{"id":66519,"date":"2018-10-10T10:15:09","date_gmt":"2018-10-10T07:15:09","guid":{"rendered":"https:\/\/sanatate.md\/?p=66519"},"modified":"2018-10-10T10:18:03","modified_gmt":"2018-10-10T07:18:03","slug":"epidemia-de-rujeola-in-moldova","status":"publish","type":"post","link":"https:\/\/sanatate.md\/ro\/epidemia-de-rujeola-in-moldova\/","title":{"rendered":"Epidemia  de rujeol\u0103: De ce boala a ie\u0219it \u00een afara controlului?"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div id=\"tdi_1\" class=\"tdc-row\"><div class=\"vc_row tdi_2  wpb_row td-pb-row\" >\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_2,\r\n                .tdi_2 .tdc-columns{\r\n                    min-height: 0;\r\n                }.tdi_2,\r\n\t\t\t\t.tdi_2 .tdc-columns{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_2 .tdc-columns{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_2:before,\r\n\t\t\t\t.tdi_2:after{\r\n\t\t\t\t    display: table;\r\n\t\t\t\t}\n<\/style><div class=\"vc_column tdi_4  wpb_column vc_column_container tdc-column td-pb-span12\">\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_4{\r\n                    vertical-align: baseline;\r\n                }.tdi_4 > .wpb_wrapper,\r\n\t\t\t\t.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .vc_row_inner{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t    height: auto;\r\n\t\t\t\t}\n<\/style><div class=\"wpb_wrapper\" >[vc_column_text]<\/p>\n<h3><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2018\/10\/cori.jpg\" alt=\"\u042d\u043f\u0438\u0434\u0435\u043c\u0438\u044f \u043a\u043e\u0440\u0438 \u0432 \u041c\u043e\u043b\u0434\u043e\u0432\u0435\" width=\"900\" height=\"500\" \/><\/h3>\n<h3>Rujeola era cunoscut\u0103 de c\u0103tre medici cu 2 milenii \u00een urm\u0103. P\u00e2n\u0103 \u00een secolul al XVI-lea aceast\u0103 boal\u0103 era confundat\u0103 cu altele, care, la fel, provoac\u0103 erup\u021bii cutanate.<\/h3>\n<p>Era denumit\u0103 diferit: \u00een secolul al XII-lea i se zicea \u201dmorbilli\u201d, ceea ce \u00eenseamn\u0103 &#8220;o pat\u0103 mic\u0103&#8221;, pu\u021bin mai t\u00e2rziu au numit-o ciuma copiilor, deoarece boala nu- i cru\u021bat pe cei mici. \u00cen diferite perioade ale istoriei omenirii ea a curmat mii de vie\u021bi omene\u0219ti. Acum e considerat\u0103 infec\u021bie controlat\u0103.<\/p>\n<h3>De ce boala e \u00een afara controlului?<\/h3>\n<p>Despre aceasta discut\u0103m cu medicul-habilitat \u00een \u0219tiin\u021bel medicale, profesorul universitar, cercet\u0103torul principal al Agen\u021biei Na\u021bionale de S\u0103n\u0103tate Public\u0103, Victoria Bukova.<\/p>\n<figure style=\"width: 231px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2018\/10\/victoria_bukova-2.jpg\" alt=\"\u0412\u0438\u043a\u0442\u043e\u0440\u0438\u044f \u0411\u0443\u043a\u043e\u0432\u0430\" width=\"231\" height=\"328\" \/><figcaption class=\"wp-caption-text\"><a href=\" https:\/\/sanatate.md\/ro\/specialist\/listing\/victoria-bucova\" target=\"_blank\" rel=\"nofollow noopener noreferrer\"> Victoria Bucov<\/a><br \/>medic-habilitat \u00een \u0219tiin\u021bel medicale,<br \/>profesor universitar<\/figcaption><\/figure>\n<p><em>O perioad\u0103 lung\u0103 \u00een Moldova nu s-au \u00eenregistrat cazuri de rujeol\u0103 \u00een mas\u0103. Ultimul focar dateaz\u0103 din anii 2001-2002. Cum se lupta \u00eempotriva rujeolei acum 15-17 ani?<\/em><\/p>\n<p>&#8211; Da, \u00eentr-adev\u0103r, ultima epidemie de propor\u021bie de rujeol\u0103 a fost \u00een 2002 (5386 de cazuri) \u0219i a fost posibil\u0103 lichidarea ei prin vaccinarea \u00een mas\u0103. Schema na\u021bional\u0103 de imunizare \u00een acei ani prevedea o singur\u0103 vaccinare la v\u00e2rsta de un an, ceea ce nu era suficient pentru a forma o protec\u021bie de durat\u0103 peste ani.