
2018 equatore prant ibola udrek

2018 chaa equatore prant ibola udrek meey teey julai 2018 paryant kongochya lokshahi prajasattakachya (dii. aar. see.) vayvyes jhaala. too purnapane equatore prantat samavisht hota aanee prathamach aar. vhee. ess. vhee.-zebov ibola lasisah lasikaran karnyacha prayatna keela gela hota, jyat ekoon 3,481 lokanche lasikaran karnyat aale hote. dii. aar. see. madheel haah navva nondavalela ibola udrek hota.
udrek 8 meey 2018 roji suru jhaala, jevha asey nondavale gele qee equatore prantatil bikoro shaharajaval evdmule 17 lokancha mrutyu jhalyacha sanshay aahe. done lokanna haah aajaar asalyachi pushti jhalyanantar jaagtik aarogya sanghatnene udrek ghoshit keela. 17 meey roji, haah vishanu antardeshiy bandar shahar mabandakamadhye pasaralyachi pushti jhaali, jyamule rashtriy jokhamichya pataliche moolyankan 'khoop jaast' kele gele, parantu adyap aantarrashtriy sarvajanik aarogya aanibani nirman jhaleli nahee. jyanni 24 julai 2018 roji udrek sampalyachi ghoshana kelee, jyat 33 pushti jhalelya mrutyuncha samavesh aahe.
yaa udrekachya samaptinantar, 1 august 2018 roji deshachya purv bhagat kivu ibola mahamari suru jhaali; 25 juuna 2020 roji 2,80 mrutyu nondavun tee sampalyachi ghoshana karnyat aalee. kangochya aarogya mantralayane 1 juuna 2020 roji equatore prantat aanakhi vegalya udrekachi ghoshana kelee, jyache varnan nondi suru jhalyapasuncha akrava ibola udrekapramane kele gele. 42 divas ekahi rugna aadhalala nahee, 130 rugna aanee 55 mrutyu jhalyanantar haah akrava udrek 18 novembarparyant jaheer karnyat aala.
mahamarishastra.
prarambhik prakarane.
sarvat suruvatichi prakarane april 2018 chya suruvatila ghadali asey manale jaate. reed cross aanee reed crecent societieschya aantarrashtriy mahasanghanusar, sanshayit anukramanika prakaran eka police adhikari hote, jyacha mrutyu equatore prantatil bikoro yaa bajar shaharajavalil ikoko-impainge gavatil aarogya kendrat jhaala.
tyachya antyasanskaranantar kutumbatil akra sadasya aajari padale aanee tyapaiki saat janancha mrutyu jhaala. serve saat mrutanni tyaa vyaktichya antyavidhila hajeri lavali hotee kinwa too aajari asatana tyachi kalji ghetali hotee. yaa vyaktichi anukramanika prakaran mhanoon olakh adyap pushti jhaleli nahee.
equatore prantachya prantiy aarogya vibhagane ibola vishanu rogashi susangat lakshane asaleli 21 prakarane nondavali, jyapaiki 17 janancha 3 meey 2018 roji mrutyu jhaala hota. yapaiki aath prakarane nantar ibola-sambandhit nasalyache darshavile gele. bikoromadhil pachpaiki done rugnanchya namunyanmadhye ibola vishanuchya zayar prabhedasathi sakaratmak chachani kelyanantar 8 meey roji udrek ghoshit karnyat aala.
10 meey roji, jaagtik aarogya sanghatnene (jyane) sangitale qee kangochya lokshahi prajasattakat evdchi ekoon 32 prakarane aahet aanee dusya divashi aanakhi done sanshayit prakarane ghoshit karnyat aalee, jyamule ekoon prakarane 34 jhaali, jee serve drchya bikoro bhagat aahet.
mabandkaparyant pasarva.
1976 pasoon dii. aar. see. madhye jhalelya purvichya aath ibola udrekanmadhye, vishanu yapurvi kadhihi mothya shaharat pohochala navhata. meey 2018 madhye, prathamach, mabandka shaharat chaar prakarananchi pushti jhaali.
