Isinqumo sakamuva esenziwe yi- INkantolo Ephakeme Yobulungiswa yaseCatalonia (TSJC) igxile odabeni olubucayi, futhi ngesikhathi esifanayo, olufanele kakhulu izinkulungwane zabasebenzi: kwenzekani lapho imiphumela emibi yomjovo onephuthaUkumiswa kwemisebenzi, okwenziwa njengengxenye yomkhankaso we-COVID-19, kushiya abantu bengakwazi ukusebenza izinyanga noma iminyaka. Icala likathisha eTarragona seliphenduke inguquko yangempela.
Uthisha, egonywe nge- iqembu elingasebenzi kahle le-AstraZeneca Ngisho nangaphambi kokuba afaneleke ngenxa yobudala, ukwazile ukwenza izinkantolo ziqaphele ukuthi ikhefu lakhe elide aliyona "isifo esivamile" nje, kodwa izingozi zomsebenzi ezihlobene nesimo sabo njengabasebenzi ababalulekileLo mqondo ongokomthetho, ongase uzwakale njengowobuchwepheshe, nokho uvula isimo esisha kwabanye ochwepheshe ababesesimweni esifanayo ngezikhathi ezinzima kakhulu zobhubhane.
Icala likathisha waseTarragona: kusukela ekugonyweni okubalulekile kuya ekukhubazekeni kwesikhashana
Umlingiswa oyinhloko walesi sinqumo ungumuntu uthisha wesikole samabanga aphezulu obambele eTarragonaWayeyingxenye yeqembu lezisebenzi ezazibhekwa njengezibalulekile yiziphathimandla zezempilo. Lokhu kwaholela ekutheni abizelwe ukuyogonywa. Februwari 2021, ezinyangeni ezimbalwa ngaphambi kokuba kube yithuba lakhe, ngokwesimiso sokugoma esijwayelekile, ngokusekelwe eminyakeni yakhe.
Ngaleso sikhathi, isu lokugoma laligcinelwe Umuthi wokugomela i-AstraZeneca wabantu abangaphansi kweminyaka engu-55. —kamuva yandiswa yaba ngu-65— abenza imisebenzi ebalulekile yokusebenza komphakathi, okuhlanganisa nothisha. Ngaleso sizathu, uthisha wathola umthamo ongowe- iqembu elithile elavalwa ngemuva kwalokho ngemva kokutholwa iziqephu ezinzima ze-thrombosis kubantu ababeyitholile.
Ezinsukwini ezimbalwa ngemva kokugonywa, uthisha waqala ukuqaphela Ukukhathala okukhulu, ubuthakathaka obujwayelekile, nezinkinga zezinzwa okwaba kubi kakhulu. Wagcina ehlupheka i-thrombosis kanye nokushaya imivimbo emininganangomonakalo emithanjeni yobuchopho, okwadinga ukuthi alaliswe esibhedlela futhi kwamshiya ene- imiphumela ebalulekile yokuqonda kanye nokubonaKusukela ngoMashi 2021, ubelokhu eholidini lokugula futhi engakwazi ukubuyela esikhundleni sakhe.
Isisebenzi sitholakale sinesifo i-sinus thrombosis engapheli ye-cavernousihlule legazi emithanjeni emikhulu yobuchopho etholakala phansi kwekhanda, kanye nezinye izinkinga ezinkulu ezihlobene nalesi sigameko. Phakathi kwalezi zinkinga Mashi 1, 2021 kanye no-Agasti 22, 2022 Wayesekhefini lokukhubazeka lesikhashana ngokusemthethweni, ebhekene nenqubo ende yezokwelapha kanye nokululama esathinta impilo yakhe yansuku zonke nanamuhla.
Iqembu elinephutha elihlolwayo: i-ABV5300 kanye namacala e-thrombosis
Umnyombo wengxabano useku- I-AstraZeneca vaccine lot ABV5300Kusatshalaliswa emazweni amaningana e-European Union ngesikhathi sokuqala komkhankaso wokugoma. ESpain, ngokusho kwedatha enikezwe yi- I-Col·lectiu Ronda,bafika nikeza cishe amadosi angu-228.000 kuleli qoqo ngaphambi kokuba ama-alamu akhale.
Kungakapheli amasonto, iziphathimandla zezempilo ezahlukahlukene zaqala ukubhala phansi amacala e-thrombosis ahlobene ne-thrombocytopeniaUmphumela omubi ongavamile kakhulu kodwa ongase ubulale, owavelela ikakhulukazi kubantu abasebasha, ikakhulukazi kwabesifazane abangaphansi kweminyaka engama-60. Ezinye zalezi zigameko zaholela abashonileLokhu kwabangela ukuhoxiswa kokuvimbela kwemithamo eyayingakanikezwa.
