{"id":4159,"date":"2021-04-03T12:39:58","date_gmt":"2021-04-03T09:39:58","guid":{"rendered":"https:\/\/www.klimik.org.tr\/koronavirus\/?p=4159"},"modified":"2021-04-05T12:41:43","modified_gmt":"2021-04-05T09:41:43","slug":"prof-serap-simsek-yavuz-salgin-yonetimi-bilim-kurulunda-olsaydi-bunlari-yasamazdik","status":"publish","type":"post","link":"https:\/\/www.klimik.org.tr\/koronavirus\/prof-serap-simsek-yavuz-salgin-yonetimi-bilim-kurulunda-olsaydi-bunlari-yasamazdik\/","title":{"rendered":"Prof. Serap \u015eim\u015fek-Yavuz: Salg\u0131n Y\u00f6netimi Bilim Kurulu\u2019nda Olsayd\u0131 Bunlar\u0131 Ya\u015famazd\u0131k"},"content":{"rendered":"

\"\"KL\u0130M\u0130K Derne\u011fi Genel Sekreteri ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Bilim Kurulu \u00dcyesi Prof. Dr. Yavuz\u2019a g\u00f6re artan vakalara kar\u015f\u0131 s\u0131k\u0131 kapanmaya gitmeli ve a\u015f\u0131lamaya h\u0131z verilmeli. Yavuz, a\u015f\u0131ya eri\u015febilenlerin derhal yapt\u0131rmas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor.<\/strong><\/p>\n

\u0130ktidar\u0131n ekonomik ve siyasal \u00f6ncelikleri dolay\u0131s\u0131yla Covid 19 salg\u0131n\u0131ndaki tablo hi\u00e7 olmad\u0131\u011f\u0131 kadar a\u011f\u0131rla\u015fm\u0131\u015f durumda. \u0130ktidar\u0131n deneme-yan\u0131lma usul\u00fc y\u00fcr\u00fctt\u00fc\u011f\u00fc g\u00f6reli tedbir politikalar\u0131n\u0131n hi\u00e7bir ekonomik destekle temellendirilmemesi ise yoksullu\u011fu, a\u00e7l\u0131\u011f\u0131 ve gelece\u011fe ili\u015fkin belirsizli\u011fi derinle\u015ftiriyor.<\/p>\n

Komplo teorisyenleri, felaket tellallar\u0131, a\u015f\u0131 ve tedbir kar\u015f\u0131tlar\u0131 tam da bu belirsizlik anlar\u0131nda devreye girerek sorumlulu\u011fu iktidar\u0131n s\u0131rt\u0131ndan al\u0131p gizemli, me\u00e7hul \u201cmuhataplara\u201d y\u00fckl\u00fcyor. Kulland\u0131\u011f\u0131m\u0131z maskelerin i\u00e7ine mikro\u00e7ip robotlar yerle\u015ftirildi\u011fini s\u00f6yleyenden a\u015f\u0131lar\u0131n \u201czararlar\u0131na\u201d, mutasyonlu virusla ba\u015f etmemizin imkans\u0131zl\u0131\u011f\u0131ndan d\u0131\u015far\u0131da maske takman\u0131n \u201canlams\u0131zl\u0131\u011f\u0131na\u201d ve yeni mutasyonun esas olarak k\u00fc\u00e7\u00fck ya\u015ftaki \u00e7ocuklar\u0131 \u00f6ld\u00fcrd\u00fc\u011f\u00fcne kadar say\u0131s\u0131z yalan-yanl\u0131\u015f, komplo teorisi, k\u0131s\u0131k, gizemli ses kay\u0131tlar\u0131 e\u015fli\u011finde WhatsApp gruplar\u0131nda dola\u015f\u0131yor.<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavirus Bilim Kurulu \u00dcyesi, \u0130stanbul T\u0131p Fak\u00fcltesi \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Serap \u015eim\u015fek Yavuz\u2019la iktidar\u0131n \u201ctedbir\u201d politikas\u0131n\u0131, COVID-19\u2019un yeni varyantlar\u0131n\u0131n \u00e7ocuklar \u00fczerindeki etkisini, s\u0131ram\u0131z geldi\u011finde hangi a\u015f\u0131y\u0131 neye g\u00f6re tercih etmemiz gerekti\u011fini ve ortal\u0131kta dola\u015fan komplo teorilerini konu\u015ftuk\u2026<\/p>\n