14 meey roji bikoro vyatirikt equatore prantatil iboko aanee vangata bhagat sanshayit prakarane nondavali gelee. 17 meey 2018 roji jyaa vyaktine ahwal deela qee bikorochya uttares sumare 100 mail antaravar asalelya equatore prantachi rajdhani mbandaka shaharachya vangata jeelhyat shahari bhagat yaa udrekachya pahilya prakaranachi pushti jhaali aahe. 12 laakh loksankhya asalele embandaka heey kongo nadivaril eka vyast, daat lokvastiche bandar aahe, jyamule sansargacha uchch dhoka aahe. dusya divashi, jyane shahari bhagat vishanuchya upasthitimule dii. aar. see. madheel aarogyacha dhoka "khoop jaast" keela.
embandka aanee rajdhani kinshasa darmyanchya kongomadhye botichya vahatukidvare pasarana vishanubaddal dii. aar. see. sarkarla visheshtah chinta hotee. jyanni asehi manale qee yaa pradeshatil itar nauu deshanmadhye udrek pasaranyacha uchch dhoka aahe, jyat simavarti prajasattak kango aanee madhya african prajasattak yancha samavesh aahe.
udrekache kendra bikoro aanee iboko yanchyat vibhagale gele hote; ii. vhee. dii. chee pushti jhalelya prakarananpaiki 55 takke prakarane ibokomadhye hotee aanee bikoromadhye mrutyu jhalelyanpaiki 81.5% hote. bikoro aarogya kshetratil prakarane ikoko impains (12), bikoro (6), momboyo (1) aanee moheli (1) yethe hotee; iboko aarogya kshetratil prakarane itipo (13), empangi (2), venga (1) aanee lungo (1) yethe hotee.
kona yanni jaaree kelelya pachvya paristhiti ahavalanusar, mrutyu darr (see. eff. aar.) 42.3% hota. 22 meparyant 44 prakaranansathi loksankhyashastra nondavale gele hote; purushanmadhye eae. vhee. dii. chee 26 aanee mahilanmadhye 18 prakarane hotee; 7 prakarane 14 varshe aanee tyapeksha qamee vayachya mulanmadhye hotee aanee 9 prakarane 60 varshanpeksha jaast vayachya mulanmadhye hotee. 23 meparyant, aarogya-seva karmcharyanmadhye 5 prakarane nondavali gelee hotee, jyat done janancha mrutyu jhaala hota. sankramit vyaktinshi sampark olakhanyasathi sampark shodhanyacha vapar keela jaat hota. 29 meey roji, bandka shaharat 800 samparkanchi olakh patali asalyachi mahitee midali; dusya divashi shaharatil 500 lokanche lasikaran jhaale asalyachi mahitee midali.
29 meey roji, jyanni nauu shejaril deshanna eae. vhee. dii. chya prasarachya uchch dhokyabaddal satark kele hote asey soochit kele, 4 juuna roji asey nondavale gele qee angolane udrekamule dii. aar. see. shhee asaleli aapali seema bund kelee aahe.
udrekacha shevat.
konatyahi naveen pushti jhalelya prakarnanshivay 42 divas nighun gelyanantar 24 julai 2018 roji kangochya lokshahi prajasattakatil haah udrek sampalyache ghoshit karnyat aale. jaree heey nondavale gele hote qee kivuchya purvekadil pradeshat keval eka aathvadyanantar eka naveen udrek jhaala; aanee teey jodalele naheet heey siddha jhaale aahe.
pratibandhatmak aavhane.
bikoro bhagat teen rugnalaye hotee, parantu yaa bhagatil aarogya sevanche varnan pramukhyane 'maryadit karyakshamta' asalele asey kele gele hote; tyanna aantarrashtriy sansthankadun puravatha midala parantu varanvar kamatarata anubhavali gelee. bikoro kshetrachi nimmyahoon adhik prakarane ikoko-impainge yaa rastyanchya vyavastheshi jodalelya nasalelya gavat hotee. bikoro ghandat parjanyavanat aahe aanee yaa bhagatil durgam aanee apuya payabhoot suvidhanmule eae. vhee. dii. rugnanvar upchar karnyat, tasech palat thevanyachya aanee lasikaran prayatnanmadhye adthala nirman jhaala.
palan karane heey aanakhi eka aavhan hoteh meey mahinyat, mabandka yetheel upchar kendrachya vilgikaran kakshat eae. vhee. dii. asalelya teen vyakti paloon gelya; prathna sabhela upasthit rahilyanantar doghancha nantar mrutyu jhaala, jyat tyanni itar 50 upasthitanna vishanucha sansarg keela asava.
