Barkewar cutar tana kan hanyarta, amma Amurkawa nawa ne ke tunanin tsarin Amurka ya yi nasara? Fiye da Amurkawa 600,000 sun mutu daga Covid, kuma kulle-kulle sun bar barna mai yawa. Amincewa da kimiyya ya lalace, kuma barnar ba za ta iyakance ga ilimin cututtukan cuta ba, ƙwayoyin cuta da lafiyar jama'a. Masana kimiyya a wasu fagagen abin takaici kuma za su fuskanci matsalar, ciki har da likitocin oncologists, masana kimiyyar lissafi, masana kimiyyar kwamfuta, injiniyoyin muhalli da ma masana tattalin arziki.
Matakin farko na maido da amanar jama'a ga masana kimiyya shine na gaskiya da cikakken kimanta martanin cutar da al'ummar kasar. Sens. Bob Menendez (D., NJ) da Susan Collins (R., Maine) sun gabatar da wani kudirin doka wanda zai kafa kwamitin Covid don nazarin asalin cutar, da farkon martani ga annobar, da kuma batun daidaito a cikin tasirin cutar. Har ila yau, gidauniyar masu zaman kansu suna cikin shirin tsara irin wannan hukumar.
Domin hukumar ta kasance mai gaskiya, tana bukatar ta kasance mai fadi a cikin iyawa da kuma kasancewa memba. Membobi ba za su iya samun sabani na sha'awa ba. Idan jama'a suka fahimci hukumar farar fata ce, rashin yarda da al'ummar kimiyya za ta kara gushewa. Dole ne kwamiti ya yi la'akari da manyan yankuna huɗu na dabarun cutar ta Amurka:
Matakan kiwon lafiyar jama'a, gami da rufe makarantu, kasuwanci, wasanni, ayyukan addini da al'adu; sauran nau'ikan nisantar jiki; kariya daga gidajen jinya; abin rufe fuska; gwaji; neman tuntuɓar; ƙidaya adadin; binciken dalilin mutuwar; rage kulawar likita; Biyan Dokar Kulawa ga asibitoci, da ƙari mai yawa.
• Maganin marasa lafiya na Covid, gami da rigakafi, warkewa, injina, kula da asibiti da cunkoson jama'a; bambancin kabilanci da samun kudin shiga; kimanta hukumomin tarayya da ke da alhakin gudanar da bincike kan jiyya.
• Alurar riga kafi, gami da haɓaka su da yarda; Kula da lafiyar rigakafin rigakafi; fifikon haƙuri; fasfo na rigakafi; da abubuwan da ke haifar da ƙara jinkirin maganin rigakafi.
• Magana da ba da labari na muhawarar kimiyya, gami da tsarin buga mujallu, ba da izini ga kamfanonin fasaha, tsoma bakin siyasa, da batanci da batanci a tsakanin al'ummar kimiyya.
A matsayin wani ɓangare na aikinta, Kwamitin Ba da Amsa na Covid dole ne ya kimanta sakamakon Covid da kuma lalacewar lafiyar jama'a, gami da jinkirin gwajin cutar kansa, mummunan sakamakon cututtukan zuciya, da tabarbarewar lafiyar kwakwalwa, don suna kaɗan. Kyakkyawan sakamako kuma yana da daraja haɗawa da.
Bai kamata Hukumar Ba da Amsa ta Covid ta damu da kanta da asalin ƙwayar cuta ba, wanda ya fi dacewa a bar shi ga sauran ƙungiyoyin bincike kuma zai raba hankali daga kimanta martanin. Asalin kwayar cutar ba ta dace da yadda Amurka ta magance cutar a gida ba.
Bai kamata masana kimiyyar halittu, masu aikin rigakafi da masu cutar su su mamaye hukumar ba. Memba ya kamata ya ƙunshi ƙwararrun masana waɗanda ke da faffadan ra'ayi game da lafiyar jama'a da manufofin, gami da waɗanda ke da ƙwararrun ilimin cututtukan daji, cututtukan zuciya, likitan yara da likitan yara, ilimin halin ɗan adam, ilimin tabin hankali, ilimi da sauran su. Ya kamata a wakilta marasa lafiya, kamar yadda ya kamata jama'a waɗanda kulle-kulle suka cutar da su, gami da masu fasaha, masu kananan sana'o'i, ɗalibai da limamai.
