{"id":208,"date":"2014-10-10T00:00:00","date_gmt":"2014-10-10T04:00:00","guid":{"rendered":"http:\/\/new-blog.sitata.com\/2014\/10\/10\/can-we-realistically-stop-infectious-diseases-at-the-border-da890f42d741\/"},"modified":"2020-09-08T09:32:39","modified_gmt":"2020-09-08T13:32:39","slug":"can-we-realistically-stop-infectious-diseases-at-the-border-da890f42d741","status":"publish","type":"post","link":"https:\/\/www.sitata.com\/hu\/megallithatjuk-e-realisan-a-fertozo-betegsegeket-a-hataron-da890f42d741\/","title":{"rendered":"Re\u00e1lisan meg\u00e1ll\u00edthatjuk-e a fert\u0151z\u0151 betegs\u00e9geket a hat\u00e1ron?"},"content":{"rendered":"

Re\u00e1lisan meg\u00e1ll\u00edthatjuk-e a fert\u0151z\u0151 betegs\u00e9geket a hat\u00e1ron?<\/h3>\n

Mindenki el\u00e9gg\u00e9 agg\u00f3dik az Ebola-v\u00edrus lehets\u00e9ges terjed\u00e9se miatt a vil\u00e1gon, k\u00fcl\u00f6n\u00f6sen az USA-beli Texasban \u00e9s a spanyolorsz\u00e1gi Madridban t\u00f6rt\u00e9nt megbeteged\u00e9sek h\u00edr\u00e9re. Gyakran felmer\u00fcl a k\u00e9rd\u00e9s, hogy a hat\u00f3s\u00e1gok mi\u00e9rt nem \u00e1ll\u00edtj\u00e1k meg ezeket az embereket a rep\u00fcl\u0151tereken vagy m\u00e1s bel\u00e9p\u00e9si pontokon, amikor meg\u00e9rkeznek.<\/p>\n

Nos, val\u00f3j\u00e1ban csak h\u00e1rom dolgot tehet\u00fcnk a bel\u00e9p\u00e9si ponton, hogy kisz\u0171rj\u00fck az emberek betegs\u00e9g\u00e9t. Amikor a 2003-as SARS-j\u00e1rv\u00e1ny idej\u00e9n a kanadai v\u00e9szhelyzeti k\u00e9sz\u00fclts\u00e9g igazgat\u00f3ja voltam, mindegyiket kipr\u00f3b\u00e1ltuk.<\/p>\n

1. K\u00e9rd\u0151\u00edvek<\/h4>\n

Az \u00e9rkez\u0151 utasoknak a t\u00fcnetekr\u0151l \u00e9s a sz\u00e1rmaz\u00e1si orsz\u00e1gr\u00f3l sz\u00f3l\u00f3 k\u00f6telez\u0151 k\u00e9rd\u0151\u00edv seg\u00edts\u00e9g\u00e9vel azonos\u00edtani lehet azokat az embereket, akik esetleg fert\u0151z\u0151 betegs\u00e9gnek voltak kit\u00e9ve, vagy akikn\u00e9l a fert\u0151z\u0151 betegs\u00e9g korai t\u00fcnetei jelentkeznek. Ezzel a m\u00f3dszerrel az a probl\u00e9ma, hogy teljes m\u00e9rt\u00e9kben a v\u00e1laszad\u00f3 \u0151szintes\u00e9g\u00e9t\u0151l f\u00fcgg. Az emberek d\u00f6nthetnek \u00fagy, hogy hamis inform\u00e1ci\u00f3kat adnak meg, hogy elker\u00fclj\u00e9k a tov\u00e1bbi vizsg\u00e1latra val\u00f3 visszatart\u00e1st.<\/p>\n

