<\/p>\n
Harris, ge\u00e7en hafta DS\u00d6’n\u00fcn yay\u0131lmas\u0131n\u0131 “uluslararas\u0131 \u00f6neme sahip bir halk sa\u011fl\u0131\u011f\u0131 acil durumu” olarak ilan etmesi ve k\u00fcresel mercek alt\u0131nda olan M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcne ili\u015fkin AA muhabirine de\u011ferlendirmelerde bulundu.<\/p>\n
Vir\u00fcs\u00fcn h\u0131zla yay\u0131lmaya ba\u015flamas\u0131n\u0131n d\u00fcnyan\u0131n g\u00fcndemine oturdu\u011funu kaydeden Harris, M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn “Klad 1 ve Klad 2” olmak \u00fczere iki genetik t\u00fcr\u00fcn\u00fcn oldu\u011funu kaydetti.<\/p>\n
Harris, ge\u00e7en y\u0131l ortaya \u00e7\u0131kan vir\u00fcs\u00fcn yeni t\u00fcr\u00fc “Klad 1b” ile ilgili endi\u015felerini dile getirirken, “Bu endi\u015felendi\u011fimiz t\u00fcr \u00e7\u00fcnk\u00fc \u00e7ok h\u0131zl\u0131 bula\u015f\u0131yor ve \u00f6zellikle \u00e7ocuklar aras\u0131nda olduk\u00e7a y\u00fcksek bir \u00f6l\u00fcm oran\u0131na sahip. Esas endi\u015felendi\u011fimiz durum \u00e7ok h\u0131zl\u0131 yay\u0131lmas\u0131. Bu y\u0131l, 2023’\u00fcn tamam\u0131nda g\u00f6r\u00fclenden daha fazla vaka tespit edildi. \u00c7ok h\u0131zl\u0131 yay\u0131lan vir\u00fcs di\u011fer \u00fclkelere de s\u0131\u00e7rad\u0131. Demokratik Kongo Cumhuriyeti’nde artan M \u00e7i\u00e7e\u011fi vakalar\u0131, daha \u00f6nce hi\u00e7 vaka bildirmemi\u015f Burundi, Ruanda, Uganda ve Kenya’ya da s\u0131\u00e7rad\u0131.” diye konu\u015ftu.<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn yeni t\u00fcr\u00fc olan Klad 1b dolay\u0131s\u0131yla hastal\u0131kla ilgili daha y\u00fcksek \u00f6l\u00fcm oranlar\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc bildiren Harris, “(\u00d6l\u00fcm oran\u0131) Yakla\u015f\u0131k y\u00fczde 3 ve k\u00fc\u00e7\u00fck \u00e7ocuklar gibi ger\u00e7ekten savunmas\u0131z gruplarda bundan daha y\u00fcksek. \u00d6zellikle k\u00fc\u00e7\u00fck \u00e7ocuklar \u00fczerindeki etkilerinden endi\u015fe ediyoruz. \u00c7at\u0131\u015fmalar nedeniyle yerinden edilmi\u015f insanlar aras\u0131nda da h\u0131zla yay\u0131l\u0131yor. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemleri yetersiz beslenmeden muzdarip oldu\u011fu i\u00e7in \u00e7ok g\u00fc\u00e7l\u00fc olmayan bu insanlar \u00e7ok tehlikeli durumda.” dedi.<\/p>\n
Harris, \u00e7i\u00e7ek hastal\u0131\u011f\u0131 ve HIV enfeksiyonuna yakalanm\u0131\u015f bireylerin M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fc daha a\u011f\u0131r ge\u00e7irebilme olas\u0131l\u0131\u011f\u0131na i\u015faret ederken, bu ki\u015filerin \u00f6l\u00fcm riskinin daha fazla oldu\u011funu s\u00f6yledi.<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc i\u00e7in belirli bir tedavi olmad\u0131\u011f\u0131n\u0131 kaydeden Harris, vir\u00fcs\u00fc yenebilecek bir antiviral ilac\u0131n olmad\u0131\u011f\u0131n\u0131 ancak semptomatik tedavinin etkili oldu\u011funu s\u00f6yledi.<\/p>\n
