{"id":145085,"date":"2021-09-13T15:10:15","date_gmt":"2021-09-13T12:10:15","guid":{"rendered":"https:\/\/www.btv.md\/?p=145085"},"modified":"2021-09-13T15:10:15","modified_gmt":"2021-09-13T12:10:15","slug":"incarcatura-virala-la-delta-este-de-circa-1-000-de-ori-mai-mare","status":"publish","type":"post","link":"https:\/\/www.btv.md\/ro\/incarcatura-virala-la-delta-este-de-circa-1-000-de-ori-mai-mare\/","title":{"rendered":"\u00cenc\u0103rc\u0103tura viral\u0103 la Delta este de circa 1.000 de ori mai mare"},"content":{"rendered":"

Bilan\u021bul cazurilor de infec\u021bie a ajuns la 274.812 \u00een Republica Moldova, iar num\u0103rul de decese \u0219i cazuri grave, inclusiv \u00een r\u00e2ndul tinerilor, \u00eenregistreaz\u0103 o cre\u0219tere semnificativ\u0103 \u00een ultimele s\u0103pt\u0103m\u00e2ni, transmite \u0218tiri.md<\/a>.<\/strong><\/p>\n

Potrivit exper\u021bilor \u00een epidemiologie, e vorba despre un r\u0103spuns al r\u0103sp\u00e2ndirii variantei Delta, confirmat\u0103 \u0219i dominant\u0103 la nivel global. Cu mai multe informa\u021bii actualizate despre noua variant\u0103 vine pre\u0219edinta Comitetului Na\u021bional de Exper\u021bi \u00een Imunizare, Ninel Revenco, \u00eentr-un interviu publicat de Ministerul S\u0103n\u0103t\u0103\u021bii.<\/p>\n

Ultimele rapoarte privind situa\u021bia epidemiologic\u0103 arat\u0103 c\u0103 tot mai multe persoane, inclusiv tineri, fac forme grave de COVID-19 \u0219i chiar \u00ee\u0219i pierd via\u021ba. Asta vorbe\u0219te despre r\u0103sp\u00e2ndirea variantei Delta \u00een Republica Moldova? C\u00e2t de periculoas\u0103 e aceast\u0103 tulpin\u0103 conform ultimelor studii interna\u021bionale?<\/strong><\/p>\n

Pe 23 iulie curent, Institutul de virusologie din Berlin a confirmat prezen\u021ba variantei Delta a virusului SARS-CoV-2 \u00een Republica Moldova. Av\u00e2nd \u00een vedere c\u0103 varianta B1.617.2 (Delta), cunoscut\u0103 \u0219i sub numele de varianta indian\u0103, are un grad \u00eenalt de contagiozitate, de dou\u0103 ori mai mare fa\u021b\u0103 de varianta ini\u021bial\u0103 (Wuhan) \u0219i cu aproximativ 60% mai mare fa\u021b\u0103 de varianta Alpha (varianta britanic\u0103), cre\u0219terea num\u0103rului de cazuri noi raportate ar putea fi cauzat\u0103 anume de aceast\u0103 variant\u0103, care a devenit dominant\u0103 \u00een peste 163 de \u021b\u0103ri ale lumii. F\u0103r\u0103 \u00eendoial\u0103, transmisibilitatea crescut\u0103, \u00eempreun\u0103 cu poten\u021bialele cre\u0219teri ale severit\u0103\u021bii bolii \u0219i evadarea imunitar\u0103, fac din varianta Delta una deosebit de periculoas\u0103.<\/p>\n

Potrivit cercet\u0103torilor de la Centrul Na\u021bional pentru Boli Infec\u021bioase din Singapore, s-a constatat c\u0103 pacien\u021bii cu teste pozitive pentru varianta Delta au mai multe \u0219anse de a dezvolta pneumonie \u0219i\/sau necesit\u0103 oxigenoterapie dec\u00e2t pacien\u021bii cu tip s\u0103lbatic sau alfa. Pe 11 iunie, Public Health England a publicat un raport care constat\u0103 c\u0103 exist\u0103 \u201eun risc semnificativ crescut de spitalizare\u201d (de aproximativ dou\u0103 ori) pentru pacien\u021bii infecta\u021bi cu varianta Delta, \u00een timp ce rata de deces a fost de 0,2%, comparativ cu 1,9% pentru varianta Alpha, \u00eens\u0103 aici trebuie de men\u021bionat c\u0103 raportul avertizeaz\u0103 c\u0103 \u201eratele de fatalitate nu sunt comparabile \u00eentre variante, deoarece acestea au atins v\u00e2rful \u00een diferite puncte ale pandemiei \u0219i variaz\u0103 astfel \u00een ceea ce prive\u0219te capacit\u0103\u021bile spitalului de fond, disponibilitatea vaccin\u0103rii \u0219i profilurile de caz, op\u021biunile de tratament \u0219i impactul \u00eent\u00e2rzierii raport\u0103rii, printre al\u021bi factori.<\/p>\n

