{"id":2891,"date":"2021-06-28T05:36:25","date_gmt":"2021-06-28T03:36:25","guid":{"rendered":"http:\/\/www.infokuryr.cz\/n\/?p=2891"},"modified":"2021-06-28T05:36:25","modified_gmt":"2021-06-28T03:36:25","slug":"ockovani-vakcinami-dosahlo-noveho-vrcholu-francie-chce-zavest-reaktivni-ockovani","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2021\/06\/28\/ockovani-vakcinami-dosahlo-noveho-vrcholu-francie-chce-zavest-reaktivni-ockovani\/","title":{"rendered":"O\u010dkov\u00e1n\u00ed vakc\u00ednami dos\u00e1hlo nov\u00e9ho vrcholu! Francie chce zav\u00e9st \u201ereaktivn\u00ed o\u010dkov\u00e1n\u00ed\u201c"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p><span>V\u00fd\u0148atek z n\u00e1sleduj\u00edc\u00edho \u010dl\u00e1nku:<\/span><\/p>\n<blockquote class=\"wp-block-quote\"><p><strong><em><span>\u2026 Tzv. Strategie reaktivn\u00edho o\u010dkov\u00e1n\u00ed, kter\u00e1 spo\u010d\u00edv\u00e1 v o\u010dkov\u00e1n\u00ed cel\u00e9ho prost\u0159ed\u00ed zaznamenan\u00fdch p\u0159\u00edpad\u016f (tj. v\u0161ech osob v dom\u00e1cnosti zji\u0161t\u011bn\u00e9ho p\u0159\u00edpadu, osob na pracovi\u0161ti anebo ve \u0161kole \/ univerzit\u011b).<\/span><\/em><\/strong><\/p><\/blockquote>\n<p><span>Francouzsk\u00fd n\u00e1rodn\u00ed zdravotn\u00ed \u00fa\u0159ad (HAS) vydal 22. \u010dervna prohl\u00e1\u0161en\u00ed po\u017eaduj\u00edc\u00ed reaktivn\u00ed o\u010dkov\u00e1n\u00ed.\u00a0Jin\u00fdmi slovy, pokud se zjist\u00ed, \u017ee osoba m\u00e1 tuto variantu Covid-delta, je o\u010dkov\u00e1no cel\u00e9 prost\u0159ed\u00ed.<\/span><\/p>\n<p><a href=\"https:\/\/lecourrier-du-soir.com\/france-la-has-annonce-la-vaccination-reactive-si-un-cas-est-detecte-cest-toute-la-famille-qui-sera-vaccinee\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span>Lecourrier-du-soir.com<\/span><\/a><span>\u00a0navrhuje p\u0159e\u010d\u00edst si p\u016fvodn\u00ed verzi tiskov\u00e9 zpr\u00e1vy.<\/span><\/p>\n<p><span>Skv\u011bl\u00e9 \u010dten\u00ed!<\/span><\/p>\n<p><span>&#8222;Vakcina\u010dn\u00ed kampa\u0148 pokra\u010duje a dnes je epidemie Covid-19 na \u00fastupu.&#8220;\u00a0Cirkulace viru je v\u0161ak st\u00e1le aktivn\u00ed a zru\u0161en\u00edm omezuj\u00edc\u00edch opat\u0159en\u00ed je c\u00edlem v\u00edce ne\u017e kdy jindy omezit \u0161\u00ed\u0159en\u00ed viru, zejm\u00e9na u naka\u017eliv\u00fdch variant, jako je varianta delta.\u00a0V reakci na doporu\u010den\u00ed francouzsk\u00e9ho gener\u00e1ln\u00edho \u0159editelstv\u00ed pro zdrav\u00ed francouzsk\u00fd zdravotnick\u00fd \u00fa\u0159ad (HAS) doporu\u010duje strategii reaktivn\u00edho o\u010dkov\u00e1n\u00ed, kter\u00e1 byla v posledn\u00edch t\u00fddnech testov\u00e1na v ter\u00e9nu, a doplnit tak pos\u00edlen\u00e9 \u201eTest &#8211; Alert &#8211; Protect\u201c strategie a t\u00edm i \u00fa\u010dinky a omezen\u00ed \u0161\u00ed\u0159en\u00ed nov\u011b vznikaj\u00edc\u00edch variant.<\/span><\/p>\n<p><span>Zat\u00edmco epidemie Covid-19 je na \u00fastupu, nov\u00e9 varianty viru SARS-CoV-2 jsou p\u0159edm\u011btem zvl\u00e1\u0161tn\u00ed pozornosti a vyvol\u00e1vaj\u00ed n\u011bkolik ot\u00e1zek: p\u0159enosnost viru, z\u00e1va\u017enost p\u0159\u00edpad\u016f infekce a imunitn\u00ed \u00fanik r\u016fzn\u00fdch dostupn\u00fdch vakc\u00edn.