{"id":5597,"date":"2022-01-30T16:25:11","date_gmt":"2022-01-30T13:25:11","guid":{"rendered":"https:\/\/www.klimik.org.tr\/koronavirus\/?p=5597"},"modified":"2022-01-30T16:25:23","modified_gmt":"2022-01-30T13:25:23","slug":"klimik-derneginden-aciklama-salginda-son-durum-ve-omikron-varyanti","status":"publish","type":"post","link":"https:\/\/www.klimik.org.tr\/koronavirus\/klimik-derneginden-aciklama-salginda-son-durum-ve-omikron-varyanti\/","title":{"rendered":"KL\u0130M\u0130K Derne\u011fi&#8217;nden A\u00e7\u0131klama: Salg\u0131nda Son Durum ve Omikron Varyant\u0131"},"content":{"rendered":"<p><strong>Omikron varyant\u0131, beklenildi\u011fi ve biz dahil t\u00fcm bilim d\u00fcnyas\u0131 taraf\u0131ndan \u00f6ng\u00f6r\u00fcld\u00fc\u011f\u00fc gibi t\u00fcm d\u00fcnyada, \u00f6nceki dalga ve varyantlar\u0131n \u00e7ok \u00f6tesinde say\u0131larda ki\u015fiyi hastaland\u0131rmaya devam etmektedir. <\/strong>Nitekim ge\u00e7ti\u011fimiz hafta DS\u00d6\u2019n\u00fcn bildirdi\u011fi 21 milyonluk yeni vaka say\u0131s\u0131 pandeminin ba\u015f\u0131ndan beri bir haftada bildirilen en y\u00fcksek vaka say\u0131s\u0131 olmu\u015f, ayn\u0131 hafta 50 bin ki\u015fi de bu hastal\u0131k nedeniyle hayat\u0131n\u0131 kaybetmi\u015ftir. Bug\u00fcne kadar elde edilen verilerle omikron ve yaratt\u0131\u011f\u0131 sorunlarla ilgili, yine \u00e7o\u011funlu\u011fu bilim \u00e7evreleri taraf\u0131ndan \u00f6ng\u00f6r\u00fclm\u00fc\u015f \u015fu sonu\u00e7lara ula\u015f\u0131lm\u0131\u015ft\u0131r;<\/p>\n<ul>\n<li>Hat\u0131rlatma dozu\/dozlar\u0131 yap\u0131lmam\u0131\u015f olsa da a\u015f\u0131l\u0131larda omikrona ba\u011fl\u0131 hastane yat\u0131\u015f\u0131 ve \u00f6l\u00fcmler, a\u015f\u0131s\u0131zlardan \u00e7ok daha d\u00fc\u015f\u00fckt\u00fcr. Hat\u0131rlatma dozu\/dozlar\u0131 yap\u0131lanlarda bu riskin daha da d\u00fc\u015f\u00fck olmas\u0131n\u0131n\u0131n yan\u0131nda infeksiyona kar\u015f\u0131 koruyuculuk da artmaktad\u0131r.<\/li>\n<li>Ge\u00e7irilerek veya a\u015f\u0131yla elde edilmi\u015f ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bulunmayanlarda da omikronun deltaya k\u0131yasla yakla\u015f\u0131k 1\/3 oran\u0131nda daha az hastane yat\u0131\u015f\u0131na neden oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/li>\n<li>Eldeki veriler infeksiyona kar\u015f\u0131 koruyuculu\u011fun k\u0131sa s\u00fcreli oldu\u011funu g\u00f6stermektedir. Bu nedenle omikron \u00f6ncesinde de oldu\u011fu gibi hastane yat\u0131\u015f\u0131 ve \u00f6l\u00fcm riski hat\u0131rlatma dozlar\u0131 ile de s\u0131f\u0131rlanmamaktad\u0131r.<\/li>\n<li>\u00d6zellikle a\u015f\u0131lama ve toplum ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131nda istenilen seviyelere ula\u015famam\u0131\u015f toplumlarda a\u015f\u0131r\u0131 artan olgu say\u0131lar\u0131 bir \u00f6nceki dalgalardan \u00e7ok daha fazla hastane yat\u0131\u015f\u0131na ve \u00f6l\u00fcme neden olabilmektedir. Bunun d\u0131\u015f\u0131nda omikron \u00f6zellikle a\u015f\u0131 \u00f6nerilmeyen \u00e7ocuk ya\u015f gruplar\u0131nda di\u011fer varyantlara g\u00f6re daha fazla hastane yat\u0131\u015f\u0131na neden olmaktad\u0131r.