Sabuwar jagorar COVID-19 da Cibiyar Kula da Cututtuka da Cututtuka (CDC) ta bayar na iya zama kamar farkon ƙarshen maraba da cutar ta shekaru biyu da rabi, amma dogaro kan karyewar matakin al'umma na CDC da nuna wariya na iya haifar da tsawaita cutar ba dole ba da kuma sanya Amurkawa cikin abin rufe fuska na shekaru masu zuwa.
Dangane da ingantacciyar lokaci na cutar ta COVID-19 da kuma yawaitar samar da alluran rigakafi da jiyya na COVID-19 da yawa, CDC a ranar 11 ga Agusta ta ba da jagorar sassautawa. A lokaci guda, duk da haka, yunƙurin CDC don samun ƙarin hukumomin gwamnati, kasuwanci da makarantu don ɗaukar kayan aikin matakin Al'umma na COVID-19 don rufe yanke shawara yana da alaƙa, saboda kayan aikin ba ya haifar da wadatar alluran rigakafi da jiyya yayin tantance matakan a cikin larduna a duk faɗin Amurka.
A cewar CDC, da Kayan aikin matakin Al'umma na COVID-19 yana taimaka wa mutane da al'ummomi su yanke shawarar matakan rigakafin da za su ɗauka bisa sabbin bayanai. Kowane matakin yana ba da bayanin yadda COVID-19 ke tasiri ga al'umma ta amfani da bayanai kan asibiti da shari'o'i. Amfani da waɗannan bayanan, ana rarraba al'ummomi a matsayin ƙananan, matsakaici ko babba.
Kayan aikin matakin Al'umma baya la'akari da waɗannan abubuwan:
- Yaɗuwar yawan alluran rigakafin COVID-19 da jiyya
- Alurar rigakafin matakin gundumomi da ƙimar haɓaka
- Rage ƙarfin bambance-bambancen da bambance-bambance, asibitoci da mutuwa
Matsayin Al'umma na COVID-19 an ƙaddara shi ta hanyar mafi girman sabbin shigar da ma'auni na gadaje marasa lafiya, dangane da matakin yanzu na sabbin lokuta a cikin mutane 100,000 a cikin kwanaki 7 da suka gabata.
Tabbatar da duk bayanan da aka yi amfani da su don tantance matakin Al'umma na yanki kusan ba zai yiwu ba. Koyaya, a cikin wata karamar hukumar ta Arewacin Carolina, an gudanar da bincike mai ban sha'awa, godiya ga fayyace ta sashen kiwon lafiya na gida.
Dare County, NC
Yawancin gundumar Dare tana kan tsibiran shinge da aka fi sani da Outer Banks of NC Home zuwa rukunin wuraren shakatawa na ƙasa uku, gundumar Dare tana karɓar miliyoyin baƙi kowace shekara. Har ila yau, yana da sashen kiwon lafiya da ke haskakawa idan ana maganar gaskiya. Kowace Litinin, Ma'aikatar Kiwon Lafiya da Sabis na Jama'a ta Dare County (DCDHHS) yana bugawa a gidan yanar gizon sa adadin wadanda suka kamu da COVID-19, asibitoci da wadanda suka mutu a cikin kwanaki bakwai da suka gabata. Bayanan gida shine mafi ingancin bayanai, bisa ga CDC.
Saboda tabbataccen rahoto na DCDHSS, Dare County, NC an zaɓi shi azaman wurin tantance bayanai na makonni tara, tsakanin Yuni 9 da Agusta 4, 2022.
Abin lura na farko shi ne cewa COVID-19 ya ruwaito ta DCDHHS faufau ya yi daidai da rahoton Ma'aikatar Kiwon Lafiya da Ayyukan Jama'a (NCDHHS) na gundumar Dare da lambobin NCDHHS. faufau yayi daidai da rahoton CDC na ƙararraki na gundumar Dare. Yana da ban mamaki cewa lambobin NCDHHS ba su yi daidai da lambobin CDC na gundumar Dare ba saboda CDC's Surveillance Review and Response Group ya bayyana a cikin musayar imel cewa "an samo bayanan shari'ar da asibiti kai tsaye daga NCDHHS." Idan lambobin shari'ar ba su yi daidai ba cikin makonni tara madaidaiciya, daga ina ne lambobin shari'ar ke fitowa?
Ko da yake gundumar Dare tana karɓar miliyoyin baƙi a kowace shekara, jimillar yawan jama'ar gundumar 37,009 ne kawai. Wannan lambar ya zama dole a sani yayin da take taka rawa wajen tantance sabbin shari'o'i a cikin mutane 100,000 a cikin kwanaki bakwai.