Covid 19 salg\u0131n\u0131n\u0131n pik yapt\u0131\u011f\u0131 yeni bir d\u00f6neme girdik ve etrafta \u00e7ok fazla bilgi kirlili\u011fi, komplo teorisi dola\u015f\u0131yor. Bunlardan biri de T\u00fcrkiye\u2019de de kullan\u0131lan Sinovac \u015firketinin geli\u015ftirdi\u011fi CoronaVac a\u015f\u0131s\u0131n\u0131n hastal\u0131\u011f\u0131 \u00f6nlemede istenen sonucu yaratmad\u0131\u011f\u0131, her iki doz a\u015f\u0131y\u0131 oldu\u011fu halde virusa yakalan\u0131p hastaneye yatanlar\u0131n oldu\u011fu y\u00f6n\u00fcnde. Bu iddialar do\u011fru mu?<\/strong><\/p>\n

CoronaVac a\u015f\u0131s\u0131 Faz-3 a\u015famas\u0131nda etkin oldu ve \u015fu anda da toplumda yayg\u0131n olarak kullan\u0131l\u0131yor. A\u015f\u0131lar\u0131n etkinlikleri, yayg\u0131n \u015fekilde uygulanmaya ge\u00e7ildikten sonra da takip ediliyor. Yayg\u0131n a\u015f\u0131lamadan sonra Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n analizini yapt\u0131\u011f\u0131 ve bizimle payla\u015ft\u0131\u011f\u0131 verilere g\u00f6re, CoronaVac a\u015f\u0131s\u0131 yap\u0131lan gruplarda hastaneye yat\u0131\u015flar ve \u00f6l\u00fcmler y\u00fczde 70-80 oran\u0131nda azalm\u0131\u015f durumda. Bu da bekledi\u011fimiz bir oran. Dolay\u0131s\u0131yla a\u015f\u0131 olanlar, olmayanlara g\u00f6re \u00e7ok daha d\u00fc\u015f\u00fck oranda hastalan\u0131yor. Hastalan\u0131nca daha az oranda hastaneye yatmas\u0131 gerekiyor ve a\u015f\u0131l\u0131 gruplarda \u00f6l\u00fcm riski de azalm\u0131\u015f g\u00f6r\u00fcn\u00fcyor. Sonu\u00e7 olarak a\u015f\u0131n\u0131n etkili oldu\u011funu ve s\u0131ram\u0131z geldi\u011finde a\u015f\u0131y\u0131 yapt\u0131rmam\u0131z\u0131n hastal\u0131ktan korunmak anlam\u0131nda \u00e7ok \u00f6nemli oldu\u011funu s\u00f6yleyebiliriz.<\/p>\n

Daha \u00f6nce bu oran\u0131n y\u00fczde 83 oldu\u011fu belirtilmi\u015fti ama\u2026<\/strong><\/p>\n

Yok, y\u00fczde 83 oran\u0131 a\u015f\u0131n\u0131n Faz-3\u2019te g\u00f6r\u00fclen koruyuculuk etkinli\u011fi. Yani hasta olma riskini y\u00fczde 83 azalt\u0131yor. Virusla kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131nda a\u015f\u0131 olmu\u015f bir ki\u015finin hastalanma oran\u0131, a\u015f\u0131 olmam\u0131\u015f ki\u015fiye g\u00f6re y\u00fczde 83 daha az. Ger\u00e7ek ya\u015fam verileri dedi\u011fimiz verilerde, yani yayg\u0131n a\u015f\u0131 uygulamas\u0131ndan sonra saptanm\u0131\u015f bir oran bu. A\u015f\u0131 yap\u0131l\u0131p da hastal\u0131\u011fa yakalananlarda \u00f6l\u00fcm riski, a\u015f\u0131lanmam\u0131\u015flardaki \u00f6l\u00fcm riskinden y\u00fczde 80 daha az.<\/p>\n

