<\/p>\n
Do\u00e7. Dr. Keskindemirci, “3-9 Eyl\u00fcl Halk Sa\u011fl\u0131\u011f\u0131 Haftas\u0131” dolay\u0131s\u0131yla koruyucu sa\u011fl\u0131k hizmetlerinde neler yap\u0131ld\u0131\u011f\u0131na ve toplum sa\u011fl\u0131\u011f\u0131 i\u00e7in a\u015f\u0131laman\u0131n \u00f6nemine ili\u015fkin AA muhabirine de\u011ferlendirmelerde bulundu.<\/p>\n
A\u015f\u0131laman\u0131n son 100 y\u0131lda geli\u015fen modern teknolojinin bir \u00fcr\u00fcn\u00fc oldu\u011funu belirten Keskindemirci, “A\u015f\u0131lama en iyi halk sa\u011fl\u0131\u011f\u0131 uygulamalar\u0131ndan birisidir. A\u015f\u0131 \u00f6nemlidir \u00e7\u00fcnk\u00fc \u00e7ocu\u011fu hastal\u0131ktan koruyorsunuz. A\u015f\u0131yla \u00f6nlenebilir hastal\u0131klara neden olan mikroorganizmalarla kar\u015f\u0131la\u015fmadan \u00e7ocuklara hastal\u0131k varm\u0131\u015f gibi ba\u011f\u0131\u015f\u0131kl\u0131k sa\u011flay\u0131p koruyarak, hastal\u0131klar olu\u015fmadan \u00f6l\u00fcmlerin \u00f6n\u00fcne ge\u00e7mi\u015f oluyoruz.” diye konu\u015ftu.<\/p>\n
A\u015f\u0131n\u0131n m\u00fcmk\u00fcn olan en erken ya\u015fta yap\u0131lmas\u0131n\u0131n \u00f6nemine vurgu yapan Keskindemirci, “\u00dclkemizde de do\u011fumdan itibaren Hepatit B a\u015f\u0131s\u0131yla a\u015f\u0131lamaya ba\u015flan\u0131yor. Toplumlarda en k\u0131r\u0131lgan gruplar \u00e7ocuklar ve ya\u015fl\u0131lar oldu\u011fu i\u00e7in \u00f6ncelikli olarak onlar\u0131 korumam\u0131z gerekiyor. \u00c7ocuklarda \u00f6zellikle bir ya\u015f\u0131nda hastal\u0131k g\u00f6r\u00fclmesi, burada \u00e7ocuklardaki sekelleri ve \u00f6l\u00fcmleri daha da artt\u0131r\u0131yor. Bu y\u00fczden m\u00fcmk\u00fcn olan en erken korumayla a\u015f\u0131 uygulamalar\u0131n\u0131 yapmam\u0131z gerekiyor.” ifadelerini kulland\u0131.<\/p>\n
Keskindemirci, T\u00fcrkiye’deki sa\u011fl\u0131k kurulu\u015flar\u0131nda a\u015f\u0131lar\u0131n takvimine uygun olarak \u00fccretsiz yap\u0131ld\u0131\u011f\u0131n\u0131 dile getirerek \u015f\u00f6yle devam etti:<\/p>\n
“Hepatit B, difteri, bo\u011fmaca, tetanoz, \u00e7ocuk felci, menenjit, pn\u00f6mokok, Hepatit A, su \u00e7i\u00e7e\u011fi, k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak a\u015f\u0131lar\u0131 gibi 13 farkl\u0131 antijen\/mikroorganizmaya kar\u015f\u0131 ba\u011f\u0131\u015flamay\u0131 sa\u011flayan bir program\u0131m\u0131z mevcut. T\u00fcrkiye’de a\u015f\u0131lama kapsay\u0131c\u0131l\u0131k h\u0131zlar\u0131n\u0131n y\u00fckselmesine ba\u011fl\u0131 olarak a\u015f\u0131yla korunabilir hastal\u0131klar\u0131n g\u00f6r\u00fclmesinde ve \u00f6l\u00fcm h\u0131z\u0131nda belirgin d\u00fc\u015f\u00fc\u015fler oluyor. Bu konuda \u00fclkemizdeki a\u015f\u0131lanma oranlar\u0131 y\u00fcksek. Bu konuda Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131n\u0131n \u00e7ok iyi \u00e7al\u0131\u015fmalar\u0131 var. A\u015f\u0131lanma oranlar\u0131n\u0131 y\u00fckseltmek i\u00e7in ailelerle g\u00f6r\u00fc\u015f\u00fcl\u00fcyor, karars\u0131z ebeveynlerle konu\u015fularak a\u015f\u0131lanma konusunda \u00e7ocuklar\u0131n\u0131n iyilik halinin devam\u0131 a\u00e7\u0131s\u0131ndan ortak fikir ve kararla beraber \u00e7ocuklar\u0131n\u0131 a\u015f\u0131lat\u0131yorlar.”<\/p>\n
A\u015f\u0131lar\u0131 aile ve topluma daha iyi anlatmak gerekti\u011fini ifade eden Keskindemirci, “\u00d6rne\u011fin; \u00fclkemizde difteri art\u0131k g\u00f6rm\u00fcyoruz. Hepatit B enfeksiyonu 5 ya\u015f\u0131n alt\u0131nda daha \u00f6ncelerde y\u00fcz binde 6,2 g\u00f6r\u00fcl\u00fcrken, \u015fu an y\u00fcz binde 0,1’lerde g\u00f6r\u00fcyoruz. 2000’li y\u0131llarda \u00fclkemizde ba\u015far\u0131l\u0131 bir gebe tetanoz a\u015f\u0131lamas\u0131 sayesinde anne-\u00e7ocuk tetanozundan ar\u0131nd\u0131r\u0131lm\u0131\u015f \u00fclke olarak ilan edildi. Bunlar\u0131n hepsi a\u015f\u0131laman\u0131n ba\u015far\u0131d\u0131r.” bilgisini payla\u015ft\u0131.<\/p>\n
