Ka'idodin likitanci shine kare al'umma daga rashin lafiyar likita da kuma son kai na mutane waɗanda muka amince da su kula da lafiya. Don haka yana da ban tsoro lokacin da fitattun mutane, a cikin fitacciyar mujalla, suka tsaga tunanin ɗabi'ar likitanci da ƙa'idodin haƙƙin ɗan adam. Ya fi muni idan sun yi watsi da ɗimbin hujjoji, kuma suka ɓad da tushensu don yin hakan.
A ranar 8 ga Yuli, 2022 Lancet an buga a'Ra'ayintaLabari akan layi: "Ingantacciyar umarnin allurar rigakafi don inganta ɗaukar allurar COVID-19 a cikin Amurka." Labarin, wanda ya yarda da rigimar yanayin umarnin rigakafin, da farko ta ƙarasa da cewa tilasta wa mutane ɗaukar samfurin magani, da rage zaɓuɓɓukan ƙi, yana ƙara ɗaukar samfur.
Ya kara da cewa, hanya mafi dacewa wajen aiwatar da irin wadannan umarni ita ce masu daukar ma’aikata da cibiyoyin ilimi su yi barazana ga tsaron ayyukan yi da kuma ‘yancin samun ilimi.
Yin amfani da tilastawa ya saba wa kafuwar ɗabi'a da ɗabi'a na Public Health, kuma ana iya jayayya cewa ya zama anti-lafiya. A wannan yanayin, labarin ya ba da hujja ta hanyar bayyana cewa "shaidar yanzu game da amincin rigakafin COVID-19 a cikin manya ya isa don tallafawa umarni." Duk da haka, yana ba da ƴan ƙaramar shaida don tabbatar da wannan ikirari, kuma ta yi watsi da duka shaida zuwa akasin haka. A bayyane suke ɗaukar ikon yin aiki da tallafawa iyali, ko samun ilimi, a matsayin wani abu da za a ba shi ko a kwace, ba haƙƙin ɗan adam ba.
The Lancet ya kasance ɗan jarida mai inganci tare da tsauraran manufofin bitar takwarorinsu. Duk da haka, a cikin wannan labarin ya bayyana cewa ya yi watsi da matakansa na baya, yana inganta ilimin likitanci (tilastawa, barazana da rarrabuwa don cimma yarda da hukuma) ba tare da nace kan tushen hujja mai ƙarfi don tabbatar da irin wannan hanyar ba. Wannan yana nuna ƙoƙarin daidaita irin waɗannan hanyoyin a cikin lafiyar jama'a.
Kwarewar da ta gabata ta nuna mana inda farkisanci a bayan facade na lafiyar jama'a zai iya kaiwa. Kamfen na hana haihuwa ya yi niyya ga mutane masu launi da masu karamin karfi na Zamanin Eugenicist na Amurka, da kari na kama shirye-shirye karkashin Nazism a shekarun 1930 da 1940 Turai, ya dogara sosai akan daidaita irin waɗannan hanyoyin.
Manyan muryoyin lafiyar jama'a daga Johns Hopkins Makarantar Kiwon Lafiyar Jama'a da sauran cibiyoyi sun ba da fifikon tsarin kula da lafiyar jama'a na tsabtace jama'a maimakon muhalli, tare da ƙarfafa ra'ayin al'umma mai zaman kansa inda masana kiwon lafiya ke tantance haƙƙoƙi da kula da lafiyar waɗanda ake ganin ba su cancanta ba.
Gujewa rashin jin daɗi na shaida
Marubutan wannan Lancet takarda, tun daga masana ilimi da masu ba da shawara kan kiwon lafiya har zuwa 'yar wani fitaccen dan siyasa, yunƙurin sake rubuta haƙƙin ɗan adam a cikin likitanci kamar ba a taɓa wanzuwa ba. Hujjarsu ta tilastawa a cikin yawan alurar riga kafi sun gane cewa 'hukunce-hukuncen rigakafin,' ko gwamnatoci, masu daukar ma'aikata ko makarantu, duk sun ƙunshi asarar haƙƙoƙi. Ba a yi ƙoƙari mai tsanani don ba da hujjar likita don yawan alurar riga kafi tare da rigakafin hana watsawa ba.
Takardar ta mayar da hankali ne kan batun cewa tilastawa, wanda aka fi sani da wani nau'i na karfi, yana sa mutane su yi abubuwan da ba za su yi ba. Hana 'yan'uwanmu daga yin zabin lafiyarsu kan radadin rashin shiga cikin al'umma na da tasiri kan karuwar shan alluran rigakafi. Wannan ba wahayi ba ne ga kowane ɗan adam mai tunani, amma a fili yana da mahimmanci isa ya tabbatar da bugawa a cikin The Lancet.