Manufar farko na cimma ƙarami ko matsakaicin Matsayin Al'umma shine samun ƙasa da sabbin shari'o'in COVID-200 sama da 19 a cikin kwanaki bakwai. Ga gundumar Dare wanda ke nufin samun shari'o'i 74 ko ƙasa da haka (74/37,009*100,000=199.9 shari'o'i a cikin 100k). Gundumomin da ke da yawan jama'a za su iya samun ƙarin adadin shari'o'i kafin su wuce shari'o'i 200 a cikin 100,000, wanda shine ƙaramin misali na dalilin da ya sa kayan aiki ba ya aiki da kyau ga gundumar Dare kamar yadda ake yanke hukunci a gundumar 37,009 kawai yana da mazauna XNUMX.
A duk lokacin barkewar cutar, gundumar Dare ta ba da rahoton mutuwar mutane 27 kawai, wanda ya faru na ƙarshe a cikin Janairu 2022.
Amma game da kwantar da marasa lafiya, a wasu lokuta wannan kawai mutum ne zai je asibiti, yana yin gwaji wanda ya tabbatar da inganci kuma yana dawowa daga ƙofar bayan mintuna 15. Mutumin da ke cikin wannan misalin zai ƙidaya azaman sabon shigar da asibiti na tsawon lokacin rahoton kwanaki bakwai.
Bayan haka, asibitocin gundumomi su ne kiyasta ta CDC, kodayake sassan kiwon lafiya na gida suna da ainihin lambobi. A cikin bayanin ƙasa akan shafin yanar gizon masu bin diddigin bayanai na CDC, CDC ta ce, "bayanin da aka gabatar a nan yana amfani da ma'auni na yau da kullun a duk yankunan Amurka. Don ingantacciyar bayanai da na zamani don takamaiman yanki ko jiha, ziyarci gidan yanar gizon sashen kiwon lafiya na gida ko na gida." Wannan bayanin kula ne mai ban sha'awa tun da karuwar hukumomi, kasuwanci da makarantu suna amfani da kayan aikin matakin Al'umma don yanke shawara kuma a cikin tsari suna yin watsi da sahihan bayanan sashen kiwon lafiya na gida.
Wannan shine lokacin da kayan aikin Level ɗin Al'umma ke samun matsala sosai. Kusan kowace gundumomi a Amurka an haɗa su cikin Yankunan Sabis na Kiwon Lafiya (HSA) don dalilai na tantance sabbin shigar da mutane 100,000. Ana iya samun tantance waɗanne ƙananan hukumomi ne aka haɗa tare nan.
Menene ma'anar wannan? Yana nufin cewa matakin matakin Al'umma na gunduma ba wai kawai an ƙaddara shi ne ta yanayin nasa da asibiti ba; Makomar gundumomi sau da yawa ana samun cikas ta hanyar kwantar da marasa lafiya a wasu ƙananan hukumomi, waɗanda wasunsu ke da nisan mil ɗaruruwan.
Dare County ta HSA ta ƙunshi wasu gundumomi uku, babu ɗayansu da ke da iyaka da gundumar Dare. Abin mamaki, gundumar Currituck, NC tana raba iyakoki biyu tare da gundumar Dare amma tana cikin HSA wanda ya haɗa da Virginia Beach, Va. Ka tuna da yawan jama'ar Dare County 37,009? Hudu HSA tana da yawan jama'a 101,163. Adadin yawan jama'ar HSA yana da mahimmanci wajen tantance sabbin shigar da mutane cikin mutane 100,000.
Anan akwai wasu misalai masu ban mamaki na adadin asibitocin da DCHHS suka ruwaito a cikin kwanaki bakwai idan aka kwatanta da abin da CDC ta ba da rahoto na HSA na gundumar Dare.
Dare County Yuni 16, 2022 Asibiti
- DCHHS ya ruwaito 3
- CDC ta ruwaito 12
Sakamako
: Gundumar Dare tana cikin babban matsayi. Idan gundumar Dare ta yi amfani da ingantaccen lambarta, matakin al'umma zai kasance matsakaici.
Dare County Yuli 14, 2022 Asibiti
- DCHHS ya ruwaito 0
- CDC ta ruwaito 24
Sakamako
: Dare County ya kasance a babban matakin. Idan aka yi amfani da cikakken lambar gundumar Dare, sifili, matakin al'umma zai kasance matsakaici. A cikin wannan misali, a fili ɗaya ko fiye na wasu gundumomi uku a cikin HSA sun sami mummunan mako. Yana da wuya a yi tunanin cewa wani zai yi tunanin gundumar da ba ta da asibiti ya kamata ta kasance cikin babban matakin al'umma, amma abin da ya faru ke nan da gundumar Dare a ranar 14 ga Yuli.