Harris, hastal\u0131\u011fa yakalananlar\u0131n ciltlerinde d\u00f6k\u00fcnt\u00fcler oldu\u011funa de\u011finirken, ba\u015fka enfeksiyon kapmas\u0131n\u0131 \u00f6nlemek i\u00e7in ki\u015filerin tedaviye ihtiyac\u0131 oldu\u011funu s\u00f6yledi.<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc bula\u015fanlar\u0131n ate\u015flerinin \u00e7\u0131kaca\u011f\u0131n\u0131 hat\u0131rlatan Harris, ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc ve a\u011fr\u0131 kesici ila\u00e7lara ihtiya\u00e7 duyaca\u011f\u0131n\u0131 belirterek hastalar\u0131n t\u0131bbi tedavi almalar\u0131n\u0131n ve bu s\u00fcre\u00e7te kendilerini izole edebilmelerinin \u00e7ok \u00f6nemli oldu\u011funu vurgulad\u0131.<\/p>\n
Harris, \u00e7i\u00e7ek hastal\u0131\u011f\u0131 i\u00e7in geli\u015ftirilen a\u015f\u0131lar\u0131n M \u00e7i\u00e7e\u011fine kar\u015f\u0131 etkili oldu\u011funu kaydederek \u015f\u00f6yle devam etti:<\/p>\n
“M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcne sahip oldu\u011fu bilinen biriyle temas kuranlara, bu temastan sonraki 4 g\u00fcn i\u00e7inde bu a\u015f\u0131lar\u0131 olmas\u0131 \u00f6nerilir. A\u015f\u0131lanmas\u0131 gereken bir di\u011fer grup da salg\u0131n\u0131n oldu\u011fu b\u00f6lgedeki sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131d\u0131r. Ayr\u0131ca daha b\u00fcy\u00fck risk alt\u0131nda olanlard\u0131r. (M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc i\u00e7in) Kitlesel a\u015f\u0131lama \u00f6nerilmiyor. Bu \u00e7ok \u00f6nemli. Vir\u00fcs\u00fcn bula\u015ft\u0131\u011f\u0131 yerlerde hedefli a\u015f\u0131lama yap\u0131lmas\u0131 gerekiyor. \u015eu anda zor olan, s\u0131n\u0131rl\u0131 olan a\u015f\u0131y\u0131 tedarik etmek ve onlar\u0131 salg\u0131n\u0131n oldu\u011fu yere ula\u015ft\u0131rmak. A\u015f\u0131 stoklar\u0131 konusunda Kuzey Avrupa, ABD ve Japonya iyi kaynaklara sahip. Bu y\u00fczden \u015fu anda stoklar\u0131 olan \u00fclkelerle ve \u00fcreticilerle \u00fcretimi art\u0131rmak, ayr\u0131ca bu stoklar\u0131 ihtiya\u00e7 duyulan yere ula\u015ft\u0131rmak i\u00e7in \u00e7ok yak\u0131n bir \u015fekilde \u00e7al\u0131\u015f\u0131yoruz. Bu aktif bir vir\u00fcs. Kimin hasta oldu\u011funu bildi\u011finiz, iyi bir temas ve izolasyon \u00f6nlemleri takibi yapt\u0131\u011f\u0131n\u0131z s\u00fcrece olduk\u00e7a kolay bir \u015fekilde durdurulabilir. Yani (salg\u0131n nedeniyle) bir kapanmaya ihtiya\u00e7 yok. \u0130htiya\u00e7 olan \u015fey, tam olarak kimin hasta oldu\u011funu bilmeniz i\u00e7in \u00e7ok iyi bir g\u00f6zetim. \u0130yi laboratuvar te\u015fhislerine ihtiyac\u0131n\u0131z var, b\u00f6ylece kimin hasta oldu\u011funu ve vir\u00fcs\u00fcn nerede oldu\u011funu ve de\u011fi\u015fip de\u011fi\u015fmedi\u011fini takip edebilirsiniz.”<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn durumunu takip i\u00e7in iyi laboratuvar te\u015fhislerine ihtiya\u00e7 oldu\u011funu s\u00f6yleyen Harris, toplumlar\u0131n da bu hastal\u0131kla m\u00fccadeleye kat\u0131l\u0131m\u0131n\u0131n \u00f6nemine i\u015faret etti.<\/p>\n
