{"id":12796,"date":"2026-02-22T12:46:20","date_gmt":"2026-02-22T12:46:20","guid":{"rendered":"https:\/\/csiag.eu\/?p=12796"},"modified":"2026-03-13T11:56:05","modified_gmt":"2026-03-13T11:56:05","slug":"kizamik-koruma-yasasi","status":"publish","type":"post","link":"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/","title":{"rendered":"K\u0131zam\u0131k \u201ckoruma\u201c yasas\u0131 m\u0131?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130\u00e7indekiler tablosu<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Was_sind_Masern_%E2%80%93_Spezifische_Evasionsmechanismen\" >K\u0131zam\u0131k nedir? - Spesifik ka\u00e7\u0131nma mekanizmalar\u0131<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Defizitare_Interferon-Antwort_und_NF-%CE%BAB-Dependenz\" >Eksik interferon yan\u0131t\u0131 ve NF-\u03baB ba\u011f\u0131ml\u0131l\u0131\u011f\u0131<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Dendritische_Zellen_als_primare_Zielzellen_und_Suppression_durch_MeV\" >Birincil hedef h\u00fccreler olarak dendritik h\u00fccreler ve MeV taraf\u0131ndan bask\u0131lanma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Die_MDA5V-Protein-Interferon-Suppression\" >MDA5\/V protein interferon bask\u0131lamas\u0131<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#IL-12-Suppression_und_Th2-Verschiebung\" >IL-12 bask\u0131lanmas\u0131 ve Th2 kaymas\u0131<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Gibt_es_pflanzliche_Wirkstoffe_gegen_Masern\" >K\u0131zam\u0131\u011fa kar\u015f\u0131 bitkisel etken maddeler var m\u0131?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Was_Huaier_theoretisch_bewirken_kann\" >Huaier'in teorik olarak ba\u015farabilecekleri<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Wie_ist_der_Ablauf_einer_Masern-Infektion_und_was_bewirken_die_Huaier-Wirkstoffe\" >K\u0131zam\u0131k enfeksiyonunun seyri nas\u0131ld\u0131r ve Huaier etken maddeleri ne i\u015fe yarar?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Informationsschreiben_zur_Masern-Impfpflicht_des_MWGFD_eV\" >MWGFD e.V.'den zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131 hakk\u0131nda bilgilendirme mektubu.<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#%E2%80%A6_beschneidet_die_Rechte_der_Kinder_und_ihrer_Eltern\" >... \u00e7ocuklar\u0131n ve ebeveynlerinin haklar\u0131n\u0131 k\u0131s\u0131tl\u0131yor<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#%E2%80%A6_wie_sie_sich_aus_dem_Masernschutzgesetz_faktisch_ergibt_ist_rechtlich_umstritten\" >... fiili olarak K\u0131zam\u0131k Koruma Yasas\u0131'ndan kaynakland\u0131\u011f\u0131 i\u00e7in yasal olarak tart\u0131\u015fmal\u0131d\u0131r<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#%E2%80%A6_ist_medizinisch_sinnlos\" >... t\u0131bbi olarak anlams\u0131zd\u0131r<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Rechtsgutachten_%E2%80%93_Ist_die_Impfpflicht_nach_dem_geplanten_Masernschutzgesetz_verfassungswidrig\" >Hukuki g\u00f6r\u00fc\u015f - (Planlanan) K\u0131zam\u0131k Koruma Yasas\u0131 kapsam\u0131nda zorunlu a\u015f\u0131lama anayasaya ayk\u0131r\u0131 m\u0131?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Betroffene_Grundrechte\" >Etkilenen temel haklar<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Regelungsmechanismus_und_Zwangsstruktur\" >D\u00fczenleyici mekanizma ve zorlay\u0131c\u0131 yap\u0131<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Kritik_an_der_Verhaltnismasigkeit\" >Orant\u0131l\u0131l\u0131k ele\u015ftirisi<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Rechtsstaatliche_und_demokratische_Mangel\" >Hukukun \u00fcst\u00fcnl\u00fc\u011f\u00fc ve demokratik eksiklikler<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Das_Kombinationsimpfstoff-Problem\" >Karma a\u015f\u0131 sorunu<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Fazit\" >Sonu\u00e7<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Entwicklungen_seit_2019\" >2019'dan bu yana geli\u015fmeler<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Bundesverfassungsgericht_2022\" >Federal Anayasa Mahkemesi (2022)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Das_Kombinationsimpfstoff-Problem_wurde_Realitat\" >Karma a\u015f\u0131 sorunu ger\u00e7e\u011fe d\u00f6n\u00fc\u015ft\u00fc<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#RKI-Bilanz_nach_5_Jahren_2025\" >RKI 5 y\u0131l sonraki bilan\u00e7osu (2025)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Kritische_Nebeneffekte\" >Kritik yan etkiler<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Ausgeloster_Status\" >Tetiklenmi\u015f durum<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/#Fazit-2\" >Sonu\u00e7<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Okuma s\u00fcresi<\/span> <span class=\"rt-time\"> 21<\/span> <span class=\"rt-label rt-postfix\">dakika<\/span><\/span>\n<p class=\"wp-block-paragraph\">Biz gelmeden \u00f6nce <a href=\"https:\/\/www.bundesgesundheitsministerium.de\/fileadmin\/Dateien\/3_Downloads\/Gesetze_und_Verordnungen\/GuV\/M\/Masernschutzgesetz_Kabinett.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">K\u0131zam\u0131k Koruma Yasas\u0131<\/a> Bu makalede, \u00f6ncelikle Enfeksiyondan Korunma Yasas\u0131 (IfSG) \u00e7er\u00e7evesinde k\u0131zam\u0131k vir\u00fcs\u00fc imm\u00fcnolojisine ili\u015fkin bilimsel bir a\u00e7\u0131klama sunmak istiyoruz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Was_sind_Masern_%E2%80%93_Spezifische_Evasionsmechanismen\"><\/span>K\u0131zam\u0131k nedir? - Spesifik ka\u00e7\u0131nma mekanizmalar\u0131<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Defizitare_Interferon-Antwort_und_NF-%CE%BAB-Dependenz\"><\/span>Eksik interferon yan\u0131t\u0131 ve NF-\u03baB ba\u011f\u0131ml\u0131l\u0131\u011f\u0131<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131ktaki merkezi imm\u00fcnolojik bozukluk, klasik viral imm\u00fcn yan\u0131ttan temelde farkl\u0131d\u0131r:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k vir\u00fcs\u00fc enfeksiyonu tip 1 interferonlar\u0131 ind\u00fcklemez, ancak di\u011ferlerinin yan\u0131 s\u0131ra bu makalede g\u00f6sterildi\u011fi gibi NF-\u03baB sinyallemesi ve NLRP3 inflamazomunun aktivasyonu ile ili\u015fkili sitokinlerin ve kemokinlerin \u00fcretimine yol a\u00e7ar. <a href=\"https:\/\/www.explorationpub.com\/Journals\/ei\/Article\/1003167\" target=\"_blank\" rel=\"noreferrer noopener\">K\u0131zam\u0131k vir\u00fcs\u00fcn\u00fc anlamak: izolasyondan imm\u00fcnolojik h\u00fccresel mekanizmalara ve ba\u011f\u0131\u015f\u0131klamaya 1954-2024<\/a> ortaya \u00e7\u0131k\u0131yor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu s\u0131n\u0131rl\u0131 yan\u0131t, 10-14 g\u00fcnl\u00fck klinik olarak sessiz bir latent faz s\u0131ras\u0131nda kapsaml\u0131 viral replikasyona ve yay\u0131lmaya izin verir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Dendritische_Zellen_als_primare_Zielzellen_und_Suppression_durch_MeV\"><\/span>Birincil hedef h\u00fccreler olarak dendritik h\u00fccreler ve MeV taraf\u0131ndan bask\u0131lanma<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">MeV enfeksiyonu, olgunla\u015fmam\u0131\u015f pulmoner dendritik h\u00fccrelerin (DC) ve\/veya alveolar makrofajlar\u0131n MeV partik\u00fcllerini yuttu\u011fu veya enfekte oldu\u011fu ve daha sonra viral yay\u0131l\u0131m\u0131 destekledikleri lenf d\u00fc\u011f\u00fcmlerine g\u00f6\u00e7 ettikleri hava yolu mukozas\u0131nda ba\u015flar. Tam metnine \u00fccretsiz olarak ula\u015f\u0131labilen \u00e7al\u0131\u015fma <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7994291\/\" target=\"_blank\" rel=\"noreferrer noopener\">K\u0131zam\u0131k ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 ve imm\u00fcnosupresyon<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Viral ka\u00e7\u0131nma cephaneli\u011fi \u00f6zellikle DC i\u015flevine y\u00f6neliktir: Glikoprotein H'nin dendritik h\u00fccrelerin y\u00fczeyindeki CD150'ye ba\u011flanmas\u0131, T h\u00fccresi olgunla\u015fmas\u0131 ve \u00e7o\u011falmas\u0131n\u0131n yan\u0131 s\u0131ra T h\u00fccrelerine DC antijen sunumu i\u00e7in gerekli olan IL-12 sitokin \u00fcretiminin engellenmesine neden olur.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Die_MDA5V-Protein-Interferon-Suppression\"><\/span>MDA5\/V protein interferon bask\u0131lamas\u0131<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k V proteini, fosfataz PP1'i hedef al\u0131r ve C-terminal ucundaki PP1 ba\u011flay\u0131c\u0131 bir motif arac\u0131l\u0131\u011f\u0131yla onu tutarak ba\u011f\u0131\u015f\u0131kl\u0131k sens\u00f6r\u00fc MDA5'in sitokin ind\u00fcksiyonu yoluyla uyar\u0131 g\u00f6revini yerine getirmesini engeller. Ne yaz\u0131k ki sadece \u00f6zet olarak \u00fccretsiz eri\u015filebilen bir \u00e7al\u0131\u015fma <a href=\"https:\/\/link.springer.com\/chapter\/10.1007\/978-3-540-70617-5_13\" target=\"_blank\" rel=\"noreferrer noopener\">K\u0131zam\u0131k Vir\u00fcs\u00fcn\u00fcn Konak\u00e7\u0131 Do\u011fu\u015ftan Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 ve Dendritik H\u00fccreler ile D\u00fc\u015fmanca \u0130leti\u015fimi<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MeV gen \u00fcr\u00fcnleri IFN ind\u00fcksiyonu ve IFN sinyalizasyon kaskad\u0131n\u0131n neredeyse her bir ad\u0131m\u0131n\u0131 hedef al\u0131r ve sadece sekiz viral protein, bu \u00e7al\u0131\u015fmada g\u00f6sterildi\u011fi gibi, interferon kaskad\u0131n\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde azaltan bir kar\u015f\u0131 \u00f6nlem cephaneli\u011fi olu\u015fturur <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1879625720300109\" target=\"_blank\" rel=\"noreferrer noopener\">Aramak ve saklanmak: k\u0131zam\u0131k vir\u00fcs\u00fcn\u00fcn do\u011fu\u015ftan gelen ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ile manip\u00fcle edici etkile\u015fimi <\/a>- ne yaz\u0131k ki sadece \u00fccret kar\u015f\u0131l\u0131\u011f\u0131nda tam metin olarak mevcuttur - a\u00e7\u0131k\u00e7a g\u00f6sterilmi\u015ftir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"IL-12-Suppression_und_Th2-Verschiebung\"><\/span>IL-12 bask\u0131lanmas\u0131 ve Th2 kaymas\u0131<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">IL-12 salg\u0131lanmas\u0131n\u0131n genel olarak engellenmesi, Th1 h\u00fccre pop\u00fclasyonunun ind\u00fcksiyonunu ortadan kald\u0131r\u0131r ve anti-enflamatuar \u00f6zelliklere sahip Th2 h\u00fccre olgunla\u015fmas\u0131n\u0131 destekler. Bu, imm\u00fcnosupresyon i\u00e7in kritik bir mekanizmad\u0131r.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Gibt_es_pflanzliche_Wirkstoffe_gegen_Masern\"><\/span>K\u0131zam\u0131\u011fa kar\u015f\u0131 bitkisel etken maddeler var m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hay\u0131r, bitkisel maddeler bu mekanizmay\u0131 sentetik peptitler veya antikorlarla ayn\u0131 \u015fekilde bloke edemez.