{"id":1901,"date":"2020-11-17T17:58:09","date_gmt":"2020-11-17T14:58:09","guid":{"rendered":"http:\/\/izmir.imece-der.com\/?p=1901"},"modified":"2020-11-17T19:32:30","modified_gmt":"2020-11-17T16:32:30","slug":"izmir-tabip-odasi-salgin-yayiliyor-toplumsal-hareketlilik-derhal-en-etkin-bicimde-kisitlanmalidir","status":"publish","type":"post","link":"https:\/\/www.imece-der.com\/?p=1901","title":{"rendered":"\u0130ZM\u0130R TAB\u0130P ODASI, “SALGIN YAYILIYOR! \u201cTOPLUMSAL HAREKETL\u0130L\u0130K\u201d DERHAL EN ETK\u0130N B\u0130\u00c7\u0130MDE KISITLANMALIDIR!”"},"content":{"rendered":"

\"\"<\/a><\/p>\n

\u0130zmir Tabip Odas\u0131 Y\u00f6netim Kurulu, 17 Kas\u0131m 2020 tarihinde \u0130zmir Tabip Odas\u0131 konferans salonunda bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131.
\nBas\u0131n a\u00e7\u0131klamas\u0131, 16 Kas\u0131m da Urla’da Covid-19 nedeniyle ya\u015fam\u0131n\u0131 yitiren Dr. Cengiz \u00c7il’in an\u0131s\u0131na 1 dakikal\u0131k sayg\u0131 duru\u015fu ile ba\u015flad\u0131..
\nBas\u0131n a\u00e7\u0131klamas\u0131n\u0131 \u0130zmir Tabip Odas\u0131 Ba\u015fkan\u0131 L\u00fctfi \u00c7aml\u0131 okudu.
\nA\u00e7\u0131klama \u015f\u00f6yle;
\n\u201cCOVID-19 pandemisi sadece 3 hafta gibi k\u0131sa bir s\u00fcre i\u00e7erisinde k\u00fcresel olgu say\u0131s\u0131n\u0131n 40 milyondan 50 milyona ula\u015fan seyriyle d\u00fcnyada yak\u0131c\u0131l\u0131\u011f\u0131n\u0131 s\u00fcrd\u00fcrmektedir. T\u00fcrkiye\u2019de ise ilk vakay\u0131 takiben h\u0131zla y\u00fckselip pik yapt\u0131\u011f\u0131 Mart-Nisan 2020 d\u00f6nemine g\u00f6re bug\u00fcn \u00e7ok daha fazla zor ve ya\u015fant\u0131m\u0131z\u0131 tehdit eden bir d\u00f6neme girmi\u015f bulunuyoruz. Bilindi\u011fi gibi \u0130zmir \u00e7ok daha \u00f6zel bir zorlu\u011fu da ya\u015famaktad\u0131r: K\u0131sa s\u00fcre \u00f6nce ya\u015fad\u0131\u011f\u0131m\u0131z deprem salg\u0131na \u201ceklenmi\u015ftir\u201d. Resmi makamlarca deprem\u2019i izleyen 10. g\u00fcnde olgu say\u0131s\u0131n\u0131n depremin ba\u015flad\u0131\u011f\u0131 g\u00fcne g\u00f6re iki kat\u0131na \u00e7\u0131kt\u0131\u011f\u0131 a\u00e7\u0131klanm\u0131\u015ft\u0131r. Bu durum do\u011fru karar verme, do\u011fru y\u00f6ntem uygulaman\u0131n \u00f6nemini \u00e7ok daha ya\u015famsal yapmaktad\u0131r. Ancak en az bunlar kadar \u00f6nemli olan bir \u015fey de zamanlamad\u0131r, vakti ge\u00e7mi\u015f ve uygulanmam\u0131\u015f kararlar\u0131n bir de\u011feri olmayacakt\u0131r. Bilinmektedir ki bug\u00fcn at\u0131lan ad\u0131mlar\u0131n sonucunu 2-3 hafta sonra g\u00f6rmeye ba\u015flayaca\u011f\u0131z. O nedenle bu bas\u0131n a\u00e7\u0131klamam\u0131z\u0131n halk\u0131m\u0131z kadar karar verme ve uygulama sorumlulu\u011fu ta\u015f\u0131yanlarca da \u00f6n yarg\u0131s\u0131z olarak de\u011ferlendirilmesini diliyoruz. <\/p>\n

