Wani shawara da aka yanke kwanan nan ta hanyar Babbar Kotun Shari'a ta Catalonia (TSJC) ya mayar da hankali kan wani batu mai mahimmanci kuma, a lokaci guda, mai matukar muhimmanci ga dubban ma'aikata: me zai faru idan illolin allurar riga-kafi mara inganciAn dakatar da aikin, wanda aka gudanar a matsayin wani ɓangare na kamfen ɗin COVID-19, yana barin mutane ba za su iya aiki ba tsawon watanni ko shekaru. Shari'ar wani malami a Tarragona ta zama wani muhimmin lokaci na canji.
Malamin, an yi masa allurar riga-kafi da matsala ta rukunin AstraZeneca Tun kafin ya cancanci saboda tsufa, ya sami nasarar sa kotu ta fahimci cewa tsawaita hutunsa ba "cuta ce ta gama gari" ba, amma haɗarin wurin aiki da ya shafi matsayinsu na ma'aikata masu mahimmanciWannan fahimtar shari'a, wadda za ta iya yin kama da ta fasaha, duk da haka ta buɗe wani sabon yanayi ga sauran ƙwararru waɗanda ke cikin irin wannan yanayi a lokacin mawuyacin lokacin annobar.
Shari'ar malamin daga Tarragona: daga allurar riga-kafi mai mahimmanci zuwa nakasa ta wucin gadi
Jarumin wannan kuduri shine madadin malamin makarantar sakandare a TarragonaTana cikin ƙungiyar ma'aikata da hukumomin lafiya suka ɗauka a matsayin masu mahimmanci. Wannan ya sa aka kira ta don a yi mata allurar riga-kafi. Fabrairu 2021watanni da dama kafin lokacinsa ya yi, bisa ga jadawalin allurar riga-kafi na gabaɗaya, bisa ga shekarunsa.
A wancan lokacin, dabarun allurar riga-kafi sun tanadi Allurar rigakafin AstraZeneca ga mutanen da ba su kai shekara 55 ba. —daga baya ya faɗaɗa zuwa 65— waɗanda suka yi muhimman ayyuka don gudanar da al'umma, ciki har da malamai. Saboda wannan dalili, malamin ya sami kashi na takamaiman rukuni wanda daga baya aka dakatar da shi bayan an gano shi manyan lokuta na thrombosis a cikin mutanen da suka karɓe shi.
Bayan 'yan kwanaki da yin allurar, malamin ya fara lura Gajiya mai tsanani, rashin lafiya gabaɗaya, da matsalolin jijiyoyi wanda ya ƙara ta'azzara. Ya ƙare da wahala thrombosis da kuma yawan bugun jinitare da lalacewa ga jijiyoyin kwakwalwa, wanda ya buƙaci a kwantar da ita a asibiti kuma ya bar ta da ciwon daji mahimman sakamako na fahimta da ganiTun daga watan Maris na 2021, yana kan hutun rashin lafiya kuma ba zai iya komawa bakin aikinsa ba.
An gano cewa ma'aikacin yana da thrombosis na sinus na caverous na yau da kullunwani jini da ya kwarara a manyan jijiyoyin kwakwalwa da ke ƙasan kwanyar, da kuma wasu manyan matsaloli da ke da alaƙa da wannan lamari. Maris 1, 2021 da Agusta 22, 2022 A hukumance yana kan hutun nakasa na ɗan lokaci, yana fuskantar doguwar hanyar lafiya da murmurewa wadda har yanzu take shafar rayuwarsa ta yau da kullun.
Rukunin da ke da matsala da ake bincikawa: ABV5300 da kuma lokuta na thrombosis
Tushen rikicin yana cikin Katin allurar rigakafin AstraZeneca ABV5300An rarraba shi a ƙasashe da dama na Tarayyar Turai a lokacin farkon yaƙin neman zaɓen allurar riga-kafi. A Spain, bisa ga bayanai da aka bayar daga hukumar Collective Ronda, suka zo A ba da kimanin allurai 228.000 daga wannan rukunin kafin ƙararrawa ta tashi.
Cikin 'yan makonni, hukumomin lafiya daban-daban sun fara tattara bayanai cututtukan thrombosis da ke da alaƙa da thrombocytopeniaWani mummunan sakamako mai matuƙar wahala amma mai yuwuwar kisa, wanda ya faru musamman ga matasa, musamman mata 'yan ƙasa da shekara 60. Wasu daga cikin waɗannan abubuwan sun haifar da mace-maceWannan ya sa aka janye allurai da ba a yi amfani da su ba tukuna.