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MeV inhibisyonuna ra\u011fmen p38 fosforilasyonunu s\u00fcrd\u00fcrebilen bir ajan olsayd\u0131, \u00f6rne\u011fin TAK1 gibi yukar\u0131 ak\u0131\u015f kinazlar\u0131n\u0131 aktive ederek, IL-12 \u00fcretimi k\u0131smen geri kazan\u0131labilirdi. Bu ajan\u0131n dendritik h\u00fccrelerde \u00fcretilmesi gerekecektir<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>p38 MAPK'\u0131 etkinle\u015ftirin (devre d\u0131\u015f\u0131 b\u0131rakmay\u0131n)<\/li>\n\n\n\n<li>TAK1'i spesifik olarak uyar\u0131n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ve b\u00f6yle bir aktif madde bilinmemektedir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k imm\u00fcnosupresyonu sadece genel bir inflamatuar defekt de\u011fil, ayn\u0131 zamanda bir <strong>Son derece spesifik viral ka\u00e7\u0131rma stratejisi<\/strong>, Bu durumla evrensel botanik ajanlarla m\u00fccadele etmek imkans\u0131z olmasa da zordur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Viral ka\u00e7\u0131nma cephaneli\u011fi \u00f6zellikle DC i\u015flevine y\u00f6neliktir: Glikoprotein H'nin dendritik h\u00fccrelerin y\u00fczeyindeki CD150'ye ba\u011flanmas\u0131, T h\u00fccresi olgunla\u015fmas\u0131 ve \u00e7o\u011falmas\u0131n\u0131n yan\u0131 s\u0131ra T h\u00fccrelerine DC antijen sunumu i\u00e7in gerekli olan IL-12 sitokin \u00fcretiminin engellenmesine neden olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ve bu mekanizma \u015fu anda sadece<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>SLAM'a kar\u015f\u0131 monoklonal antikorlar<\/strong> <\/li>\n\n\n\n<li><strong>MeV-HSentetik peptitler<\/strong> (SGFDPLITHA gibi) <\/li>\n\n\n\n<li><strong>Viral n\u00f6tralize edici antikorlar<\/strong> (k\u0131zam\u0131k a\u015f\u0131s\u0131nda oldu\u011fu gibi)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">engellenebilir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Was_Huaier_theoretisch_bewirken_kann\"><\/span>Huaier'in teorik olarak ba\u015farabilecekleri<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">E\u011fer Huaier e\u011fitimli ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 tetiklediyse, teorik olarak<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>hava yolu mukozas\u0131ndaki ilk do\u011fu\u015ftan gelen ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131n\u0131 g\u00fc\u00e7lendirir<\/li>\n\n\n\n<li>ilk 1-2 g\u00fcn i\u00e7inde vir\u00fcs replikasyonunu azalt\u0131r<\/li>\n\n\n\n<li>vir\u00fcs lenf d\u00fc\u011f\u00fcmlerine ula\u015fmadan \u00f6nce vir\u00fcs miktar\u0131n\u0131 azaltmak<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">ama <strong>de\u011fil<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MeV-H proteini taraf\u0131ndan dendritik h\u00fccrelerde IL-12 bask\u0131lanmas\u0131n\u0131 \u00f6nlemek<\/li>\n\n\n\n<li>SLAM'\u0131n a\u015fa\u011f\u0131 reg\u00fclasyonunu \u00f6nlemek<\/li>\n\n\n\n<li>Th1\u2192Th2 kayd\u0131rmas\u0131n\u0131 geri al\u0131n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Wie_ist_der_Ablauf_einer_Masern-Infektion_und_was_bewirken_die_Huaier-Wirkstoffe\"><\/span>K\u0131zam\u0131k enfeksiyonunun seyri nas\u0131ld\u0131r ve Huaier etken maddeleri ne i\u015fe yarar?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Huaier \u00f6ncelikle \u015fu alanlarda \u00e7al\u0131\u015f\u0131yor <strong>A\u015fama 1-3<\/strong>, erken imm\u00fcn aktivasyonu ve antiviral sitokin yan\u0131t\u0131n\u0131 art\u0131rmak i\u00e7in. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>PRR aktivasyonu (faz 1)<\/strong><br>erken tespit, \u00f6rne\u011fin TLR'ler, RIG-I, MDA5<\/li>\n\n\n\n<li><strong>Kinaz aktivasyonu &amp; NF-\u03baB \/ MAPK \/ PI3K-AKT (faz 2)<\/strong><br>Sinyal amplifikasyonu, enflamatuar yan\u0131t, h\u00fccre sa\u011fkal\u0131m\u0131<\/li>\n\n\n\n<li><strong>Transkripsiyon programlar\u0131 ve sitokinler (Faz 3)<\/strong><br>IFN-\u03b1\/\u03b2 \u00fcretimi, TNF-\u03b1, IL-6, IL-1\u03b2<\/li>\n\n\n\n<li><strong>Paralel sinyal yollar\u0131<\/strong><br>MAPK kaskad\u0131 (RAS \u2192 RAF \u2192 MEK \u2192 ERK \u2192 AP-1)<br>PI3K \u2192 AKT \u2192 mTOR \u2192 Metabolizma\/h\u00fccre sa\u011fkal\u0131m\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. ve 5. A\u015famalar<\/strong> (interferon sinyali, antiviral etki a\u015famas\u0131) muhtemelen ISG transkripsiyonunu art\u0131rarak dolayl\u0131 olarak desteklenir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Faz 3'te daha fazla IFN-\u03b1\/\u03b2 \u00fcretimi<\/strong><br>- Huaier NF-\u03baB ve IRF3'\u00fc art\u0131r\u0131r \u2192 daha fazla IFN-\u03b1\/\u03b2 \u00fcretilir.<br>- Bu IFN daha sonra faz 4'te IFNAR1\/2 \u00fczerinde etkili olur \u2192 daha g\u00fc\u00e7l\u00fc JAK-STAT aktivasyonu \u2192 ISGF3 kompleksinin olu\u015fumu.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>PI3K-AKT arac\u0131l\u0131\u011f\u0131yla sinyal amplifikasyonu<\/strong><br>- Huaier, faz 2'de JAK-STAT sinyalizasyonunun ve transkripsiyon fakt\u00f6rlerinin etkinli\u011fini art\u0131rd\u0131\u011f\u0131 bilinen PI3K-AKT'yi aktive eder.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Transkripsiyon i\u00e7in daha iyi h\u00fccre haz\u0131rl\u0131\u011f\u0131<\/strong><br>- MAPK sinyalle\u015fmesi ve epigenetik mod\u00fclasyon (HAT'lar, HDAC'lar, DNMT'ler) gibi paralel s\u00fcre\u00e7ler, kromatin yap\u0131s\u0131n\u0131 ISG transkripsiyonu i\u00e7in daha elveri\u015fli hale getirebilir.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015fa\u011f\u0131daki \u015fekil, daha iyi bir anlay\u0131\u015f i\u00e7in Huaier polisakkaritlerinin ve k\u0131zam\u0131k vir\u00fcs\u00fcn\u00fcn 5 a\u015famas\u0131n\u0131 ve sinyal yollar\u0131n\u0131 g\u00f6stermektedir:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4-1024x683.png\" alt=\"\" class=\"wp-image-12870\" srcset=\"https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4-1024x683.png 1024w, https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4-300x200.png 300w, https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4-768x512.png 768w, https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4-18x12.png 18w, https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4-930x620.png 930w, https:\/\/csiag.eu\/wp-content\/uploads\/2026\/02\/Masern_Huaier_V4.png 1536w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Informationsschreiben_zur_Masern-Impfpflicht_des_MWGFD_eV\"><\/span>MWGFD e.V.'den zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131 hakk\u0131nda bilgilendirme mektubu.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015fa\u011f\u0131daki i\u00e7erik nazik izinle yeniden \u00fcretilmi\u015ftir (12\/03\/2026 tarihli) <a href=\"https:\/\/meine-freie-impfentscheidung.de\/media\/download\/broschuere_a4_doppelseitig.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Yay\u0131n<\/a> MWGFD e.V.'nin (<em>Sa\u011fl\u0131k, \u00d6zg\u00fcrl\u00fck ve Demokrasi i\u00e7in Hekimler ve Bilim \u0130nsanlar\u0131 e.V<\/em>) metne referans olarak entegre edilmi\u015f ve\/veya eklenmi\u015f ba\u011flant\u0131larla birlikte.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k Koruma Yasas\u0131 fiili bir zorunlu a\u015f\u0131lamaya yol a\u00e7makta ve t\u0131p eti\u011fini ihlal etmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Doktor ve hasta aras\u0131ndaki etkile\u015fimden daha hassas bir etkile\u015fim neredeyse yoktur. Hasta psikolojik ve \u00e7o\u011fu zaman fiziksel olarak savunmas\u0131z bir konumdad\u0131r. Ayr\u0131ca bilgi d\u00fczeyleri, ba\u011f\u0131ml\u0131l\u0131klar\u0131 ve stat\u00fcleri a\u00e7\u0131s\u0131ndan da daha zay\u0131f bir konumdad\u0131rlar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Faydal\u0131 bir doktor-hasta etkile\u015fimi ancak mutlak g\u00fcven varsa i\u015fe yarayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle, bu etkile\u015fimin etik standartlar\u0131 \u00e7ok eski zamanlarda, bizim \u201e<em>Hipokrat Yemini<\/em>\u201c bilinmektedir. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu konudaki en \u00f6nemli ilke \u015fu form\u00fclle \u00f6zetlenebilir \u201e<em>primum nil nocere<\/em>\u201c, yani \u201eher \u015feyden \u00f6nce zarar verme\u201c anlam\u0131na gelmektedir. Nazi y\u00f6netimi ve Japon i\u015fgali s\u0131ras\u0131nda \u00c7in'de ve ba\u015fka yerlerde t\u0131bb\u0131n k\u00f6t\u00fcye kullan\u0131lmas\u0131yla karakterize edilen 20. y\u00fczy\u0131lda, ikinci etik k\u00f6\u015fe ta\u015f\u0131 <em>Ayd\u0131nlat\u0131lm\u0131\u015f onam ilkesi<\/em> eklendi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu etik ilkeler, Cicero'ya dayanarak, hastan\u0131n refah\u0131n\u0131 t\u00fcm de\u011ferlendirmelerin merkezine yerle\u015ftirme i\u015flevine sahiptir: \u201e<em>salus aegroti suprema lex<\/em>\u201c - hastan\u0131n iyili\u011fi en \u00fcst\u00fcn yasad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k Koruma Yasas\u0131, k\u0131zam\u0131\u011fa kar\u015f\u0131 a\u015f\u0131 olundu\u011funun kan\u0131tlanmas\u0131n\u0131 zorunlu k\u0131larak, fiilen zorunlu bir k\u0131zam\u0131k a\u015f\u0131s\u0131na yol a\u00e7makta ve dolay\u0131s\u0131yla mant\u0131ksal olarak bilgilendirilmi\u015f r\u0131za temel ilkesini ihlal etmektedir: Tan\u0131m\u0131 gere\u011fi, zorunlu bir tedbir reddedilemez, bu da r\u0131zay\u0131 konu d\u0131\u015f\u0131 k\u0131lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zarar vermeme ilkesi genellikle yanl\u0131\u015f anla\u015f\u0131lmaktad\u0131r. Bu ilke, akla gelebilecek t\u00fcm tehlikelerin \u00f6nleyici bir tedbir olarak bertaraf edilmesi gerekti\u011fi anlam\u0131na gelmemekte, daha ziyade bir tedavinin ancak belirli bir vakada zarardan \u00e7ok fayda sa\u011flayaca\u011f\u0131ndan emin olundu\u011fu takdirde kullan\u0131lmas\u0131 gerekti\u011fi anlam\u0131na gelmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k Koruma Yasas\u0131'ndan kaynaklanan k\u0131zam\u0131k a\u015f\u0131s\u0131 olma zorunlulu\u011fu bu ilkenin a\u00e7\u0131k bir ihlalidir, \u00e7\u00fcnk\u00fc a\u015f\u0131 ilgili ki\u015fi i\u00e7in sadece teorik bir fayda sa\u011flar, ancak yan etkiler nedeniyle kesinlikle \u00f6l\u00e7\u00fclebilir bir risk olu\u015fturur.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%80%A6_beschneidet_die_Rechte_der_Kinder_und_ihrer_Eltern\"><\/span>... \u00e7ocuklar\u0131n ve ebeveynlerinin haklar\u0131n\u0131 k\u0131s\u0131tl\u0131yor<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Mart 2020\u201eden bu yana y\u00fcr\u00fcrl\u00fckte olan \u201cK\u0131zam\u0131k Koruma Yasas\u0131\", ebeveynleri, \u00f6zellikle de \u00e7ocuklar\u0131n\u0131 bir kre\u015fe veya anaokuluna yerle\u015ftirmek istiyorlarsa, k\u0131zam\u0131k a\u015f\u0131s\u0131 yapt\u0131rmaya zorlayan fiili bir a\u015f\u0131 y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc i\u00e7ermektedir.<br>Bu, 9. e\u011fitim-\u00f6\u011fretim y\u0131l\u0131ndan sonra okula giden \u00e7ocuklar i\u00e7in de ge\u00e7erlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu kan\u0131t sunma y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fcn\u00fc ihlal eden ebeveynler genellikle a\u011f\u0131r para cezalar\u0131na \u00e7arpt\u0131r\u0131lmaktad\u0131r. K\u0131zam\u0131k Koruma Yasas\u0131 ile ili\u015fkilendirilen fiili a\u015f\u0131lama zorunlulu\u011fu, a\u015fa\u011f\u0131daki haklar\u0131m\u0131z gibi \u00f6nemli temel haklar\u0131n a\u011f\u0131r bir ihlalini temsil etmektedir <em><a href=\"https:\/\/www.gesetze-im-internet.de\/gg\/art_2.html\" target=\"_blank\" rel=\"noopener\">Madde 2 GG<\/a><\/em> g\u00fcvence alt\u0131na al\u0131nan fiziksel b\u00fct\u00fcnl\u00fck hakk\u0131 ve hareket \u00f6zg\u00fcrl\u00fc\u011f\u00fc hakk\u0131 <em>Madde 6 GG<\/em> \u201eebeveyn haklar\u0131\u201c olarak tan\u0131mlanan, \u00f6rne\u011fin <a href=\"https:\/\/individuelle-impfentscheidung.de\/fileadmin\/Downloads\/Rechtsgutachten_Rixen_Langfassung.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Hukuki g\u00f6r\u00fc\u015f<\/a> Dr. Stephan Rixen taraf\u0131ndan 11 Ekim 2019 tarihinden itibaren sunulacakt\u0131r (s. 118):<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201e<em><strong>(Planlanan) K\u0131zam\u0131k Koruma Yasas\u0131'n\u0131n zorunlu a\u015f\u0131lamaya ili\u015fkin h\u00fck\u00fcmleri, doktorlar\u0131n Anayasa'n\u0131n 12(1) ve 3(1) maddeleri kapsam\u0131ndaki temel haklar\u0131n\u0131 ihlal etmektedir.