8 Yog vim li cas niam txiv tsis txhaj tshuaj tiv thaiv (thiab yog vim li cas lawv yuav tsum)
Zoo Siab
- 1. Kev txhawj xeeb: "Muaj ntau yam tshuaj tiv thaiv sai sai no yuav cuam tshuam kuv tus menyuam lub cev tiv thaiv kab mob."
- 2. Qhov Kev Nyuaj Siab: "Kuv tus menyuam lub cev tsis muaj zog, yog li nws muaj kev nyab xeeb los ncua qee qhov tshuaj tiv thaiv lossis tsuas yog tau txais qhov tseem ceeb tshaj plaws."
- 3. Qhov Kev Nyuaj Siab: "Cov tshuaj tiv thaiv muaj co toxins, xws li mercury, aluminium, formaldehyde, thiab tshuaj tua kab mob."
- 4. Kev txhawj xeeb: "Cov tshuaj tiv thaiv tsis ua haujlwm tiag tiag-saib cov tshuaj tiv thaiv khaub thuas xyoo tas los."
- 5. Kev txhawj xeeb: "Yuav tsis muaj 'lub tsev hais plaub txhaj tshuaj' yog tias cov tshuaj tiv thaiv tsis txaus ntshai."
- 6. Kev txhawj xeeb: "Cov tshuaj tiv thaiv zoo li ib txoj hauv kev rau cov tuam txhab tshuaj thiab kws kho mob kom tau nyiaj ntau."
- 7. Kev Nyuaj Siab: "Qhov tshwm sim ntawm qee yam tshuaj tiv thaiv zoo li mob hnyav dua li tus kab mob tiag tiag."
- 8. Qhov Kev Nyuaj Siab: "Kev yuam kuv txhaj tshuaj tiv thaiv yog ua txhaum kuv txoj cai."
- Ntsuam xyuas rau
Lub caij ntuj no dhau los, thaum 147 tus neeg mob qhua pias kis mus rau xya lub xeev, ntxiv rau Canada thiab Mexico, cov niam txiv tsis txaus siab, ib feem yog vim qhov tshwm sim pib ntawm Disneyland, hauv California. Tab sis nws tuaj yeem ua rau mob hnyav dua. Yog tias tsis muaj tshuaj tiv thaiv mob qhua pias, peb yuav muaj tsawg kawg 4 lab tus neeg mob hauv Asmeskas txhua xyoo. Ua ntej cov tshuaj tiv thaiv tuaj txog xyoo 1963, yuav luag txhua tus tau txais tus kab mob no thaum yau, thiab qhov nruab nrab 440 tus menyuam tuag los ntawm nws txhua xyoo hauv kaum xyoo ua ntej. Hmoov zoo, hnub no ntawm 80 thiab 90 feem pua ntawm cov menyuam tau txais tshuaj tiv thaiv feem ntau. Tab sis hauv qee thaj tsam hauv Teb Chaws Asmeskas, cov niam txiv coob zuj zus tau xaiv tawm. Thaum qhov ntawd tshwm sim, lawv nce kev pheej hmoo ntawm kev sib kis hauv lawv lub zej zog. Qhov feem ntau yog vim li cas niam txiv hla kev txhaj tshuaj? Kev txhawj xeeb txog kev nyab xeeb, txawm tias muaj pov thawj ntau dhau tias lawv tsis txaus ntshai. Cov ntaub ntawv pov thawj tsis ntev los no: tshaj tawm 2013 tsab ntawv ceeb toom los ntawm Lub Tsev Haujlwm Saib Xyuas Tshuaj Kho Mob uas pom tias Asmeskas cov sijhawm txhaj tshuaj tiv thaiv menyuam yaus muaj txiaj ntsig, muaj tsawg heev txaus ntshai. (Thiab peb yuav mus rau cov ntawd.)
