E pale pū kākou iā kākou iho. E aʻo kākou e pili ana i ka Herd Immunity!

Ua noʻonoʻo paha ʻoe pehea, i ka wā e hui pū ai kahi hui nui o ka poʻe, no ka laʻana ma kou kauhale, a i ʻole ma kahi āu e hana ai, ua palekana mākou a pau mai kekahi mau maʻi? I kekahi manawa ʻaʻole mākou e ʻike, akā ke hana nei kekahi mea nui e pale aku iā mākou a pau. ʻO ia ka mea a mākou e kapa nei ʻo 'herd immunity' a i ʻole `(Herd Immunity)`. He mea nui loa kēia, e kamaʻilio wale kākou e pili ana i kēia lā, ʻae?

He aha maoli ka Herd Immunity?

I ka ʻōlelo maʻalahi, ʻo ka palekana o ka hui ka wā e pale ai ka hapa nui o ka poʻe ma ke kaiāulu, inā paha ma ke kauhale a i ʻole ke kūlanakauhale, i kahi maʻi lele, ʻo ia hoʻi, ke kūpaʻa lākou i kēlā maʻi, ua emi nui ka manawa e laha ai kēlā maʻi i nā poʻe ʻē aʻe. E noʻonoʻo e like me ke ahi ululāʻau. I mea e laha ai ke ahi, pono ia e laha mai kekahi lāʻau a i kekahi. Akā inā he nui nā lāʻau i pale ʻia mai ka makū a i ʻole he pale ahi ʻē aʻe, he paʻakikī ke ahi e laha, ʻeā? Pēlā nō ia me kēia. Ke palekana ka hapa nui o ka poʻe ma ke kaiāulu, ua emi nā wahi no ka maʻi e 'lele' ai. A laila ua aneane kāohi ʻia ka laha ʻana o ka maʻi.

E noʻonoʻo he 30 mau keiki kāu i loko o kāu papa. Inā he 25 o lākou i 'pale' i ka maʻi ʻōpala, a laila inā hele mai kekahi ma waho i loko o ka papa me ka maʻi ʻōpala, ʻaʻole e laha ka maʻi i kēlā mau 25. A laila ua emi nui ka manawa e loaʻa ai i nā keiki 5 ʻaʻole i 'pale' i ka maʻi, no ka mea, ʻaʻole nui ka poʻe i loko o ka papa e hana ma ke ʻano he 'alahaka' no ka maʻi e hiki aku iā lākou. ʻO ia ka mana o '(Herd Immunity)'. Ua like ia me kahi pale pale ʻike ʻole ʻia e hana ana a puni ke kaiāulu holoʻokoʻa.

No laila, pehea lā mākou e palekana ai i kēia maʻi?

ʻAe, i kēia manawa e nānā kākou pehea e lilo ai kekahi i 'pale' i kahi maʻi, ʻo ia hoʻi, e hoʻomohala i ka pale ʻana. Nui nā ala nui e hana ai i kēia. ʻO kēia mea i kapa ʻia ʻo ka pale ʻana i loko o ko mākou kino e hana ma ke ʻano kupaianaha loa.

Nā lāʻau pale - ʻO kēia ke ala maikaʻi loa a palekana hoʻi!

Ua lohe mākou a pau e pili ana i nā lāʻau pale mai ko mākou wā kamaliʻi mai. ʻO kēia ke ala maikaʻi loa, palekana a me ka maikaʻi loa e kūkulu ai i ka palekana mai kahi maʻi. ʻO ka lāʻau pale he wahi liʻiliʻi wale nō ia o kahi ʻāpana nāwaliwali a make paha o kahi germ e hoʻoulu ai i ka maʻi i loko o ko mākou kino. A laila ʻike ka ʻōnaehana pale, ka mea e hana ana e like me ke 'kiaʻi' i loko o ko mākou kino, ʻo wai kēia malihini. Hoʻomaopopo ia a hana i nā 'mea kaua' kūikawā e hakakā ai. Kāhea mākou i kēia mau mea kaua he antibodies . He akamai loa kēia mau "antibodies", hoʻomanaʻo lākou i kēlā germ. A laila, inā komo maoli ka germ e hoʻoulu ai i ka maʻi i ko mākou kino, ʻike koke kēlā mau "antibodies" i hana mua ʻia a luku iā ia ma mua o ka hiki ʻana mai o ka maʻi. Ua like kēia me ke aʻo ʻana ma mua o ke kaua. A laila, ʻaʻole mākou e maʻi a loaʻa paha kekahi pilikia.

