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E aʻo hou maʻaneʻi

Lā Kaʻi Kaʻi honua

By ʻO Sarah W

ʻO ka "vaccine hesitancy" kahi ʻōlelo aʻu i lohe ʻole ai ma mua o ka maʻi maʻi COVID-19, akā i kēia manawa he huaʻōlelo a mākou e lohe ai i nā manawa āpau. He mau ʻohana i hoʻopaʻa ʻole i kā lākou mau keiki; Ke hoʻomanaʻo nei au i kekahi hoaaloha ma ke kula kiʻekiʻe i loaʻa iā ia ka hoʻokuʻu ʻia e ka makuahine. Ke hoʻomanaʻo nei hoʻi au i koʻu wā i hana ai no kekahi o nā keʻena nūhou ʻo Denver TV, ua kūkākūkā mākou a Ke aʻo ʻana o nā Center for Disease Control and Prevention (CDC). i ʻike ʻia ʻo Colorado kekahi o nā helu haʻahaʻa haʻahaʻa loa ma ka lāhui. Ua hana ʻia kēia haʻawina ma mua o ka maʻi maʻi. No laila, ʻaʻole hou ka manaʻo o ka haʻalele ʻana i nā lāʻau lapaʻau, akā me he mea lā ua hāʻawi ʻia ke ola hou mai ka wā i hoʻokuʻu mua ʻia ai ke kano COVID-19 i ka lehulehu i ka hoʻomaka ʻana o 2021.

I ka ʻohi ʻana i ka ʻike no kahi nūhou Colorado Access, ua hiki iaʻu ke loaʻa i kēia ʻike. ʻO ka ʻIkepili a me ka ʻike ʻike pono mālama ola kino (HEDIS), nānā i ka nui o ka lāʻau lapaʻau ma 2020, 2021, a me 2022 no nā lālā Colorado Access. ʻO ka "Combination 10" he pūʻulu o nā lāʻau lapaʻau e komo pū ana: ʻehā diphtheria, tetanus, a me acellular pertussis, ʻekolu polio i hoʻohana ʻole ʻia, hoʻokahi maʻi maʻi, mumps, a me ka rubella, ʻekolu haemophilus influenzae type b, ʻekolu hepatitis B, hoʻokahi varicella, ʻehā pneumococcal conjugate. , ʻelua a ʻekolu rotavirus, hoʻokahi maʻi hepatitis A, a me ʻelua mau lāʻau lapaʻau maʻi maʻi maʻi. Ma 2020, ma kahi o 54% o nā lālā Colorado Access i loaʻa i kā lākou kano "Combination 10" i ka manawa. I ka makahiki 2021, ua emi iho ka helu ma kahi o 47%, a ma 2022, ua emi iho ma kahi o 38%.

I kekahi pae, hiki iaʻu ke hoʻomaopopo i ke kumu i hala mua ai nā keiki he nui i kā lākou mau kano. I ka manawa o ka laha ʻana, ua loaʻa iaʻu ʻelua mau keiki kaikunāne, ua loaʻa iā lāua nā lāʻau lapaʻau āpau e pono ai lākou e hele i ke kula. ʻAʻole i hānau ʻia kaʻu keiki ola. No laila, ʻaʻole maoli ka pilikia aʻu i hana ai ma kahi pae pilikino. Eia nō naʻe, hiki iaʻu ke hoʻokomo iaʻu iho i nā kāmaʻa o kahi makua no ka mākaʻikaʻi maikaʻi e pili ana i kahi kano i ke kiʻekiʻe o ka maʻi maʻi COVID-19, i ka wā i hoʻopuni ʻia ai ka nui o ka kānalua i ka maʻi a me kona hopena i nā keiki. Hiki iaʻu ke noʻonoʻo i ka makemake e lele i kēlā kipa ʻana i ke keʻena o ke kauka, me ke kiʻi ʻana i kaʻu keiki e noho ana ma ka ʻaoʻao o kekahi keiki maʻi a loaʻa i kahi maʻi make. Hiki iaʻu ke ʻike iaʻu iho e noʻonoʻo nei e hele ana kaʻu keiki i ke kula virtual, no laila hiki ke kali ke kano a hiki i ko lākou hoʻi ʻana i ka lumi papa.

ʻOiai hiki iaʻu ke hoʻomaopopo i ke kumu o ka hoʻopaneʻe ʻana o nā mākua i kekahi mau lāʻau lapaʻau i ka wā o ka maʻi maʻi, a no ke aha he mea paʻakikī ke hoʻopaʻa ʻia kāu keiki me nā kiʻi like ʻole i kahi manawa i kēlā me kēia mahina ma ke ʻano he kamaliʻi, ʻike nō hoʻi au i ka nui o ka e kiʻi i nā lāʻau lapaʻau noʻu iho a no kaʻu keiki.

ʻO kahi mea i hōʻike mai iaʻu i kēia manawa ʻo ka hana ʻana o ka mua ka maʻi maʻi respiratory syncytial (RSV)., ʻae ʻia i Mei 2023. Ua hānau mua ʻia kaʻu keiki ola ma 34 pule o ka hāpai ʻana. Ma muli o ia mea, me ka ʻoiaʻiʻo ua hānau ʻia ʻo ia ma Colorado ma kahi kiʻekiʻe kiʻekiʻe, pono ʻo ia e hoʻohana i kahi pahu oxygen a hiki i kona piha ʻana i ʻelua mahina. Ua mālama ʻia ʻo ia i ka haukapila ma hope o kona piha ʻana i hoʻokahi mahina no ka mea makaʻu nā kauka ua loaʻa ʻo ia i kahi maʻi hanu a ma ke ʻano he "preemie" makemake lākou iā ia a me kāna pae oxygen e nānā pono ʻia. Ua haʻi ʻia iaʻu i loko o ke keʻena pilikia ma ka Haukapila ʻo Children Colorado, ua manaʻo ʻia ke keiki he preemie a ʻokoʻa ka mālama ʻia a hiki i ka piha ʻana o hoʻokahi makahiki.