Tej zaum qhov tsim muaj kev noj qab haus huv tseem ceeb tshaj plaws hauv keeb kwm, cov tshuaj tiv thaiv kab mob yog cov raug tsim txom ntawm lawv txoj kev ua tiav. Kathryn Edwards, MD, tus thawj coj ntawm Vanderbilt University Vaccine Research Program, hauv Nashville hais tias "Lawv ua tau zoo heev, lawv coj tus kabmob zoo li mob qhua pias." Cov ntaub ntawv tsis raug txog kev txhaj tshuaj kuj tseem ua rau muaj kev ntxhov siab, thiab txheeb qhov tseeb los ntawm cov ntawv cuav tsis yog ib qho yooj yim.Qhov kev xav tsis zoo tias cov tshuaj tiv thaiv kab mob qhua pias-mob-rubella (MMR) tuaj yeem ua rau muaj kev puas siab puas ntsws tau nyob hauv qee tus niam txiv lub siab rau ntau tshaj kaum xyoo txawm tias muaj ntau tshaj li kaum ob txoj kev tshawb fawb qhia tsis muaj kev sib txuas ntawm ob.
Cov tshuaj tiv thaiv muaj kev pheej hmoo, tab sis peb lub hlwb muaj lub sijhawm nyuaj ua rau muaj kev pheej hmoo hauv kev xav, hais tias Neal Halsey, MD, tus kws kho mob menyuam yaus thiab tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Kev Nyab Xeeb ntawm Johns Hopkins University, hauv Baltimore. Tib neeg yuav ntshai ya ntau dua kev tsav tsheb vim tias kev tsav tsheb yog ib txwm muaj thiab paub, tab sis kev tsav tsheb yog qhov txaus ntshai dua. Kev txhaj tshuaj tiv thaiv menyuam yaus los tiv thaiv lawv los ntawm kab mob uas ua rau muaj sia tuaj yeem ua rau mob me me, ua rau lub sijhawm luv, xws li liab thiab o tuaj ntawm qhov chaw txhaj tshuaj, ua npaws, thiab ua pob. Tab sis qhov kev pheej hmoo loj tshaj plaws, xws li kev tsis haum tshuaj hnyav, muaj tsawg dua li cov kab mob uas cov tshuaj tiv thaiv tiv thaiv. Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv tau kwv yees tias qhov kev pheej hmoo ntawm kev tsis haum tshuaj loj los ntawm ib qho tshuaj tiv thaiv yog ib qho ntawm 1 lab koob tshuaj.
Txawm tias muaj kev pheej hmoo me me, qee tus niam txiv tseem yuav txhawj xeeb, thiab qhov ntawd ua rau nkag siab. Nov yog yam koj tsis tshua hnov los ntawm kws tshaj lij tshuaj tiv thaiv: Muaj feem ntau qhov tseeb ntawm niam txiv kev txhawj xeeb, txawm tias lawv nkag siab yuam kev qee qhov tseeb, Dr. Halsey hais. Qhov ntawd ua rau nws ntxhov siab ntau dua yog tias koj tus kws kho mob tso koj qhov kev ntshai lossis hais kom txhaj tshuaj tiv thaiv yam tsis tau teb tag nrho koj cov lus nug. Hauv qee kis, cov ntaub ntawv tsis kam kho cov menyuam uas niam txiv tsis txhaj tshuaj, txawm hais tias American Academy of Pediatrics (AAP) tsis pom zoo li ntawd. Yog li peb muab koj qhov qis qis ntawm qhov kev ntshai tshaj plaws.
1. Kev txhawj xeeb: "Muaj ntau yam tshuaj tiv thaiv sai sai no yuav cuam tshuam kuv tus menyuam lub cev tiv thaiv kab mob."
Qhov tseeb: Cov niam txiv yug hauv xyoo 1970 thiab 80s tau txhaj tshuaj tiv thaiv yim kab mob. Ib qho tshuaj tiv thaiv tag nrho 2-xyoos hnub no, ntawm qhov tod tes, tuaj yeem kov yeej 14 kab mob. Yog li thaum cov menyuam tam sim no tau txhaj ntau dua-tshwj xeeb tshaj yog txij li txhua qhov tshuaj tiv thaiv feem ntau xav tau ntau koob-lawv kuj tseem tiv thaiv yuav luag ob zaug ntau dua li kab mob.