<\/p>\n<p>De aceea\u00a0ea a fost rev\u0103zut\u0103 \u0219i \u00een prezent include trei doze de vaccin &#8211; la 1 an, 6-7 ani \u0219i 14-15 ani, ce cu siguran\u021b\u0103 a influen\u021bat inciden\u021ba rujeolei \u00een \u021bar\u0103 \u00een perioada din aa.2007 \u2013 2017, c\u00e2nd au fost \u00eenregistrate doar 50 de cazuri de infec\u021bie, majoritatea lor fiind importate din str\u0103in\u0103tate. Iar \u00een perioada aa.2008-2011 \u0219i 2015-2017 nu s-au \u00eenregistrat cazuri de rujeol\u0103 \u0219i \u021bara noastr\u0103 a primit un certificat OMS, care ilustreaz\u0103 eliminarea rujeolei, adic\u0103 absen\u021ba transmisiei secundare a rujeolei timp de 12 luni, chiar \u0219i \u00een cazurile de infec\u021bie importate.<\/p>\n<p>Supravegherea rujeola \u0219i altor infec\u021bii, contra c\u0103ror se produce vaccinarea, este un proces complex, de multe nivele, ale c\u0103rui componente sunt:<\/p>\n<p>a) crearea unui strat intermediar imunitar ridicat, utiliz\u00e2nd vaccinuri eficiente \u0219i sigure;<br \/>\nb) identificarea \u0219i izolarea surselor poten\u021biale de infec\u021bie.<\/p>\n<p>\u00cen acest sens, una dintre sarcinile principale ale Programului na\u021bional de imunizare este de a acoperi cel pu\u021bin 95% dintre copii cu o doz\u0103 de vaccin. \u00cen plus, toate cazurile de boal\u0103 cu febr\u0103 \u0219i erup\u021bie cutanat\u0103 ca suspecte de rujeol\u0103, s\u0103 fie supuse unui examen de laborator.<\/p>\n<p>Trebuie de subliniat, c\u0103 supravegherea se face \u00een concordan\u021b\u0103 cu obiectivele strategice ale OMS, deoarece infec\u021biile nu cunosc hotare \u0219i numai eforturile combinate ale multor \u021b\u0103ri pot rezolva sarcina strategic\u0103 a problemei globale &#8211; eliminarea rujeolei. Dar, potrivit datelor OMS, \u00een perioada de pre-vaccinare anual135 -140 de milioane de oameni din lume au avut rujeol\u0103 \u0219i au murit 5 &#8211; 7 milioane de copii! Dar \u0219i ast\u0103zi, din cauza vaccin\u0103rii insuficiente, \u00een special \u00een \u021b\u0103rile \u00een curs de dezvoltare, rujeola r\u0103m\u00e2ne una dintre cauzele majore de deces \u00een r\u00e2ndul copiilor de v\u00e2rst\u0103 mic\u0103.<\/p>\n<p><em>Chiar \u0219i la un grad ridicat de vaccinare, exist\u0103 riscul de a &#8220;importa&#8221; aceast\u0103 boal\u0103. E situa\u021bia din acest an. Primele cazuri de boal\u0103 au fost raportate la \u00eenceputul anului, iar p\u00e2n\u0103 la sf\u00e2r\u0219itul lunii septembrie au fost deja stabilite aproximativ 300 de cazuri. Desigur, acestea nu sunt mii, cum s-au \u00eenregistrat \u00een Rom\u00e2nia \u0219i Ucraina, totu\u0219i medicii moldoveni au \u00eenceput s\u0103 sune alarma. C\u00e2nd au realizat exper\u021bii c\u0103 situa\u021bia devine critic\u0103?<\/em><\/p>\n<p>&#8211; Pot fi eviden\u021biate c\u00e2teva perioade: \u00een ianuarie-februarie au fost \u00eenregistrate 2 cazuri de rujeol\u0103 importate \u00een dou\u0103 raioane, \u00een perioada mai-iunie &#8211; 35 de cazuri \u00een r\u00e2ndul grupurilor migratoare de persoane nevaccinate. \u0218i \u00een august-septembrie &#8211; 245 de cazuri de rujeol\u0103. Vigilen\u021ba sporit\u0103 \u00eempotriva infec\u021biilor de rujeol\u0103 e prezent\u0103 permanent din cauza epidemiilor din \u021b\u0103rile vecine.<\/p>\n<p>Dar c\u00e2nd a fost identificat\u0103 fata de 13 ani din raionul Cead\u00eer-Lunga (care vizita-se Ucraina \u0219i care nu avea vaccin \u00eempotriva rujeolei) cu simptome evidente ale bolii \u0219i care \u00een timp a contactat al\u021bi copii nevaccina\u021bi \u00eentr-o tab\u0103r\u0103 religioas\u0103, organizat\u0103 \u00een satul Morenii Noi din raionul Ungheni, chiar din start, adic\u0103 de la sf\u00e2r\u0219itul lunii iulie, era clar ce ne a\u0219teapt\u0103.<\/p>\n<blockquote>\n<p style=\"text-align: left;\">DAC\u0102 TO\u021aI ACE\u0218TI COPII Ar FI FOST VACCINA\u021aI, NU S-AR FI PRoDUS ACEST FOCAR DE RUGEOL\u0102, CARE S-A R\u0102SP\u00c2NDIT \u00ceN 10 RAIOANE ALE \u021a\u0102RII!<\/p>\n<\/blockquote>\n<p><em>Tab\u0103ra men\u021bionat\u0103 a fost organizat\u0103 f\u0103r\u0103 o supraveghere medical\u0103 serioas\u0103. Dar, chiar dac\u0103 acest control ar fi existat, ar fi fost posibil la o examinarea ini\u021bial\u0103 detectarea rujeolei la un copil, care a devenit sursa bolii? Care sunt primele simptome?