<\/strong><\/em>\u201e,<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ve Alman Medeni Kanunu (<em><a href=\"https:\/\/www.gesetze-im-internet.de\/bgb\/__1626.html\" target=\"_blank\" rel=\"noreferrer noopener\">BGB \u00a71626<\/a><\/em>) ebeveynlerin \u00e7ocuklar\u0131n\u0131n velayetini alma hakk\u0131ndan mahrum b\u0131rak\u0131lmas\u0131:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201e<em>(1) <strong>Ebeveynlerin re\u015fit olmayan \u00e7ocu\u011fa bakma g\u00f6revi ve hakk\u0131 vard\u0131r (ebeveyn velayeti). Ebeveyn bak\u0131m\u0131, \u00e7ocu\u011fun \u015fahs\u0131n\u0131n (ki\u015fisel bak\u0131m) ve mallar\u0131n\u0131n (mal bak\u0131m\u0131) bak\u0131m\u0131n\u0131 i\u00e7erir<\/strong>.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>(2) <strong>Ebeveynler, bak\u0131m ve yeti\u015ftirme s\u00fcrecinde \u00e7ocu\u011fun artan yeteneklerini ve ba\u011f\u0131ms\u0131z ve sorumlu hareket etme ihtiyac\u0131n\u0131 g\u00f6z \u00f6n\u00fcnde bulundururlar. Ebeveynlikle ilgili konular\u0131, \u00e7ocu\u011fun geli\u015fim a\u015famas\u0131na g\u00f6re uygun oldu\u011funda \u00e7ocukla tart\u0131\u015f\u0131r ve bir anla\u015fmaya varmaya \u00e7al\u0131\u015f\u0131rlar.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>(3) <strong>Kural olarak, her iki ebeveynle de g\u00f6r\u00fc\u015fmek \u00e7ocu\u011fun y\u00fcksek yarar\u0131nad\u0131r. Ayn\u0131 durum, \u00e7ocu\u011fun geli\u015fimi i\u00e7in faydal\u0131 olmas\u0131 halinde, \u00e7ocu\u011fun ba\u011f kurdu\u011fu di\u011fer ki\u015filerle temas i\u00e7in de ge\u00e7erlidir.<\/strong>\u201e<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00f6re <a href=\"https:\/\/www.gesetze-im-internet.de\/gg\/art_6.html\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Madde 6 paragraf 2 c\u00fcmle 1 GG<\/em> <\/a>Ancak devlet, hakl\u0131 bir gerek\u00e7e olmaks\u0131z\u0131n ebeveynlerin \u00e7ocuklar\u0131n\u0131 yeti\u015ftirme hakk\u0131na m\u00fcdahale edemez:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201e<em><strong>\u00c7ocuklar\u0131n bak\u0131m\u0131 ve yeti\u015ftirilmesi ebeveynlerin do\u011fal hakk\u0131 ve birincil g\u00f6revidir<\/strong>.<\/em>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Anayasa Mahkemesi'nin zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131na ili\u015fkin 21 Temmuz 2022 tarihli karar\u0131 (<em><a href=\"https:\/\/www.bundesverfassungsgericht.de\/SharedDocs\/Entscheidungen\/DE\/2020\/05\/rk20200511_1bvr046920.html\" target=\"_blank\" rel=\"noreferrer noopener\">1 BvR 469\/20, 1 BvR 471\/20, 1 BvR470\/20, 1 BvR 472\/20<\/a><\/em>) k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n b\u00f6yle bir neden oldu\u011funu kan\u0131tlamam\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yarg\u0131\u00e7lar, karar verilmeden \u00f6nce bile, \u201e<em>Sa\u011fl\u0131k hizmetleri<\/em>\u201c \u201e<em>t\u0131bbi makuliyet standartlar\u0131na kar\u015f\u0131 gelme konusunda daha az \u00f6zg\u00fcrd\u00fcrler<\/em>\".<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle mahkeme, a\u015f\u0131laman\u0131n en ba\u015f\u0131ndan itibaren - yani muayeneden \u00f6nce bile - \u201et\u0131bbi a\u00e7\u0131dan makul\u201c oldu\u011funa karar vermi\u015ftir; oysa mahkemenin incelemesi gereken tam da buydu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u00e7\u0131klay\u0131c\u0131 memorandum, t\u0131bbi-bilimsel a\u00e7\u0131dan savunulmas\u0131 m\u00fcmk\u00fcn olmayan \u00e7ok say\u0131da iddia2 i\u00e7ermektedir, \u00f6rn.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> \"<em>K\u0131zam\u0131k a\u015f\u0131s\u0131 akut k\u0131zam\u0131\u011fa kar\u015f\u0131 g\u00fcvenilir bir koruma sa\u011flar.<\/em><\/li>\n\n\n\n<li><em>A\u015f\u0131lama, do\u011fal bir enfeksiyonla kar\u015f\u0131la\u015ft\u0131r\u0131labilir bir ba\u011f\u0131\u015f\u0131kl\u0131k tepkisine neden olur.<\/em>\"<\/li>\n\n\n\n<li>\"<em>Canl\u0131 a\u015f\u0131 ile ba\u015far\u0131l\u0131 bir a\u015f\u0131lamadan sonra, k\u0131zam\u0131\u011fa kar\u015f\u0131 \u00f6m\u00fcr boyu koruma sa\u011fland\u0131\u011f\u0131 varsay\u0131l\u0131r.<\/em>\"<\/li>\n\n\n\n<li>\"<em>Bir a\u015f\u0131n\u0131n etkinli\u011fi, a\u015f\u0131 reaksiyonlar\u0131 ve a\u015f\u0131 komplikasyonlar\u0131 bilimsel olarak iyi ara\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r.<\/em>\"<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00fcm bu tezler, g\u00fcncel bir Cochrane incelemesi ve Avrupa Hastal\u0131k \u00d6nleme ve Kontrol Merkezi'nin (ECDC) y\u0131ll\u0131k raporunda yer alan epidemiyolojik veriler taraf\u0131ndan \u00e7\u00fcr\u00fct\u00fclmektedir:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD004407.pub5\/full\" target=\"_blank\" rel=\"noreferrer noopener\">Pietrantonj ve di\u011ferleri: \u00c7ocuklarda k\u0131zam\u0131k, kabakulak, k\u0131zam\u0131k\u00e7\u0131k ve su\u00e7i\u00e7e\u011fi a\u015f\u0131lar\u0131. Cochrane 2021<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ecdc.europa.eu\/en\/publications-data\/measles-annual-epidemiological-report-2024\" target=\"_blank\" rel=\"noreferrer noopener\">ECDC: K\u0131zam\u0131k y\u0131ll\u0131k epidemiyolojik raporu 2024<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>K\u0131zam\u0131k a\u015f\u0131s\u0131 g\u00fcvenilir bir koruma sa\u011flamaz (sadece hasta bir ki\u015fiyle do\u011frudan temas halinde 80-85%).<\/li>\n\n\n\n<li>A\u015f\u0131lama sonras\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131, do\u011fal enfeksiyon yoluyla olu\u015fan ba\u011f\u0131\u015f\u0131kl\u0131ktan daha d\u00fc\u015f\u00fckt\u00fcr.<\/li>\n\n\n\n<li>Zaten s\u0131n\u0131rl\u0131 olan koruma zamanla a\u015f\u0131n\u0131r.<\/li>\n\n\n\n<li>A\u015f\u0131n\u0131n etkinli\u011fi ve g\u00fcvenli\u011fi yeterince ara\u015ft\u0131r\u0131lmam\u0131\u015ft\u0131r. Cochrane incelemesinin yazarlar\u0131<br>a\u00e7\u0131klamalar\u0131n\u0131, di\u011fer hususlar\u0131n yan\u0131 s\u0131ra, baz\u0131lar\u0131 d\u00fc\u015f\u00fck kalitede olan g\u00f6zlemsel \u00e7al\u0131\u015fmalara dayand\u0131rmakta ve<br>kan\u0131tlar\u0131n d\u00fc\u015f\u00fck ila orta d\u00fczeyde oldu\u011funu belirtmi\u015ftir.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131\u011f\u0131n ge\u00e7 bir sonucu oldu\u011fu iddia edilen subakut sklerozan panensefalit (SSPE) ile ilgili ifadeler de bilimsel a\u00e7\u0131dan tart\u0131\u015fmal\u0131d\u0131r. Federal Anayasa Mahkemesi, k\u0131zam\u0131\u011f\u0131n bebeklikte veya ya\u015fam\u0131n ilk y\u0131l\u0131nda artan komplikasyon oran\u0131na hakl\u0131 olarak at\u0131fta bulunarak, a\u015f\u0131lanm\u0131\u015f annelerin zay\u0131f veya eksik yuva korumas\u0131 nedeniyle, k\u0131zam\u0131\u011f\u0131n a\u015f\u0131laman\u0131n ba\u015flamas\u0131ndan bu yana bebeklerde daha yayg\u0131n hale geldi\u011fi ger\u00e7e\u011fini a\u00e7\u0131k\u00e7a g\u00f6z ard\u0131 etmi\u015ftir.<br>Bu durum, Federal Anayasa Mahkemesi'nin bu karar\u0131 g\u00f6zden ge\u00e7irmesini ka\u00e7\u0131n\u0131lmaz k\u0131lmaktad\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%80%A6_wie_sie_sich_aus_dem_Masernschutzgesetz_faktisch_ergibt_ist_rechtlich_umstritten\"><\/span>... fiili olarak K\u0131zam\u0131k Koruma Yasas\u0131'ndan kaynakland\u0131\u011f\u0131 i\u00e7in yasal olarak tart\u0131\u015fmal\u0131d\u0131r<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k Koruma Yasas\u0131, yeni a\u015f\u0131lama y\u00fck\u00fcml\u00fcl\u00fckleri i\u00e7in bir plan sa\u011flayan bir \u201eTruva at\u0131\u201c oldu\u011fu i\u00e7in kendi kaderimizi tayin etme ve kendi sorumlulu\u011fumuzdaki sa\u011fl\u0131\u011f\u0131m\u0131z i\u00e7in de bir tehdit olu\u015fturmaktad\u0131r<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rne\u011fin, D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc daha fazla \u201eyeni\u201c patojeni pandemiyle ilgili olarak s\u0131n\u0131fland\u0131rabilir; bu da Alman h\u00fck\u00fcmetinin Eyl\u00fcl 2025\u201ete de\u011fi\u015ftirilmi\u015f \u201cDS\u00d6 Uluslararas\u0131 Sa\u011fl\u0131k T\u00fcz\u00fc\u011f\u00fc \"n\u00fc kabul etmesiyle kolayla\u015facakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k Koruma Yasas\u0131 ve bu yasada \u00f6ng\u00f6r\u00fclen fiili zorunlu a\u015f\u0131lama lehine \u00f6ne s\u00fcr\u00fclen arg\u00fcman, a\u015f\u0131 olma iste\u011finin azald\u0131\u011f\u0131 iddias\u0131yd\u0131.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu arg\u00fcman yanl\u0131\u015ft\u0131r. O d\u00f6nemde \u00e7ocuklar\u0131n 97 %'si en az bir kez, 93 %'si ise iki kez a\u015f\u0131lanm\u0131\u015ft\u0131r. Bu rakamlar son birka\u00e7 y\u0131lda \u00e7ok az de\u011fi\u015fmi\u015ftir. Bu, Almanya'daki a\u015f\u0131lama kapsama oran\u0131n\u0131n, halihaz\u0131rda bir a\u015f\u0131lama program\u0131n\u0131n uyguland\u0131\u011f\u0131 di\u011fer \u00fclkelere k\u0131yasla \u00f6nemli \u00f6l\u00e7\u00fcde daha y\u00fcksek oldu\u011fu anlam\u0131na gelmektedir.<br>a\u015f\u0131lama zorunluydu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.rki.de\/DE\/Aktuelles\/Publikationen\/Epidemiologisches-Bulletin\/2019\/18_19.pdf?__blob=publicationFile&amp;v=1\" target=\"_blank\" rel=\"noreferrer noopener\">(5)<\/a> \u201e<strong><em>\u0130lk k\u0131zam\u0131k a\u015f\u0131lamas\u0131 i\u00e7in a\u015f\u0131lama oran\u0131 95,9 %'den (2008) 96,7 %'ye (2012) y\u00fckselmi\u015f ve 2017 y\u0131l\u0131nda \u00fclke genelinde 97,1 %'ye ula\u015fm\u0131\u015ft\u0131r (2016'da oldu\u011fu gibi) (bkz. \u015eekil 1, s. 148).<\/em><\/strong>\u201e<br>\u201eI<strong><em>2017 y\u0131l\u0131nda, \u00e7ocuklar\u0131n 92,6 %'si okula giri\u015f muayenelerinde iki kez kabakulak ve mukus taramas\u0131ndan ge\u00e7irilmi\u015ftir.<br>k\u0131zam\u0131k\u00e7\u0131\u011fa kar\u015f\u0131 a\u015f\u0131lanm\u0131\u015f.<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/edoc.rki.de\/bitstream\/handle\/176904\/11635\/EB-15-2024-BEITRAG-Masern.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">(6)<\/a> \u201e<strong><em>\u00d6rne\u011fin, 2020 okula giri\u015f s\u0131navlar\u0131nda \u00e7ocuklar\u0131n 97,2%'si (federal eyalet d\u00fczeyinde aral\u0131k: 95,3%-98,6%) ilk a\u015f\u0131 dozunu alm\u0131\u015f ve 92,7%'si (federal eyalet d\u00fczeyinde aral\u0131k: 85,0%-95,8%) ikinci a\u015f\u0131 dozunu da alm\u0131\u015ft\u0131r.<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yasal metne g\u00f6re ama\u00e7 olan \u201ek\u0131zam\u0131\u011f\u0131n ortadan kald\u0131r\u0131lmas\u0131\u201c da tamamen g\u00f6z boyamadan ibarettir. Eliminasyonun tan\u0131m\u0131 bile farkl\u0131 kurumlarda farkl\u0131l\u0131k g\u00f6stermektedir. S\u00f6zde \u201eK\u0131zam\u0131k\/K\u0131zam\u0131k\u00e7\u0131k Ulusal Do\u011frulama Komisyonu\u201c (NAVKO), 1 milyon ki\u015fi ba\u015f\u0131na &lt;1 vakal\u0131k bir g\u00f6sterge insidans\u0131ndan bahsetmektedir. 7<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.rki.de\/DE\/Themen\/Infektionskrankheiten\/Impfen\/Eliminationsprogramme\/Nationale-Verifizierungskommission-Masern-Roeteln\/Berichte\/Bericht_2023.pdf?__blob=publicationFile&amp;v=4\" target=\"_blank\" rel=\"noreferrer noopener\">(7)<\/a> \u201e... <em><strong>2023 y\u0131l\u0131nda referans tan\u0131ma g\u00f6re toplam 79 vaka bildirilmi\u015ftir (1 milyon ki\u015fi ba\u015f\u0131na 0,9 insidans)<\/strong><\/em> ....\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u00e7inde <a href=\"https:\/\/www.rki.de\/DE\/Themen\/Infektionskrankheiten\/Impfen\/Eliminationsprogramme\/Nationale-Verifizierungskommission-Masern-Roeteln\/Berichte\/Bericht_2024.pdf?__blob=publicationFile&amp;v=3\" target=\"_blank\" rel=\"noreferrer noopener\">2024 i\u00e7in yay\u0131n<\/a> Diyor ki:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201e... <strong><em>2024 y\u0131l\u0131nda, referans tan\u0131ma g\u00f6re toplam 645 vaka bildirilmi\u015ftir (1 milyon ki\u015fi ba\u015f\u0131na 7,6 insidans)<\/em><\/strong> ...