Ofaya daga cikin daidaiton jinƙai na SARS-CoV-2 “cutar cutar covid-19,” har ma a matakin farko mafi muni, shine ƙarancin cuta mai tsanani. yara kullum, Da kuma lafiya yara, duniya. Covid-19 koyaushe ya kasance kuma ya kasance mai matukar girma shekaru- kuma rashin lafiya Cutar da ke tattare da haɗari da ke kaiwa tsofaffi marasa ƙarfi-musamman waɗanda ke ciki kula da taro- da kuma in ba haka ba masu matsakaicin shekaru zuwa tsofaffi masu yawa (misali, 6!), mai tsanani, cututtuka masu tsanani.
Don ɗimbin girman yawan al'ummar duniya, da ma'aikata, watau ~94 kashi 'Yan kasa da shekaru 70, yanzu mun san cewa mafi yawan bambance-bambancen farko, irin su Wuhan, Alpha, da nau'in Delta, sun ba da ƙarancin kamuwa da cuta mai saurin kisa (IFR; mutuwar covid-19 / jimillar cututtukan covid-19) na 0.1 kashi, ko 1 cikin 1,000 cututtuka. Wannan mura na yanayi-kamar IFR ga waɗanda <70, gabaɗaya, ya faɗo gabaɗaya a cikin kewayon shekarun yara (shekaru 0-19) zuwa Kashi 0.0003, ko 1 cikin 333,333. Irin waɗannan IFRs masu ban tsoro daga cikin waɗanda <70, musamman yara, don farkon bambance-bambancen SARS-CoV-2, sun kasance. rage by akalla sau 3 ƙari (don haka kashi 0.1/3; 0.0003 bisa ɗari/3!) Tun bayan zuwan igiyar ruwan Omicron a farkon 2022, da kuma watakila ma ƙananan bambance-bambancen da ke da alaƙa, waɗanda ke ci gaba da fitowa ta yanzu.
A cikin shekaru 3+, gami da lokacin da mafi yawan cututtukan farko na SARS-CoV-2 suka mamaye, ta hanyar Omicron, kuma har yanzu, ba ko daya ba mutuwar yara saboda covid-19, an yi rikodin shi a tsibirin Rhode. Wannan ya bambanta sosai da mura HINI guda uku (Murar alade) Mutuwar ciwon huhu na yara wanda ya karu a cikin kakar mura guda, a lokacin bala'in cutar murar alade na 2009-2010, mirroring kwanan nan yanayin mutuwar mura na yara na Amurka. Kwatanta muradun yara na Amurka da SARS-CoV-2 bayanan mace-mace tun daga 2009, sun nuna yadda duka biyun annoba, da mummunan barkewar mura na yanayi-wanda muke jurewa, a ɗan lokaci, ban da rashin jin daɗi—haifar da babban haɗarin mace-mace ga yara, fiye da SARS-CoV-2.
Mun kuma koyi cewa watsawar SARS-CoV-2, kamar kamuwa da mura, mutanen da ke fama da cututtukan cututtuka ne ke motsa su. Duk SARS-CoV-2 suna tuntuɓar su karatu, da kuma kyakkyawan ƙirar gwaji na bin diddigin hayaƙin ƙwayoyin cuta daga abubuwan da suka kamu da lafiya da gangan, an buga kawai a cikin da Lancet, sun sake tabbatar da wannan lura. Bugu da ƙari, ba tare da la'akari da yanayin watsawa ba, an kuma tabbatar da cewa yara ba "drive" cutar SARS-CoV-2.
Haɓaka waɗannan mutuwar SARS-CoV-2 da ba za a iya warware su ba da bayanan watsawa, karni na shaidar lafiyar jama'a iri ɗaya, waɗanda aka ƙarfafa cikin shekaru arba'in da suka gabata ta hanyar bazuwar, binciken gwaji da aka sarrafa, ya nuna cewa rufewar al'umma (tare da N95 masks, haka nan) baya hana kamuwa da cutar numfashin numfashimura, SARS-CoV-2, RSV, Da kuma wasu) a cikin manya, ko yara.