Ezt Kanad\u00e1ban a 2003-as SARS-j\u00e1rv\u00e1ny idej\u00e9n pr\u00f3b\u00e1ltuk ki. Egy 3 k\u00e9rd\u00e9sb\u0151l \u00e1ll\u00f3 k\u00e9rd\u0151\u00edvet k\u00f6telez\u0151 volt kit\u00f6lteni minden \u00e9rkez\u0151 utasnak. \u00d6sszesen 678 000 k\u00e9rd\u0151\u00edvet t\u00f6lt\u00f6ttek ki, \u00e9s 2478 ember v\u00e1laszolt igennel egy vagy t\u00f6bb k\u00e9rd\u00e9sre. Egy speci\u00e1lisan k\u00e9pzett \u00e1pol\u00f3 minden egyes ilyen szem\u00e9lyt r\u00e9szletes kik\u00e9rdez\u00e9sre \u00e9s h\u0151m\u00e9rs\u00e9kletm\u00e9r\u00e9sre utalt. Az eredm\u00e9ny? Nincs<\/em><\/strong> a 2478 ember k\u00f6z\u00fcl SARS-os volt. N\u00e9h\u00e1ny utas igennel v\u00e1laszolt arra, hogy k\u00f6h\u00f6g\u00f6tt, de n\u00e9h\u00e1ny esetben a k\u00f6h\u00f6g\u00e9s oka az volt, hogy az \u00e9rintettek rendszeresen doh\u00e1nyoztak.<\/p>\n

A k\u00e9rd\u0151\u00edves megk\u00f6zel\u00edt\u00e9s nyilv\u00e1nval\u00f3an nem hat\u00e9kony.<\/p>\n

2. H\u0151szkennel\u0151 g\u00e9pek<\/h4>\n

H\u0151szkennel\u0151 g\u00e9pet lehet telep\u00edteni, amely megpr\u00f3b\u00e1lja kisz\u0171rni az esetlegesen l\u00e1zas utasokat. A g\u00e9pek infrav\u00f6r\u00f6s \u00e9rz\u00e9kel\u0151k, amelyeket az utasok fejmagass\u00e1g\u00e1ban az utasok fel\u00e9 ir\u00e1ny\u00edtanak, hogy \u00e9rz\u00e9kelj\u00e9k a megemelkedett h\u0151m\u00e9rs\u00e9kletet. \u00c1ltal\u00e1ban a v\u00e1mvizsg\u00e1lati helyis\u00e9gbe vezet\u0151 folyos\u00f3 ment\u00e9n helyezik el \u0151ket. Ennek az az oka, hogy a g\u00e9pek meglehet\u0151sen dr\u00e1g\u00e1k, \u00e9s nem lenne k\u00f6lts\u00e9ges minden \u00e1tj\u00e1r\u00f3n\u00e1l fel\u00e1ll\u00edtani \u0151ket, hogy a rep\u00fcl\u0151g\u00e9pb\u0151l kil\u00e9p\u0151 utasokat \u00e9szlelj\u00e9k.<\/p>\n

B\u00e1r a g\u00e9pek minden bizonnyal izgalmasak a technol\u00f3gia szerelmesei sz\u00e1m\u00e1ra, sz\u00e1mos hi\u00e1nyoss\u00e1guk van. El\u0151sz\u00f6r is, n\u00e9h\u00e1ny ilyen g\u00e9pet folyamatosan \u00fajra kell kalibr\u00e1lni, mivel a k\u00f6rnyezeti felt\u00e9telek a nap folyam\u00e1n v\u00e1ltoznak. P\u00e9ld\u00e1ul a sok naps\u00fct\u00e9st kap\u00f3 folyos\u00f3k hajlamosak megzavarni az utasok relat\u00edv h\u0151m\u00e9rs\u00e9klet-m\u00e9r\u00e9seit. M\u00e1sodszor, sz\u00e1mos olyan k\u00f6r\u00fclm\u00e9ny vagy helyzet van, amikor egy utasnak megemelkedett a h\u0151m\u00e9rs\u00e9klete, de egy\u00e1ltal\u00e1n nem fert\u0151z\u0151 betegs\u00e9gben szenved. Ez lehet b\u00e1rmi, att\u00f3l kezdve, hogy valakinek forr\u00f3 \u00e9s izzadt, mik\u00f6zben a rep\u00fcl\u0151t\u00e9ren siet, eg\u00e9szen a menopauz\u00e1ban l\u00e9v\u0151 n\u0151 h\u0151hull\u00e1m\u00e1ig. A l\u00e9nyeg az, hogy a megemelkedett h\u0151m\u00e9rs\u00e9klet egyszer\u0171 r\u00f6gz\u00edt\u00e9se nem felt\u00e9tlen\u00fcl hat\u00e9kony m\u00f3dja a fert\u0151z\u0151 betegs\u00e9gek felder\u00edt\u00e9s\u00e9nek.<\/p>\n