Labarin yana da alaƙa da shaidar umarnin rigakafin da aka yi amfani da shi don shiga makarantar jiha wanda ke nuna babban yarda lokacin da aka cire haƙƙin keɓancewar addini da na mutum, ko kuma inda aka sanya ƙaƙƙarfan buƙatu na keɓancewa. Barin tambayoyin ɗabi'a a gefe, ƙarancin kamanceceniya tsakanin allurar rigakafin yara waɗanda ke toshe watsawa da rigakafin COVID-19 waɗanda ke da. kadan tasiri on watsa, kuma yana iya ma Inganta shi, an yi watsi da shi. Wanda aka wajabta maganin rigakafin manya wanda aka ambata a cikin labarin, maganin mura, yana ba da raguwar kashi 2.5% kawai a cikin ciwon huhu 'lokacin da (waddan) rigakafin ya yi daidai da nau'ikan yaduwa' a cikin reference nakalto.
Lokacin da ake tayar da korar ma'aikatan da ba a yi musu allurar rigakafi ba, marubutan suna jin daɗin tsarin amma sun yarda da sakamakonsa. Shigar da suka yi cewa "wasu manyan ma'aikatan Amurka sun kori ɗaruruwan ma'aikata saboda rashin bin ka'idoji. Labari in Money mujallar wadda a zahiri ta zana hoto mara kyau, tana kwatanta ta a matsayin 'mai girma murabus. '
Marubutan kuma za su kasance suna sane da korar jama'a daga manyan ma'aikata kamar New York City (sama da 9,000 da aka kora ko aka sanya su hutu), Amurka Ma'aikatar Tsaro (DoD, wanda ya kori 3,400), Kaiser Permanente (an kori 2,200), kuma dubun dubatan ma'aikata sun yi asarar daga cikin Bangaren kulawa-gida na Burtaniya . Extrapolated ko'ina cikin ƙasashe da al'umma don a zahiri samar da sahihan bayanai na iya zama da rashin jin daɗi ga marubutan kuma Lancet masu gyara.
Babban inganci da aminci bayyane ne (ko da yake a kan nasu, rashin isa) buƙatu ga kowane samfurin da aka wajabta. Wannan yanki na aminci ana magance shi ta hanyar bayyanawa; "Shaidar yanzu game da amincin allurar COVID-19 a cikin manya sun isa don tallafawa umarni," in ji guda ɗaya. binciken kwatanta mutanen da aka yi wa alurar riga kafi makonni 1-3 da makonni 3-6 bayan rigakafin, yana bayyana ƙananan matakan ciwon zuciya, appendicitis da bugun jini.
Da'awar cewa "gwamnati mai yaduwa a cikin manya ta haifar da babban tushe mai tushe da ke tallafawa amincin allurar, gami da shaida daga binciken sa ido mai aiki" ya nuna cewa duka marubutan da The Lancet ba su san VAERS da Eudravigilance databases da aka kafa don ainihin wannan dalili ba. Ba a ambaci girma ba data on myocarditis, haila rashin daidaituwa, ko kuma wuce gona da iri mutuwa da sakamako mai tsanani a cikin ƙungiyoyin alurar riga kafi a cikin Pfizer bazuwar sarrafawa gwaji wanda aka dogara da rajistar gaggawa ta FDA. Su ne Lancet ta masu bita basu san wadannan kafofin ba?
tafin kafa reference don ingancin rigakafin yana tattaunawa game da sakamakon COVID-19 da aka samu iska mai iska, Yana yin watsi da lokacin zuwa kwanaki 14 bayan maganin da Pfizer ya gabata. yarda ana iya danganta shi da hana rigakafi. Fenton et al. sun lura cewa sanya mutumin da aka yi wa alurar riga kafi a matsayin wanda ba a yi masa allurar ba a cikin kwanaki 14 na farko bayan allurar yana da tasiri sosai kan bayanan tasirin rigakafin.
Yin watsi da mugunyar gaskiya
Rigakafin bayan kamuwa da cuta a cikin wanda ba a yi wa alurar riga kafi ba barazana ce ga muhawarar umarni. Marubutan sun nuna rashin amincewarsu da cewa “shaidu sun nuna cewa rigakafin da ke haifar da kamuwa da cuta ya bambanta ta kowane mutum, kuma mutanen da suka kamu da cutar a baya suna amfana da allurar rigakafin.