bushmeet haah sansargacha eka vahak asalyache manale jaat hote, parantu mabandaka bajaratil bushmeet vikretyanni patrakaranna sangitale qee tyanna vishvas nahee qee ibola vastavik kinwa gambhir aahe. vaidyakeey madat denyacha prayatna karananya aarogya karmchanyanprati shatrutvahi nondavale gele. 29 meey roji, julaichya akheris 100-300 prakarane asateel assa andaj kona vyakt karatat.
vishanushastra.
yaa udrekat olakhala gelela zayar ibolavirus, 'ibolavirus' yaa vanshamadhye samavisht aahe, kutumb 'philoviridae',
yaa vishanula ebola nadiche naav denyat aale hote, jee kangochya lokshahi prajasattakat kango nadichi upanadi mhanoon vahate; zayar prabhed pahilyanda 1976 madhye yambukumadhye olakhala gela.
pratisad.
medicines sance frontiersney (emm. ess. eff.) bikoro, ikoko aanee vangata yethe upchar kendre sthapan kelee. jyane 8 meey roji bikorola eka tadnya pathak pathavale aanee 13 meey roji, jyane mahasanchalak tedros adnom ghebreyesas yanni shaharala bhet dilee. 18 meey roji, 'daad huu ihar' samitichi baithak jhaali aanee aantarrashtriy chintechi sarvajanik aarogya aanibani ghoshit naan karnyacha nirnay ghetala. jyanni teen prabhavit bhagat 138 tantrik karmchari pathavale hote; reed crossney 150 hoon adhik lokanna pathavale aanee unicefche karmchari dekhil sakriy hote. sangh pathvanaya itar aantarrashtriy sansthanmadhye brittonche sarvajanik aarogya jalad samarthan pathak aanee africa rog niyantran aanee pratibandh kendrancha samavesh hota. velakam trustney dii. aar. see. chya udrekasathi 20 laakh paundanchi denagi dilee. mercney aapali prayogik lus daan kelee aanee gavee aantarrashtriy lasikaran yuteene lasikaran mohimanna pathimba denyas madat kelee. sanrakshn aanee nirjantukikaran sanch aanee upashamak aushadhansah anek tunn puravatha dii. aar. see. kadey pathvanyat aala. mabandka shaharat vishanucha prasar jhalyanantar, dow. keey. aar. aarogyamantri olee ilunga kalenga yanni ghoshit kele qee, badhitanna mofat aarogya seva puravali jaeel.
amerikeche rashtradhyaksh donald trump yanni ebola nidhi radd karnyache aanee rajya vibhagachya aapatkalin pratisadansathi bahutansh vittapuravatha karnyache samarthan kele aahe. ebolacha udrek ghoshit jhaala tyaa divashi rashtriy suraksha sallagar johnn bolton yanni rashtriy suraksha parishadechya aarogya suraksha pramukhanna kadhoon takale aanee sampoorn mahamari pratibandh karyalay bund kele. yuu.ess. rog niyantran aanee pratibandh kendranche mhanane aahe qee tyanche sumare paach karmchari kango sarkarla sallah detat. see. dii. see. chee upasthiti paschim aafriketil deshanpeksha qamee asalyache disate. yuu.ess. agency phaur international developmentne ibola prayatnansathi $10 laakh denyache aashvasan dile. germanyne 5.8 laakh dollarsche aashvasan dile aahe.
palat thewali.
mabandakachya bandaravar aanee vimantalavar pravashanvar palat thevanyat aalee. sarvajanik aarogya mantralayane 115 kshetre olakhali aahet jithe lokanchya halchalinmule vishanuchya sankramanacha dhoka vadhala aahe, jyat 83 nadee bandare, nauu vimantal aanee saat bus sthanke tasech 16 bajarpetha samavisht aahet. parivahan mantri dow. jose makila yanni sangitale qee, kongovaril nadee vahatukivar najar thevanyasathi naudalacha vapar keela jaeel. 10 meey roji nigeriachya aarogya mantralayane aaplya simevar tapasani suru karnar asalyache sangitale aanee 18 meey 2018 roji ekoon 20 deshanni dow. aar. see. kadoon yenanya pravashanchi tapasani suru kelee. jyanni eae. vhee. dii. chya prasarala samore jaanyachya tyanchya kshamateche moolyankan karnyasathi aanee tyanche nirikshan sulabh karnyasathi 8/9 shejaril deshanmadhye pathake pathavali. sarvajanik aarogya mantralayane prabhavit kshetrache nakashe sudharanyasathi yuu. see. ell. aii. aanee openstreetmap dii. aar. see. madheel sarvekshankarte aanee manchitrakaransobat kaam kele. 16 meey roji bikoromadhye eka prayogshalene kaam suru kele, jyamule ibola vishanusathi rugnanchya namunyanchi sthanik chachani shakya jhaali.