A\u015f\u0131 ayn\u0131 zamanda virusu alma tehlikesini de o civarda d\u00fc\u015f\u00fcr\u00fcyor mu?<\/strong><\/p>\n

Elimizdeki bilgiler d\u00fcnyada kullan\u0131lan mevcut koronavirus a\u015f\u0131lar\u0131n\u0131n hepsinin hastalanmay\u0131, hastalananlarda hastaneye yat\u0131\u015flar\u0131 ve \u00f6l\u00fcmleri b\u00fcy\u00fck oranda azaltt\u0131\u011f\u0131n\u0131 g\u00f6steriyor. \u00d6rne\u011fin 1000 a\u015f\u0131l\u0131 ve 1000 a\u015f\u0131s\u0131z ki\u015fi virusla kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda, a\u015f\u0131s\u0131z gruptan 100 ki\u015fi hasta oluyorsa, a\u015f\u0131l\u0131 gruptan 17 ki\u015fi hastalan\u0131yor. Ancak d\u00fcnyada kullan\u0131lan mevcut a\u015f\u0131lar\u0131n, ki\u015finin virusu alarak kendisi semptom g\u00f6stermeden ba\u015fkalar\u0131na yayma riskini ne kadar azaltt\u0131\u011f\u0131 y\u00f6n\u00fcnde kesin veriler yok. Yani a\u015f\u0131l\u0131 da olsan\u0131z virusu alabilir, ba\u015fkalar\u0131na bula\u015ft\u0131rabilirsiniz. Bu nedenle a\u015f\u0131l\u0131lar\u0131n, \u00f6zellikle a\u015f\u0131s\u0131zlara hastal\u0131\u011f\u0131 bula\u015ft\u0131rmamak i\u00e7in maske kullan\u0131m\u0131na devam etmesi gerekiyor.<\/p>\n

‘BA\u011eI\u015eIKLI\u011eINIZDA B\u0130R SORUN YOKSA HER \u0130K\u0130 A\u015eIYI DA OLAB\u0130L\u0130RS\u0130N\u0130Z’<\/strong>
\nBu durumda a\u015f\u0131 olan ki\u015finin art\u0131k hasta olmayaca\u011f\u0131n\u0131 ve ba\u015fkas\u0131na bula\u015ft\u0131rmayaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnerek tedbirleri elden b\u0131rakmas\u0131 toplum ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131n olu\u015fturmas\u0131n\u0131 zorla\u015ft\u0131rm\u0131yor mu?<\/strong><\/p>\n

Elimizde hen\u00fcz a\u015f\u0131 olmu\u015f ki\u015filerin virusu ald\u0131klar\u0131nda ne oranda bula\u015ft\u0131rd\u0131klar\u0131na dair \u00e7ok fazla veri yok. Bunu g\u00f6zlemleyebilmemiz i\u00e7in de a\u015f\u0131 yap\u0131lan ki\u015fi say\u0131s\u0131n\u0131n artmas\u0131 ve ek \u00e7al\u0131\u015fmalar yapmam\u0131z gerekiyor. Di\u011fer baz\u0131 a\u015f\u0131lar\u0131n bula\u015fmay\u0131 da azaltt\u0131\u011f\u0131na dair veriler \u00e7\u0131kt\u0131. Coronavac\u2019a dair veriler de k\u0131sa bir s\u00fcre sonra \u00e7\u0131kacakt\u0131r. ABD, \u0130ngiltere ve \u0130srail gibi \u00fclkelerde kullan\u0131lan ve \u015fu ana kadar d\u00fcnyada en fazla yap\u0131lm\u0131\u015f olan mRNA a\u015f\u0131lar\u0131n\u0131n bula\u015fmay\u0131 da y\u00fcksek oranda azaltt\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. A\u015f\u0131l\u0131larda virusu kapma ve bula\u015ft\u0131r\u0131c\u0131l\u0131k oran\u0131n\u0131n da azalm\u0131\u015f olmas\u0131, hastal\u0131\u011f\u0131n toplumda kontrol alt\u0131na al\u0131nabilmesi i\u00e7in de \u00e7ok \u00f6nemli. \u00d6n\u00fcm\u00fczdeki s\u00fcre\u00e7te \u00f6zellikle burundan uygulanan a\u015f\u0131lar\u0131n bunu daha fazla sa\u011flayaca\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyor.<\/p>\n

