Zipatala za STD zimalimbana ndi opaleshoni mwa odwala pakati pa mliri

Dr. Emily Drwiega wochokera ku yunivesite ya Illinois Health ndi Maggie Butler, namwino wovomerezeka, amakonza katemera wa nyani pachipatala chosapindulitsa cha Test Positive Aware Network ku Chicago, Illinois, July 25, 2022.

Eric Cox | Reuters

Dr. Ward Carpenter, wotsogolera ntchito zaumoyo ku Los Angeles LGBT Center, adati mliri wa nyani ku US ndi woipa kuposa momwe amaganizira.

“Tili otanganidwa kwambiri, tikungopsinjika ndikukhala m’chipwirikiti monga momwe zinalili pachiyambi cha Covid,” adatero.

Los Angeles LGBT Center idayenera kusintha antchito ake ambiri kuti athane ndi mliriwu kotero kuti ilibenso mphamvu yosamalira odwala ake mwachangu, Carpenter adatero. Pamalowa akupereka katemera wa nyani, kuyezetsa ndi chithandizo pamwamba pa ntchito zake zonse, zomwe zimaphatikizapo chisamaliro chapadera, chisamaliro cha HIV, thanzi la kugonana, thanzi la amayi ndi maganizo.

“Tili ndi anthu omwe alibe chochita ndi ntchito zotere omwe asiya kugwira ntchito zawo zonse ndipo ayamba kuyankha,” adatero Carpenter.

Akuluakulu azaumoyo ku US adasankha nyani ngati a zadzidzidzi mdziko lonse Lachinayi monga milandu ya opaleshoni ndi zipatala zimavutikira. Zipatala za STD m’mizinda yayikulu m’dziko lonselo zikugwira ntchito ngati njira yoyamba yodzitchinjirizira kuyesa kukhala ndi kachilomboka ku US., kupereka chisamaliro ndi chitsogozo kwa amuna ogonana amuna kapena akazi okhaokha omwe ali pachiwopsezo chachikulu cha matendawa.

Zipatala zimalimbana

Kuchuluka kwa odwala omwe amafunikira katemera, kuyezetsa komanso kulandira chithandizo cha matendawa pamene matenda akukwera akuika chitsenderezo pa dongosolo lomwe lamangidwa kale ndi chuma pambuyo pa zaka zambiri zopeza ndalama zochepa, madokotala atero.

Monkeypox imafalikira makamaka kudzera pakhungu ndi khungu panthawi yogonana. Kuyambira pomwe dziko la United Kingdom lidachenjeza dziko lapansi za kukhalapo kwa kachilomboka mu Meyi, zipatala zachipatala padziko lonse lapansi zakhala maso ndi makutu a machitidwe azaumoyo amtundu wa anthu, kuzindikira zizindikiro zachilendo zomwe zimasiyana ndi momwe matendawa amafotokozera m’mabuku azachipatala. .

Madokotala azipatala ku Los Angeles ndi Chicago, omwe ndi malo akuluakulu a mliri wapano ku US, akuti akuvutika kuti akwaniritse kufunika kwa katemera, kuyezetsa ndi kulandira chithandizo kuchokera kumadera omwe amatumikira ndipo akufunika thandizo la ndalama kuti ayankhe. kafalikira.

US yanena za anthu opitilira 7,000 a nyanipox m’maboma 48, Washington, DC, ndi Puerto Rico, malinga ndi Centers for Disease Control and Prevention. Mliriwu wafalikira mwachangu kuyambira pomwe akuluakulu azaumoyo ku Boston adatsimikizira mlandu woyamba waku US mu Meyi.

Monkeypox nthawi zambiri imapha, ndipo palibe imfa yomwe yanenedwa ku US Koma odwala ena amamva ululu woopsa kwambiri chifukwa cha zidzolo, zomwe nthawi zambiri zimayambira kumaliseche kapena kumatako, kotero kuti amafunikira kuchipatala.

‘Kupweteka kwa sabata’

“Pokhapokha mutakhala ndi ululu m’madera ovutawa, n’zovuta kulingalira kuti izi ndi chiyani, koma izi sizinthu zomwe zimatsutsidwa ndi maantibayotiki m’masiku angapo. Anthu akukhala ndi ululu uwu kwa milungu ingapo,” adatero Dr. Anu Hazra, dokotala komanso katswiri wa matenda opatsirana ku Howard Brown Health ku Chicago.