sansargacha dhoka qamee karnyasathi emm. ess. eff. aanee kangochya lokshahi prajasattakachya reed crossdware dafanvidhi aayojit karnyat aale hote. sanyukt rashtranchya redione eae. vhee. dii. jagrukta mahitee prasarit kelee aanee bhittipatre aanee patrak tayar karoon vitarit kele gele. unicefne prathna sabhanchya dhokyabaddal bandkachya 143 charchana ishara deela.
upchar.
aar. vhee. ess. vhee.-zebovs ring lasikaran.
dow. aar. see. chya sarvajanik aarogya mantralayasah aarogya adhikaanyaanee udrek dadapanyacha prayatna karnyasathi recombinant vesicular stomatitis virus-zayar ibola virus (aar. vhee. ess. vhee.-zebov) lus-mercney tayar keleli nuktich vikasit keleli prayogik ibola lus-vaparali. hii jiwant-ksheen lus zayar ebolaviruses kiqvit 1995 prabhedatil prushthbhagavaril glycoproteinla recombinant vesicular stomatitis vishanu vectormadhye vyakt karate. aar. vhee. ess. vhee.-zebovchi chachani giinii aanee siera leonmadhye paschim aafriketil 2013-16 chya sathichya kalat karnyat aalee hotee, 5837 lokanna lus midali hotee; chachani lekhakancha assa nishkarsh hota qee aar. vhee. ess. vhee.-zebovne eae. vhee. dii. viruddha "lakshaniy sanrakshn" dile hote, parantu tyanantarchya bhashyakaranni prapt sanrakshanachya pramanat prashnachinh upasthit kele aahe aanee pradan kelelya dirghakalin sanrakshanache praman adnyat aahe. yaa laseela konatyahi niyamak pradhikaranane manyata dileli naslyamule, tee dii. aar. see. madhye dayalu vapar chachani protocol antargat vaparali gelee.
ring lasikaran dhoran vaparale gele, jyamadhye keval jyanna sansarg honyachi shakyata aahe tyannach lasikaran karane samavisht aaheh sankramit vyaktinche thet sampark aanee tyaa samparkanche sampark. lakshya kelelya itar gatanmadhye aarogya karmchari, prayogshaletil karmchari, palat thevanare karmchari aanee dafanvidhishi sambandhit lokancha samavesh hota. jyaa lokanche lasikaran karnyat aale hote tyancha 84 divas pathpurava keela gela, jenekarun teey sansargapasun surakshit aahet qee nahee yache moolyankan kele jaau shakel aanee konatyahi pratikool ghatananvar laksh thewale jaau shakel. rvsv-zebov lasiche ekoon 4,320 doses drchya rajdhani kinshasa yethe 16 meey roji vitarit karnyat aale aanee aanakhi 3,240 doses teen divasannantar aale; aanakhi 8,000 doses upalabdh karoon dile jaanar aahet. lus-60 aanee-80°seey. darmyan vahoon nene aanee sathavane aavashyak aahe. 18 meparyant kinshasa yethe sheet sakhali sthapan karnyat aalee aanee tee mabandkaparyant vistaranyat aalee aahe. jyanni pushti jhalelya eae. vhee. dii. prakarananchya samparkanchya teen sanchanna lasikaran karnyavar laksh kendrit karanyachi yojana aakhali, done bikoromadhye aanee eka mabandkamadhye.