\u0130lk ad\u0131m bug\u00fcnk\u00fc tabloya y\u00f6nelik ger\u00e7e\u011fi yans\u0131tan bir tan\u0131da bulunmakt\u0131r. Bu a\u00e7\u0131klamay\u0131 rakamlara\/tablolara bo\u011fmak istemiyoruz ve diyoruz ki Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n g\u00fcvenilirli\u011fi kamuoyunca tart\u0131\u015f\u0131lan verilerinin bile g\u00f6sterdi\u011fi ger\u00e7ek \u015fudur:
\n\u2022 Salg\u0131n \u015fu anda b\u00fct\u00fcn T\u00fcrkiye\u2019ye yay\u0131lm\u0131\u015f ve kontrolden \u00e7\u0131km\u0131\u015ft\u0131r.
\n\u2022 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n pandemi s\u00fcrecini \u015feffaf bir bi\u00e7imde y\u00f6netmemesi y\u00fcz\u00fcnden ger\u00e7ek olgu ve \u00f6l\u00fcm say\u0131lar\u0131 konusunda yeterli bilgimiz yoktur.
\n\u2022 Ancak bilim insanlar\u0131n\u0131n saha g\u00f6zlemleri ve \u00e7e\u015fitli kaynaklara dayanarak yapt\u0131\u011f\u0131 epidemiyolojik tahminler, bug\u00fcnlerde salg\u0131n e\u011frisinin ilk tepe noktas\u0131na ula\u015ft\u0131\u011f\u0131 Nisan ay\u0131na benzer ve belki de daha fazla olgu say\u0131s\u0131yla kar\u015f\u0131 kar\u015f\u0131ya oldu\u011fumuzu g\u00f6stermektedir.
\n\u2022 Ent\u00fcbe edilen hasta ve a\u011f\u0131r hasta say\u0131s\u0131ndaki art\u0131\u015f \u00f6zellikle Ekim ay\u0131n\u0131n \u00fc\u00e7\u00fcnc\u00fc haftas\u0131ndan sonra g\u00f6zlenen y\u00fckselme e\u011filimi endi\u015fe vericidir.<\/p>\n

\u00d6l\u00fcm say\u0131lar\u0131ndaki art\u0131\u015f da endi\u015fe vermektedir. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n bildirimlerine g\u00f6re COVID-19 hastal\u0131\u011f\u0131na ba\u011fl\u0131 olarak kay\u0131tlara ge\u00e7en \u00f6l\u00fcmler Ekim\u2019in ikinci haftas\u0131ndan sonra art\u0131\u015f e\u011filimine girmi\u015ftir.<\/p>\n

Geldi\u011fimiz noktada \u0130zmir\u2019de g\u00fcnl\u00fck test pozitiflik oranlar\u0131 duyumlar\u0131m\u0131za g\u00f6re % 30 lar d\u00fczeyine ula\u015fm\u0131\u015ft\u0131r. 3000-3500 ki\u015fide test pozitif saptanabilmektedir. Ambulanslar olgular\u0131 ta\u015f\u0131makta zorlanmaktad\u0131r. Hastanelerde mevcut servisler, yo\u011fun bak\u0131mlar yetmiyor, yeni COVID19 servisleri ve yo\u011fun bak\u0131mlar a\u00e7\u0131l\u0131yor. Serviste ya da yo\u011fun bak\u0131mda yatmas\u0131 gereken bir\u00e7ok hasta acillerde ya da servislerde bekletilip yat\u0131r\u0131lacaklar\u0131 yataklar\u0131n \u201cbo\u015falmas\u0131\u201d bekleniyor. Sadece COVID-19 hastalar\u0131 de\u011fil, di\u011fer hastalar da servis, yatak, yo\u011fun bak\u0131m s\u0131k\u0131nt\u0131s\u0131 y\u00fcz\u00fcnden kamusal sa\u011fl\u0131k hizmetine ula\u015fmakta g\u00fc\u00e7l\u00fck \u00e7ekiyor. H\u0131zl\u0131 tan\u0131 ve tedavinin hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131 bir\u00e7ok hastal\u0131\u011f\u0131n taramas\u0131 yap\u0131lam\u0131yor. \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fckleri\u2019nin ve TSM\u2019lerin \u00fczerine y\u0131k\u0131lm\u0131\u015f olan filyasyon \u00e7al\u0131\u015fmalar\u0131nda olgulara yeti\u015filemiyor. G\u00fcnlerce ilac\u0131na ula\u015famayan hastalar\u0131n say\u0131s\u0131 giderek art\u0131yor. Hastalara olduk\u00e7a \u00f6zellikli ve yan etkileri olan ila\u00e7lar\u0131n da\u011f\u0131t\u0131mda ciddi sorunlar ya\u015fanmaktad\u0131r. Aile hekimleri de isyan halinde. Giderek artan say\u0131da pozitif ve temasl\u0131 olgu izlemine yeti\u015femiyorlar. K\u0131sacas\u0131 \u0130zmir\u2019de de salg\u0131n\u0131n kontrolden \u00e7\u0131kt\u0131\u011f\u0131n\u0131 s\u00f6yleyebiliriz.<\/p>\n