La Hukumar Kula da Magunguna ta Turai (EMA) kuma hukumomin sa ido kan magunguna na ƙasa sun amince cewa akwai dangantakar da za ta iya haifar da matsala tsakanin allurar rigakafin AstraZeneca da wannan takamaiman nau'in thrombosis mai ƙarancin platelets. Duk da haka, sun dage cewa dole ne a yi amfani da allurar riga-kafin AstraZeneca. Haɗarin da ke tattare da hakan bai yi yawa ba. idan aka kwatanta da fa'idodin allurar rigakafin COVID-19 gabaɗaya, kuma an ba da shawarar a takaita amfani da shi ko kuma a ba da fifiko ga wasu alluran rigakafi a wasu rukunin shekaru.
En EspañaAl'ummomi masu zaman kansu da dama sun dakatar da sauran sassan wannan rukunin da ke jiran gwamnati da zarar an fitar da rahotannin farko. Duk da haka, Dubban mutane sun riga sun karɓi maganin, daga cikinsu akwai da yawa ma'aikata masu mahimmanci wanda ya zo a yi masa allurar riga-kafi bisa gayyatar gwamnati, amincewa da amincin samfurin da kuma a cikin ƙoƙarin haɗin gwiwa don shawo kan annobar.
Martanin farko daga Tsaron Jama'a da kotuna
Duk da tsananin yanayin asibiti, tunda allurar riga-kafin ta kasance tana da alaƙa da matsayin aikinsa, Cibiyar Tsaron Jama'a ta Ƙasa (INSS) Da farko bai yi la'akari da cewa yanayin malamin ya samo asali ne daga wani hatsariAn rarraba sallamarsa a matsayin abin da ya faru na yau da kullunWato, kamar dai rashin lafiya ce da ba ta da alaƙa kai tsaye da ayyukan ƙwararru.
Wannan ƙimar farko tana da takamaiman sakamako: ƙarancin fa'idodin tattalin arzikiƙarancin kariyar zamantakewa da kuma rashin fahimtar asalin raunin da ya faru a wurin aiki. Malamin, wanda aka wakilta ta hanyar Collective RondaYa daukaka kara kan hukuncin da aka yanke na a bayyana cewa raunin da ya samu ya samo asali ne daga wani An ɗauka cewa haɗarin ya yi daidai saboda su ma'aikata ne masu mahimmanci a cikin wani kamfen na jama'a.
Shari'ar da aka kai Kotun Social Lamba 2 na TarragonaKotun ta fara yanke hukunci kan Tsaron Jama'a kuma ta yi watsi da ikirarin ma'aikacin. Kotun ƙaramar kotu ta yanke hukuncin cewa ba za a iya tabbatar da dangantakar aiki yadda ya kamata a matsayin musabbabin raunin ba kuma ta tabbatar da rarraba rashin lafiyar a matsayin cuta ta gama gari.
Ba tare da gamsuwa ba, kare malamin ya yanke shawarar kai ƙarar zuwa babbar kotu. Sun shigar da ƙara a zauren zamantakewa na Babbar Kotun Shari'a ta Catalonia, wanda zai ƙare da yin nazari sosai kan yanayin malamar da kuma yanayin da aka yi mata allurar riga-kafin.
Tsarin TSJC: "lalacewar da ba ta kai tsaye ba" a matsayin mabuɗin haɗurra a wurin aiki
Hukuncin TSJC, wanda aka bayyana kwanan nan a bainar jama'a, yana wakiltar canji mai mahimmanci a cikin kimantawar shari'a na shari'arƘungiyar Jama'a ta soke hukuncin da aka yanke a baya kuma ta yanke hukuncin cewa raunin da malamin ya samu ya yi yawa Ana ɗaukar su a matsayin haɗarin aikikamar yadda yake faruwa "a lokacin aiki", koda kuwa aikin ba shine kawai sanadin lalacewar kai tsaye ba.
Kotun ta lura cewa, bisa ga ƙa'idodin aiki, don haɗarin aiki ya wanzu Ba dole ba ne cewa aiki shine babban dalilin da ke haifar da wannan lamariYa isa cewa akwai ɗaya "dalilin da ba a kai tsaye ba" ko kuma isasshen alaƙa tsakanin aikin ƙwararru da kuma abin da ya jawo raunin. A wannan yanayin, mabuɗin shine cewa Allurar riga-kafi da wuri ta faru ne kawai saboda matsayin malaman da suka cancanta.
