Memphis, Tennessee - Njengoba kusondela i-Thanksgiving, abantu abaningi bacabange ukujaha ukuthola isivivinyo se-COVID-19 esisheshayo, esizohlinzeka ngemiphumela engasho ukuchitha isikhathi nomndeni owandisiwe.
Kodwa-ke, i-WREG iyaqonda ukuthi umphumela wokuhlolwa ongemuhle awusho ukuthi umuntu akanalo i-COVID-19.Lesi ngesinye sezizathu ezenza abanye abantu bangabaze lezi zivivinyo, okuhlanganisa nokusetshenziswa kwazo kubantu asebekhulile abasengozini.
Umkhiqizi uchaze ukuhlolwa okusheshayo kwe-COVID-19 okuthunyelwa emakhaya asebekhulile ezweni lonke naseningizimu-maphakathi njengokushesha, okuthembekile, nokusebenziseka kalula.Bakhiqiza imiphumela “ebukhoma,” kwezinye izimo imizuzu engu-15 kuphela, ukuze amakhaya asebekhulile angalindi imiphumela yaselabhorethri.
I-Center for Medicare and Medicaid Services isabalalise izinsiza zokuhlola ngokushesha, ezinikeza ukunakekelwa emakhaya asebekhulile ayi-13,850 ezweni lonke.
I-CMS isabalalise amakhithi okuhlola indawo yokunakekela emizuliswaneni emithathu ehlobo nasekwindla, iqala ngezindawo ezishisayo, okuhlanganisa ne-Shelby County.
I-CMS ithumele lezi zivivinyo emakhaya asebekhulile angaphezu kuka-700 e-Arkansas, Mississippi, naseTennessee.I-WREG ithole izikhungo zaseTennessee ezingaphezu kuka-300 ohlwini, ezingama-27 zazo eziseMemphis.Okulandelayo isayithi lapho i-test suite isatshalaliswa khona.
Ukuhlola okusheshayo kungonga isikhathi futhi ngokunokwenzeka kusindise izimpilo.Kodwa-ke, abanye abantu bathi uhlobo lokuhlola olunikezwa uhulumeni wobumbano kubantu bethu abasengozini kakhulu alunikezi ukuvikelwa okwanele.
“Kufana nokuthi sisondela kuyo kancane kancane, kodwa asikho lapho,” kusho uBrian Lee, owayengumhloli kahulumeni wesikhathi eside manje osephethe eyakhe i-ejensi yokuqapha engenzi nzuzo ebizwa ngokuthi Imindeni Yokunakekelwa Okungcono.
“Ukuhlolwa okwenziwa emakhaya asebekhulile manje kuwukuhlolwa kwamaphutha okusekelwe ku-antigen kuphela.Bakhomba abantu abanezimpawu kuphela, kungakhathalekile ukuthi banalo noma abanalo,” kusho yena.UDavid Aronoff, umqondisi womnyango wezifo ezithathelwanayo eVanderbilt University Medical Center, uchaze izinhlobo ezahlukene zokuhlolwa ku-WREG.
U-Aronov uthe: "Ngicabanga ukuthi ngesikhathi sobhubhane, kufanele siqikelele ukuthi lapho sizama ukusindisa izimpilo, asivumeli ukuphelela kube isitha esihle."
Ama-molecule nama-antigen angakwazi ukuxilonga futhi abone izifo ezisebenzayo.Ukuhlolwa kwe-antibody kungaveza ukuchayeka kwangaphambilini.
"Manje, ukuhlolwa kwegolide okujwayelekile kokutheleleka empeleni kuwukuhlola kwamangqamuzana," kusho uDkt. Aronov.
“Bangakwazi ukubona amanani amancane kakhulu alolufuzo lwe-RNA ekusithekeni kwethu.Inzuzo yabo ukuthi izwela kakhulu, ngakho-ke kungenzeka ukuthi bathole amazinga aphansi kakhulu wezakhi zofuzo. "
"Ngakho-ke, ngokwesibonelo, ngemuva kokuba sengiluleme ku-COVID-19 futhi ngingasatheleleki, ngingaphumelela ukuhlolwa kwamangqamuzana amasonto amaningi," kusho u-Aronoff.