<\/em><\/p>\n<p>&#8211; \u00cen primul r\u00e2nd, a fost \u00eenc\u0103lcat\u0103 cerin\u021ba legisla\u021biei privind admiterea \u00een grupuri numai a copiilor vaccina\u021bi (Legea nr. 10, paragraful 58). Fata avea primele semne ale bolii, inclusiv febr\u0103. Ea nu putea fi admis\u0103 \u00een colectiv. Alarma a fost dat\u0103 doar c\u00e2nd a ap\u0103rut o erup\u021bie pe fa\u021b\u0103. Acesta este simptomul de baz\u0103 a acestei boli pe care ar trebui s\u0103 le cunoasc\u0103 toat\u0103 lumea, \u00een special, p\u0103rin\u021bii \u0219i educatorii, profesorii.<\/p>\n<p>Rujeola e o infec\u021bie viral\u0103 extrem de contagioas\u0103, adic\u0103 prin contactul cu bolnavul toate persoanele, care nu au imunitate, se \u00eemboln\u0103vesc. Virusul se r\u0103sp\u00e2nde\u0219te prin tuse \u0219i str\u0103nut, contact apropiat personal sau contact direct cu secre\u021biile infectate nazofaringiene ale pacientului. Sursa infec\u021biei este doar persoana bolnav\u0103. Este contagioas\u0103, \u00eencep\u00e2nd cu a 7-a zi dup\u0103 infec\u021bie \u0219i p\u00e2n\u0103 la a 5-a zi de la debutul erup\u021biei cutanate.<\/p>\n<p>Primele semne de rujeol\u0103 sunt febra, nasul \u00eenfundat, tusea, \u00eenro\u0219irea \u0219i l\u0103cr\u0103marea ochilor, precum \u0219i pete mici albe pe suprafa\u021ba interioar\u0103 a obrajilor. Dup\u0103 c\u00e2teva zile, de obicei \u00een ziua a 4-5, apare o erup\u021bie cutanat\u0103 &#8211; mai \u00eent\u00e2i pe fa\u021b\u0103 \u0219i pe g\u00e2t, apoi se r\u0103sp\u00e2nde\u0219te peste tot corpul \u0219i extremit\u0103\u021bi. Erup\u021bia cutanat\u0103 e m\u0103\u0219cat\u0103, e proeminent\u0103 deasupra pielii, e pigmentat\u0103, care trece \u00een cur\u00e2nd.<\/p>\n<p>Un tratament specific pentru rujeola nu exist\u0103, \u00een principiu este simptomatic &#8211; se elimin\u0103 anumite manifest\u0103ri ale bolii. Dup\u0103 ce sufer\u0103 de boal\u0103 se creeaz\u0103 o imunitate durabil\u0103 pentru toat\u0103 via\u021b\u0103. Cazurile repetate sunt extrem de rare &#8211; mai pu\u021bin de 1%.<\/p>\n<p><em>Prin ce rujeola e periculoasa?<\/em><\/p>\n<p>&#8211; Prin complica\u021biile sale. Virusul dat sl\u0103be\u0219te \u00een mod semnificativ protec\u021bia organismului \u0219i nu mai poate rezista pe deplin penetr\u0103rii agen\u021bilor patogeni \u00een organism, de exemplu, a stafilococilor, streptococilor, pneumococilor etc. Pentru a ilustra riscul pe care-l provoac\u0103 virusul s\u0103n\u0103t\u0103\u021bii, vom studia complica\u021biile pe care le provoac\u0103.<\/p>\n<p>Conform statisticilor, acestea sunt \u00eenregistrate la fiecare a patra persoan\u0103 bolnav\u0103. Mortalitatea \u00een rujeol\u0103 este asociat\u0103 cu complica\u021bii bronhopulmonare \u0219i encefalit\u0103.<br \/>\nOtita medie se dezvolt\u0103 \u00een 5-10% din cazuri. Complica\u021biile asociate cu afectarea organelor respiratorii sunt cele mai frecvent observate la pacien\u021bii cu v\u00e2rste mai mici de 5 ani \u0219i peste 20 de ani. Se dezvolt\u0103 bronhopneumonia, laringotrotraheobron\u0219ita.<\/p>\n<blockquote>\n<p style=\"text-align: left;\">RUJEOLA CREEAZ\u0102 CONDI\u021aII PENTRU DECLAN\u0218AREA MULTOR BOLI GRELE, FRECVENT CONDUCE LA INVALIDITATE \u0218I CHIAR LA REZULTATE LETALE.<\/p>\n<\/blockquote>\n<p>Din partea sistemului nervos central &#8211; encefalita se dezvolt\u0103 la 1 din 1000 de persoane cu bolnave. \u00cen 60% din cazurile de encefalit\u0103, are loc recuperarea. \u00cen 25% din cazurile se p\u0103streaz\u0103 deficien\u021b\u0103 neural\u0103, 15% dintre cazuri se termin\u0103 cu moartea. Encefalomielita diseminat\u0103 acut\u0103 e \u00eenso\u021bit\u0103 de simptome precum febr\u0103, cefalee, mu\u0219chii g\u00e2tului rigizi, convulsii, confuzie, somnolen\u021b\u0103, com\u0103, urinare \u0219i defecare involuntar\u0103, dureri de spate. Mortalitatea \u00een aceste cazuri variaz\u0103 de la 10-20%.<\/p>\n<p>Apare cheratita, ceea ce duce la orbire, ulcera\u021bia cornean\u0103. Organele tractului gastrointestinal pot face gingivostomatit\u0103, diaree, gastroenterit\u0103, hepatit\u0103, limfadenit\u0103 mezenteric\u0103 \u0219i apendicit\u0103. Sistemul cardiovascular reac\u021bioneaz\u0103 prin pericardit\u0103, miocardit\u0103.