Un alt studiu realizat \u00een Canada, care a analizat datele a peste 200 de mii de cazuri de infectare cu COVID-19, a demonstrat o cre\u0219tere a violen\u021bei variantei Delta. Respectiv, riscul de spitalizare a persoanelor cu varianta Delta a sporit cu 120%, spitalizarea \u00een sec\u021biile de terapie intensiv\u0103 – cu 287%, iar decesele – cu 137%.<\/p>\n

Intensificarea transmiterii infec\u021biei este determinat\u0103 de trei factori:<\/p>\n

– circula\u021bia mai multor variante, \u00een special Delta \u0219i Delta+,<\/p>\n

– relaxarea m\u0103surilor destinate s\u0103 previn\u0103 \u0219i s\u0103 controleze transmiterea virusului,<\/p>\n

– num\u0103rul mare de persoane care \u00eenc\u0103 nu sunt imunizate, nu doar \u00een \u021bar\u0103, dar \u0219i la nivel mondial (doar XX % din popula\u021bia mondial\u0103 au primit cel pu\u021bin o singur\u0103 doz\u0103).<\/p>\n

Care este rata de contagiozitate \u0219i de mortalitate \u00een cazul noii variante Delta?\u00a0<\/strong><\/p>\n

Datele actuale indic\u0103 faptul c\u0103 Delta este cu 40-60% mai contagioas\u0103 dec\u00e2t Alpha \u0219i aproape de dou\u0103 ori mai transmisibil\u0103 dec\u00e2t varianta original\u0103 Wuhan a SARS-CoV-2. \u00cen plus, s-au g\u0103sit mai multe particule virale \u00een c\u0103ile respiratorii ale pacien\u021bilor infecta\u021bi cu varianta Delta. Un studiu chinez a raportat c\u0103 \u00eenc\u0103rc\u0103turile virale \u00een infec\u021biile cu Delta erau de circa 1.000 de ori mai mari dec\u00e2t cele din infec\u021biile cauzate de alte variante.<\/p>\n

Ca r\u0103spuns la aceste informa\u021bii, Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) consider\u0103 Delta drept \u201ecea mai rapid\u0103 \u0219i u\u0219or de transmis\u201d variant\u0103 de p\u00e2n\u0103 acum. Dac\u0103 varianta original\u0103 a virusului putea infecta alte dou\u0103 persoane, varianta Delta poate infecta alte \u0219ase. Este similar cu transmiterea varicelei, a\u0219a cum se men\u021bioneaz\u0103 \u00eentr-un raport CDC.<\/p>\n

Varianta Delta prezint\u0103 simptome diferite de variantele ini\u021biale? Care sunt acestea?<\/strong><\/p>\n

Potrivit sondajelor efectuate \u00een Marea Britanie, unde Delta reprezint\u0103 aproximativ 90% din cazurile actuale de COVID-19, simptomele tind s\u0103 fie pu\u021bin diferite de alte variante, dar asta nu \u00eenseamn\u0103 neap\u0103rat c\u0103 simptomele asociate sunt mai severe.<\/p>\n

Febra, durerile de cap, durerile de g\u00e2t \u0219i rinoreea sunt frecvente, \u00een timp ce tusea \u0219i pierderea mirosului sunt mai pu\u021bin frecvente. \u00cen acela\u0219i timp, alte rapoarte asociaz\u0103 varianta Delta cu simptome mai grave, inclusiv deficien\u021be de auz, probleme gastro-intestinale severe \u0219i cheaguri de s\u00e2nge care duc la moarte tisular\u0103 \u0219i gangrene.<\/p>\n

Persoanele vaccinate, dac\u0103 contract\u0103 varianta Delta, de obicei sunt fie asimptomatice, fie prezint\u0103 simptome foarte u\u0219oare. Simptomele lor seam\u0103n\u0103 mai mult cu cele ale unei r\u0103celi obi\u0219nuite, cum ar fi tuse, febr\u0103 sau cefalee \u0219i pierderea sim\u021bului mirosului \u0219i\/sau gustului \u00eentr-o propor\u021bie mai mic\u0103.<\/p>\n