\u00a0Tv\u00e1\u0159\u00ed v tv\u00e1\u0159 tomuto riziku po\u017e\u00e1dal Francouzsk\u00fd n\u00e1rodn\u00ed zdravotn\u00ed \u00fa\u0159ad (HAS) o posouzen\u00ed adekv\u00e1tnosti, indikac\u00ed a mo\u017en\u00fdch metod o\u010dkov\u00e1n\u00ed v p\u0159\u00edpadech Covid-19 s variantou znepokojen\u00ed (VOC) nebo variantou z\u00e1jmu (VOI) vy\u0161et\u0159ovat.<\/span><\/p>\n<p><strong><span>O\u010dkov\u00e1n\u00ed kolem infikovan\u00fdch lid\u00ed k omezen\u00ed \u0161\u00ed\u0159en\u00ed varianty &#8230;<\/span><\/strong><\/p>\n<p><span>Stanovisko HAS zohlednilo ve sv\u00e9m stanovisku epidemiologickou situaci, ji\u017e p\u0159ijat\u00e1 opat\u0159en\u00ed k omezen\u00ed \u0161\u00ed\u0159en\u00ed viru SARS-CoV-2 a jeho varianty a \u00fadaje o \u00fa\u010dinnosti vakc\u00edn ve vztahu k variant\u00e1m.\u00a0HAS tak\u00e9 spol\u00e9hal na modelov\u00e1n\u00ed proveden\u00e9 Institutem epidemiologie a ve\u0159ejn\u00e9ho zdrav\u00ed Pierra Louise a \u0160kolou pokro\u010dil\u00fdch studi\u00ed ve\u0159ejn\u00e9ho zdrav\u00ed (EHESP).<\/span><\/p>\n<p><span>Posuzov\u00e1na byla zejm\u00e9na \u00fa\u010dinnost r\u016fzn\u00fdch vakcina\u010dn\u00edch strategi\u00ed p\u0159i zpomalen\u00ed rizika \u0161\u00ed\u0159en\u00ed nov\u011b se objevuj\u00edc\u00edch variant<\/span><\/p>\n<ul>\n<li><span>strategie kruhov\u00e9ho o\u010dkov\u00e1n\u00ed, kter\u00e1 spo\u010d\u00edv\u00e1 v o\u010dkov\u00e1n\u00ed p\u0159\u00edpad\u016f p\u0159\u00edm\u00e9ho kontaktu (prvn\u00ed generace) a kontaktn\u00edch p\u0159\u00edpad\u016f druh\u00e9 generace kolem potvrzen\u00e9ho p\u0159\u00edpadu;<\/span><\/li>\n<li><strong><span>tzv. strategie reaktivn\u00edho o\u010dkov\u00e1n\u00ed, kter\u00e1 spo\u010d\u00edv\u00e1 v o\u010dkov\u00e1n\u00ed cel\u00e9ho prost\u0159ed\u00ed p\u0159\u00edpad\u016f (tj. ka\u017ed\u00e9ho v dom\u00e1cnosti zji\u0161t\u011bn\u00e9ho p\u0159\u00edpadu, osoby na pracovi\u0161ti anebo ve \u0161kole \/ univerzit\u011b).<\/span><\/strong><\/li>\n<\/ul>\n<p><span>Strategie kruhov\u00e9ho o\u010dkov\u00e1n\u00ed se nejev\u00ed jako p\u0159\u00edli\u0161 relevantn\u00ed vzhledem ke kr\u00e1tk\u00e9 inkuba\u010dn\u00ed dob\u011b pro Covid-19 (pr\u016fm\u011br 5 dn\u016f) a skute\u010dnosti, \u017ee ochrana p\u0159ed o\u010dkov\u00e1n\u00edm za\u010d\u00edn\u00e1 p\u0159ibli\u017en\u011b 12 dn\u00ed po aplikaci vakc\u00edny.<\/span><\/p>\n<p><span>Na druh\u00e9 stran\u011b HAS doporu\u010duje strategii reaktivn\u00edho o\u010dkov\u00e1n\u00ed krom\u011b pos\u00edlen\u00ed strategie \u201eTest &#8211; Alert &#8211; Protect\u201c, kter\u00e1 je st\u00e1le nej\u00fa\u010dinn\u011bj\u0161\u00ed jako sou\u010d\u00e1st strategie zpomalen\u00ed \u0161\u00ed\u0159en\u00ed nov\u011b se objevuj\u00edc\u00edch variant.\u00a0Tuto strategii lze zv\u00e1\u017eit v p\u0159\u00edpad\u011b infek\u010dn\u00edch p\u0159\u00edpad\u016f s n\u011bkter\u00fdmi znepokojuj\u00edc\u00edmi variantami a variantami z\u00e1jmu SARS-CoV-2, kter\u00e9 se v c\u00edlov\u00e9 oblasti dosud p\u0159\u00edli\u0161 nevyskytuj\u00ed, a po vy\u0161et\u0159ov\u00e1n\u00ed Region\u00e1ln\u00ed zdravotnickou agenturou (ARS) a region\u00e1ln\u00ed jednotka Sant\u00e9 publique France, aby sledovala \u0159et\u011bzec kontaminace.