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Türkiye'ye Çin'den getirilen CoronaVac aşılarının sağlık çalışanlarına uygulanması için Merkezi Hekim Randevu Sistemine (MHRS ) "aşı randevu" bölümü eklendi.
Sistemin devreye alınmasının ardından aşıların uygun şartları taşıyan sağlık çalışanlarına tanımlanmasıyla, Sağlık Bakanlığı tarafından ilgili kişilere bildirim yapılacak.
Ayrıca sağlık çalışanları, MHRS üzerinden randevu alarak aşılarını yaptırabilecek. Sağlık çalışanlarının ardından belirlenen öncelik sıralamasına göre vatandaşlara da aşılama gerçekleştirilecek.
30 Aralık'ta Türkiye'ye getirilen 3 milyon dozluk CoronaVac aşılarının, Türkiye İlaç ve Tıbbi Cihaz Kurumu (TİTCK) laboratuvarlarında yapılan analizlerinin bugün tamamlanması bekleniyor. Analiz sonuçlarından olumlu sonuç alınması durumunda aşı için "Acil Kullanım Onayı" verilecek.
AŞILAR SÜREÇ İÇİNDE TÜRKİYE GENELİNE DAĞITILACAK Bu süreçte aşıların, Sağlık Bakanlığına ait iklimlendirme özelliğine sahip, özel tasarlanmış araçlarla il depolarına dağıtımına da başlandı. Aşıların, süreç içinde Türkiye genelinde tüm illere dağıtımı tamamlanacak.
Sağlık Bakanı Fahrettin Koca tarafından geçen aralık ayında yapılan açıklamaya göre, Bilim Kurulunca çeşitli nüfus grupları arasında enfeksiyon kapma, ölüm oranı, olumsuz toplumsal etki riski gibi unsurlar göz önüne alınarak genel öncelikler belirlendi ve bu önceliklere göre aşılama çalışmalarının dört aşamada yürütülmesi planlandı.
İlk aşamada sağlık çalışanları, 65 yaş üstü vatandaşlar ile yaşlı, engelli, koruma evlerinde kalanlar gibi toplu ve kalabalık yerlerde yaşayan yetişkinler aşılanacak.
İkinci aşamada toplumun işleyişi için gerekli sektörlerde ve yüksek riskli ortamlarda bulunan ve kritik işlerde çalışan kişiler ile 50 yaş ve üzeri en az bir kronik hastalığı bulunan kişiler aşılanacak.
Üçüncü aşamada, 50 yaş altı en az bir kronik hastalığı bulunan vatandaşlar, genç yetişkinler, ilk iki grupta yer almayan sektör ve mesleklerde çalışanlar aşı olacak.
Dördüncü ve son aşamada ise ilk üç grubun dışında kalan tüm bireyler aşılanacak.
"VATANDAŞLAR HASTANEDEN RANDEVU ALARAK AŞILARINI YAPTIRABİLECEK" Vatandaşlar ise aşılama takvimi doğrultusunda Kovid-19 aşısı için MHRS üzerinden "https://www.mhrs.gov.tr/ " veya "Alo 182" den randevu alabilecek.
Vatandaşlar, öncelik gruplarına göre kendilerine ulaşan bildirimden sonra MHRS üzerinden, aile hekimlerinden veya uygun bir kamu ya da özel hastaneden randevu alarak aşılarını yaptırabilecek.
Hastanelerde yapılacak Kovid-19 aşı uygulamalarına yönelik tedbirler ve uygulama esasları doğrultusunda, kamu, özel ve üniversitelere ait tüm hastaneler bünyesinde aşı yapılması için "Aşı Uygulama Odası" belirlendi.
Koronavirüs aşısı için Merkezi Hastane Randevu Sistemi (MHRS) üzerinden https://www.mhrs.gov.tr/ veya 184'ten randevu alınarak başvurulabilecek.
28 GÜN ARAYLA İKİ DOZ Aşı uygulamaları, belirlenen kriterler dahilinde bu odalarda yapılacak. Söz konusu inaktif aşılar, 28 gün ara ile iki doz olarak yapılacak.
Kovid-19 aşılamasıyla ilgili uygulamaya yönelik kurallar ve kılavuzlar sağlık kuruluşlarına iletilecek. Ayrıca bilgilendirme amaçlı web sayfası ve süreç yönetimi açısından bir mobil uygulama devreye alınacak. Aşının güvenli nakil süreci, uygulanması ve kayıt altına alınması dijital sitem üzerinden anlık takip edilecek.
Vatandaşlar, konumlarına göre Kovid-19 risk sıralamasını web sitesinden görebilecek.
AŞILAR NASIL YAPILACAK? Aşı uygulama odasına her defasında sadece bir aşılanacak kişi alınacak. Aşı uygulama esnasında aşılamayla ilgili gerekli kayıtlar tutulacak. Aşı için gelen kişinin kimlik bilgileri ve randevusu kontrol edilecek.
Aşıyı uygulayacak sağlık çalışanı, kimlik bilgileri ve kişi için ayrılan aşı ile eşleştirilecek ve uygulanacak.
