Xa isitofu sokugonya sanikezelwa ekupheleni konyaka ophelileyo, umyalezo ovela kumagosa ezempilo wawulula: gonywa xa uhlangabezana neemeko kwaye ufumane nasiphi na isitofu sokugonya osibonelelweyo.Nangona kunjalo, njengoko i-boosters ifumaneka kumaqela athile abantu, kwaye i-injection ye-dose ephantsi ilindeleke ukuba inikezelwe kubantwana abancinci ngokukhawuleza, intshukumo iyatshintsha ukusuka kwiseti yemiyalelo elula ukuya kwii-flowcharts eziphazamisayo kubantu abaququzelela kwaye babonelele i-jabs.
Thatha iModerna booster njengomzekelo.Kugunyaziswe yi-US Food and Drug Administration ngoLwesithathu kwaye kulindeleke ukuba kunconywe ngamaZiko oLawulo lweSifo kunye noThintelo kubantu abaneminyaka eyi-65 nangaphezulu kunye nabantu abanemingcipheko ethile-Pfizer-BioNTech booster egunyazisiweyo labantu.Kodwa ngokungafaniyo neenaliti zePfizer, iModerna booster yidosi enesiqingatha;ifuna ukusetyenziswa kwevial ​​efanayo njengethamo elipheleleyo, kodwa sisiqingatha kuphela esizotywayo kwinaliti nganye.Ngokwahlukileyo koku lithamo lesithathu elipheleleyo lezi tofu ze-mRNA, ezivunyiweyo kubantu abagonywe ngokwasemzimbeni.
"Abasebenzi bethu baphelile kwaye bazama ukwenza izicwangciso [zogonyo] kubantwana," utshilo uClaire Hannan, umlawuli olawulayo woMbutho wabaPhathi bokugonya."Amanye amalungu ethu ebengazi nokuba iModerna inesiqingatha sedosi, saqala ukuthetha ngayo ...
Ukusuka apho kuba nzima ngakumbi.I-FDA ikwagunyazise ukuba i-CDC ilindeleke ukuba iphakamise idosi yesibini yenaliti kaJohnson & Johnson kubo bonke abantu abafumana inaliti ngokukhawuleza nje ngoLwesine-hayi nje abantu abancinci becinga ukuba i-booster yeModerna okanye i-Pfizer naliti inokwamkelwa.Nangona abantu abagonywe nge-Pfizer kunye neModerna bekufanele ukufumana i-booster kwiinyanga ezintandathu emva kokugqiba uluhlu oluphambili lwezitofu zokugonya, abantu abagonywe ngo-Johnson & Johnson kufuneka bafumane isitofu sesibini kwiinyanga ezimbini emva kogonyo lokuqala.
Ukongeza, i-US Food and Drug Administration iveze ngolwesiThathu ukuba ivumela indlela "yokuxuba kunye nokudibanisa" kunye ne-boosters, okuthetha ukuba abantu abafuni ukufumana iinaliti ezifanayo njengezobomeleza njengoko besenza kuthotho oluphambili.Lo mgaqo-nkqubo uya kusenza nzima isicwangciso, senze kube nzima ukuqikelela ukuba zingaphi iidosi eziya kufuneka kwingingqi nganye ukuze kugonywe i-booster.
Kukho isitofu sokugonya se-Pfizer sabantwana abazizigidi ezingama-28 abaneminyaka emi-5 ukuya kweli-11.Abacebisi be-FDA baya kudibana ngoLwesibini ozayo ukuze baxoxe ngesitofu sokugonya se-Pfizer kubantwana abaneminyaka emi-5 ukuya kweli-11, okuthetha ukuba sinokufumaneka kungekudala.Isitofu sokugonya siya kuba kwisitya esahlukileyo kwisitofu sabadala senkampani kwaye siya kusebenzisa inaliti encinci ukuhambisa idosi ye-microgram eyi-10, kunedosi ye-microgram engama-30 esetyenziselwa ulutsha kunye nabantu abadala abaneminyaka eyi-12 nangaphezulu.
Ukulungiselela konke oku kuya kuwela kwiikhemesti, iinkqubo zogonyo, oogqirha babantwana, kunye nabalawuli bogonyo, uninzi lwabo ludiniwe, kwaye kufuneka balandelele uluhlu lwempahla kunye nokunciphisa inkunkuma.Oku kuya kuba lutshintsho olukhawulezayo: nje ukuba i-CDC ijonge ibhokisi yokugqibela ye-booster kunye neengcebiso zayo, abantu baya kuqala ukuzifuna.