\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak, bir\u00e7ok uluslararas\u0131 \u00e7al\u0131\u015fma k\u0131zam\u0131\u011f\u0131n tamamen ortadan kald\u0131r\u0131lmas\u0131n\u0131n m\u00fcmk\u00fcn olmad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir,<br>a\u015f\u0131lama yoluyla bile de\u011fil. K\u0131zam\u0131k salg\u0131nlar\u0131 y\u00fcksek a\u015f\u0131lama oranlar\u0131 ile \u00f6nlenememi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/academic.oup.com\/trstmh\/article-abstract\/91\/6\/716\/1937272?redirectedFrom=fulltext&amp;login=false\" target=\"_blank\" rel=\"noreferrer noopener\">(9)<\/a> \u201e<em><strong>Bu \u00e7al\u0131\u015fma, yeniden a\u015f\u0131laman\u0131n, yeniden a\u015f\u0131lama \u00f6ncesinde d\u00fc\u015f\u00fck veya tespit edilemeyen titrelere sahip \u00e7ocuklarda bir antikor yan\u0131t\u0131n\u0131 ba\u015far\u0131yla ind\u00fckledi\u011fi g\u00f6zlemini do\u011frulam\u0131\u015f, ancak ayn\u0131 zamanda a\u015f\u0131 kaynakl\u0131 ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n h\u0131zla azald\u0131\u011f\u0131n\u0131 da teyit etmi\u015ftir.<\/strong><\/em>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1629334\/\" target=\"_blank\" rel=\"noreferrer noopener\">(9a)<\/a> \u201e<em><strong>\u00d6zetlemek gerekirse, ne \u00f6nceden a\u015f\u0131lanma ne de tespit edilebilir bir SIR koruyucu ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 garanti eder. K\u0131zam\u0131k vir\u00fcs\u00fc IgG-seropozitif bireylerde asemptomatik SIR'a neden olabilir. SVF tipik veya modifiye k\u0131zam\u0131\u011fa yol a\u00e7m\u0131\u015ft\u0131r, ancak bu salg\u0131n s\u0131ras\u0131nda \u00f6nemli bir rol oynam\u0131\u015f gibi g\u00f6r\u00fcnmemektedir.<\/strong><\/em>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fustos 2023'ten bu yana NAVKO, daha hassas bir vaka tan\u0131m\u0131 nedeniyle vaka say\u0131s\u0131na zay\u0131flam\u0131\u015f semptomlar\u0131 ve pozitif PCR tespiti olan vakalar\u0131 da dahil etmi\u015ftir <a href=\"https:\/\/www.rki.de\/DE\/Themen\/Infektionskrankheiten\/Impfen\/Eliminationsprogramme\/Nationale-Verifizierungskommission-Masern-Roeteln\/Berichte\/Bericht_2021.html?templateQueryString=mit+abgeschw%C3%A4chten+Symptomen+und+positivem+PCR-Nachweis\" target=\"_blank\" rel=\"noreferrer noopener\">(10)<\/a>, \u201ea\u015f\u0131 k\u0131zam\u0131\u011f\u0131\u201c olarak adland\u0131r\u0131lan, a\u015f\u0131 sonras\u0131 k\u0131zam\u0131k benzeri deri d\u00f6k\u00fcnt\u00fcs\u00fc de dahil olmak \u00fczere, arzu edilen hedefe art\u0131k tamamen ula\u015f\u0131lamamaktad\u0131r.<br>Y\u00fczy\u0131llard\u0131r s\u00fcregelen bir \u00e7ocukluk hastal\u0131\u011f\u0131n\u0131n a\u015f\u0131lama yoluyla ortadan kald\u0131r\u0131labilece\u011fine dair t\u00fcm bu kurgunun bir peri masal\u0131ndan ba\u015fka bir \u015fey olmad\u0131\u011f\u0131 ger\u00e7e\u011fi, Nisan 2024'te yap\u0131lan daha yeni bir ara\u015ft\u0131rman\u0131n sonu\u00e7lar\u0131yla da do\u011frulanmaktad\u0131r <a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2024.04.18.24306028v1.full.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">(11)<\/a>:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201e<strong><em>Sonu\u00e7lar\u0131m\u0131z, a\u015f\u0131n\u0131n k\u0131zam\u0131k enfeksiyonlar\u0131na kar\u015f\u0131 onlarca y\u0131l korudu\u011funu, ancak 15 ya\u015f ve \u00fczeri ki\u015filerde \u00e7\u0131\u011f\u0131r a\u00e7an enfeksiyonlar\u0131n giderek daha olas\u0131 hale geldi\u011fini g\u00f6stermektedir<\/em><\/strong>\u201e, <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">a\u015f\u0131lar\u0131n zaman i\u00e7inde azalan koruyucu etkisinin hastal\u0131\u011f\u0131n daha s\u0131k salg\u0131nlara yol a\u00e7t\u0131\u011f\u0131n\u0131 kan\u0131tlamay\u0131 ba\u015fard\u0131.<br>Bu durum, k\u0131zam\u0131k a\u015f\u0131lar\u0131n\u0131n ters etki yaratt\u0131\u011f\u0131n\u0131 a\u00e7\u0131k\u00e7a g\u00f6stermektedir.<br>K\u0131zam\u0131k Koruma Yasas\u0131'ndaki \u00f6nlemleri gerek\u00e7elendirirken, yetkililer ve mahkemeler her zaman<br>Robert Koch Enstit\u00fcs\u00fc (RKI) ve onun A\u015f\u0131lama Daimi Komitesi (STIKO) egemen ve ba\u011f\u0131ms\u0131z bir bilimsel organ olarak. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak bu s\u0131n\u0131fland\u0131rma yanl\u0131\u015ft\u0131r. RKI taraf\u0131ndan 2024 y\u0131l\u0131ndaki koronavir\u00fcs pandemisi s\u0131ras\u0131nda tutulan kay\u0131tlar\u0131n (\u201eRKI dosyalar\u0131\u201c) yay\u0131nlanmas\u0131, bu kurumlar\u0131n ba\u011f\u0131ms\u0131z hareket etmedi\u011fini g\u00f6stermektedir,<br>ancak Federal Sa\u011fl\u0131k Bakan\u0131'n\u0131n talimatlar\u0131na ba\u011fl\u0131d\u0131r; bu de\u011ferlendirme Eyl\u00fcl 2025'te RKI Ba\u015fkan\u0131 Lars Schaade'nin be\u015f kimya profes\u00f6r\u00fcne g\u00f6nderdi\u011fi bir mektupla da teyit edilmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.berliner-zeitung.de\/politik-gesellschaft\/professoren-decken-auf-im-rki-schlaegt-die-politik-die-wissenschaft-li.2357637\" target=\"_blank\" rel=\"noreferrer noopener\">(12)<\/a> Michael Meier, 19\/09\/2025 tarihli Berliner Zeitung - Profes\u00f6rler a\u00e7\u0131\u011fa \u00e7\u0131kt\u0131: RKI'de siyaset bilimi yeniyor<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">STIKO \u00e7\u0131kar \u00e7at\u0131\u015fmalar\u0131ndan ar\u0131nm\u0131\u015f de\u011fildir. \u00dcyelerinin bir\u00e7o\u011fu ila\u00e7 end\u00fcstrisinden do\u011frudan veya dolayl\u0131 ara\u015ft\u0131rma fonu veya Bill ve Melinda Gates Vakf\u0131 gibi STK'lardan destek alm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(13) - Bahner, Beate , \u201eK\u0131zam\u0131k a\u015f\u0131s\u0131 ve k\u0131zam\u0131ktan korunma yasas\u0131\u201c Eyl\u00fcl 2025, ISBN: 978-3-98992-133-7 s. 86 -90<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Az bilinen ancak esasen skandal niteli\u011finde olan bir ger\u00e7ek de, di\u011fer ila\u00e7 \u00fcreticilerinin aksine, a\u015f\u0131lar\u0131n neden oldu\u011fu y\u00fcksek hasar potansiyeline ra\u011fmen, t\u00fcm a\u015f\u0131 \u00fcreticilerinin herhangi bir \u00fcr\u00fcn sorumlulu\u011fundan muaf tutulmas\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015f\u0131dan kaynaklanan zararlar\u0131n sorumlulu\u011fu devlet taraf\u0131ndan \u00fcstlenilmekte, bu da a\u015f\u0131 ma\u011fdurlar\u0131n\u0131n tazminat olanaklar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde s\u0131n\u0131rlamaktad\u0131r. Zorunlu a\u015f\u0131lama, b\u00fcy\u00fck ila\u00e7 \u015firketlerine - halk\u0131n zarar\u0131na - muazzam mali faydalar sa\u011flamaktad\u0131r. Hepsi bu kadar da de\u011fil: Almanya'da ruhsatl\u0131 k\u0131zam\u0131k karma a\u015f\u0131lar\u0131n\u0131 \u00fcreten iki b\u00fcy\u00fck ila\u00e7 \u015firketi, \u00e7e\u015fitli ihlaller nedeniyle son y\u0131llarda ve on y\u0131llarda defalarca milyarlara varan para cezalar\u0131 \u00f6demeye mahkum edildi<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.amazon.de\/Masernimpfung-Masernschutzgesetz-Zwischen-Medizin-Vernunft\/dp\/3989921339\" target=\"_blank\" rel=\"noreferrer noopener\">(14)<\/a> - Bahner, Beate - \u201eK\u0131zam\u0131k a\u015f\u0131s\u0131 ve k\u0131zam\u0131ktan korunma yasas\u0131\u201c - Eyl\u00fcl 2025 - ISBN 978-3-98992-133-7 s. 99-103<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.routledge.com\/Deadly-Medicines-and-Organised-Crime-How-Big-Pharma-Has-Corrupted-Healthcare\/Gotzsche\/p\/book\/9781846198847\" target=\"_blank\" rel=\"noreferrer noopener\">(15)<\/a> - Peter Gotzsche - \u201eDeadly Medicines and Organised CrimeHow Big Pharma Has Corrupted Healthcare\u201c - 2014 - ISBN 978-1-84619-884-7<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%80%A6_ist_medizinisch_sinnlos\"><\/span>... t\u0131bbi olarak anlams\u0131zd\u0131r<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Vakalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda k\u0131zam\u0131k, pek \u00e7ok medya kurulu\u015fu taraf\u0131ndan yay\u0131nlanan makalelerde ve a\u015f\u0131 lobisinin propaganda filmlerinde s\u0131kl\u0131kla g\u00f6sterildi\u011fi gibi son derece tehditk\u00e2r bir hastal\u0131k de\u011fil, tamamen \u00f6nemsiz bir \u00e7ocukluk hastal\u0131\u011f\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ate\u015fin d\u00fc\u015f\u00fcr\u00fclmesinden ka\u00e7\u0131n\u0131l\u0131rsa hastal\u0131k genellikle zarars\u0131zd\u0131r. Ate\u015f \u00f6nemli bir iyile\u015fme reaksiyonudur ve m\u00fcmk\u00fcnse bozulmamal\u0131d\u0131r. Komplikasyonlu k\u0131zam\u0131k seyri genellikle, \u00f6rne\u011fin ate\u015fin ila\u00e7la d\u00fc\u015f\u00fcr\u00fclmesi sonucu iyile\u015fme reaksiyonu bozulursa veya \u00e7ocuklarda D vitamini ve A vitamini eksikli\u011fi varsa ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bat\u0131 Almanya'da do\u011fum oran\u0131n\u0131n y\u00fcksek oldu\u011fu 1960'l\u0131 y\u0131llarda, y\u0131lda 1 milyondan fazla k\u0131zam\u0131k vakas\u0131 g\u00f6r\u00fcl\u00fcrken, y\u0131lda sadece 50-150 civar\u0131nda \u00f6l\u00fcm vakas\u0131 bildirilmi\u015ftir; bu da 10.000'de 1 gibi \u00e7ok d\u00fc\u015f\u00fck bir \u00f6l\u00fcm oran\u0131na kar\u015f\u0131l\u0131k gelmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.thalia.de\/shop\/home\/artikeldetails\/A1069489158\" target=\"_blank\" rel=\"noreferrer noopener\">(16)<\/a> - Shepherd, Martin Dr , \u201eIMPFEN pro &amp;contra\u201c 2023, ISBN: 978-3-426-44872-4 s.270 <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durum 1999 y\u0131l\u0131nda RKI taraf\u0131ndan bildirilmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(17) - Hirte, Martin Dr , \u201eIMPFEN pro &amp;contra\u201c 2023, ISBN: 978-3-426-44872-4 s.274<br>(18) - Bahner, Beate , \u201eK\u0131zam\u0131k A\u015f\u0131s\u0131 ve K\u0131zam\u0131k Koruma Yasas\u0131\u201c Eyl\u00fcl 2025, ISBN: 978-3-98992-133-7 s. 63<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DS\u00d6 veya di\u011fer a\u015f\u0131lama savunucular\u0131 taraf\u0131ndan belirtilen 1:1000 \u00f6l\u00fcm oran\u0131 bu \u00fclkede do\u011fru de\u011fildir ve geli\u015fmekte olan \u00fclkelerden kabul edilemez bir \u015fekilde aktar\u0131lm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2019'da Almanya'da k\u0131zam\u0131ktan kaynaklanan son \u015f\u00fcpheli \u00f6l\u00fcmden bu yana bildirilen tek bir \u00f6l\u00fcm olmam\u0131\u015ft\u0131r. K\u0131zam\u0131k \u00f6l\u00fcmleri Almanya'da nadirdir ve hastal\u0131\u011f\u0131n kendisinden ziyade yanl\u0131\u015f tedaviye ba\u011fl\u0131 olma ihtimali daha y\u00fcksektir. K\u0131zam\u0131k a\u015f\u0131s\u0131 uygulanmaya ba\u015flamadan \u00e7ok \u00f6nce, Almanya'da k\u0131zam\u0131ktan \u00f6l\u00fcm oran\u0131 s\u0131f\u0131ra yak\u0131n \u00e7ok d\u00fc\u015f\u00fck bir seviyeye inmi\u015fti<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(19) - Buchwald, Gerhard Dr, kitap: \u201eImpfen - Das Gesch\u00e4ft mit der Angst\u201c, s.133 ff <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131ktan kaynaklanan komplikasyonlar a\u015f\u0131n\u0131n kullan\u0131lmaya ba\u015flanmas\u0131ndan \u00f6nce bile sorun olmaktan \u00e7\u0131km\u0131\u015ft\u0131. \u00c7ok nadir g\u00f6r\u00fclen komplike seyirli vakalar \u00e7o\u011funlukla a\u015f\u0131lanm\u0131\u015f ya da a\u015f\u0131ya a\u015f\u0131r\u0131 derecede maruz kalm\u0131\u015f \u00e7ocuklar\u0131 etkilemi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k ge\u00e7irdikten sonra \u00f6m\u00fcr boyu ba\u011f\u0131\u015f\u0131kl\u0131k