Do\u00e7. Dr. Keskindemirci, \u00e7ocuklarda a\u015f\u0131laman\u0131n en k\u0131r\u0131lgan grubu olu\u015fturdu\u011funu, \u00f6zellikle ilk bir ya\u015fta a\u015f\u0131laman\u0131n olmamas\u0131 durumunda menenjit, zat\u00fcrre, k\u0131zam\u0131k hastal\u0131\u011f\u0131n\u0131n daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc, a\u015f\u0131laman\u0131n hastal\u0131klar\u0131n \u00f6n\u00fcne ge\u00e7erek \u00f6l\u00fcmleri de engelledi\u011fini dile getirdi.<\/p>\n
A\u015f\u0131 reddinin sa\u011fl\u0131ks\u0131z nesillerin yeti\u015fmesine neden olaca\u011f\u0131na i\u015faret eden Keskindemirci, D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fcn\u00fcn (DS\u00d6) gelecekteki 10 tehditten birini a\u015f\u0131 reddi olarak g\u00f6rd\u00fc\u011f\u00fcn\u00fc vurgulad\u0131.<\/p>\n
Keskindemirci, a\u015f\u0131 reddinin ise san\u0131ld\u0131\u011f\u0131 kadar fazla olmad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izerek, “A\u015f\u0131 karars\u0131zlar\u0131 ise konu\u015fmayla, bilimsel kan\u0131tlarla beraber \u00e7ocuklar\u0131n a\u015f\u0131lar\u0131n\u0131 uygulat\u0131yor. E\u011fer a\u015f\u0131lanma oranlar\u0131, toplumsal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olan bir \u00fclkede d\u00fc\u015ferse o toplum i\u00e7inde enfeksiyonlar\u0131 daha fazla g\u00f6rmeye ba\u015flar\u0131z. Bu durum enfeksiyon yay\u0131l\u0131m\u0131 art\u0131racak ve bu s\u00fcre\u00e7te yine hastal\u0131klar\u0131 g\u00f6rece\u011fiz.” diye konu\u015ftu.<\/p>\n
Herhangi bir nedenle a\u015f\u0131s\u0131 yap\u0131lamayan (kronik hastal\u0131\u011f\u0131 nedeniyle) \u00e7ocuklar\u0131n da oldu\u011funa dikkati \u00e7eken Keskindemirci, “\u00d6rne\u011fin; ba\u011f\u0131\u015f\u0131kl\u0131k sistemi genetik olarak yetersiz, zay\u0131f \u00e7ocuklar var. Bunlara herhangi bir durumda a\u015f\u0131 yapamad\u0131\u011f\u0131n\u0131z oluyor. Biz asl\u0131nda a\u015f\u0131lama sayesinde onlar\u0131 da koruyoruz. Toplumu koruyarak enfeksiyon etkenin topluma yay\u0131lmas\u0131n\u0131 engelleyerek bu toplumda o enfeksiyonun g\u00f6r\u00fclmesini azalt\u0131yoruz, hatta yok ediyoruz.” \u015feklinde konu\u015ftu.<\/p>\n
Do\u00e7. Dr. Keskindemirci, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n
“\u00c7ocukluk \u00e7a\u011f\u0131ndaki a\u015f\u0131 retleri toplum sa\u011fl\u0131\u011f\u0131n\u0131 tehdit ediyor. E\u011fer bir toplumda a\u015f\u0131 retleri artarsa, toplumun a\u015f\u0131lama oranlar\u0131 d\u00fc\u015ferse, enfeksiyonlar\u0131 g\u00f6r\u00fcr\u00fcz. Bunu en s\u0131k k\u0131zam\u0131k enfeksiyonu a\u00e7\u0131s\u0131ndan g\u00f6r\u00fcyoruz. \u00c7\u00fcnk\u00fc k\u0131zam\u0131k bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131 \u00e7ok \u00e7ok y\u00fcksek bir hastal\u0131kt\u0131r. E\u011fer ortamda bir \u00e7ocuk varsa bunu herkese bula\u015ft\u0131rabilir. Toplumun en az y\u00fczde 97’sinin a\u015f\u0131lanmas\u0131 gerekir. E\u011fer a\u015f\u0131 retleri ile bu oran d\u00fc\u015ferse toplumlarda enfeksiyonlar\u0131 g\u00f6rmeye ba\u015flar\u0131z. Sa\u011fl\u0131kl\u0131 \u00e7ocuk, sa\u011fl\u0131kl\u0131 toplum demek. Bizler \u00e7ocuk sa\u011fl\u0131\u011f\u0131n\u0131 koruyan \u00e7al\u0131\u015fmalar y\u00fcr\u00fct\u00fcyoruz. \u00c7ocu\u011fun sa\u011fl\u0131\u011f\u0131 i\u00e7in anne s\u00fct\u00fc ne kadar \u00f6nemliyse \u00e7ocu\u011fun sa\u011fl\u0131\u011f\u0131n\u0131 korumak a\u00e7\u0131s\u0131ndan da a\u015f\u0131lanma o kadar \u00f6nemlidir.”<\/p>\n