Ngakhale amuna ogonana amuna kapena akazi okhaokha komanso amuna kapena akazi okhaokha ali pachiwopsezo, akuluakulu azachipatala akutsindika mobwerezabwereza kuti aliyense atha kugwira nyani pokhudzana ndi munthu yemwe ali ndi kachilomboka kapena kudzera pazida zoipitsidwa monga matawulo ndi zoyala.

Nyani alibe nazo ntchito ngati uli gay, zilibe kanthu kuti umagonana ndi mtundu wanji,” adatero Hazra. “Monkeypox amangosamala ngati mutalumikizana kwambiri ndi munthu wina yemwe ali ndi nyani.”

Carpenter adati US ili ndi mwayi wokhala ndi mliriwu pomwe udakali wocheperako pakati pa anthu ogwirizana a amuna kapena akazi okhaokha, koma matenda akamakula, chiwopsezo chimakula kuti kachilomboka kayambe kufalikira kwambiri.

“Tsopano takhala ndi ziwiri zotsatizana, miliri yomwe siinayendetsedwe m’njira yomwe idalola kuti izitha,” adatero Carpenter. “Izi zitenga njira yolumikizirana komanso yodzipereka komanso yotsimikizika yazaumoyo ya anthu yomwe imachokera pamwamba mpaka pansi ndikuisamalira mozama monga momwe Covid analili,” adatero.

Kuchuluka kwa odwala

Los Angeles LGBT Center idadziwa koyambirira kwa Meyi kuti nyani ikhala vuto lalikulu lathanzi kwa madera omwe amatumikira pambuyo poti lipoti ku Europe lidawonetsa kuti kufala kwa kachilomboka kunali mchitidwe wogonana wa amuna okhaokha komanso amuna okhaokha, malinga ndi Carpenter.

Ogwira ntchito pamalopo anali asanakumanepo ndi nyani, motero adayamba kudziphunzitsa okha za kachilomboka. Koma odwala anali ndi zizindikiro zomwe sizinafotokozedwe m’mabuku azachipatala, monga zotupa kumaliseche ndi kumatako. Sanadziwe kuti wodwala wawo woyamba anali ndi nyani mpaka zotsatira zake zitabweranso chifukwa zizindikirozo sizinagwirizane ndi kufotokozera m’mabuku.

“Tidadziwa kuyambira kale kwambiri kuti izi sizikhala ngati buku,” Carpenter adatero. “Sitikuphunzira m’mabuku okha, koma pamene tikupita kukawona makasitomala, tikuphunzira momwe mliri watsopanowu ukuwonekera komanso momwe umasiyana.”

Odwala ochulukirachulukira adayamba kubwera kudzawunikidwa kumapeto kwa Juni pomwe mwezi wa Pride udatha, Carpenter adatero. Pamalowa akuyesa anthu 15 patsiku, ndipo odwala omwe ali ndi matenda opatsirana pogonana tsopano akufunika kuyezetsa khungu kuti awone ngati angakhalenso ndi nyani.

Hazra adati chiwerengero cha anthu omwe akubwera kudzayezetsa nyani ku Howard Brown Health ku Chicago chakwera kwambiri kuyambira Meyi.

Amayitanitsa thandizo la federal

Opanga malamulo ena aku US komanso madera akumaloko adadzudzula momwe boma likuyankha, koma mlembi wa zaumoyo Xavier Becerra adati sabata yatha olamulira a Biden achita zonse zomwe angathe kuti awonjezere kupezeka kwa katemera, kuyezetsa komanso kulandira chithandizo kuti athane ndi mliriwu.

Opitilira 100 a Congress adauza Purezidenti Joe Biden m’kalata kumapeto kwa mwezi watha kuti olamulira akuyenera kuchita zambiri kuti athandizire zipatala zogonana patsogolo. Adapempha a Biden, Becerra ndi Director wa CDC a Rochelle Walensky kuti apereke ndalama zosachepera $30 miliyoni zothandizira zipatala zomwe zikulimbana ndi mliriwu kudzera mugawo la CDC la kupewa matenda opatsirana pogonana.