Veriler en fazla bula\u015f\u0131n ev i\u00e7i, \u00e7al\u0131\u015fma ortam\u0131 ve toplu ula\u015f\u0131mdan oldu\u011funu g\u00f6stermektedir. <\/p>\n

\u00d6te yandan \u015fehrimizde g\u00fcnl\u00fck hayat ola\u011fan ak\u0131\u015f\u0131nda seyretmekte, insanlar sokaklarda, toplu yerlerde, al\u0131\u015fveri\u015f merkezlerinde, kafe ve restoranlarda, k\u0131raathanelerde fiziksel mesafe kural\u0131na yeterince uymadan, maskesiz ya da uygunsuz tak\u0131lm\u0131\u015f maskelerle dola\u015fabilmektedir. Toplu ta\u015f\u0131malarda \u00f6zellikle i\u015fe gidi\u015f d\u00f6n\u00fc\u015f saatlerinde yo\u011fun s\u0131k\u0131\u015f\u0131kl\u0131klarla devam etmektedir. Okullar a\u00e7\u0131ld\u0131, a\u00e7\u0131lmayan s\u0131n\u0131flar\u0131n da a\u00e7\u0131lmas\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir. <\/p>\n

Salg\u0131n\u0131n kontrolden \u00e7\u0131kt\u0131\u011f\u0131 bir d\u00f6nemde art\u0131k maske, mesafe, hijyen\u2019 demenin bu sorunu \u00e7\u00f6zmedi\u011fini anlamal\u0131y\u0131z. Salg\u0131nla m\u00fccadelenin sorumlulu\u011fu yaln\u0131zca yurtta\u015fa, bireye indirgeyerek bu sorunla ba\u015f edilemez. Sa\u011fl\u0131k sistemimizin yan\u0131t verme kapasitesini \u00e7ok zorlayan bir noktaday\u0131z. Salg\u0131n\u0131n b\u00f6yle devam etmesi, hasta say\u0131lar\u0131n\u0131n b\u00f6yle artmas\u0131 durumunda hi\u00e7bir sa\u011fl\u0131k sisteminin yeterli olamayaca\u011f\u0131, \u00e7\u00f6kece\u011fi g\u00f6z \u00f6n\u00fcne al\u0131nmal\u0131d\u0131r. <\/p>\n

Bu ama\u00e7la:
\n1) Genelde T\u00fcrkiye, \u00f6zel olarak \u0130zmir\u2019e ait t\u00fcm veriler kamuoyu ile \u015feffaf ve ayr\u0131nt\u0131l\u0131 bi\u00e7imde payla\u015f\u0131lmal\u0131d\u0131r. \u0130l Umumi H\u0131fz\u0131ss\u0131hha Kurullar\u0131 etkinle\u015ftirilmeli ve Tabip Odalar\u0131 bu kurula dahil edilmelidirler<\/p>\n