Ana amfani da nassoshi biyu anan: ɗaya daga binciken a Qatar da sauran karatu daga Kentucky. Binciken Qatar ya gano cewa "kariyar kamuwa da cuta ta baya daga asibiti ko mutuwa sakamakon sake haifuwa ya bayyana yana da ƙarfi, ba tare da la'akari da bambance-bambancen ba," yayin da binciken Kentucky ya gano cewa an rage sake kamuwa da cutar ta Covid a cikin watanni 2 jim kaɗan bayan rigakafin, kafin raguwa sannan kuma sake juyar da wannan kariyar kamar yadda aka nuna a cikin nazarin dogon lokaci a wani wuri.
The fadi da fadi of shaida on zumunta tasiri na rigakafin bayan kamuwa da cuta an yi watsi da shi. Ko dai marubutan sun kasa karanta nassoshinsu kuma ba su da masaniya game da raguwa da kuma ɗimbin ɗimbin wallafe-wallafen kan rigakafin kamuwa da cuta, ko kuma ba sa la'akari da nunin tasiri mai mahimmanci ga magungunan tilastawa.
A cikin zamanin da ya gabata, ko a cikin wata jarida mai inganci a baya, hujja don tilastawa don tallafawa aikin likita zai buƙaci babban ma'aunin shaida na inganci da aminci. Yana ba da hujjar soke wasu ƙa'idodi na asali kamar yarda da aka sani waɗanda ke cikin jigon ƙa'idodin likitancin zamani. Rashin magance sanannun bayanan sabawa ya kamata ya hana labarin kaiwa ga matakin bita na tsara.
Kaskantar da lafiyar jama'a yana wulakanta al'umma
An bar mu tare da takarda da ke nuna cewa tilastawa hanya ce mai kyau don ƙara yarda ga samfurin da ba ya rage haɗarin kamuwa da cuta a cikin al'umma, kuma yana da mummunar haɗari. illa. Yin watsi da waɗannan bangarorin biyu na allurar COVID-19 wata hanya ce mara kyau don tabbatar da yawan alurar riga kafi. Kai kaɗai ga duk wani damuwa game da haƙƙin ɗan adam - "Wasu masu adawa suna jayayya cewa umarni suna wakiltar cin zarafi mara kyau ga 'yancin ɗan adam" - hanya ce mai ban sha'awa don kwatanta kawar da 'yancin samun kudin shiga, ilimi da ikon yin hulɗa tare da wasu.
Ko da yake duk waɗannan haƙƙoƙin an amince da su a ƙarƙashin Universal Sanarwa don Haƙƙin Dan Adam, marubuta da The Lancet yi la'akari da su da rashin isassun mahimmanci don yin tunani akai.
Kiwon lafiyar jama'a ya kasance a wannan hanya a baya. Mun ga hanyar da al'umma ke bi lokacin da aka juyar da ka'idodin kiwon lafiyar jama'a don cimma burin da wasu ke ganin 'mai kyau' ne. Mun kuma ga yadda yawancin ƙwararrun kiwon lafiya za su bi, duk da munanan ayyukan da abin ya shafa. Babu wani dalili da za a yi imani da cewa wannan zagaye na farjin likitanci zai ƙare daban.
Mun dogara da mujallu na likita irin su The Lancet don aiwatar da aƙalla ma'auni iri ɗaya ga masu aiwatar da irin waɗannan rukunan kamar yadda suke yi ga wasu kuma suna buƙatar tushe mai ma'ana da gaskiya. Duk wani abu da ya rage zai haifar da ingantattun tambayoyi game da rawar da mujallar ke takawa wajen inganta waɗannan koyarwar, da matsayinsu a cikin 'yanci, tushen shaida da kuma mutunta haƙƙi.
Wannan yanki da aka rubuta tare da haɗin gwiwar Domini Gordon wanda ke daidaita shirin Buɗaɗɗen Kimiyya don PANDA.
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David Bell, Babban Masanin Kimiyya a Cibiyar Brownstone, likitan lafiyar jama'a ne kuma mai ba da shawara kan ilimin halittu a cikin lafiyar duniya. David tsohon jami'in kiwon lafiya ne kuma masanin kimiyya a Hukumar Lafiya ta Duniya (WHO), Shugaban Shirin Malaria da cututtukan zazzabi a Gidauniyar Innovative New Diagnostics (FIND) a Geneva, Switzerland, kuma Daraktan Fasahar Kiwon Lafiya ta Duniya a Asusun Kula da Lafiya na Duniya na Intellectual Ventures a Bellevue, WA, Amurka.
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