Ma muli o kāna moʻolelo, manaʻolana nui wau e loaʻa iā ia ka maʻi RSV. ʻAʻole laha loa kona loaʻa ʻana, a ua ʻoki ʻia ka makahiki ma ka ʻewalu mahina. ʻOiai ua hala ʻo ia i ka manawa o kona mau makahiki, e hāʻawi ke kauka iā ia a hiki i ka "makahiki i hoʻoponopono ʻia" ʻewalu mahina (ʻo ia hoʻi ke hiki ʻo ia i ka ʻewalu mahina ma mua o kona lā pono. makahiki o ka manawa, no laila ua pau kona manawa).

Ua haʻi mua ʻia iaʻu e pili ana i ke kano ma kāna kipa luawai ʻeono mahina. E ʻae aku au ua holo nā manaʻo he nui i loko o koʻu poʻo e like me ka wehewehe ʻana o ke kauka i kēia kano i hoʻokuʻu ʻia i nā pule wale nō ma mua. Ua noʻonoʻo wau inā ua aʻo ʻia nā hopena lōʻihi, inā paha e loaʻa iā ia kahi kano hou loa a ʻaʻole i hala i ka manawa RSV i kēia manawa, a inā he palekana ma ka laulā. Akā i ka hopena o ka lā, ʻike wau ʻo kona loaʻa ʻana i kahi maʻi lele a me ka pōʻino he nui loa ia i ka pilikia, a ʻaʻole wau makemake iā ia e hele i kēia hoʻoilo i ʻike ʻia i kēlā hiki ke hiki iaʻu ke kōkua.

Hiki iaʻu ke hōʻoiaʻiʻo i ke koʻikoʻi o ka hoʻopaʻa ʻana iaʻu iho. I ka makahiki 2019, ua hele au i Morocco me kekahi mau hoaaloha a ala aʻe au i kekahi kakahiaka e ʻike iaʻu ua uhi ʻia i nā ʻōpū ʻeha ma koʻu alo, ma lalo o koʻu ʻāʻī, ma koʻu kua, a ma koʻu lima. ʻAʻole maopopo iaʻu ke kumu o kēia mau puʻupuʻu; Ua holo au i ke kāmelo a ua hele au i ka wao nahele i ka lā ma mua, a ua nahu mai paha kekahi ʻōpala iaʻu. ʻAʻole maopopo iaʻu inā loaʻa kekahi mau ʻiniko e lawe ana i nā maʻi ma ia wahi, no laila ua hopohopo iki a nānā wau iaʻu iho no nā hōʻailona o ka maʻi a me ke kuni. ʻOiai naʻe, manaʻo wau na nā moena moe paha lākou i kumu, ma muli o ka ʻoiaʻiʻo aia lākou ma nā wahi kikoʻī i pā i ka moena. I koʻu hoʻi ʻana i Colorado, ʻike au i koʻu kauka nāna i ʻōlelo mai iaʻu ʻaʻole e kiʻi i ka maʻi maʻi a hala kekahi manawa, no ka mea he paʻakikī ke ʻike inā loaʻa nā hōʻailona ma muli o kaʻu kī maʻi a i ʻole kekahi mea e pili ana i ka nahu.

ʻAe, ua poina wau i ka hoʻi ʻana i ka pana a loaʻa ka maʻi maʻi. He mea weliweli. No nā pule a me nā pule, ua nui koʻu ʻūhū; Ke hoʻohana nei au i nā kāwele pepa e puhi i koʻu ihu a me ka ʻāʻī ʻana i ka phlegm no ka mea ʻaʻole ʻoki ʻia nā ʻiʻo. Ua manaʻo wau ʻaʻole e pau koʻu ʻū. ʻOiai hoʻokahi mahina ma hope o koʻu loaʻa ʻana i ka maʻi maʻi, paʻakikī au i ka wā e hoʻāʻo nei e hana i kahi ala maʻalahi loa i ka hau. Mai ia manawa mai, ua hoʻoikaika au i ka loaʻa ʻana o ka maʻi flu i kēlā me kēia kau. ʻOiai ua ʻoi aku ka ʻino ma mua o ka loaʻa ʻana o ka maʻi maʻi, he mea hoʻomanaʻo maikaʻi ia e ʻoi aku ka ʻino o ka loaʻa ʻana o ka maʻi ma mua o ka loaʻa ʻana o ka pana. ʻOi aku nā pōmaikaʻi ma mua o nā pilikia liʻiliʻi e pili ana i ke kano.

Inā ʻaʻole maopopo ʻoe e pili ana i ka loaʻa ʻana o ka COVID-19, ka maʻi maʻi, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, ʻo ke kamaʻilio ʻana i kāu kauka no ka ʻike hou aku he hana mua maikaʻi. Loaʻa iā Colorado Access ʻike e pili ana i ka palekana a pehea e loaʻa ai ke kano a he nui nā kumuwaiwai ʻē aʻe, me ka Pūnaewele CDC, inā he mau nīnau kāu e pili ana i nā lāʻau lapaʻau, pehea lākou e hana ai, a me nā mea hou aku. Inā ʻoe e ʻimi nei i kahi e loaʻa ai kāu kano kano, loaʻa pū i ka CDC mea paahana imi kano.