Kiwon Lafiyar Jama'a babbar sana'a ce mai fa'ida wacce gwamnatin tarayya ke ba da kuɗaɗen ɗaruruwan biliyoyin daloli a kowace shekara, tare da gudummawar gudummawar sirri na masu zaman kansu da wasu manyan attajiran al'umma. An tsawatar da mu cewa irin wannan ƙwaƙƙwaran behemoth mai ƙwaƙƙwaran kuɗi yana da matuƙar mahimmanci kuma yana da mahimmanci don kiyayewa da haɓaka lafiyar jama'a gaba ɗaya. Amma menene idan akwai wani nau'in mace-mace na ban mamaki, sau ɗaya-a-a-a-rai wanda ke haifar da yawan mace-macen miyagun ƙwayoyi, wanda ke shafar dukkan al'umma a duk tsawon shekaru da yanayin alƙaluma, kuma… hukumomin kiwon lafiyar jama'a sun yi watsi da su gaba ɗaya?
Abin mamaki, wannan yana faruwa a ainihin lokacin. Mun sami nasarar samun takaddun shaida na mutuwa wanda ke wakiltar duk mace-mace da ta shafi 2015-2023 a cikin jihohi huɗu waɗanda za mu iya buga bayanai a bainar jama'a daga, kuma suna nuna wani labari mai ban tsoro game da ci gaba da mutuwar ƙwayar cuta mai saurin kamuwa da cuta har yanzu a cikin yanayi iri-iri, da yawa a ma fi girma matakan fiye da yadda muka gani a 2020.
Tabbas, takaddun mutuwa kayan aiki ne mara kyau don gina bayanai. Suna cike da kurakurai, masu saurin nuna son zuciya, suna fuskantar manyan canje-canjen manufofin yin magudi a wasu lokuta daga sama, kuma da wuya su faɗi cikakken labarin rasuwar marigayin. Suna ƙarƙashin ikon sassan kiwon lafiya na jihohi da CDC, wanda ba ya ƙarfafa kwarin gwiwa game da ingancinsu ko amincin su.
Amma kuma ba aikin Sisyphean ne wanda ba zai gajiyawa ba don fitar da bayanai masu amfani, masu amfani daga bayanan da aka rubuta kuma aka yi rikodin akan waɗannan kayan aikin da ake so, ko da yake ci gaba sau da yawa yana rarrafe tare da sannu a hankali don ba da tunanin cewa. Paradox na motsin Zeno daidai ya bayyana gaskiya. (Tabbas yana kwatanta yadda nake ji bayan nutsewa kusan awanni 15 tare da hada wannan albatross tare.)
Manufar wannan labarin shine a nuna ainihin abubuwan da ke faruwa na yawan mace-macen jama'a a cikin yanayi masu zuwa ko Sanadin Mutuwa (CoD):
- Mummunan Ciwon Renal (ICD Code N17)
- Ciwon Jiki (ICD Code I26)
- Hawan jini, musamman sashin cutar hawan jini (ICD Codes I11 & I13)
- Rauni na Jiki (Lambobin ICD iri-iri)
- Ciwon sukari (Lambobin ICD E10-E14)
- Protein Calories Tamowa (ICD Codes E43-E46)
- Sepsis (ICD Code A41)
Waɗannan sun yi nesa da yanayin kawai inda akwai bayyanannun wuce gona da iri. Duk da haka, waɗannan sharuɗɗan sun bambanta da cewa akwai bayyanannun mace-mace a cikin waɗannan yanayi a kowace jiha da muke da takaddun shaida na mutuwa, kuma suna shafar adadi mai yawa na mace-mace a kowace shekara don haka suna da mahimmanci ga lafiyar jama'a.
Kash, da a ce muna da hukumomin lafiyar jama'a sun fi sha'awar kallon shaida fiye da share shaida.
Lura: Don wasu dalilai, Florida ta ƙi barin kowa ya sami dama ko da takamaiman nau'ikan takaddun shaidar mutuwar su. Florida ita ce uwar bayanan mace-mace, saboda girman yawan jama'a da babban taro na tsofaffi, yawancin waɗanda aka yi wa allurar rigakafin mRNA covid. Da alama baƙon abu ne cewa Ma'aikatar Lafiya ta FL ta ci gaba da hana jama'a shiga. Idan muka ƙi yin gaskiya tare da bayanan da ke hannunmu, ba za mu iya koka game da rashin gaskiya ta hanyar kafa ba. Don haka muna kira ga Dr Ladapo da/ko gwamnatin DeSantis da su ba wa jama'a damar samun bayanan shaidar mutuwa da za su baiwa jama'a damar ganin da kansu yadda bayanan mace-macen ke kama. Ta yaya zai kasance jihohin MASSACHUSETTS da Vermont masu nisa suna ba da damar samun cikakkiyar damar samun takardar shaidar mutuwarsu ta kowane ɗan ƙasa ba tare da iyakancewa ba, amma Florida ba za ta ba da damar yin amfani da nau'ikan da aka gyara waɗanda ba sa haɗarin keta sirrin matattu ko danginsu?
I. DUK-DAYAN MUTUWA
Mafarin duk wani bincike game da yuwuwar mutuwar al'amarin shine na farko don ganin ko a zahiri akwai mutuwa gabaɗaya - shin akwai ƙarin mutane da ke mutuwa fiye da yadda muke tsammani? Idan amsar ita ce a'a, to, yawan mace-mace da aka samu a cikin yanayin mutum ɗaya ko nau'ikan cuta na iya zama 'al'amari na gudanarwa,' watau ba sa nuna canji a yanayin lafiyar mutane ko mace-macen, sai dai canji a yadda ake rubuta CoD's.