“Okuhle ngokuhlolwa kwe-antigen ukuthi kubiza kancane ukukuqamba.Futhi ziyashesha kakhulu, zifana nokuhlolwa kokukhulelwa komchamo.Cishe ziyashesha futhi zingenziwa kulokho esikubiza ngokuthi indawo yokunakekela,” kusho u-Aronoff.
Kodwa-ke, ukuhlolwa kwe-antigen akuzwela kakhulu njengokuhlolwa kwamangqamuzana, futhi amagciwane amaningi ayadingeka ukwenza umuntu ahlolwe ukuthi une-HIV.
Uthe: “Uma kunokusola okuningi kokuthi lowo muntu unegciwane ngempela, ukuhlolwa kwamangqamuzana ukuqinisekisa ukuthi unalo yini isivivinyo kuzosiza kakhulu.”
Emakhaya asebekhulile asebenzisa isivivinyo, iCenters for Disease Control and Prevention incoma ukuthi ukuhlolwa okungekuhle kwe-POC antigen kuthathwe njengokugabadela.
Umkhulumeli we-CMS uthe ku-imeyili ethunyelwe ku-WREG: “Ukulwa nalolu bhubhane lomhlaba wonke kudinga ubuchwepheshe obuhlukahlukene, okubandakanya nokuhlolwa kwe-antigen.Ezindaweni ezinokwanda okukhulu noma ezigulini ezinezici eziyingozi ezaziwayo, ukuhlolwa kwe-antigen Umphumela oqondile ungabhekwa njengongaqinisekisa futhi usetshenziselwe izinjongo zokuxilonga.Ezindaweni ezinokwanda okuphezulu, ezinye izindlela zokuhlola ziyanconywa ukuze kuqinisekiswe imiphumela engemihle.”Iphepha elilodwa lomkhiqizi nalo lifundeka kanje: “Imiphumela engemihle ayibandakanyi i-COVID-19. Akufanele isetshenziswe njengesisekelo sodwa semiphumela yokuhlolwa.Ukwelashwa.”
"Kuphakathi kokuthi badinga ukufunda imininingwane, ukunemba, ubuqiniso bemiphumela, ukwethembeka, le miphumela emshinini wokuhlola, futhi baqonde ngempela ukuthi basebenza kanjani, bese bebanika umshini ofanele kanye nokuhlolwa okufanele," kusho u-Lee.“Kula makhaya asebekhulile, sisabona izifo eziningi nokufa kwabantu abaningi.Uma singenzi ngokwanele, kufa abantu abangenacala.”
E-Shelby County, kube nokuqubuka okungaphezu kuka-50 ezikhungweni zokunakekela izingane isikhathi eside selokhu kwaqala lolu bhubhane.
Sixoxile nezihlobo ezasala zibuza ukuthi ukufa kwenzeke kanjani ikakhulukazi ngesikhathi kuyekiswa ukuvakashelwa ekuqaleni kwalo nyaka.
Ubabekazi kaCarlock, uShirley Gatewood, wayene-Down syndrome kodwa wabulawa yi-COVID-19.Uyisakhamuzi saseGraceland Rehabilitation and Care Centre.
“Kungani siqhubeka nokuthola amaqoqo engeziwe?Lapho kungavunyelwe muntu ngaphandle kwabasebenzi,” kubuza uCarlock.
EGraceland, kwashona abantu abangama-20 (okuhlanganisa nenani elisha lokushona ngeviki likaNovemba 23), kwathi izakhamizi eziyi-134 kanye nabasebenzi abangama-74 bathola ukuthi banalo.Embikweni wansuku zonke okhishwe uMnyango Wezempilo waseShelby County ngoLwesibili, Novemba 24, isibalo sabasebenzi abangenwe yileli gciwane eGraceland senyuke ngabantu abayi-12.
Eqenjini elisebenzayo lezikhungo zaseShelby County, cishe abasebenzi abangama-500 bangenwe yileli gciwane, futhi leli nani linyukile muva nje.
Imihlahlandlela yamanje yenhlangano idinga amakhaya asebekhulile ukuthi ahlole izakhamizi ezinezimpawu noma ukuqubuka.