<\/li>\n<li>Kontrols\u00fcz vaka say\u0131s\u0131 art\u0131\u015flar\u0131n\u0131n yaratt\u0131\u011f\u0131 bir di\u011fer \u00f6nemli olumsuzluk da hastaneye ba\u015fka nedenlerle yatm\u0131\u015f olanlarda, hastanede edinilen omikron infeksiyonlar\u0131d\u0131r. Ayr\u0131ca hastanelerin kapasitelerini b\u00fcy\u00fck \u00f6l\u00e7\u00fcde COVID-19 hastalar\u0131na ay\u0131rmak zorunda kalmalar\u0131 da COVID-d\u0131\u015f\u0131 nedenlere ba\u011fl\u0131 t\u0131bbi bak\u0131m ve tedavi hizmetlerinin yeterince verilememesine neden olmaktad\u0131r. Nitekim omikron dalgas\u0131 ile birlikte baz\u0131 \u00fclkelerde toplam \u00f6l\u00fcmlerde de daha \u00f6nce hi\u00e7 g\u00f6r\u00fclmemi\u015f y\u00fcksek d\u00fczeylere tan\u0131k olunmaktad\u0131r.<\/li>\n<li>Gerek sa\u011fl\u0131k gerek di\u011fer kritik hizmetlerin aksamadan y\u00fcr\u00fct\u00fclebilmesi; okullar\u0131n a\u00e7\u0131k kalmas\u0131n\u0131n sa\u011flanmas\u0131 a\u00e7\u0131s\u0131ndan toplumda kontrol \u00f6nlemleri halen \u00e7ok \u00f6nemlidir.<\/li>\n<li>\u00dclkeler, a\u015f\u0131lanma ve ge\u00e7mi\u015f dalgalardan etkilenme oranlar\u0131 bak\u0131m\u0131ndan farkl\u0131 oldu\u011fu i\u00e7in omikron dalgas\u0131n\u0131n etkileri de \u00fclkeler d\u00fczeyinde farkl\u0131l\u0131klar g\u00f6sterebilmektedir. Bu nedenle baz\u0131 \u00fclkelerin kontrol \u00f6nlemlerini gev\u015fetiyor olmalar\u0131, \u00f6zellikle omikron dalgas\u0131n\u0131n hen\u00fcz ba\u015f\u0131nda olan \u00fclkeler i\u00e7in bir \u00f6rnek kabul edilmemelidir.<\/li>\n<li>\u00d6rne\u011fin a\u015f\u0131lama oran\u0131 \u00e7ok y\u00fcksek olan Danimarka veya daha \u00f6nceki dalgalarda toplumun b\u00fcy\u00fck bir k\u0131sm\u0131n\u0131n hastalanm\u0131\u015f olmas\u0131ndan dolay\u0131 neredeyse toplumsal ba\u011f\u0131\u015f\u0131kl\u0131k d\u00fczeyine eri\u015fmi\u015f G\u00fcney Afrika gibi\u00a0 baz\u0131 \u00fclkelerde, omikron dalgas\u0131 s\u0131ras\u0131nda artan vaka say\u0131lar\u0131na ra\u011fmen hastane yat\u0131\u015f\u0131 ve \u00f6l\u00fcmlerde art\u0131\u015f olmam\u0131\u015f ve bu \u00fclkeler bu nedenle\u00a0 infeksiyonun toplumda yay\u0131lmas\u0131na y\u00f6nelik ek \u00f6nlemleri azaltma yoluna gitmi\u015ftir.<\/li>\n<li>Bu ba\u011flamda %62\u2019lerde bulunan toplam a\u015f\u0131l\u0131 oran\u0131 ve toplumda infeksiyonun s\u0131n\u0131rland\u0131r\u0131lmas\u0131 konusunda al\u0131nan \u00f6nlemlerin derecesi bizimle benzerlik g\u00f6sterdi\u011fi i\u00e7in ABD verileri, \u00fclkemiz a\u00e7\u0131s\u0131ndan daha yol g\u00f6sterici olabilir: Bu \u00fclkede omikron dalgas\u0131nda hastane yat\u0131\u015f say\u0131lar\u0131 \u00f6nceki dalgalar\u0131 a\u015fm\u0131\u015f, yo\u011fun bak\u0131ma yatan ve \u00f6len ki\u015fi say\u0131lar\u0131 da\u00a0 bunu takip ederek \u00f6nceki en y\u00fcksek say\u0131lara yakla\u015fm\u0131\u015f; \u00e7ocukluk \u00e7a\u011f\u0131 hastaneye yat\u0131\u015f oranlar\u0131 t\u00fcm zamanlar\u0131n en y\u00fcksek seviyelerine ula\u015fm\u0131\u015ft\u0131r.<\/li>\n<\/ul>\n<p>\u00dclkemizde, omikron dalgas\u0131 ile ilgili olarak \u015fu konular da ek sorun olarak kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r:<\/p>\n<ul>\n<li>Hem birincil a\u015f\u0131lamada hem hat\u0131rlatma dozlar\u0131nda istenilen seviyelere hala ula\u015f\u0131lamam\u0131\u015ft\u0131r.