الصحة العالمية: نقص الاختبارات يقوض جهود مكافحة الإيدز



حذر خبراء بمنظمة الصحة العالمية من أن نقص الاختبارات قد يقوض الجهود العالمية لتشخيص وعلاج الأشخاص المصابين بفيروس نقص المناعة (الإيدز).
وفحص الخبراء الردود على الدراسات الاستقصائية السنوية التي أرسلتها منظمة الصحة العالمية إلى 127 دولة خلال الفترة بين عامي 2012 و2014 تسأل فيها عن كفاءة واستخدام اختبارات الدم لفحص حالة وصحة الشخص المصاب بفيروس نقص المناعة البشرية.
ووجدوا فجوات مقلقة في توفير مثل هذه الاختبارات.
وحذر الخبراء من أن أهداف الأمم المتحدة فيما يتعلق بمكافحة فيروس نقص المناعة البشرية يمكن ألا تتحقق نتيجة لذلك.
وتقول الأهداف أنه بحلول عام 2020 يجب أن يعرف 90 في المئة من جميع الأشخاص الذين يعانون من فيروس نقص المناعة البشرية أنهم مصابون بالفيروس، وأن 90 في المئة من الذي شُخصت حالاتهم ينبغي أن يتلقوا العلاج المضاد للفيروسات، وأن 90 في المئة من المرضى الذين عولجوا يجب أن يكون لديهم "قمع دائم للفيروسات" (وهو مقياس للعلاج الفعال).
وتعد الفحوصات المخبرية أمرا حيويا لتحقيق ورصد هذه الأهداف.
لكن فينسنت هابيامبير وزملاءه يقولون في دورية بلوس للطب إن بعض البلدان المنخفضة والمتوسطة الدخل، بما في ذلك البلدان الأفريقية التي تشتد فيها معدلات الإصابة بفيروس نقص المناعة البشرية، ليست على مستوى التحدي حتى الآن.

أرسلت الدراسات الاستقصائية إلى:

• جميع البلدان الـ 47 في الإقليم الأفريقي لمنظمة الصحة العالمية
• 33 دولة في إقليم منظمة الصحة العالمية للأمريكتين
• جميع البلدان الـ 21 في إقليم شرق المتوسط بمنظمة الصحة العالمية
• ثمانية بلدان تشتد فيها معدلات الإصابة بفيروس نقص المناعة البشرية في الإقليم الأوروبي لمنظمة الصحة العالمية
• جميع البلدان الـ 11 في إقليم جنوب شرق آسيا لمنظمة الصحة العالمية
• سبع دول تشتد فيها معدلات الإصابة بفيروس نقص المناعة البشرية في إقليم غرب المحيط الهادئ
وخلال السنوات الثلاث التي أرسلت خلالها الدراسات الاستقصائية، ردت 55 دولة (43 في المئة) على جميع الاستطلاعات الثلاثة، و35 دولة (28 في المئة) على استطلاعين، و25 (20 في المئة) على دراسة واحدة، في حين لم ترد تسعة دول (7 في المئة) على أي من الاستطلاعات الثلاثة.
صحيح أن هناك تحسن في توفير الاختبارات على مر السنين، لكن لا يزال هناك نقص في أجزاء من العالم.