Günlük aşı uygulaması sonunda aşı flakonları tıbbi atığa gönderilecek.
'4-5 AY ÖNCE COVİD-19 GEÇİRMİŞ KİŞİ AŞI YAPTIRABİLİR' Türkiye'de yaygın uygulamasına başlanacak Çin menşeili Covid-19 aşısının Türkiye'deki Faz 3 çalışmalarında gönüllü olan Prof. Dr. Mustafa Gerek, koronavirüs geçiren kişilerin aşı planlamasındaki yerini anlattı. Prof. Dr. Gerek, "Bir kişi eğer 4-5 aylık zaman diliminden önce hastalığı geçirmiş ise, aşı yapılmasında hiçbir sakınca yok. Yeni hastalık geçirdiniz daha birkaç aylık bir zaman geçti, bu dönemde muhtemeldir ki yeterli antikorunuz vardır; bu aşamada aşı olunmasına gerek olmayabilir" dedi.
Sağlık Bilimleri Üniversitesi (SBÜ) Rektör Yardımcısı, Kulak, Burun, Boğaz Hastalıkları Anabilim Dalı Başkanı Prof. Dr. Mustafa Gerek, kendisine 14 gün arayla iki doz aşının yapıldığını hatırlattı. Prof. Dr. Gerek, belli bir zamanın geçmesi üzerine antikor düzeyine bakıldığını ifade ederek, "Aşı anlamında koruyucu düzeyde bir antikora sahip olduğum ortaya çıktı. Aşı olduktan sonraki dönemde de maske, mesafe ve temizlik ile tedbirli yaşamımı devam ettirdim. Antikorum olmasına rağmen hala aynı şekilde kendimi koruyacak biçimde yaşamaya devam ediyorum. Aşı uygulandıktan sonraki dönemde de aşının yapıldığı alan dahil olmak üzere herhangi bir yan etki hissetmedim. Aşıyla ilgili herhangi bir semptom yaşamadım" diye konuştu.
'4-5 AY ÖNCE HASTALIK GEÇİRENLER AŞI OLABİLİR' Prof. Dr. Gerek, aşılanma politikasında antikor düzeyine bakarak seçim yapılmadığını, sınıflama ve öncelik sıralaması olduğunu kaydetti. Prof. Dr. Gerek, öncelik sıralamasında 4-5 ay önce hastalığı geçirmiş kişilere aşı yapılmasında sakınca olmadığını belirterek, "Yeni hastalık geçirdiniz daha birkaç aylık bir zaman geçti, bu dönemde muhtemeldir ki yeterli antikorunuz vardır; bu aşamada aşı olunmasına gerek olmayabilir. Ancak kişi hastalığı geçirdiğini bilmiyorsa; çünkü toplumun büyük bir çoğunluğu herhangi bir semptom yaşamadan bu hastalığı geçirme şansına sahip olabiliyor. Dolayısıyla bu kişilerin aşı olmasında hiçbir sakınca yok" dedi.
'ANTİKORUN ALT SINIRI VAR' Prof. Dr. Gerek, antikor seviyesinin herkeste ölçülmeyeceğini de ifade ederek, "Antikor seviyesinin bir alt sınırı var. Bunun referans aralığı 0-0,99'dur. Alt sınırın üzerinde antikorunuz varsa, antikor pozitif olarak değerlendirilir. Bunun bir üst sınırı yok. Üst sınırından kastımız şu; 'antikor en az şu kadar olmalı, antikor şu kadardan fazla olursa, başka bir şey olur' gibi değerlendirmeler söz konusu değil. Alt limitini biliyoruz. Alt limitin üzerindeki her değer pozitif olarak ve sizi bu enfeksiyondan koruyacağı kabul edilir. Hatta hastalığı geçirmiş olan kişilerde antikor saptanmamış olsa bile bu virüsle tekrar karşılaştığı zaman vücuttaki hafıza hücreleri devreye girerek, yeniden antikor oluşturması, bu hastalığa karşı güçlü bir şekilde savunması ve engel olması söz konusudur" ifadelerini kullandı.
'28 GÜN İLE ANTİKOR KAZANCIMIZ DAHA YÜKSEK OLACAK'
Prof. Dr. Gerek, antikorun koruma süresinin ne kadar olduğuna dair net bir bilginin olmadığını belirterek, "Henüz daha tam 1 yılı doldurmamış bir enfeksiyon süreciyle karşı karşıyayız. Zaman içerisinde görülecek bu antikorlar bizi ne kadar süreyle koruyor. Ayrıca ortalama 6-8 ay süreyle bu aşının koruyacağı tahmin ediliyor. 28 gün arayla aşılanma ile antikorun daha yüksek düzeyde elde edileceği şeklinde bir bilgi var. Dolayısıyla 14 günlük süreyi 28 güne bu sebeple çıkardılar. Dolayısıyla 28 günlük uygulama ile herhangi bir kayıp söz konusu olmayacak ve muhtemeldir ki buradan da daha yüksek düzeyde bir antikor kazancımız olacaktır diye tahmin ediyorum" dedi.