<\/span><\/p>\n<p><strong><span>&#8230; velmi rychle, jakmile je rozpozn\u00e1n prvn\u00ed p\u0159\u00edpad<\/span><\/strong><\/p>\n<p><span>HAS zd\u016fraz\u0148uje, \u017ee strategie reaktivn\u00edho o\u010dkov\u00e1n\u00ed mus\u00ed b\u00fdt provedena velmi rychle &#8211; jakmile se objev\u00ed prvn\u00ed p\u0159\u00edpad varianty &#8211; aby se zpomalilo riziko \u0161\u00ed\u0159en\u00ed t\u011bchto nov\u011b vznikaj\u00edc\u00edch variant a v\u00fdrazn\u011b se sn\u00ed\u017eila m\u00edra sekund\u00e1rn\u00edch infekc\u00ed .\u00a0Optim\u00e1ln\u00ed p\u0159ijet\u00ed o\u010dkov\u00e1n\u00ed posti\u017eenou populac\u00ed je tak\u00e9 jedn\u00edm z p\u0159edpoklad\u016f \u00fasp\u011bchu t\u00e9to strategie o\u010dkov\u00e1n\u00ed.<\/span><\/p>\n<p><span>Prov\u00e1d\u011bn\u00ed t\u00e9to strategie rovn\u011b\u017e vy\u017eaduje rychlou mobilizaci v\u0161ech akt\u00e9r\u016f pro aplikaci vakc\u00edny na m\u00edstech nav\u0161t\u011bvovan\u00fdch doprovodem p\u0159\u00edpad\u016f, nap\u0159. \u00a0mobiln\u00edm t\u00fdmem nebo do\u010dasn\u00fdmi o\u010dkovac\u00edmi centry, ale tak\u00e9 v\u0161emi zdravotnick\u00fdmi pracovn\u00edky ve m\u011bst\u011b a v pracovn\u00edm l\u00e9ka\u0159stv\u00ed.<\/span><\/p>\n<p><span>Pokud jde o p\u0159ijet\u00ed t\u00e9to strategie, HAS doporu\u010duje, aby byla na \u00farovni posti\u017een\u00e9 populace vedena vhodn\u00e1 komunikace, aby lid\u00e9 pochopili v\u00fdhody t\u00e9to strategie.\u00a0V tomto ohledu by zp\u011btn\u00e1 vazba z c\u00edlen\u00fdch o\u010dkovac\u00edch kampan\u00ed, kter\u00e9 se v sou\u010dasnosti prov\u00e1d\u011bj\u00ed v Bordeaux, Brestu a \u0160trasburku, mohla pomoci ur\u010dit provozn\u00ed omezen\u00ed.\u00a0V ka\u017ed\u00e9m p\u0159\u00edpad\u011b by m\u011bla b\u00fdt tato strategie systematicky hodnocena, aby se ov\u011b\u0159ila jej\u00ed \u00fa\u010dinnost a identifikovaly oblasti, kter\u00e9 je t\u0159eba zlep\u0161it.<\/span><\/p>\n<p><span>Nakonec HAS trv\u00e1 na tom, \u017ee je d\u016fle\u017eit\u00e9 dodr\u017eovat blokovac\u00ed opat\u0159en\u00ed, zejm\u00e9na v t\u00e9to zvl\u00e1\u0161tn\u00ed souvislosti s v\u00fdskytem variant SARS-CoV-2 a postupn\u00fdm ru\u0161en\u00edm omezuj\u00edc\u00edch opat\u0159en\u00ed.<\/span><\/p>\n<p><strong><span>Kter\u00e1 vakc\u00edna by m\u011bla b\u00fdt pou\u017eita jako sou\u010d\u00e1st strategie reaktivn\u00edho o\u010dkov\u00e1n\u00ed?<\/span><\/strong><\/p>\n<p><span>Ve sv\u00e9m stanovisku HAS uv\u00e1d\u00ed doporu\u010den\u00ed ohledn\u011b v\u00fdb\u011bru vakc\u00edny, kter\u00e1 m\u00e1 b\u00fdt pod\u00e1na jako sou\u010d\u00e1st reaktivn\u00ed strategie. HAS uv\u00e1d\u00ed, \u017ee to z\u00e1vis\u00ed na objeven\u00e9 variant\u011b a na znalostech \u00fa\u010dinnosti r\u016fzn\u00fdch vakc\u00edn proti t\u00e9to variant\u011b. \u00da\u010dinnost vakc\u00edn mRNA se zd\u00e1 b\u00fdt celosv\u011btov\u011b zachov\u00e1na proti variant\u00e1m beta (B.1.351), gama (P.1) a delta (B.1.617.2). Pou\u017eit\u00ed vakc\u00edny Vaxzevria\u00ae se nedoporu\u010duje, pokud je v ob\u011bhu varianta beta (B.1.351).