Ngesikhathi umgomo unikezwa ekupheleni konyaka odlule, umyalezo ovela kuzikhulu zezempilo wawulula: goma lapho uhlangabezana nemibandela futhi uthole noma yimuphi umuthi wokugoma owunikezwe wona.Kodwa-ke, njengoba ama-booster etholakala emaqenjini athile abantu, futhi imijovo yedosi ephansi kulindeleke ukuthi inikezwe izingane ezincane maduzane, ukunyakaza kuyasuka kusethi yemiyalo elula kuya kuma-flowchart amaningi anesiphithiphithi kubantu abahlela futhi banikeze ama-jabs.
Thatha i-Moderna booster njengesibonelo.Kugunyazwe yi-US Food and Drug Administration ngoLwesithathu futhi kulindeleke ukuthi kunconywe yi-Centers for Disease Control and Prevention kubantu abaneminyaka engu-65 nangaphezulu kanye nabantu abanezici ezithile eziyingozi-Pfizer-BioNTech booster egunyazwe inani labantu .Kepha ngokungafani nemijovo ye-Pfizer, i-Moderna booster ingumthamo wesigamu;kudinga ukusetshenziswa kwebhodlela elifanayo nethamo eligcwele, kodwa kukhishwa ingxenye kuphela yomjovo ngamunye.Ngokwehlukana nalokhu umthamo wesithathu ogcwele wale mijovo ye-mRNA, egunyazwe abantu abangenawo amandla omzimba.
"Abasebenzi bethu bakhathele futhi bazama ukwenza izinhlelo [zokugoma] izingane," kusho u-Claire Hannan, umqondisi omkhulu weNhlangano Yabaphathi Bokugoma.“Amanye amalungu ethu ayengazi nokuthi iModerna yayiwudosi omncane, saqala nje ukukhuluma ngayo…
Ukusuka lapho kuba nzima kakhulu.I-FDA iphinde yagunyaza ukuthi i-CDC kulindeleke ukuthi iphakamise umthamo wesibili womjovo ka-Johnson & Johnson kubo bonke abantu abathola umjovo ngokushesha nje ngoLwesine-hhayi nje inani elincane labantu uma kucatshangelwa ukuthi i-booster yomjovo weModerna noma i-Pfizer ingamukelwa.Yize abantu abagonywe nge-Pfizer kanye neModerna befaneleka ukuthola i-booster ezinyangeni eziyisithupha ngemuva kokuqeda uchungechunge oluyinhloko lwale migomo, abantu abagonywe ngo-Johnson & Johnson kufanele bathole isibhamu sesibili ngemva kwezinyanga ezimbili zokugoma kokuqala.
Ngaphezu kwalokho, i-US Food and Drug Administration iveze ngoLwesithathu ukuthi ivumela indlela “yokuxuba nokufanisa” nama-booster, okusho ukuthi abantu abadingi ukuthola imijovo efana nama-booster njengoba benza ochungechungeni oluyinhloko.Le nqubomgomo izohlanganisa uhlelo, yenze kube nzima ukubikezela ukuthi mingaki imithamo ezodingeka esifundeni ngasinye ukuze kugonywe i-booster.
Bese kuba nomgomo we-Pfizer wezingane eziyizigidi ezingu-28 ezineminyaka engu-5 kuya kweyi-11.Abeluleki be-FDA bazohlangana ngoLwesibili oluzayo ukuze baxoxe ngomgomo we-Pfizer wezingane ezineminyaka engu-5 kuya kweyi-11, okusho ukuthi ungase utholakale maduze.Umuthi wokugoma uzoba sebhodleleni elihlukile lomjovo wabantu abadala wenkampani futhi uzosebenzisa inaliti encane ukuletha umthamo wama-microgram ayi-10, kunomthamo wama-microgram angama-30 osetshenziselwa intsha kanye nabantu abadala abaneminyaka eyi-12 nangaphezulu.
Ukuhlela konke lokhu kuzowela emakhemisi, izinhlelo zokugoma, odokotela bezingane, nabaphathi bemithi, abaningi babo asebekhathele, futhi kufanele balandelele i-inventory futhi banciphise imfucuza.Lokhu kuzoba futhi ushintsho olusheshayo: uma i-CDC isihlolile ibhokisi lokugcina le-booster nezincomo zalo, abantu bazoqala ukuzifuna ngenkani.