“Ngati sitipereka ndalama zokwanira kuzipatala za matenda opatsirana pogonana m’dziko lathu pano, zidzakhala zovuta kwambiri kuthetsa nyani m’miyezi ikubwerayi,” a Reps adalemba. Jerrold Nadler, D-NY, ndi David Cicilline, D-RI mu kalatayo.

Hazra ku Howard Brown ku Chicago adati Covid adawonetsa kuti thanzi la anthu ambiri silili ndi ndalama zambiri. Thanzi la kugonana limanyalanyazidwa kwambiri, adatero. Ndalama za feduro zopewera matenda opatsirana pogonana zatsika ndi 41% kuyambira 2003 pomwe zidasinthidwa chifukwa cha kukwera kwa mitengo, malinga ndi National Coalition of STD Directors, bungwe ladziko lonse la akuluakulu azaumoyo omwe amagwira ntchito zogonana.

Ngakhale monkeypox sichimatchulidwa ngati matenda opatsirana pogonana, zipatala zachipatala ndizomwe zimasamalidwa kwambiri kwa anthu ambiri omwe ali ndi kachilomboka, zomwe zimayambitsa kutupa komwe kumatha kusokonezedwa ndi matenda opatsirana pogonana. Kafukufuku wa zipatala 80 kumapeto kwa Julayi adapeza kuti 40% anali ndi ndalama zosayembekezereka zogulira zinthu ndi ogwira ntchito chifukwa cha mliri wa nyani, pomwe 65% adasiya kupita ndi odwala ndikusamukira ku malo osankhidwa chifukwa chazovuta, malinga ndi mgwirizano.

“Palibe ndalama zokwanira,” adatero Carpenter. “Zipatala zakomweko monga zathu zimagwira ntchito yofunika kwambiri pamayankho ngati awa, koma tilibe mphamvu yosinthira ndalama, kusuntha ndikuwonjezera mphamvu zathu kuti titha kuthana ndi aliyense amene akufunikira.”

Katemera akadali ochepa

Carpenter adati kufunikira kwa katemera wa nyani ndi kwakukulu ndipo kukuchulukirachulukira. Ogwira ntchito adakhala tsiku lonse, tsiku lililonse akutemera anthu sabata yatha, adatero. Apereka Mlingo 1,500 wa katemera mpaka pano.

Posachedwapa malowa adauza odwala kuti asungitse nthawi yoti akawombere akalandira zochulukirapo. Theka la osankhidwa adadzazidwa m’maola awiri ndipo malo onse adasungidwa kumapeto kwa tsikulo, Carpenter adati. Los Angeles walandira pafupifupi Mlingo 24,000 kuchokera kuboma, malinga ndi dipatimenti yazaumoyo m’chigawocho.

Mtsogoleri wa CDC Rochelle Walensky adavomereza mwezi watha kuti katemera wa nyani wa monkeypox wa Jynneos ndi wocheperako, zomwe zadzetsa mizere kunja kwa zipatala ndi zionetsero m’mizinda ina. Dipatimenti ya Health and Human Services yakweza katundu wotumizidwa kumadipatimenti azaumoyo aboma ndi akumaloko, ndipo milingo yopitilira 600,000 idaperekedwa kuyambira Meyi.

HHS idapanga Mlingo 786,000 kuzipatala za boma ndi zakomweko Lachisanu latha. Mzinda wa Chicago udalandiranso mitundu 15,000 ya katemera kumapeto kwa sabata yatha kuphatikiza 7,000 yomwe idaperekedwa mu Julayi. Koma Hazra adati izi sizokwanira kukwaniritsa zofuna za amuna omwe ali pachiwopsezo omwe amagonana ndi amuna omwe ali pakati pa 40,000 mpaka 50,000 anthu mumzindawu.

“Pakadali pano takonzekera milungu itatu pasadakhale kuti tipeze katemera,” adatero Hazra. Howard Brown Health yapereka Mlingo 2,800 mpaka pano.

Abwanamkubwa aku California, Illinois ndi New York onse alengeza zadzidzidzi pothana ndi mliriwu, mwa zina kuti athandizire kuyesetsa kwa katemera. Koma Carpenter adati kampeni yopereka katemera iyenera kukulirakulira kuti aliyense amene akuganiza kuti ali pachiwopsezo cha nyani azitha kuwombera.

