Gina dogaro ga cibiyoyi yana da mahimmanci ga nasarar su, amma yayin da muke shiga shekara ta uku na annobar, lafiyar jama'a har yanzu tana da jahannama kan lalata kanta.
A cikin 'yan makonnin nan, mun ga jujjuyawa kan manyan shawarwarin manufofin: fasfo na rigakafin balaguron balaguron cikin gida da ba da izinin rigakafin Pfizer ga yara masu shekaru 6mo-4. An yi kwarkwasa da waɗannan a bainar jama'a, amma daga baya aka watsar da su. Gwamnatin ta tura samfuran likita ta hanyar, ba tare da allunan shawarwari na gargajiya ba (kamar yadda yake a cikin kashi na 4 na Amurkawa sama da 50). Mun ga sabani marasa ma'ana - cewa Kyrie Irving na iya kallon wasan kwando daga jere na farko, amma ba wasa a kotu ba - kuma mafi muni, cewa wannan doka tana aiki ne kawai a cikin birnin New York.
A ƙarshe, tsammanin cewa abin rufe fuska na iya dawowa a faɗuwar rana yana kan mu, duk da cewa dokokinmu sun zama marasa wauta, tare da sabobin gidajen abinci da masu zuwa makaranta suna aiki a matsayin na ƙarshe, mutane marasa ƙarfi waɗanda ke da alhakin rufe fuska ga kowa. Kiwon lafiyar jama'a, cibiyar, dole ne ta mallaki waɗannan ɓangarori da sabani saboda CDC tana da iyaka da ikon gyara su tare da bayyanannen jagora. Kamar yadda muke buƙatar amana, lafiyar jama'a da alama tana shirin lalata ta. Bari mu yi la'akari da waɗannan lokuta:
In farkon Oktoba 2021 Ashish Jha, sabon zababben Biden COVID Czar, ya ba da shawarar allurar rigakafin balaguron balaguron cikin gida, ra'ayin da ya sake nanata a ciki. karshen Janairu 2022. A ranar 27 ga Disamba, Anthony Fauci ya jaddada ra'ayin fasfo na rigakafi don balaguron iska na gida. Politico ta ruwaito cewa Dr. Jha yana da long ya shawarci gwamnati kan manufofin kiwon lafiya, kuma Dr. Jha ya tabbatar da shi samu "sabuntawa da sanarwa" daga gwamnatin kafin nada shi. Sa'an nan kuma shiru, an yi watsi da shawarar ba tare da wani mataki ba. A matsayina na na kusa da na kusa, na rude da abin da ya faru.
Hakazalika, a cikin Fabrairu 2022, FDA ta nemi Pfizer ya ƙaddamar da bayanai daga ci gaba, kuma har zuwa yau, gwaji mara kyau don rigakafin yara masu shekaru 6mo zuwa 4 shekaru. An shirya wani kwamiti mai ba da shawara don tattauna sakamakon, wanda aka ba da shi ga gidajen labarai a matsayin raguwa a lokuta masu alama - daya daga cikin makasudin gwaji na biyu. Sa'an nan, a daidai lokacin, an janye aikace-aikacen kuma an soke kwamitin shawarwari.
Wadannan jujjuyawar sun kasance masu ban tsoro. A ciki na karshen, Iyaye da yawa sun murkushe, suka ji kamar an ciro tabarmar daga cikinsu. Masana kimiyya sun nuna rashin amincewa, yana ba da shawarar a amince da maganin ta wata hanya. Amma na fi damuwa da cewa amincewa bisa rashin isassun bayanai zai ƙara jinkirin maganin rigakafi a kowane zamani, da sauran alluran rigakafi (wanda ake kira spillover effects). Ko da a halin yanzu, wannan ɗaukar hoto na whipsaw na iya lalata amincin iyaye.
A bara, da Manyan jami'ai biyu a FDA ta Amurka sun yi murabus, Yana nuna matsin lamba daga Fadar White House don amincewa da masu haɓakawa (kashi na 3) ga duk manya, duk da ƙarancin bayanan da ke nuna fa'ida a lokacin ƙuruciya. Yanzu ba tare da wannan ƙwaƙwalwar ajiyar cibiyar ba, Fadar White House ta ci gaba da ci gaba Babban shiri don ba da izini kashi na 4 na asali, kakannin Wuhan iri mRNA samfurin mRNA ga duk wanda ya kai 50 ko fiye. Kwamitin ba da shawara, ginshiƙi na gaskiya da 'yancin kai, an tsallake shi kuma yanzu an tura samfurin.
