ABD\u2019de ilkbahar sonundan bu yana etkisini art\u0131ran siklospora salg\u0131n\u0131 can ald\u0131. Michigan Sa\u011fl\u0131k ve \u0130nsani Hizmetler Departman\u0131 (MDHHS), ba\u011f\u0131rsak enfeksiyonuyla ba\u011flant\u0131l\u0131 olarak iki ki\u015finin hayat\u0131n\u0131 kaybetti\u011fini duyurdu.<\/p>\n
Yetkililer, hayat\u0131n\u0131 kaybeden iki ki\u015finin de siklospora enfeksiyonu ve buna ba\u011fl\u0131 s\u0131v\u0131 kayb\u0131yla a\u011f\u0131rla\u015fabilecek \u00f6nemli kronik sa\u011fl\u0131k sorunlar\u0131n\u0131n bulundu\u011funu a\u00e7\u0131klad\u0131. Hastalar\u0131n kimlikleri ve sa\u011fl\u0131k ge\u00e7mi\u015flerine ili\u015fkin ba\u015fka bilgi payla\u015f\u0131lmayaca\u011f\u0131 belirtildi.<\/p>\n
Michigan\u2019da 3 A\u011fustos itibar\u0131yla 11 bin 234 vaka kay\u0131tlara ge\u00e7erken, 193 ki\u015finin hastaneye kald\u0131r\u0131ld\u0131\u011f\u0131 bildirildi. Eyalet sa\u011fl\u0131k birimleri, b\u00fct\u00fcn vakalar\u0131n kayna\u011f\u0131n\u0131n hen\u00fcz kesin olarak belirlenemedi\u011fini; marul ve salata ye\u015filliklerinin olas\u0131 kaynaklar aras\u0131nda de\u011ferlendirildi\u011fini a\u00e7\u0131klad\u0131.<\/p>\n
ABD Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri (CDC), dokuz eyalette g\u00f6r\u00fclen geni\u015f \u00e7apl\u0131 vaka k\u00fcmelenmesinin Meksika\u2019n\u0131n orta kesimlerinden temin edilen g\u00f6bek marullarla ba\u011flant\u0131l\u0131 oldu\u011funu duyurdu.<\/p>\n
CDC\u2019nin son verilerine g\u00f6re Illinois, Indiana, Kansas, Kentucky, Michigan, Ohio, Oklahoma, Pennsylvania ve West Virginia eyaletlerini kapsayan bu salg\u0131nda en az 1.947 laboratuvar onayl\u0131 vaka tespit edildi. Marulla ba\u011flant\u0131l\u0131 vakalardan en az 98\u2019i hastaneye kald\u0131r\u0131ld\u0131.<\/p>\n
Vakalar\u0131n \u00f6nemli b\u00f6l\u00fcm\u00fcnde, baz\u0131 Taco Bell restoranlar\u0131nda servis edilen do\u011franm\u0131\u015f g\u00f6bek marullara maruz kal\u0131nd\u0131\u011f\u0131 belirlendi. G\u00f6r\u00fc\u015fme yap\u0131lan hastalar\u0131n y\u00fczde 90\u2019\u0131, rahats\u0131zlanmadan \u00f6nce g\u00f6bek marul t\u00fcketti\u011fini bildirdi.<\/p>\n
CDC, Michigan\u2019da hayat\u0131n\u0131 kaybeden iki ki\u015finin bu salg\u0131n kapsam\u0131nda de\u011ferlendirildi\u011fini ve \u00f6l\u00fcm verilerinin sisteme eklenece\u011fini a\u00e7\u0131klad\u0131.<\/p>\n
Salg\u0131nla ba\u011flant\u0131l\u0131 \u00fcr\u00fcnleri tedarik eden Taylor Farms de Mexico, 17 Temmuz\u2019da Meksika\u2019n\u0131n orta kesimlerinden temin edilen b\u00fct\u00fcn g\u00f6bek marullar\u0131 g\u00f6n\u00fcll\u00fc olarak geri \u00e7a\u011f\u0131rd\u0131.<\/p>\n
