Siyazi ukuthi ukugoma, kuhlanganiswa nezinye zezempilo zomphakathi kanye nezinyathelo zomuntu ngamunye, kusebenzela ukwehlisa ukusabalala kwe-COVID-19 nezinhlobonhlobo zayo. Kodwa-ke, ukuvela kwakamuva kokuhluka kwe-Omicron kuyisikhumbuzo sokuthi ubhubhane lwe-COVID-19 alukapheli nokuthi siphila emphakathini womhlaba. Njengezikhulu Zezempilo Eziyinhloko Zezempilo, siyakubona ukubaluleka kokulingana komhlaba wonke ekusabalaliseni umuthi wokugoma kanye nendima edlalwa ukungalingani ekuveleni kwezinhlobonhlobo ezintsha. Nakuba sifunda kabanzi mayelana nalokhu okuhlukile, singasiza ukulondoloza inqubekelaphambili yethu esiyiqoqo ngokuqhubeka nezinhlelo zokugomela i-COVID-19 futhi silandele amasu abalulekile ezempilo yomphakathi abe ngempumelelo ekusizeni ukuphatha lo bhubhane.
Njengezikhulu Zezempilo Eziyinhloko Zezempilo, siyakubona ukubaluleka kokulingana komhlaba wonke ekusabalaliseni umuthi wokugoma kanye nendima edlalwa ukungalingani ekuveleni kwezinhlobonhlobo ezintsha. Nakuba sifunda kabanzi mayelana nalokhu okuhlukile, singasiza ukulondoloza inqubekelaphambili yethu esiyiqoqo ngokuqhubeka nezinhlelo zokugomela i-COVID-19 futhi silandele amasu abalulekile ezempilo yomphakathi abe ngempumelelo ekusizeni ukuphatha lo bhubhane.
Ubufakazi besayensi, idatha eguqukayo kanye nezeluleko zochwepheshe ziyaqhubeka nokusazisa ngokusetshenziswa ngempumelelo kwemithi yokugomela i-COVID-19 egunyazwe eCanada. I-NACI isanda kukhipha izincomo ezibuyekeziwe mayelana nezithuthukisi zokugomela i-COVID-19 ezisuselwe kubhubhane oluvelayo kanye nobufakazi bokuncipha kokuvikela ngokuhamba kwesikhathi. Uchungechunge oluyisisekelo oluphelele olunomuthi wokugomela i-mRNA COVID-19 lusaqhubeka nokuba yizincomo zokuqala, futhi kufanele lunikezwe wonke umuntu oseqenjini leminyaka yobudala eligunyaziwe ngaphandle kokungqubuzana nomgomo. I-NACI manje futhi yenza izincomo mayelana nemithamo ye-booster yalabo abaneminyaka engu-18 ubudala nangaphezulu uma okungenani izinyanga eziyi-6 sezidlulile ochungechungeni lwabo lokuqala.
Ngokucacile, i-NACI incoma ukuthi imithamo ye-booster yomgomo we-mRNA COVID-19 kufanele inikezwe abantu abalandelayo: abantu abadala abaneminyaka engu-50 ubudala noma ngaphezulu; abantu abadala abahlala ezindlini ezinakekela asebekhulile isikhathi eside noma ezinye izindawo zokuhlala ezihlanganayo ezinikeza ukunakekela kwasebekhulile; abantu abadala ngaphakathi noma abavela emiphakathini Yokuqala Yezizwe, i-Inuit noma i-Métis; abamukeli bochungechunge lokugomela i-viral vector oluqedwe ngemithi yokugomela i-viral vector kuphela; kanye nabasebenzi bezempilo abaphambili kubantu abadala (abathintana ngqo ngokomzimba neziguli) futhi banganikezwa abantu abadala abaneminyaka eyi-18 kuya kwengama-49 ubudala.
Ukuqedela ishejuli yokugoma imithamo emibili yabo bonke abafanelekile kuhlala kubalulekile. Uchungechunge oluyinhloko lunikeza ukuvikeleka okuhle kakhulu ekulalisweni esibhedlela nasekufeni esikhathini eside, ikakhulukazi lapho umthamo wesibili unikezwa okungenani amasonto angu-8 ngemva komthamo wokuqala. I-booster ibuyisela ukuvikeleka okungenzeka kwehle ngokuhamba kwesikhathi, okuvumela ukuvikeleka okuhlala isikhathi eside ukusiza ukunciphisa ukutheleleka, ukudluliselwa, futhi kwezinye imiphakathi, izifo ezinzima. I-NACI iphinde yabuyekeza imininingwane yabantu abake baba nokutheleleka kwangaphambilini futhi iyaqhubeka nokuncoma ukuthi bathole uhlelo olufanayo lwalabo abangakaze batheleleke ngaphambilini. Ukugoma ngisho nangemva kokutheleleka kunikeza isivikelo esithembekile nesihlala isikhathi eside ngokumelene ne-SARS-CoV 2.