Ubunkokeli be-FDA bavuma ukuba zonke ezi zibanga imingeni."Nangona kungelula, akukho nzima ngokupheleleyo ukuphelelwa lithemba," uPeter Marks, umlawuli we-FDA's Centre for Biologics Evaluation and Research, uthe ngoLwesithathu ngexesha lenkomfa yenkomfa kunye neentatheli malunga ne-FDA entsha (i-Hyundai noJohnson) kunye nokukhutshwa okuhlaziyiweyo. ..Pfizer) ugunyaziso olungxamisekileyo.
Kwangaxeshanye, iphulo lezempilo likawonke-wonke lisazama ukufikelela kumashumi ezigidi zabantu abafanelekileyo abangagonywanga ngokupheleleyo.
Unobhala wezempilo eWashington State u-Umair Shah uqaphele ukuba iiarhente zempilo zoluntu zisagcina idatha ye-Covid-19, uvavanyo kunye nokuphendula, kwaye kwezinye iindawo zisajongana notyando oluqhutywa kukwahluka kweDelta.Uxelele i-STAT: "Ngokungafaniyo nabo bebephendula kwi-Covid-19, olo xanduva okanye ezinye iinzame ziyanyamalala."
Eyona nto ibalulekileyo liphulo lokugonya.“Emva koko ube nee-boosters, emva koko ube nabantwana abaneminyaka emi-5 ukuya kweli-11,” utshilo u-Shah."Ngaphezu kwento ebisenziwa yimpilo yoluntu, unolwahlulo olongezelelweyo."
Abathengisi kunye namagosa ezempilo oluntu athi banamava okugcina kunye nokuhambisa iimveliso ezahlukileyo kwezinye izitofu, kwaye balungiselela indlela yokujongana nenqanaba elilandelayo lephulo lokukhusela abantu kwi-Covid-19.Bafundisa abaphathi bezitofu zokugonya kunye nokuseka iinkqubo zokuqinisekisa ukuba abantu bafumana idosi echanekileyo xa begonyiwe-nokuba luchungechunge oluphambili okanye isitofu sokugonya.
Kwinkqubo yonyango yosapho luka-Sterling Ransone eDeltaville, eVirginia, wazoba itshathi echaza ukuba ngawaphi amaqela afanelekileyo ukuba afumane iinaliti kunye nesithuba esicetyiswayo phakathi kweedosi ezahlukeneyo zokutofa.Yena kunye nabasebenzi bakhe abongikazi baye bafunda indlela yokwahlula iidosi ezahlukeneyo zeenaliti xa bekhupha iidosi ezahlukeneyo zeenaliti kwiingqayi, kwaye baseka inkqubo yokufakwa kwekhowudi yombala, equlethe iibhaskithi ezahlukeneyo zeenaliti eziphambili zabantu abadala, kunye noncedo lukaModerna.Iipusher kunye nenaliti enye yabantwana abancinci ziyafumaneka.
“Kufuneka ume uze ucinge ngazo zonke ezi zinto,” watsho uLanson, umongameli weAmerican Academy of Family Physicians."Zeziphi iingcebiso okwangoku, kufuneka wenze ntoni?"
Kwintlanganiso ye-FDA yeKomiti yeeNgcebiso ngoGonyo kwiveki ephelileyo, elinye lamalungu ephaneli liphakamise inkxalabo “ngedosi engafanelekanga” (okt, ukubhideka kwedosi) kwiModerna.Wabuza uJacqueline Miller, intloko yenkampani yonyango lwesifo esosulelayo, malunga nokuba nokwenzeka kweengqayi ezahlukeneyo zeenaliti eziphambili kunye nenaliti ye-booster.Kodwa uMiller uthe inkampani isaza kubonelela nge-vial efanayo apho umlawuli anokutsala idosi ye-microgram eyi-100 okanye idosi ye-microgram ye-50, kunye nezicwangciso zokuqhuba uqeqesho olongezelelweyo.