Tab sis nws tsis yog tus naj npawb ntawm kev txhaj tshuaj uas tseem ceeb; nws yog dab tsi nyob hauv lawv. Antigens yog cov kab mob los yog kab mob ntawm cov tshuaj tiv thaiv uas ua rau lub cev tiv thaiv kab mob los tsim cov tshuaj tiv thaiv thiab tiv thaiv kab mob yav tom ntej. Tag nrho cov antigens cov menyuam yaus tau txais hauv cov tshuaj tiv thaiv niaj hnub no yog ib feem ntawm cov menyuam yaus tau txais, txawm tias suav nrog cov tshuaj tiv thaiv ua ke.
"Kuv yog tus kws tshaj lij tshwj xeeb rau kev kis kab mob, tab sis kuv tsis pom kev kis mob rau menyuam yaus tom qab lawv tau txhaj tshuaj tiv thaiv tas li ntawm 2, 4, thiab 6 lub hlis, uas yuav tshwm sim yog tias lawv lub cev tiv thaiv kab mob ntau dhau," hais tias Mark H. Sawyer, MD, tus xibfwb ntawm kev kho mob menyuam yaus ntawm University of California San Diego Tsev Kawm Ntawv Tshuaj thiab Rady Children's Hospital.
2. Qhov Kev Nyuaj Siab: "Kuv tus menyuam lub cev tsis muaj zog, yog li nws muaj kev nyab xeeb los ncua qee qhov tshuaj tiv thaiv lossis tsuas yog tau txais qhov tseem ceeb tshaj plaws."
Qhov tseeb: Qhov no yog kev nkag siab yuam kev loj tshaj plaws ntawm cov niam txiv niaj hnub no, hais tias Dr. Nyob rau hauv rooj plaub ntawm MMR, ncua kev txhaj tshuaj los ntawm peb lub hlis me ntsis ua rau muaj kev pheej hmoo ntawm febrile qaug dab peg.
Tsis muaj pov thawj pom tias qhov sib nrug ntawm cov tshuaj tiv thaiv muaj kev nyab xeeb dua. Qhov paub yog tias lub sijhawm txhaj tshuaj tau pom zoo yog tsim los muab kev tiv thaiv zoo tshaj plaws. Qhov tseeb, ntau tus kws tshaj lij kis kab mob thiab kws kho mob kis mob los ntawm CDC, cov tsev kawm qib siab, thiab tsev kho mob thoob plaws tebchaws Meskas tau soj ntsuam xyuas ntau xyoo ntawm kev tshawb fawb ua ntej lawv cov lus pom zoo.
3. Qhov Kev Nyuaj Siab: "Cov tshuaj tiv thaiv muaj co toxins, xws li mercury, aluminium, formaldehyde, thiab tshuaj tua kab mob."
Qhov tseeb: Cov tshuaj tiv thaiv feem ntau yog dej nrog cov tshuaj antigens, tab sis lawv xav tau cov khoom xyaw ntxiv kom ruaj khov los yog ua kom cov tshuaj tiv thaiv zoo. Cov niam txiv txhawj xeeb txog cov tshuaj mercury vim qee cov tshuaj tiv thaiv uas muaj cov tshuaj tiv thaiv thimerosal, uas ua rau ethylmercury. Cov kws tshawb fawb tam sim no paub tias ethylmercury tsis sib sau hauv lub cev-tsis zoo li methylmercury, cov neurotoxin pom hauv qee cov ntses. Tab sis thimerosal tau raug tshem tawm ntawm txhua qhov tshuaj tiv thaiv menyuam yaus txij xyoo 2001 "raws li kev ceev faj," Dr. Halsey hais. (Cov tshuaj tiv thaiv kab mob khaub thuas ntau yam tseem muaj thimerosal rau kev ua haujlwm, tab sis ib koob tshuaj tsis muaj thimerosal.)