Ezt Kanad\u00e1ban is kipr\u00f3b\u00e1ltuk a 2003-as SARS-j\u00e1rv\u00e1ny idej\u00e9n. H\u0151szkennereket telep\u00edtettek a 6 nagyobb rep\u00fcl\u0151t\u00e9ren, amelyek az \u00f6sszes nemzetk\u00f6zi \u00e9rkez\u00e9s mintegy 95 sz\u00e1zal\u00e9k\u00e1t bonyol\u00edtj\u00e1k le. A toront\u00f3i \u00e9s vancouveri rep\u00fcl\u0151terek eredm\u00e9nyei? A 468 000 ember k\u00f6z\u00fcl, akiket \u00e1tvil\u00e1g\u00edtottak, mind\u00f6ssze 0,02% (95) ker\u00fclt tov\u00e1bbi vizsg\u00e1latra egy n\u0151v\u00e9rhez. Nincs<\/em><\/strong> ezek k\u00f6z\u00fcl az emberek k\u00f6z\u00fcl n\u00e9h\u00e1nynak val\u00f3ban emelkedett volt a l\u00e1za, \u00e9s mindannyian meggy\u00f3gyultak.<\/p>\n

3. F\u00f6ldi t\u00e1mogat\u00e1s<\/h4>\n

A haj\u00f3k (pl. rep\u00fcl\u0151g\u00e9pek \u00e9s haj\u00f3k) kapit\u00e1nyai a Nemzetk\u00f6zi Eg\u00e9szs\u00e9g\u00fcgyi Szab\u00e1lyzat \u00e9rtelm\u00e9ben k\u00f6telesek a fed\u00e9lzeten tart\u00f3zkod\u00f3 beteg szem\u00e9lyeket az \u00e9rkez\u00e9s hely\u00e9n jelenteni a hat\u00f3s\u00e1goknak. Ekkor \u00e9rtes\u00edtik a karant\u00e9ntisztvisel\u0151ket, akik tal\u00e1lkoznak a haj\u00f3val, hogy felm\u00e9rj\u00e9k a helyzetet, miel\u0151tt b\u00e1rki kisz\u00e1llhatna a fed\u00e9lzetr\u0151l. Napjainkban a karant\u00e9ntisztek sz\u00e1mos nemzetk\u00f6zi rep\u00fcl\u0151t\u00e9ren k\u00e9szenl\u00e9tben \u00e1llnak. Ez az int\u00e9zked\u00e9s Kanad\u00e1ban \u00e9s sz\u00e1mos m\u00e1s orsz\u00e1gban a SARS-j\u00e1rv\u00e1ny \u00f3ta van \u00e9rv\u00e9nyben.<\/p>\n