Akasin haka, idan akwai wuce gona da iri na mace-mace da ke faruwa, yawan mace-mace da aka samu a cikin takamaiman CoD's suna wakiltar haɓakar haƙiƙanin abin da ya faru da/ko adadin mutuwa daga waɗannan yanayi.
Yawan mace-mace - a takaice dai, duk mace-mace daga dukkan dalilai - kuma tana ba da hangen nesa ga tsuntsaye game da manyan abubuwan da ke mutuwa akan adadin, wanda zai iya taimakawa gano sabbin abubuwan da suka shafi mace-macen yawan jama'a, wanda ke da matukar dacewa don tantance yanayin mace-mace.
Yadda ake karanta ginshiƙi:
Mafi yawan wannan labarin shine ginshiƙi, waɗanda ke bin tsarin ƙira ɗaya:
- kowane ginshiƙi yana da take a sama wanda ke bayyana sigogi ko yanayin mutuwar da ginshiƙi ya nuna
- ginshiƙi na iya nuna mutuwa don takamaiman yanayi ko dai ta lambar ICD 10, ko ta rubutun da aka rubuta akan takardar shaidar mutuwa da kanta.
- "Duk Lambobin ICD"/"Duk Mutuwa"/"Dukkan Rubutun CoD's" a cikin take yana nufin cewa ginshiƙi yana nuna mace-mace daga duk dalilai.
- kowace mashaya tana wakiltar ƙididdiga na shekara ɗaya
- daban-daban tabarau na sanduna launin toka sune na shekarun 2015-2019 (hagu zuwa dama)
- blue bar = 2020
- rawaya bar = 2021
- ruwa = 2022
- purple bar = 2023
- lambar da ke saman kowace mashaya tana nuna adadin wadanda suka mutu a wannan shekarar da suka dace da yanayin da aka bayyana a cikin taken ginshiƙi.
Massachusetts Duk-Dalilin Mutuwa
Taswirar kowace jiha jerin iri ɗaya ne, don haka kawai za mu bayyana su don MA a kowane yanayi (sai dai idan akwai bambanci).
ginshiƙi mai zuwa yana nuna jimlar adadin wadanda suka mutu a MA kowace shekara:
Kuna iya gani nan da nan cewa daga shekarar 2020 zuwa gaba, adadin wadanda suka mutu ya zarce adadin a shekarun da suka gabata kafin barkewar cutar (2015-2019). A wasu kalmomi, an sami karuwar mace-mace a kowace shekara.
Wannan yana da ban mamaki musamman saboda wani abu da ake magana a kai a matsayin "sakamakon ja-gaba" (PFE). Muna tsammanin ganin mace-mace gaira bayan shekara guda na yawan mace-macen da ya wuce gona da iri idan “yawancin” mutuwar galibi mutane ne ke mutuwa wadanda za su mutu nan ba da jimawa ba.
Matsakaicin shekarun mutuwar Covid kasancewa kusan tsawon rayuwa shine kyakkyawan misali na wannan - mutanen da aka kashe, musamman a cikin 2020 sune waɗanda suka raunana kuma suna da niyyar mutuwa nan ba da jimawa ba. Da ba su mutu a cikin 2020 ba, da sun mutu da yawa cikin ƴan shekaru masu zuwa. Don haka a zahiri, 2020 ya “sata” mutuwar daga 2021, 2022, 2023 (a cikin raguwar adadin daga kowace shekara mai zuwa). Wannan yana nufin cewa akwai babban kaso na mace-mace a cikin 2021-2023 waɗanda ke sama da jimillar da ake tsammani fiye da bin tsarin riga-kafin cutar zai haifar.
Na gaba, muna da ginshiƙi yana nuna matsakaicin shekarun waɗanda suka shude a MA:
Yayin da matsakaita ya hauhawa a cikin 2020 sama da shekarun da suka gabata, matsakaicin shekarun mutuwa ya ragu sosai a cikin 2021 zuwa ƙasa fiye da kowane ɗayan shekaru biyar da suka gabata (saukar da fiye da cikakken shekara a matsakaicin shekarun ya fi girma fiye da yadda ake tsammani saboda yana ɗaukar matasa da yawa suna mutuwa don ja matsakaicin ƙasa lokacin da yawancin mutuwar mutane ne a cikin 80s da 90s).
A takaice dai, yayin da mutuwar 2020 ta kasance a cikin tsofaffi da marasa ƙarfi, a cikin 2021 halaye na ɓarna sun yi kama sosai ga matasa fiye da kowace shekara da ta gabata.
Mafi ban mamaki da bayyana rikice-rikice na yanayin mace-mace - wanda muke gani a kowace jiha da muke da wannan bayanan - shine kwatanta mace-mace a cikin mazauna gidajen kulawa (har ila yau ya haɗa da nau'ikan nau'ikan nau'ikan irin su taimako na rayuwa ko kulawa na dogon lokaci) ga mazauna gida marasa aikin jinya.
Taswirori biyu masu zuwa suna nuna jimillar adadin mutuwar mazauna gidajen jinya (hagu) da waɗanda ba mazauna gida ba:
Rarraba su ya nuna cewa akwai adadi mafi girma na yawan mace-mace da ke faruwa a cikin 2021-2023 a wajen gidajen kula da tsofaffi waɗanda ba za ku iya gani a cikin jimillar adadin mace-mace na jihar ba saboda raguwar mutuwar gidajen jinya galibi yana soke karuwar mace-mace a wajen gidajen kulawa.
Ka tuna kuma cewa ban da Minnesota, za mu iya gano mazaunan gidan jinya ne kawai waɗanda suka mutu a cikin gidan jinya, amma idan sun mutu a wani wuri kamar a asibiti ko asibiti ba a ba da izinin zama na gidan jinya ba, don haka rashin daidaituwa da aka gani a sama yana yiwuwa ma ya fi girma a rayuwa ta gaske.
