Christine Grady ta rubuta dokokin Zika. Mijinta ya karya su. Tare suka kwashe cak din. Shiru ta yi ba tsaka-tsaki ba ne—haɗa kai ne.
Christine Grady, shugaban HHS na bioethics (yanzu mai ritaya, sai dai idan ta zabi Alaska) ya shafe shekaru da yawa yana gwagwarmayar masu rauni a cikin bincike na asibiti, musamman tambayar xa'a na jarabawar kalubalen ɗan adam wannan kasadar cin gajiyar talakawa domin amfanin kimiyya. Amma duk da haka, mijinta, Dokta Anthony Fauci na NIAID, ya yi watsi da ƙa'idodinta - da farko ta yi watsi da wani kwamiti na ɗabi'a na 2017 game da gwajin ƙalubalen Zika da ta taimaka wajen tsarawa, sannan ta tura mata allurar a Brazil yanzu Baltimore, ta yi shiru a matsayinta na ƙwararren masanin ilimin halittu na ƙasa cikin nutsuwa.
A karkashin kulawarsu, NIAID da gangan ta yi watsi da wani kwamitin da'a na 2017 da ya yanke hukunci kan kalubalen kalubalen dan Adam na Zika, ci gaba da gwaje-gwajen da Brazil ta ƙi kuma yanzu ana ci gaba da yin hakan a Baltimore. Wani ƙarin abin kunya ya ta'allaka ne game da yadda haɗin gwiwar Zika-microcephaly da ake zato cikin gaggawa ya zama rikicin duniya tun farko: firgici da tsoro, wanda ya ruɗe shi. Kafofin watsa labaru/hagu na Brazil (ta yin amfani da barazanar microcephaly na Zika a matsayin lefa zuwa Brazil ta juyar da matsalolin zubar da ciki) - kuma inda Fauci, musamman, ya tsananta barazanar yayin da yake watsi da hujjoji.
Tsoron Zika ya bayyana a cikin 2015-2016 lokacin da Arewa maso Gabas Brazil ta ba da rahoton karuwar microcephaly - jariran da aka haifa tare da ƙananan kawuna - tare da rates. ya kai har zuwa lokuta 49.9 a cikin 10,000 Haihuwa a wasu yankuna a cikin kololuwa a cikin Nuwamba 2015, wanda ya zarce na Matsakaicin asali na 0.5-2 lokuta a cikin 10,000. Sauro Aedes, sanannen mai ɗauke da Zika, an zarge shi da sauri, kuma cutar tana da alaƙa da lahani na haihuwa tare da saurin ban tsoro. Hukumar Lafiya ta Duniya (WHO) ta ayyana Gaggawar Kiwon Lafiyar Jama'a na Damuwa ta Duniya a cikin Fabrairu 2016, da kuma ɗaukar hoto ya kara tsoro, yana zana Zika a matsayin barazana ta duniya.
Binciken da aka yi kusa yana nuna wani al'amari mai ban sha'awa: ƙwayar microcephaly ya kusan keɓe gaba ɗaya Maganar bakin arewa maso gabashin Brazil maimakon wuraren ayyukan sauro.
Yankunan maƙwabta—kudancin Colombia, gabashin Peru, Venezuela, da kuma mafi faɗin rafin Amazon—ya ga babu kwatankwacin karuwa. duk da raba sauro iri daya, kwayar cuta iri daya, da kuma al'ummomi iri daya.
Wannan bambance-bambancen yanki yakamata ya haifar da tsattsauran ra'ayi mara kyau: Shin da gaske Zika yana haifar da microcephaly? Maimakon haka, labarin ya riƙe: Zika shi ne mugu, kuma maganin alurar riga kafi shine mafita. A tsayin 2015-16 tsoro, Brazil na da babu ingantaccen tushe na ƙimar microcephaly na farko ta yin amfani da daidaitattun ma'auni na likita. Da kura ta lafa. an yi amfani da matakan da suka dace, da kuma cututtukan microcephaly sun ragu sosai.
Lokacin da aka tattara bayanan baya na ƙarshe (kamar a cikin wannan yayi watsi da binciken WHO), wanda ake zaton "shekarar Zika" bai nuna ainihin bambanci daga shekarun baya ba.
Fauci, a matsayinsa na shugaban NIAID, ya taka muhimmiyar rawa wajen ruruta wutar. A ƙarshen 2016, har ma da ƙananan ƙwayoyin microcephaly a arewa maso gabashin Brazil sun ragu zuwa tushe.
Ya kasa yin aiki tare da hujja, yana ba da fifikon labari wanda ya yi daidai da manufofin NIAID akan mafi ma'auni, tushen shaida.
Abubuwan ƙarfafawa na kuɗi suna ba da ma'ana: Bill Gates yayi alkawarin dala miliyan 100 ga Moderna a cikin 2017 idan zai haɓaka rigakafin Zika musamman a matsayin mRNA; mai ba da labari game da rashin amfani da gaggawa na Covid-19 don tsallake gwajin Mataki na II & III.
Lissafin da'a ya zo ne a farkon 2017, lokacin da NIAID da Walter Reed Army Institute of Research (WRAIR) suka kira wani kwamiti don tantance yuwuwar gwajin kalubalen ɗan adam.-da gangan cutar da masu sa kai masu lafiya tare da Zika don haɓaka haɓakar rigakafin. Sakamakon kwamitin a bayyane yake: irin waɗannan gwaje-gwajen ba su dace ba, idan aka yi la'akari da yuwuwar cutar da tayin mai tsanani da rashin tabbas na tasirin dogon lokaci.