No ke aha he ala maikaʻi loa kēia? No ka mea hiki iā mākou ke kūkulu i ka palekana mai ka maʻi me ka ʻole o ka loaʻa ʻana o ka maʻi a me ka ʻike ʻana i nā hopena ʻaoʻao a me ka ʻeha e hele pū me ia. ʻO kekahi mau maʻi, no ka laʻana, e like me ka polio, hiki ke hana i nā pilikia no ke ola holoʻokoʻa inā loaʻa. Mālama ka lāʻau pale iā mākou mai kēlā mau pilikia āpau. ʻO ia ke kumu e hāʻawi nei nā hui e like me ka World Health Organization i ka hoʻoikaika nui ʻana i ka lāʻau pale.

ʻO ka maʻi ʻana a me ka hoʻōla ʻana - he ala paʻakikī iki!

ʻO ke ala ʻelua, ʻo ia ka loaʻa ʻana o kahi maʻi, ʻo ia hoʻi, kahi maʻi i hoʻokumu ʻia e kahi virus a i ʻole bacteria, a hoʻōla mai ia mea. Ke hana ʻia kēia, hana ko mākou kino i nā '(Antibodies)' i ʻōlelo ʻia ma luna. ʻO ia hoʻi, inā hoʻi hou mai ka maʻi i ka manawa aʻe, ua mākaukau ko mākou kino no ia mea. Eia naʻe, he ala paʻakikī a ʻeha iki kēia. No ka mea, ke loaʻa iā mākou ka maʻi, pono mākou e maʻi no nā lā, malia paha he mau pule. Pono mākou e ʻeha i nā pilikia like ʻole e like me ke kuni, nā ʻeha kino, ke kuni, a me ka hanu pōkole. ʻO kekahi mau maʻi, no ka laʻana, e like me ka measles, ʻaʻole lākou e hoʻomaikaʻi, a no kekahi poʻe hiki iā lākou ke hoʻoulu i nā pilikia koʻikoʻi e like me ka '(Pneumonia)', a i kekahi manawa hiki ke make. No laila, ʻo ka loaʻa ʻana o ka 'immune' ma hope o ka loaʻa ʻana o ka maʻi ʻaʻole ia he mea maikaʻi, ʻoiai no kahi maʻi i loaʻa ka lāʻau pale.

E noʻonoʻo, ua loaʻa i ke kaikamahine a kou hoaaloha ka maʻi moa. ʻAʻole hiki iā ia ke hele i ke kula no ʻelua pule, he mau pehu kona ma kona kino a pau, ua ʻōniʻoniʻo ʻo ia, a ʻaʻole hiki iā ia ke hiamoe pono. He pilikia maoli ia no ka ʻohana. Ma hope o kona hoʻōla ʻana, ua 'pale' ʻo ia i ka moa, akā he aha ka ʻeha āna i ʻike ai! Inā he lāʻau pale, ʻaʻohe o kēia pilikia. No laila, ʻaʻole ia he mea naʻauao ke ʻōlelo ʻana "loaʻa iā ʻoe ka maʻi a kūkulu i ka pale ʻana", ʻoi aku hoʻi no nā maʻi koʻikoʻi.

Mai nā antibodies i loaʻa mai waho - ʻo ia hoʻi (Passive Immunity)

ʻO ke kolu o ke ʻano hana ua kapa ʻia ʻo ia he pale ʻole passive . Ma kēia, ma kahi o ka hana ʻana i nā antibodies i loko o ko mākou kino, loaʻa iā mākou nā antibodies i hana mua ʻia mai waho. Hiki nō hoʻi kēia ke hana ma nā ʻano ʻelua.