Cov tshuaj tiv thaiv muaj cov ntsev txhuas; cov no yog siv los txhim kho lub cev tiv thaiv kab mob, txhawb kev tsim cov tshuaj tiv thaiv ntau dua thiab ua rau cov tshuaj tiv thaiv zoo dua. Txawm hais tias txhuas tuaj yeem ua rau muaj qhov liab liab ntau dua lossis o ntawm qhov chaw txhaj tshuaj, qhov me me ntawm txhuas hauv cov tshuaj tiv thaiv-tsawg dua li cov menyuam yaus tau txais los ntawm cov mis nyuj, mis, lossis lwm qhov chaw-tsis muaj txiaj ntsig mus ntev thiab tau siv qee yam tshuaj tiv thaiv txij li thaum xyoo 1930s. "Nws nyob hauv peb cov av, hauv peb cov dej, hauv huab cua. Koj yuav tsum tau tawm hauv lub ntiaj teb kom tsis txhob raug mob," tus kws kho mob hais thiab Niam txiv Advisor Ari Brown, MD, ntawm Austin, Texas.
Cov lej ntawm formaldehyde, siv los ua kom tsis muaj peev xwm kis tau, kuj tseem muaj nyob hauv qee cov tshuaj tiv thaiv, tab sis ntau pua zaus tsawg dua li cov formaldehyde tib neeg tau txais los ntawm lwm qhov chaw, xws li txiv hmab txiv ntoo thiab cov khoom siv rwb thaiv tsev. Peb lub cev txawm tias ib txwm tsim cov formaldehyde ntau dua li cov tshuaj tiv thaiv, Dr. Halsey hais.
Txawm li cas los xij, qee cov khoom xyaw ua rau muaj kev pheej hmoo. Tshuaj tua kab mob, xws li neomycin, siv los tiv thaiv kab mob loj hlob hauv qee yam tshuaj tiv thaiv, thiab gelatin, nquag siv los tiv thaiv cov tshuaj tiv thaiv kom tsis txhob poob qis dhau sijhawm, tuaj yeem ua rau tsis tshua muaj kev tsis haum tshuaj (kwv yees ib zaug lossis ob zaug rau 1 lab koob tshuaj). Qee cov tshuaj tiv thaiv tej zaum yuav muaj cov kab mob ntawm cov qe protein, tab sis cov kev tshawb fawb tsis ntev los no tau pom tias cov menyuam yaus uas muaj qe qe tuaj yeem tau txais lawv.
Raws li rau kev tiv thaiv kab mob, nws tsuas yog tsis nyob hauv cov tshuaj tiv thaiv. Cov niam txiv tej zaum yuav tsis meej pem nws cov npe tshuaj-ob qho tib si ethylene glycol thiab propylene glycol-nrog cov khoom xyaw uas siv hauv cov txheej txheem tshuaj tiv thaiv (xws li polyethylene glycol tert-octylphenyl ether, uas tsis muaj teeb meem).
4. Kev txhawj xeeb: "Cov tshuaj tiv thaiv tsis ua haujlwm tiag tiag-saib cov tshuaj tiv thaiv khaub thuas xyoo tas los."
Qhov tseeb: Feem ntau yog 85 mus rau 95 feem pua zoo. Txawm li cas los xij, kev txhaj tshuaj tiv thaiv khaub thuas yog qhov nyuaj. Txhua xyoo, cov kws kho mob tshwj xeeb los ntawm thoob plaws lub ntiaj teb sib ntsib los kwv yees seb hom kab mob twg yuav kis tau thaum lub caij khaub thuas tom ntej. Cov tshuaj tiv thaiv qhov ua tau zoo yog nyob ntawm hom kab mob uas lawv xaiv-thiab qee zaum lawv tau ua txhaum. Qhov tshuaj tiv thaiv lub caij dhau los tsuas yog 23 feem pua muaj txiaj ntsig zoo los tiv thaiv khaub thuas; kev tshawb fawb qhia tau hais tias cov tshuaj tiv thaiv tuaj yeem txo qhov kev pheej hmoo ntawm li 50 mus rau 60 feem pua thaum xaiv txoj cai.
