"Chiyero chekubudirira kwechirwere chefuruu chinowanzokwira," anodaro Hélène Gingras, mutauriri weQuebec Ministry of Health and Social Services. Kana iyo yekudzivirira ichinetsa uye iyo inotenderera yakanyatsoenderana, 70% kusvika 90% kushanda kunowanikwa. Sezvineiwo, muna 2007, maviri emhando dzejekiseni haana kufananidzwa nemhando dzakakonzera nyaya dzefuruwenza. Kunyanya, B strain yejekiseni yakawanikwa isingashande kurwisa B strain inotenderera.¹.

"Kunyangwe zvese, kunyangwe kushanda kwacho kusati kwapera, kubaya kunoramba kuri kudzivirira kwakanyanya kune vanhu vari panjodzi, anosimbirira Hélène Gingras. Kunyangwe tichiziva kuti vanhu vakura, semuenzaniso, havadaire kune vaccine sevanhu vadiki vane masoja ekudzivirira emuviri anoshanda zvirinani. Ehe, zviyero zvehutsanana sekugeza maoko uye tsika yekufema zvakakoshawo, anoyeuka. “Asi kunyangwe jekiseni rikasagara richidzivirira munhu akura kuti asabatwa nefuruwenza, rinoderedza hukasha uye matambudziko. Inoderedzawo mwero werufu. Furuwenza inokonzera kufa kwe1 kusvika ku000 muQuebec gore rega rega, kunyanya pakati pevakuru. “

Kusvika nguva pfupi yadarika, kuderedzwa kunofungidzirwa kwenhamba yenzufu dzakakonzerwa nefuruwenza kune vakwegura yaive 50% uye kuderedzwa kwevanorapwa muchipatara ne30%, mhedzisiro yehutano hweveruzhinji. Zvisinei, mumakore achangopfuura, vatsvakurudzi vakabvunza migumisiro yezvidzidzo zvekuongorora zvakakonzera kuderedzwa kwemazinga aya: migumisiro iyi yaizove yakakanganiswa nechinhu chinokanganisa chinonzi "healthy patient effect" (hutano mushandisi maitiro)^2-8 .

“Vanhu vanobayiwa nhomba varwere vakanaka vanogara vachiona vanachiremba vavo, vanonwa mishonga yavo, vanoita maekisesaizi uye vanodya zvakanaka,” anodaro Sumit R. Majumdar, chiremba uye mutevedzeri wapurofesa muDhipatimendi rePublic Health Sciences pa’University of Alberta muEdmonton. Nepo vanhu vachembera vasina simba vanonetseka kufamba-famba vanowanzotadza kuwana jekiseni. “

Kana zvinhu izvi zvikasatariswa mukuongorora kwehuwandu hwe data, mhedzisiro yacho inorerekera, maererano naD^r Majumdar. “Vanhu vasina kubaiwa vangangopinda muchipatara kana kufa nefuruwenza, kwete nokuti havana kubaiwa, asi nokuti utano hwavo pakutanga hunenge husina kusimba,” anotsanangura kudaro.

Iyo Canadian kesi-control yekudzidza inotungamirwa naDr.^r Majumdar uye yakaburitswa munaGunyana 2008 yakafunga ichi chakakosha chinovhiringidza chinhu⁸, sezvakangoitawo ongororo yakaitwa muUnited States uye yakaburitswa muna Nyamavhuvhu 2008⁷. Chikwata cheCanada chakaongorora marekodhi ehutano e704 vanhu vakura vakapinzwa muzvipatara zvitanhatu vaine pneumonia, dambudziko rinowanzoitika uye rine ngozi refuruwenza. Hafu yavo yakabaiwa, imwe hafu yakanga isina.

Mugumisiro: “Ongororo yedu inoratidza kuti kubayiwa nhomba kana kuti kusaitwa hakuna zvakunoita pahuwandu hwekufa kwevanhu vari muchipatara nepneumonia,” anodaro D.^r Majumbar. Izvi hazvirevi kuti vanhu ava havafanirwe kubaiwa nhomba. Asi, zvinoreva kuti hatisi kuita zvakakwana kuderedza furuwenza nedzimwe nzira. Semuyenzaniso, hakuna kushambadza kwehutano hweveruzhinji kwakakwana pamusoro pekugeza maoko, chiyero chine humbowo hwakasimba hwekushanda. “

Ongororo yeUS, yakaburitswa muna Nyamavhuvhu 2008, yakatarisa varwere vakawanda uye yakatarisa mwero wemabayo muvanhu vachembera vakabayiwa uye vasina kubayiwa.⁷. Mutongo wacho wakafanana: furuu yakapfurwa haina kunyatsoshanda mukudzivirira pneumonia, inova ndiyo dambudziko guru refuruwenza.

Mhedzisiro yezvidzidzo zviviri izvi hazvishamise D^re Maryse Guay, chipangamazano wezvekurapa kuInstitut de santé publique du Québec (INSPQ)⁹. “Zvagara zvichizivikanwa kuti jekiseni iri harinyanyi kushanda kune vakwegura, asi, pari zvino, zvidzidzo zviviri izvi hazvina kukwana kana zvichienzaniswa nedata rese rakanaka iro takaunganidza pamusoro pekushanda kwejekiseni. vaccine,” anotsanangura kudaro. Anocherekedza, pakati pezvimwe zvinhu, kuti mune zvese zvidzidzo, huwandu hwevanhu vakadzidzwa hwakanyanya uye kuti chidzidzo cheCanada chakaitwa kunze kwenguva yefuruwenza. “Zvisinei, isu tinogara takangwarira uye tichiongorora zvese zvinoburitswa nezvenyaya iyi. Zvakaipisisa, tinobaya pasina, asi jekiseni iri, kana richienzaniswa nemamwe, haridhure uye tinoziva kuti rinoshanda muvanhu vane hutano, ”anowedzera.