Hakanan ana ganin wannan dichotomy a cikin yanayin mace-mace ga yawancin yanayi, waɗanda za mu rubuta.
Minnesota
Yawan mace-macen Minnesota gabaɗaya ya fi yaduwa a tsakanin shekarun cutar idan aka kwatanta da MA:
Matsakaicin shekarun mutuwar MN duk da haka ya fi ban mamaki:
NH/mara NH:
Shafukan da ke biyowa suna nuna gefe-da-gefe (1) jimlar adadin wadanda ba mazauna NH ba (hagu), da (2) adadin wadanda ba mazauna NH ba. ban da duk mace-mace da ke lissafin covid a matsayin CoD:
Wannan yana da ban tsoro musamman, saboda akwai bayyanannun hauhawar mace-mace wanda ba shi da alaƙa da cutar ta covid a kowace shekara. Wannan ba yana nufin cewa duk mutuwar da aka lissafa Covid a matsayin CoD Covid ne ke haifar da shi ba, wanda ke da alaƙar ƙarya, amma yana nuna cewa ko da yin amfani da mafi girman iyaka na mutuwar Covid mai yiwuwa, har yanzu ana samun alamar mace-mace da ke faruwa.
(Ban haɗa da wannan ginshiƙi don MA ba saboda sun yi la'akari da mutuwar mutane da yawa ga Covid cewa a zahiri akwai ƙarancin mace-mace a kowace shekara idan kun ware duk mutuwar Covid. Duk da haka, kamar yadda za mu gani daga baya za mu iya nuna mutuwa mai yawa a MA a cikin yanayin mutum ba tare da covid ba.)
Wannan ginshiƙi na ƙarshe na MN ACM ya rushe mutuwar mazaunan NH da maza (hagu) da mata (dama):
(Zan haɗa da wannan ginshiƙi inda akwai babban bambanci a cikin abubuwan da ke faruwa ko yawan mace-mace tsakanin maza da mata.)
Nevada
(Tunda ba mu da cikakkun bayanai na 2023 daga Nevada, za mu haɗa da 2023 kawai inda ya dace.)
Yana da ban sha'awa cewa matsakaicin shekarun mutuwa a Nevada shine shekaru 3-4 a ƙasa da sauran jihohin:
Vermont
Vermont tana da mafi ƙarancin mace-mace gabaɗaya ta gefe mai faɗi, amma tana da ɗayan mafi munin yanayin bayan-2020 na wuce gona da iri (Da fatan za mu sami mutuwar 2023 nan ba da jimawa ba, kuma za mu iya sabunta wannan):
Ko da cire mutuwar Covid akwai bayyanannun yawan mace-mace da ke faruwa:
Tashin hankali daga duk waɗannan jihohin shine matakan mace-mace har yanzu ba su dawo zuwa ga tsohon tushe ba, kuma wannan yanayin yana bayyana musamman a cikin mutuwar waɗanda ba NH ba.
II. MATSALAR RASHIN WUTA (ICD 10 lambar N17)
Mafi ban mamaki yanayin yawan mace-mace a kowane takamaiman yanayi shine kila mutuwar da ta shafi gazawar koda mai tsanani (ARF). Matsayin wuce gona da iri yana da girma sosai, kuma wannan yanayin yana haifar da> mace-mace> 60,000 kowace shekara a cikin Amurka (wanda aka haɓaka a duk faɗin Amurka ƙimar wuce gona da iri da za mu gani zai yi daidai da ~ 150,000 wuce haddi mutuwar ARF)
Duk da ire-iren wawanci da al'adu na musamman ga hanyoyin kowace jiha na rubuta abubuwan da ke haddasa mace-mace, ana ganin yanayin wuce gona da iri a fadin kasar.
Na kwanan nan ya rubuta labarin don Labaran Shafin Gwaji rubuta adadin mutuwar ARF akan mafi girman matakin.
Yana da illa ga Kiwon Lafiyar Jama'a cewa wannan siginar ta kasance John Beaudoin ya fara lura da shi - ɗan ƙasa mai zaman kansa wanda ba shi da alaƙa da ko horo a lafiyar jama'a ko cututtukan cututtuka - lokacin da ya sami takaddun mutuwar Massachusetts baya a 2022. Yanzu 2024 ne, kuma duk abin da muke da shi shine ƙwaƙƙwaran jami'an kiwon lafiyar jama'a na ƙoƙarin FOIA don tabbatar da imel ɗin su amma a fili ba za a iya damu ba don bincika ninki biyu na mutuwar ARF a cikin shekaru biyu kacal.
Massachusetts
Jadawalin da ke gaba yana nuna jimillar adadin wadanda suka mutu da suka jera N17 a matsayin CoD:
Wannan yanayin yana magana da kansa.
Jadawalin na gaba yana nuna adadin duk mace-mace a MA kowace shekara waɗanda ke da N17 a matsayin CoD:
Canji a yawan adadin mace-mace tare da CoD da aka ba shi alama ce mai kyau cewa akwai yiwuwar kamuwa da cuta da mace-mace daga wannan yanayin, musamman idan adadin mutuwar ya karu. Kara fiye da adadin yawan mace-mace yana ƙaruwa gaba ɗaya.
Lokacin da muka kalli mutuwar mazaunan NH (dama), 2022 ya kai sama da ninki biyu na tushe zuwa kusan 250% wanda ba za a iya zato ba (!!):
Mahimmanci, har ma a cikin MA, yanayin mutuwar ARF yayi kama da kusan iri ɗaya ko da mun ware duk mutuwar da ke da duka N17. KUMA U071 (covid) akan takardar shaidar mutuwa:
A takaice dai, waɗannan mutuwa ce mai yawa waɗanda ba su da alaƙa da Covid, ko ma jiyya na Covid (duk majinyacin da aka yi wa Covid da ya mutu tabbas yana da Covid akan takardar shaidar mutuwa).