Yakamata hukumar ta aiwatar da tsauraran dokoki don tabbatar da cewa mambobin ba su da sabani. Misali, ya kamata a hana wa]anda suka taimaka }ir}iro manufofin annoba daga tantance kansu.
Anan akwai sharuɗɗan keɓancewar mu, waɗanda aka yi amfani da su ga duk wanda ke da hannu a cikin shirin ko kwamiti na yau da kullun: Babu wanda zai iya shiga wanda ke da albashi ko girmamawa, tallafin bincike ko hannun jari daga kowane kamfani na harhada magunguna, masana'antar alluran rigakafi ko kamfani da ke yin samfuran Covid kamar na'urorin iska, gwaje-gwaje, masks ko shinge. Babu jami'an kiwon lafiyar jama'a na tarayya ko na jiha, masana kimiyya da suka biya don ba da shawara ga Fadar White House ko gwamna kan manufofin Covid, ko duk wanda ya kasance ƙwararren ƙwararren mai ba da shaida a cikin shari'o'in kotu da ke da alaƙa da Covid da ya kamata a ba shi damar shiga.
Har ila yau, an cire: waɗanda suka yi aiki tare da kamfanonin fasaha ko wasu a kan tace; masana kimiyya waɗanda a bainar jama'a suna-da ake kira sauran masana kimiyya; da kuma wadanda suka yi kira da a yi tantama ko a yi watsi da wasu. Facebook, alal misali, ya fitar da wasu shawarwarinsa zuwa HealthfFeedback.org, wanda ke ɗaukar ƙungiyar masana kimiyyar kulle-kulle don kimanta iƙirarin sauran masana kimiyya. A wani misali, ƙungiyar ta sa Facebook ta yi la'akari da Martin Makary's Fabrairu Wall Street Journal op-ed, wanda daidai annabta ci gaban yawan rigakafi a Amurka
Shawarar da ba a biya ba ko bayyana ra'ayi game da martanin cutar bai kamata ya hana kowa yin aiki a hukumar ba. A zahiri, dole ne kwamitin ya haɗa da membobin da suka bayyana ra'ayoyi daban-daban, gami da waɗanda suka ba da shawarar hana kulle-kullen da kuma waɗanda suka yi gwagwarmayar jiyya daban-daban da shawarwarin rigakafin. Duk shawarwarin Kwamitin Ba da Amsa na Covid ya zama jama'a.
Don lafiyar kimiyya da ƙasa, muna buƙatar cikakken kimanta manufofin Covid, ba wanda za a iya watsi da shi azaman farar fata kamar ƙoƙarin Hukumar Lafiya ta Duniya. Alurar riga kafi labari ne na nasara, amma kimiyya ta yi asarar haske sosai yayin bala'in. Kimiyya za ta yi kasa a gwiwa a cikin muhimmin manufarsa ba tare da amincewar kowane bangare na al'umma ba.
An sake bugawa tare da izinin marubuta daga WSJ
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Dr. Jay Bhattacharya likita ne, likitan dabbobi kuma masanin tattalin arziki. Shi Farfesa ne a Makarantar Kiwon Lafiya ta Stanford, Mataimakin Bincike a Ofishin Nazarin Tattalin Arziki na Kasa, Babban Babban Jami'in Cibiyar Nazarin Manufofin Tattalin Arziki na Stanford, Memba na Faculty a Stanford Freeman Spogli Institute, da Fellow a Kwalejin Kimiyya da 'Yanci. Binciken nasa ya mayar da hankali ne kan tattalin arziki na kiwon lafiya a duniya tare da kulawa ta musamman kan lafiya da jin dadin jama'a masu rauni. Co-Marubucin Babban Sanarwa na Barrington.
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Martin Kulldorff masanin cututtukan cututtuka ne kuma masanin halittu. Shi Farfesa ne na Magunguna a Jami'ar Harvard (a kan hutu) kuma Fellow a Kwalejin Kimiyya da 'Yanci. Bincikensa ya mayar da hankali kan barkewar cututtuka da kuma lura da rigakafin rigakafi da amincin magunguna, wanda ya samar da SaTScan, TreeScan, da software na RSequential kyauta. Co-Marubucin Babban Sanarwa na Barrington.
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