• ʻO ka mea mua, ʻo ia ka hāʻawi ʻana i nā lāʻau pale `(Antibody)` (nā pana Antibody)` i hana ʻia e kūʻē i nā germs kikoʻī. Hāʻawi ʻia kēia mau mea i kekahi poʻe ma kekahi mau kūlana. No ka laʻana, ʻo kahi maʻi i kapa ʻia ʻo `(RSV)` ke kumu o nā pilikia hanu i nā pēpē ʻōpio. No laila, mai ka hānau ʻana a hiki i kahi o 8 mahina, hāʻawi ʻia nā pēpē i kēia lāʻau pale `(Antibody)`, ma mua a i ʻole i ka wā `(RSV)`. Hāʻawi kēia i ka pēpē i ka palekana wikiwiki. Akā, ʻaʻole kēia he mea i loaʻa no kēlā me kēia maʻi, he kakaikahi wale nō nā maʻi i loaʻa ia mau lāʻau pale `(Antibody)`.
• ʻO ke ala ʻelua, ʻo ia ka hoʻoili ʻana o ka makuahine i nā antibodies i kāna pēpē. Loaʻa i ka pēpē nā antibodies mai ke kino o ka makuahine ma o ka placenta i ka wā e noho ana ke pēpē i loko o ka ʻōpū, a ma o ka waiū umauma ma hope o ka hānau ʻana. He mea nui loa kēia, no ka mea, ʻaʻole i ulu nui ka ʻōnaehana pale o nā pēpē ʻōpio i nā pae mua. Mālama kēia mau antibodies mai ka makuahine iā lākou mai nā maʻi he nui, e like me ka loaʻa ʻana o ka pēpē i ka pale like mai ka makuahine.

Akā, aia kekahi mea nui e hoʻomanaʻo ma ʻaneʻi.ʻO ka palekana i hāʻawi ʻia e nā "Antibodies" i loaʻa mai nā kumu o waho, inā paha mai kahi lāʻau pale a i ʻole mai ka maʻi, ʻaʻole ia e mau e like me nā "Antibodies" a ko kākou kino ponoʻī e hana ai. Nalo lākou ma hope o kekahi manawa. ʻO ia ke kumu e pono ai nā pēpē liʻiliʻi e lāʻau pale ʻia i ka manawa kūpono, e kūkulu i ka palekana lōʻihi i loko o ko lākou kino ponoʻī.

No laila, no ke aha he mea nui kēia Herd Immunity?

I kēia manawa, ua maopopo paha iā ʻoe ke ʻano o ka `(Herd Immunity)` a pehea e lilo ai i `immune`. No ke aha he waiwai nui kēia? No ka mea, pale aku ka `(Herd Immunity)` i ka poʻe hiki ʻole ke `immune` i kahi maʻi, a i ʻole ka poʻe ʻaʻole `immune`. ʻO ia hoʻi, ʻaʻole like nā kānaka a pau o ke kaiāulu. He haʻahaʻa ka hiki o kekahi poʻe ke kū i nā maʻi no nā kumu like ʻole, a i ʻole hiki ʻole ke loaʻa ka lāʻau lapaʻau. ʻO ka mea a `(Herd Immunity)` e hana ai, ʻo ia ka hāʻawi ʻana i ka palekana i kēlā poʻe.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke lilo i 'kūpaʻa', a i ʻole ʻo wai ka mea i pale nui ʻia e ka '(Herd Immunity)'?