Farkl\u0131 ambalaj ve parti numaralar\u0131na sahip \u00fcr\u00fcnlerin en az 27 eyalette restoranlara, marketlere, perakendecilere ve g\u0131da hizmeti sa\u011flayan i\u015fletmelere da\u011f\u0131t\u0131ld\u0131\u011f\u0131 a\u00e7\u0131kland\u0131. Geri \u00e7a\u011f\u0131rma kapsam\u0131nda Walmart ma\u011fazalar\u0131nda sat\u0131lan Marketside markal\u0131 baz\u0131 \u00fcr\u00fcnler de yer ald\u0131.<\/p>\n
ABD G\u0131da ve \u0130la\u00e7 Dairesi (FDA), incelemenin devam etti\u011fini; salg\u0131nla ba\u011flant\u0131l\u0131 ba\u015fka markalar\u0131n, restoranlar\u0131n, perakendecilerin veya da\u011f\u0131t\u0131m kanallar\u0131n\u0131n belirlenebilece\u011fini bildirdi. \u015e\u00fcpheli \u00fcr\u00fcnlerin restoranlardan, marketlerden ve g\u0131da depolar\u0131ndan kald\u0131r\u0131lmas\u0131na y\u00f6nelik \u00e7al\u0131\u015fmalar s\u00fcr\u00fcyor.<\/p>\n
CDC\u2019nin 28 Temmuz\u2019da yay\u0131mlad\u0131\u011f\u0131 ulusal g\u00f6zetim verilerine g\u00f6re 1 May\u0131s-27 Temmuz d\u00f6neminde ABD i\u00e7inde bula\u015ft\u0131\u011f\u0131 do\u011frulanan 6 bin 707 laboratuvar onayl\u0131 vaka kaydedildi. Bu ki\u015filerden 423\u2019\u00fc hastaneye kald\u0131r\u0131ld\u0131.<\/p>\n
CDC ayr\u0131ca laboratuvar do\u011frulamas\u0131 tamamlanmayan veya seyahat ge\u00e7mi\u015fi gibi nedenlerle incelemesi devam eden 11 bin 500\u2019den fazla vaka bulundu\u011funu bildirdi. Eyaletlerin daha g\u00fcncel verileri de hesaba kat\u0131ld\u0131\u011f\u0131nda \u00fclke genelindeki do\u011frulanm\u0131\u015f ve \u015f\u00fcpheli vaka say\u0131s\u0131n\u0131n 20 bini a\u015ft\u0131\u011f\u0131 de\u011ferlendiriliyor.<\/p>\n
Ancak bu vakalar\u0131n tamam\u0131 marulla ba\u011flant\u0131l\u0131 de\u011fil. CDC, \u00fclke genelinde birbirinden ba\u011f\u0131ms\u0131z farkl\u0131 siklospora k\u00fcmelenmelerinin de ara\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131 \u00f6zellikle vurguluyor. Marulla do\u011frudan ili\u015fkilendirilen dokuz eyaletli salg\u0131ndaki teyitli vaka say\u0131s\u0131 ise en az 1.947 olarak a\u00e7\u0131kland\u0131.<\/p>\n
Chicago Sa\u011fl\u0131k Departman\u0131, kentte 209 kesinle\u015fmi\u015f veya olas\u0131 siklospora vakas\u0131 belirlendi\u011fini a\u00e7\u0131klad\u0131. Bunlardan en az 15\u2019inin \u00e7ok eyaletli marul salg\u0131n\u0131yla ba\u011flant\u0131l\u0131 oldu\u011fu, 103 vakan\u0131n ise yerel kaynakl\u0131 olabilece\u011fi belirtildi.<\/p>\n
Illinois genelinde vaka say\u0131s\u0131 707\u2019ye, hastaneye kald\u0131r\u0131lanlar\u0131n say\u0131s\u0131 ise 47\u2019ye ula\u015ft\u0131. Eyalette salg\u0131nla ba\u011flant\u0131l\u0131 herhangi bir can kayb\u0131 bildirilmedi.<\/p>\n
Yerel vakalar\u0131n tamam\u0131n\u0131 a\u00e7\u0131klayabilecek ortak bir g\u0131da kayna\u011f\u0131 hen\u00fcz tespit edilemedi. Sa\u011fl\u0131k ekipleri hastalar\u0131n son iki haftada t\u00fckettikleri g\u0131dalar\u0131 inceleyerek restoranlar, marketler ve tedarik zinciri \u00fczerinden kayna\u011fa ula\u015fmaya \u00e7al\u0131\u015f\u0131yor.<\/p>\n