Dare County Yuli 21, 2022 Asibiti
- DCDHHS ya ruwaito 2
- CDC ta ruwaito 18
Sakamako
: Dare County ya kasance a babban matakin. Idan aka yi amfani da cikakken lambar gundumar Dare, matakin al'umma zai kasance matsakaici. Bugu da ƙari, wani mummunan mako ga sauran gundumomi a cikin HSA ya yi mummunan tasiri ga gundumar Dare.
Tsakanin Yuni 9 da Agusta 4, gundumar Dare tana da babban matakin Al'umma shida cikin makonni tara. Idan an yi amfani da ingantattun bayanan asibiti da DCHHS suka ruwaito don tantance matakin, Dare County zai kasance a matsakaicin matakin Al'umma tara cikin makonni tara.
Har ila yau, abin lura shi ne cewa, gundumar Hyde, NC, da ke kudu da yammacin gundumar Dare, a kwanan nan an kiyasta cewa ba ta da cutar fiye da 10 a cikin kwanaki bakwai amma a cikin wannan lokacin an ce an kwantar da 81 a asibiti. Don maimaitawa, CDC ta ruwaito gundumar Hyde tana da kasa da lokuta 10 wanda ya haifar da asibiti 81. Ta yaya zai yiwu? Gundumar Hyde, tare da jimillar yawan jama'a 4,937 tana cikin HSA tare da wasu gundumomi guda biyar daidai da jimlar 270,709. An kafa shari'o'i akan gundumomi kuma asibitoci sun dogara ne akan HSA.
Me yasa wani abu na wannan batu?
Ga yawancin Amurkawa waɗanda suka ci gaba da rayuwarsu, kayan aikin matakin Al'umma na CDC ba shi da mahimmanci. Anan akwai misalai biyu na sakamakon kasafin kuɗin kayan aiki da sakamakon gudanarwa.
- Yawancin maziyartan wurare na cikin gida a ƙasar tarayya da Hukumar Kula da Kifi da namun daji ke gudanarwa, alal misali, ba sa ɗaukar abin rufe fuska, don haka kowane mako waɗannan hukumomin kula da ƙasa na matakin Al'umma suna kashe yuwuwar dubun-dubatar dalar Amurka masu biyan haraji kan samar da abin rufe fuska ga baƙi waɗanda ba su san wani babban matakin Al'umma ba. A game da gundumar Dare, NC, an yi kuskuren buƙatar abin rufe fuska na tsawon makonni shida cikin tara saboda dogaro da CDC akan HSAs da shari'ar da ba daidai ba da bayanan asibiti, wanda ya haifar da asarar kuɗi mai yawa a rukunin wuraren shakatawa na ƙasa guda uku da mafakar namun daji guda biyu a yankin, tare da tilasta dubban baƙi da ɗaruruwan ma'aikatan tarayya su sanya abin rufe fuska ba gaira ba dalili.
- Da zarar wata hukuma ta gwamnati, kasuwanci ko makaranta ta karɓi kayan aikin matakin Al'umma na CDC, ana cire sassauƙa don yanke shawarar rufe fuska bisa ingantattun bayanan gida da yawaitar alluran rigakafi da jiyya a cikin al'ummar yankin gaba ɗaya. Madadin haka, mai hadadden bayanan CDC mara inganci yana sarrafa duk shawarar ku da suka shafi COVID-19.
Game da sanya abin rufe fuska na tilastawa, ana iya samun wasu mutanen da suka ce, "Abu ne kawai abin rufe fuska, kawai sanya shi tsawon sa'o'i takwas a rana a wurin aiki kuma ku magance shi." Koyaya, ga mutane da yawa, abin rufe fuska ya zo don nuna alamar inda muke cikin cutar.
Lokacin da adadin alluran rigakafin matakin gundumomi, raguwar mace-mace da raguwar ƙarfin bambance-bambancen ba a sanya su cikin yanke shawara ba, ba zai haifar da fata cewa za mu taɓa fita daga cutar ba.
Maƙasudin bin ƙaƙƙarfan kayan aikin matakin Al'umma na CDC yakamata duk waɗanda suka karɓe su su ƙare kuma a bar duk Amurkawa su fara tsarin warkar da tabin hankali bayan COVID. Makomar kasarmu ta dogara da ita.
Sake bugawa daga marubucin Mayarwa
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Yaren mutanen Holland Jenkins shine shugaban marubuci a Jaridar Liberty, wani Substack mai mayar da hankali kan inganta rayuwa, 'yanci da kuma neman farin ciki. Shi sojan Amurka ne kuma tsohon sojan gwamnatin tarayya.
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