kazan\u0131rs\u0131n\u0131z, b\u00f6ylece hayat\u0131n\u0131z\u0131n geri kalan\u0131nda tekrar k\u0131zam\u0131k enfeksiyonuna kar\u015f\u0131 korunmu\u015f olursunuz. Buna kar\u015f\u0131l\u0131k a\u015f\u0131, do\u011fal bir enfeksiyona k\u0131yasla \u00e7ok daha d\u00fc\u015f\u00fck antikor seviyelerine ve daha az h\u00fccresel ba\u011f\u0131\u015f\u0131kl\u0131k uyar\u0131m\u0131na neden oldu\u011fu i\u00e7in en iyi ihtimalle yaln\u0131zca ge\u00e7ici bir koruma sa\u011flar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durum, \u015fu anda k\u0131zam\u0131k vakalar\u0131n\u0131n 134-2.920%'sinin a\u015f\u0131lanm\u0131\u015f ki\u015filerden olu\u015ftu\u011fu ger\u00e7e\u011fine bir a\u00e7\u0131klama getirmekte olup, korkuyu k\u00f6r\u00fcklemek i\u00e7in s\u00fcrekli olarak kullan\u0131lan yeni k\u0131zam\u0131k salg\u0131nlar\u0131n\u0131 da a\u00e7\u0131klayabilir. K\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n bu a\u00e7\u0131k\u00e7a ters etki yaratan etkisi bir \u00e7al\u0131\u015fma taraf\u0131ndan da do\u011frulanm\u0131\u015ft\u0131r <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1629334\/\" target=\"_blank\" rel=\"noreferrer noopener\">(9a)<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu da a\u015f\u0131lar\u0131n koruyuculu\u011funun zaman i\u00e7inde azalmas\u0131n\u0131n ka\u00e7\u0131n\u0131lmaz olarak hastal\u0131k salg\u0131nlar\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. K\u0131zam\u0131\u011fa kar\u015f\u0131 a\u015f\u0131lama oran\u0131 ne kadar y\u00fcksekse, a\u015f\u0131lama kal\u0131c\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k yaratmad\u0131\u011f\u0131 i\u00e7in yerel salg\u0131nlar\u0131n g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 da o kadar y\u00fcksektir. Bu nedenle a\u015f\u0131lanm\u0131\u015f bir n\u00fcfus, insanlar\u0131n \u00e7o\u011funun \u00e7ocukken k\u0131zam\u0131k ge\u00e7irdi\u011fi bir n\u00fcfusa g\u00f6re \u00e7ok daha d\u00fc\u015f\u00fck ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahiptir. Bu endi\u015feler<br>\u015eu anda Alman n\u00fcfusunun neredeyse yar\u0131s\u0131, yani 1970'ten \u00f6nce do\u011fanlar\u0131n neredeyse tamam\u0131 hala bu \u00fclkede ya\u015famaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ge\u00e7mi\u015fte bebekler k\u0131zam\u0131k hastal\u0131\u011f\u0131na neredeyse hi\u00e7 yakalanmazlard\u0131 \u00e7\u00fcnk\u00fc plasenta ve anne s\u00fct\u00fc yoluyla ald\u0131klar\u0131 ve \u201eyuva korumas\u0131\u201c olarak adland\u0131r\u0131lan antikorlar sayesinde korunurlard\u0131 ve bu antikorlar annelerinde \u00e7ocukluklar\u0131nda ge\u00e7irdikleri k\u0131zam\u0131k hastal\u0131\u011f\u0131 sayesinde yeterli miktarda bulunurdu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015f\u0131lanm\u0131\u015f annelerin antikor seviyeleri genellikle daha d\u00fc\u015f\u00fck oldu\u011fundan ve bu nedenle yuvalar\u0131n\u0131 korumak i\u00e7in \u00e7ocuklar\u0131na daha az antikor aktarabildiklerinden, a\u015f\u0131n\u0131n uygulanmaya ba\u015flamas\u0131ndan bu yana daha fazla bebek k\u0131zam\u0131\u011fa yakalanm\u0131\u015ft\u0131r ve bu da komplikasyon riskini art\u0131rmaktad\u0131r. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Buna ba\u011fl\u0131 olarak, k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n uygulanmaya ba\u015flamas\u0131ndan bu yana d\u00fcnya genelinde a\u011f\u0131r hastal\u0131k vakalar\u0131n\u0131n say\u0131s\u0131 artm\u0131\u015ft\u0131r.<br>Bu durum sonraki nesillere de aktar\u0131lmaktad\u0131r. Ba\u015fka bir deyi\u015fle, anneler k\u0131zam\u0131k a\u015f\u0131s\u0131 olduktan sonra, ensefalit gibi \u00e7ok nadir g\u00f6r\u00fclen y\u00fcksek riskli seyirlerden ka\u00e7\u0131nmak i\u00e7in \u00e7ocuklar\u0131n da erken a\u015f\u0131lanmas\u0131 gerekir. A\u015f\u0131lanan \u00e7ocuklar k\u0131zam\u0131k enfeksiyonunun imm\u00fcnomod\u00fclat\u00f6r faydalar\u0131n\u0131 kaybederler. <br>Prensipte bu sorun, \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131klar\u0131na kar\u015f\u0131 yap\u0131lan di\u011fer t\u00fcm a\u015f\u0131lar i\u00e7in de ge\u00e7erlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u0131zam\u0131k, ba\u011f\u0131\u015f\u0131kl\u0131k savunmas\u0131nda ana rol\u00fc oynayan h\u00fccresel ba\u011f\u0131\u015f\u0131kl\u0131k sistemini g\u00fc\u00e7lendirdi\u011fi ve stabilize etti\u011fi i\u00e7in k\u0131zam\u0131k ge\u00e7irmenin sa\u011fl\u0131k a\u00e7\u0131s\u0131ndan say\u0131s\u0131z do\u011fal faydas\u0131 vard\u0131r.<br>K\u0131zam\u0131k enfeksiyonundan sonra \u00e7ok say\u0131da kronik hastal\u0131\u011f\u0131n azalabilece\u011fine dair raporlar vard\u0131r. \u00d6rne\u011fin, k\u0131zam\u0131k enfeksiyonu ge\u00e7iren ki\u015filerin belirli kanser t\u00fcrlerine, multipl skleroza ve di\u011fer otoimm\u00fcn hastal\u0131klara veya alerjilere yakalanma olas\u0131l\u0131\u011f\u0131 daha d\u00fc\u015f\u00fckt\u00fcr.<br>21 K\u0131zam\u0131k enfeksiyonundan sonra \u00e7ocuklar genellikle geli\u015fimsel s\u0131\u00e7ramalar yaparlar ve bunun sonucunda \u00f6rne\u011fin kekemelik veya yatak \u0131slatma ortadan kalkabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yayg\u0131n olarak iddia edilenin aksine, k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n yan etkileri yok denecek kadar azd\u0131r. Sadece 2001-2012 y\u0131llar\u0131 aras\u0131nda, a\u015f\u0131lardan sorumlu Paul Ehrlich Enstit\u00fcs\u00fc'ne a\u015f\u0131 ile ba\u011flant\u0131l\u0131 olarak 1.300'den fazla ciddi yan etki ve 15 \u015f\u00fcpheli \u00f6l\u00fcm bildirimi yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir\u00e7ok doktor ve bilim insan\u0131 mevcut rakamlar\u0131 kar\u015f\u0131la\u015ft\u0131rm\u0131\u015f ve a\u015f\u0131n\u0131n ciddi bir yan etkisine maruz kalma veya a\u015f\u0131 sonucunda \u00f6lme riskinin, ciddi bir k\u0131zam\u0131k komplikasyonuna maruz kalma ve hatta k\u0131zam\u0131ktan \u00f6lme riskinden \u00e7ok daha y\u00fcksek oldu\u011fu sonucuna varm\u0131\u015ft\u0131r.<br>Dr. Andreas S\u00f6nnichsen, mevcut epidemiyolojik durum i\u00e7in risk durumunu analiz etmi\u015ftir.<br>a\u015fa\u011f\u0131daki \u015fekilde hesaplanm\u0131\u015ft\u0131r: Birey a\u00e7\u0131s\u0131ndan bak\u0131ld\u0131\u011f\u0131nda (rakamlar 2024 y\u0131l\u0131 verilerine dayanmaktad\u0131r):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Almanya'da k\u0131zam\u0131k hastal\u0131\u011f\u0131na yakalanma riski \u015fu anda y\u0131lda 0.0007 %'dir.<\/li>\n\n\n\n<li>Ciddi bir k\u0131zam\u0131k komplikasyonuna yakalanma riski y\u0131lda 0.0000007 %'dir<br>(1000 vaka ba\u015f\u0131na bir ciddi komplikasyon oldu\u011fu varsay\u0131lm\u0131\u015ft\u0131r).<\/li>\n\n\n\n<li>K\u0131zam\u0131ktan \u00f6lme riski y\u0131lda 0,00000007 %, ya\u015fam boyu risk ise 0,000006 %'dir.<br>(0,01 %'lik bir enfeksiyon \u00f6l\u00fcm oran\u0131 varsay\u0131lm\u0131\u015ft\u0131r).<\/li>\n\n\n\n<li>Y\u0131lda 1.200.000 a\u015f\u0131dan ciddi bir yan etki g\u00f6r\u00fclme riski<br>ve y\u0131lda yakla\u015f\u0131k 50 ciddi advers reaksiyon 0,004 %.<br>K\u0131zam\u0131k hastal\u0131\u011f\u0131na yakalanma riskinden 6 kat daha y\u00fcksektir ve riskten 5.700 kat daha y\u00fcksektir,<br>ciddi bir k\u0131zam\u0131k komplikasyonuna maruz kal\u0131r.<\/li>\n\n\n\n<li>A\u015f\u0131lama ile zamansal ba\u011flant\u0131l\u0131 olarak \u00f6lme riski 0,0013 %'dir.<br>(y\u0131lda 1-2 \u00f6l\u00fcm oldu\u011fu varsay\u0131lm\u0131\u015ft\u0131r, nedensellik mutlaka ima edilmemi\u015ftir).<br>Bu oran, k\u0131zam\u0131k nedeniyle ya\u015fam boyu \u00f6lme riskinden 200 kat daha fazlad\u0131r.<br>Bu son derece olumsuz risk-yarar oran\u0131, k\u0131zam\u0131k a\u015f\u0131s\u0131 i\u00e7in ba\u015fl\u0131 ba\u015f\u0131na t\u0131bbi bir kontrendikasyondur ve daha \u00f6nce herhangi bir hastal\u0131\u011f\u0131 olmasa bile, a\u015f\u0131 sertifikas\u0131n\u0131n bir par\u00e7as\u0131 olarak her bir \u00e7ocuk i\u00e7in onaylanmal\u0131d\u0131r.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bug\u00fcne kadar, a\u015f\u0131n\u0131n a\u015f\u0131lanmam\u0131\u015f bir kontrol grubu ile kar\u015f\u0131la\u015ft\u0131rmal\u0131 olarak daha uzun bir s\u00fcre boyunca test edildi\u011fi tek bir \u00e7al\u0131\u015fma yap\u0131lmam\u0131\u015ft\u0131r. Ayr\u0131ca yeterli g\u00fcvenlik \u00e7al\u0131\u015fmalar\u0131 da bulunmamaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00dcst d\u00fczey a\u015f\u0131 savunucular\u0131 taraf\u0131ndan 2024 y\u0131l\u0131nda yap\u0131lan bir \u00e7al\u0131\u015fmada, yazarlar tek bir a\u015f\u0131 i\u00e7in fayda\/risk de\u011ferlendirmesi yap\u0131lamayaca\u011f\u0131n\u0131, \u00e7\u00fcnk\u00fc yeterince uzun bir s\u00fcre boyunca yeterince b\u00fcy\u00fck kar\u015f\u0131la\u015ft\u0131rma gruplar\u0131yla yap\u0131lan \u00e7al\u0131\u015fmalar\u0131n eksik oldu\u011funu itiraf etmi\u015flerdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMp2402379?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\" target=\"_blank\" rel=\"noreferrer noopener\">(22)<\/a> Salmon DA ve di\u011ferleri: Yetkilendirme Sonras\u0131 A\u015f\u0131 G\u00fcvenli\u011fi Biliminin Finansman\u0131. N Engl J Med 2024; 391.2:102-5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015f\u0131 \u00fcreticileri, yapt\u0131rd\u0131klar\u0131 a\u015f\u0131 g\u00fcvenli\u011fi \u00e7al\u0131\u015fmalar\u0131n\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcn\u00fc, sonu\u00e7lar \u00e7ok olumsuz oldu\u011fu ve \u00e7al\u0131\u015fmalar\u0131 y\u00fcr\u00fcten \u00fcniversiteler veya uzman gruplarla \u00f6nceden yay\u0131nlamama ve gizlilik anla\u015fmalar\u0131 yap\u0131ld\u0131\u011f\u0131 i\u00e7in asla yay\u0131nlamayarak a\u015f\u0131 g\u00fcvenli\u011fi verilerini kas\u0131tl\u0131 olarak gizlemektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMsa044115\" target=\"_blank\" rel=\"noreferrer noopener\">(23)<\/a> \u201eBa\u015fvurulan 122 kurumdan 107\u201csi \u00e7al\u0131\u015fmaya kat\u0131lm\u0131\u015ft\u0131r. Y\u00f6neticiler aras\u0131nda yay\u0131nlarla ilgili \u00e7e\u015fitli s\u00f6zle\u015fme h\u00fck\u00fcmlerinin kabul edilebilirli\u011fi konusunda y\u00fcksek bir fikir birli\u011fi vard\u0131. \u00d6rne\u011fin, y\u00fczde 85'ten fazlas\u0131 ofislerinin end\u00fcstri sponsorlar\u0131na makaleleri revize etme veya sonu\u00e7lar\u0131n yay\u0131nlan\u0131p yay\u0131nlanmayaca\u011f\u0131na karar verme yetkisi veren h\u00fck\u00fcmleri onaylamayaca\u011f\u0131n\u0131 belirtmi\u015ftir. Sponsorun makalelere kendi istatistiksel analizlerini dahil etmesine (y\u00fczde 24'\u00fc buna izin verirken, y\u00fczde 47'si buna izin vermemi\u015f ve y\u00fczde 29'u buna izin verilip verilmeyece\u011finden emin de\u011fildir), makalenin tasla\u011f\u0131n\u0131 haz\u0131rlamas\u0131na (y\u00fczde 50'si buna izin vermi\u015ftir) izin veren h\u00fck\u00fcmlerin kabul edilebilirli\u011fi konusunda \u00f6nemli \u00f6l\u00e7\u00fcde anla\u015fmazl\u0131k vard\u0131r, (y\u00fczde 50'si izin vermi\u015f, y\u00fczde 40'\u0131 reddetmi\u015f ve y\u00fczde 11'i izin verilip verilmeyece\u011finden emin olmam\u0131\u015ft\u0131r) ve ara\u015ft\u0131rmac\u0131lar\u0131n ara\u015ft\u0131rman\u0131n sonu\u00e7lanmas\u0131ndan sonra verileri \u00fc\u00e7\u00fcnc\u00fc taraflara a\u00e7\u0131klamas\u0131n\u0131 yasaklam\u0131\u015ft\u0131r (y\u00fczde 41'i izin vermi\u015f, y\u00fczde 34'\u00fc reddetmi\u015f ve y\u00fczde 24'\u00fc izin verilip verilmeyece\u011finden emin olmam\u0131\u015ft\u0131r). Anla\u015fmalar imzaland\u0131ktan sonra s\u0131kl\u0131kla \u00f6demeler (y\u00f6neticilerin y\u00fczde 75'i bir \u00f6nceki y\u0131l bu t\u00fcr en az bir anla\u015fmazl\u0131k bildirmi\u015ftir), fikri m\u00fclkiyet (y\u00fczde 30) ve verilerin kontrol\u00fc veya verilere eri\u015fim (y\u00fczde 17) konular\u0131nda anla\u015fmazl\u0131klar ortaya \u00e7\u0131km\u0131\u015ft\u0131r.