Minnesota
Muna ganin irin wannan yanayin na mutuwar ARF a Minnesota:
Hakanan kuma irin wannan yanayin a cikin adadin masu mutuwa tare da ARF kowace shekara:
Minnesota tana da bambanci mai ban mamaki na isa 300% wuce gona da iri a cikin 2022 a cikin mazaunan da ba NH ba (yana yiwuwa MA zai iya kuma idan za mu iya ware mazauna NH da suka mutu a asibitoci):
Hakanan kamar a cikin MA, girman girman abin da ya wuce gona da iri yana ci gaba har ma da ban da duk mutuwar ARF waɗanda kuma ke lissafin covid a matsayin CoD:
Nevada
Nevada yayi kama da mara kyau:
Jadawalin da ke gaba yana nuna adadin adadin mutuwar ARF a kowace shekara a Nevada daga Janairu-Yuli, wanda muke da takaddun shaida na 2023 - wanda ke nuna cewa ya zuwa yanzu 2023 yana girgiza zuwa mafi muni fiye da 2021, kodayake aƙalla a cikin NV 2023 da alama yana ƙasa da ƙasa idan aka kwatanta da 2022:
Nevada ta yi ikirarin kyautar mafi girman adadin adadin mace-mace a cikin kowace shekara tare da N17 (2022) daga cikin duk jihohin da muke da su:
Vermont
Tun da Vermont ba ta da lambobin ICD da aka sanya wa takaddun shaida na mutuwa, an tilasta mana mu yi amfani da sigogin rubutu maimakon, waɗanda yawanci ba su da kyau don kwatanta jihohi da juna.
Vermont yana nuna yanayin mafi rauni gabaɗaya a cikin yawan mace-mace tare da gazawar koda / koda -
- kodayake yana ƙara ƙarfi da zarar kun ware NH ARF mutuwar (hagu) daga mutuwar ARF marasa NH (dama):
A bayyane yake akwai wani abu da ke haifar da karuwa mai ban mamaki a cikin yawan mace-mace tare da gazawar koda….
CUTAR huhu (ICD Code I26)
Mun zaɓi Embolism na huhu - gudan jini a cikin huhu - a wani bangare saboda rikice-rikice ne na yau da kullun da ake dangantawa ga allurar Covid da Covid, kuma akwai bayyananniyar wuce gona da iri da ke faruwa a duk jihohin da muke da takaddun shaida na mutuwa daga.
Massachusetts
Jadawalin da ke gaba yana nuna adadin adadin wadanda suka mutu tare da I26 da aka jera azaman CoD kowace shekara:
Abin mamaki har ma muna iya ganin wuce gona da iri a cikin mutuwar NH PE (hagu) a cikin duk shekarun bala'in cutar, kodayake ba ta kusa da kaifi kamar mutuwar NH PE ba (dama):
Idan muka ware mutuwar Covid, yanayin da ya wuce ya kusan ɓacewa. Koyaya, shin yana da ma'ana (ta amfani da wuraren ba da labari na hukuma) cewa bayan yin allurar kusan duk tsofaffi da galibin manya, bambance-bambancen covid mafi ƙanƙanta suna haifar da babban abin da ya faru na PE? (Hakanan wannan har ma yana ba da cewa duk "mutuwar Covid" ainihin mutuwar Covid ne, wanda kuskure ne.)
Minnesota
Wannan kyakkyawan kwatanci ne na yadda jihohi daban-daban ke rubuta kowane yanayi na CoD daban (ko watakila kawai rubuta ƙaramin adadin gaba ɗaya).
Duk da cewa Minnesota tana da ƙarancin mutuwar ~15,000 a kowace shekara fiye da Massachusetts, a zahiri akwai ƙarin mutuwar a kowace shekara a MN tare da PE da aka jera a matsayin CoD (ban da 2015):
Shin akwai “rasa” PE daga takaddun mutuwar Massachusetts? Shin CDC ko wasu malamai masu amfani da bayanan mace-mace na ƙasa suna damuwa don warware bambance-bambance a cikin jihohi? Ta yaya kuke ma warware abin da ke faruwa a nan?
Duk tambayoyi masu kyau.
Idan muka kalli mutuwar NH da wadanda ba NH PE ba, muna ganin hoto mai kama da MA - akwai bayyananniyar wuce gona da iri ko da a cikin mutuwar NH, amma ba a bayyana shi sosai fiye da mutuwar wadanda ba NH ba.
Abin sha'awa, da alama akwai bayyanannun mutuwar PE a tsakanin mazauna NH in 2019.
Jadawalin da ke gaba yana nuna maza (hagu) vs mata (dama):
Ba kamar Massachusetts ba, akwai bayyanannun wuce gona da iri a cikin mutuwar MN PE a cikin mutanen da ba NH ba ko da mun keɓe duk mutuwar PE tare da covid da aka jera azaman CoD (dama):
Wani labari mai ban sha'awa a nan shi ne cewa bambanci tsakanin maza da mata ya fi girma a cikin wadanda ba NH ba:
Wannan abin lura ne saboda yawanci, rarrabuwar kawuna tsakanin maza da mata suna da alaƙa da haɓakar NH vs waɗanda ba NH ba saboda mata suna da ƙarancin adadin mazaunan NH (tsawon rayuwa), duk da haka a nan bambanci tsakanin maza da mata ya zama mafi girma ta ban da mazaunan PE na NH.