Amma Fauci da NIAID sun yi biris da shi. A cikin 2018, sun ba da shawarar gwajin ƙalubalen ɗan adam a arewa maso gabashin Brazil, bayar da dala miliyan 110 a cikin tallafin bincike- jimlar jaraba ga yanki mai fama da talauci.
Hukumar lafiya ta Brazil, ANVISA, ta ga yadda lamarin ya faru kuma ta yi watsi da shawarar, inda ta fifita da'a akan samun kudi.
Abokin haɗin gwiwar Brazil Dokta Esper Kallás na Jami'ar São Paulo ya kama shi: "Yana da mai kyau dilema saboda ba mu da Zika kuma. Amma abin da ya dame shi. Kowa ya damu da shi. Jari ne mai yawa." Da ƙarin zuba jari, da wuya shi ne a yi watsi da wani aiki, ko da a lokacin da dalilin ƙafe - misali "sunk cost fallacy. "
Sunan mahaifi Christine Grady m co-marubuci, Seema Shah, wanda ya jagoranci kwamitin da'a na 2017 ya sauya kwas a 2018, yana mai cewa, "Akwai dalili mai karfi na gudanar da gwajin ƙalubalen ɗan adam a yanzu. Cikakken bayani shine rikitarwa (sic) kuma yana da mahimmanci a yi nazari mai tsauri.Dr. Anna Durbin ta yi wa lakabin HCT-ban.mai rauni ga dukkan al'umma" (na masu bincike?).
Amsar NIAID? Sun karkatar da kuɗin zuwa Amurka., Musamman ga Makarantar Kiwon Lafiyar Jama'a ta Johns Hopkins Bloomberg, inda iri ɗaya ne Dr. Durbin-A mai ba da shawara don nazarin ƙalubalen ɗan adam-ya fara gudanar da gwaji a Baltimore.
Yanzu haka ana yiwa mata allurar Zika a Baltimore, duk da hukuncin da'a na shekarar 2017 da kuma rashin matsalar lafiyar jama'a. Wannan ba kimiyya ba ce - hubris ne.
Rashin da'a ba kawai tsari ba ne - na sirri ne. Christine Grady, matar Fauci kuma shugabar ilimin halittu ta kasar, ta gina aikinta na gargadi game da wannan daidai: cin gajiyar yawan jama'a don bincike. Ayyukanta da aka buga daga ƙarshen 1990s da farkon 2000s - akan tilastawa, biyan kuɗi, da kuma xa'a na gwaji a ƙasashe masu tasowa- yana karantawa kamar ƙirar abin da ba za a yi ba. Amma duk da haka, lokacin da mijinta ya matsa don yi wa matan Brazil marasa galihu da Baltimore allurar Zika don cutar da ta ɓace, ba ta ce komai ba.
A cikin 2016 da bayan haka, lokacin da abin ya fi dacewa, Dr. Fauci ya ƙetare ainihin ɗabi'ar da Misis Fauci ta taimaka a ayyana. Ya taba daukarta da muhimmanci? Ko kuma ainihin ƙimar ta kasance a cikin babban matsayi na tarayya - babban masanin ilimin halittu a HHS - yayin da yake watsi da ainihin aikinta? Idan da gaske ta cancanci wannan lakabi, me yasa aka yi watsi da ƙa'idodinta cikin sauƙi?
Kamfanoni kamar Moderna, Takeda, da Pfizer sun tsaya cin riba idan WHO ko CDC alurar riga kafi ta Zika ta zama greenlit, ƙirƙirar "samfurin har abada" wanda ke dawwama ba tare da la'akari da buƙata ba. Da zarar an amince da su, za su yi da'awar nasara a kan barazanar da ba ta cika cika ba-ko kuma, kamar yadda mahaifina, lauyan Bronx, ya saba yin ba'a, “Ni ne mai kama damisa na Bronx. [Ba damisa?]… Dubi irin kyakkyawan aiki da nake yi! "
Brazil ta ga gaskiya ta ce a'a. Ya kamata mu saurara. Madadin haka, an bar mu da gwaje-gwaje masu gudana a Baltimore, ɓarnatar da kuɗin tarayya, da bututun rigakafin da ke ba da muradun kamfanoni kan lafiyar jama'a.
Lokaci ya yi da za a tsautawa, gyarawa, da kuma nadama game da labarin Zika. Tsoron Zika wani al'ajabi ne mai tsoro; duk da haka, a lokacin da rigakafin Zika ya sami amincewar WHO, biliyoyin za su dauka kuma za a yi biliyoyin (na $$); shekara bayan shekara, "har abada." Kuma lokacin da babu wani lamari da ya taso, Babban Pharma/Babban Kiwon Lafiyar Jama'a wanda aka kama bisa tsari na jama'ar godiyar juna za su yi da'awar nasara.
"Zika-Microcephaly ya ɓace,” za su ce, “saboda maganin."A wannan karon kawai, kudin ba zai zama abin wasa ba - zai kasance na duniya, dindindin, kuma za a biya a cikin amana, ba daloli kawai ba.
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Dokta Randall Bock ya sauke karatu daga Jami'ar Yale tare da BS a cikin ilmin sunadarai da kimiyyar lissafi; Jami'ar Rochester, tare da MD. Ya kuma binciki abin ban mamaki 'kwanciyar hankali' da ya biyo bayan cutar ta Zika-Microcephaly ta Brazil ta 2016 da firgita, a ƙarshe ya rubuta "Juyar da Zika."
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