La I-European Medicines Agency (EMA) kanye nezikhungo zikazwelonke ze-pharmacovigilance zivumile ukuthi kwakukhona ubudlelwano obungaba yimbangela phakathi komjovo we-AstraZeneca kanye nalolu hlobo oluthile lwe-thrombosis olunama-platelet aphansi. Noma kunjalo, baphikelela ukuthi Ingozi enkulu yayiphansi kakhulu. uma kuqhathaniswa nezinzuzo eziphelele zokugonyelwa i-COVID-19, futhi kwanconywa ukuthi kuncishiswe ukusetshenziswa kwayo noma kubekwe phambili eminye imijovo emaqenjini athile eminyaka.
En EspañaImiphakathi eminingana ezimele yavimba amayunithi asele alelo qembu elalilinde ukuphathwa ngokushesha nje lapho imibiko yokuqala ikhishwa. Kodwa-ke, Amakhulu ezinkulungwane zabantu ayesevele ethole umthamophakathi kwabo abaningi abasebenzi ababalulekile abazogonywa ngesimemo sokuphatha, ukuthembela ekuphepheni komkhiqizo kanye nasemizamweni ehlanganyelwe yokunqanda ubhubhane.
Impendulo yokuqala evela ku-Social Security kanye nezinkantolo
Naphezu kobucayi besithombe somtholampilo, njengoba ukugonywa kwakuhlobene ngokusobala nesimo sakhe somsebenzi, iNational Institute of Social Security (INSS) Ekuqaleni wayengacabangi ukuthi isimo sothisha sibangelwa ingoziUkukhishwa kwakhe kwahlukaniswa ngokuthi isimo esingavamileOkusho ukuthi, njengokungathi kuyisifo esingahlobene ngqo nomsebenzi wobungcweti.
Lesi silinganiso sokuqala saba nemiphumela eqondile kakhulu: izinzuzo eziphansi zezomnothoukuvikelwa okuncane komphakathi kanye nokuntuleka kokuqashelwa kwemvelaphi yomsebenzi yokulimala. Uthisha, omelelwe yi- I-Col·lectiu RondaUdlulisele icala ngesinqumo sokuthi kumenyezelwe ukuthi ukulimala kwakhe kubangelwa yi- ingozi ecatshangwa ngqo ngoba bangabasebenzi ababalulekile emkhankasweni othakazelisayo jikelele.
Icala lifinyelelwe Inkantolo Yezenhlalakahle inombolo 2 yaseTarragonaInkantolo yaqala yanquma ukuthi i-Social Security yabe isilahla isimangalo sesisebenzi. Inkantolo ephansi yanquma ukuthi ubudlelwano bomsebenzi abuzange buqinisekiswe ngokwanele njengembangela eyinhloko yokulimala futhi yaqinisekisa ukuthi lesi sifo sihlukaniswa njengesifo esivamile.
Abameli bothisha abazange baneliseke, banquma ukuyisa lolu daba enkantolo ephakeme. Bafaka isicelo sokudlulisa icala e-Social Chamber of the INkantolo Ephakeme Yobulungiswa yaseCatalonia, okuzogcina kuhlaziya ngokuphelele isimo sothisha ngamunye kanye nesimo jikelele lapho egonywe khona.
I-TSJC ishintshashintsha: “imbangela engaqondile” njengesihluthulelo sezingozi zasemsebenzini
Isinqumo se-TSJC, esisanda kwethulwa emphakathini, simelela ushintsho olukhulu ekuhlolweni kwezomthetho kwaleli calaI-Social Chamber ihoxisa isinqumo sangaphambilini futhi iphetha ngokuthi ukulimala okubangelwe uthisha Zibhekwa njengezingozi zomsebenzi, njengoba kwenzeka "ngesikhathi somsebenzi", noma ngabe umsebenzi womsebenzi awuyona imbangela yodwa neqondile yomonakalo.
Inkantolo iphawula ukuthi, ngokwemithethonqubo yabasebenzi, ukuba khona kwengozi yomsebenzi Akubalulekile ukuthi umsebenzi ube yimbangela enqumayo yalesi senzakaloKwanele ukuthi kukhona eyodwa "Imbangela engaqondile" noma ukuxhumana okwanele phakathi kokusebenza kobungcweti kanye nesigameko esibangele ukulimala. Kulesi simo, isihluthulelo ukuthi Ukugonywa kwasekuqaleni kwakungenxa yesimo somfundisi obalulekile kuphela.