• ʻO ka poʻe i loaʻa ʻole i ka maʻi: ʻAʻohe o lākou antibodies e kūʻē i ka maʻi.
• ʻO ka poʻe hiki ʻole ke loaʻa ka lāʻau pale: No ka laʻana, nā pēpē hānau hou. Hiki ke hāʻawi ʻia iā lākou kekahi mau lāʻau pale ma hope o kekahi mau mahina. Eia kekahi, ʻo ka poʻe me kekahi mau maʻi allergies koʻikoʻi ʻaʻole paha e hiki ke loaʻa ka lāʻau pale.
• ʻO ka poʻe i loaʻa ka lāʻau pale akā ʻaʻole i lawa ka "Antibodies" i loko o ko lākou kino: Hiki ke hana ʻia kēia i kekahi manawa. ʻAʻole like ke kino o kēlā me kēia kanaka. ʻOiai inā loaʻa iā lākou ka lāʻau pale, ʻaʻole paha e lawa ka pale ʻana o ka poʻe he nui i ko lākou kino.
• ʻO ka poʻe me ka ʻōnaehana pale i nāwaliwali: Hiki ke hana ʻia kēia no nā kumu like ʻole. No ka laʻana, ka poʻe ʻelemakule. ʻOi aku ka haʻahaʻa o ko lākou pale ʻana. Eia kekahi, ʻo ka poʻe e mālama ʻia nei no nā maʻi e like me ke kanesa, ka poʻe i loaʻa i kahi hoʻoili kino, a i ʻole ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale (immunosuppressants) hiki ke loaʻa i kēia maʻi. Inā maʻi kēia poʻe, hiki ke koʻikoʻi loa.

E noʻonoʻo, aia kekahi kupuna wahine kahiko i loko o kou hale, nona hoʻi kahi maʻi e like me Diabetes Mellitus. He mea paʻakikī iā ia ke hele i waho a noho a puni nā kānaka a pau, makaʻu ʻo ia i ka loaʻa ʻana o kahi maʻi. Akā, inā loaʻa iā ia ka lāʻau pale e like me nā kānaka a pau o ke kauhale a lilo i 'immune', a laila hiki i ke kupuna wahine ke hoʻokuʻu ʻia mai ka makaʻu, ʻeā? ʻO ia ka waiwai nui o '(Herd Immunity)'. Ma ka lilo ʻana i 'immune', pale mākou i kekahi me ka ʻike ʻole.

Ua ʻōlelo nui ʻia inā he 7 a i ʻole 8 o 10 mau kānaka i loko o ke kaiāulu he "pale" i kahi maʻi, ua palekana nui ke kaiāulu holoʻokoʻa mai kēlā maʻi. ʻO ia hoʻi, ua emi nui ka manawa e laha ai ka maʻi. Eia nō naʻe, no nā maʻi lele nui, e like me ka maʻi ʻūlū, pono e ʻoi aku ka kiʻekiʻe o kēia helu. Malia paha he 95%, ʻo ia hoʻi, 95 mai 100, pono e "pale" e hoʻōki loa i ka laha ʻana o ka maʻi.

No laila, pehea ke koʻikoʻi o nā lāʻau pale no ka hoʻokumu ʻana i ka palekana o ka lehulehu?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'ʻAe, inā hiki iā ʻoe ke loaʻa i ka maʻi a lilo i 'kūpale', no ke aha e loaʻa ai ka lāʻau pale?' Eia ka mea. ʻO ka manaʻo o ka hoʻokō ʻana i ka `(Herd Immunity)' me ka ʻole o ka lāʻau pale, ʻo ia hoʻi, he nui ka poʻe o ke kaiāulu e loaʻa i ka maʻi, maʻi, ʻeha nui, a nalowale hoʻi ko lākou ola e lilo i 'kūpale'. E noʻonoʻo i ka weliweli o ia mea? Ua like ia me ka ʻae ʻana i ka maʻi e laha a me ka ʻōlelo ʻana, 'ʻO ka poʻe hiki ke ola, ʻaʻole lākou e manaʻo i ka mea e hiki mai ana i ka poʻe hiki ʻole.'

Akā, mahalo i nā lāʻau pale, ua hiki iā mākou ke hana i ka palekana lehulehu me ka ʻole o ka hoʻoulu ʻana i kahi luku nui a me ka ʻole o ka maʻi ʻana o ka poʻe. I kēia lā, ua hiki iā mākou ke kāohi a aneane hoʻopau loa i nā maʻi he nui i hoʻopilikia i nā kānaka no ka manawa lōʻihi, e like me ka measles, polio, a me ka chickenpox. He mea hiki ʻole ke noʻonoʻo i ka nui o nā ola i hoʻopakele ʻia a me ka nui o ka poʻe i hoʻopakele ʻia mai nā kīnā mau loa.

