Pakapihwa jekiseni mukupera kwegore rapfuura, meseji kubva kuvakuru vehutano yanga iri nyore: kubaiwa kana wasangana nemamiriro ezvinhu uye uwane chero mushonga wakapihwa kwauri.Zvisinei, sezvo mabooster anowanikwa kune mamwe mapoka evanhu, uye majekiseni e-low-dose anotarisirwa kupiwa kuvana vaduku nokukurumidza, kufamba kuri kuchinja kubva kune imwe yemirairo iri nyore kune mamwe machati echaotic flowcharts kune vanhu vanoronga uye vanopa jabs.
Tora Moderna booster semuenzaniso.Yakatenderwa neUS Food and Drug Administration neChitatu uye inotarisirwa kukurudzirwa neCenters for Disease Control and Prevention kuvanhu vane makore 65 ezera uye vakuru uye vanhu vane dzimwe njodzi dzinokonzera-Pfizer-BioNTech booster mvumo yevanhu.Asi kusiyana nemajekiseni ePfizer, iyo Moderna booster ihafu-dose;inoda kushandiswa kwevhavha imwechete seyero yakazara, asi hafu chete inotorwa kune imwe neimwe jekiseni.Yakaparadzana kubva pane iyi ndiyo yechitatu yakazara dosi yeaya majekiseni eMRNA, ayo akatenderwa vanhu vasina immunocompromised.
"Vashandi vedu vaneta uye vari kuyedza kuronga [majekiseni] evana," akadaro Claire Hannan, director director weImmunisation Managers Association."Dzimwe dzenhengo dzedu dzaisatomboziva kuti Moderna yaive hafu-dose, takangotanga kutaura nezvazvo ... vese vakadonha shaya."
Kubva ipapo zvinova zvakaoma.Iyo FDA yakapawo mvumo kuti CDC inotarisirwa kukurudzira yechipiri dosi yejojo ​​yaJohnson & Johnson kuvanhu vese vanogashira jekiseni nekukurumidza seChina-kwete chete huwandu hushoma uchifunga kuti booster yeModerna kana Pfizer jekiseni inogona kugamuchirwa.Kunyangwe vanhu vakabayiwa nhomba nePfizer neModerna vachikodzera kukwidziridzwa mwedzi mitanhatu vapedza iwo majekiseni makuru aya, vanhu vanobaiwa naJohnson & Johnson vanofanirwa kuwana pfuti yechipiri mwedzi miviri mushure mekudzivirira kwekutanga.
Pamusoro pezvo, US Food and Drug Administration yakaratidza neChitatu kuti inobvumira nzira ye "kusanganisa uye kuenzanisa" nemaboosters, zvinoreva kuti vanhu havafanire kuwana majekiseni akafanana seanoita muchikamu chikuru.Iyi mutemo inoomesa hurongwa, zvichiita kuti zviome kufembera kuti mangani madhosi anozodiwa mudunhu rega rega rekudzivirira booster.
Kozoitawo mushonga wePfizer wevana mamirioni makumi maviri nemasere vane makore mashanu kusvika gumi nerimwe.Vanachipangamazano veFDA vachasangana neChipiri chinotevera kuti vakurukure vaccine yePfizer yevana vane makore mashanu kusvika gumi nerimwe, zvinoreva kuti inogona kuwanikwa munguva pfupi iri kutevera.Mushonga uyu uchange uri mubhodhoro rakasiyana nejekiseni revakuru rekambani uye uchashandisa katsono kadiki kuendesa dosi remamicrogram gumi, pane 30 microgram dosi rinoshandiswa kune vechidiki nevakuru vane makore gumi nemaviri zvichikwira.
Kuronga zvese izvi zvichawira kuma pharmacy, zvirongwa zvekudzivirira, vana chiremba, uye vaccine maneja, vazhinji vacho vaneta, uye vanofanirwawo kuteedzera hesita uye kuderedza marara.Uku kuchavewo shanduko yekukurumidza: kana CDC yatarisa bhokisi rekupedzisira rebooster nemakurudziro ayo, vanhu vanozotanga kuvada.