Nevada
Taswirar hagu yana nuna jimlar adadin mutuwar PE na duk shekara ta kalanda a kowace shekara, kuma ginshiƙi na dama yana nuna adadin adadin waɗanda suka mutu. daga Janairu-Yuli kowace shekara don daidaitawa don 2023 kamar yadda muka nuna ga mutuwar ARF kafin:
Yawanci ya wanzu har ma ban da duk mutuwar PE tare da Covid, kodayake mafi yawan shuɗewa:
(Ka tuna cewa yawaitar overcoding na Covid akan takaddun shaida na mutuwa ta hanyar wucin gadi yana lalata ƙimar wuce gona da iri lokacin da kuka ware Covid.)
Vermont
Ga Vermont, mun yi ƙoƙarin kama mace-mace tare da PE ta hanyar amfani da rubutun "Pulmonary * Embol," wanda ke ba da damar bambancin embolism, emboli, da embolus. (Abin takaici, ba za mu iya amfani da "PE" ko ma "PE" ba saboda yawancin kalmomin da suka bayyana a cikin filayen CoD suna da 'pe' ko 'pe' a cikinsu, misali "nau'in"):
Ba kamar sauran jihohi ba, a cikin VT babu wani gagarumin adadin mutuwar PE a cikin NH pop (hagu), wanda ke nuna ƙimar wuce gona da iri a cikin mutanen da ba mazaunan NH ba (dama):
Yi la'akari kuma yadda babu wuce gona da iri waɗanda ba NH PE ba a cikin 2020. Abu ne na 2021 na musamman.
Maza da mata a cikin VT suma suna da ban mamaki, suna karkatar da akasin shugabanci daga sauran jihohin:
III. CIWON HANKALI
Hawan jini na ɗaya daga cikin mafi yawan yanayi da aka jera akan takaddun mutuwa, fiye da ARF.
Zan mayar da hankali ne kawai a kan wani yanki na hauhawar jini - Ciwon Zuciya mai hauhawar jini, wanda ke nuna saurin haɓakar wuce gona da iri. Koyaya, don daidaita kwatancen da Vermont inda HHD ba ainihin abu bane, Na kuma ƙirƙira taswira ga duk jihohi ta amfani da ma'aunin rubutu na kowane mutuwa da ta mutu. ko dai "hawan hawan jini" KO "mai hawan jini" a cikin rubutun CoD.
Massachusetts
Jadawalin da ke gaba yana nuna jimillar adadin mace-mace kowace shekara tare da ko dai rubutun “hawan hawan jini” ko “hauhawar jini” a matsayin CoD:
NH vs wadanda ba NH sun mutu:
“Hypertensive”/“Hypertensive” mutuwar jimlar (hagu), kuma ban da duk irin waɗannan mutuwar waɗanda suma suna da lambar ICD U071 [covid] (dama):
Ƙididdiga mai zuwa mai yiwuwa yana da koyarwa. Wannan tsari, ckawai shekarun 2020-2023 don mutuwar NON-NH, nuna:
- GEFE: yawan mace-mace tare da rubutu na hauhawar jini/hauhawar jini wanda shima yana da covid a matsayin CoD
- BANGAREN DAMA: adadin mutuwar Covid wanda kuma ke da rubutun hauhawar jini/hawan hawan jini
Minnesota
Simitoci iri ɗaya kamar na MA:
Mazaunan NH da waɗanda ba mazauna NH ba - yanayin da ke cikin MN ga waɗanda ba mazaunan NH ba (dama) ya fi ban mamaki idan aka kwatanta da MA:
“Hypertensive”/“Hypertensive” mutuwar jimlar (hagu), kuma ban da duk irin waɗannan mutuwar waɗanda suma suna da lambar ICD U071 [covid] (dama):
Wannan lamari ne mai matukar damuwa ko da bayan ban da duk mutuwar "Covid".
A ƙarshe, yayin da adadin hauhawar hauhawar jini/mutuwar hauhawar jini tare da Covid a cikin Minnesota (LEFT SIDE) yayi kama da Massachusetts, yawan adadin mutuwar Covid waɗanda ke da rubutun hauhawar jini/hauhawar jini a Minnesota (GINDI DAMA) kusan ninka yawan adadin masu mutuwa da wannan yare a MA:
A ƙarshe, a Minnesota, idan muka mai da hankali ga masu shekaru 18-44, mun sami wani abu mai ban tsoro wanda aka kwatanta ta ginshiƙi mai zuwa wanda ke nuna adadin mace-mace tare da hauhawar jini/hawan jini na rubutu. a cikin yara masu shekaru 18-44 na maza (HAGU) da mata (DAMA):
Wannan yana kama da yanayin tashin hankali, a faɗi kaɗan.
Nevada
Don, Nevada yana da wahala a sami sigina bayyananne saboda bambanci tsakanin kowace shekara biyu yana da girma sosai:
Koyaya, idan kawai muka kalli irin waɗannan mutuwar a cikin masu shekaru 18-39, zamu ga fayyace kwatsam kwatsam na yawan mace-mace tare da yaren "hawan hawan jini"/"hawan jini:"
Vermont
A ƙarshe, muna da Vermont:
Inda wuce gona da iri ya fito daga wadanda ba NH ba:
Kuma kaɗan daga cikin waɗannan mutuwar suna da kowane bambancin rubutu na "Covid" (mun bi duk yuwuwar mutuwar Covid da hannu don lissafta wannan):
CIWON ZUCIYA MAI CUTAR ZUCIYA (Lambobin ICD I11 & I13)
Massachusetts
Minnesota
A Minnesota, yawan mutuwar da aka yi tare da HHD ya kusan zama mara kyau da matsananciyar mutuwar ARF:
Wanne ke nunawa a cikin adadin mace-mace kowace shekara waɗanda ke da ko dai I11 ko I13 azaman CoD:
Abin ban mamaki sosai, akwai ƙaruwa mai yawa a cikin waɗannan mutuwar har ma a cikin mazaunan NH (!!) (hagu), aƙalla ana bin diddigi tare da ƙaƙƙarfan girma a cikin waɗanda ba NH ba (dama):
Za mu iya ganin babban matakin wuce gona da iri a cikin matasa da muka gani a cikin rubutun mutuwar “hawan jini”/ “hauhawar jini” da ke sama a cikin wannan rukunin shekaru, wanda aka kwatanta a cikin ginshiƙi mai zuwa yana nuna adadin mace-mace tsakanin masu shekaru 18-49 tare da HHD:
Kuma kusan kowane ɗayan waɗannan mutuwar ba su da Covid - da kyar za ku iya ganin bambanci tsakanin sigogin biyu da ke ƙasa suna nuna jimlar mutuwar HHD gami da waɗanda ke da Covid (hagu) da ban da waɗanda ke da Covid (dama):
Nevada
Nevada yayi daidai da sigar rubutun da ke sama:
IV. RAUNIN JIKI / RASHIN JIKI
Raunin motsa jiki shine kawai sunan kowane nau'in hatsarori da suka shafi rauni na jiki na wani nau'in.
