Mea Kākau: Randy Alexander
Lā O Ka Hana: 24 Apelila 2021
HōʻAno Hou I Ka Lā: 21 Nowemapa 2024
Anonim
The wreck of the MV Golden Ray.
Wikiō: The wreck of the MV Golden Ray.

Anter

ʻO kahi maʻi ahulau e nā Centres of Disease Control and Prevent (CDC) ma ke ʻano he piʻi piʻi pinepine ʻana i ka nui o nā hihia o kahi maʻi maʻi i loko o kahi kaiāulu a i ʻole nā ​​wahi ʻāina i kahi manawa kikoʻī.

ʻO kahi piʻi i ka helu o nā hihia o ka maʻi like ma kahi ʻē aʻe ma mua o ka mea a nā luna olakino e manaʻo ai e ʻike he ʻōhū. Hiki ke hoʻohana ʻia nā huaʻōlelo i ka loli, ʻoiai ua ʻike ʻia nā maʻi ākea he ʻoi aku ka palahalaha.

I nā makahiki i hala aku nei, ua nui nā maʻi laha i hiki mai a hoʻolaha ʻia ma waena o ʻAmelika Hui Pū ʻIa.

1633-1634: Puʻupuʻu mai nā poʻe noho ʻEulopa

Ua hele mai ka puʻupuʻu i ʻAmelika ʻĀkau i nā makahiki 1600. ʻO nā hōʻailona me ke kuni kiʻekiʻe, nā haʻalulu, nā ʻehaʻeha hope loa, a me nā huehue. Ua hoʻomaka ia ma ka Hikina ʻĀkau a ua luku ʻia ka heluna ʻōiwi ʻAmelika e ia i kona pālahalaha ʻana i ke komohana.

I ka makahiki 1721, ua hōʻike ʻia ma mua o 6,000 mau hihia mai ka heluna kanaka o Boston he 11,000. Ma kahi o 850 ka poʻe i make i ka maʻi.

I ka 1770, ua hoʻomohala ʻo Edward Jenner i kahi lāʻau lapaʻau mai ka pox bipi. Kōkua ia i ke kino e pale aku i ka maʻi puʻupuʻu me ke kumu ʻole o ka maʻi.


I kēia manawa: Ma hope o kahi hana hoʻoliʻiliʻi nui ma 1972, ua hala ka maʻi puʻupuʻu mai ʻAmelika Hui Pū ʻIa. I ka ʻoiaʻiʻo, ʻaʻole pono nā lāʻau lapaʻau.

1793: Ke kuni melemele mai ka Caribbean

I hoʻokahi kauwela kauwela, ua mahuka aku nā mea mahuka e pakele ana i kahi maʻi ahulau melemele ma nā mokupuni ʻo Caribbean i holo aku ai i Piladelepia, me ka hāpai pū ʻana i ka maʻi hoʻomaʻemaʻe.

ʻO ke kuni melemele ke kumu melemele o ka ʻili, kuni, a me ka luaʻi koko. I ka wā o ka hoʻouka kaua 1793, ua manaʻo ʻia ua make ka 10 pakeneka o ko ke kūlanakauhale kūlanakauhale a he nui nā mea ʻē aʻe i holo i ke kūlanakauhale e hōʻalo iā ia.

Ua hoʻomohala ʻia kahi lāʻau hoʻomaʻamaʻa a laila ua laikini ʻia i ka makahiki 1953. Hoʻokahi ka lāʻau lapaʻau i lawa no ke ola. Paipai nui ʻia ia no kēlā mau mahina 9 a ʻoi aku, keu hoʻi inā ʻoe e noho a huakaʻi paha i nā wahi pilikia nui.

Hiki iā ʻoe ke ʻike i kahi papa inoa o nā ʻāina kahi e koi ʻia ai ka lāʻau āpau no ka hele ʻana ma ka pūnaewele Centers for Disease Control and Prevention (CDC) pūnaewele.

