Kua whakaatuhia e ngā rangahau, nā te mea he maha ake ngā ngau a te waeroa i te awatea, he tikanga māmā, he tikanga whai hua hoki te whakamakuku i ngā kakahu ki ngā ārai pepeke.
Mai i Āwherika ki Amerika Latina, kātahi ki Āhia, mō ngā rautau kua takai ngā whaea i ā rātou pēpi ki te kakahu, ā, kua amohia i runga i ō rātou tuara. I ēnei rā, ko tēnei tikanga tuku iho i tētahi whakatipuranga ki tētahi whakatipuranga, ka taea te noho hei rongoā whakaora ora mō te malaria.
Kua kitea e ngā kairangahau i Uganda mā te rongoā i ngā pākete ki te permethrin hei patu ngārara ka taea te whakaiti i te maha o ngā mate malaria i waenga i ngā pēpi i roto i ngā pākete mā te rua hautoru.
Neke atu i te 600,000 ngā tāngata e mate ana i te malaria i ia tau, ko te nuinga o rātou he tamariki kei raro iho i te rima tau te pakeke i Āwherika.
I whakahaerehia tētahi whakamātautau i te kāinga taiwhenua o Kasese i te taha hauauru o Uganda, i uru atu ai te 400 o ngā whaea me ā rātou pēpi, e ono marama te pakeke. Ko te haurua o ngā pēpi i whakamahi i ngā nāpi i pangia ki te permethrin, e mōhiotia ana i te rohe ko "lesus," ko te haurua i whakamahi i ngā nāpi noa kāore i pangia, i rumakina noa ki te wai, hei ārai namu "tauira".
I whai ngā kairangahau i a rātou mō ngā marama e ono kia kite ko wai ngā pēpi i pangia e te malaria, ā, i rongoatia anō ngā nāpi i ia marama.
Ko ngā pēpi i takaihia ki ngā nāpi i rongoatia, e rua hautoru te iti ake o te tūponotanga ki te pangia e te malaria. I roto i tēnei rōpū pēpi, ko te auau o te malaria he 0.73 mō ia 100 pēpi ia wiki, ki te whakaritea ki te 2.14 mō ia 100 pēpi ia wiki i te rōpū kē.
I tū ake tētahi whaea i tētahi hui ā-hapori hei matapaki i ngā hua o te whakamātautau, ā, ka mea atu ki te katoa, "E rima āku tamariki. Koinei te wā tuatahi kua hiki ahau i tētahi tamaiti i roto i tētahi nāpi kua rongoāhia, ā, koinei anō hoki te wā tuatahi kua whānau ahau i tētahi tamaiti kāore anō kia pāngia e te malaria."
I kī a Edgar Mugma Mulogo, he ahorangi hauora tūmatanui me te kairangahau matua i Te Whare Wānanga o te Pūtaiao me te Hangarau o Mbalala i Uganda, he "tino whakahihiri" ngā kitenga mō te katoa.
"I tumanako mātou ki ngā painga ka puta mai, engari i tino miharo mātou ki te nui o aua painga."
I ohorere tana kaituhi matua, a Tākuta Ross Boyce o Te Whare Wānanga o North Carolina i Chapel Hill, ā, i mea ia me mahi anō te whakamātautau hei whakaū anō i ngā hua. "He pono, kāore au i tino mōhio i te tīmatanga ka angitu tēnei hua," te kī a Boyce, "engari koia mātou e rangahau ana."
Ko ngā waeroa e kawe ana i ngā pirinoa malaria ka kai i te pō, nō reira he mea nui ngā kupenga waeroa i roto i te aukati me te whakahaere i te malaria.
Heoi, kei te piki haere te ngau o te tangata i ngā wā kāore i te pīrahi, pērā i te ahiahi, i te atatū rānei, he urutaunga pea tēnei ki ngā kupenga waeroa.
I mea atu a Mulogo: "I mua i te wā moe, ina kei waho koe – inā koa i ngā wāhi tuawhenua kei waho ngā kīhini, ā, ka kai pea te tangata i waho – me kimi hoki e tātou he otinga hei ārai i ngā ngau ka horapa ai te malaria."
I mea ia he whānui ngā nāpi i roto i ēnei hapori, ā, ehara i te mea hei kawe pēpi anake, engari hei hāri, hei whāriki, hei āpere hoki. Ko tana tumanako ka taea e ngā nāpi kua rongoatia te whakamahi hei taputapu i roto i te pakanga a Uganda ki te malaria. I kite ia kua puta kē tēnei hiahia i roto i ngā hapori e whai wāhi ana ki te rangahau.
I whakapuaki ngā āpiha hauora o Uganda me te tumuaki o te kaupapa malaria o te Ao mō te rangahau. Tērā pea he painga te rangahau mō ngā pēpi, nā te mea ka memeha haere te pānga tiaki o ngā paturopi whaea, i mua i te werohanga o te tamaiti.
Ka hangai anō hoki tēnei rangahau ki ngā rangahau o mua mō te rongoā i ngā hāri i ngā puni rerenga o Afghanistan, i whakaatu i te angitu ōrite. Kua mōhio kē ngā aratohu a te World Health Organization ki te pānga tiaki o ngā kākahu i rongoātia ki te permethrin hei ārai i te malaria.
Ko te tumanako a Mulogo ki te whakarewa i te hanga kiriata kai kua whakakīia ki te wai ā-rohe ā muri ake nei. "He whai wāhitanga nui tēnei mō te whanaketanga pakihi ā-rohe."
E ai ki ngā kairangahau he maha ngā mahi e hiahiatia ana i mua i te whakamahinga whānui, tae atu ki te whakarato taunakitanga mō te whai huatanga o te tikanga i roto i ētahi atu horopaki.
I kī a Boyce he pai te āhua haumaru o te patupatu, ā, kua maha ngā tau e whakamahia ana i roto i te umanga kakahu, tae atu ki te ope taua o Amerika. I tūtaki tuatahi ia ki te patupatu i a ia e mahi ana i Irāki.
Ko ngā pēpi i takaihia ki ngā nāpi i rongoatia ki te permethrin, he nui ake te tūponotanga ki te pāngia e te ponana—8.5% me te 6%, ia—engari he ngawari katoa ngā take, ā, kāore i hiahiatia kia tangohia mai i te rangahau. I kī a Boyce rāua ko Mulogo me whai atu rangahau hei whakaū i te haumaru o tēnei tikanga, engari ko ōna painga he nui ake i ngā tūponotanga.
Ko te tumanako a Boyce kia rangahau mēnā ka taea hoki e te rongoā i ngā kākahu kura te whakaiti i te mate malaria. Heoi, i kī ia kāore i a ia he pūtea mō te wāhanga rangahau e whai ake nei.
Ko tāna e tumanako nei ka kukume mai ngā kaitautoko i te māmā o tēnei tikanga. "E mārama ana hoki tōku whaea ki tā mātou mahi. Ehara i te mea he aukati pūmua hanumi motuhake, he mea pērā rānei. I tangohia noa e mātou te kiko, ka rumakina, ā, he tino iti te utu," tana kī.
Wā tuku: Hanuere-20-2026