Njengoba kuphawuliwe esitatimendeni sethu sangaphambilini mayelana nezithuthukisi ze-COVID-19, izifundazwe nezindawo zizoqhubeka nokwakhela phezu kwezeluleko ze-NACI zokuqalisa ngobuchule imikhankaso yokugoma ezindaweni zazo. Sizimisele ukusebenzisa kahle kakhulu imigomo ye-COVID-19 ngokusekelwe ebufakazini bakamuva nezeluleko zochwepheshe ukuze sifinyelele izinjongo zethu ezihlangene zokunciphisa ukugula okubi kakhulu nokufa kukonke sibe silondoloza umthamo wesistimu yezempilo, kanye nokunciphisa ukusuleleka ukuze kuvikelwe abantu abasengozini enkulu. Ezelulekweni zokuhlinzeka ngezithuthukisi kubantu abadala abahlala e-Canada, sithatha indlela yokuqapha futhi siqinisekisa ukuthi sivikela abantu abasengozini kanye nohlelo lwethu lwezempilo.
I-NACI iphinde yakhipha isiqondiso esibuyekeziwe mayelana nokusetshenziswa komgomo we-mRNA ngokusekelwe kudatha yokugada yakamuva evela e-Canada, e-US naseYurophu, mayelana nezimo ezingavamile ze-myocarditis ne-pericarditis ngemva kokugonywa. Ukunciphisa ubungozi be-myocarditis noma i-pericarditis, etholwe iphakeme ngandlela thize kuModerna kune-Pfizer entsheni nasebancane, i-NACI incoma ukuthi umkhiqizo we-Pfizer-BioNTech 30 mcg uncanyelwa ochungechungeni lokuqala kuleyo minyaka eyi-12 kuye kwengama-29 iminyaka yobudala. Kunconywa isikhawu samaviki angu-8 phakathi komthamo wokuqala nowesibili, njengoba izikhawu ezinde ezifana nalezi kungenzeka zibe nengozi encane ye-myocarditis kunezikhawu ezimfushane futhi ezingase ziphumele ekuvikelekeni okuthuthukisiwe. I-NACI iphinde yaveza ukuthi umkhiqizo we-Pfizer-BioNTech 30 mcg ungase uncandwe kumthamo we-booster kuleyo minyaka engu-18 kuya kwengama-29 ubudala. Intsha kanye nabantu abadala abasebasha abaneminyaka eyi-12 kuye kwengama-29 asebevele bathole imithamo eyodwa noma emibili yomgomo weModerna emasontweni ambalwa edlule akudingeki bakhathazeke, njengoba ubungozi be-myocarditis/pericarditis ngalo mgomo buyivelakancane futhi buyingozi. Isigameko ngokuvamile senzeka phakathi nesonto elilandela ukugonywa. Ukugoma akufanele kuhlehliswe uma umkhiqizo owuthandayo ungatholakali ngesikhathi sokugoma.
Izigameko ze-myocarditis kanye/noma i-pericarditis ngemva kokugonyelwa i-mRNA COVID-19 zibikwe cishe kokukodwa kokungu-1 noma okungu-50,000% kwemithamo esetshenzisiwe. Ukutholwa kwezehlakalo eziyivelakancane njengalena kuyinkomba yokuthi amasistimu ethu okuqapha e-Canada nasemhlabeni jikelele ayasebenza. Izehlakalo ezimbi (imiphumela engemihle) ezilandela ukugonywa kwe-COVID-0.002 ziyenzeka, futhi iningi lithambile futhi lihlanganisa ubuhlungu endaweni yomjovo noma umkhuhlane omncane. Imithamo engaphezulu kwezigidi ezingama-19 yomgomo we-COVID-60 isinikezwe kuze kube manje eCanada, nemiphumela emibi isalokhu iyivelakancane (19% yayo yonke imithamo esetshenziswayo). Ucwaningo lokuhlola, okuhlanganisa nalolo oluvela e-Canada, luyaqhubeka nokukhombisa ukuthi yomibili imigomo egunyaziwe ye-mRNA iphumela ekusebenzeni okuphezulu kokugoma, ikakhulukazi ngokumelene nesifo esinzima. Ezinye izifundo, okuhlanganisa nalezo zaseCanada, ziphakamisa ukuthi umuthi wokugomela iModerna udale impendulo ethile ephezulu yomzimba ephumela ekusebenzeni okuphezulu okungahlala isikhathi eside uma kuqhathaniswa nomgomo we-Pfizer-BioNTech COVID-0.011.
