EMemphis, eTennessee-Njengoko umbulelo usondela, abantu abaninzi baye bacinga ngokungxama ukufumana uvavanyo lwe-COVID-19 olukhawulezayo, oluya kubonelela ngeziphumo ezinokuthetha ukuchitha ixesha nosapho olwandisiweyo.
Nangona kunjalo, i-WREG iyaqonda ukuba iziphumo zovavanyo ezingalunganga azithethi ukuba umntu akosulelwanga yi-COVID-19.Esi sesinye sezizathu zokuba abanye abantu babuze olu vavanyo, kubandakanya nokusetyenziswa kwabo kubantu abadala abasemngciphekweni.
Umenzi uchaze uvavanyo olukhawulezayo lwe-COVID-19 oluthunyelwe kumakhaya abantu abalupheleyo kwilizwe liphela nakummandla osemazantsi embindini ngokukhawuleza, okuthembekileyo, kwaye kulula ukulisebenzisa.Bavelisa iziphumo “eziphilayo,” kwezinye iimeko imizuzu eli-15 kuphela, ukuze amakhaya abantu abalupheleyo angalindi iziphumo zelebhu.
Iziko leeNkonzo zeMedicare kunye neMedicaid lisasaze ngokukhawuleza, izixhobo zovavanyo lokukhathalela i-13,850 kumakhaya abongikazi kwilizwe liphela.
I-CMS isasaze iikiti zovavanyo lokukhathalela kwimijikelo emithathu ehlotyeni nasekwindla, ukuqala ngeendawo ezishushu, kubandakanya iShelby County.
I-CMS ithumele uvavanyo kumakhaya abantu abalupheleyo abangaphezu kwama-700 e-Arkansas, Mississippi, naseTennessee.I-WREG ifumene ngaphezu kwe-300 izibonelelo zaseTennessee kuluhlu, i-27 yazo eMemphis.Oku kulandelayo yindawo apho i-suite yovavanyo isasazwa khona.
Uvavanyo olukhawulezayo lunokonga ixesha kwaye lunokusindisa ubomi.Nangona kunjalo, abanye abantu bathi uhlobo lovavanyo olubonelelwa ngurhulumente wobumbano kubantu bethu abasesichengeni aluboneleli ngokhuseleko olwaneleyo.
“Ingathi sisondela kancinci kuyo, kodwa asikho apho,” utshilo uBrian Lee, owayesakuba ngumhloli wokhathalelo lukarhulumente wexesha elide ngoku olawula iarhente yakhe yokubeka iliso engenzi nzuzo ebizwa ngokuba ziiNtsapho zokhathalelo olungcono.
“Uvavanyo olwenziwa kumakhaya abantu abalupheleyo ngoku luvavanyo lwempazamo esekwe kwi-antigen.Bachonga kuphela abantu abaneempawu, nokuba banayo na intsholongwane okanye abanayo,” utshilo.UDavid Aronoff, umlawuli wesebe lezifo ezithathelwanayo kwiZiko lezoNyango leYunivesithi yaseVanderbilt, wachaza iintlobo ezahlukeneyo zovavanyo kwi-WREG.
UAronov uthe: "Ndicinga ukuba ngexesha lobhubhani, kufuneka silumke siqinisekise ukuba xa sizama ukusindisa ubomi, asivumeli imfezeko ibe lutshaba olulungileyo."
Iimolekyuli kunye ne-antigens ziyakwazi ukuxilonga kwaye zibone usulelo olusebenzayo.Uvavanyo lwe-antibody lunokutyhila ukutyhileka kwangaphambili.
“Ngoku, uvavanyo lomgangatho wegolide wosulelo ngokwenene luvavanyo lwemolekyuli,” utshilo uGqr. Aronov.
“Banokubona umlinganiselo omncinane kakhulu wolu lwazi lwemfuza ye-RNA kwincindi yethu.Inzuzo yabo kukuba banobuntununtunu kakhulu, ngoko ke banokufumana amanqanaba asezantsi kakhulu emfuza. ”
Ke, umzekelo, emva kokuba ndibuyele kwi-COVID-19 kwaye andisosuleli, ndingaluphumelela uvavanyo lwemolekyuli iiveki ezininzi,” utshilo u-Aronoff.