Siklosporiyaz, \u201cCyclospora cayetanensis\u201d ad\u0131 verilen mikroskobik bir parazitle kirlenmi\u015f g\u0131da veya suyun t\u00fcketilmesi sonucu ortaya \u00e7\u0131kan ba\u011f\u0131rsak enfeksiyonu olarak biliniyor.<\/p>\n
Hastal\u0131\u011f\u0131n en yayg\u0131n belirtileri \u015f\u00f6yle s\u0131ralan\u0131yor:<\/p>\n
Belirtiler genellikle parazitle temas edilmesinden yakla\u015f\u0131k bir hafta sonra ortaya \u00e7\u0131k\u0131yor. Tedavi uygulanmad\u0131\u011f\u0131nda \u015fik\u00e2yetler birka\u00e7 g\u00fcnden bir aya veya daha uzun bir s\u00fcreye kadar devam edebiliyor.<\/p>\n
Hastal\u0131k \u00e7o\u011fu sa\u011fl\u0131kl\u0131 ki\u015fide hayati tehlikeye yol a\u00e7masa da k\u00fc\u00e7\u00fck \u00e7ocuklar, ileri ya\u015ftakiler, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f ki\u015filer ve kronik hastal\u0131\u011f\u0131 bulunanlar a\u00e7\u0131s\u0131ndan daha a\u011f\u0131r seyredebiliyor.<\/p>\n
Sa\u011fl\u0131k yetkilileri, uzun s\u00fcren veya tekrarlayan sulu ishal \u015fik\u00e2yeti bulunanlar\u0131n sa\u011fl\u0131k kurulu\u015flar\u0131na ba\u015fvurmas\u0131n\u0131, bol s\u0131v\u0131 t\u00fcketmesini ve \u00f6zellikle siklospora testi yap\u0131lmas\u0131n\u0131 istemesini \u00f6neriyor. \u00c7\u00fcnk\u00fc standart d\u0131\u015fk\u0131 testleri paraziti her zaman tespit edemeyebiliyor.<\/p>\n
CDC ayr\u0131ca geri \u00e7a\u011fr\u0131lan marullar\u0131n kesinlikle t\u00fcketilmemesi, \u00fcr\u00fcnlerle temas eden kaplar\u0131n ve y\u00fczeylerin s\u0131cak sabunlu suyla temizlenmesi ve taze sebzelerin akan su alt\u0131nda iyice y\u0131kanmas\u0131 gerekti\u011fini bildiriyor. Y\u0131kaman\u0131n paraziti tamamen ortadan kald\u0131rmayabilece\u011fi, pi\u015firilebilen \u00fcr\u00fcnlerin en az 70 dereceye kadar \u0131s\u0131t\u0131lmas\u0131n\u0131n daha g\u00fcvenli oldu\u011fu belirtiliyor.<\/p>\n","protected":false},"excerpt":{"rendered":"
ABD\u2019de h\u0131zla yay\u0131lan siklospora enfeksiyonu nedeniyle ilk can kay\u0131plar\u0131 kay\u0131tlara ge\u00e7ti. Michigan\u2019da iki ki\u015finin hayat\u0131n\u0131 kaybetti\u011fi a\u00e7\u0131klan\u0131rken, \u00fclke genelindeki do\u011frulanm\u0131\u015f ve inceleme alt\u0131ndaki vaka say\u0131s\u0131n\u0131n 20 bini a\u015ft\u0131\u011f\u0131 bildirildi. Dokuz eyalette en az 1.947 vaka ise Meksika kaynakl\u0131 g\u00f6bek marulla ili\u015fkilendirildi.<\/p>\n","protected":false},"author":2,"featured_media":41658,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2535,18],"tags":[988,13441],"class_list":["post-41654","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3-bolge","category-saglik","tag-gidaguvenligi","tag-siklospora"],"yoast_head":"\n