Ennek a megk\u00f6zel\u00edt\u00e9snek t\u00f6k\u00e9letes \u00e9rtelme van, mivel a beteg egy\u00e9n m\u00e1r \u00fatk\u00f6zben is el\u00e9g t\u00fcnetet mutat ahhoz, hogy aggodalomra adjon okot. B\u00e1r lehet, hogy az utasnak egyszer\u0171en csak gyomorront\u00e1sa vagy influenz\u00e1ja van, jobb, ha felm\u00e9rj\u00fck ezt a szem\u00e9lyt, \u00e9s megpr\u00f3b\u00e1ljuk kiz\u00e1rni a s\u00falyos fert\u0151z\u0151 betegs\u00e9g lehet\u0151s\u00e9g\u00e9t. Ha a karant\u00e9nosok s\u00falyos fert\u0151z\u0151 betegs\u00e9gre gyanakodnak, akkor a beteget azonnal elszigetelhetik, hogy megakad\u00e1lyozz\u00e1k az esetleges terjed\u00e9st. A t\u00f6bbi utast vagy karant\u00e9nba lehet helyezni, vagy el lehet k\u00e9rni az el\u00e9rhet\u0151s\u00e9g\u00e9t a tov\u00e1bbi nyomon k\u00f6vet\u00e9s \u00e9rdek\u00e9ben.<\/p>\n

Ennek a megk\u00f6zel\u00edt\u00e9snek a nagy h\u00e1tr\u00e1nya a k\u00f6lts\u00e9g. K\u00e9szenl\u00e9ti szem\u00e9lyzetre van sz\u00fcks\u00e9g. Egy t\u00fal\u00f3r\u00e1ban, esetleg vesz\u00e9lyess\u00e9gi p\u00f3tl\u00e9kkal dolgoz\u00f3 karant\u00e9nbiztos meglehet\u0151sen dr\u00e1ga lehet. Tekintettel arra, hogy a t\u00e9nylegesen bejelentett szem\u00e9lyek sz\u00e1ma \u00e1ltal\u00e1ban igen alacsony, az egy esetre jut\u00f3 k\u00f6lts\u00e9gek meglehet\u0151sen magasak.<\/p>\n

A f\u0151 probl\u00e9ma mindezen m\u00f3dszerekkel az, hogy nem kapnak el senkit, aki esetleg lappang\u00f3 betegs\u00e9gben szenved, vagy aki m\u00e1r tett int\u00e9zked\u00e9seket a t\u00fcneteinek cs\u00f6kkent\u00e9se \u00e9rdek\u00e9ben.<\/p><\/blockquote>\n

Inkub\u00e1ci\u00f3s id\u0151szak<\/h4>\n

A betegs\u00e9g lappang\u00e1si ideje az az id\u0151, amely a fert\u0151z\u0151 organizmussal val\u00f3 megfert\u0151z\u0151d\u00e9s \u00e9s az els\u0151 t\u00fcnetek megjelen\u00e9se k\u00f6z\u00f6tt telik el. A SARS eset\u00e9ben \u00e1tlagosan 10 nap kellett ahhoz, hogy valakin\u00e9l jelentkezzenek a t\u00fcnetek. Az Ebola eset\u00e9ben ez a tartom\u00e1ny 2 \u00e9s 21 nap k\u00f6z\u00f6tt van. A legt\u00f6bb embern\u00e9l az ebola t\u00fcnetei 2 \u00e9s 5 nap k\u00f6z\u00f6tt jelentkeznek.<\/p>\n

Gondolj arra, hogy milyen messzire tudsz eljutni 48 \u00f3ra alatt. B\u00e1rhov\u00e1 a vil\u00e1gon. Szerinted val\u00f3sz\u00edn\u0171, hogy a rept\u00e9ren elkapsz valakit, akinek t\u00fcnetei vannak? Az er\u0151forr\u00e1sok nagy r\u00e9sz\u00e9t a bel\u00e9p\u00e9s hely\u00e9n elk\u00f6lteni hi\u00e1baval\u00f3 er\u0151fesz\u00edt\u00e9s lehet.<\/p>\n