T\u00fcrkiye\u2019ye BionTech a\u015f\u0131lar\u0131 da gelmeye ba\u015flad\u0131 ve Sa\u011fl\u0131k Bakan\u0131 insanlar\u0131n CoranaVac ile BionTech aras\u0131nda tercih yapabilece\u011fini a\u00e7\u0131klad\u0131. Sizce a\u015f\u0131 s\u0131ras\u0131 gelen ve a\u015f\u0131ya eri\u015febilen insanlar hangisini tercih etmeli?<\/strong><\/p>\n

mRNA yeni teknoloji a\u015f\u0131s\u0131, ilk kez COVID-19 i\u00e7in yap\u0131l\u0131yor. Bu a\u015f\u0131yla koruyucu antikor yan\u0131tlar\u0131n\u0131n daha y\u00fcksek oldu\u011funu biliyoruz ama elimizde uzun d\u00f6nem verileri yok. \u0130naktive virus a\u015f\u0131s\u0131, yani CoronaVac a\u015f\u0131s\u0131 ise g\u00fcvenlik anlam\u0131nda \u00e7ok b\u00fcy\u00fck tecr\u00fcbenin oldu\u011fu bir a\u015f\u0131 grubu. Y\u0131llard\u0131r bu y\u00f6ntemle geli\u015ftirilen a\u015f\u0131lar\u0131 kullan\u0131yoruz. Dolay\u0131s\u0131yla g\u00fcvenlik endi\u015fesi yok ama antikor yan\u0131tlar\u0131 mRNA a\u015f\u0131lar\u0131na g\u00f6re daha d\u00fc\u015f\u00fck. Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanmam\u0131\u015f, herhangi bir \u015fekilde antikor yan\u0131t\u0131nda sorun olmayan bir ki\u015fide \u00f6nemli sorunlar olu\u015fturmaz. Dolay\u0131s\u0131yla ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131zda bir sorun yoksa her iki a\u015f\u0131y\u0131 da olabilirsiniz. Ancak kanser hastalar\u0131, organ nakli olmu\u015f ki\u015filer, diyaliz hastalar\u0131 gibi ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 zay\u0131f gruplarda mRNA d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n

Yan etkileri a\u00e7\u0131s\u0131ndan hangi bilgilere sahibiz?<\/strong><\/p>\n

CoronaVac\u2019\u0131n yan etkileri daha az ve hafif. mRNA a\u015f\u0131s\u0131nda y\u00fcksek ate\u015f, kol a\u011fr\u0131s\u0131, bir iki g\u00fcn evde yatmay\u0131 gerektirecek k\u0131r\u0131kl\u0131k gibi semptomlar g\u00f6r\u00fclebiliyor.<\/p>\n

‘\u00d6N\u00dcM\u00dcZDEK\u0130 6 AY VEYA 1 YIL \u0130\u00c7\u0130NDE EK DOZLARA \u0130HT\u0130YA\u00c7 OLAB\u0130L\u0130R’<\/strong><\/p>\n

A\u015f\u0131 olan baz\u0131 ki\u015filerin korona virusu semptomlar\u0131 ya\u015fasa bile, a\u015f\u0131dan dolay\u0131 PCR testinin pozitif \u00e7\u0131kaca\u011f\u0131 kanaatiyle test yapt\u0131rmad\u0131\u011f\u0131n\u0131 duyuyoruz. Hakl\u0131lar m\u0131?<\/strong><\/p>\n

Hay\u0131r, kesinlikle yanl\u0131\u015f. A\u015f\u0131 \u00f6l\u00fc virus y\u00fckler ve testi pozitifle\u015ftirmez. A\u015f\u0131dan hastalanmak diye bir \u015fey s\u00f6z konusu olamaz. Esas koruyuculuk ikinci dozun \u00fczerinden 14 g\u00fcn ge\u00e7tikten sonra ba\u015fl\u0131yor. Birinci doz a\u015f\u0131s\u0131n\u0131 olan bir ki\u015fi bu arada koronavirusa yakalanabilir. Hatta ikinci dozu olduktan hemen sonra e\u011fer ki\u015fi g\u00fcnlerce COVID-19 semptomlar\u0131 g\u00f6steriyorsa, bu a\u015f\u0131n\u0131n yan etkilerinden ziyade virusa yakalanm\u0131\u015f oldu\u011funu g\u00f6sterebilir. Dolay\u0131s\u0131yla b\u00f6ylesi bir durumda test yapt\u0131rmak gerekiyor. \u201cA\u015f\u0131 oldu\u011fum i\u00e7in testim pozitif g\u00f6r\u00fcn\u00fcr\u201d d\u00fc\u015f\u00fcncesi yanl\u0131\u015ft\u0131r.<\/p>\n