Kudurin ya jaddada cewa, idan malami ya Da ban kasance cikin ma'aikatan koyarwa baBa za ta yi allurar rigakafin AstraZeneca a watan Fabrairun 2021 ba, amma daga baya, lokacin da ta cancanta bisa ga shekarunta a cikin al'umma baki ɗaya. A lokacin, an riga an cire ƙwayoyin da ke da lahani daga zagayawar jini, don haka Ba za ta fuskanci takamaiman haɗarin da ke haifar da thrombosis ba da sauran matsalolin.
TSJC ta kuma nuna cewa yanayin allurar riga-kafi na son rai, wanda wani lokacin gwamnati ke tilastawa don dakatar da dangantakar aiki, Ba ya kawar da dangantaka da aikiDon dalilai na aiki, an kira malamai a matsayin wani ɓangare na ƙungiyar da aka ayyana ta hanyar aikinsu na ƙwararruda nufin kare ci gaba da ayyukan ilimi da kuma rage kamuwa da cututtuka a cikin azuzuwa.
Hukuncin da zai iya yin tasiri a duk faɗin Spain
A cewar kansa Collective Ronda, Labari ne game da Hukuncin farko na irin wannan hukunci da Babbar Kotun Shari'a ta Jihar ta yankeLauyan da ya kula da shari'ar, Pilar CasasYana nuna girman hukuncin, domin ya kafa misali wanda zai iya zama abin koyi ga sauran kotuna da kotunan shari'a yayin warware irin waɗannan shari'o'i. irin wannan yanayi na ma'aikatan da aka yi wa allurar rigakafi da ƙananan rukuni masu lahani.
Lauyan ya tuna cewa, kafin a kama waɗannan allurai, An yi wa ma'aikata da yawa allurar rigakafin da ba ta da inganci waɗanda suka yi ayyuka masu haɗarin kamuwa da cutar: malamai, ma'aikatan kiwon lafiya, jami'an tsaro, ma'aikatan kula da jin dadin jama'a da sauran manyan ƙungiyoyi don ci gaba da gudanar da ayyukan yau da kullun a lokacin annobar.
A yawancin waɗannan shari'o'in, mutanen da abin ya shafa sun ga an yi watsi da ikirarinsu, ba tare da wani amincewa da su ba asalin rashin lafiyar a wurin aikiba wai ta fuskar matsalolin aiki ko kuma ta hanyar shari'ar ɗaukar alhaki ba. Hukuncin Catalan ya buɗe ƙofa ga sauran waɗanda abin ya shafa sakamakon mummunan sakamako, waɗanda aka haɗa su da matsaloli da yawa, na iya sake tayar da ƙararrakinsu bisa ga ma'aunin "dalilan da ba a kai tsaye ba".
Gane haɗarin wurin aiki ba wai kawai yana da darajar alama ba, har ma da sakamakon kariyar tattalin arziki da zamantakewa yana da takamaiman bayani. Yana canza tushen ƙa'idoji don fa'idodi, yana iya yin tasiri ga gane nakasassu na dindindin, kuma yana ƙarfafa matsayin wanda abin ya shafa a cikin duk wani ƙarin da'awa akan hukumomin gwamnati ko kamfanonin inshorar haɗin gwiwa.
Allurar riga-kafi, ma'aikata masu mahimmanci da kuma raba haɗari
Domin fahimtar girman wannan hukunci, dole ne a yi la'akari da mahallin Tsarin allurar riga-kafi na COVID-19 An ƙaddamar da shirin a ƙarshen shekarar 2020 a Spain da sauran ƙasashen Tarayyar Turai, ƙungiyoyi ne suka tsara shirin, waɗanda suka fara da mutanen da suka fi rauni sannan kuma ƙungiyoyin da aka yi la'akari da ayyukansu. muhimmanci ga al'umma, har da malamai.
A cikin wannan tsarin, allurar rigakafin cutar An ba da fifiko ga AstraZeneca ga ma'aikata masu mahimmanci na wasu ƙungiyoyin shekaru. Wannan ya sa aka kira ƙwararru da yawa don yin allurar rigakafi. kafin sauran al'umma sudaidai don tabbatar da cewa za su iya ci gaba da gudanar da ayyukansu a tsakiyar karo na uku na annobar, tare da matsin lamba a asibiti da kuma rashin tabbas na zamantakewa.
A aikace, wannan fifikon yana nufin cewa wani takamaiman rukuni na ma'aikata ya ɗauki wani haɗari kafin wasuko da kuwa a kididdigar ya yi ƙasa sosai. Dalilin TSJC ya nuna cewa, idan wannan ƙarin fallasa ya faru saboda dalilai da suka shafi aiki—wato, saboda mutum yana cikin ƙungiyar ƙwararru ta musamman—, Ba abu ne mai kyau ba cewa sakamakon ya kamata ya faɗi ga mutum ɗaya kawai. wanda ke fama da mummunan sakamako.