Az ok, ami\u00e9rt ezek az int\u00e9zked\u00e9sek nem m\u0171k\u00f6dnek t\u00fal j\u00f3l, az az, hogy t\u0171t keres\u00fcnk a sz\u00e9nakazalban.<\/p><\/blockquote>\n

Itt a kih\u00edv\u00e1s. Pr\u00f3b\u00e1lunk tal\u00e1lni n\u00e9h\u00e1ny embert, akik lehet, hogy<\/em> Ebol\u00e1val fert\u0151z\u00f6ttek a nagysz\u00e1m\u00fa l\u00e9gi vagy m\u00e1s \u00faton utaz\u00f3 ember k\u00f6z\u00f6tt. Mekkora ez a sz\u00e1m? Kanad\u00e1ban id\u00e9n j\u00faliusban 2,6 milli\u00f3 utas \u00e9rkezett az orsz\u00e1gba a k\u00e9t f\u0151 l\u00e9git\u00e1rsas\u00e1g, az Air Canada \u00e9s a Westjet j\u00e1ratain. M\u00e1s sz\u00f3val, nagyon sokan az emberek h\u00f3napr\u00f3l h\u00f3napra j\u00f6nnek Kanad\u00e1ba<\/a>nem is besz\u00e9lve az USA-r\u00f3l, az eur\u00f3pai vagy \u00e1zsiai orsz\u00e1gokr\u00f3l. Kanada legnagyobb rep\u00fcl\u0151ter\u00e9n, a toront\u00f3i Pearson rep\u00fcl\u0151t\u00e9ren k\u00f6r\u00fclbel\u00fcl 86 000 utas tart\u00f3zkodik. a rep\u00fcl\u0151t\u00e9rre \u00e9s a rep\u00fcl\u0151t\u00e9rr\u0151l minden nap<\/a>. Az egyetlen fert\u0151z\u00f6tt szem\u00e9ly megtal\u00e1l\u00e1sa az emberek k\u00f6z\u00f6tt a k\u00f6zmond\u00e1sos \"t\u0171t a sz\u00e9nakazalban\".<\/p>\n

A k\u00f6zeg\u00e9szs\u00e9g\u00fcgyi tisztvisel\u0151k azt fogj\u00e1k mondani, hogy a pozit\u00edv predikt\u00edv \u00e9rt\u00e9k alacsony prevalenci\u00e1j\u00fa popul\u00e1ci\u00f3ban majdnem nulla.<\/em><\/strong>. M\u00e1s sz\u00f3val, annak az es\u00e9lye, hogy val\u00f3ban tal\u00e1lunk egy val\u00f3di pozit\u00edv ebol\u00e1s esetet egy olyan nagy popul\u00e1ci\u00f3ban, amely \u00e1ltal\u00e1ban nem ebol\u00e1s, meglehet\u0151sen alacsony. Ez el\u00e9g intuit\u00edvnak t\u0171nik. Kanad\u00e1ban a 2003-as SARS-j\u00e1rv\u00e1ny idej\u00e9n becsl\u00e9seink szerint k\u00f6r\u00fclbel\u00fcl 1 az 1,2 milli\u00f3 utasb\u00f3l 1 volt SARS-os. Ez\u00e9rt rengeteg hamis pozit\u00edv eredm\u00e9nyt kaptunk, mert annak a val\u00f3sz\u00edn\u0171s\u00e9ge, hogy az \u00f6sszes ember k\u00f6z\u00fcl egyetlen szem\u00e9lyt tal\u00e1lunk, m\u00e1r el\u00e9g alacsony volt. Ez\u00e9rt az olyan sz\u0171r\u00e9si m\u00f3dszerek, mint a k\u00e9rd\u0151\u00edvek \u00e9s a h\u0151szkennerek \u00e1ltal\u00e1ban nem m\u0171k\u00f6dnek.<\/p>\n