Yin watsi da kowane ɗayan waɗannan mahimman abubuwan guda huɗu, abubuwan da suka dogara da shaida, a ranar 24 ga Agusta, 2023, kafin sake buɗe makarantun jama'a na Rhode Island bayan hutun bazara, Cibiyar Ma'aikatar Lafiya ta Rhode Island (RIDOH) ta Cibiyar Cutar Cutar ta Covid-19 (CCE), ta rarraba takarda ( pdf na asali). nan; adana nan) zuwa ga jama'a "Shugabannin Makaranta da Gundumomi," tare da imel ɗin murfin mai zuwa daga CCE "shugaban ƙungiyar," Julia Brida:
daga: Brida, Julia (RIDOH-Contractor)Julia.Brida.CTR@health.ri.gov>
A aika: Alhamis, 24 ga Agusta, 2023 1:51 PM
Cc: COVID19 Tambayoyi, RIDOHRIDOH.COVID19Questions@health.ri.gov>
subject: [EXTERNAL] Cibiyar COVID-19 Epidemiology- Komawa Memo Makaranta
Muhimmancin: high
Barka da yamma,
Muna fatan kun yi babban rani! Gabanin shekarar makaranta ta 2023-24, Cibiyar Kiwon Lafiya ta Rhode Island don COVID-19 Epidemiology (CCE) tana so ta raba. memo don samar da mahimman bayanai da bayanai game da COVID-19. Wannan ya haɗa da:
- Babban shawarwarin COVID-19
- Jagorar asibiti
- Bin diddigin COVID-19 a Tsibirin Rhode
- Sabunta aiki na COVID-19
- Gwajin albarkatun
- Bayar da rahoto da tallafi
Cibiyar COVID-19 Epidemiology, Teamungiyar Ilimi
Julia Brida
Babban PM | HCH Enterprises
Manufofin Ilimi & Jagorancin Ƙungiya | Cibiyar COVID-19 Epidemiology (CCE)
Sashen Shirye-shiryen Gaggawa & Cututtuka (EPID)
Sashen Lafiya na Rhode Island (RIDOH)
Memo kanta bukaci dalibai da ma'aikata zuwa: "[G] an gwada lokacin da kuke da alamun COVID-19;" "Idan an fallasa shi ga wanda ke da COVID-19, lura da alamun cutar; gwada bayan rana ta 5; kuma sanya abin rufe fuska har zuwa rana ta 10." kuma
"Idan kuna da COVID-19, ware a gida na tsawon kwanaki 5 kuma ku sanya abin rufe fuska har zuwa ranar 10." Wani abin da ake kira "Covid-19 Operational Update" na memo ayyana, "Gwaji ya kasance muhimmin kayan aiki don gano kamuwa da cuta da hana yaduwar COVID-19."
Fitowa ba ya nan daga memo (a ajiye nan) duk wata magana ce mara tabbas cewa waɗannan shawarwarin sun kasance ba wajibi ne ga ɗalibai (da iyayensu), ma'aikata, ko gudanarwa, da rashin bin su ba Hana zuwa makaranta mutum, iyakance ayyukan makarantarsu, ko shafar tallafin gundumomi.
Wannan halin da ake ciki na baƙin ciki na yanzu, vis-à-vis "manufofin kiwon lafiyar jama'a" na makarantu, ya ci gaba da warware matsalar. Lysenkoist rashin kulawa wanda ya haɗu tare da martanin Rhode Island tun lokacin da yara suka dawo, gingerly, a bangare, zuwa "ilimin aji" a watan Satumba, 2020.
RIDOH da sauran "amincin kwakwalwar kwakwalwa" na Rhode Island koyaushe suna aiwatar da manufofin da jiga-jigan shugabannin covid na ƙasa suka yi wa jama'a ba tare da la'akari da su ba, kamar tsohon "Coordinator Response Coordinator, Dr. Deborah Birx. Dr. Birx ya kasance feted a Jami'ar Rhode Island a cikin kaka na 2020, inda ta yi tursasawa jama'a, gwajin covid da ba a zaɓa ba saboda, "ta babban damuwa (ya kasance) bazuwar asymptomatic." Wannan manufar gwajin da ba ta dace ba da kuma ginin karya na yaduwar asymptomatic, hakika duka biyu ne roba mai hatimi na RIDOH da kuma na gaba ɗaya, Dr. Nicole Alexander-Scott. Dr. Scott, a matsayin hujjar amincewarta ta wuce gona da iri game da gwajin gwaji na yau da kullun / asymptomatic, ta fitar da RIDOH "gargadi na farko"Sanarwar 'yan jarida asymptomatic, da kuma wani sakin layi na gaba game da kammalawar jihar"gwajin COVID-19 miliyan. "
Kusan shekara guda bayan haka, duk da ingantaccen aikin rufe fuska na al'umma, generalissima Scott a fusace ya ce, "Masks suna aiki,” a martanin da wani ɗan jarida mai zaman kansa, Pat Ford gabatarwa ga tambayar da ya yi ya haifar da matsalar yuwuwar illar rufe fuska ga yara, wanda Scott ya yi biris.