I kēia manawa: ʻO nā makika ke kī i ka laha ʻana o kēia maʻi, keu hoʻi i nā wahi e like me ʻAmelika Waena, ʻAmelika Hema, a me ʻApelika. Ua kūleʻa ka hoʻopau ʻana i nā makika i ka kaohi ʻana i ke kuni melemele.


ʻOiai ʻaʻohe mea e ola ai ka fiva melemele, lilo kekahi i mea e ola hou mai ka maʻi i pale i ke koena o ko lākou ola.

1832-1866: ʻO Cholera i nā nalu ʻekolu

ʻEkolu mau nalu kolera koʻikoʻi o ʻAmelika Hui Pū ʻIa, kahi maʻi o nā ʻōpū, ma waena o 1832 a me 1866. Ua hoʻomaka ka maʻi ahulau ma India a ua helewīwīwī aku i ka hona ākea ma o nā ala kalepa.

ʻO New York City ke kūlanakauhale nui o U.S. i ʻike i ka hopena. Ma waena o ka heluna heluna kanaka i make i nā kūlanakauhale nui.

ʻAʻole maopopo i ka hopena o ka maʻi ahulau, akā ʻo ka hoʻololi paha i ke aniau a i ʻole ka hoʻohana ʻana i nā ana quarantine. I ka hoʻomaka ʻana o ka makahiki 1900, ua pau nā ahulau.

He mea koʻikoʻi ka mālama koke ʻana no ka mea hiki i ka cholera ke hana i ka make. Hoʻopili ka mālama ʻana i nā lāʻau antibiotic, zinc supplementation, a me rehydration.

I kēia manawa: ʻO Cholera ke kumu o kahi makahiki kokoke i hoʻokahi makahiki ma ka honua holoʻokoʻa, e like me ka CDC. Ua kōkua ka hoʻomaʻemaʻe wai a me ka hoʻomaʻemaʻe wai i ka hoʻopau ʻana i ke kolera ma kekahi mau ʻāina, akā aia nō ka maʻi ma nā wahi ʻē aʻe.


Hiki iā ʻoe ke loaʻa i kahi lāʻau lapaʻau no ka cholera inā ʻoe e hoʻolālā e huakaʻi i nā wahi pilikia nui. ʻO ke ala ʻoi loa e pale aku ai i ka cholera e holoi mau i kou mau lima me ke kopa a me ka wai a pale i ka inu ʻana i ka wai haumia.

1858: Ua hōʻea maila hoʻi ke kuni ʻulaʻula

ʻO ka fiva ʻulaʻula kahi maʻi bacteria i hiki ke hana ma hope o ka ʻāʻī strep. E like me ke kolera, ua hele mai nā maʻi ahulau ʻulaʻula i nā nalu.

ʻO ka fiva ʻulaʻula ka maʻamau. He mea liʻiliʻi ia i nā keiki ma lalo o 3. ʻO nā mākua e launa pū me nā keiki maʻi e hoʻonui i ka makaʻu.

Ua hoʻopaʻapaʻa nā noiʻi kahiko ua hōʻole ka ʻulaʻula ʻulaʻula ma muli o ka hoʻomaikaʻi ʻana i ka meaʻai, akā hōʻike ka noiʻi ʻoi aku ka maikaʻi o ke olakino lehulehu ke kumu.

I kēia manawa: ʻAʻohe lāʻau lapaʻau e pale ai i ka ʻāʻī strep a i ʻole ke kuni ʻulaʻula. He mea nui ia no ka poʻe me nā ʻōuli o ka ʻāʻī strep e ʻimi wikiwiki i ka lāʻau. E mālama maʻamau kāu kauka i ke kuni ʻulaʻula me nā antibiotic.

1906-1907: “ʻO Typhoid Mary”

ʻO kekahi o nā maʻi ahulau typhoid nui loa o nā wā āpau i haki ma waena o 1906 a me 1907 ma New York.

ʻO Mary Mallon, i kapa pinepine ʻia ʻo "Typhoid Mary," hoʻolaha i ka maʻi ma kahi o 122 New Yorkers i kona manawa ma ke ʻano he kuke ma kahi waiwai a ma kahi keʻena haukapila.

