Mun ji abubuwa da yawa game da umarnin ma'aikatan kiwon lafiya na alurar riga kafi yayin da Manyan Koli suka gudanar da wa'adin rigakafin CMS na tarayya. Wannan wa'adin yana ba da damar Cibiyoyin Kula da Medicare & Medicaid Services (CMS) su riƙe kuɗin Medicare daga kowace ƙungiyoyi masu ba da lafiya waɗanda ba sa aiwatar da buƙatun allurar rigakafi a cikin ma'aikatansu. Sabuwar ranar ƙarshe ita ce 28 ga Fabrairu. Daga nan ne ƙwayar omicron ta iya wucewa sosai. Don haka, shin ko umarni na taimakawa?
Bayanin na Shugaba Biden a kan diddigin shawarar da koli ya yanke:
"Shawarar yau da Kotun Koli ta yanke na tabbatar da bukatun ma'aikatan kiwon lafiya zai ceci rayuka: rayukan marasa lafiya da ke neman kulawa a wuraren kiwon lafiya, da kuma rayuwar likitoci, ma'aikatan jinya da sauran da ke aiki a wurin. Zai rufe ma'aikatan kiwon lafiya miliyan 10.4 a wuraren kiwon lafiya 76,000. Za mu tilasta shi."
The New York Times yana son bayar da rahoto kan karancin ma'aikata a asibitoci. Gaskiya ko tsoro? Wajabcin yi ko a'a?
A cikin jihohin da suka riga sun aiwatar da allurar rigakafin ma'aikatan kiwon lafiya ya ba da umarnin asarar ma'aikata yana tsakanin 1-5%. Wannan baya haɗa da waɗanda aka keɓe.
Amma bayanai daga HHS sun nuna:
Jihohin da ke da asibitocin da ke da kashi 50% suna ba da rahoton muhimman batutuwan ma'aikata tun daga 1/11/2022:
New Mexico 53% (yana da umarnin HCW)
Vermont 65% (yana da umarnin HCW)
Jihohin da ke da 30-49% mahimman batutuwan ma'aikata
North Dakota 35%
California 36% (yana da umarnin HCW)
South Carolina 32%
Wisconsin 32% (yana da umarnin HCW)
West Virginia 40%
Lura: 4 na 7 (57%) jihohin da ke ba da rahoton mahimman batutuwan ma'aikata da suka shafi> 30% na asibitocinsu suna da wa'adin rigakafin ma'aikatan kiwon lafiya a wurin.
Jihohin da ke da izinin HCW na yanzu a wurin: California, Colorado, Connecticut, Delaware, Florida, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Tennessee, Vermont, Virginia, Washington, da Wisconsin.
“Dalilin” da ke bayan allurar rigakafin ma’aikatan kiwon lafiya: dabarun rigakafin kamuwa da cuta a cikin tsarin kiwon lafiya tare da ma’aikatan da aka yi wa allurar rigakafi sosai don rage haɗarin watsawa sosai. Ko: Riƙe ma'aikatan kiwon lafiya aiki da ƙarfi.
Shin ma'aikacin kiwon lafiya da aka yiwa alurar riga kafi yana hana yaduwa? Bayanai na yanzu tare da bambance-bambancen omicron baya goyan bayan wannan. Kwanan nan pre-buga karatu daga Afirka ta Kudu duba ƙimar yanayin ci gaba a tsakanin HCWs yayin beta, delta, da omicron. Wannan binciken yana daya daga cikin jerin gwaje-gwajen asibiti da aka gudanar Kungiyar Sisonke duban ingancin rigakafin Ad26.COV2.S COVID-19 (alurar rigakafin JnJ) wajen hana COVID 19 tsakanin HCWs. Yayin da yake mai da hankali kan allurar rigakafi guda ɗaya ba akan allurar mRNA ba, yana ba mu haske game da yadda ci gaban cututtuka ya karu a tsakanin HCWs daban-daban daga beta zuwa delta zuwa omicron yayin da suka zama masu yaɗuwa kuma suna samun ƙarin gujewa rigakafin rigakafi. Lura cewa bayanan omicron ya kasance na kwanaki 30 kawai.