Ce sfaturi oferi\u021bi oamenilor care au fost testa\u021bi pozitiv?<\/strong><\/p>\n

\u00cen cazul \u00een care persoana prezint\u0103 simptome, iar rezultatul testului pentru COVID-19 este pozitiv, izolarea timp de 10 zile de la debutul simptomelor devine obligatorie, indiferent dac\u0103 a fost sau nu imunizat\u0103 pentru COVID-19. \u00cen cazul \u00een care nu prezint\u0103 simptome, dar testul este pozitiv, sunt luate acelea\u0219i m\u0103suri.<\/p>\n

Este necesar s\u0103 urmeze cu stricte\u021be recomand\u0103rile medicului despre \u00eengrijirea \u0219i izolarea la domiciliu, s\u0103 fie atent\u0103 la starea sa de s\u0103n\u0103tate, s\u0103 noteze orice simptom nou care a ap\u0103rut, iar \u00een cazul \u00een care starea general\u0103 se deterioreaz\u0103, de exemplu febra nu mai cedeaz\u0103 la antipiretice, apare \u00eenr\u0103ut\u0103\u021birea tusei sau respira\u021biei, e necesar s\u0103 ia leg\u0103tura cu medicul de familie sau cu serviciul medical de urgen\u021b\u0103.<\/p>\n

Infectarea cu varianta Delta presupune consecin\u021be negative asupra s\u0103n\u0103t\u0103\u021bii chiar \u0219i dup\u0103 ce ne-am vindecat?<\/strong><\/p>\n

Potrivit unor studii timpurii, aproximativ 10-20 la sut\u0103 dintre persoanele cu COVID-19 vor prezenta simptome care dureaz\u0103 mai mult de o lun\u0103. Majoritatea celor care au fost spitaliza\u021bi cu forme severe ale bolii raporteaz\u0103 probleme pe termen lung, precum stare de oboseal\u0103 \u0219i dificult\u0103\u021bi de respira\u021bie, dureri \u00een piept, palpita\u021bii.<\/p>\n

Boala prelungit\u0103 \u0219i simptomele persistente pot ap\u0103rea chiar \u0219i la adul\u021bii tineri f\u0103r\u0103 afec\u021biuni medicale cronice, ceea ce poate duce la absen\u021ba prelungit\u0103 de la munc\u0103, studii sau alte activit\u0103\u021bi, fapt care poate afecta inclusiv starea psihoemo\u021bional\u0103 a persoanei. Cercet\u0103torii \u00eenc\u0103 investigheaz\u0103 alte efecte asupra s\u0103n\u0103t\u0103\u021bii pe termen scurt \u0219i lung, asociate cu COVID-19, inclusiv cu varianta Delta.<\/p>\n

C\u00e2t de eficiente s-au dovedit a fi vaccinurile \u00eempotriva COVID-19? Ultimul raport s\u0103pt\u0103m\u00e2nal arat\u0103 c\u0103 86% din persoanele nevaccinate s-au infectat cu COVID-19 \u0219i 3% care nu au reu\u0219it s\u0103 \u00ee\u0219i administreze \u0219i a doua doz\u0103? Cum comenta\u021bi aceste rezultate?<\/strong><\/p>\n

Vaccinurile COVID-19 sunt instrumente esen\u021biale \u00een lupta cu pandemia \u0219i protejeaz\u0103 \u00eempotriva formelor severe ale bolii \u0219i a decesului. Studiile efectuate \u00een Marea Britanie sugereaz\u0103 c\u0103 dup\u0103 vaccinarea complet\u0103 cu vaccinul Pfizer-BioNTech, se \u00eenregistreaz\u0103 o eficien\u021b\u0103 de 88% \u00een prevenirea formelor simptomatice de COVID-19 cauzate de varianta Delta, respectiv 96% \u00een prevenirea formelor severe (care necesit\u0103 spitalizare) de COVID-19.<\/p>\n

Vaccinul Oxford-AstraZeneca fost eficient \u00een 60% dintre cazuri \u00eempotriva bolii simptomatice, respectiv \u00een 93% dintre cazuri \u00eempotriva spitaliz\u0103rii. Studiile din Canada au eviden\u021biat c\u0103 vaccinul Moderna \u00eempotriva COVID-19 este eficient \u00een 72% dintre cazuri \u00een prevenirea formelor simptomatice de COVID-19 cauzate de varianta Delta, respectiv \u00een 96% dintre cazuri \u00een prevenirea formelor severe.<\/p>\n