"Usati washandisa mari yakawanda kuwedzera kuvharirwa kwejekiseni kune vakwegura, zvinofanirwa kuita zvidzidzo zvekiriniki zvinodzorwa neplacebo kuti uve neruzivo rwakanyanya rweyero chaiyo yekubudirira kwejekiseni," akadaro Dr.^r Majumdar. Parizvino, chidzidzo chimwe chete cherudzi urwu chakaitwa, makore gumi nemashanu apfuura, muNetherlands: vaongorori vakabva vaona kuita kunge zero kushanda kwemushonga. Tinoda humbowo hwakasimba hwekiriniki. “

"Iyo data yekiriniki ndeyekare, inobvuma iyo D^re Guay. Zvakadaro, sezvo tine fungidziro yekuti jekiseni rinoshanda, zvidzidzo izvi hazviitwe nekuti hazvingave zvine hunhu kupa placebo. Pamusoro pezvo, kuita makiriniki ekuyedzwa kwejekiseni rekudzivirira furuwenza kwakaoma, kunyanya nekuti mhando dzekudzivirira dzinosiyana gore rega rega uye hatingambove nechokwadi chekuti dzichadzivirira kubva kune dziri kutenderera. “

Vana ndivo vanoparadzira furuwenza. Zviratidzo zvavo hazvina kunyanya kuoma pane zvevakuru, saka vabereki vanobhadhara zvishoma kwavari. Mhedzisiro: vana havana kuparadzaniswa uye presto! mhamha vanoibata uye pamwe sekuru, vanogara mumusha. Izvo hazvitore zvakawanda kukonzera kubuda muhuwandu huri panjodzi yekunetsekana.

The D^r Majumbar anoshandisa muenzaniso weJapan kuenzanisira kuti kubaiwa nhomba kwevana kunofanira kukurudzirwa. Munyika iyi, maive nechirongwa chepasi rose chekudzivirira vana muchikoro, huwandu hwefuruwenza hwakawedzera pakati pevakwegura apo danho iri rakaregwa. “Saka zvakakosha kuti vana vakawanda nevaya vakapoteredza vachembera vabaiwe nhomba,” anodaro. Sezvo immune system yavo ichipindura zvirinani kubayiwa pane yevakuru, vaccine inovadzivirira zvirinani. Kana vakasabatwa nefuruu, havaipfuure. “

Mamiriro echiJapan haagone kuwedzeredzwa kune aya eQuebec kana Canada, mumvuri D^re Guay: “MuJapan, kuonana pakati pevana navanasekuru kunenge kuri pedyo zvikuru uye nguva dzose, nokuti vanowanzogara muimba imwe chete, izvo zvisiri izvo kuno. Mumakore mashoma apfuura, takakurukura nezve kukosha kwekupa vaccine kuvana vese muQuebec, asi isu hatisi kutobudirira kusvika zvakakwana kune vanhu vakatarwa, kunyanya vanhu vari panjodzi nevashandi vehutano. “

The D^re Guay inotsanangura mamiriro ezvinhu muOntario, iyo yakapa chirongwa chekudzivirira chirwere chefuruwenza kubvira 2000. Maererano nedheta iripo, inoona kuti mugumisiro wechiyero ichi hauna kukwana kuderedza kutapurirwa, kusiyana nezvakaitika muJapan. “MuUnited States, hutano hweveruzhinji huchangobva kusarudza kuti nhomba yefuruwenza gore negore inokurudzirwa kuvana vane mwedzi mitanhatu kusvika kumakore gumi nemasere. Isu tinotarisa zviri kuitwa kumwe kunhu uye tinomirira kuona mhedzisiro inowanikwa tisati taita chero sarudzo. Isu takashandisa zano iri pamajekiseni akati wandei uye kusvika pari zvino rave richibatsira zvikuru kwatiri, ”anodaro D^re Kutonhora

Chirongwa cheQuebec chemahara chekudzivirira chinonangana nemapoka akati wandei evanhu vari panjodzi yekunetsekana nefuruwenza, asiwo navanhu vose vakavapoteredza nokuti vanogara navo kana kuti vanoshanda navo. Vanhu vari panjodzi ndivo:

- vanhu vane makore 60 uye kupfuura;

- vana vane makore 6 kusvika 23 mwedzi;

- vanhu vane zvimwe zvirwere zvisingaperi.

• Tarisai mugwaro redu refuruuenza kuti muzive nzira yekudzivirira nekurapa nayo.
• Zvese zvinongedzo nezve flu pfuti: mazita ezvigadzirwa pamusika muQuebec, kuumbwa, zviratidzo, purogiramu, kushanda, nezvimwe.

  Quebec Immunisation Protocol, Chitsauko 11 – Mishonga yekudzivirira furuwenza uye pneumococcus, Santé et Services sociaux Québec. [gwaro rePDF rakabvunzwa munaGunyana 29, 2008] publications.msss.gouv.qc.ca

• Mhinduro kumibvunzo 18 pamusoro pefuruwenza

  Furuwenza (flu) – Mibvunzo inowanzo bvunzwa, Santé et Services sociaux Québec. [Yakasvika munaGunyana 29, 2008] www.msss.gouv.qc.ca

• Kuenzanisa tafura yekutonhora uye furuwenza zviratidzo

  Idzihwa here kana kuti furuu? Canadian Coalition yeKudzivirira Kuziva uye Kusimudzira. [gwaro rePDF rakapinzwa munaGunyana 29, 2008] resources.cpha.ca