\u00a0<\/span><span>Dostupn\u00e9 \u00fadaje nav\u00edc nazna\u010duj\u00ed, \u017ee vakc\u00edny mRNA poskytuj\u00ed lep\u0161\u00ed \u00fa\u010dinnost po pod\u00e1n\u00ed d\u00e1vky a d\u0159\u00edv\u011bj\u0161\u00ed ochranu ne\u017e vakc\u00edna Vaxzevria\u00ae i kdy\u017e rozd\u00edly pozorovan\u00e9 v pozorovac\u00edch studi\u00edch jsou men\u0161\u00ed ne\u017e rozd\u00edly pozorovan\u00e9 d\u0159\u00edve ve studi\u00edch.<\/span><\/p>\n<p><span>Souhrnn\u011b HAS zast\u00e1v\u00e1 n\u00e1zor, \u017ee za sou\u010dasn\u00e9 situace by proto m\u011blo b\u00fdt v souvislosti s takov\u00fdm z\u00e1sahem up\u0159ednost\u0148ov\u00e1no pou\u017eit\u00ed mRNA vakc\u00edn.<\/span><\/p>\n<p><span>Nakonec HAS stanov\u00ed, \u017ee strategie reaktivn\u00edho o\u010dkov\u00e1n\u00ed se vztahuje na v\u0161echny osoby, kter\u00e9 jsou zp\u016fsobil\u00e9 k o\u010dkov\u00e1n\u00ed (ve v\u011bku nad 18 let nebo nad 12 let pro vakc\u00ednu Comirnaty\u00ae), je\u0161t\u011b nebyly o\u010dkov\u00e1ny nebo jsou o\u010dkov\u00e1ny ne\u00fapln\u011b a pro kter\u00e9 je kompletn\u00ed\u00a0 o\u010dkov\u00e1n\u00ed vy\u017eadov\u00e1no o\u010dkov\u00e1n\u00ed (dv\u011b d\u00e1vky nebo jedna d\u00e1vka u lid\u00ed s anamn\u00e9zou Covid-19). V t\u00e9to souvislosti by m\u011blo b\u00fdt o\u010dkov\u00e1n\u00ed prim\u00e1rn\u011b prov\u00e1d\u011bno vakc\u00ednami mRNA (bez ohledu na d\u0159\u00edve obdr\u017eenou vakc\u00ednu) a dodr\u017eovat doporu\u010den\u00e9 o\u010dkovac\u00ed sch\u00e9ma.\u00a0HAS zd\u016fraz\u0148uje, \u017ee je d\u016fle\u017eit\u00e9 dodr\u017eet 3\u20134 t\u00fddenn\u00ed odstup mezi dv\u011bma d\u00e1vkami vakc\u00edny mRNA. \u201c<\/span><\/p>\n<p><strong><span style=\"color: #ff0000;\">To, \u017ee na vakc\u00edny mRNA um\u00edraj\u00ed lid\u00e9 ji\u017e ale nikoho nezaj\u00edm\u00e1. Jednodu\u0161e \u0159e\u010deno: my do v\u00e1s ty vakc\u00edny naperema a\u0165 chcete nebo nechcete. \u00dasvit totality je ji\u017e p\u0159\u00edtomen v\u0161ude kolem n\u00e1s!<\/span><\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-1185\" src=\"http:\/\/www.infokuryr.cz\/n\/wp-content\/uploads\/2021\/04\/kuryr-podpis.png\" alt=\"\" width=\"84\" height=\"24\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>V\u00fd\u0148atek z n\u00e1sleduj\u00edc\u00edho \u010dl\u00e1nku: \u2026 Tzv. Strategie reaktivn\u00edho o\u010dkov\u00e1n\u00ed, kter\u00e1 spo\u010d\u00edv\u00e1 v o\u010dkov\u00e1n\u00ed cel\u00e9ho prost\u0159ed\u00ed&#8230;<\/p>\n","protected":false},"author":2,"featured_media":2892,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[130,213,48,651],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/2891"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=2891"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/2891\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/2892"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=2891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=2891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=2891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}