Daraktan Kiwon Lafiya na RIDOH Covid-19 (daga baya Mukaddashin Daraktan RIDOH), Dr. James McDonald karya a karkashin rantsuwa a Babban Kotun Koli na Rhode Island da'awar cewa yara RI uku sun mutu "Sakamakon COVID-19." Har yanzu a cikin rantsuwa, kimanin mako guda bayan haka, an ba Dr. McDonald damar "gyara" wannan aikin rantsuwar, kuma sai kawai ya yarda cewa akwai yiwuwar. ba kasance duk wani dalili na farko na mutuwar yara Covid-19 a tsibirin Rhode. McDonald shi ma ya amince, a gaskiya, a lokacin wannan shaida ta ƙarshe, cewa wani ɗan shekara 16 ya shigar da shi a Sashen Gaggawa na Rhode Island tare da mummunan rauni a kansa, wanda a matsayin wani ɓangare na gwajin shigarsa, ba zato ba tsammani "an gwada tabbatacce" don covid-19, za a sanya shi a matsayin "mutuwar covid-19," ta hanyar RIDOH. ya dace da ma'anar CDC. "
A gaba ajiya, A matsayin Mukaddashin Daraktan RIDOH, Dr. McDonald an yi masa tambayoyi game da cikakken bayani Jaridar Cutar Cutar Cutar Yara review-wata jarida da ya yi iƙirarin cewa ya saba da shi a matsayin likitan yara-mai take. "Matsayin Yara da Matasa a cikin Yaɗuwar SARS-CoV-2. ” Binciken ya ƙare,
"[T] a nan babu gamsasshiyar shaida har zuwa yau, shekaru 2 da barkewar cutar, cewa yara sune manyan abubuwan da ke haifar da cutar."
McDonald yayin da yake yarda da cewa bai karanta bita ba duk da haka, ba tare da ɓata lokaci ba, idan (tragi-) ya yi shelar ban dariya, "Ban yarda da wannan kima ba." Mai kyau Dr. McDonald tsinkaya ba zai iya ba ba da duk wani bayanan da aka buga don tallafawa jayayyar akidarsa.
Disambar da ya gabata (2022) Dr. Philip Chan na RIDOH ya taimaka gin up damuwa a kan tsibirin Rhode da ake kira "tripledemic", wanda ake zargi da haɗuwa da covid-19, mura, da cututtukan RSV, wanda ke shafar yara, musamman. Da'awar Dr. Chan ta tabbata controd. Hard data ya nuna ƙarancin shigar da yara na farko na covid-19, babban faɗuwar RSV, tare da shigar da asibiti na RSV, kuma zuwa ƙanƙanta, cututtukan mura na yara, da shigar da asibiti na mura, yana haifar da jimillar asibitocin asibiti na numfashi na yara.
Har yanzu, babban bala'i mai yuwuwa shine an riga an yi sauti, yanzu, ga wani abin da ake kira tripledemic wannan fall ta sabon darektan Cibiyar Kula da Cututtuka da Cututtuka, Dr. Mandy Cohen. Abin baƙin ciki, idan babu makawa nan ba da jimawa ba, irin waɗannan saƙonnin “sau uku” da aka cika su, tare da maimaituwa mara dacewa kan cutar covid-19 na yara, kusan tabbas za a iya maimaita su ta hanyar amintacciyar kwakwalwar lafiyar jama'a ta RIDOH ta Rhode Island.