\"<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/api.aerzteblatt.de\/pdf\/104\/28\/a2030.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">(24)<\/a> \u201eGenel ahlak\u0131 rencide eden \u015fey h\u00fck\u00fcms\u00fczd\u00fcr\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bunun kabul edilemez bir yan\u0131lt\u0131c\u0131 bilimsel \u00e7arp\u0131tma i\u00e7erdi\u011fi herkes i\u00e7in a\u00e7\u0131k olmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Korona pandemisi s\u0131ras\u0131nda a\u015f\u0131r\u0131 bir \u015fekilde deneyimledi\u011fimiz gibi, a\u015f\u0131lanmam\u0131\u015f \u00e7ocuklar\u0131 genel halk i\u00e7in bir tehlike olarak kategorize etme s\u00f6yleminin t\u0131bbi veya bilimsel bir temeli yoktur. Almanya'da her y\u0131l 100'den fazla \u00e7ocuk \u00e7e\u015fitli bula\u015f\u0131c\u0131 hastal\u0131klardan \u00f6l\u00fcrken, k\u0131zam\u0131ktan \u00f6len tek bir \u00e7ocuk bile yoktur. Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131lanm\u0131\u015f \u00e7ocuklar gibi savunmas\u0131z \u00e7ocuklar bu nedenle di\u011fer enfeksiyonlardan \u00f6lmektedir ve zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131 ile bunun \u00f6n\u00fcne ge\u00e7ilemez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015f\u0131lama savunucular\u0131 \u201es\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131\u201c lehine tart\u0131\u015fmay\u0131 severler. B\u00f6ylece ba\u011f\u0131\u015f\u0131k olmayan insanlar, b\u00fcy\u00fck oranda ba\u011f\u0131\u015f\u0131k (a\u015f\u0131lanm\u0131\u015f) di\u011fer insanlar taraf\u0131ndan enfeksiyondan korunmu\u015f olacakt\u0131r. Ancak, \u201es\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131\u201c arg\u00fcman\u0131n\u0131n kullan\u0131lmas\u0131na izin verilmez, \u00e7\u00fcnk\u00fc veterinerlik t\u0131bb\u0131ndan kaynaklanan bu terim yaln\u0131zca do\u011fal yollarla bula\u015fan ve daha sonra kal\u0131c\u0131 ba\u011f\u0131\u015f\u0131kl\u0131\u011fa yol a\u00e7an hastal\u0131klar i\u00e7in ge\u00e7erlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7123916\/\" target=\"_blank\" rel=\"noreferrer noopener\">(25)<\/a> Hedrich A: Salg\u0131n Ara\u015ft\u0131rmalar\u0131: Baltimore, Maryland'de 1901'den 1928'e Kadar K\u0131zam\u0131k Duyarl\u0131l\u0131\u011f\u0131n\u0131n Ayl\u0131k De\u011fi\u015fimi - John Hopkins \u00dcniversitesi, Baltimore; Maryland (ABD) 1933<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u00e7bir a\u015f\u0131 kal\u0131c\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sa\u011flamaz, dolay\u0131s\u0131yla hi\u00e7bir hastal\u0131k ortadan kald\u0131r\u0131lamaz. A\u015f\u0131lanm\u0131\u015f ki\u015filer sadece kendileri hastalanmakla kalmaz, ayn\u0131 zamanda patojeni ba\u015fkalar\u0131na da bula\u015ft\u0131rabilirler.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8053748\/\" target=\"_blank\" rel=\"noreferrer noopener\">(26)<\/a> \u201eG\u00f6r\u00fcn\u00fcrdeki paradoks, bir toplumda k\u0131zam\u0131k a\u015f\u0131lama kapsam\u0131 artt\u0131k\u00e7a, k\u0131zam\u0131\u011f\u0131n a\u015f\u0131lanm\u0131\u015f bireylerin hastal\u0131\u011f\u0131 haline gelmesidir. A\u015f\u0131n\u0131n ba\u015far\u0131s\u0131zl\u0131k oran\u0131 ve k\u0131zam\u0131k vir\u00fcs\u00fcn\u00fcn benzersiz bula\u015f\u0131c\u0131l\u0131\u011f\u0131 nedeniyle, tek dozluk bir stratejide kullan\u0131lan mevcut k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n k\u0131zam\u0131\u011f\u0131 tamamen ortadan kald\u0131rmas\u0131 olas\u0131 de\u011fildir. K\u0131zam\u0131\u011f\u0131 ortadan kald\u0131rmak i\u00e7in iki doz a\u015f\u0131lama stratejisinin uzun vadeli ba\u015far\u0131s\u0131 hen\u00fcz belirlenmemi\u015ftir.\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durum RKI rakamlar\u0131 taraf\u0131ndan da teyit edilmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.rki.de\/DE\/Aktuelles\/Publikationen\/Epidemiologisches-Bulletin\/2024\/04_24.pdf?__blob=publicationFile&amp;v=4\" target=\"_blank\" rel=\"noreferrer noopener\">(27)<\/a> Nisan 2024 tarihli salg\u0131n b\u00fclteni<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Buna g\u00f6re enfeksiyonlar\u0131n yakla\u015f\u0131k 15 ila 22 %'si a\u015f\u0131lanm\u0131\u015f ki\u015fileri etkilemi\u015ftir. Avrupa genelinde, 2023 y\u0131l\u0131nda bildirilen k\u0131zam\u0131k vakalar\u0131n\u0131n 14 %'si bir veya iki kez a\u015f\u0131lanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ecdc.europa.eu\/sites\/default\/files\/documents\/MEAS_AER_2023_Report.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">(28)<\/a> \u201e<strong><em>2023 y\u0131l\u0131nda, k\u0131zam\u0131k vakalar\u0131 t\u00fcm ya\u015f gruplar\u0131nda bildirilmi\u015f olup, en y\u00fcksek genel oran<br>a\u015f\u0131lanmam\u0131\u015f ki\u015filerde (86 %) son be\u015f y\u0131l i\u00e7inde g\u00f6zlenmi\u015ftir.<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ABD'deki bir k\u0131zam\u0131k salg\u0131n\u0131nda, enfekte olanlar\u0131n 18,4 %'si en az bir kez a\u015f\u0131lanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(29) Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri: \u00bbK\u0131zam\u0131k. Amerika Birle\u015fik Devletleri, 1990\u00ab, Morbidity and Mortality Weekly Report, 1991, 40:369-372<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Brezilya'daki benzer bir olayda, enfekte olanlar\u0131n 32,7 % kadar\u0131 a\u015f\u0131lanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14715557\/\" target=\"_blank\" rel=\"noreferrer noopener\">(30)<\/a> \u201e<strong><em>159 hastan\u0131n 107'si (67,3 %) a\u015f\u0131lanmam\u0131\u015f ve 52'si (32,7 %) bir veya daha fazla doz k\u0131zam\u0131k a\u015f\u0131s\u0131 olmu\u015ftur.<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sadece belirli bir y\u00fczdesinin (yakla\u015f\u0131k 16%)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/link.springer.com\/article\/10.1007\/BF03404484\" target=\"_blank\" rel=\"noreferrer noopener\">(31)<\/a> \u201e... <strong><em>a\u015f\u0131lanm\u0131\u015f ki\u015filerin s\u0131ras\u0131yla 16.4 %'sinde ve 22.4 %'sinde k\u0131zam\u0131k ve kabakula\u011fa kar\u015f\u0131 tespit edilebilir bir antikor bulunmam\u0131\u015ft\u0131r<\/em><\/strong> ...\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u015f\u0131lama ba\u015far\u0131s\u0131zl\u0131\u011f\u0131\u201e meydana gelirse, yani a\u015f\u0131lamaya ra\u011fmen antikor olu\u015fmazsa ve buna ek olarak \u201cba\u015far\u0131l\u0131 bir \u015fekilde a\u015f\u0131lanan\u201e ki\u015filerdeki antikor seviyeleri ve dolay\u0131s\u0131yla ba\u011f\u0131\u015f\u0131kl\u0131k da h\u0131zla d\u00fc\u015ferse, 95 %\u201clik istenen bir ba\u011f\u0131\u015f\u0131kl\u0131k oran\u0131 olamaz. K\u0131zam\u0131k enfeksiyonuna ba\u011fl\u0131 do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131k durumunda bile, bir salg\u0131n\u0131 durdurmak i\u00e7in maksimum 60 % yeterlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7239079\/\" target=\"_blank\" rel=\"noreferrer noopener\">(33)<\/a> \u201e<strong><em>\u00d6zellikle, analizlerimiz varyantlara \u00f6zg\u00fc, do\u011fal yollarla edinilen ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n, enfeksiyona duyarl\u0131l\u0131k ve maruziyetteki bireysel farkl\u0131l\u0131klara daha az izin veren modellere dayanarak beklenenden \u00e7ok daha b\u00fcy\u00fck bir rol oynad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir (homojenli\u011fi varsayan modellerin s\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131k e\u015fiklerini 60 % ve \u00fczerine \u00e7\u0131kard\u0131\u011f\u0131n\u0131 hat\u0131rlay\u0131n).<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.07.15.20154294v1\" target=\"_blank\" rel=\"noreferrer noopener\">(34)<\/a> \u201e<strong><em>Genel olarak, SARS-CoV-2'nin yeniden ortaya \u00e7\u0131kmas\u0131n\u0131 \u00f6nlemek i\u00e7in gereken s\u00fcr\u00fc ba\u011f\u0131\u015f\u0131kl\u0131k e\u015fi\u011finin (HIT) herhangi bir epidemiyolojik ortamda 50%'nin \u00fczerinde oldu\u011fu varsay\u0131lmaktad\u0131r.<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n gereklili\u011fine dair bir arg\u00fcman olarak ve Federal Anayasa Mahkemesi'nin kre\u015f karar\u0131n\u0131n gerek\u00e7esinde k\u0131zam\u0131\u011f\u0131n ge\u00e7 bir sonucu oldu\u011fu iddia edilen subakut sklerozan panensefalit veya k\u0131saca SSPE, son derece nadir g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Almanya'da 2013-2022 y\u0131llar\u0131 aras\u0131nda sadece 29 vaka g\u00f6r\u00fclm\u00fc\u015ft\u00fcr, yani y\u0131lda ortalama 3\u201eten az vaka g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(35) Bahner, Beate, \u201eK\u0131zam\u0131k A\u015f\u0131s\u0131 ve K\u0131zam\u0131ktan Korunma Yasas\u0131\u201c Eyl\u00fcl 2025, ISBN: 978-3-98992-133-7 s. 240 -258<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7o\u011fu vakada \u00f6l\u00fcmle sonu\u00e7lanan ve giderek ilerleyen bu beyin iltihab\u0131n\u0131n, \u00f6zellikle bebeklik veya erken \u00e7ocukluk d\u00f6neminde ge\u00e7irilen bir k\u0131zam\u0131k enfeksiyonundan ortalama 7 ila 10 y\u0131l sonra ortaya \u00e7\u0131kt\u0131\u011f\u0131 s\u00f6ylenmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bununla birlikte, ge\u00e7irilmi\u015f bir k\u0131zam\u0131k enfeksiyonunun SSPE'den sorumlu tutulup tutulamayaca\u011f\u0131 hala belirsizdir. Analiz edilen vaka say\u0131s\u0131 a\u00e7\u0131s\u0131ndan tek ciddi \u00e7al\u0131\u015fma ABD'den gelmektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/342424\" target=\"_blank\" rel=\"noreferrer noopener\">(36)<\/a> \u201e<strong><em>1960-1970 y\u0131llar\u0131 aras\u0131ndaki Subakut Sklerozan Panensefalit (SSPE) Kay\u0131tlar\u0131ndan elde edilen bu raporda, sonu\u00e7lar SSPE ile erken k\u0131zam\u0131k enfeksiyonu (2 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck) aras\u0131nda y\u00fczde 50'lik bir ili\u015fki oldu\u011funu g\u00f6stermektedir. SSPE insidans\u0131 milyonda birdir ve hastalar\u0131n \u00e7o\u011fu Amerika Birle\u015fik Devletleri'nin g\u00fcneydo\u011fu kesiminde ya\u015famaktad\u0131r.<\/em><\/strong>\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7al\u0131\u015fman\u0131n sonucu, SSPE'ye yakalanma riskinin 1:1 milyon ile neredeyse yok denecek kadar az oldu\u011fudur.<br>RKI'nin 100.000 k\u0131zam\u0131k vakas\u0131 ba\u015f\u0131na 4-11 SSPE riskine nas\u0131l ula\u015ft\u0131\u011f\u0131 belirsizdir. RKI'nin uygunsuz risk de\u011ferlendirmesinde, 2013 tarihli metodolojik a\u00e7\u0131dan kusurlu bir yay\u0131na at\u0131fta bulundu\u011fu a\u00e7\u0131kt\u0131r.<br>(Benden not: Feragatnameye g\u00f6re, \u00e7al\u0131\u015fma \u201eESPED veri toplama i\u00e7in Bavyera Eyaleti \u00c7evre ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ve Federal Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 (FKZ 1369-400) fonlar\u0131yla Robert Koch Enstit\u00fcs\u00fc taraf\u0131ndan finanse edilmi\u015ftir. Robert Koch Enstit\u00fcs\u00fc \u00e7al\u0131\u015fanlar\u0131, Almanya'daki k\u0131zam\u0131k enfeksiyonlar\u0131na ili\u015fkin verileri sa\u011flam\u0131\u015f ve bu veriler Alman Enfeksiyon Koruma Yasas\u0131 temelinde Robert Koch Enstit\u00fcs\u00fc'ne bildirilmi\u015ftir. Bu veriler yazarlar taraf\u0131ndan daha ileri analizler i\u00e7in kullan\u0131lm\u0131\u015ft\u0131r ...