Mi teh\u00e1t a legjobb m\u00f3dja egy s\u00falyos fert\u0151z\u0151 betegs\u00e9g felder\u00edt\u00e9s\u00e9nek \u00e9s kezel\u00e9s\u00e9nek?<\/p>\n

Sz\u0171r\u00e9s k\u00f3rh\u00e1zakban<\/h4>\n

A legt\u00f6bb ember a legk\u00f6zelebbi k\u00f3rh\u00e1zba megy, amikor nagyon rosszul lesz. A legfontosabb sz\u0171r\u00e9si folyamat a s\u00fcrg\u0151ss\u00e9gi oszt\u00e1lyon zajlik, ahol b\u00e1rkit ki kell k\u00e9rdezni nemcsak az utaz\u00e1si m\u00faltj\u00e1r\u00f3l, hanem a csal\u00e1dja utaz\u00e1si m\u00faltj\u00e1r\u00f3l is. A k\u00f3rh\u00e1zi szem\u00e9lyzetnek tiszt\u00e1ban kell lennie a vil\u00e1g k\u00fcl\u00f6nb\u00f6z\u0151 pontjain jelenleg kit\u00f6r\u0151 j\u00e1rv\u00e1nyokkal, \u00e9s azzal, hogyan kell reag\u00e1lniuk, ha azt gyan\u00edtj\u00e1k, hogy egy szem\u00e9ly fert\u0151z\u00f6tt lehet. Ez az egyablakos \u00fcgyint\u00e9z\u00e9si pont rendk\u00edv\u00fcl fontos, \u00e9s itt kell t\u00f6lten\u00fcnk az id\u0151nk \u00e9s er\u0151forr\u00e1saink nagy r\u00e9sz\u00e9t.<\/p>\n

Sz\u00f3val, mit gondolsz? \u00d6n szerint re\u00e1lis egy fert\u0151z\u0151 betegs\u00e9get a hat\u00e1ron meg\u00e1ll\u00edtani? A hat\u00e1r\u00e1tkel\u0151helyeken kellene id\u0151t \u00e9s p\u00e9nzt k\u00f6lten\u00fcnk? \u00cdrja meg nek\u00fcnk az al\u00e1bbi hozz\u00e1sz\u00f3l\u00e1sokban.<\/p>","protected":false},"excerpt":{"rendered":"

Re\u00e1lisan meg\u00e1ll\u00edthatjuk-e a fert\u0151z\u0151 betegs\u00e9geket a hat\u00e1ron? Mindenki el\u00e9gg\u00e9 agg\u00f3dik az Ebola-v\u00edrus lehets\u00e9ges terjed\u00e9se miatt a vil\u00e1gon, k\u00fcl\u00f6n\u00f6sen az USA-beli Texasban \u00e9s a spanyolorsz\u00e1gi Madridban t\u00f6rt\u00e9nt esetek h\u00edr\u00e9re. Gyakran felmer\u00fcl a k\u00e9rd\u00e9s, hogy a hat\u00f3s\u00e1gok mi\u00e9rt nem \u00e1ll\u00edtj\u00e1k meg ezeket az embereket a rep\u00fcl\u0151tereken vagy m\u00e1s bel\u00e9p\u00e9si pontokon, amikor [...]<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[155,154,20],"tags":[],"yoast_head":"\nCan We Realistically Stop Infectious Diseases at the\u00a0Border? - Sitata<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sitata.com\/hu\/megallithatjuk-e-realisan-a-fertozo-betegsegeket-a-hataron-da890f42d741\/\" \/>\n<meta property=\"og:locale\" content=\"hu_HU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Can We Realistically Stop Infectious Diseases at the\u00a0Border? - Sitata\" \/>\n<meta property=\"og:description\" content=\"Can We Realistically Stop Infectious Diseases at the\u00a0Border? Everyone is pretty concerned about the possible spread of Ebola virus around the world, especially with the news of cases in Texas, USA, and Madrid, Spain. 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