Isinqumo sigcizelela ukuthi, uma uthisha Bengingeke ngibe yingxenye yabasebenzi bokufundisaWayengeke athole umuthi wokugomela i-AstraZeneca ngoFebhuwari 2021, kodwa kamuva, lapho esefaneleka khona ngokweminyaka yakhe emphakathini jikelele. Ngaleso sikhathi, iqembu elinephutha lase lisusiwe kakade ekujikelezeni kwegazi, ngakho-ke Wayengeke abhekane nengozi ethile eyabangela i-thrombosis kanye nezinye izinkinga.
I-TSJC iphinde igcizelele ukuthi uhlobo lokuzithandela lokugoma, ngezinye izikhathi olubizwa ngabaphathi ukuze kuqedwe ubudlelwano bomsebenzi, Akubuqedi ubuhlobo nomsebenziNgezinhloso ezisebenzayo, othisha babizelwa njengengxenye ye-a iqembu elichazwa ngemisebenzi yalo yobungcweti, ngenhloso yokuvikela ukuqhubeka kwezinsizakalo zemfundo nokunciphisa ukutheleleka emakilasini.
Isinqumo esibalulekile esinomthelela omkhulu kulo lonke elaseSpain
Ngokusho kwakhe I-Col·lectiu Ronda, Kumayelana ne- umusho wokuqala walolu hlobo okhishwe yiNkantolo Ephakeme Yobulungiswa eSifundazweniUmmeli owayephethe icala, Ama-Pilar CasasIqokomisa ububanzi besinqumo, njengoba ibeka isibonelo esingasebenza njengereferensi kwezinye izinkantolo kanye nezinkantolo lapho kuxazululwa amacala afanayo. izimo ezifanayo zezisebenzi ezigonywe ngamaqoqo anephutha.
Ummeli ukhumbula ukuthi, ngaphambi kokuba kuthathwe la manani, Umuthi wokugomela onephutha wanikezwa inani elikhulu labasebenzi ababalulekile abenze imisebenzi enengozi enkulu yokuchayeka egciwaneni: othisha, abasebenzi bezempilo, amabutho ezokuphepha, abasebenzi bezinsizakalo zomphakathi kanye namanye amaqembu abalulekile ukuze kugcinwe izinsizakalo eziyisisekelo zisebenza ngesikhathi sobhubhane.
Ezimweni eziningi zalezi, abantu abathintekile babone izicelo zabo zenqatshwa, ngaphandle kokuqashelwa imvelaphi yomsebenzi yezifohhayi ngokwezimo zomsebenzi noma ngezinqubo zomthwalo wemfanelo. Isinqumo saseCatalan sivula umnyango wokuthi ezinye izisulu zemiphumela emibi kakhulu, ehlotshaniswa nezinkampani ezinenkinga, ingase iphakamise amacala ayo futhi ngokusekelwe kumbandela "wokuba imbangela engaqondile".
Ukuqashelwa kwengozi emsebenzini akugcini nje ngokuba nomthelela ongokomfanekiso, kodwa futhi imiphumela yokuvikelwa kwezomnotho kanye nomphakathi kucace kakhulu. Kushintsha isisekelo somthetho sezinzuzo, kungathonya ukuqashelwa kokukhubazeka okuhlala njalo, futhi kuqinise isikhundla somuntu othintekile kunoma yiziphi izimangalo ezengeziwe ngokumelene nokuphathwa komphakathi noma izinkampani zomshuwalense ezihlangene.
Ukugoma, abasebenzi ababalulekile kanye nokwabelana ngezingozi
Ukuze uqonde ububanzi balesi sinqumo, umuntu kufanele acabangele umongo walesi sinqumo. Isu lokugomela i-COVID-19 Lolu hlelo, olwaqalwa ekupheleni kuka-2020 eSpain nakwezinye izingxenye ze-European Union, lwahlelwa amaqembu, kuqala ngabantu abasengozini enkulu bese kuba yilawo maqembu anomsebenzi wawo owawucatshangelwa. kubalulekile emphakathini, okuhlanganisa nothisha.
Ngaphakathi kwaleli qhinga, umuthi wokugomela I-AstraZeneca yayibekwe phambili kubasebenzi ababalulekile yamaqembu athile eminyaka. Lokhu kwaholela ekutheni ochwepheshe abaningi babizelwe ukuyogonywa ngaphambi kwabanye abantuukuqinisekisa ukuthi bangaqhubeka nokwenza umsebenzi wabo phakathi negagasi lesithathu lobhubhane, benokucindezeleka okukhulu ezibhedlela kanye nokungaqiniseki okukhulu komphakathi.
Empeleni, lokho kubeka phambili kusho ukuthi iqembu elithile labasebenzi lathatha ingozi ethile ngaphambi kwabanyenoma ngabe ngokwezibalo bekuphansi kakhulu. Ukucabanga kwe-TSJC kugcizelela ukuthi, lapho lokhu kuvezwa okwengeziwe kwenzeka ngezizathu ezihlobene nomsebenzi—okungukuthi, ngoba umuntu ungoweqembu elithile lochwepheshe—, Akunangqondo ukuthi imiphumela kufanele iwele kumuntu ngamunye kuphela. obhekene nomphumela omubi.