Akā, ʻo ka mea pōʻino, i kekahi manawa, ke hōʻole kekahi mau hui e loaʻa ka lāʻau pale a i ʻole ʻaʻole lākou e komo pono i nā papahana lāʻau pale, hoʻomaka hou nā maʻi a mākou i kāohi ai e piʻi hou. I kēia mau lā iho nei, ua hōʻike ʻia nā maʻi ahulau e like me ka measles, mumps, a me ka pertussis/whooping cough ma nā wahi like ʻole o ka honua. Ua pili pinepine ʻia kēia mau mea i nā kaiāulu i loaʻa ʻole ka lāʻau pale pono. ʻO ke ʻano kēia, ke emi ka palekana o ka hui, loaʻa i nā maʻi ka manawa kūpono e laha hou.

No laila, he mea nui loa ka loaʻa ʻana o ka lāʻau pale no ko kākou palekana ponoʻī, a me ka palekana o nā poʻe ʻē aʻe i loko o ko kākou kaiāulu, ʻoiai ka poʻe i loko o nā hui pilikia i ʻōlelo ʻia ma luna. Inā wale nō e loaʻa iā kākou āpau ka lāʻau pale me ke kuleana, hiki iā kākou ke mālama i kēia pā pale o ka "Herd Immunity" i ikaika.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

ʻOiai ke ʻano maʻalahi loa ke kumumanaʻo o ka "Herd Immunity" a mākou i kamaʻilio ai, he mea maikaʻi loa ka lawelawe āna e hāʻawi ai i ko kākou olakino kaiaulu. E hoʻomanaʻo hou kākou i kēia:

• ʻO ke kūpale ʻana o ka lehulehu ka wā e pale ai ka hapa nui o ka poʻe i loko o kahi kaiāulu i kahi maʻi, lohi ka laha ʻana o ka maʻi, a pale ʻia ka poʻe i pale ʻole. Ua like ia me kahi pale pale i hoʻokumu ʻia a puni mākou.
• ʻO ke ala maikaʻi loa a palekana hoʻi e lilo ai i 'pale' i kahi maʻi, ʻo ia ka loaʻa ʻana o ka lāʻau pale. ʻO ka lilo ʻana i 'pale' ma hope o ka loaʻa ʻana o ka maʻi hiki ke lilo i mea pilikia a weliweli hoʻi.
• He mea nui loa ka palekana o ka lehulehu no ka mea pale ia i nā keiki ʻōpio i hiki ʻole ke loaʻa ka lāʻau pale, nā pākeke me nā ʻōnaehana pale i hoʻopilikia ʻia, a me nā poʻe i hoʻonāwaliwali ʻia ko lākou ʻōnaehana pale e nā maʻi like ʻole. Inā maʻi lākou, ʻoi aku ka nui o ka maʻi.
• Ke loaʻa iā kākou ka lāʻau pale, ʻaʻole wale mākou e hōʻoiaʻiʻo i ko mākou palekana ponoʻī, akā ke kōkua pū nei mākou i ka pale ʻana i ko mākou ʻohana, nā hoaaloha, nā hoalauna, a me ke kaiāulu holoʻokoʻa. He kuleana nui ia, akā he hoʻomaikaʻi nui nō hoʻi.
• ʻOiai he hoʻoholo pilikino ka lāʻau pale ʻana, pili kona hopena i ke kaiāulu holoʻokoʻa.No laila, ma ka ʻike ʻana i ka ʻike pololei a me ka loaʻa ʻana o ka lāʻau pale e like me ke aʻo lapaʻau, hiki iā kākou āpau ke kūkulu i kahi kaiāulu olakino a palekana.

No laila, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka `(Herd Immunity)`. Inā he mau nīnau hou aku kāu e pili ana i kēia, hiki iā ʻoe ke nīnau i kāu kauka ʻohana a i ʻole ke luna olakino kūloko. E hoʻomanaʻo, me ke kōkua pū ʻana o kākou a pau e palekana ai kākou a pau!

Palekana Hui , Nā Lāʻau Palekana, Palekana, Nā Maʻi Lehulehu, Ola Kino o ke Kaiāulu, Palekana