“Siyaqonda ukuba oku kufuna imfundo kunye nokuthotyelwa komthetho,” utshilo uMiller.“Ngoko ke, silungiselela ukuthumela ileta 'YoMboneleli wezeMpilo oThandekayo' echaza indlela yokulawula la mayeza."
Iibhotile zokugonya zikaModerna ziyafumaneka ngeesayizi ezimbini, enye yolona luhlu luphambili ukuya kuthi ga kwi-11 yeedosi (idla ngokuba li-10 okanye i-11 yeedosi), kwaye enye ukuya kuthi ga kwi-15 yeedosi (idla ngokuba li-13 ukuya kwi-15).Kodwa isithinteli kwi-vial sinokugqojozwa amaxesha angama-20 kuphela (oku kuthetha ukuba ziinaliti ezingama-20 kuphela ezinokutsalwa kwi-vial), ngoko ke ulwazi olunikwe umboneleli nguModerna luyalumkisa, “Xa kuphela ithamo le-booster okanye indibaniselwano yoluhlu oluphambili. kunye nedosi ye-booster ikhutshwa Ngeli xesha, idosi ephezulu enokuthi ikhutshwe kuyo nayiphi na ibhotile yeyeza ayifanele ibe ngaphezu kweedosi ezingama-20.Esi sithintelo sonyusa amathuba okuba khona kwenkunkuma, ngakumbi kwiibhotile ezinkulu.
Iidosi ezahlukeneyo zee-Moderna booster azinyusi nje ukuntsonkotha kwabantu ekubetheni kwinqanaba lomntu.U-Hannan uthe xa inani lamathamo atsalwa kwi-vial liqala ukutshintsha, ukuzama ukubeka esweni ubonelelo nokusetyenziswa kwenkqubo yokugonya kuya kuba ngumngeni owongezelelweyo.
“Ngokusisiseko uzama ukulandelela uluhlu lwempahla kwiibhotile ezinedosi ye-14, ngoku ezinokuba ngama-28[-idosi] yeebhotile, okanye kwenye indawo phakathi,” utshilo.
Kwaqengqeleka iinyanga, iUnited States igutyungelwe zizitofu zokugonya, kwaye amagosa olawulo lwe-Biden athi ilizwe likwafumene isitofu sokugonya esaneleyo emva kokufumana isigunyaziso.
Nangona kunjalo, kubantwana abaphakathi kweminyaka emi-5 kunye ne-11 ubudala, amagosa ezempilo karhulumente athi akaqinisekanga ukuba loluphi uhlobo lwenkqubo yokugonya abantwana eya kuthi iqale inikezelwe kurhulumente womdibaniso-kwaye nokuba abazali babo baya kuba nomdla ongakanani.Ekuqaleni.UShah uthe iWashington State izamile ukulinganisa le mfuno, kodwa kusekho imibuzo engaphendulwanga.Idatha yophando evela kwi-Caesars Family Foundation ibonisa ukuba malunga nesinye kwisithathu sabazali bathi lakuba livunyiwe isitofu sokugonya, "ngoko nangoko" baya kugonya abantwana abaphakathi kweminyaka emi-5 neli-11 ubudala, nangona abazali beye bagonywa ngokuthe ngcembe ukususela oko babekhanyiswe ngokuluhlaza.Zifudumeze ukuze ugonye abantwana abadala.
UShah uthe: “Kukho imida kwizinto ezinokuodolwa kwilizwe ngalinye.Siza kubona imfuno yabazali nabantwana ababazisayo.Oku kungaziwa kangako. ”
Ulawulo lweBiden luchaze izicwangciso zokukhupha ugonyo lwabantwana kule veki ngaphambi kokuxoxa ngogunyaziso kwiveki ezayo.Baquka ukugaya oogqirha babantwana, amaziko ezempilo asekuhlaleni nawasemaphandleni, kunye neekhemesti.UJeff Zients, uMnxibelelanisi weeMpendulo ze-White House Covid-19, uthe urhulumente wobumbano uza kubonelela ngezinto ezaneleyo kumazwe, izizwe kunye nemimandla ukusungula izigidi zeedosi.Umthwalo uya kubandakanya iinaliti ezincinci ezifunekayo ukunika inaliti.
UHelen ugubungela uluhlu olubanzi lwemiba enxulumene nezifo ezosulelayo, kubandakanywa ukuqhambuka, amalungiselelo, uphando kunye nophuhliso lwesitofu.