فجوات مقلقة

وشملت أسباب هذه الفجوات في توفير الاختبارات قلة المواد الكيميائية وعدم تثبيت المعدات أو صيانتها بشكل صحيح ونقص أو عدم تدريب الموظفين. في بعض المختبرات، لم يكن هناك صيانة دورية للآلات. وفي حالات أخرى، تعطلت الآلات ولم يتم إصلاحها أو صيانتها.
يقول هابيامبير وفريقه: "يجب وضع وتنفيذ ومراقبة خطة استراتيجية وطنية لتعزيز الصيانة في المختبرات، ويجب أن يحدث ذلك عن طريق الحكومات وشركائها الوطنيين والدوليين."
وأضاف: "تركيز المجتمع الدولي، لضمان الاستخدام الأمثل للتقنيات في المختبرات، ينبغي أن يكون على البلدان التي تكون في أمس الحاجة للتدخل من أجل تعزيز فرص الحصول على تقنيات تشخيص الإصابة بفيروس نقص المناعة البشرية ".
واعترف الخبراء بأنهم لم ينظروا إلى الاختبارات التي يجريها القطاع الخاص، مشيرين إلى أن بعض البلدان قد تعتمد على هذا بشكل أكبر من غيرها.
وفي مقال مرفق، قال بيتر كيلماركس ورايفا سيمبى، خبراء في فيروس نقص المناعة البشرية، إن النتائج تظهر أن بعض البرامج ربما "بالغت في التركيز" على شراء المعدات دون التخطيط لكيفية استخدامها وصيانتها.
في زيمبابوي، على سبيل المثال، خضع 5.6 في المئة فقط من مرضى الإيدز في عام 2015 لاختبارات دم بصورة منتظمة - أقل بكثير من الهدف الذي يصل إلى 21 في المئة.
وحدث ذلك نتيجة مشاكل في حشد الموارد ونقل العينات وشراء المعدات، حسب الخبراء، الذين أضافوا: "هناك حاجة لقيادة قوية وموارد وتخطيط وإدارة لرفع مستوى الخدمات المخبرية".

"الصحة" تحذر من تفشي الحمى الصفراء بإفريقيا

ذكرت منظمة الصحة العالمية، أن تفشي الحمى الصفراء في أنغولا وجمهورية الكونغو الديمقراطية

 لا يشكل حالة طوارئ صحية عالمية،

 لكنه يحتاج لتكثيف المراقبة والتطعيم على نطاق واسع.

وقال الخبير في منظمة الصحة العالمية، بروس أيلوارد، إن المخزون العالمي من المصل يتوقع 
أن يصل إلى 7 ملايين جرعة بنهاية مايو وما يصل إلى 17 مليون جرعة بحلول أواخر أغسطس،
 وهو ما يكفي لمكافحة المرض في موجات الانتشار الحالية، 
لكنه لن يكون كافيا في حالة انتشار الفيروس في إفريقيا أو آسيا وتسببه في تفش واسع في مناطق حضرية.
وأضاف أيلوارد معلقا على النتائج، التي توصلت إليها أول لجنة طوارئ للمنظمة حول انتشار المرض: 
"في ظل الاشتباه في وجود 2400 حالة خلال 4 أشهر فقط ومع ارتفاع معدل الوفيات البالغ 300 وفاة (في أنغولا).. 
هذا يؤكد على طبيعة التفشي الذي يحتمل أن يكون واسعا لهذا المرض والخطر الذي يشكله على المستوى الدولي".


Exercise to avoid when you have bad knees






شبح شلل الأطفال يطل برأسه في القارة السمراء


شبح شلل الأطفال يطل برأسه في القارة السمراء.


عاد شبح مرض شلل الأطفال المعدي إلى الظهور مجددا في إفريقيا، بعد عامين بدت فيه القارة السمراء خالية من المرض المعدي.

وأوضح خبراء في الأمم المتحدة الجمعة، أنه جرى اكتشاف حالتين من المرض في شمال شرقي نيجيريا التي تشهد اضطرابات، 
وفق ما ذكرت وكالة "رويترز".
وأوضحوا أنه في كل حالة إصابة بشلل الأطفال تكون هناك 200 حالة عدوى "صامتة" لا يتم رصدها،
 ما يعني انتكاسة لجهود محاربة المرض.
ووفق منظمة الصحة العالمية، فقد انخفضت الإصابة بمرض شلل الأطفال،
 بنسبة 99 في المئة بعدد حالات الإصابة بالمرض حتى عام 2014. 
وقال ميشيل زفران مدير مكافحة شلل الأطفال في المنظمة في تصريحات صحفية:" قد يكون هناك مزيد من الحالات".

وينتشر شلل الأطفال بين الأطفال بسرعة، خصوصا مع تردي الخدمات الصحية في مناطق الحروب ومخيمات اللاجئين، 

ويغزو المرض الجهاز العصبي ويمكن أن يؤدي إلى شلل لا علاج له خلال ساعات.

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