De asemenea, vaccinul anti-COVID-19 Janssen\/Johnson & Johnson este 85% eficient \u00een prevenirea formelor severe COVID-19 cauzate de varianta Delta, potrivit datelor publicate de compania farmaceutic\u0103 Johnson & Johnson. Rezultatele ultimului raport s\u0103pt\u0103m\u00e2nal vorbesc de la sine \u2013 vaccinarea contribuie la reducerea \u00eemboln\u0103virii de COVID-19, iar persoanele nevaccinate r\u0103m\u00e2n a fi cea mai mare preocupare a sistemului medical, \u00eentruc\u00e2t prezint\u0103 cel mai mare risc de transmitere \u0219i sunt mult mai susceptibile de a se infecta.<\/p>\n

C\u00e2t e de important s\u0103 facem ambele doze de vaccin? Doar una ar putea fi ineficient\u0103?<\/strong><\/p>\n

Vaccinurile ofer\u0103 o protec\u021bie stabil\u0103 \u0219i eficient\u0103, dar e foarte important ca oamenii s\u0103 ia toate dozele necesare unui vaccin pentru a-\u0219i forma imunitatea deplin\u0103.<\/p>\n

\u00cen cazul vaccinurilor cu dou\u0103 doze, acestea ofer\u0103 protec\u021bie par\u021bial\u0103 dup\u0103 prima doz\u0103, iar nivelul anticorpilor necesari cre\u0219te dup\u0103 c\u00e2teva s\u0103pt\u0103m\u00e2ni dup\u0103 administrarea celei de-a doua doze. Pentru vaccinurile care se administreaz\u0103 \u00eentr-o singur\u0103 doz\u0103, oamenii vor avea imunitate maxim\u0103 \u00eempotriva COVID-19 dup\u0103 c\u00e2teva s\u0103pt\u0103m\u00e2ni dup\u0103 vaccinare.<\/p>\n

Potrivit unor studii publicate \u00een revista \u201eNature\u201d, serurile de la persoanele care au fost par\u021bial vaccinate (au primit doar o doz\u0103 de vaccin) au prezentat o activitate neutralizant\u0103 minim\u0103 sau absent\u0103 \u00eempotriva variantei Delta, \u00een timp ce serurile a 95 la sut\u0103 dintre persoanele complet vaccinate au generat un r\u0103spuns de neutralizare mult mai crescut, dar de trei sau cinci ori mai redus fa\u021b\u0103 de varianta Delta dec\u00e2t \u00een cazul variantei Alpha.<\/p>\n

Un alt studiu realizat \u00een Marea Britanie a raportat o eficacitate de 88% \u00eempotriva variantei Delta dup\u0103 dou\u0103 doze de vaccin \u0219i o eficacitate de doar 30,7% dup\u0103 administrarea primei doze, ceea ce se afl\u0103 sub pragul de 50% recomandat de FDA.<\/p>\n

Care e povara acestei noi variante asupra sistemului medical, mai ales \u00een cazul \u00een care oamenii vor evita vaccinarea \u0219i respectarea m\u0103surilor de protec\u021bie?<\/strong><\/p>\n

Pandemia COVID-19 reprezint\u0103 mai mult dec\u00e2t o criz\u0103 de s\u0103n\u0103tate public\u0103, av\u00e2nd implica\u021bii f\u0103r\u0103 precedent \u00een plan socio-economic. Este una dintre cele mai mari provoc\u0103ri de dup\u0103 cel de-Al Doilea R\u0103zboi Mondial. Zilnic, \u00een \u00eentreaga lume, se pierd mii de vie\u021bi omene\u0219ti. De la \u00eenceputul pandemiei, au pierdut lupta cu noul virus SARS-CoV-2 4.582.338 de persoane.<\/p>\n

Lu\u00e2nd \u00een considera\u021bie rata \u00eenalt\u0103 a contagiozit\u0103\u021bii, precum \u0219i perioada mai scurt\u0103 de incuba\u021bie, nu este greu s\u0103 ne imagin\u0103m care ar fi scenariul \u00een cazul \u00een care popula\u021bia va ezita s\u0103 se vaccineze \u0219i va ignora recomand\u0103rile Comisiei Na\u021bionale Extraordinare de S\u0103n\u0103tate Public\u0103.<\/p>\n