<\/p>\n<p><em>Ce grup\u0103 de v\u00e2rst\u0103 e mai predispus\u0103 la aceast\u0103 boal\u0103?<\/em><\/p>\n<p>&#8211; Sensibilitatea fa\u021b\u0103 de rujeol\u0103 este foarte ridicat\u0103. Se exprim\u0103 printr-un indice de sensibilitate de 0,96. De rujeol\u0103 poate boli oricine la orice v\u00e2rst\u0103 dac\u0103 nu are o protec\u021bie specific\u0103 \u00eempotriva acestei infec\u021bii, adic\u0103 imunitate. Anterior, \u00eenainte de vaccinare, rujeola, ca \u0219i rubeola, tusa convulsiv\u0103, parotida \u0219i alte maladii, erau considerate infec\u021bii ale bolilor de copii. Dar nu pentru c\u0103 adul\u021bii nu se pot \u00eemboln\u0103vi, ci pentru c\u0103 majoritatea absolut\u0103 a fost bolnav\u0103 \u00een copil\u0103rie \u0219i a dob\u00e2ndit imunitate pe toat\u0103 durata vie\u021bii.<\/p>\n<p>Istoria cunoa\u0219te fapte, c\u00e2nd o persoan\u0103 infectat\u0103 nimerea \u00eentr-o comunitate izolat\u0103, de exemplu, pe insule \u00eendep\u0103rtate, unde timp de multe decenii nu a existat rujeol\u0103. Se declan\u0219a o epidemie, \u00een care suferea at\u00e2t un copil de un an, c\u00e2t \u0219i un b\u0103rbat de 90 de ani. Rujeola e foarte periculoas\u0103 pentru copiii sub cinci ani \u0219i persoanele peste 20 de ani.<\/p>\n<p><em>Raionul Cead\u00eer-Lunga a devenit lider \u00een num\u0103rul cazurilor de rujeol\u0103. Copiii din aceast\u0103 zon\u0103 se aflau \u0219i \u00een tab\u0103ra neautorizat\u0103 men\u021bionat\u0103. Dar, probabil, nu e vorba doar de asta. Putem presupune c\u0103 exist\u0103 un nivel sc\u0103zut de vaccinare \u00een acest raion?<\/em><\/p>\n<p>&#8211; \u00cen acest caz, au coincis doi factori &#8211; prezen\u021ba unei surse de infec\u021bie \u0219i prezen\u021ba unui grup nevaccinat de copii, majoritatea din Cead\u00eer-Lunga. \u0218i-a avut rolul \u0219i factorul de \u0219ans\u0103. Faptul este c\u0103 durata schimbului \u00een tabere dureaz\u0103 o s\u0103pt\u0103m\u00e2n\u0103, iar \u00een acest moment existau 75 de persoane. \u00cen aceast\u0103 var\u0103, aproximativ 800 de persoane au vizitat tab\u0103ra. Dac\u0103 sursa de infec\u021bie ar fi ap\u0103rut \u00eentr-un alt schimb, distribu\u021bia teritorial\u0103 a cazurilor de rujeol\u0103 ar fi putut fi diferit\u0103. Apropo, fiecare caz de rujeol\u0103 cu dezvoltare obi\u0219nuit\u0103 cost\u0103 statul 3.000 de lei, iar \u00een cazul complica\u021biilor \u0219i invalidit\u0103\u021bii, aceast\u0103 sum\u0103 cre\u0219te \u00een mod prohibitiv.<\/p>\n<blockquote>\n<p style=\"text-align: left;\">VACCINUL ESTE FURNIZAT DE C\u0102TRE STAT PE GRATIS. TRATAMENTUL UNUI CAZ E DE MII DE LEI \u00ceN DEPENDEN\u021a\u0102 DE GRAVITATEA BOLII.<\/p>\n<\/blockquote>\n<p><em>Schema na\u021bional\u0103 de imunizare prevede trei doze de vaccin \u00eempotriva rujeolei. Dup\u0103 cum a\u021bi spus, vaccinarea se face la v\u00e2rsta de 12 luni, 6-7 ani \u0219i 14-15 ani. De ce este stabilit un astfel de program \u0219i \u00een ce m\u0103sur\u0103 este respectat? De regul\u0103, atunci c\u00e2nd copiii sunt mici, p\u0103rin\u021bii sunt \u00eenc\u0103 \u00eengrijora\u021bi, iar atunci c\u00e2nd copiii sunt \u00een adolescen\u021b\u0103, se pare, c\u0103 vaccin\u0103rile nu mai sunt necesare.<\/em><\/p>\n<p>&#8211; Exist\u0103 mai multe principii, care stau la baza elabor\u0103rii unui program de vaccinare, principalele fiind urm\u0103toarele. Protejarea unui copil p\u00e2n\u0103 la v\u00e2rsta \u00een care riscul bolii e cel mai mare, c\u00e2nd administrarea vaccinului este cel mai sigur mijloc \u0219i atunci c\u00e2nd sistemul imunitar este capabil s\u0103 r\u0103spund\u0103 \u00een mod eficient la vaccinul administrat prin producerea complet\u0103 de anticorpi. \u00cen plus, e bine\u00een\u021beles luat\u0103 \u00een considerare semnifica\u021bia epidemiologic\u0103 a bolii infec\u021bioase \u0219i gradul de dezvoltare a serviciului de imunizare.