Wannan shi ne nau'i daya tilo a cikin wannan labarin inda mafi yawan bangare yana da wuya a samu, kuma hakika babu wani abu gama gari tsakanin jihohi.
Raunin jiki yana bazuwa a kan yawancin lambobin ICD daban-daban, kuma haɓakar da za mu nuna ba su nuna gaske ba tare da amfani da lambar ICD ko haɗin lambobin.
Ga kowace jiha, za mu yi amfani da keɓaɓɓen haɗin rubutu da / ko lambobin ICD, 'ya'yan itãcen binciken dubban takaddun shaida na mutuwa don samun ma'anar jumla daban-daban da lambobin ICD da aka yi amfani da su don gano raunin rauni na jiki.
Vermont
Za mu fara da Vermont, saboda ita ce jiha mafi sauƙi kuma ita ce asalin gano wannan yanayin.
Na yi mamakin gano yanayin da ke biyo baya lokacin da na nemo mummunan rauni a cikin Vermont - ginshiƙi da ke ƙasa yana nuna adadin mace-mace da ke ɗauke da ko dai kalmomin da ba su da kyau da rauni, ko kalmomin da ba su da ƙarfi da ƙarfi (wani lokaci ME na rubuta “Blunt Trauma, wani lokacin kuma suna rubuta abubuwa kamar “Rauni mai ƙarfi”):
Wannan yanayin yana ɗaukar ido.
Haka kuma, yana kuma kasancewa a cikin mutuwar NH (hagu) a cikin 2022, ba kawai mutuwar NH ba (dama):
Yana shafar maza da mata:
Abin sha'awa, ga mafi yawan waɗannan mutuwar, an rubuta raunin jiki a matsayin Muhimmin Mutuwar Mutuwa [UCoD] (hagu), wanda shine ainihin dalilin mutuwa; duk da haka akwai kuma wuce gona da iri da aka gani a tsakanin mace-mace inda aka jera raunin jiki a matsayin "Dalilin Mutuwa da yawa" [MCoD] (dama), watau duk wani ƙarin dalilin mutuwa wanda ba UCoD ba:
Massachusetts
Massachusetts ya kasance babban rikici ga mafi yawan ɓangaren, tare da yawancin jimloli da yawa da aka yi amfani da su.
Jadawalin da ke gaba yana nuna jimillar adadin mace-mace kowace shekara tare da aƙalla ɗaya daga cikin kalmomi ko jimlolin da taken ya nuna:
Akwai juzu'in mace-mace a Massachusetts wanda ke nuna a sarari kuma a bayyane yanayin yanayin mace-mace: mutuwar da ke amfani da kalmar "karya" a cikin bayanin CoD:
Wannan yanayin ya mamaye ƙimar Duk-Dalilin Mutuwar:
Kuma mafi abin mamaki, muna ganin wuce gona da iri a cikin yawan jama'ar NH da ke farawa daga 2022 (hagu), wanda ke kwatanta wuce gona da iri na 2022/23 da muke gani a cikin wadanda ba NH ba (dama):
Minnesota
Haƙiƙa Minnesota tana da ƴan lambobin ICD waɗanda ke nuna ingantaccen yanayi - haɗin W18/W19 wanda ke nuna faɗuwar da ba a bayyana ba. Na rubuta labarin game da wannan ɗan lokaci baya kafin mu sami cikakken bayanan 2023.
Anan ga fitattun ginshiƙi na mutuwar W18/W19 -
NH vs wadanda ba NH:
Maza vs mata:
Lokacin da muka yi amfani da bincike mai faɗi iri ɗaya kamar yadda muka yi a MA, muna ganin masu zuwa:
Muna ganin wuce gona da iri a cikin mutuwar NH da wadanda ba NH ba:
Koyaya, idan ya zo ga rubutun ƙarfi mai ƙarfi ko rauni mara ƙarfi - sigogin da muka yi amfani da su a Vermont - muna ganin wuce gona da iri a cikin wadanda ba NH ba (dama):
Nevada
A baya na rubuta game da Nevada da raunin rauni na jiki.
Ga ainihin ra'ayin:
Nevada yana kama da Vermont, inda babu wuce gona da iri a cikin 2020 amma 2021 ya tashi; kuma ya zuwa yanzu, a Nevada wannan yanayin na wuce gona da iri na gamuwa da motsa jiki yana ci gaba har zuwa 2023 a wani shirin mafi girma fiye da 2022 zuwa Yuli.
Mutuwar rauni ta jiki a cikin shekaru 30-49 ya fito fili a Nevada:
Nevada kuma yana nuna ƙarancin kisa a cikin mutuwar tare da kalmar "karya:"
V. CIWON SUGA (ICD 10 Lambobin E10-E14)
Ciwon sukari na daya daga cikin manyan masu kashe Amurkawa a duk shekara. Wanne zai ba da ban mamaki mai ban mamaki na ƙarin mutuwar masu ciwon sukari abin lura.