Hutungamiri hweFDA hwakabvuma kuti zvese izvi zvinounza matambudziko."Kunyangwe zvisiri nyore, hazvina kuomesesa zvachose kupererwa," Peter Marks, director weFDA's Center for Biologics Evaluation and Research, akadaro neChitatu panguva yemusangano wekufona nevatori venhau nezveFDA's nyowani (Hyundai naJohnson) uye yakadzokororwa kuburitswa. ..Pfizer) mvumo yekukurumidzira.
Panguva imwecheteyo, mushandirapamwe wehutano hweveruzhinji uchiri kuedza kusvika kumakumi emamiriyoni evanhu vanokodzera vasina kubayiwa zvachose.
Washington State Health Secretary Umair Shah akacherekedza kuti masangano ehutano everuzhinji achiri kuenderana neCovid-19 data, kuyedzwa uye mhinduro, uye mune dzimwe nzvimbo vachiri kubata nekuvhiya kunofambiswa neDelta musiyano.Akaudza STAT kuti: "Kusiyana neavo vanga vachipindura Covid-19, mamwe mabasa aya kana kumwe kuedza kunopera."
Chinonyanya kukosha idanidziro yekudzivirira."Ipapo iwe une boosters, uyezve une makore mashanu kusvika gumi nerimwe," akadaro Shah."Pamusoro pezvanga zvichiitwa nehutano hweveruzhinji, une imwe stratification."
Vatengesi nevakuru vehutano hweveruzhinji vakataura kuti vane ruzivo mukuchengetedza nekuendesa zvigadzirwa zvakasiyana nemamwe majekiseni, uye vari kugadzirira maitiro ekuita chikamu chinotevera chemushandirapamwe kudzivirira vanhu kubva kuCovid-19.Vari kudzidzisa mamaneja ekudzivirira uye kumisikidza masisitimu ekuona kuti vanhu vawana muyero chaiwo kana vabaiwa-kungave kuri nhevedzano huru kana yekudzivirira inosimudzira.
Mukudzidzira kwemishonga yemhuri yaSterling Ransone muDeltaville, Virginia, akadhirowa chati yairatidza kuti ndeapi mapoka aikodzera kuwana majekiseni uye nguva yakakurudzirwa pakati pemajekiseni akasiyana.Iye nevashandi vake vanomukoti vakadzidzawo nzira yekuparadzanisa majekiseni akasiyana-siyana pavanenge vachitora majekiseni akasiyana kubva mumabhodhoro, uye vakagadzira hurongwa hwekodhi hwemavara, hune mabhasikiti akasiyana emajekiseni makuru evakuru, nerubatsiro rwaModerna.Mapusher uye jekiseni rimwe revana vadiki zviripo.
“Unofanira kumira ndokufunga pamusoro pezvinhu zvose izvozvi,” akadaro Lanson, purezidhendi weAmerican Academy of Family Physicians."Ndeipi mazano panguva ino, chii chaunofanira kuita?"
Pamusangano weFDA's Vaccine Advisory Committee svondo rapfuura, mumwe wenhengo dzedare akasimudza kushushikana nezve "dosage isina kufanira" (kureva, kuvhiringidzika kwedosi) kuModerna.Akabvunza Jacqueline Miller, mukuru wekambani yekurapa chirwere chinotapukira, nezve mukana weakasiyana majekiseni ekutanga majekiseni uye booster jekiseni.Asi Miller akataura kuti kambani icharamba ichipa iyo vial iyo maneja anogona kutora zana microgram dosi kana makumi mashanu microgram booster dose, uye anoronga kuitisa imwe dzidziso.