“Inzuzo yovavanyo lwe-antigen kukuba azibizi kakhulu ukwenza.Kananjalo zikhawuleza kakhulu, zifana novavanyo lokukhulelwa komchamo.Baphantse bakhawuleza kwaye banokwenziwa kwinto esiyibiza ngokuba yindawo yokunyamekela, "utshilo u-Aronoff.
Nangona kunjalo, uvavanyo lwe-antigen alunabuntununtunu njengovavanyo lwemolekyuli, kwaye iintsholongwane ezininzi ziyafuneka ukwenza umntu avavanywe ukuba unayo.
Uthe: "Ukuba kukho ukurhanelwa okuninzi ukuba umntu wosulelekile, uvavanyo lwemolekyuli ukuqinisekisa ukuba uvavanyo luqinisekileyo luya kuba luncedo kakhulu."
Kumakhaya abongikazi abasebenzisa uvavanyo, amaZiko oLawulo lweSifo kunye noThintelo acebisa ukuba uvavanyo olubi lwe-POC lwe-antigen luthathwe njengento yokuqikelela.
Isithethi seCMS sathi kwi-imeyile ethunyelwe kwi-WREG: “Ukulwa lo bhubhani wehlabathi kufuna uluhlu lwetekhnoloji ezahlukeneyo, kubandakanya novavanyo lwe-antigen.Kwiindawo ezinobuninzi obuphezulu okanye kwizigulane ezinemingcipheko eyaziwayo, uvavanyo lwe-antigen Isiphumo esihle sinokuthathwa njengokuqinisekiswa kwaye sisetyenziselwa iinjongo zokuxilonga.Kwiindawo ezinobuxhakaxhaka obuphezulu, ezinye iindlela zovavanyo ziyacetyiswa ukuqinisekisa iziphumo ezingalunganga. ”Iphepha leenyani lomnye umenzi nalo lifundeka ngolu hlobo: “Iziphumo ezibi aziyikhupheli ngaphandle i-COVID-19. Ayifanelanga isetyenziswe njengesiseko kuphela seziphumo zovavanyo.Unyango.”
"Kufuneka bafunde iinkcukacha, ukuchaneka, ukunyaniseka kweziphumo, ukuthembeka, ezi ziphumo kumatshini wokuvavanya, kwaye baqonde ngokwenene ukuba basebenza njani, kwaye babanike umatshini ochanekileyo kunye novavanyo oluchanekileyo," utshilo u-Lee.“Kula makhaya abantu abalupheleyo, sisabona usulelo oluninzi kunye nokufa okuninzi.Xa singanelanga, kulahleka ubomi babantu abamsulwa.”
EShelby County, kuye kwakho ukuqhambuka okungaphezulu kwama-50 kwiindawo zokhathalelo lwexesha elide ukusukela oko ubhubhane waqala.
Sathetha nezalamane ezazishiywe ngasemva yaye zazibuza ukuba kwenzeka njani na ukufa, ingakumbi xa kuyekiswa ukutyelelwa ekuqaleni kwalo nyaka.
Umakazi kaCarlock, uShirley Gatewood, wayene-Down syndrome kodwa wasweleka yi-COVID-19.Ungumhlali waseGraceland Rehabilitation and Care Centre.
“Kutheni siqhubeka sifumana amaqela amaninzi nangakumbi?Xa kungekho mntu uvumelekileyo ukuba angene ngaphandle kwabasebenzi,” ubuze watsho uCarlock.
EGraceland, abantu abangama-20 babhubhile (kuquka nenani elitsha lokusweleka kwiveki ye-23 kaNovemba), kwaye abahlali abayi-134 kunye nabasebenzi abangama-74 bavavanywa benesifo.Kwingxelo yemihla ngemihla ekhutshwe liSebe lezeMpilo kwiNqila yaseShelby ngoLwesibini, umhla wama-24 kweyeNkanga, inani labasebenzi abosulelekileyo eGraceland lonyuke ngabantu abali-12.
Kwiqela elisebenzayo lezibonelelo zeShelby County, phantse abasebenzi abangama-500 bosulelekile, kwaye eli nani linyukile kutsha nje.