Yog li, yog-cov tshuaj tiv thaiv kab mob khaub thuas lub caij ntuj no dhau los tsis zoo, tab sis txawm tias 23 feem pua tsawg dua txhais tau tias ntau pua txhiab tus neeg tau dim. Cov kab hauv qab yog cov tshuaj tiv thaiv txhais tau tias tsawg dua kev tuag, mus pw hauv tsev kho mob, thiab xiam oob qhab ntau dua li lwm lub sijhawm hauv keeb kwm.
5. Kev txhawj xeeb: "Yuav tsis muaj 'lub tsev hais plaub txhaj tshuaj' yog tias cov tshuaj tiv thaiv tsis txaus ntshai."
Qhov tseeb: Raws li muaj kev nyab xeeb zoo li txhaj tshuaj tiv thaiv kab mob, tsis tshua muaj qhov xav tau tshwm sim tshwm sim, hais tias Dr. Halsey. "Thiab tib neeg yuav tsum tsis tau ris lub nra nyiaj txiag cuam tshuam nrog qhov ntawd." Lub National Vaccine Injury Compensation Program (NVICP) muab nyiaj rau cov niam txiv kom lawv tuaj yeem them nyiaj rau kev kho mob thiab lwm yam nqi cuam tshuam nrog kev raug mob hauv qhov xwm txheej tsis zoo uas lawv tus menyuam tau ntsib cov tshuaj tiv thaiv hnyav. (Lawv kuj them rau cov neeg laus raug mob los ntawm kev txhaj tshuaj tiv thaiv.)
Tej zaum koj yuav xav tsis thoob, vim li cas ho tsis foob cov tuam txhab tshuaj? Qhov ntawd yog qhov tshwm sim hauv xyoo 1980s, thaum lub kaum ob lub tuam txhab tsim tshuaj tiv thaiv raug foob. Feem ntau ntawm cov xwm txheej no tsis ua tiav, txawm li cas los xij; yeej xav tau cov niam txiv los qhia tias tshuaj tiv thaiv ua rau muaj teeb meem kev noj qab haus huv vim nws muaj qhov tsis xws luag. Tab sis cov tshuaj tiv thaiv tsis raug; lawv tsuas muaj kev pheej hmoo paub. Txawm li cas los xij, qhov kev foob tau raug hu. Ntau lub tuam txhab tsuas tso tseg kev txhaj tshuaj tiv thaiv kab mob, ua rau muaj kev tsis txaus.
Dorit Reiss, tus kws tshaj lij tshwj xeeb hauv txoj cai tshuaj tiv thaiv ntawm University of California Hastings College of Law hais tias "Cov menyuam yaus raug tso tseg yam tsis muaj tshuaj tiv thaiv, yog li Congress tau nqis los," Ua ntej nws txuas ntxiv kev tiv thaiv rau cov neeg tsim khoom yog li lawv tsis tuaj yeem raug foob hauv tsev hais plaub rau kev txhaj tshuaj tiv thaiv tshwj tsis yog tus neeg thov mus dhau NVICP ua ntej, uas tso cai rau lawv txuas ntxiv tsim cov tshuaj tiv thaiv. Congress kuj tau ua kom yooj yim rau cov niam txiv kom tau txais cov nyiaj them poob haujlwm.
Cov tsev hais plaub tshuaj tiv thaiv ua haujlwm ntawm "tsis muaj qhov txhaum cai." Cov niam txiv tsis tas yuav tsum ua pov thawj qhov ua txhaum ntawm qhov chaw tsim khoom thiab tsis tas yuav tsum tau ua pov thawj dhau qhov tsis txaus ntseeg tias cov tshuaj tiv thaiv ua rau muaj teeb meem kev noj qab haus huv. Qhov tseeb, qee qhov xwm txheej tau them rov qab txawm tias kev tshawb fawb tsis tau pom tias cov tshuaj tiv thaiv yeej ua rau lawv. Los ntawm 2006 txog 2014, 1,876 cov neeg thov tau them tawm. Qhov ntawd suav nrog ib tus neeg tau them nyiaj rau txhua 1 lab koob tshuaj txhaj tshuaj tiv thaiv, raws li Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Pabcuam.