<\/li>\n<li>Risk grubunda yer alan ya\u015fl\u0131 ve komorbiditeli ki\u015filerin \u00f6nemli bir k\u0131sm\u0131n\u0131n a\u015f\u0131lamas\u0131nda, etkilili\u011fi daha d\u00fc\u015f\u00fck olan ve omikrona kar\u015f\u0131 yeterli d\u00fczeyde koruyuculuk sa\u011flayamad\u0131\u011f\u0131 g\u00f6sterilmi\u015f inaktive virus a\u015f\u0131s\u0131 kullan\u0131lm\u0131\u015ft\u0131r.<\/li>\n<li><strong>COVID-19\u2019un toplumda yay\u0131lmas\u0131n\u0131 engelleyebilecek a\u015f\u0131 d\u0131\u015f\u0131ndaki tarama, test etme, izolasyon, kalabal\u0131klar\u0131n azalt\u0131lmas\u0131 gibi \u00f6nlemlerden vazge\u00e7iliyor olmas\u0131 a\u011f\u0131r hastal\u0131k ve \u00f6l\u00fcm say\u0131lar\u0131n\u0131n daha fazla olabilece\u011fi y\u00f6n\u00fcnde kayg\u0131 yaratmaktad\u0131r.<\/strong><\/li>\n<li>Ge\u00e7ti\u011fimiz hafta, ba\u015fta \u0130stanbul ve \u0130zmir\u2019de olmak \u00fczere COVID-19 hastalar\u0131na yo\u011fun bak\u0131m yata\u011f\u0131 bulma sorunu ortaya \u00e7\u0131km\u0131\u015ft\u0131r. \u00d6zellikle rutin hizmetlerin ve ameliyatlar\u0131n devam etmesinden kaynaklanm\u0131\u015f oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen bu sorunun da a\u00e7\u0131k\u00e7a g\u00f6sterdi\u011fi gibi, \u00e7ok fazla artan olgu say\u0131lar\u0131 nedeniyle omikron dalgas\u0131 hastanelerde t\u0131kanmalara yol a\u00e7m\u0131\u015ft\u0131r.<\/li>\n<\/ul>\n<p>Bu dalgay\u0131 s\u0131n\u0131rland\u0131rabilmek i\u00e7in hem a\u015f\u0131laman\u0131n, hem de toplumda hastal\u0131\u011f\u0131n yay\u0131l\u0131m\u0131n\u0131 engelleyecek di\u011fer \u00f6nlemlerin art\u0131r\u0131lmas\u0131 zorunludur, aksi halde hem sa\u011fl\u0131k sisteminin t\u0131kanmas\u0131, hem de \u00f6l\u00fcm say\u0131lar\u0131n\u0131n artmas\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r. Nitekim \u00fclkemizden biraz daha y\u00fcksek a\u015f\u0131lanma oran\u0131na sahip Almanya\u2019da a\u015f\u0131lamada istenilen seviye sa\u011flanmam\u0131\u015f oldu\u011fu i\u00e7in omikron s\u0131ras\u0131nda toplumda al\u0131nacak \u00f6nlemler s\u00fcrekli g\u00fcncelleme yoluyla gerekti\u011finde daha da s\u0131k\u0131la\u015ft\u0131r\u0131larak hastane yat\u0131\u015flar\u0131 ve \u00f6l\u00fcmlerin artmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmesi hedeflenmektedir.<\/p>\n<p>Bu nedenle <strong>omikron dalgas\u0131 devam etti\u011fi s\u00fcrece:<\/strong><\/p>\n<ul>\n<li>A\u015f\u0131lama \u00e7al\u0131\u015fmalar\u0131, \u00e7ocuk ya\u015f grubu da dahil edilerek h\u0131zland\u0131r\u0131lmal\u0131d\u0131r.<\/li>\n<li>Daha \u00f6nce inaktive virus a\u015f\u0131lar\u0131yla a\u015f\u0131lanm\u0131\u015f, \u00f6zellikle risk grubunda olan ki\u015filere, omikrona kar\u015f\u0131 daha etkili olabilecek mRNA a\u015f\u0131lar\u0131yla ek dozlar bir an \u00f6nce yap\u0131lmal\u0131d\u0131r.<\/li>\n<li>Test kapasitesi g\u00fc\u00e7lendirilerek art\u0131r\u0131lmal\u0131d\u0131r: Uygun a\u015famalarda h\u0131zl\u0131 antijen test se\u00e7enekleri devreye sokulmal\u0131d\u0131r. Semptomatik ki\u015filerin testlere eri\u015fimi mutlaka sa\u011flanmal\u0131d\u0131r.<\/li>\n<li>Yar\u0131y\u0131l tatili nedeniyle hareketlili\u011fin de artt\u0131\u011f\u0131 bu d\u00f6nemde toplu ta\u015f\u0131mac\u0131l\u0131kta test zorunlulu\u011fu geri getirilmelidir.<\/li>\n<li>Uzaktan \u00e7al\u0131\u015fma, kural ve ko\u015fullar\u0131 belirlenerek \u00f6nerilmeli ve te\u015fvik edilmelidir.