Izikhokelo zangoku zomdibaniso zifuna amakhaya abongikazi ukuba avavanye abahlali abaneempawu okanye ukuqhambuka.
Uvavanyo lwabasebenzi luxhomekeke kwireyithi elungileyo yelizwe, ukusukela kwiveki ye-14 kaNovemba, ireyithi elungileyo yaseShelby County yayili-11%.
UDavid Sweat, umlawuli we-epidemiology kwiSebe lezeMpilo laseShelby County, uchaze indlela abasebenzi abazise ngayo intsholongwane kwiindawo ezinjengamakhaya abantu abalupheleyo.
“Ngokuqhelekileyo abantu abasebenza apho ngokwenene ngabo beza kwiziko ukuseta i-organism.Emva koko yakuba ifakwe kwiziko, iya kusasazeka.Kodwa khumbula ukuba nge-COVID-19, iyakhohlisa kuba ihlala iqala ukuwa phakathi kweentsuku ezimbini.Uza kuyichitha i-coronavirus phambi kokuba iimpawu zivele, ”utshilo uSweet.
“Kwaye le ntsholongwane yosulela ngokuphindwe kathathu kunomkhuhlane.Ngoko kulula ukusasazeka.Nangona kunjalo, ukuba umntu akabonisi zimpawu okanye zimpawu kwaye ziphakathi kovavanyo, ngokuqinisekileyo baya kuzisa ngengozi intsholongwane kuyo nayiphi na imeko..”
U-WREG ubuze: “Ke, amaziko anokuyithintela njani le nto ukuba ingenzeki, ukuze kukhuselwe ngcono abahlali?”
Umbilo uthi wonke umntu wenza konke okusemandleni akhe.“Ababaquki abantu abagulayo.Ababandakanyi abantu abavavanywe ukuba banayo.Basoloko bevavanya abasebenzi babo ukuze bazame ukufumana ezi zinto kwangethuba, kodwa kunzima kakhulu.”
Kungenxa yoko le nto u-Lee esithi uhlobo lovavanyo olwenziwe kwindawo efana nekhaya labalupheleyo lubaluleke kakhulu ukuqulatha iimeko.
“Ubomi buxabiseke kakhulu.Nje ukuba abantu esibathandayo bafumane i-COVID kwaye basweleke ngenxa yoko, asinakubafumana.Ngoko ke kungcono ufumane uvavanyo oluchanekileyo kwikhaya labalupheleyo ngoku,” utshilo uLi.
Kukho iimvavanyo ezikhawulezayo zeemolekyuli kwimarike.Enyanisweni, kukho ibango lokuba iziphumo zinokuhanjiswa ngemizuzu emihlanu.
U-Aronoff uthe iingenelo zolu vavanyo zisantya kunye novakalelo oluphezulu lovavanyo.Nangona kunjalo, i-downside kukuba kunokuba nzima ukufikelela kunye neendleko ezingaphezulu kwabanye abantu.
Iikiti zovavanyo ezinikezelwa kumakhaya abongikazi ziyalahlwa.Sibuze i-CMS ukuba balindele ngokukhawuleza kangakanani uvavanyo lwekhaya labalupheleyo kwaye balindele ukuhlawula njani emva koko.
Isithethi sathi: “Ikhaya labalupheleyo linoxanduva lokuodola iimpahla zovavanyo/iikhithi ngoncedo lweebhiliyoni ezi-5 zeedola ezibonelelwa yiCMS.Emva kokuthunyelwa kokuqala kwezixhobo kunye neemvavanyo, ikhaya labahlengikazi liya kuba noxanduva lokuthenga iimvavanyo zalo ngokuthe ngqo kumenzi okanye umthengisi wesixhobo sonyango..”
Ekuqaleni kwalo nyaka, iTennessee ibuyisele iindleko zovavanyo lwamakhaya abongikazi.Inkxaso-mali iye yaphela nge-1 ka-Okthobha ka-2020.
I-WREG iqhagamshelane namakhaya abongikazi amaninzi engingqi, afumana ikiti yovavanyo ekhawulezayo nekhawulezayo evela kwiCMS, kodwa asikafumani mpendulo kumbuzo wethu.
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Ixesha lokuposa: Jun-28-2021