6. Kev txhawj xeeb: "Cov tshuaj tiv thaiv zoo li ib txoj hauv kev rau cov tuam txhab tshuaj thiab kws kho mob kom tau nyiaj ntau."
Qhov tseeb: Cov tuam txhab muag tshuaj yeej pom cov txiaj ntsig los ntawm cov tshuaj tiv thaiv, tab sis lawv tsis tshua muaj tshuaj tiv thaiv. Nws kuj yog qhov tsim nyog rau cov tuam txhab tshuaj kom tau nyiaj los ntawm lawv cov khoom, ib yam li cov tuam txhab tsim tsheb tau txais txiaj ntsig los ntawm lawv. Tsis zoo rau kev ntseeg neeg ntseeg, cov tuam txhab no tsis tshua tau txais nyiaj los ntawm tsoomfwv. Yuav luag tag nrho cov nyiaj tau los rau kev tshawb fawb tshuaj tiv thaiv los ntawm National Institutes of Health mus rau cov tsev kawm qib siab.
Pediatricians tsis tau txais txiaj ntsig, ib yam. Nathan Boonstra, MD, kws kho menyuam yaus ntawm Blank Children's Hospital, hauv Des Moines hais tias "Feem ntau kev coj ua txawm tsis tau txais nyiaj los ntawm kev txhaj tshuaj tiv thaiv thiab feem ntau poob lossis ua rau lawv poob qis." "Qhov tseeb, qee tus pom tias nws kim heev rau kev yuav khoom, khaws cia, thiab muab tshuaj tiv thaiv, thiab yuav tsum xa "cov neeg mob mus rau lub nroog saib xyuas kev noj qab haus huv."
7. Kev Nyuaj Siab: "Qhov tshwm sim ntawm qee yam tshuaj tiv thaiv zoo li mob hnyav dua li tus kab mob tiag tiag."
Qhov tseeb: Nws yuav siv sijhawm kaum mus rau 15 xyoo thiab ntau qhov kev tshawb fawb rau cov tshuaj tiv thaiv tshiab los ua kom nws dhau los ntawm plaub theem ntawm kev ntsuas kev nyab xeeb thiab kev ua tau zoo ua ntej lawv tuaj yeem tau txais kev pom zoo. Txhua qhov tshuaj tiv thaiv tshiab npaj rau cov menyuam yaus yog thawj zaug sim hauv cov neeg laus, tom qab ntawd hauv cov menyuam yaus, thiab txhua lub npe tshiab thiab cov qauv tsim yuav tsum dhau los ntawm tib txoj kev. FDA tom qab ntawv tshuaj xyuas cov ntaub ntawv kom ntseeg tau tias cov tshuaj tiv thaiv ua raws li qhov chaw tsim khoom hais tias nws ua-thiab nyab xeeb. Los ntawm qhov ntawd, CDC, AAP, thiab American Academy of Family Physicians txiav txim siab seb puas yuav pom zoo. Tsis muaj ib lub koom haum lossis tuam txhab lag luam yuav nqis peev nyiaj rau hauv cov tshuaj tiv thaiv uas ua rau muaj teeb meem kev noj qab haus huv ntau dua li tiv thaiv, taw qhia Dr. Halsey: "Cov kab mob txhua yam cuam tshuam nrog cov teeb meem loj uas tuaj yeem ua rau tsev kho mob lossis tuag taus."