<\/li>\n<li>Kapal\u0131 ortamlarda yap\u0131lacak toplant\u0131lara k\u0131s\u0131tlamalar getirilmelidir.<\/li>\n<li>Sinema, tiyatro, konser, ma\u00e7lar, spor salonlar\u0131, al\u0131\u015fveri\u015f merkezlerine giri\u015flerde a\u015f\u0131s\u0131z\u0131lara k\u0131s\u0131tlamalar uygulanmal\u0131d\u0131r.<\/li>\n<\/ul>\n<p><strong>Bizim de dile\u011fimiz omikron dalgas\u0131ndan sonra, \u00e7ok fazla say\u0131da ki\u015finin etkilenmesiyle ortaya \u00e7\u0131kacak toplumsal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n pandemiyi s\u0131n\u0131rland\u0131rma olas\u0131l\u0131\u011f\u0131n\u0131n ger\u00e7ekle\u015fmesi olmakla birlikte, s\u0131n\u0131rland\u0131r\u0131l(a)mayan infeksiyon yay\u0131l\u0131m\u0131nda yeni ve daha tehlikeli varyantlar\u0131n ortaya \u00e7\u0131kmas\u0131, deltan\u0131n tekrar dola\u015f\u0131ma girmesi\u00a0 gibi k\u00f6t\u00fc olas\u0131l\u0131klar\u0131 da dikkate almak zorunda oldu\u011fumuzu bilimsel sorumlulu\u011fumuzun bir gere\u011fi olarak hat\u0131rlatmak istiyoruz.\u00a0<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-110159\" src=\"https:\/\/www.klimik.org.tr\/wp-content\/uploads\/2021\/12\/klimik-logo-png-629x234-1.png\" alt=\"\" width=\"226\" height=\"84\" \/><\/p>\n<p><strong>\u00a0 <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Omikron varyant\u0131, beklenildi\u011fi ve biz dahil t\u00fcm bilim d\u00fcnyas\u0131 taraf\u0131ndan \u00f6ng\u00f6r\u00fcld\u00fc\u011f\u00fc gibi t\u00fcm d\u00fcnyada, \u00f6nceki dalga ve varyantlar\u0131n \u00e7ok \u00f6tesinde say\u0131larda ki\u015fiyi hastaland\u0131rmaya devam etmektedir. Nitekim ge\u00e7ti\u011fimiz hafta DS\u00d6\u2019n\u00fcn bildirdi\u011fi 21 milyonluk yeni vaka say\u0131s\u0131 pandeminin ba\u015f\u0131ndan beri bir haftada bildirilen en y\u00fcksek vaka say\u0131s\u0131 olmu\u015f, ayn\u0131 hafta 50 bin ki\u015fi de bu hastal\u0131k nedeniyle hayat\u0131n\u0131 kaybetmi\u015ftir. Bug\u00fcne kadar elde edilen verilerle omikron ve yaratt\u0131\u011f\u0131 sorunlarla ilgili, yine \u00e7o\u011funlu\u011fu bilim \u00e7evreleri taraf\u0131ndan \u00f6ng\u00f6r\u00fclm\u00fc\u015f \u015fu sonu\u00e7lara ula\u015f\u0131lm\u0131\u015ft\u0131r; Hat\u0131rlatma dozu\/dozlar\u0131 yap\u0131lmam\u0131\u015f olsa da a\u015f\u0131l\u0131larda omikrona ba\u011fl\u0131 hastane yat\u0131\u015f\u0131 ve \u00f6l\u00fcmler, a\u015f\u0131s\u0131zlardan \u00e7ok daha d\u00fc\u015f\u00fckt\u00fcr. Hat\u0131rlatma dozu\/dozlar\u0131 yap\u0131lanlarda bu riskin daha da d\u00fc\u015f\u00fck [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":5598,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/5597"}],"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=5597"}],"version-history":[{"count":1,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/5597\/revisions"}],"predecessor-version":[{"id":5599,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/5597\/revisions\/5599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media\/5598"}],"wp:attachment":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media?parent=5597"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/categories?post=5597"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/tags?post=5597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}