Harris, a\u015f\u0131laman\u0131n yan\u0131 s\u0131ra “basit halk sa\u011fl\u0131\u011f\u0131 \u00f6nlemleri”ne dikkati \u00e7ekerek hasta ve temasl\u0131lar\u0131n takip edilmesi halinde, vir\u00fcs\u00fcn yava\u015f yava\u015f bitirilebilece\u011fini s\u00f6yledi.<\/p>\n
M \u00e7i\u00e7e\u011fiyle ilgili insanlar\u0131n “yeni bir Kovid-19 gibi s\u00fcre\u00e7 ba\u015flayabilir mi?” diye tedirgin oldu\u011funu belirten Harris, \u015funlar\u0131 kaydetti:<\/p>\n
“\u0130nsanlar\u0131n Kovid-19 gibi bir durumla kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fumuzu d\u00fc\u015f\u00fcnerek endi\u015felenmelerine gerek yok. Bu \u00e7ok farkl\u0131 bir vir\u00fcs, farkl\u0131 \u015fekilde yay\u0131l\u0131yor. Kovid-19 hava yoluyla bula\u015f\u0131yor. M \u00e7i\u00e7e\u011fi ise esasen \u00e7ok yak\u0131n fiziksel temas yoluyla yay\u0131l\u0131yor. Bu y\u00fczden fiziksel temasla ilgili yap\u0131lan her \u015feyi durdurmak, asl\u0131nda hava yoluyla yay\u0131lan bir \u015feyi durdurmaktan daha kolay. \u00c7\u00fcnk\u00fc bu b\u00fcy\u00fck bir kalabal\u0131\u011fa yay\u0131labilir. Bu bir\u00e7ok toplumun karantinaya girmesinin nedenlerinden biriydi \u00e7\u00fcnk\u00fc yapacak \u015feyleri t\u00fckeniyordu. Bu y\u00fczden maske takmak \u00e7ok \u00f6nemliydi. Ancak M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn d\u00fcnyaya yay\u0131lmas\u0131n\u0131 ve bir pandemiye d\u00f6n\u00fc\u015fmesini istemiyoruz. \u00c7\u00fcnk\u00fc yine sa\u011fl\u0131k sistemleri \u00fczerinde bask\u0131 olu\u015fturacakt\u0131r. M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc, bir pandemiyi \u00f6nlemek i\u00e7in uluslararas\u0131 \u00f6neme sahip bir halk sa\u011fl\u0131\u011f\u0131 acil durumu olarak ilan edildi.”<\/p>\n
Pakistan ve \u0130sve\u00e7’in M \u00e7i\u00e7e\u011fi vakalar\u0131n\u0131 bildirdi\u011fini belirten Harris, bu iki \u00fclkenin de vakalar\u0131 tespit ederek h\u0131zl\u0131 bir \u015fekilde bildirmelerinin \u00f6nemine i\u015faret etti.<\/p>\n
Harris, \u00fclkelerin M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcyle ilgili durumu ve vakalar\u0131 raporlar\u0131nda “\u015feffaf olmalar\u0131n\u0131n” bu alandaki m\u00fccadeleye katk\u0131 sa\u011flayaca\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
DS\u00d6’ye g\u00f6re, M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc, Poxviridae adl\u0131 vir\u00fcs ailesine ve Orthopoxvirus cinsine ait “maymun \u00e7i\u00e7e\u011fi” vir\u00fcs\u00fcn\u00fcn neden oldu\u011fu viral bir hastal\u0131k.<\/p>\n