"Tinoziva kuti izvi zvinoda dzidzo uye mutemo," Miller akadaro.“Nekudaro, tiri kugadzirira kutumira tsamba ye'Dear Healthcare Provider' inotsanangura mabatiro emishonga iyi."
Mabhodhoro eModerna ekudzivirira anowanikwa mumasikisi maviri, imwe yeiyi mikuru yakatevedzana inosvika gumi nerimwe dosi (kazhinji gumi kana gumi nerimwe dosi), uye imwe yacho inosvika gumi neshanu dosi (kazhinji gumi nematatu kusvika gumi neshanu).Asi chinomisa pabhodhoro chinogona kungoboorwa ka20 (zvichireva kuti majekiseni makumi maviri chete ndiwo anogona kutorwa kubva mubhodhoro), saka ruzivo rwakapihwa mupi neModerna runoyambira, "Kana ichingowedzera dosi kana musanganiswa weiyo yekutanga nhevedzano. uye iyo booster dose inobviswa Panguva ino, iyo yakanyanya dose inogona kutorwa kubva kune chero bhodhoro remushonga haifanirwe kudarika makumi maviri.Kurambidzwa uku kunowedzera mukana wemarara, kunyanya kumabhodhoro makuru.
Madhasi akasiyana eModerna anosimudzira kwete chete kuwedzera kuomarara kwevanhu vanodzika padanho remunhu.Hannan akati kana huwandu hwemadhodhi anotorwa kubva mubhodhoro hukatanga kushanduka, kuyedza kutarisa kupihwa kwayo uye mashandisirwo echirongwa chekubayisa ichave rimwe dambudziko.
"Uri kuyedza kuteedzera mabhodhoro gumi nemana, anogona kunge ari makumi maviri nemasere, kana kumwe pakati," akadaro.
Kwemwedzi yakawanda, United States yakazadzwa nemidziyo yekudzivirira, uye vakuru vakuru veBiden vakataura kuti nyika yakawanawo mishonga yekudzivirira yakakwana mushure mekuwana mvumo.
Nekudaro, kuvana vane makore ari pakati pe5 kusvika gumi nerimwe, vakuru vezvehutano vanoti havana chokwadi chekuti chirongwa chekudzivirira chevana chevana chichatanga kupihwa kubva kuhurumende yemubatanidzwa - uye kuti vabereki vavo vachafarira zvakadii.Chekutanga.Shah akataura kuti Washington State yakaedza kutevedzera chinodikanwa ichi, asi pachine mimwe mibvunzo isina kupindurwa.Ongororo yakaitwa neCaesars Family Foundation inoratidza kuti chikamu chimwe muzvitatu chevabereki vakati kana jekiseni racho rikatenderwa, “pakarepo” vachabaya vana vari pakati pemakore mashanu ne11 ekuberekwa, kunyange zvazvo vabereki vakabaiwa nhomba zvishoma nezvishoma kubvira pavakanga vakavhenekwa.Dziisai kuti ubaye vana vakura.
Shah akati: "Pane miganho kuzvinhu zvinogona kuodha mudunhu rega rega.Tichaona kudiwa kubva kuvabereki nevana vavanounza.Izvi hazvizivikanwe."
VaBiden manejimendi vakatsanangura hurongwa hwekupa vana vaccine svondo rino vasati vataura nezve mvumo svondo rinouya.Zvinosanganisira kutora vana chiremba, nharaunda uye nzvimbo dzehutano dzekumaruwa, uye ma pharmacy.Jeff Zients, White House Covid-19 Response Coordinator, akati hurumende yemubatanidzwa ichapa zvinhu zvakakwana kumatunhu, madzinza nematunhu kuti vatange mamirioni emadhora.Mutoro unozosanganisirawo tsono diki dzinodiwa kupa majekiseni.
Helen anovhara nyaya dzakasiyana-siyana dzine chekuita nezvirwere zvinotapukira, kusanganisira kubuda, gadziriro, tsvakiridzo, nekuvandudzwa kwejekiseni.