<\/p>\n<p>\u00cen primul an de via\u021b\u0103, copilul are a\u0219a-numi\u021bii anticorpi pasivi, ob\u021binu\u021bi de la mam\u0103, care-l protejeaz\u0103, de rujeol\u0103. La finele primului an de via\u021b\u0103 num\u0103rul lor este redus la zero. Copilul trebuie vaccinat. Dou\u0103 revaccin\u0103ri se efectueaz\u0103 c\u00e2nd copilul intr\u0103 \u00eentr-un nou colectiv, adic\u0103 \u00een noile condi\u021bii epidemiologice, care prevede contacte noi \u0219i necesit\u0103 consolidarea imunit\u0103\u021bii.<\/p>\n<p><em>Printre bolnavi sunt \u0219i adul\u021bi. Cum se comport\u0103 rujeola in v\u00e2rsta matur\u0103 sau inaintat\u0103? P\u00e2n\u0103 la ce v\u00e2rst\u0103 poate fi efectuat\u0103 vaccinarea contra rujeolei?<\/em><\/p>\n<p>\u2014 Dup\u0103 cum am men\u021bionat deja, boala dat\u0103 la adul\u021bi e mai sever\u0103 dec\u00e2t la copii. Teoretic, nu exist\u0103 limite de v\u00e2rst\u0103 pentru imunizare, dar exist\u0103 considera\u021bii de oportunitate epidemiologic\u0103 \u0219i de realitate. \u00cen Moldova vaccin\u0103rile de mas\u0103 \u0219i apoi de rutin\u0103 au \u00eenceput \u00een anul 1964 \u0219i la prima etap\u0103 erau vaccina\u021bi copiii sub 12 ani. Astfel, \u00een anul 2018 \u00een \u021bara noastr\u0103 existau aproximativ 70 de grupe de v\u00e2rst\u0103 vaccinate \u00eempotriva rujeolei, iar persoanele \u00een etate au tr\u0103it \u00eentr-o perioad\u0103 de circula\u021bie intens\u0103 a virusului dat \u0219i au ob\u021binut imunitate natural\u0103.<\/p>\n<p><em>Exist\u0103 o alternativ\u0103 la vaccinarea pentru prevenirea rujeolei? Poate fi \u0219i o alt\u0103 modalitate de protec\u021bie \u00eempotriva acestei boli?<\/em><\/p>\n<p>&#8211; Voi r\u0103spunde pe scurt &#8211; nu, nu exist\u0103. Boala poate fi \u00eenvins\u0103 e numai prin imunizare!<\/p>\n<p><em>Gripa \u0219i alte boli au o mul\u021bime de tulpini. Putem spune c\u0103 virusul rujeolei este, de asemenea, mutant \u0219i trebuie periodic actualizat vaccinul?<\/em><\/p>\n<p>&#8211; Fenomenul dat nu s-a atestat, dar exist\u0103 variante genetice, care circul\u0103 \u00een diferite zone. Interesant este faptul, c\u0103 acelea\u0219i genotipuri ale virusului pot ap\u0103rea \u00een \u021b\u0103ri situate destul de departe una de cealalt\u0103. Dar eficacitatea vaccin\u0103rii nu afecteaz\u0103 diferen\u021ba de genotipuri. Este posibil ca virusul s\u0103 se adapteze existen\u021bei \u00een grupurile imunitare sau va fi transferat altor popula\u021bii.<\/p>\n<p><em>\u00cen Moldova sunt suficien\u021bi vaccini \u00eempotriva rujeolei pentru vaccinarea tuturor copiilor? Cum se face achizi\u021bia \u0219i livrarea vaccinului?<\/em><\/p>\n<p>&#8211; Vaccinurile intr\u0103 \u00een \u021bar\u0103 f\u0103r\u0103 probleme, \u00een plus, exist\u0103 o rezerv\u0103 minim\u0103 pentru situa\u021bii de urgen\u021b\u0103. \u00cen prezent exist\u0103 cantitatea necesar\u0103 de vaccinuri. Vreau s\u0103 subliniez faptul, c\u0103 pentru vaccinare se utilizeaz\u0103 numai vaccinuri provenite de la produc\u0103torii OMS prealabili, \u00eenregistra\u021bi \u00een \u021bara noastr\u0103 dup\u0103 o inspec\u021bie am\u0103nun\u021bit\u0103 a tuturor documentelor \u0219i e\u0219antioanelor. \u00cen fiecare an, pe baza datelor privind \u00eenregistrarea popula\u021biei, se stabile\u0219te num\u0103rul persoanelor vaccinate, \u00een conformitate cu programul de vaccinare pentru anul viitor, pentru a calcula nevoia de vaccinuri.<\/p>\n<blockquote>\n<p style=\"text-align: left;\">\u00ceN MOLDOVA SUNT UTILIZA\u021aI NUMAI VACCINURI DE LA PRODUC\u0102TORII CALIFICA\u021aI \u0218I DEJA CONTROLA\u021aI.<\/p>\n<\/blockquote>\n<p>Vaccinurile sunt achizi\u021bionate numai prin achizi\u021bii interna\u021bionale prin UNICEF &#8211; un alt organism de control. Vaccinurile, tehnologia de produc\u021bie a lor, cerin\u021bele pentru calitatea lor sunt acelea\u0219i pentru to\u021bi produc\u0103torii, indiferent de geografie.