙƙwaran ƙoƙarin masana kimiyya don gano abubuwan da ke haifar da lahani. Bruning amintaccen Likitoci ne & Masana Kimiyya don Nauyin Duniya (PSGR.org.nz). Ana iya samun takardu da rubuce-rubuce a TalkingRisk.NZ da a JRBruning.Substack.com da kuma a Hadarin Magana akan Rumble.
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