Txawm tias mob pox, uas ntau tus niam txiv muaj lawv tus kheej ua menyuam yaus, tua kwv yees li 100 tus menyuam ib xyoos ua ntej txhaj tshuaj tiv thaiv kab mob varicella. Thiab nws yog qhov ua rau ua rau mob necrotizing fasciitis, lossis nqaij noj cov kab mob sib kis. Dr. Halsey tau hnov cov niam txiv hais tias kev noj zaub mov zoo yuav pab lawv cov menyuam tiv thaiv cov kab mob no, tab sis feem ntau tsis yog li ntawd. Cov me nyuam noj qab nyob zoo muaj kev pheej hmoo ntawm cov teeb meem loj thiab tuag los ntawm cov kab mob no. Piv txwv li, 80 feem pua ntawm cov qaib-pox tuag tau tshwm sim rau cov menyuam yaus noj qab haus huv, nws hais.
Nws yog qhov tseeb tias cov kev mob tshwm sim me me thiab nruab nrab-xws li febrile qaug dab peg thiab kub taub hau-tsis tau hnov txog, tab sis cov kev mob tshwm sim loj heev muaj tsawg dua. Piv txwv li, qhov teeb meem loj tshaj plaws uas tau pom zoo los ntawm kev txhaj tshuaj tiv thaiv kab mob rotavirus yog intussusception, mob plab hnyuv uas yuav xav tau kev phais thiab tshwm sim ib zaug hauv txhua 20,000 txog 100,000 tus menyuam mos txhaj tshuaj tiv thaiv kab mob.
8. Qhov Kev Nyuaj Siab: "Kev yuam kuv txhaj tshuaj tiv thaiv yog ua txhaum kuv txoj cai."
Qhov tseeb: Txhua lub xeev txoj cai txhaj tshuaj tiv thaiv kab mob sib txawv; yuav tsum tau txhaj tshuaj tiv thaiv thaum lub sij hawm mus koom kev zov me nyuam, preschool, lossis tsev kawm ntawv pej xeem. Thiab yog vim li cas: Lawv tiv thaiv feem pua ntawm cov menyuam yaus uas yuav muaj kev tiv thaiv kab mob los yog rau cov tshuaj tiv thaiv tsis ua haujlwm. Txhua lub xeev tso cai zam yog tias menyuam yaus muaj laj thawj kev kho mob tsis tau txhaj tshuaj tiv thaiv kab mob, xws li mob leukemia lossis tsis tshua muaj kev tiv thaiv kab mob. Dab tsi ntxiv, txhua lub xeev tso cai rau kev zam kev ntseeg thiab / lossis kev ntseeg ntawm tus kheej, nrog rau cov kev cai sib txawv, tshwj tsis yog California (pib Lub Xya Hli 2016), Mississippi, thiab West Virginia. Lub caij no, kev zam tus nqi-thiab tus kab mob tus nqi-siab dua hauv cov xeev ntawd uas yooj yim rau cov menyuam tau txais kev zam.
"Txhua lub zej zog muaj cai tswj hwm kev tiv thaiv qib siab rau cov menyuam yaus uas tsis tuaj yeem txhaj tshuaj tiv thaiv," Dr. Halsey hais. Qhov tseem ceeb ntawm kev tiv thaiv hauv zej zog, tseem hu ua kev tiv thaiv tsiaj, dhau los ua qhov tshwj xeeb thaum lub sijhawm Disneyland tshwm sim. Vim mob qhua pias kis tau zoo heev, nws kis tau sai heev los ntawm cov zej zog uas muaj kev tiv thaiv qis dua. Disneyland nyob hauv plawv plawv Southern California, uas muaj ntau qhov kev txhaj tshuaj qis tshaj hauv lub xeev, thiab feem ntau ntawm cov neeg nyob hauv xeev California hauv cov zej zog ntawd.
"Daim duab loj heev," hais txog Dr. Halsey, "yog tias cov tshuaj tiv thaiv muaj txiaj ntsig thiab ua kom cov menyuam noj qab nyob zoo. Thiab qhov ntawd yog qhov peb txhua tus xav tau-cov niam txiv, cov kws kho mob, thiab cov neeg tsim cov tshuaj tiv thaiv."