\u201c)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3706451\/\" target=\"_blank\" rel=\"noreferrer noopener\">(37)<\/a> 2003-2009 Y\u0131llar\u0131 Aras\u0131nda Almanya'da Subakut Sklerozan Panensefalit (SSPE) Epidemiyolojisi: Bir Risk Tahmini<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7al\u0131\u015fman\u0131n yazarlar\u0131, 17'si aleyhte olmak \u00fczere \u00e7ok az say\u0131daki 31 vakay\u0131 analiz edebilmi\u015flerdir.<br>k\u0131zam\u0131\u011fa kar\u015f\u0131 a\u015f\u0131lanm\u0131\u015ft\u0131r. Buna ra\u011fmen RKI, a\u00e7\u0131k\u00e7a yanl\u0131\u015f bir \u015fekilde \u015fu iddiada bulunmaktad\u0131r: \u201eA\u015f\u0131 vir\u00fcs\u00fc hastalarda hi\u00e7bir zaman tespit edilmemi\u015ftir, bu nedenle k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n SSPE'ye neden olamayaca\u011f\u0131 varsay\u0131labilir.\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.rki.de\/SharedDocs\/FAQs\/DE\/Impfen\/MMR\/Masernimpfung\/FAQ-Liste_Masernimpfung.html#entry_16870994\" target=\"_blank\" rel=\"noreferrer noopener\">(38)<\/a> \u201eSubakut sklerozan panensefalit (SSPE), merkezi sinir sisteminde (MSS) kal\u0131c\u0131 olan yabani k\u0131zam\u0131k vir\u00fcslerinin neden oldu\u011fu bir hastal\u0131kt\u0131r. A\u015f\u0131 vir\u00fcs\u00fc hastalarda hi\u00e7 tespit edilmemi\u015ftir, bu nedenle k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n SSPE'ye neden olamayaca\u011f\u0131 varsay\u0131labilir.\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu sadece at\u0131fta bulunulan Alman yay\u0131n\u0131yla ilgili olarak vatanda\u015flar\u0131n kas\u0131tl\u0131 olarak aldat\u0131lmas\u0131 de\u011fildir, \u00e7\u00fcnk\u00fc zorunlu a\u015f\u0131lama karar\u0131nda muhtemelen belirleyici bir rol oynayan bu RKI iddias\u0131, ila\u00e7 \u015firketi Merck Sharp &amp; Dohme'nin \u00fc\u00e7l\u00fc k\u0131zam\u0131k a\u015f\u0131s\u0131 M-M-RvaxPro hakk\u0131ndaki teknik bilgileriyle bile \u00e7eli\u015fmektedir: <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.fachinfo.de\/fi\/pdf\/010432\/m-m-rvaxpro-r\" target=\"_blank\" rel=\"noreferrer noopener\">(39)<\/a> \u201eVah\u015fi k\u0131zam\u0131k vir\u00fcs\u00fc ile enfeksiyon \u00f6yk\u00fcs\u00fc olmayan ancak k\u0131zam\u0131k a\u015f\u0131s\u0131 olan \u00e7ocuklarda SSPE bildirilmi\u015ftir. Bu vakalar\u0131n baz\u0131lar\u0131, ya\u015fam\u0131n ilk y\u0131l\u0131nda fark edilmemi\u015f bir k\u0131zam\u0131k enfeksiyonuna veya k\u0131zam\u0131k a\u015f\u0131s\u0131na ba\u011fl\u0131 olabilir.\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Avukat Beate Bahner \u015f\u00f6yle yaz\u0131yor:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(40) \u201eBahner, Beate , \u201eK\u0131zam\u0131k a\u015f\u0131s\u0131 ve k\u0131zam\u0131ktan korunma yasas\u0131\u201c Eyl\u00fcl 2025, ISBN: 978-3-98992-133-7 s. 255\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> \u201eRobert Koch Enstit\u00fcs\u00fc gibi bir devlet kurumuna, y\u0131llard\u0131r bilimsel olarak \u00e7\u00fcr\u00fct\u00fclm\u00fc\u015f ve hatta \u00fcreticinin kendi bilgileriyle \u00e7eli\u015fen a\u00e7\u0131klamalar yaparken nas\u0131l g\u00fcvenebiliriz?\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Psikon\u00f6roimm\u00fcnoloji, zorunlu a\u015f\u0131lamaya kar\u015f\u0131 a\u00e7\u0131k\u00e7a konu\u015fan yay\u0131nlar da sunmaktad\u0131r. Bu \u00e7al\u0131\u015fmalar\u0131n sonu\u00e7lar\u0131, stresin ba\u011f\u0131\u015f\u0131kl\u0131k aktivitesini azaltarak antikor titrelerinin d\u00fc\u015fmesine ve a\u015f\u0131 yan etki riskinin artmas\u0131na yol a\u00e7abilece\u011fini g\u00f6stermektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15039506\/\" target=\"_blank\" rel=\"noreferrer noopener\">(41)<\/a> \u201eG\u00f6zlem s\u00fcresi boyunca daha y\u00fcksek stres seviyeleri bildirdikleri \u00f6l\u00e7\u00fcde, denekler Yeni Kaledonya a\u015f\u0131 su\u015funa kar\u015f\u0131 daha zay\u0131f bir antikor yan\u0131t\u0131 g\u00f6stermi\u015ftir. A\u015f\u0131lamadan \u00f6nceki iki g\u00fcn ve a\u015f\u0131lama g\u00fcn\u00fcndeki stres dereceleri antikor yan\u0131t\u0131yla ili\u015fkili de\u011fildi. Bununla birlikte, a\u015f\u0131lamay\u0131 takip eden on g\u00fcn, stresin uzun vadeli antikor yan\u0131t\u0131n\u0131 de\u011fi\u015fen derecelerde etkileyebilece\u011fi bir zaman aral\u0131\u011f\u0131 olarak ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Olas\u0131 arac\u0131 yollar a\u00e7\u0131s\u0131ndan, kortizol sal\u0131n\u0131m\u0131, alkol t\u00fcketimi, fiziksel aktivite veya sigara i\u00e7menin rol\u00fcne dair \u00e7ok az kan\u0131t vard\u0131. Bununla birlikte, analizler, stres duygular\u0131n\u0131n ve uykusuzlu\u011fun nihayetinde humoral ba\u011f\u0131\u015f\u0131kl\u0131k tepkisini zay\u0131flatan kendi kendini g\u00fc\u00e7lendiren bir d\u00f6ng\u00fcye girdi\u011fi bir modelle tutarl\u0131yd\u0131. Bu sonu\u00e7lar, stresin bula\u015f\u0131c\u0131 hastal\u0131klara yatk\u0131nl\u0131\u011f\u0131 art\u0131rd\u0131\u011f\u0131 mekanizmalara \u0131\u015f\u0131k tutabilir.\u201e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7841255\/\" target=\"_blank\" rel=\"noreferrer noopener\">(42)<\/a> \u201eLaboratuvar\u0131m\u0131z ve di\u011fer bir\u00e7ok laboratuvar taraf\u0131ndan yap\u0131lan \u00e7al\u0131\u015fmalar, psikolojik ve davran\u0131\u015fsal fakt\u00f6rlerin, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bir\u00e7ok farkl\u0131 a\u015f\u0131 t\u00fcr\u00fcne verdi\u011fi tepkinin temel belirleyicileri oldu\u011funu ve etkinli\u011fin yan\u0131 s\u0131ra yan etki profilinin de belirlenmesine yard\u0131mc\u0131 oldu\u011funu ortaya koymu\u015ftur.\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle \u00e7ocuklar\u0131na kendi istekleri d\u0131\u015f\u0131nda a\u015f\u0131 yapt\u0131rmak zorunda kalan ebeveynler ciddi bir psikososyal bask\u0131ya maruz kalmakta ve bunu \u00e7ocuklar\u0131na aktarmaktad\u0131r. Zorunlu a\u015f\u0131lama bu nedenle \u00e7ocuklar\u0131n duygusal ve fiziksel istismar\u0131na da neden olmaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130mm\u00fcnolojik bir perspektiften bak\u0131ld\u0131\u011f\u0131nda, genel olarak \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131klar\u0131na kar\u015f\u0131 yap\u0131lan t\u00fcm a\u015f\u0131larla ilgili \u015fu korku dile getirilmelidir: Kapsaml\u0131 a\u015f\u0131lama programlar\u0131 yoluyla do\u011fal enfeksiyon deneyimlerinin uzun vadede azalt\u0131lmas\u0131, epigenetik bask\u0131y\u0131 ve dolay\u0131s\u0131yla bir pop\u00fclasyonun imm\u00fcnolojik direncini azaltabilir ve bu da nesiller boyunca yeni patojenlere veya imm\u00fcn d\u00fczensizli\u011fe kar\u015f\u0131 duyarl\u0131l\u0131\u011f\u0131 art\u0131rabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu a\u00e7\u0131k t\u0131bbi-bilimsel ger\u00e7eklere ve k\u0131zam\u0131k a\u015f\u0131s\u0131na kar\u015f\u0131 \u00e7ok say\u0131da arg\u00fcmana ra\u011fmen, a\u015f\u0131y\u0131 ele\u015ftiren doktorlar adli makamlar taraf\u0131ndan hedef al\u0131nmakta ve kontrendikasyon belgesi d\u00fczenleseler bile cezai kovu\u015fturma riskiyle kar\u015f\u0131 kar\u015f\u0131ya kalmaktad\u0131rlar! Bunun kabul edilemez oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rechtsgutachten_%E2%80%93_Ist_die_Impfpflicht_nach_dem_geplanten_Masernschutzgesetz_verfassungswidrig\"><\/span>Hukuki g\u00f6r\u00fc\u015f - (Planlanan) k\u0131zam\u0131ktan korunma yasas\u0131na g\u00f6re a\u015f\u0131lama zorunlulu\u011fu var m\u0131<br>Anayasaya ayk\u0131r\u0131 m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bayreuth \u00dcniversitesi Kamu Hukuku, Sosyal Ekonomi ve Sa\u011fl\u0131k Hukuku K\u00fcrs\u00fcs\u00fc Ba\u015fkan\u0131 Prof. Dr. Stephan Rixen'in 11 Ekim 2019 tarihli hukuki g\u00f6r\u00fc\u015f\u00fc <a href=\"https:\/\/individuelle-impfentscheidung.de\/fileadmin\/Downloads\/Rechtsgutachten_Rixen_Langfassung.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Uzun versiyon<\/a>. \u0130\u015fte olduk\u00e7a k\u0131salt\u0131lm\u0131\u015f bir \u00f6zet.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rapor, K\u0131zam\u0131k Koruma Yasas\u0131 (IfSchG-E) kapsam\u0131nda planlanan k\u0131zam\u0131k a\u015f\u0131s\u0131 zorunlulu\u011funun anayasaya uygunlu\u011funu analiz etmektedir. Temel sonu\u00e7, planlanan zorunlu a\u015f\u0131laman\u0131n bu haliyle anayasaya ayk\u0131r\u0131 oldu\u011fudur. \u00c7ocuklar\u0131n, ebeveynlerin ve doktorlar\u0131n temel haklar\u0131n\u0131 ihlal etmektedir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Betroffene_Grundrechte\"><\/span>Etkilenen temel haklar<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Raporda a\u015fa\u011f\u0131daki temel hak ihlalleri tespit edilmi\u015ftir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fiziksel b\u00fct\u00fcnl\u00fck temel hakk\u0131 (GG Madde 2 II 1): A\u015f\u0131lama y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc bu hakka do\u011frudan m\u00fcdahale etmektedir.<\/li>\n\n\n\n<li>Ebeveyn haklar\u0131 (Madde 6 II 1 GG): Ebeveynler \u00e7ocuklar\u0131 i\u00e7in t\u0131bbi \u00f6nlemlere karar verme \u00f6zg\u00fcrl\u00fcklerini kaybederler.<\/li>\n\n\n\n<li>E\u015fitlik haklar\u0131 (Madde 3 I GG): \u00c7ocuk kre\u015fleri, \u00e7ocuk g\u00fcnd\u00fcz bak\u0131m evleri ve okullarda benzer durumlara farkl\u0131 muamele yap\u0131lmas\u0131 hakl\u0131 g\u00f6sterilemez.<\/li>\n\n\n\n<li>Doktorlar\u0131n mesleki \u00f6zg\u00fcrl\u00fc\u011f\u00fc (Madde 12 I GG): Doktorlar, t\u0131bbi kanaatleriyle \u00e7eli\u015fse bile STIKO tavsiyelerine uygun hareket etmekle y\u00fck\u00fcml\u00fcd\u00fcr.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Regelungsmechanismus_und_Zwangsstruktur\"><\/span>D\u00fczenleyici mekanizma ve zorlay\u0131c\u0131 yap\u0131<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Planlanan yasa, artan bir bask\u0131 mekanizmas\u0131 olu\u015fturan birbiriyle ba\u011flant\u0131l\u0131 yedi y\u00f6netmelik arac\u0131l\u0131\u011f\u0131yla i\u015flemektedir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Temel y\u00fck\u00fcml\u00fcl\u00fck: a\u015f\u0131 korumas\u0131n\u0131 \u201ag\u00f6stermek\u2018 (a\u015f\u0131 olmak)<\/li>\n\n\n\n<li>G\u00fcnd\u00fcz bak\u0131m merkezine kan\u0131t sa\u011flama y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc<\/li>\n\n\n\n<li>A\u015f\u0131 yap\u0131lmamas\u0131 halinde kre\u015flere kabul yasa\u011f\u0131<\/li>\n\n\n\n<li>Para cezas\u0131na tabi olarak sa\u011fl\u0131k otoritesine kan\u0131t sunma y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc<\/li>\n\n\n\n<li>Dan\u0131\u015fma ve tamamlama talebi i\u00e7in \u00e7a\u011fr\u0131lar<\/li>\n\n\n\n<li>\u0130kamet yasaklar\u0131 (derhal uygulanmak \u00fczere)<\/li>\n\n\n\n<li>Halk sa\u011fl\u0131\u011f\u0131 departman\u0131na veri aktar\u0131m\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Rapor, a\u015f\u0131lama karar\u0131n\u0131n \u201ag\u00f6n\u00fcll\u00fcl\u00fck\u2018 niteli\u011finin bu tedbirlerin bir araya gelmesiyle fiilen ge\u00e7ersiz k\u0131l\u0131nmas\u0131n\u0131 ele\u015ftirmektedir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Kritik_an_der_Verhaltnismasigkeit\"><\/span>Orant\u0131l\u0131l\u0131k ele\u015ftirisi<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Uzman\u0131n g\u00f6r\u00fc\u015f\u00fcne g\u00f6re, yasa orant\u0131s\u0131zd\u0131r:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Gereklilik<\/strong><br>\u0130lk a\u015f\u0131lama i\u00e7in 97,1% ve ikinci a\u015f\u0131lama i\u00e7in 92,8% a\u015f\u0131lama oran\u0131 g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, zorlaman\u0131n gerekli olup olmad\u0131\u011f\u0131 sorusu ortaya \u00e7\u0131kmaktad\u0131r. Optimize edilmi\u015f a\u015f\u0131 tavsiyesi, bu kadar sert bir etkiye sahip olmadan