konanusar, tatkal vaparasathi tayar asalelya lasichya 7,560 matra gheuun, 21 meey roji mabandkatil aarogya karmchanyanmadhye lasikaran suru jhaale. dow. keey. aar. aarogyamantri olee ilunga kalenga yanni sangitale qee, embandakachya vangata aanee bolenge bhagat aarogya karmchari aanee ebola prakarananchya samparkanche lasikaran paach divas lagtil, jyanantar bikoro aanee ibokomadhye lasikaran suru hoil. bandkamadhil 154 lokanche lasikaran karnyat aale hote aanee bikoro aanee ibokomadhye lasikaran karanyachi tayari suru karnyat aalee hotee. konanusar, 26 meparyant 1,000 lokanna lasikaran hone apekshit hote. ibola udrekachya suruvatichya tappyat lasikaranacha prayatna karanyachi hii pahilich vel hotee.
yaa udrekat aar. vhee. ess. vhee.-zebov lus ibola vishanuchya prabhedasathi prabhavi tharali, ring lasikaranadvare sumare 3,481 vyaktinche sanrakshn jhaale.
prayogik upcharatmak ghatak.
aarogya adhikaanyaanee antiviral agents fevipiravir aanee jee. ess.-5734 aanee antibody zomaps prayogik upcharanchi chachani ghenyacha vichar keela. paschim aafriketil sathichya kalat tinhi ghatak rugnanna denyat aale hote, parantu tyapaiki ekahi prabhavi asalyache adyap siddha jhalele nahee. sarvajanik aarogya mantralayane dekhil udrekadarmyan yuu. ess. neey mab114 upcharachi chachani ghenyachi vinanti kelee. mab114 monoclonal pratipind rashtriy aarogya sanstha aanee jeane-jacks muembe yanni rashtriy jaivavaidhyakiy sanshodhan sansthet vikasit kele hote aanee 1995 chya kiqvit udrekatoon vachalelya eka eae. vhee. dii. pasoon tayar kele gele aahe, jyanchyakade akra varshannantarhi anty-ebola pratipinde prasarit hott hotee; tyachi chachani makakmadhye karnyat aalee aahe parantu manavanmadhye nahee.
jaagtik aarogya sanghatnene murie naitik protocol antargat aapatkalin vaparasathi zamap cocktelche moolyankan kele hote. panelane heey manya kele qee "zamapche fayade tyachya jokhminpeksha jaast aahet", heey lakshat gheuun, tyat logistical aavhane aahet, visheshtah vitaran aanee sathavanukisathi sheet sakhalichi aavashyakta aahe. vikasachya suruvatichya tappyat asoonahi, mab114, remdesivir aanee regan 3470-3471-3479 yaa itar teen upcharpaddhatinna dekhil meuri aanee dow. aar. see. madheel aarogya mantralayachya antargat aapatkalin vaparasathi manyata denyat aalee.
purvasoochana.
ebola nantarchya vishanuche lakshansamuchchay, jeey eae. vhee. dii. sansargatoon bachavale aahet tyanna prabhavit karate; parinami yenanya chinhe aanee lakshananmadhye snayu dukhane, dolhyanchya samasya aanee majjasansthesambandhi samasya yancha samavesh asoo shakato.
itihas.
kangochya lokshahi prajasattakat (purvi zair) 1976 pasoon yapurvi anek eae. vhee. dii. udrek jhaale aahet, jyancha saransh khaleel taktyat deela aahe. heey serve deshachya paschim kinwa uttarela sthit aahet. purvichya teen udrek (1976,1977 aanee 2014 madhye) purvichya equatore prantat jhaale, jyapaiki sadhyacha equatore prant eka bhag aahe.
2014 madhye, jyanni asey manale qee dii. aar. see. aarogya kharchat urvarit aafrikepeksha mage aahe, prati vyakti 32 aantarrashtriy dollarschya sapeksh darane.
2017 chya kango ibola vishanuchya udrekasathi, dii. aar. see. niyamak adhikaanyaanee prayogik aar. vhee. ess. vhee.-zebov lasichya vaparas manyata dilee, parantu udrek aadhich niyantranat yeiparyant logistical samasyanmule tyachi amalbajavani vilambit jhaali.
2018chya ibola udrekachya pahilya prakarananchya thodya velapurvi, deshat mothya pramanavar patakichi mahamari (juuna 2017-vasant 2018) anubhavali gelee, jee 1994 nantar deshatil sarvat gambhir hotee.