Wannan yanke shawara ce mai cike da cece-kuce saboda bayanan da ke nuna kashi na 4 na taimaka wa tsofaffi sun dogara ne akan binciken lura, wanda galibi ba su da tabbas, kuma, a wannan yanayin, ana fama da son zuciya da masu hannu da shuni suka fi son nema. Kyakkyawan sakamako bayan kashi na 4 ba za a iya raba shi daga ingantattun abubuwan zamantakewar zamantakewa ba.
Bugu da ƙari, akwai haɗarin da ba a yarda da shi na ƙarin allurai na allurai iri ɗaya ba, gami da zunubin antigenic na asali. Wannan kalmar tana nufin cewa a wani lokaci a nan gaba, idan muka ba da izinin wani maganin rigakafi na daban da aka yi don kaiwa wani sabon salo, masu karɓar allurai na 4 na tsofaffin alluran rigakafin na iya zama da yuwuwar haɓaka martanin rigakafin ƙwayoyin cuta ga nau'in asali ba ingantaccen furotin karu ba. Wannan haɗari ne da ba a sani ba ga manufofin yanzu.
The Jama'a na Kyrie Irving tunatar da duniya yadda dabarun COVID ke iya zama mara hankali. Mista Irving ma'aikaci ne na Brooklyn Nets, kuma yana ƙarƙashin umarnin allurar rigakafin ma'aikata na NYCs. Don haka ba zai iya aiki a NYC ba. Amma NYC ta yi watsi da allurar rigakafin da kuma abin rufe fuska don halartar wasannin Brooklyn Nets. Kyrie na iya tsayawa a layi na gaba da fara'a, amma ya kasa tsayawa kan kotun. Hakanan zai iya yin wasa a lokacin wasannin waje, kuma ya ziyarci 'yan wasan da ba a yi musu allurar rigakafi ba waɗanda za su iya taka leda a New York. Manufar ta kasance haka saba wa cewa Kevin Durant, abokin aiki, ya kira shi 'ba'a'. A mayar da martani ga sukar, magajin gari ya kebe 'yan wasa daga wa'adin, hanyar ba da agajin bandeji wanda ya sa manufar ta kara rashin adalci ga talakawan ma'aikata, kuma yanzu abin da wasu ke yi. kira "Kyrie carveout."
A ƙarshe, muna ci gaba da damu da abin rufe fuska. Yin rufe fuska ga yara, masu zuwa makaranta, da yuwuwar maido da wajibcin abin rufe fuska a cikin Faɗuwar, idan al'amura sun tashi. Wannan furucin ya karyata zurfin gaskiyar: mun san kadan game da lokacin da kuma idan abin rufe fuska na al'umma ya ba da umarnin rage yaduwar.
Haka kuma, a cikin ƙasar da duk wani balagagge da ke son yin allurar rigakafi na bara zai iya yin rigakafin, manufar abin rufe fuska, ko da suna aiki (kamar madaidaicin n95s), da alama ba shi da ma'ana. Sars cov 2 zai kamu da kusan kowa a duniya, gaskiyar da Anthony Fauci ya yarda. Jinkirta wannan rashin makawa yayin da ake tsokanar fushin siyasa tamkar wata shawara ce ta wauta.
Kiwon lafiyar jama'a, zuwa wani mataki, ke da alhakin waɗannan sabani, rashin jin daɗi, da rashin hankali. Hukumomin gwamnati da ƴan wasan kwaikwayo sun kasa bayyana manufofin kuma sun gaza yin magana da rashin tabbas, musamman a kusa da rufe yara - sa baki inda Amurka ta kauce daga Turai da Hukumar Lafiya ta Duniya.
Babban Likitan Surgen yana kan a farautar bayanan karya, da bacin rai tare da podcaster Joe Rogan, amma ya bayyana gaba ɗaya baya iya dubawa. Amincewa da lafiyar jama'a ya tafi ba duk da ayyukan lafiyar jama'a ba, amma saboda su. Lokacin da tauraro ya mutu, zai iya zubar da gutsuttsura a cikin galaxy, kuma idan lafiyar jama'a ta taso, Amurkawa za su nemi mai siyar da man maciji da charlatans, kuma kanmu kawai za mu zarga.
An sake bugawa daga marubucin Mayarwa
-
Vinay Prasad MD MPH masanin ilmin jini-oncologist ne kuma Mataimakin Farfesa a Sashen Cutar cututtuka da Biostatistics a Jami'ar California San Francisco. Yana gudanar da dakin gwaje-gwaje na VKPrasad a UCSF, wanda ke nazarin magungunan ciwon daji, manufofin kiwon lafiya, gwajin asibiti da mafi kyawun yanke shawara. Shi marubucin sama da labaran ilimi 300, da kuma littattafan Ƙarshen Juyawar Likitanci (2015), da Malignant (2020).
Duba dukkan posts