hedefe ula\u015fabilir. \u0130kinci a\u015f\u0131lama, ilk a\u015f\u0131lamadan sonra zaten ba\u011f\u0131\u015f\u0131k olan \u00e7ocuklar i\u00e7in \u00f6zellikle sorunludur - bu sadece di\u011ferlerini korumaya hizmet eder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Makuliyet<\/strong><br>H\u00fck\u00fcmler makul de\u011fildir \u00e7\u00fcnk\u00fc: (a) koruma konsepti tutarl\u0131 bir \u015fekilde uygulanmamaktad\u0131r (kar\u015f\u0131la\u015ft\u0131r\u0131labilir bir durum olmas\u0131na ra\u011fmen kre\u015flere ve \u00e7ocuk yuvalar\u0131na farkl\u0131 muamele); (b) di\u011fer hastal\u0131klara kar\u015f\u0131 karma a\u015f\u0131lar (sadece k\u0131zam\u0131k yerine MMR\/MMRV) kullan\u0131lmaktad\u0131r, bu da z\u0131mni bir geni\u015fletmeye yol a\u00e7maktad\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rechtsstaatliche_und_demokratische_Mangel\"><\/span>Hukukun \u00fcst\u00fcnl\u00fc\u011f\u00fc ve demokratik eksiklikler<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00d6zel \u00f6zellik<\/strong><br>Yasa, merkezi olarak A\u015f\u0131lama Daimi Komitesi'nin (STIKO) tavsiyelerine at\u0131fta bulunmakta, ancak bunlar\u0131n hangi k\u0131s\u0131mlar\u0131n\u0131n ge\u00e7erli oldu\u011funu ve Saksonya A\u015f\u0131lama Komisyonu'nun (SIKO) tavsiyeleriyle nas\u0131l bir ili\u015fki i\u00e7inde oldu\u011funu a\u00e7\u0131k\u00e7a belirtmemektedir. Bu durum hukukun \u00fcst\u00fcnl\u00fc\u011f\u00fc a\u00e7\u0131s\u0131ndan kabul edilemez bir belirsizli\u011fe yol a\u00e7maktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Delegasyon<\/strong><br>ST\u0130KO, parlamentonun etkin denetimi olmaks\u0131z\u0131n zorunlu a\u015f\u0131laman\u0131n kapsam ve i\u00e7eri\u011fini belirleyen y\u00f6nlendirmeler yoluyla ger\u00e7ek yasa koyucu haline gelmektedir. Bu durum Anayasa'n\u0131n demokratik ilkesiyle \u00e7eli\u015fmektedir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Das_Kombinationsimpfstoff-Problem\"><\/span>Karma a\u015f\u0131 sorunu<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Temel bir sorun: Yasa, karma a\u015f\u0131lara genel olarak izin vermektedir. G\u00f6r\u00fcn\u00fc\u015fe g\u00f6re bunlar sadece Almanya'da mevcut oldu\u011fundan (\u015fu anda MMR veya MMRV), yasa z\u0131mnen s\u0131n\u0131rs\u0131z bir geni\u015flemeye izin vermektedir. \u0130la\u00e7 end\u00fcstrisi gelecekte yasayla d\u00fczenlenmeden ba\u015fka hastal\u0131klar da ekleyebilir. B\u00f6ylece k\u0131zam\u0131\u011fa kar\u015f\u0131 zorunlu a\u015f\u0131, \u015feffaf bir \u015fekilde d\u00fczenlenmeden fiilen birden fazla hastal\u0131\u011fa kar\u015f\u0131 zorunlu a\u015f\u0131 haline gelmektedir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fazit\"><\/span>Sonu\u00e7<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Rapor, planlanan zorunlu k\u0131zam\u0131k a\u015f\u0131lama program\u0131n\u0131n mevcut haliyle a\u015fa\u011f\u0131daki hususlara dayand\u0131\u011f\u0131 sonucuna varmaktad\u0131r <strong>\u00e7e\u015fitli \u015fekillerde anayasaya ayk\u0131r\u0131d\u0131r<\/strong> \u00f6yle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yasa <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>temel haklar\u0131 ihlal ediyor<\/li>\n\n\n\n<li>yeterince tan\u0131mlanmam\u0131\u015ft\u0131r<\/li>\n\n\n\n<li>demokratik olarak me\u015frula\u015ft\u0131r\u0131lmam\u0131\u015f<\/li>\n\n\n\n<li>orant\u0131l\u0131 de\u011fil<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle kritik olan hususlar <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00fczenleyici konseptin tutarl\u0131l\u0131\u011f\u0131n\u0131n olmamas\u0131<\/li>\n\n\n\n<li>Karma a\u015f\u0131lar yoluyla z\u0131mni geni\u015fleme<\/li>\n\n\n\n<li>Mevzuat\u0131n STIKO'ya devredilmesi.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Uzman, temel haklar\u0131 daha az k\u0131s\u0131tlayan ve daha tutarl\u0131 olan, anayasaya uygun yeni bir d\u00fczenleme lehinde g\u00f6r\u00fc\u015f bildirmektedir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Entwicklungen_seit_2019\"><\/span>2019'dan bu yana geli\u015fmeler<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Bundesverfassungsgericht_2022\"><\/span><strong>Federal Anayasa Mahkemesi (2022)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Anayasa Mahkemesi 21 Temmuz 2022 tarihinde ald\u0131\u011f\u0131 bir kararla k\u0131zam\u0131k a\u015f\u0131s\u0131 zorunlulu\u011funun anayasaya uygun oldu\u011funu teyit etmi\u015f ve ma\u011fdur aileler taraf\u0131ndan a\u00e7\u0131lan d\u00f6rt davay\u0131 reddetmi\u015ftir. Karlsruhe'deki yarg\u0131\u00e7lar, temel haklara yap\u0131lan m\u00fcdahalenin makul ve dolay\u0131s\u0131yla hakl\u0131 oldu\u011funu d\u00fc\u015f\u00fcnd\u00fc.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Das_Kombinationsimpfstoff-Problem_wurde_Realitat\"><\/span><strong>Karma a\u015f\u0131 sorunu ger\u00e7e\u011fe d\u00f6n\u00fc\u015ft\u00fc<\/strong> <span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Tekli k\u0131zam\u0131k a\u015f\u0131s\u0131 \u201eMeasles Vaccine Live\u201c art\u0131k mevcut de\u011fil, distrib\u00fct\u00f6r lisans\u0131 iade etti. Bu, son bireysel k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131n da Avrupa'dan kalkaca\u011f\u0131 ve ebeveynlerin art\u0131k karma a\u015f\u0131larla (MMR\/MMRV) fiilen zorunlu a\u015f\u0131ya alternatifleri kalmayaca\u011f\u0131 anlam\u0131na gelmektedir. Bu a\u015f\u0131lar\u0131n <em>Bireysel a\u015f\u0131lama kararlar\u0131 i\u00e7in doktorlar e. V.<\/em> bunu bilgi sayfas\u0131nda yay\u0131nlad\u0131 <a href=\"https:\/\/individuelle-impfentscheidung.de\/aktuelles\/masern-impfpflicht.html\" target=\"_blank\" rel=\"noreferrer noopener\">K\u0131zam\u0131k ve difteri: A\u015f\u0131 ruhsatland\u0131rma \u00e7al\u0131\u015fmalar\u0131nda her zamanki gibi klinik etkinlik kan\u0131t\u0131 yok<\/a> tematize edildi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu tam da Rixen'in zorunlu a\u015f\u0131laman\u0131n gizli ve s\u0131n\u0131rs\u0131z bir \u015fekilde geni\u015fletilmesi olarak ele\u015ftirdi\u011fi \u015feydir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"RKI-Bilanz_nach_5_Jahren_2025\"><\/span><strong>RKI 5 y\u0131l sonraki bilan\u00e7osu (2025)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Be\u015f y\u0131ll\u0131k zorunlu k\u0131zam\u0131k a\u015f\u0131lamas\u0131n\u0131n ard\u0131ndan, sonu\u00e7lar kar\u0131\u015f\u0131k: a\u015f\u0131lama oranlar\u0131 artt\u0131, ancak artan a\u015f\u0131lama oranlar\u0131na ra\u011fmen, Almanya ge\u00e7en y\u0131l k\u0131zam\u0131k enfeksiyonlar\u0131nda \u00f6nemli bir art\u0131\u015f kaydederek 560 vakan\u0131n \u00fczerine \u00e7\u0131kt\u0131. <a href=\"https:\/\/www.gelbe-liste.de\/immunologie\/masernimpfpflicht-erfolg-bewertung\" target=\"_blank\" rel=\"noreferrer noopener\">Zorunlu k\u0131zam\u0131k a\u015f\u0131lamas\u0131n\u0131n be\u015f y\u0131l\u0131: ele\u015ftirel bir inceleme.<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sar\u0131 Liste ba\u015fl\u0131\u011f\u0131na g\u00f6re, 24 ayl\u0131k \u00e7ift a\u015f\u0131l\u0131 \u00e7ocuklar\u0131n a\u015f\u0131lanma oran\u0131 70 %'den (2019) 77 %'ye (2023) ve 6 ya\u015f\u0131ndakiler i\u00e7in 92 %'ye (2023) y\u00fckseldi <a href=\"https:\/\/www.gelbe-liste.de\/immunologie\/masernimpfpflicht-erfolg-bewertung\" target=\"_blank\" rel=\"noreferrer noopener\">5 y\u0131ll\u0131k zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131: halk sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131nda k\u0131smi bir ba\u015far\u0131<\/a>. Ancak, DS\u00d6'n\u00fcn 95% hedefine ula\u015f\u0131lamam\u0131\u015ft\u0131r.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Kritische_Nebeneffekte\"><\/span><strong>Kritik yan etkiler<\/strong> <span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yap\u0131lan bir analiz sosyal e\u015fitsizlikleri de ortaya \u00e7\u0131karm\u0131\u015ft\u0131r: Daha d\u00fc\u015f\u00fck e\u011fitim ve gelir d\u00fczeyine sahip olanlar\u0131n zorunlu a\u015f\u0131 konusunda daha az bilgi sahibi olduklar\u0131 ve yapt\u0131r\u0131mlar nedeniyle daha y\u00fcksek d\u00fczeyde stres ya\u015fad\u0131klar\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Ebeveynlerin yakla\u015f\u0131k 10-12 %'si zorunlulukla ilgili \u00f6fkelerini dile getirmi\u015f ve baz\u0131 durumlarda di\u011fer a\u015f\u0131lar\u0131 da reddetmi\u015ftir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ausgeloster_Status\"><\/span><strong>Tetiklenmi\u015f durum<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Federal Anayasa Mahkemesi bir ayr\u0131nt\u0131 \u00fczerinde durdu: Enfeksiyondan Korunma Yasas\u0131 sadece bug\u00fcn al\u0131\u015f\u0131lageldi\u011fi gibi kabakulak, k\u0131zam\u0131k\u00e7\u0131k ve su\u00e7i\u00e7e\u011fi kombinasyonlar\u0131na izin veriyor, di\u011fer ek hastal\u0131klarla izin vermiyor. Yarg\u0131\u00e7lar, STIKO taraf\u0131ndan tavsiye edildi\u011fi \u00fczere, kombinasyon a\u015f\u0131lar\u0131n\u0131n \u201e\u00e7ocuklar i\u00e7in temelde faydal\u0131\u201c oldu\u011funu d\u00fc\u015f\u00fcnmektedir. <a href=\"https:\/\/www.haufe.de\/oeffentlicher-dienst\/personal-tarifrecht\/verlaengerung-der-frist-zum-nachweis-des-masernschutzes_144_538416.html\" target=\"_blank\" rel=\"noreferrer noopener\">Federal Anayasa Mahkemesi kre\u015f \u00e7ocuklar\u0131 i\u00e7in zorunlu k\u0131zam\u0131k a\u015f\u0131s\u0131n\u0131 onaylad\u0131<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fazit-2\"><\/span><strong>F<\/strong>azit<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>BVerfG zorunlu a\u015f\u0131lamay\u0131 onaylad\u0131<\/strong>, Ancak Prof Dr Stephan Rixen karma a\u015f\u0131 sorunu konusunda hakl\u0131yd\u0131: tek a\u015f\u0131 ger\u00e7ekten de ortadan kalkt\u0131. Pratik etkinlik s\u0131n\u0131rl\u0131d\u0131r (hedef oranlara ula\u015f\u0131lamam\u0131\u015ft\u0131r, ancak a\u015f\u0131lama oranlar\u0131 artm\u0131\u015ft\u0131r).<\/p>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Okuma s\u00fcresi<\/span> <span class=\"rt-time\"> 21<\/span> <span class=\"rt-label rt-postfix\">dakika<\/span><\/span>Bevor wir uns dem Masernschutzgesetz im Rahmen des Infektionsschutzgesetzes (IfSG) widmen, zun\u00e4chst eine wissenschaftliche Erl\u00e4uterung der Masern-Virus-Immunologie. Was sind Masern? &#8211; Spezifische Evasionsmechanismen Defizit\u00e4re Interferon-Antwort und NF-\u03baB-Dependenz Der zentrale immunologische Defekt bei Masern ist grundlegend anders als die klassische virale Immunantwort: Masern-Virus-Infektion induziert keine Typ-1-Interferone, f\u00fchrt aber zur Produktion von Zytokinen und Chemokinen, die mit&hellip;&nbsp;<a href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/02\/22\/masernschutzgesetz\/\" rel=\"bookmark\">Daha fazlas\u0131n\u0131 oku \"<span class=\"screen-reader-text\">K\u0131zam\u0131k \u201ckoruma\u201c yasas\u0131 m\u0131?<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1078,354],"tags":[],"class_list":["post-12796","post","type-post","status-publish","format-standard","hentry","category-medizin","category-medizin-gesundheit"],"modified_by":"Achim Goerner","_links":{"self":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts\/12796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/comments?post=12796"}],"version-history":[{"count":0,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts\/12796\/revisions"}],"wp:attachment":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/media?parent=12796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/categories?post=12796"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/tags?post=12796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}