Peki hem COVID-19 ge\u00e7irmi\u015f hem de a\u015f\u0131 olmu\u015f ki\u015filerin antikorlar\u0131 \u00e7ok daha y\u00fcksektir diyebilir miyiz?<\/strong><\/p>\n

COVID-19 olanlarda yeniden hastal\u0131\u011fa yakalanmaktan korunma oran\u0131 y\u00fczde 80-90 civar\u0131nda ve a\u015f\u0131 da bu oranda koruyor zaten. Hastal\u0131\u011f\u0131 bir kez ge\u00e7irmi\u015f olmak, yeniden yakalanmamak i\u00e7in a\u015f\u0131dan daha koruyucu bir durum yaratm\u0131yor. Hastal\u0131\u011f\u0131 ge\u00e7irmi\u015f olanlara, \u00f6zellikle 6 ay sonunda a\u015f\u0131 yap\u0131lmas\u0131, yeniden hastal\u0131\u011f\u0131 ge\u00e7irme riskini azaltacakt\u0131r.<\/p>\n

R\u00f6portaj\u0131n Devam\u0131 \u0130\u00e7in T\u0131klay\u0131n\u0131z<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

KL\u0130M\u0130K Derne\u011fi Genel Sekreteri ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Bilim Kurulu \u00dcyesi Prof. Dr. Yavuz\u2019a g\u00f6re artan vakalara kar\u015f\u0131 s\u0131k\u0131 kapanmaya gitmeli ve a\u015f\u0131lamaya h\u0131z verilmeli. Yavuz, a\u015f\u0131ya eri\u015febilenlerin derhal yapt\u0131rmas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor. \u0130ktidar\u0131n ekonomik ve siyasal \u00f6ncelikleri dolay\u0131s\u0131yla Covid 19 salg\u0131n\u0131ndaki tablo hi\u00e7 olmad\u0131\u011f\u0131 kadar a\u011f\u0131rla\u015fm\u0131\u015f durumda. \u0130ktidar\u0131n deneme-yan\u0131lma usul\u00fc y\u00fcr\u00fctt\u00fc\u011f\u00fc g\u00f6reli tedbir politikalar\u0131n\u0131n hi\u00e7bir ekonomik destekle temellendirilmemesi ise yoksullu\u011fu, a\u00e7l\u0131\u011f\u0131 ve gelece\u011fe ili\u015fkin belirsizli\u011fi derinle\u015ftiriyor. Komplo teorisyenleri, felaket tellallar\u0131, a\u015f\u0131 ve tedbir kar\u015f\u0131tlar\u0131 tam da bu belirsizlik anlar\u0131nda devreye girerek sorumlulu\u011fu iktidar\u0131n s\u0131rt\u0131ndan al\u0131p gizemli, me\u00e7hul \u201cmuhataplara\u201d y\u00fckl\u00fcyor. Kulland\u0131\u011f\u0131m\u0131z maskelerin i\u00e7ine mikro\u00e7ip robotlar yerle\u015ftirildi\u011fini s\u00f6yleyenden a\u015f\u0131lar\u0131n \u201czararlar\u0131na\u201d, mutasyonlu virusla ba\u015f […]<\/p>\n","protected":false},"author":4,"featured_media":4160,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/4159"}],"collection":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/comments?post=4159"}],"version-history":[{"count":1,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/4159\/revisions"}],"predecessor-version":[{"id":4161,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/4159\/revisions\/4161"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media\/4160"}],"wp:attachment":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media?parent=4159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/categories?post=4159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/tags?post=4159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}