2) Bu verilerin \u0131\u015f\u0131\u011f\u0131nda olgu art\u0131\u015f\u0131n\u0131 engellemeye y\u00f6nelik epidemiyolojik \u00e7al\u0131\u015fmalarla gerekli tedbirler bir an \u00f6nce al\u0131nmal\u0131 ve ilk ad\u0131m olarak \u201ctoplumsal hareketlilik\u201d derhal en etkin bi\u00e7imde k\u0131s\u0131tlanmal\u0131d\u0131r. Sahadan al\u0131nan verilerin \u0131\u015f\u0131\u011f\u0131nda yap\u0131lacak k\u0131s\u0131tlama temel, zorunlu ve acil hizmet \u00fcreten sekt\u00f6rler d\u0131\u015f\u0131nda \u00e7al\u0131\u015fma hayat\u0131n\u0131n durdurulmas\u0131 da olmak \u00fczere vir\u00fcs\u00fcn yay\u0131lmas\u0131n\u0131 azaltacak gerekli b\u00fct\u00fcn \u00f6nlemler h\u0131zla hayata ge\u00e7irilmelidir. Al\u0131nacak \u00f6nlemler en fazla zarar g\u00f6ren ve g\u00f6recek dezavantajl\u0131 kesimlerin (\u00e7al\u0131\u015fanlar\/dar gelirli, i\u015fsiz, yoksullar, kad\u0131nlar, \u00e7ocuklar, engelliler, 65 ya\u015f \u00fcst\u00fc, s\u0131\u011f\u0131nmac\u0131lar \u2026vd) ekonomik ve sosyal olarak olumsuz etkilenmelerden korunmas\u0131n\u0131 sa\u011flayacak ekonomik ve sosyal destek mekanizmalar\u0131n\u0131n olu\u015fturulmas\u0131yla birlikte\/e\u015f zamanl\u0131 y\u00fcr\u00fcrl\u00fc\u011fe konmal\u0131 ve denetlenmelidir. <\/p>\n

3) Salg\u0131n m\u00fccadelesinde koruyucu sa\u011fl\u0131k hizmetleri g\u00fc\u00e7lendirilmeli, birinci basamak sa\u011fl\u0131k hizmetlerinin etkinli\u011fini art\u0131racak \u015fekilde organizasyonu ger\u00e7ekle\u015ftirilmelidir. Filyasyon \u00e7al\u0131\u015fmalar\u0131 epidemiyoloji bilimi \u0131\u015f\u0131nda ger\u00e7ekle\u015ftirilmelidir. Bu m\u00fccadelede kamunun di\u011fer kaynaklar\u0131n\u0131n da (ara\u00e7, personel) etkin kullan\u0131m\u0131 sa\u011flanmal\u0131d\u0131r. <\/p>\n

4) Salg\u0131nla m\u00fccadele edebilmek i\u00e7in daha \u00e7ok merkezde, daha \u00e7ok say\u0131da test yap\u0131lmal\u0131; pozitif vakalar\u0131n erken tan\u0131nmas\u0131, etkin bi\u00e7imde izole edilmesi, temasl\u0131lar\u0131n karantinaya al\u0131nmas\u0131 sa\u011flanmal\u0131d\u0131r. <\/p>\n

5) Hastanede tedavisi gerekmeyen ki\u015filerin izolasyon ve takibi i\u00e7in kullan\u0131ma uygun kamu pansiyon, yurt vb. ortamlar ayarlanmal\u0131, bu konuda yerel y\u00f6netimlerle i\u015f birli\u011fine gidilmeli, hane i\u00e7i yay\u0131l\u0131m\u0131n \u00f6n\u00fcne ge\u00e7ilmelidir. <\/p>\n

6) Salg\u0131n ile m\u00fccadelede t\u00fcm olanaklar toplum sa\u011fl\u0131\u011f\u0131 yarar\u0131na kullan\u0131lmal\u0131, kamu sa\u011fl\u0131k kurumlar\u0131n\u0131n ihtiyaca cevap veremedi\u011fi her durumda \u00f6zel hastaneler Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n kontrol\u00fcne ge\u00e7irilmeli, yurtta\u015flar\u0131n sa\u011fl\u0131k hizmetlerine eri\u015fimi istisnas\u0131z ve \u00f6n ko\u015fulsuz b\u00fct\u00fcn\u00fcyle paras\u0131z olmal\u0131d\u0131r. <\/p>\n

7) COVID-19 d\u0131\u015f\u0131 hastalar\u0131n aylard\u0131r ertelemek zorunda kald\u0131klar\u0131 sa\u011fl\u0131k sorunlar\u0131 ve bu konuda ya\u015fanan sorunlar dikkate al\u0131narak \u201cpandemi d\u0131\u015f\u0131 hastaneler\u201d belirlenmeli, pandemi d\u0131\u015f\u0131 sa\u011fl\u0131k sorunlar\u0131 i\u00e7in ba\u015fvurulabilecek g\u00fcvenli alanlar yarat\u0131lmal\u0131d\u0131r. <\/p>\n

8) Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 yorgundur. Salg\u0131n ile en \u00f6nde, \u00f6zveri ile m\u00fccadele eden sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131 korumay\u0131 \u00f6ncelemeyen hi\u00e7bir \u00fclke salg\u0131nla ba\u015f edemez. Salg\u0131n\u0131n ba\u015f\u0131ndan beri y\u00f6neticiler taraf\u0131ndan yap\u0131lan e\u015fit ve adil olmayan g\u00f6rev da\u011f\u0131l\u0131m\u0131, e\u015fitsiz ek \u00f6demeler, sosyal ve ekonomik k\u0131s\u0131tl\u0131l\u0131klar\u0131n yan\u0131nda bir de herg\u00fcn meslekta\u015flar\u0131n\u0131n \u00f6l\u00fcm\u00fcyle moral ve motivasyonu bozulan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 t\u00fckenmi\u015ftir. Nitelikli ve yeterli koruyucu ekipmana ula\u015fmakta zorlanan, gelecek kayg\u0131s\u0131 ta\u015f\u0131yan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 b\u00fcy\u00fck s\u0131k\u0131nt\u0131lar ya\u015famalar\u0131na kar\u015f\u0131n \u00f6zveri ile \u00e7al\u0131\u015fmaktad\u0131r. Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n \u00e7al\u0131\u015fma ko\u015fullar\u0131 ve \u00f6zl\u00fck haklar\u0131 h\u0131zla d\u00fczeltilmelidir. Pandemide en az 10 kat daha y\u00fcksek bula\u015f riski ta\u015f\u0131yan, hastalanan ve \u015fimdiye kadar 160\u2019 a yak\u0131n kay\u0131p veren sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n desteklenmesi ve bu olay\u0131n \u201cmeslek hastal\u0131\u011f\u0131\u201d olarak yasalarda yer almas\u0131 sa\u011flanmal\u0131d\u0131r <\/p>\n

\u0130zmir Tabip Odas\u0131 olarak hem hekim hem yurtta\u015f kimli\u011fimizle, toplum sa\u011fl\u0131\u011f\u0131n\u0131 en y\u00fcksek \u201culusal \u00e7\u0131kar\u201d ve insani de\u011fer olarak g\u00f6r\u00fcyoruz. Nihayetinde acilen akl\u0131n ve bilimin \u0131\u015f\u0131\u011f\u0131nda a\u00e7\u0131k, \u015feffaf, g\u00fcvenilir, toplumun b\u00fct\u00fcn kesimlerinin kat\u0131l\u0131m\u0131na a\u00e7\u0131k, salg\u0131n m\u00fccadelesini b\u00fct\u00fcnc\u00fcl olarak ele alan yeni bir salg\u0131n politikas\u0131 olu\u015fturulmas\u0131n\u0131, geciktirilmemesi gereken, ertelenemez bir g\u00f6rev olarak tespit ediyoruz ve yetkilileri ivedi olarak \u00f6nlem almaya, sorumluluklar\u0131na uygun ad\u0131mlar atmaya, ba\u015fta siyasi partiler, milletvekilleri olmak \u00fczere b\u00fct\u00fcn \u0130zmir \u00f6rg\u00fctl\u00fc yap\u0131lar\u0131n\u0131 (meslek \u00f6rg\u00fct\u00fc, sendika, dernek vb) yetkililer \u00fczerinde bas\u0131n\u00e7 olu\u015fturmaya, giri\u015fimde bulunmaya, \u00e7a\u011f\u0131r\u0131yoruz\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0130zmir Tabip Odas\u0131 Y\u00f6netim Kurulu, 17 Kas\u0131m 2020 tarihinde \u0130zmir Tabip Odas\u0131 konferans salonunda bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131. Bas\u0131n a\u00e7\u0131klamas\u0131, 16 Kas\u0131m da Urla’da Covid-19 nedeniyle ya\u015fam\u0131n\u0131 yitiren Dr. Cengiz \u00c7il’in an\u0131s\u0131na 1 dakikal\u0131k sayg\u0131 duru\u015fu ile ba\u015flad\u0131.. Bas\u0131n a\u00e7\u0131klamas\u0131n\u0131 \u0130zmir Tabip Odas\u0131 Ba\u015fkan\u0131 L\u00fctfi \u00c7aml\u0131 okudu. A\u00e7\u0131klama \u015f\u00f6yle; \u201cCOVID-19 pandemisi sadece 3 hafta gibi k\u0131sa … <\/p>\n

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