Ku Los Angeles, kampeni yopereka katemera imayang’ana kwambiri anthu omwe akumwa mankhwala, otchedwa PrEP, omwe amachepetsa mwayi wawo wotenga kachilombo ka HIV komanso anthu omwe adadwala chinzonono kapena chindoko chaka chatha, malinga ndi Carpenter. Chidziwitsochi chimagwiritsidwa ntchito ngati njira yodziwira anthu omwe ali pachiwopsezo chachikulu chotenga nyani.

Walensky adati sabata ino kuli amuna 1.7 miliyoni ogonana amuna kapena akazi okhaokha ku US omwe amawonedwa kuti ali pachiwopsezo chachikulu cha nyani chifukwa ali ndi kachilombo ka HIV kapena akumwa PrEP. Anthu omwe ali ndi chitetezo chamthupi chofooka, monga omwe ali ndi kachilombo ka HIV, amatha kukhala ndi zizindikiro zoopsa kwambiri za nyani.

Njirayi ndiyabwino kwambiri, Carpenter adati, chifukwa pali anthu ambiri omwe sanagwirepo matenda opatsirana pogonana chaka chatha omwe ali pachiwopsezo cha nyani.

“Chomwe tikufuna kuchita ndichoti tithe kulandira katemera aliyense amene akufuna,” adatero iye. “Ife sitili pafupi ndi izo. Tikuyesera kwenikweni kuyang’ana anthu omwe akusowa kwambiri, omwe ali pachiopsezo chachikulu. Koma iyi si njira yopambana yaumoyo wa anthu.”

Kuwonjezeka kwa kuyezetsa, chithandizo

Ngakhale kupeza katemera kumakhalabe kochepa, Hazra ndi Carpenter adati kuyankha kwa boma kwathandizira kwambiri mwayi woyesa ndi mankhwala opha tizilombo m’masabata aposachedwa.

Kuyezetsa kwakhala kosavuta kuyambira chiyambi cha kufalikira pambuyo poti CDC idabweretsa ma labu azamalonda, ndikuwonjezera kuchuluka kwa sabata kuzungulira US mpaka mayeso 80,000 pa sabata.

“Sitinafikepo pomwe pano,” adatero Hazra. “Botolo loyesera lamasulidwa zomwe zimathandiza.”

Koma ngakhale pakuyesedwa kochulukira, US ikadali yosazindikira momwe mliriwu wafalikira. Madokotala amathyola zidzolo zomwe zimayambitsidwa ndi nyanipox kuti atenge chitsanzo cha kuyezetsa. Koma nthawi zina zidzolo zimatha kutenga milungu ingapo kuti zichitike mutayamba kudwala kachilomboka. Izi zikutanthauza kuti pali anthu omwe ali ndi kachilombo koma sangayezetse chifukwa sanachite zidzolo.

Carpenter adati CDC yapangitsanso kuti zikhale zosavuta kupereka mankhwala a tekovirimat kwa odwala omwe ali ndi nyani. Tecovirimat amangovomerezedwa ndi Food and Drug Administration pa nthomba, kotero kupatsa mankhwala ochizira nyani kumabwera ndi gawo lina lazambiri.

Poyamba, madokotala amayenera kudzaza chikalata chamasamba 120 kwa wodwala aliyense amene amafunikira mankhwala oletsa tizilombo toyambitsa matenda, Carpenter anatero. CDC yachepetsa kwambiri zolemetsa zolemetsa kudzera pa intaneti yomwe imadziwikiratu, zomwe zimapangitsa kuti ntchitoyi ikhale yosavuta, adatero.

Hazra ndi Carpenter adati sanakumanepo ndi zovuta zopezera tecovirimat. US ili ndi maphunziro okwana 1.7 miliyoni pagulu lazachuma, malinga ndi HHS.

Hazra adati White House yakhala ikuchitapo kanthu pa zomwe zachitika, koma adati zothandizira komanso kufalitsa anthu zikadayenera kukhalapo kale. Anati Pride month ikanatha kukhala ndi mwayi wopatsa anthu katemera komanso kuphunzitsa omwe ali pachiwopsezo chotenga matenda.

“Ndikuganiza kuti panali nthawi yambiri yomwe idadutsa yomwe mwatsoka idawonongeka,” adatero.

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