Ubuholi be-FDA buvumile ukuthi konke lokhu kudala izinselelo."Nakuba kungelula, akunzima ngokuphelele ukuphelelwa ithemba," kusho uPeter Marks, umqondisi we-FDA's Center for Biologics Evaluation and Research, ngoLwesithathu ngesikhathi ekhuluma nabezindaba mayelana nentsha ye-FDA (Hyundai and Johnson) kanye nokukhishwa okubuyekeziwe. ..Pfizer) ukugunyazwa kwezimo eziphuthumayo.
Ngesikhathi esifanayo, umkhankaso wezempilo womphakathi usazama ukufinyelela emashumini ezigidi zabantu abafanelekile abangagonyiwe ngokuphelele.
UNobhala Wezempilo eWashington State u-Umair Shah uphawule ukuthi izikhungo zezempilo zomphakathi zisahambisana nedatha ye-Covid-19, ukuhlolwa kanye nezimpendulo, kanti kwezinye izindawo zisabhekene nokuhlinzwa okuqhutshwa ukwahluka kweDelta.Utshele i-STAT: "Ngokungafani nalabo abebephendula i-Covid-19, leyo eminye imithwalo yemfanelo noma eminye imizamo iyanyamalala."
Okubaluleke kakhulu umkhankaso wokugoma.“Bese uba nama-booster, bese uba nezingane ezineminyaka emi-5 kuya kweyi-11,” kusho u-Shah."Ngaphezu kwalokho obekwenziwa yizempilo yomphakathi, unokuthile okungeziwe."
Abathengisi nezikhulu zezempilo zomphakathi bathe banesipiliyoni sokugcina nokuletha imikhiqizo ehlukile kweminye imigomo, futhi balungiselela indlela yokusingatha isigaba esilandelayo somkhankaso wokuvikela abantu ku-Covid-19.Bafundisa abaphathi bemithi yokugoma futhi basungule izinhlelo zokuqinisekisa ukuthi abantu bathola umthamo ofanele lapho begonyiwe-noma ngabe uchungechunge oluyinhloko noma umuthi wokugoma okhuthazayo.
Emsebenzini wokwelapha womndeni wakwa-Sterling Ransone eDeltaville, eVirginia, wadweba ishadi elichaza ukuthi yimaphi amaqembu afanelekile ukuthola imijovo kanye nekhefu elinconyiwe phakathi kwemithamo ehlukene yomjovo.Yena kanye nabasebenzi bakhe abahlengikazi baphinde bafunda indlela yokuhlukanisa imithamo ehlukene yemijovo lapho bekhipha imithamo ehlukene yemijovo ezitsheni, futhi basungula uhlelo lokufaka amakhodi ngombala, oluqukethe obhasikidi abahlukene bemijovo yabantu abadala, kanye nosizo lukaModerna.Amapusher kanye nomjovo owodwa wezingane ezincane kuyatholakala.
“Kufanele ume futhi ucabange ngazo zonke lezi zinto,” kusho uLanson, umongameli we-American Academy of Family Physicians.“Iziphi iziphakamiso okwamanje, yini okufanele uyenze?”
Emhlanganweni we-FDA's Vaccine Advisory Committee ngesonto eledlule, elinye lamalungu ephaneli lizwakalise ukukhathazeka “ngomthamo ongafanele” (okungukuthi, ukudideka komthamo) kuModerna.Ubuze uJacqueline Miller, inhloko yenkampani yokwelashwa kwezifo ezithathelwanayo, mayelana nokwenzeka kwezitsha ezihlukene zemijovo yokuqala kanye nemijovo ye-booster.Kepha uMiller uthe inkampani isazohlinzeka ngebhodlela efanayo lapho umphathi angadonsa khona umthamo we-microgram eyi-100 noma umthamo we-50 microgram booster, futhi ihlela ukwenza olunye uqeqesho.