<\/p>\n<p>\u00cen Moldova, \u00een cadrul unui sistem european unic, se \u00eenregistreaz\u0103 toate manifest\u0103rile post-vaccinare. Nu s-au identificat complica\u021bii grave sau moderate dup\u0103 vaccinare. \u00cen \u021bara e asigurat\u0103 depozitarea \u0219i transportarea vaccinurilor; preparatele sunt injectate numai cu ajutorul seringilor de auto-blocare de unic\u0103 folosin\u021b\u0103. Adic\u0103, se poate spune cu toat\u0103 responsabilitatea, c\u0103 \u00een \u021bara noastr\u0103 a fost creat \u0219i func\u021bioneaz\u0103 un serviciu de imunizare, care s\u0103 respecte cele mai \u00eenalte standarde interna\u021bionale.<\/p>\n<p><em>Putem avea \u00eencredere \u00een clinicile private, care ofer\u0103 acest vaccin?<\/em><\/p>\n<p>&#8211; Clinicile private, care efectueaz\u0103 imunizarea, trebuie s\u0103 fie certificate de c\u0103tre autorit\u0103\u021bile na\u021bionale competente. Cerin\u021bele privind vaccinurile sunt acelea\u0219i ca cele utilizate \u00een institu\u021biile de stat. Exist\u0103 o singur\u0103 diferen\u021b\u0103 &#8211; pentru imunizare trebuie pl\u0103ti\u021bi mul\u021bi bani.<\/p>\n<p><em>La nivel guvernamental, se discut\u0103 problema, dac\u0103 copiii nevaccina\u021bi trebuie s\u0103 fie admi\u0219i \u00een institu\u021biile pre\u0219colare \u0219i \u0219colare \u00een perioada de declan\u0219are a bolii. Pe de o parte, aceasta este o protec\u021bie \u00eempotriva r\u0103sp\u00e2ndirii bolii, pe de alt\u0103 parte, o \u00eenc\u0103lcare a drepturilor copilului. Care este p\u0103rerea Dvs.?<\/em><\/p>\n<p>&#8211; Aceast\u0103 problem\u0103 e obiect constant de discu\u021bie, inclusiv la nivel guvernamental. La nivel global, dreptul copilului la via\u021b\u0103 \u0219i la s\u0103n\u0103tate e considerat cea mai mare prioritate fa\u021b\u0103 de alte drepturi. Legisla\u021bia \u021b\u0103rii prevede admiterea \u00een grupurile de copii numai a copiilor vaccina\u021bi, dac\u0103 nu exist\u0103 contraindica\u021bii medicale motivate. Este timpul s\u0103 realiz\u0103m riscurile, s\u0103 \u00een\u021belegem c\u0103 avem nu numai drepturi, ci \u0219i responsabilit\u0103\u021bi fa\u021b\u0103 de societate.<\/p>\n<p>Se \u00eent\u00e2mpl\u0103 ca p\u0103rin\u021bii religio\u0219i sau cu alte viziuni s\u0103 nu-\u0219i vaccineze copiii. Cu toate acestea, \u00een cazul, \u00een care decid s\u0103 se mute \u00een alt\u0103 \u021bar\u0103 pentru re\u0219edin\u021ba permanent\u0103, trebuie s\u0103 depun\u0103 un document medical, care s\u0103 reflecte toate vaccin\u0103rile. Ei vin la medicul de familie \u0219i solicit\u0103 copiilor s\u0103 li se administreze toate vaccin\u0103rile timp de aproape 2-3 s\u0103pt\u0103m\u00e2ni. Bine\u00een\u021beles, nimeni nu va face acest lucru &#8211; fiecare vaccin are perioada sa. Dar afecteaz\u0103 altceva: ace\u0219ti cet\u0103\u021beni ignor\u0103 legisla\u021bia propriului stat \u0219i o respect\u0103 f\u0103r\u0103 \u00eendoial\u0103 pe a altor state.<\/p>\n<p><em>Dup\u0103 ce problema r\u0103sp\u00e2ndirii rujeolei a devenit mai mult dec\u00e2t relevant\u0103, \u0219colile au \u00eenceput s\u0103 solicite un certificat, care s\u0103 ateste c\u0103 copilul a fost vaccinat. Unii medici au \u00eenceput s\u0103 emit\u0103 documente &#8220;false&#8221;. Cum s\u0103 prevenim astfel de cazuri \u00een situa\u021bii \u00een care exist\u0103 un deficit catastrofal de medici \u00een institu\u021biile medicale de stat?<\/em><\/p>\n<p>&#8211; \u021aine de onoarea \u0219i con\u0219tiin\u021ba medicului de a urma jur\u0103m\u00e2ntul lui Hipocratist. Cred, comentariile sunt inutile. Dar aceasta este, de asemenea, vina p\u0103rintilor \u2013 e de 95,5%. Trebuie spus, c\u0103 pentru astfel de cazuri exist\u0103 un test excelent \u2013 h\u00e2rtia de turnesol, chiar dou\u0103. \u00cen primul r\u00e2nd, agentul cauzal al bolii e impar\u021bial \u0219i incoruptibil &#8211; \u00een caz de epidemie, va identifica cu siguran\u021b\u0103 aceste persoane. O alt\u0103 metod\u0103 este de a determina nivelul anticorpilor. \u021aara inten\u021bioneaz\u0103 s\u0103 efectueze un studiu selectiv al copiilor vaccina\u021bi pentru prezen\u021ba anticorpilor la unele infec\u021bii controlate, de vreme ce, verific\u00e2nd exactitatea vaccin\u0103rilor la pacien\u021bii rujeolei care au fost \u00eenro\u0219i\u021bi, a fost stabilit\u0103 falsificarea vaccin\u0103rii.