Massachusetts
Jadawalin da ke gaba yana nuna jimlar adadin waɗanda suka mutu tare da ɗayan lambobin ICD masu ciwon sukari:
Fitar da NH daga matakan da ba na NH ba yana fitar da wuce gona da iri a cikin wadanda ba NH ba bayan 2020 (dama):
Mutuwar masu ciwon sukari marasa NH, maza da mata:
Anan ga kicker: idan muka keɓe mutuwar waɗanda ke lissafin covid a matsayin CoD daga mutuwar masu ciwon sukari a cikin waɗanda ba NH ba, muna ganin ƙayyadaddun ƙayyadaddun ƙaƙƙarfan wuce gona da iri farawa daga 2020 kuma a ci gaba har zuwa yanzu (dama):
A takaice dai, wannan yayi kama da yawan mace-mace masu ciwon sukari a cikin 2020 har ma da 2021 mutane ne suka kashe ta hanyar manufofin covid/covid (kuma watakila ma rigakafin covid) inda ciwon sukari ya kasance cuta ce da ke haifar da mummunan sakamako, amma a cikin 2022/23, wuce gona da iri na iya haifar da karuwar kamuwa da cutar kansa.
Minnesota
Mutuwar masu ciwon sukari na Minnesota sun fi yawa ko da gabaɗaya idan aka kwatanta da MA kafin mu fara rarraba mace-mace zuwa ƙungiyoyi:
NH vs wadanda ba NH suna nuna bambanci sosai anan:
A cikin mutuwar masu ciwon sukari waɗanda ba NH ba, idan muka keɓance mutuwar covid, har yanzu muna ganin yanayin haɓakar mace-mace (dama) yana ci gaba bayan 2020 zuwa 2023:
Nevada
Na yi amfani da rubutun Ciwon sukari / masu ciwon sukari don Nevada, saboda ya kama adadin mutuwar da ya fi girma (Nevada yana da matsala ta musamman cewa tarin takaddun shaida na mutuwa suna rasa lambobin ICD. Duk da yake wannan ba koyaushe yana haifar da matsala ba, a nan ya sami babban bambanci, don haka sai na tafi tare da rubutun maimakon):
Nevada kuma yana nuna yanayin ban mamaki na wuce gona da iri a cikin masu shekaru 30-59 (kuma menene yake tare da rabin farkon 2021?):
Vermont
Yanayin Vermont yayi magana da kansa:
NH vs wadanda ba NH:
Kuma lokacin da muka ware mutuwar Covid, har yanzu muna ganin wuce gona da iri har ma a cikin 2020 (dama):
VI. CIWON CIWON KALORI (Lambobin ICD a ƙarƙashin E4)
Wannan yanayin ya buge ni a matsayin bazuwar gabaɗaya don bayyana mafi girman ƙimar fam-for-laba na yawan mace-mace na kowane babban yanayi.
Sai na ci karo da wani nazari mai dauke da layi mai zuwa:
"Masu ciwon daji sukan fuskanci asarar nauyi sakamakon rashin abinci mai gina jiki mai gina jiki (PCM) a lokacin cutar ko jiyya."
Don haka… yana iya zama ba zato ba tsammani bayan duk.
Hakanan yana da mahimmanci saboda an sami ƙaruwa mai yawa a cikin lissafin mutuwar PCM azaman CoD KAFIN annoba ta afkawa...a kowace jiha da muke da (!!).
Massachusetts
Daga 2015 zuwa 2019, adadin mutuwar PCM kusan ninkininki, daga 370 zuwa 623 mai ban mamaki.
Sannan a zahiri ya ninka sau biyu daga 2019 zuwa 2023 wanda ya lalata duniya 1,222 (!!).
Wannan yakamata ya ɗaga ƴan gira a CDC? (Kuma kamar yadda za mu gani, kowace jiha kamar haka):
Wannan ginshiƙi yana nuna jimlar adadin mace-mace kowace shekara inda UCoD (CoD na farko) ya kasance PCM:
Kuma ga mutuwar UCoD ta lalace tsakanin NH da waɗanda ba NH ba - yanayin iri ɗaya ne (!!!):
Minnesota
Minnesota ta ga wani matakala mai tsauri daga 2015 zuwa 2019, yana tafiya daga mutuwar PCM 367 zuwa sama da 250% karuwa na 858 ta 2019.
Wanda sannan ita kanta ta kusan ninka ta zuwa 1,623 nan da 2023:
Mutuwa tare da PCM azaman UCoD aƙalla yana nuna ƙarin yanayin yanayin kafin cutar:
Lokacin da muka rabu da mutuwar NH vs wadanda ba NH UCoD PCM ba, a cikin Minnesota, NH tana da KYAUTA MAI KYAU (?!?!?):
Wannan gaba daya hauka ne…
Nevada
Nevada yana da kuzari iri ɗaya:
Anan ga mutuwar UCoD vs MCoD a Nevada - UCoD PCM mutuwar a zahiri ta ragu (??) daga 2015-2018 kafin yin harbi a cikin 2019 kuma ta fashe a cikin 2020:
Vermont
Hatta Vermont. Amma Vermont yana ɗaukar cake tare da wani > 1,300% karuwa a cikin mutuwar PCM daga 2015 - jimlar mutuwar BIYAR - zuwa 2019 - 67 jimillar mace-mace.
Wanda ya biyo bayan bullar wajibi a cikin 2021/22.
Ina mamakin yadda 2023 zai kasance….