Hastal\u0131\u011f\u0131n yayg\u0131n belirtileri aras\u0131nda y\u00fcksek ate\u015f, ba\u015f, s\u0131rt ve kas a\u011fr\u0131s\u0131, lenf bezlerinde \u015fi\u015flik, yorgunluk, \u00fc\u015f\u00fcme, titreme ve ciltte su \u00e7i\u00e7e\u011fine benzer kabarc\u0131klar yer al\u0131yor.<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc fare ve sincap gibi kemirgen hayvanlardan veya enfekte olmu\u015f bireylerden bula\u015f\u0131yor.<\/p>\n
Vir\u00fcs\u00fcn neden oldu\u011fu v\u00fccut d\u00f6k\u00fcnt\u00fclerine dokunmak, bu d\u00f6k\u00fcnt\u00fclerin bula\u015ft\u0131\u011f\u0131 giysi, \u00e7ar\u015faf, havlu ve benzeri e\u015fyalar\u0131 kullanmak ve v\u00fccut s\u0131v\u0131lar\u0131yla temas etmek en \u00f6nemli bula\u015f nedenleri aras\u0131nda yer al\u0131yor.<\/p>\n
Kluge ve DS\u00d6 S\u00f6zc\u00fcs\u00fc Tarik Jasarevic, Birle\u015fmi\u015f Milletler (BM) Cenevre Ofisi’nin haftal\u0131k bas\u0131n toplant\u0131s\u0131nda de\u011ferlendirmelerde bulundu.<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn, Do\u011fu ve Orta Afrika’da devam eden salg\u0131nda g\u00f6r\u00fclen t\u00fcr\u00fcn\u00fcn Klad 1, Avrupa’da 2022’den bu yana g\u00f6r\u00fclen vakalardaki t\u00fcr\u00fcn\u00fcn ise Klad 2 oldu\u011funu belirten Kluge, Klad 1 ile ilgili daha fazla bilgi edinmeleri gerekti\u011fini s\u00f6yledi.<\/p>\n
Kluge, “M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc yeni Kovid-19 de\u011fil.” ifadesini kulland\u0131.<\/p>\n
M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn temasla bula\u015ft\u0131\u011f\u0131n\u0131n bilindi\u011fini aktaran Kluge, vir\u00fcs\u00fc nas\u0131l kontrol edeceklerini bildiklerini, Avrupa’da bu vir\u00fcs\u00fcn bula\u015fmas\u0131n\u0131 tamamen \u00f6nlemek i\u00e7in gerekli ad\u0131mlar\u0131 att\u0131klar\u0131n\u0131 kaydetti.<\/p>\n
Kluge, Avrupa’da M \u00e7i\u00e7e\u011finin Klade 2 t\u00fcr\u00fcne ait her ay yakla\u015f\u0131k 100 vakaya rastlad\u0131klar\u0131n\u0131 belirtirken, “\u015eu anda Klade 1 t\u00fcr\u00fcn\u00fcn neden oldu\u011fu teyakkuz hali, Avrupa’n\u0131n Klade 2’ye yeniden odaklanmas\u0131na f\u0131rsat veriyor. M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn g\u00f6zetiminin ve vaka te\u015fhisini g\u00fc\u00e7lendirmeliyiz. Seyahat edenler dahil herkese korkuya, damgalamaya ve ayr\u0131mc\u0131l\u0131\u011fa sebep olmadan, bilimsel temele dayal\u0131 kamu sa\u011fl\u0131\u011f\u0131 tavsiyeleri sunulmal\u0131. Stratejik risk de\u011ferlendirmelerine dayanarak ihtiya\u00e7 duyanlara a\u015f\u0131 ve antiviral ila\u00e7 temin edilmeli.” dedi.<\/p>\n
Vir\u00fcsle m\u00fccadelede dayan\u0131\u015fma i\u00e7erisinde olunmas\u0131 gerekti\u011fine vurgu yapan Kluge, bunun \u00fcstesinden gelmenin, Avrupa ve d\u00fcnya i\u00e7in kritik bir s\u0131nav olaca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izdi.<\/p>\n
Kluge, 2022’den bu yana vir\u00fcs\u00fcn Klade 2 t\u00fcr\u00fcyle m\u00fccadele ettiklerini ve \u015fu anda sadece \u0130sve\u00e7’te Klade 1b t\u00fcr\u00fcne ait bir vakaya rastland\u0131\u011f\u0131 bilgisini payla\u015ft\u0131.<\/p>\n