RIDOH's sabuwar minted "koma makaranta" covid shawarwarin manufofin ba zai yi wani tasiri mai inganci ba, musamman ta fuskar barazanar da ba ta da dangantaka da yara. Amma tasirin tattalin arzikinsu na iya ci gaba da haifar da barnar da ba dole ba a kan al'ummominmu, ko da yake ba ta wuce gona da iri ba. ƙuntatawa. Ta yaya mu ƴan tsibirin Rhode za mu fitar da kanmu daga wannan ɗabi'a, mai adawa da kimiyya "manufofin makaranta" na ɗabi'a? Akwai gabaɗaya, samfuran tushen shaida da za mu iya kawowa.
A Sweden, buɗe makarantun firamare tare da malamai suna ba da ilimin ido-da-ido, kuma babu abin rufe fuska a ko'ina cutar covid-19, sun kasance hade tare da "Babu asarar koyo yayin bala'i" vs. rufe makarantu, "koyan nesa," da umarnin rufe fuska, a cikin Amurka, samarwa " koma baya na ilmantarwa na tarihi ga yaran Amurka," duk da 'Yan makaranta Rhode Island. Bugu da ƙari, akwai babu wanda ya mutu sakamakon COVID-19 tsakanin yaran makarantar Sweden a lokacin mafi tsananin tashin hankali lokacin bazara 2020 covid-19, yayin da malamai a matsayin sana'a ke da. kama ko ma kasa mummunar cutar covid-19, da sauran ma'aikatan Sweden.
Dokta Tom Jefferson ƙwararren masanin binciken likitanci ne na duniya wanda aka sani gudana mai suna na nazarin na al'umma masking don yuwuwar rigakafin kamuwa da kwayar cutar kwayar cutar numfashi ta kara kusan baya shekaru biyu. Amsa ga Dr. Anthony Fauci na baya-bayan nan rashin daidaituwa, sarari “m" na Dokta Jefferson's 2023 Cochrane Review na sake tabbatar da rashin bazuwar, shaidar gwaji da ke tallafawa abin rufe fuska, Jefferson ya lura,
"Don haka, Fauci yana cewa abin rufe fuska yana aiki ga daidaikun mutane amma ba a matakin yawan jama'a ba? Wannan kawai ba shi da ma'ana. Kuma ya ce akwai 'wasu karatu'… amma wane karatu? Bai ambaci sunayensu ba don haka ba zan iya fassara maganganunsa ba tare da sanin abin da yake nufi ba. Wataƙila Fauci yana dogara ne akan karatun shara. Yawancin su abin lura ne, wasu suna ƙetare, wasu kuma suna amfani da ƙirar ƙira. Wannan ba hujja ce mai karfi ba. Da zarar mun cire irin waɗannan ƙananan karatun daga bita, mun yanke shawarar cewa babu wata shaida da ke nuna cewa abin rufe fuska ya rage watsawa. "
Hakanan zamu iya sake bayyana shaidar cewa gwajin asymptomatic na jama'a, tun da cutar ta SARS-CoV2 ke haifar da mutane masu cutarwa, ayyukan wawa ne suka haɗu, sun fi muni har yanzu idan waɗannan ayyukan sun haɗa da manufofin makaranta.
A ƙarshe, iyayen Rhode Island da suka damu dole ne su buƙaci, ba tare da wata shakka ba, cewa RIDOH ta ba da sanarwar fayyace kai tsaye ga “Shugabannin Makaranta da Gundumomi.” Dole ne wannan bayanin ya bayyana a sarari cewa babu ɗaya daga cikin shawarwarin manufofin RIDOH na covid-19 da ya zama tilas, kuma rashin aiwatarwa ko bin su ba zai haifar da hana kowane yara ko ma'aikata makaranta, ko ayyukan makaranta ba, haka kuma irin wannan gazawar ba za ta kawo matsala ga wata makaranta ko gunduma ba.
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Andrew Bostom, MD MS, ƙwararren ƙwararren gwaji ne na asibiti da kuma cututtukan cututtuka, wanda a halin yanzu shine Likitan Bincike a Cibiyar Kula da Farko ta Jami'ar Brown don Kulawa na Farko da Rigakafin Asibitin Kent-Memorial a Rhode Island.
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