Vermont duk da haka yana da ɗan matsakaicin matsakaicin wuce gona da iri a cikin mutuwar NH (hagu) ba a gani a cikin wadanda ba NH ba (dama):
VII. SEPSIS
Taswirar Sepsis duk ginshiƙi ne da ake amfani da su don sauran yanayi kuma ba sa buƙatar ƙarin sharhi.
Massachusetts
Wannan ginshiƙi yana nuna mutuwar marasa NH a cikin shekaru 65-84, inda ƙari ya ɗan ƙara bayyana:
Wannan ginshiƙi yana nuna mutuwar marasa NH a cikin shekaru 65-84, sai dai mun yi amfani da tace rubutu maimakon lambar ICD A41 don nemo mutuwar da ke da alaƙa da sepsis:
Minnesota
Wannan wuce gona da iri yana da mahimmanci:
Idan muka ware mutuwar Covid daga mutuwar Sepsis, har yanzu muna ganin wuce gona da iri (dama):
Nevada
Zan ci amanar cewa idan za mu iya raba NH da wadanda ba NH ba, ban da mutuwar covid ba galibi za su ɓata yanayin wuce gona da iri ba, kuma ta yaya, mutuwar Covid tana da yawa:
Vermont
Mun ƙare da Vermont, wanda ke nuna jujjuyawar daji na shekaru biyar a jere na raguwar mutuwar Sepsis:
A Vermont, ban da mutuwar Covid da kyar ke haifar da yawan mutuwar Sepsis:
Faɗakarwa:
Yanzu ga gaske m disclaimers…..
- Ba a yi nufin wannan don wakiltar bincike na ƙarshe ko na ƙarshe na yawan mace-mace ba. Abin nufi shi ne a nuna cewa akwai alamun alamun da ke da matukar tayar da hankali na yawaitar mace-mace, wadanda cibiyoyin kiwon lafiyar jama'a ke watsi da su gaba daya. (Duk da haka, ra'ayi na ne cewa ko da a kan ingantaccen bincike, mafi rinjaye idan ba duk siginar da aka rubuta a nan ba za su ƙare.)
Don ƙarin takamaiman ko ƙayyadaddun bayanai da bincike game da bayanan shaidar mutuwa, duba littafin John Beaudoin Real CDC wanda ke da taswirori da yawa da baje koli (da tarin rahotannin VAERS da ya yi daidai da ainihin takaddun shaida na mutuwa, wata gazawar farko ta CDC/FDA don yin mafi ƙarancin magunguna).
Hakanan zaka iya ganin abin da muka rubuta a baya Labaran Shafin Gwaji, kuma zan rubuta ƙarin kasidu a wurin don ƙara fayyace bayanai da bayanan da ke cikin wannan labarin, waɗanda galibi su ne taƙaitaccen ra'ayi na ido-tsuntsu na abubuwan da ke faruwa.
Kungiyar Ed Dowd kuma yakamata ta fitar da rahoton farko kan yawan mace-mace tare da gazawar Renal a cikin 'yan makonni.
- Ba mu da takaddun shaida na mutuwa na 2023 don Vermont, kuma har zuwa Yuli don Nevada.
- Vermont kawai ta ba mu Rubutun CoD's, ba tare da lambobin ICD ba, don haka an tilasta mana mu yi amfani da ma'aunin rubutu mai tsafta don duk bayanan Vermont.
- Nevada kawai ya ba mu shekaru da jima'i, don haka an iyakance mu ta yadda za mu iya tantance mutuwar Nevada idan aka kwatanta da sauran jihohi.
- Kowace jiha tana da nata ra'ayin game da yadda suke kwatantawa da kuma rubuta yanayi daban-daban da ke ba da gudummawa ga mutuwa. Wannan yana sa kwatancen kai tsaye wahala. Sharuɗɗan da muka zaɓa sun bambanta da cewa akwai ci gaba a duk jihohin da muke da su a hannunmu. (Akwai wani keɓance ɗaya ga wannan, inda muka shiga zurfin nutsewa don tantance yadda ake rubuta raunukan motsin rai (misali faɗuwa, rauni mai ƙarfi) a kowace jiha da kuma nuna yanayin da muka sami damar ware.)
- Ƙaruwar mace-mace daga kowane irin yanayin da aka ba da ita ba shi kaɗai ba ne tabbacin cewa yanayin shi ne ya haifar da waɗannan mutuwar saboda yana yiwuwa an kashe mutane da yawa ta hanyar wani abu amma "mutuwa da" wannan yanayin. Bugu da ƙari kuma, wasu sharuɗɗan da kansu ainihin wakili ne ga wasu cututtukan kuma ba a kan nasu na farko na cutar ko mutuwa ba. Koyaya, karuwar mace-mace da ta shafi yanayi ko cuta, musamman wacce ta zarce yawan mace-mace, tabbas alama ce da ke iya kasancewa wani abu ga alaƙa - wani abu da lafiyar jama'a dole ne ta bincika kuma ta warware.
- Hanyoyin da ake gani a cikin adadin adadin mace-mace suna nunawa a cikin daidaitawar yawan jama'a a cikin 100K (ta amfani da lambobin ƙidayar Amurka)
- Ciwon daji ya tashi sosai; duk da haka, ƙoƙari ne mai sarƙaƙƙiya don nunawa kuma ba wani abu ba ne wanda ya dace don tsarawa azaman yanayi mai sauƙi. Har ila yau, tun da an riga an sami yaduwa ko da a cikin al'ada cewa ciwon daji ya tashi ("ainihin"), na yi tunanin cewa ya fi kyau a mayar da hankali ga wasu wurare akan yanayi tare da wuce haddi (Kuma wannan kuma ba su da rikici).
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Haruna Hertzberg marubuci ne kan dukkan bangarorin martanin cutar. Kuna iya samun ƙarin rubutunsa a Substack: Resisting the Intellectual Illiteratti.
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