Bir soru \u00fczerine, DS\u00d6’n\u00fcn M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcne kar\u015f\u0131 maske takmay\u0131 \u00f6nermedi\u011fini kaydeden DS\u00d6 S\u00f6zc\u00fcs\u00fc Jasarevic ise, bu vir\u00fcs\u00fcn yak\u0131n temasla bula\u015ft\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n
Jasarevic, M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcn\u00fcn “daha bula\u015f\u0131c\u0131 oldu\u011fu” ve “bula\u015fma yolunun de\u011fi\u015febilece\u011fi” iddialar\u0131n\u0131 hat\u0131rlat\u0131rken, hem bunlar hem de vir\u00fcs\u00fcn mutasyona u\u011fray\u0131p u\u011framayaca\u011f\u0131n\u0131 takip konusunda haz\u0131rl\u0131kl\u0131 olman\u0131n \u00f6nemine de\u011findi.<\/p>\n
Kovid-19 salg\u0131n\u0131 s\u00fcrecinden b\u00fcy\u00fck dersler \u00e7\u0131kar\u0131ld\u0131\u011f\u0131n\u0131 an\u0131msatan Jasarevic, M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fcyle m\u00fccadele i\u00e7in de k\u00fcresel i\u015fbirli\u011fine ihtiya\u00e7 duyuldu\u011funa i\u015faret etti.<\/p>\n
\u00c7e\u015fitli \u00fclkelerin sa\u011fl\u0131k kurumlar\u0131n\u0131n payla\u015ft\u0131\u011f\u0131 bilgilere g\u00f6re, \u00e7i\u00e7ek hastal\u0131\u011f\u0131na kar\u015f\u0131 kullan\u0131lan a\u015f\u0131lar\u0131n M \u00e7i\u00e7e\u011fi vir\u00fcs\u00fc i\u00e7in de etkin koruma sa\u011flayabilece\u011fi ifade ediliyor.<\/p>\n
ABD Hastal\u0131k Kontrol ve Korunma Merkezleri’nin sitesinde, JYNNEOS a\u015f\u0131s\u0131n\u0131n M \u00e7i\u00e7e\u011fi riskini azaltmada etkili oldu\u011fu belirtiliyor. En etkili y\u00f6ntem olarak 28 g\u00fcn arayla iki doz uygulama tavsiye ediliyor.<\/p>\n
Avrupa Birli\u011fi (AB) Komisyonu’nun internet sitesinde de “MVA-BN” veya “Modifiye A\u015f\u0131 Ankara-Bavarian Nordic”, AB ve \u0130ngiltere’de onayl\u0131 tek M \u00e7i\u00e7e\u011fi a\u015f\u0131s\u0131 oldu\u011fu ifade ediliyor. Bu a\u015f\u0131n\u0131n ABD ve \u0130svi\u00e7re’de JYNNEOS, Kanada’da IMVAMUNE ismiyle pazarland\u0131\u011f\u0131 belirtiliyor. A\u015f\u0131 18 ya\u015f ve \u00fcst\u00fc ki\u015filer i\u00e7in kullan\u0131labiliyor.<\/p>\n
Avustralya Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131n\u0131n internet sitesinde de M \u00e7i\u00e7e\u011fine kar\u015f\u0131 JYNNEOS ve ACAM2000 a\u015f\u0131lar\u0131n\u0131n kullan\u0131labilece\u011fi belirtiliyor. ACAM2000’in 12 ayl\u0131ktan k\u00fc\u00e7\u00fck bebekler i\u00e7in kullan\u0131m\u0131n\u0131n uygun olmad\u0131\u011f\u0131 aktar\u0131l\u0131yor.<\/p>\n
DS\u00d6, 9 A\u011fustos’ta a\u015f\u0131 \u00fcreticilerine yapt\u0131\u011f\u0131 \u00e7a\u011fr\u0131da acil kullan\u0131m listesine y\u00f6nelik s\u00fcrecin ba\u015flat\u0131ld\u0131\u011f\u0131n\u0131 duyurdu. DS\u00d6, ayr\u0131ca iki a\u015f\u0131n\u0131n Acil Kullan\u0131m Listesi i\u00e7in de\u011ferlendirildi\u011fini duyurmu\u015ftu.<\/p>\n