Izikhulu Zezempilo Eziyinhloko ZaseCanada ziyakwamukela ukuhlaziywa kwe-NACI futhi ziyababonga ngokunikeza izincomo zabo ezibuyekeziwe. Esitatimendeni sethu sangaphambilini mayelana nengozi ye-myocarditis kanye ne-pericarditis kulandela ukugonyelwa i-COVID-19, Izikhulu Zezempilo Eziyinhloko zibonise ukubaluleka kokwenza ukuphepha kube yinto ehamba phambili ekuklanyweni ngokucophelela kwezinhlelo zethu zezeluleko nezokugoma futhi sizoqhubeka nokwenza lokho kanye. ukuxhumana okutholakele kumphakathi waseCanada. Sizoqhubeka nokusebenzisa ubufakazi ukusiza ukuklama amasu anganciphisa izingozi nakakhulu ngokuhamba kwesikhathi.
Siyaqaphela ukuthi abantu baseCanada bangase babe nemibuzo mayelana nezincomo ezibuyekeziwe zokusebenzisa imithi yokugomela i-COVID-19 kanye ne-mRNA, kuye ngeqembu leminyaka yabo, isimo sokugoma nezimo ezihlukile. Abantu kufanele baqhubeke nokubheka izinzuzo ezicacile zayo yonke imigomo evunyelwe ukusetshenziswa eCanada ekuvimbeleni ukugula okunzima, ukulaliswa esibhedlela kanye nokufa okuvela ku-COVID-19. Abantu kufanele bafune ulwazi kubahlinzeki babo bezempilo noma iziphathimandla zezempilo zomphakathi zendawo uma benemibuzo mayelana nemikhiqizo yokugoma ebalungele.
Izinzuzo zemithi yokugoma egunyazwe e-Canada ziyaqhubeka zibadlula ubungozi. Ukutheleleka ngegciwane elibangela i-COVID-19 kuxhumene nezinhlobonhlobo zezinkinga ezingase zibangele ukulaliswa esibhedlela kanye/noma ukufa. I-Myocarditis ingenye yezinkinga ezaziwayo zokutheleleka nge-COVID-19, enezingozi eziphakeme kakhulu ngemva kokutheleleka kunangemva kokugoma. Ukugoma kusiza ukuvikela zonke lezi zinkinga futhi, kuhlanganiswe nezinye izindlela zezempilo zomphakathi njengokugqoka imaski, ukugwema izindawo eziminyene, ukukhulisa umoya nokuqhelelana ngokomzimba, kungasisiza sijabulele izinto esizithanda kakhulu. Izikhulu Zezempilo Eziyinhloko ZaseCanada ziyaqhubeka nokukhuthaza bonke abantu ukuthi bagonywe ukuze bazivikele bona kanye nalabo ababazungezile.
UMkhandlu Wezikhulu Zezempilo Eziyinhloko Wezempilo uhlanganisa Isikhulu Sezempilo Esiyinhloko Sesifunda ngasinye kanye nesifunda, Isikhulu Esiyinhloko Sezempilo Yomphakathi saseCanada, Umeluleki Omkhulu Wezempilo Wezempilo eCanada, Isikhulu Sezokwelapha Esiyinhloko Sezempilo Yomphakathi Wezinsizakalo Zomdabu eCanada, Umphathi Omkhulu Isikhulu sezokwelapha esivela ku-First Nations Health Authority, kanye namalungu ayekade enezikhundla avela kweminye iminyango kahulumeni wobumbano.
LOKHO ONGAKUTHATHE KULESI SIHLOKO:
- To mitigate the risk of myocarditis or pericarditis, which has been found to be somewhat higher for Moderna than Pfizer in adolescents and young adults, NACI recommends that the Pfizer-BioNTech 30 mcg product is preferred for the primary series in those 12 to 29 years of age.
- However, the recent emergence of the Omicron variant is a reminder that the COVID-19 pandemic is not over and that we live in a global community.
- A complete primary series with an mRNA COVID-19 vaccine continues to be the first recommendation, and should be offered to everyone in the authorized age group without contraindications to the vaccine.
