Akwai sabon binciken daga yanzu daga Jamus, ku ba ni dama in ba ku ƙarin haske.
Marubutan sun fara da lura cewa akwai rashin tabbas game da cikakkiyar haɗarin COVID ga yara. Sau da yawa, mutane suna rarraba (yara tare da mummunan sakamako) ta (yara da ke gabatar da tsarin kiwon lafiya) amma wannan koyaushe zai kara girman haɗari, saboda ba ya haɗa da duk yaran da alamun su suna da laushi ba sa neman kiwon lafiya. Ma'ana, ma'auni ya fi ƙanƙanta fiye da ainihin ma'ana.
Bayanin gefe: binciken da ke da'awar COVID19 yana da ƙarin myocarditis fiye da allurar rigakafi suma suna fama da wannan kuskuren. Ina magana game da wannan batu nan.
Mawallafa na Jamus sun ci gaba da yin ta hanyar da ta dace, sun haɗa bayanan seroprevalance tare da bayanai game da mummunan sakamako a cikin yara. Suna rarraba (yara da mummunan sakamako) ta (yaran da suka sami covid19). An jarabce ni in faɗi wannan abin ban mamaki ne, amma gaskiyar ita ce: wannan takarda tana yin wani abu na asali da bayyane. Takardun da mutane ke ambata a maimakon haka suna da kurakurai.
Ga abin da muke samu ga yara masu lafiya tare da Covid-19:
- Ga yara masu lafiya, haɗarin zuwa asibiti shine 51 a cikin 100,000
- Ga yara masu lafiya, haɗarin zuwa ICU shine 8 cikin 100,000
- Ga yara masu lafiya, haɗarin mutuwa shine 3 cikin 1,000,000 ba tare da rahoton mutuwar yara sama da 5 ba.
- Yara 5 zuwa 11 suna da ƙananan haɗari fiye da yara <5 da matasa 12 zuwa 17
- Yara 5 zuwa 11 suna da haɗarin zuwa ICU na 2 a cikin 100,000; 0 mutu
- Daga cikin yaran da suka mutu na COVID19, kashi 38% sun riga sun kasance suna kan kulawar jinya / asibiti.
- MIS-C/PIMS ya kasance ƙasa da kowa tare da delta
Menene dauka?
A cikin Mayu na 2021, Wes Pegden, Stef Baral da ni muka yi gardama a cikin BMJ cewa ya kamata rigakafin yara ya ci gaba ta hanyar yarjejeniyar lasisin ilimin halitta ba izinin amfani da gaggawa ba. Saboda waɗannan haɗarin sun yi ƙasa kaɗan, dole ne mu nemi ingantacciyar shaida da manyan gwaji don nuna cewa yuwuwar fa'idar rigakafin ta zarce lahani.
Amfanin (a mafi kyawun) zai zama ƙanana - menene ƙasa da 3 a kowace miliyan? Muna son manyan gwaji bazuwar. Roƙonmu na iya shafar Burtaniya wanda ba ya yiwa yara 5 zuwa 11 allurar rigakafi (saboda rashin tabbas), kuma wataƙila ya taimaka wa FDA ta faɗaɗa girman samfurin gwajin. Sa'an nan Gruber da Kraus a FDA sun yi murabus kuma an ba da EUA.
Saurari tattaunawata da Cif ID na Peds Cody Meissner akan wannan batu.
Nazarin Jamus ya nuna cewa haɗarin yara masu lafiya sun yi ƙasa sosai. Hakanan yana nuna babban ƙoƙarin da ke ƙoƙarin karkatar da haɗari. Ta hanyar haɗuwa tare da yara masu lafiya da yara masu cututtuka, mutum zai iya samun adadin haɗarin da ke taimakawa ba ƙungiya ba. Sun yi ƙanƙanta ga yara masu rauni, kuma sun yi girma ga yara masu lafiya. Muna da wannan abu da yawa a Amurka.
Waɗannan sakamakon suna sanya haɗari ga yara cikin hangen nesa. Sun nuna mana cewa rufe makaranta ba daidai ba ne. Suna sa ku yi tunanin tambayoyi masu sauƙi: Menene fa'ida ta babba don rufe ɗan shekara 6 a makaranta? Alamomi: ko da yana aiki (Psst unproven) ba zai zama babba ba. Kuma, wannan bayanin kuma yana ba da tambayoyi masu wahala: Shin ɗan shekara 8 lafiyayye wanda ya riga ya sami Covid-19 yana amfana da rigakafin? Idan haka nawa? Idan haka ne, wace shaida ce ta tabbatar da hakan?
Lokacin da kuka san cikakkiyar haɗari, kun sanya Covid-19 ga yara a cikin hangen nesa.
Wannan nazari ne mai mahimmanci.
An sake bugawa daga mawallafin substack
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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).
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