Este evident c\u0103 num\u0103rul persoanelor infectate cu virusul SARS-CoV-2 va cre\u0219te considerabil, respectiv va cre\u0219te \u0219i num\u0103rul spitaliz\u0103rilor, ceea ce va duce la supra\u00eenc\u0103rcarea spitalelor \u0219i suprasolicitarea personalului medical, iar prognozele nu par a fi deloc \u00eembucur\u0103toare, \u00een special \u00een localit\u0103\u021bile cu acces limitat la servicii de asisten\u021b\u0103 medical\u0103 din cauza deficitului de personal medical din regiune.<\/p>\n

Este necesar ca fiecare dintre noi s\u0103 con\u0219tientizeze pericolul acestui virus, care sunt riscurile la care ne expunem atunci c\u00e2nd refuz\u0103m s\u0103 ne vaccin\u0103m \u0219i s\u0103 respect\u0103m m\u0103surile antiepidemice. Este nevoie ca \u00eentreaga societate s\u0103 contribuie la limitarea r\u0103sp\u00e2ndirii COVID-19 \u0219i s\u0103 amortizeze impactul poten\u021bial devastator pe care \u00eel poate avea asupra omenirii.<\/p>\n

\u00cen prezent, care sunt cele mai eficiente m\u0103suri pentru a opri r\u0103sp\u00e2ndirea virusului \u0219i pentru a reveni la un mod de via\u021b\u0103 s\u0103n\u0103tos, f\u0103r\u0103 restric\u021bii?<\/strong><\/p>\n

Vaccinarea este cel mai bun mod de a v\u0103 proteja familia \u0219i comunitatea. Acoperirea vaccinal\u0103 ridicat\u0103 va reduce r\u0103sp\u00e2ndirea virusului \u0219i va ajuta la prevenirea apari\u021biei noilor variante. Vaccinurile sunt extrem de eficiente pentru a preveni spitalizarea, decesul provocat de COVID-19, inclusiv de varianta Delta.<\/p>\n

\u00cen acela\u0219i timp, vaccinarea nu ne protejeaz\u0103 100% de infectare. Fiind purt\u0103tor de virus, ri\u0219ti s\u0103 infectezi mai multe persoane. De aceea, respectarea m\u0103surilor, precum purtarea m\u0103\u0219tii, sp\u0103latul regulat pe m\u00e2ini, p\u0103strarea distan\u021bei sociale r\u0103m\u00e2n importante pentru a ne proteja s\u0103n\u0103tatea.<\/p>\n

Foto: \u0218tiri.md.<\/p>\n","protected":false},"excerpt":{"rendered":"

Bilan\u021bul cazurilor de infec\u021bie a ajuns la 274.812 \u00een Republica Moldova, iar num\u0103rul de decese \u0219i cazuri grave, inclusiv \u00een r\u00e2ndul tinerilor, \u00eenregistreaz\u0103 o cre\u0219tere semnificativ\u0103 \u00een ultimele s\u0103pt\u0103m\u00e2ni, transmite \u0218tiri.md. Potrivit exper\u021bilor \u00een epidemiologie, e vorba despre un r\u0103spuns al r\u0103sp\u00e2ndirii variantei Delta, confirmat\u0103 \u0219i dominant\u0103 la nivel global. Cu mai multe informa\u021bii actualizate […]<\/p>\n","protected":false},"author":4,"featured_media":145086,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6349],"tags":[30049],"class_list":["post-145085","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-social","tag-incarcatura-virala-la-delta-este-de-circa-1-000-de-ori-mai-mare"],"yoast_head":"\n\u00cenc\u0103rc\u0103tura viral\u0103 la Delta este de circa 1.000 de ori mai mare - BTV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.btv.md\/ro\/incarcatura-virala-la-delta-este-de-circa-1-000-de-ori-mai-mare\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00cenc\u0103rc\u0103tura viral\u0103 la Delta este de circa 1.000 de ori mai mare - BTV\" \/>\n<meta property=\"og:description\" content=\"Bilan\u021bul cazurilor de infec\u021bie a ajuns la 274.812 \u00een Republica Moldova, iar num\u0103rul de decese \u0219i cazuri grave, inclusiv \u00een r\u00e2ndul tinerilor, \u00eenregistreaz\u0103 o cre\u0219tere semnificativ\u0103 \u00een ultimele s\u0103pt\u0103m\u00e2ni, transmite \u0218tiri.md. Potrivit exper\u021bilor \u00een epidemiologie, e vorba despre un r\u0103spuns al r\u0103sp\u00e2ndirii variantei Delta, confirmat\u0103 \u0219i dominant\u0103 la nivel global. 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