<\/p>\n<p><em>Dup\u0103 vaccinare, copilul poate face rujeol\u0103. Boala \u00eentotdeauna decurge \u00eentr-o form\u0103 u\u0219oar\u0103?<\/em><\/p>\n<p>&#8211; Orice vaccinare este foarte eficient\u0103, dar nu \u00een 100% din cazuri. Efectul vaccinului depinde de propriet\u0103\u021bile sale imunogene \u0219i de caracteristicile corpului persoanei vaccinate. De exemplu, exist\u0103 un procent mic (1-2% \u00een diverse cazuri) de persoane, care nu r\u0103spund la producerea de anticorpi la introducerea unui anumit antigen. Dar ele pot avea alte mecanisme de ap\u0103rare dup\u0103 vaccinare, de exemplu, imunitatea celular\u0103. Exist\u0103 o astfel de no\u021biune ca imunitatea colectiv\u0103 &#8211; nivelul vaccin\u0103rilor din echip\u0103. Dac\u0103 se atinge acest nivel, atunci nu numai to\u021bi copiii vaccina\u021bi sunt proteja\u021bi, ci \u0219i cei care au contraindica\u021bii absolute fa\u021b\u0103 de aceast\u0103 vaccinare \u0219i persoanele refractare (care nu reac\u021bioneaz\u0103). \u00centr-o astfel de colectivitate, circula\u021bia virusului este \u00eentrerupt\u0103. Dac\u0103, totu\u0219i, copilul vaccinat se \u00eemboln\u0103ve\u0219te, atunci boala este u\u0219oar\u0103 \u0219i, bine\u00een\u021beles, trece f\u0103r\u0103 complica\u021bii.<\/p>\n<blockquote>\n<p style=\"text-align: left;\">\u00ceN PREZENT SESIZ\u0102M O CRIZ\u0102 DE \u00ceNCREDERE FA\u021a\u0102 DE VACCINARE, INCLUSIV PRINTRE MEDICI.<\/p>\n<\/blockquote>\n<p><em>De ce p\u0103rin\u021bii ignor\u0103 vaccin\u0103rile? Poate c\u0103 acestea nu sunt numai chestiuni de credin\u021b\u0103, ci \u0219i probleme de educa\u021bie, sau, mai degrab\u0103, a absen\u021bei acestea?<\/em><\/p>\n<p>&#8211; \u00cen prezent suntem martorii unei crize de \u00eencredere \u00een vaccinare, inclusiv \u00een r\u00e2ndul medicilor. Cel mai aprig du\u0219man al vaccin\u0103rii se spune c\u0103 este &#8230; vaccinarea \u00eens\u0103\u0219i. Admi\u021b\u00e2nd o eroare logic\u0103, unii cred c\u0103 dac\u0103 nu exist\u0103 nici o inciden\u021b\u0103, atunci nu este necesar s\u0103 se vaccineze. Trebuie s\u0103 ne amintim mereu, c\u0103 inciden\u021ba nu se datoreaz\u0103 doar imuniz\u0103rii. Dac\u0103 se reduce nivelul imunitar cu c\u00e2teva procente, apar imediat cazuri de boal\u0103.<\/p>\n<p>Este foarte actual problema inform\u0103rii adecvate a popula\u021biei pe baza unor date fiabile. Voi da un exemplu. Timp de mul\u021bi ani, problema autismului la copiii vaccina\u021bi \u00eempotriva rujeolei a fost discutat\u0103 \u00een literatura de specialitate \u0219i mass-media. Acum s-a dovedit \u00een mod credibil, c\u0103 autismul este o boal\u0103 genetic\u0103 \u0219i c\u0103 apare un defect cromozomial \u00een stadiul form\u0103rii f\u0103tului. De ce s-a \u00eent\u00e2mplat asta? Faptul este, c\u0103 autismul se manifest\u0103 \u00een perioada socializ\u0103rii copilului, c\u00e2nd \u00eencepe s\u0103 comunice \u00een mod activ cu ceilal\u021bi, s\u0103 vorbeasc\u0103. \u00cen aceast\u0103 perioad\u0103,\u00een multe \u021b\u0103ri este efectuat\u0103 vaccinarea \u00eempotriva rujeolei. Dar dup\u0103 asta nu \u00eenseamn\u0103 c\u0103 din cauza asta! Se pare c\u0103 totul este clar, dar problema autismului din c\u00e2nd \u00een c\u00e2nd apare&#8230;<\/p>\n<p><em>\u00cen ciuda faptului c\u0103 oamenii moderni utilizeaz\u0103 informa\u021bii de pe Internet, ei par s\u0103 fie con\u0219tien\u021bi de tot, doctorii vorbesc adesea despre analfabetismul medical al popula\u021biei. Merit\u0103 la nivel de stat s\u0103 se creeze cursuri pentru mame tinere sau s\u0103 se fac\u0103 alte activit\u0103\u021bi preventive pentru a explica beneficiile vaccin\u0103rii?