Ummeli wothisha uphikelela ngokuthi bonke laba bantu Bavumile ukugonywa esimweni esiphuthumayo, okwakudinga umzamo owengeziwe kubasebenzi ababalulekile ukuvikela bonke abantu. Ngakho-ke, ukholelwa ukuthi "kulungile" ukuthi uhlelo luqaphele amalungelo okusebenza nawomnotho abanelungelo lawo kulabo impilo yabo eyonakele, kwezinye izimo unomphela, ngomuthi wokugoma owanikezwa ngenzuzo yabo kodwa futhi ngenxa yenzuzo yabo bonke.
Imiphumela emibi engavamile, izinzuzo eziphelele, kanye negebe lesinxephezelo
Izinhlangano ezilawulayo zaseYurophu ziphinde zagcizelela ukuthi imiphumela emibi kakhulu Abalingani be-AstraZeneca Futhi eminye imijovo ye-COVID-19 ayivamile kakhulu uma kuqhathaniswa nenani eliphelele lemithamo enikezwayo kanye nezimpilo ezisindisiwe ngenxa yokugonywa kwabantu abaningi. Kodwa-ke, kulabo abawela kulelo phesenti elincane lamacala, umthelela ujulile futhi uhlala isikhathi eside.
Imibiko ye-Pharmacovigilance eSpain iqoqiwe amashumi ezinkulungwane zemibiko yezehlakalo ezimbi Ngemva kokugonywa, amanye amacala ahlukaniswe njengabucayi, futhi inani elincane liye laholela ekufeni. Lokhu kufaka phakathi iziqephu ze-thrombosis ene-thrombocytopenia ehlotshaniswa nemithi ethile yokugoma, okuhlanganisa nezinhlobo ze-AstraZeneca eziyinkinga ezisetshenziswe ezinyangeni zokuqala zomkhankaso.
Kwamanye amazwe aseYurophu kukhona izimali zesinxephezelo ezithile kubantu abalimele ngenxa yemiphumela emibi yemigomo enikezwa emikhankasweni yezempilo yomphakathi. ESpain, indlela eyinhloko yokufaka isimangalo kuze kube manje yi- isibopho sobunikazi bokuphatha noma, njengakulesi simo, ukuqaphela ukuthi ukulimala kubangelwa yisimo esiphuthumayo esihlobene nomsebenzi.
Isinqumo se-TSJC siyingxenye yengxoxo ebanzi mayelana ngubani okufanele athwale izindleko zalezi zindleko ezingavamile uma zenzeka ngaphakathi kohlaka lwesu lezempilo yomphakathi elihlose ukuvikela umphakathi wonkana. Umqondo oyisisekelo uwukuthi ingozi ayinakuwela kuphela kumuntu oneshwa lokuba phakathi kwalelo phesenti elincane elithintekile yisenzakalo esibi kakhulu.
Ochwepheshe basikisela ukuthi izinqumo ezinjengalezi zingasiza ekuthuthukiseni izinguquko zomthetho noma ukudalwa kwezindlela zokunxephezela ezicacile nezisheshayoukuvimbela abantu abathintekile ukuthi babhekane nezinqubo zomthetho ezinde bodwa ukuze isimo sabo saziwe.
Lesi sinqumo se-TSJC (iNkantolo Ephakeme Yobulungiswa yaseCatalonia) sibeka into emnyama nemhlophe abantu abaningi abayisolayo: lapho isisebenzi esibalulekile sibhekana nemiphumela emibi ngenxa umuthi wokugomela onephutha onikezwa ngqo ngenxa yesimo sabo sobungcwetiLokhu akuyona indaba yangasese, futhi akuhlobene nendawo yokusebenza. Icala likathisha waseTarragona, kanye nekhefu lakhe elide, imiphumela yokuphazamiseka kwengqondo, kanye nokwenqaba kokuqala kokuphatha ukuvuma umsuka womonakalo, kubonisa ngokucacile ukuthi umngcele phakathi kwezempilo yomphakathi kanye namalungelo abasebenzi ungafiphala kanjani. Ngokuvuma ukuthi kukhona imbangela engaqondile eyanele yokukhuluma ngengozi yomsebenziI-TSJC ayilungisi nje kuphela isimo somuntu ngamunye, kodwa futhi ivula indlela yezomthetho yabanye abasebenzi abasezimweni ezifanayo yokufuna ukuthi uhlelo luthathe ingxenye yezindleko zezingozi abacelwe ukuba bazithathe egameni lentshisekelo evamile.