"Za mu sami babban ƙalubale ga tsarin isar da lafiya - wato adadin gadaje, adadin gadaje na ICU har ma da adadin masu ba da kiwon lafiya," in ji Dr Fauci kwanan nan a cikin wata hira. "Hatta mutanen da aka yi wa allurar rigakafi suna kamuwa da cututtuka. Don haka idan kun sami isassun ma'aikatan jinya da likitocin da suka kamu da cutar, za su daina aiki na ɗan lokaci. Kuma idan kun ishe su daga aiki, za ku iya samun damuwa sau biyu kan tsarin kula da lafiya."
Don haka, umarnin yin allurar da “alurar riga-kafi” da aka ƙera daga ainihin kwayar cutar Wuhan zai taimaka da hakan?
To bari mu dubi karfin tsarin kiwon lafiyar Amurka gaba daya. Ɗaya mai kyau mai nuni shine zama na gadon asibiti na gaggawa. Kafin a gudanar da aikin ma'aikatan asibitin da ke fama da cutar da kuma karfin gado a daidai adadin don kiyaye riba. Asibitoci ta hanyoyi da yawa kamar otal ne kuma masana'antar otal sun yi nazari kan tasirin zama a kan riba sosai.
"Ya bayyana cewa ga matsakaicin farashin otal, kashi 75% na zama shine mafi riba yayin da manyan otal-otal, 85% zama shine mafi girman riba. Yawancin shugabannin asibitoci suna magana game da kashi 85% kasancewa mafi kyawun mazaunin asibiti."
Wannan magana ta fito ne daga Daraktan Likitan Tattalin Arziki na Asibitin Blog. Don haka duk tsakar dare ma'aikatan wake na asibiti suna lissafin karfin gado. A matsakaita kafin karfin gadon cutar ya kasance 80-85%. Wannan adadin ya bambanta dangane da lokacin shekara.
Don haka, wane aiki ko iya aiki ne asibitocin ke bayar da rahoto a halin yanzu? HHS yana tattara bayanan asibiti ciki har da ƙarfin gado da zama don gadaje na asibiti na manya da gadaje ICU. Suna yin haka don likitocin yara amma ba su da ƙarfi sosai. Bayanan HHS sun haɗa da lambobi na shigar da su daga duk cututtukan da ake zargi da kuma tabbatar da lamuran CV19. Sabbin juji bayanan shine Janairu 11, 2022 kuma ana iya samun dama ga nan inda zaku iya duba bayanan asibitin jihar ku.
Wannan bayanan jimillar bayanan manya ne na ƙasar gaba ɗaya da aka ƙididdige su ta hanyar haɗa jimillar bayanan jihar. Tabbas, za a sami jihohi masu amfani da gado mafi girma don duk sanadin cuta da CV19. Ba a ma raba majinyata musamman a cibiyoyin asibitocin birane inda ake samun riba. Gabaɗaya wannan bayanan ƙasa ba su bayyana kamar yadda suke ba New York Times ko Dr Fauci ya nuna hakan.
Shin hakan zai iya canzawa? Yana yiwuwa, amma sai dai idan mun kasance daban-daban na rayuwa fiye da sauran ƙasashe ƙimar asibiti za su kasance 40-60% ƙananan tare da omicron.
A nakalto FDA yayin sauraron amincin rigakafin rigakafin: dangane da “jimlar shaidu” shin yana da fa'ida da gaske a tilasta wa ma'aikatan kiwon lafiya a yi musu allurar rigakafin cutar da wani bambance-bambancen da allurar ta yi iyaka sosai idan akwai wani tasiri akan rage watsa ko kamuwa da cuta? Bugu da kari, na duk mutanen da na halitta rigakafi na bukatar ganewa, ma'aikatan lafiya ne.
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Eileen Natuzzi likita ce mai saurin kamuwa da cutar ta jiki, likitan dabbobi, kuma tsohon mai binciken barkewar cutar COVID-19.
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