Ukuhlolwa kwabasebenzi kuncike esilinganisweni esihle sesifunda, kusukela ngeviki likaNovemba 14, izinga elihle le-Shelby County lalingu-11%.
UDavid Sweat, umqondisi wezifo eziwumshayabhuqe eMnyangweni Wezempilo waseShelby County, uchaze ukuthi abasebenzi balethe kanjani leli gciwane ezindaweni ezinjengamakhaya asebekhulile bengazi.
“Ngokujwayelekile abantu abasebenza khona yilabo abeza esikhungweni ukuzosungula i-organism.Bese kuthi uma isingenisiwe esikhungweni, izosabalala.Kepha khumbula ukuthi nge-COVID-19, iwubuqili ngoba imvamisa Izoqala ukuwa phakathi kwezinsuku ezimbili.Uzoyichitha i-coronavirus ngaphambi kokuthi kuvele izimpawu, ”kusho uSweet.
“Futhi leli gciwane litheleleka ngokuphindwe kathathu kunomkhuhlane.Ngakho kulula ukusabalalisa.Kodwa-ke, uma umuntu engabonisi zimpawu noma izimpawu futhi ephakathi kokuhlolwa, nakanjani bazongenisa igciwane kunoma iyiphi indawo ngephutha..”
I-WREG ibuze: “Ngakho-ke, izikhungo zingakuvimbela kanjani lokhu ukuthi kungenzeki, ukuze zisize ukuvikela kangcono abahlali?”
Umjuluko uthi wonke umuntu wenza konke okusemandleni akhe.“Bakhipha ngaphandle abantu abagulayo.Ababandakanyi abantu abatholakala benalo.Bavame ukuhlola abasebenzi babo ukuze bazame ukuthola lezi zinto kusenesikhathi, kodwa kunzima kakhulu.”
Kungakho u-Lee ethi uhlobo lokuhlola olwenziwa endaweni efana nekhaya lasebekhulile lubaluleke kakhulu ukuqukatha amacala.
“Ukuphila kuyigugu kakhulu.Uma abantu esibathandayo bengenwa yi-COVID futhi bafa ngenxa yalokho, ngeke sikwazi ukubabuyisa.Ngakho-ke kungcono ukuthi uthole ukuhlolwa okufanele ekhaya lasebekhulile manje, ”kusho uLi.
Kukhona ukuhlolwa okusheshayo kwamangqamuzana emakethe.Eqinisweni, kunesimangalo sokuthi imiphumela ingalethwa phakathi nemizuzu emihlanu.
U-Aronoff uthe izinzuzo zalokhu kuhlolwa yijubane nokuzwela okuphezulu kokuhlolwa.Kodwa-ke, okubi ukuthi kungaba nzima kakhulu ukufinyelela futhi kubize kakhulu kwabanye abantu.
Izinsiza zokuhlola ezinikezwa emakhaya asebekhulile ziyalahlwa.Sibuze i-CMS ukuthi ilindele ukuthi ukuhlolwa kwekhaya labahlengikazi kuphele ngokushesha kangakanani nokuthi balindele ukukhokha kanjani ngemuva kwalokho.
Umkhulumeli uthe: “Ikhaya lasebekhulile linesibopho soku-oda izimpahla zokuhlola/izinsiza ngosizo lwama-US $ 5 billion olunikezwa yi-CMS.Ngemva kokuthunyelwa kokuqala kwezinsimbi nokuhlolwa, ikhaya labahlengikazi lizoba nesibopho sokuthenga izivivinyo zalo ngokuqondile kumkhiqizi noma umsabalalisi wensiza yezokwelapha..”
Ngasekuqaleni kwalo nyaka, iTennessee ibuyisele izindleko zokuhlola amakhaya asebekhulile.Uxhaso lwaphela ngo-Okthoba 1, 2020.
I-WREG ithinte amakhaya asebekhulile esifunda amaningana, athole ikhithi yokuhlola esheshayo nesheshayo evela ku-CMS, kodwa asikakayitholi impendulo yombuzo wethu.
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Isikhathi sokuthumela: Jun-28-2021