<\/em><\/p>\n<p>&#8211; Potrivit numeroaselor studii, \u00een \u021bara noastr\u0103 ca \u0219i \u00een str\u0103in\u0103tate, medicii numesc popula\u021bia cea mai fiabil\u0103 surs\u0103 de informa\u021bie cu privire la vaccinare. \u021ain\u00e2nd cont de acest lucru, se organizeaz\u0103 \u00een mod constant seminare de specialitate \u00een \u021bar\u0103, inclusiv cu participarea speciali\u0219tilor OMS \u0219i UNICEF. Lucr\u0103rile explicative \u00een r\u00e2ndul popula\u021biei se desf\u0103\u0219oar\u0103 constant, bro\u0219urile tematice sunt publicate \u00een mii de exemplare. Responsabilit\u0103\u021bile medicului de familie includ lucr\u0103ri explicative privind vaccinarea, conversa\u021bii \u00eenainte de fiecare vaccinare.<\/p>\n<p>Mi\u0219carea anti-vaccinare exista \u0219i de ea trebuie \u021binut cont. Apropo, fenomenul nu e nou, a ap\u0103rut \u00een paralel cu dezvoltarea celui mai important vaccin &#8212; \u00eempotriva variolei. Un medic bun va g\u0103si \u00eentotdeauna o abordare individual\u0103 \u0219i argumentele necesare \u00een favoarea vaccin\u0103rii. Ca urmare a competen\u021bei \u0219i a perseveren\u021bei insuficiente a medicilor, la \u00eenceputul anului 2018, 13.914 de copii nu aveau imunizarea necesar\u0103 \u00eempotriva rujeolei. Costul vaccinului cu PCC e de 45 de lei (gratuit oferit de stat). Costul trat\u0103rii unui caz de boal\u0103 este de c\u00e2teva mii de lei, \u00een func\u021bie de severitate (2145-7085 de lei).<\/p>\n<p>\u00cen raionul Ceadir-Lunga s-ar fi cheltuit 8750 de lei pentru vaccinarea persoanelor cu rujeol\u0103 \u00een conformitate cu programul de vaccinare, \u00een timp ce aproximativ 457,3 mii de lei (circa 3000 de lei \/ caz) au fost cheltuite pentru tratarea acestor persoane ne vaccinate.<\/p>\n<p><em><strong>Text:<\/strong> Anna Vetrova<\/em>[\/vc_column_text][vc_cta h2=&#8221;E important &#8221; h4=&#8221;Din practica altor \u021b\u0103ri&#8221; color=&#8221;blue&#8221;]\u2022 Copiii nevaccina\u021bi nu sunt admi\u0219i \u00een colectivei (Australia, Italia, Fran\u021ba, Germania, SUA, Croa\u021bia, Slovenia, Israel, Canada etc.).<br \/>\n\u2022 Amenzile pentru admiterea copiilor nevaccina\u021bi \u00een grupuri: Australia &#8211; 4.000 de dolari SUA, Canada &#8211; 1.000 de dolari SUA, Fran\u021ba &#8211; 3.750 de euro, Germania &#8211; 2.500 de euro, Italia &#8211; 100-500 de euro, Slovenia &#8211; p\u00e2n\u0103 la 400 de euro etc.<br \/>\n\u2022 Germania &#8211; copiii nevaccina\u021bi depista\u021bi \u00een colective sunt exclu\u0219i din echip\u0103.<br \/>\n\u2022 Australia &#8211; \u00een caz de non-vaccinare, p\u0103rin\u021bii nu vor beneficia de ajutoare pentru copii \u00een valoare de aproximativ 11.000 de dolari SUA.<br \/>\n\u2022 Fran\u021ba &#8211; \u00een cazul unei dizabilit\u0103\u021bi, cauzate de o boal\u0103, care poate fi prevenit\u0103 prin vaccinare, p\u0103rin\u021bii sunt expu\u0219i riscului de 2 ani de \u00eenchisoare \u0219i o amend\u0103 de p\u00e2n\u0103 la 30.000 de euro.[\/vc_cta]<div class=\"wpb_wrapper td_block_empty_space td_block_wrap vc_empty_space tdi_6 \"  style=\"height: 15px\"><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_column_text] Rujeola era cunoscut\u0103 de c\u0103tre medici cu 2 milenii \u00een urm\u0103. P\u00e2n\u0103 \u00een secolul al XVI-lea aceast\u0103 boal\u0103 era confundat\u0103 cu altele, care, la fel, provoac\u0103 erup\u021bii cutanate. Era denumit\u0103 diferit: \u00een secolul al XII-lea i se zicea \u201dmorbilli\u201d, ceea ce \u00eenseamn\u0103 \"o pat\u0103 mic\u0103\", pu\u021bin mai t\u00e2rziu au numit-o ciuma copiilor, deoarece boala [...]","protected":false},"author":594,"featured_media":66400,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1293,1287,1294],"tags":[3411,3413,3414,3412],"class_list":{"0":"post-66519","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articole","8":"category-mama-si-copil","9":"category-sanatate","10":"tag-epidemia-de-rujeola","11":"tag-interviu-revistei-sanatate","12":"tag-vaccinul","13":"tag-victoria-bucov"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Epidemia de rujeol\u0103: De ce boala a ie\u0219it \u00een afara controlului?<\/title>\n<meta name=\"description\" content=\"Profesor universitar Victoria Bucov: \u00cen acest caz, au coincis doi factori - prezen\u021ba unei surse de infec\u021bie \u0219i prezen\u021ba unui grup nevaccinat de copii. 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