“Siyabona ukuthi lokhu kudinga imfundo ethile kanye nokugcinwa komthetho,” kusho uMiller.“Ngakho-ke, silungiselela ukuthumela incwadi ethi 'Dear Healthcare Provider' echaza indlela yokuphatha le mithamo.”
Izitsha zokugoma zikaModerna zitholakala ngosayizi ababili, eyodwa yochungechunge olukhulu lwemithamo eyi-11 (imvamisa imithamo eyi-10 noma eyi-11), kanti enye imithamo efika kweyi-15 (imvamisa imithamo eyi-13 kuye kwayi-15).Kepha isivalo kubhodlela singabhobozwa izikhathi ezingama-20 kuphela (okusho ukuthi kungadonswa imijovo engama-20 kuphela ebhodleleni), ngakho-ke imininingwane enikezwe umhlinzeki nguModerna iyaxwayisa, “Lapho kuphela umthamo we-booster noma inhlanganisela yochungechunge lokuqala. futhi umthamo we-booster uyakhishwa Ngalesi sikhathi, umthamo omkhulu ongakhishwa kunoma yiliphi ibhodlela lomuthi akufanele udlule imithamo engama-20.”Lo mkhawulo wandisa amathuba okumosha, ikakhulukazi ezitsheni ezinkulu.
Imithamo ehlukene yama-Moderna booster ayikhulisi nje inkimbinkimbi yabantu abafika ezingeni lomuntu siqu.U-Hannan uthe lapho inani lemithamo ethathwe ebhodleleni liqala ukushintsha, ukuzama ukuqapha ukunikezwa kwayo kanye nokusetshenziswa kohlelo lokugoma kuzoba inselele eyengeziwe.
"Eqinisweni uzama ukulandelela i-inventory ezitsheni zedosi engu-14, manje ezingaba izitsha ezingama-28 [-dose], noma kwenye indawo phakathi," kusho yena.
Sekuphele izinyanga, i-United States igcwele izinsiza zokugoma, kanti izikhulu zokuphatha i-Biden zathi izwe selithole nempahla yokugoma eyanele ngemuva kokuthola ukugunyazwa.
Kodwa-ke, ezinganeni ezineminyaka ephakathi kweyi-5 neyi-11, izikhulu zezempilo zomphakathi zithi azinasiqiniseko sokuthi hlobo luni lohlelo lokugomela izingane oluzonikezwa kuqala luvela kuhulumeni wobumbano - nokuthi abazali bazo bazoba nentshisekelo engakanani.Okokuqala.UShah uthe iWashington State izamile ukumodela lesi sidingo, kodwa kusenemibuzo engaphenduleki.Idatha yocwaningo evela ku-Caesars Family Foundation ibonisa ukuthi cishe ingxenye eyodwa kwezintathu yabazali yathi uma umgomo usugunyaziwe, "bazogoma ngokushesha" izingane ezineminyaka engu-5 kuya kwengu-11 ubudala, nakuba abazali sebegonyiwe kancane kancane kusukela bekhanya ukukhanya okuluhlaza.Zifudumeze ukuze ugome izingane ezindala.
UShah uthe: “Kunemikhawulo ezintweni ezinga-odwa esifundeni ngasinye.Sizobona isidingo sabazali nezingane abazilethayo.Lokhu akwaziwa kancane.”
Abaphathi beBiden baveze izinhlelo zokwethula ukugoma kwezingane kuleli sonto ngaphambi kokuxoxa ngokugunyazwa ngesonto elizayo.Kubandakanya ukuqasha odokotela bezingane, izikhungo zezempilo zomphakathi nezasemaphandleni, namakhemisi.UJeff Zients, Umxhumanisi Wempendulo Ye-White House Covid-19, uthe uhulumeni wobumbano uzohlinzeka ngezinto ezanele ezifundazweni, ezizweni nasezifundeni ukwethula izigidi zemithamo.Umthwalo uzofaka nezinaliti ezincane ezidingekayo ukuze kuhlinzekwe imijovo.
UHelen uhlanganisa izinkinga eziningi ezihlobene nezifo ezithathelwanayo, okuhlanganisa ukuqubuka, amalungiselelo, ucwaningo, nokuthuthukiswa komgomo.