He mea paʻakikī ke lohe i ka hakakā ʻana, akā manaʻo wau ʻaʻole hiki ke lohe ma hope o ka noho ʻana me ka maʻi maʻi Covid-19. ʻOiai ma ʻApelika, manaʻo lākou e hoʻomohala i kā lākou kano ponoʻī e kūʻē iā SARSCoV2, ua hōʻiliʻili nā ʻāina ʻoi loa i ka mana luku e hoʻopau i nā mea ola a pau i hala ma kēia honua i hoʻokahi haneli.
ʻO kēia maʻi maʻi i hoʻokau iā mākou a pau, nīnau iā mākou ma ke ʻano he kanaka, kāʻili i kā mākou mau kumu āpau, a hōʻike ʻia ʻoi aku ke olakino honua ma mua o ka manaʻo utopia. I ka hihia o ko mākou ʻāina, ka mea i haʻaheo i ka loaʻa ʻana o kekahi o nā ʻōnaehana olakino maikaʻi loa o ka honua, ua ʻike ʻia nā maʻi maʻi maʻi āpau.
Ua ʻike mākou he palupalu ko mākou ʻōnaehana olakino, a inā ʻaʻole lawa kā mākou hoʻomākaukau ʻana, loaʻa mākou i kahi maʻi maʻi maʻi.
Pono au e haʻalele no ʻekolu makahiki. He haukapila kāna ma ʻAmelika Hui Pū ʻIa e hiki ai ke hoʻomaʻamaʻa i nā maʻi infectious no ka mea, ʻaʻohe mea ma Sepania. ʻO kahi huaʻōlelo a lākou e hoʻohana nui ai ma laila a aia i loko o koʻu poʻo mai ka hopena o ka nalu mua ʻo ia ka hoʻomākaukau. ʻO kāna unuhi maoli ʻo ia ka hoʻomākaukau. Akā i pili i ka maʻi maʻi, ʻo ia ka hoʻonohonoho o nā hana e pili ana i ka mea i hana ʻia i kau ʻia e pale aku i nā hopena maikaʻi ʻole e hiki mai ana i kahi maʻi maʻi e hiki mai ana. Ke lanakila mākou i kēlā me kēia nalu, ua nānā mākou i ka ʻoki ʻana i nā ana i hoʻohana ʻia, me ka manaʻo ua pau ka ʻino loa. A ʻo kā mākou poina mau i ka hoʻomākaukau maoli no ka nalu e hiki mai ana. I kēia manawa, ke alo nei mākou i kahi huli hoʻololi, ʻoiai ʻaʻole mākou e hāʻawi like i nā kano.
Manaʻo wau ua loaʻa iā mākou nā pono he nui. Ma waena o nā mea ʻē aʻe, pono mākou e hana: hoʻoikaika i ka mālama mua, hoʻomaikaʻi i ka ʻoihana halemai, kanu iā mākou iho i loaʻa nā hale maʻi maʻi maʻi, hoʻomaʻamaʻa maikaʻi i kā mākou ICU, hoʻomaʻamaʻa i nā limahana olakino e hoʻoponopono iā lākou i nā pono kūpono, hoʻomaikaʻi i nā kūlana hana olakino pilikino, e hana ana i ka hoʻololi hanauna, hoʻopukapuka kālā me ka hopohopo ʻole i ka noiʻi, a me ka noʻonoʻo ʻana e pili ana i ka hana ʻana i nā loea koʻikoʻi e like me ka mālama wikiwiki a me nā ulia pōpilikia a i ʻole nā locki infectious.
Ua make ʻo Malaria i hoʻokahi miliona kānaka i ka makahiki. Loaʻa ka maʻi maʻi mai ka makahiki hou a ke hoʻomau nei ma kahakai ma nā wahi he nui o ka honua. I kēia lā ʻaʻohe o mākou lapaʻau kūpono no ka maʻi Ebola. Ua paʻi ka make ʻeleʻele iā ʻEulopa mai India i ka makahiki 1348, ua make ma mua o 25 miliona mau kānaka. Ua hoʻopaʻa ʻia ka maʻi maʻi Influenza A i 1.000 biliona mau kānaka i ka makahiki 1918. Akā ʻaʻole nā maʻi lele nā moʻolelo o ka wā i hala. Ma kahi o 20% o nā mea maʻi i hoʻokomo ʻia i nā haukapila hou (koe ʻole ʻo Covid-19) e hana pēlā ma muli o ka maʻi, a ʻo 10% o nā mea maʻi i hoʻopaʻa ʻia no nā kumu ʻē aʻe e pau i kahi maʻi i ka wā e komo ai.
Eia kekahi, i nā makahiki i hala iho nei ua hoʻonui maopopo ʻia nā maʻi ʻē aʻe. ʻO nā mea pili i nā mea biomedical (prostheses, catheters, ...), luhi i nā poʻe maʻi maʻi maʻi i hoʻopaʻa ʻia i nā lāʻau immunosuppressive, nā mea i hana ʻia i nā maʻi transplant, nā maʻi i lawe ʻia i ka wahine, me ka AIDS, nā mea i lawe ʻia mai ka huakaʻi honua, a i ʻole ka puka ʻana mai. a me na mai malama ole. Pēlā nō, ʻo ka hoʻohana ʻino ʻana i nā lāʻau antibiotic i alakaʻi ʻia i kēia mau maʻi i hoʻokumu ʻia e nā microorganisms kūʻokoʻa, e pale paha i kā lākou mālama ʻana.
ʻO nā maʻi maʻi maʻi he wahi transversal o ka ʻike e pili ana i ka mālama mua, nā ulia pōpilikia, ka hale hoʻokipa olakino a me ka ICU. Hoʻolauleʻa ʻo Sepania i kahi haneli o nā ʻāpana infectious a me kā lākou mau loea e hōʻoiaʻiʻo ana i kahi kiʻekiʻe o ka mālama a me ka noiʻi. ʻO Paradoxically, ʻo Sepania wale nō ka ʻāina i ka European Union ʻaʻohe ʻōnaehana hoʻomaʻamaʻa hoʻoponopono i nā maʻi maʻi. He mea koʻikoʻi ka hana ʻana o kēia mea kūikawā inā pono e mālama i ka mālama maikaʻi a mālama pono i ka huli ʻana o ka hanauna. Inā makemake mākou e mākaukau no ka wā e hiki mai ana, ʻike maopopo ʻia ka manawa e hana ai i ka hana kūikawā o nā maʻi infectious ua pau ka manawa.
* ʻO Kauka Jose Luis del Pozo León ka luna o ka Infectious Diseases Service a me ka luna o ka Clinical Microbiology Service, University of Navarra, Pamplona