Lauyan malamin ya dage cewa duk waɗannan mutanen Sun amince a yi musu allurar riga-kafi a cikin gaggawa, wanda ya buƙaci ƙarin ƙoƙari daga ma'aikata masu mahimmanci don kare dukkan jama'a. Saboda haka, yana ganin "adalci ne" cewa tsarin ya amince da shi. haƙƙoƙin aiki da tattalin arziki da suka cancanta ga waɗanda lafiyarsu ta lalace, a wasu lokuta har abada, ta hanyar allurar rigakafi da aka yi musu don amfanin kansu amma kuma don amfanin jama'a.
Illolin da ba kasafai ake samu ba, fa'idodi gabaɗaya, da kuma gibin diyya
Hukumomin kula da harkokin kuɗi na Turai sun sake nanata cewa mummunan sakamako masu illa Abokan hulɗa na AstraZeneca Kuma sauran alluran rigakafin COVID-19 ba kasafai ake samun su ba idan aka kwatanta da jimillar alluran da aka bayar da kuma wadanda aka ceta sakamakon allurar riga-kafi mai yawa. Duk da haka, ga wadanda suka fada cikin wannan karamin kaso na wadanda suka kamu da cutar, tasirin yana da zurfi kuma yana dawwama.
Rahoton kula da magunguna a Spain ya tattara dubban rahotannin abubuwan da suka faru marasa kyau Bayan allurar riga-kafi, an sanya wasu daga cikin waɗanda suka kamu da cutar a cikin mawuyacin hali, kuma ƙaramin adadin ya haifar da mutuwa. Waɗannan sun haɗa da lokutan thrombosis tare da thrombocytopenia da ke da alaƙa da wasu alluran rigakafi, gami da rukunin AstraZeneca masu matsala da aka yi amfani da su a farkon watannin kamfen ɗin.
A wasu ƙasashen Turai akwai takamaiman asusun diyya ga mutanen da ke fama da mummunan tasirin allurar rigakafi da ake bayarwa a kamfen ɗin lafiyar jama'a. A Spain, babbar hanyar shigar da ƙara ita ce zuwa yanzu alhakin mallakar kabila na gwamnati ko kuma, kamar yadda yake a wannan yanayin, fahimtar cewa raunin yana faruwa ne sakamakon wani yanayi na gaggawa da ya shafi aiki.
Hukuncin TSJC wani ɓangare ne na muhawara mai faɗi kan Wanene ya kamata ya ɗauki nauyin waɗannan diyya na musamman idan sun faru a cikin tsarin dabarun lafiyar jama'a da nufin kare al'umma gaba ɗaya. Manufar da ke ƙasa ita ce haɗarin ba zai iya faɗawa ga mutumin da ke da rashin sa'ar kasancewa cikin ƙaramin kaso na waɗanda mummunan lamari ya shafa ba.
Masana sun nuna cewa irin waɗannan shawarwari na iya taimakawa wajen inganta sauye-sauyen dokoki ko ƙirƙirar hanyoyin biyan diyya mafi bayyanannu da saurihana mutanen da abin ya shafa fuskantar dogayen hanyoyin shari'a kawai don a gane halin da suke ciki.
Wannan hukuncin da TSJC (Babban Kotun Shari'a ta Catalonia) ta yanke ya sanya wani abu da mutane da yawa ke zargi a matsayin baƙi da fari: lokacin da ma'aikaci mai mahimmanci ya fuskanci mummunan sakamako daga allurar rigakafin da ba ta da inganci da aka bayar daidai saboda matsayinsu na ƙwararruWannan ba batun sirri ba ne, kuma ba shi da alaƙa da wurin aiki. Shari'ar malamar Tarragona, tare da dogon hutunta, sakamakon cututtukan jijiyoyi, da kuma ƙin amincewa da asalin barnar da gwamnati ta yi da farko, ya nuna a fili yadda iyaka tsakanin lafiyar jama'a da haƙƙin ma'aikata za ta iya zama mara tushe. Ta hanyar yarda cewa akwai wani abu da ya shafi aikin. isassun dalilai na kai tsaye don yin magana game da haɗarin aikiTSJC ba wai kawai tana gyara yanayin mutum ɗaya ba ne, har ma tana buɗe hanyar shari'a ga sauran ma'aikata a irin wannan yanayi don neman tsarin ya ɗauki wani ɓangare na kuɗin haɗarin da aka nemi su ɗauka da sunan sha'awa ta gabaɗaya.