No New Yorkers ka poʻe i loaʻa i ka maʻi virus e Mary Mallon i make. ʻO ka CDC ka nui o 13,160 i make i 1906 a me 12,670 i make i 1907.

Ua hōʻike ʻia nā hoʻokolohua olakino he lawe olakino ʻo Mallon no ka fiva typhoid. Hiki i ke kuni typhoid ke hana i nā maʻi a me nā ʻulaʻula e hana ma ka umauma a me ka ʻōpū.

Ua hoʻomohala ʻia kahi lāʻau lapaʻau i 1911, a ua loaʻa kahi lāʻau antibiotic no ka maʻi typhoid i 1948.

I kēia manawa: ʻAno laha ʻole ke kuni typhoid. Akā hiki ke pālahalaha ma o ka pili pololei ʻana me ka poʻe i loaʻa i ka maʻi, a me ka ʻai ʻana i nā meaʻai a wai paha i hoʻohaumia ʻia.

1918: H1N1 flu

ʻO H1N1 kahi kānana o ka maʻi flu e holo mau ana i ka poepoe o ka honua i kēlā me kēia makahiki.

I ka 1918, ʻo ia ke ʻano o ka maʻi flu ma hope o ka maʻi flu, i kapa ʻia i kekahi manawa ʻo ka Spanish flu (ʻoiai ʻaʻole ia mai Sepania).

Ma hope o ke Kaua Honua Honua, ua emi mālie nā hihia o ka maʻi flu. ʻAʻole kekahi o nā manaʻo i hāʻawi ʻia i kēlā manawa (ke kau nei i nā pale maka, inu ʻaila lanahu) i mea hoʻōla maikaʻi. ʻO nā mālama ʻana i kēia lā ka hoʻomaha moe, nā wai, a me nā lāʻau antiviral.

I kēia manawa: Hoʻohuli nā maʻi o Influenza i kēlā me kēia makahiki, e hōʻemi ana i nā lāʻau āpau o ka makahiki i hala. He mea nui e kiʻi i kāu lāʻau āpau makahiki e hoʻēmi i kou makaʻi no ka maʻi flu.

1921-1925: Ka maʻi ahulau Diphtheria

Piʻi ʻo Diphtheria i ka makahiki 1921, me. Kuhi ia i ka pehu o nā membrane mucous, me kou puʻu, i hiki ke ālai i ka hanu a me ka ale ʻana.

I kekahi manawa hiki i kahi koʻohune koʻohune ke komo i ke kahe o ke koko a hōʻeha i ka naʻau make a me nā nerve.

Ma ka waenakonu o 1920, ua laikini nā mea noiʻi i kahi lāʻau āpau e kūʻē i ka maʻi bacteria. Ua hāʻule nā ​​maʻi maʻi maʻi i United States.

I kēia manawa: I kēia lā ua ʻoi aku ka nui o nā keiki ma ʻAmelika Hui Pū ʻIa i nā lāʻau āpau, e like me ka CDC. ʻO ka poʻe i ʻaelike i ka maʻi e mālama ʻia me nā lāʻau ʻaloʻalo.

1916-1955: Ka piko o ka polio

ʻO Polio kahi maʻi viral e pili ana i ka ʻōnaehana, e hoʻoulu ana i ka maʻi lōlō. Hoʻolahalaha ia ma o ka pili pololei ʻana me ka poʻe i loaʻa i ka maʻi.

Ua hana mau ʻia ka laha ma ʻAmelika Hui Pū ʻIa ma o nā 1950s, me ʻelua mau maʻi polio nui i 1916 a me 1952. Ma nā 57,628 i hōʻike ʻia nā hihia ma 1952, aia he 3,145 i make.

I ka 1955, ua ʻae ʻia ka lāʻau āpau a Kauka Jonas Salk. Ua apono koke ia ma ka honua holoʻokoʻa. Ma ka 1962, ua heleleʻi ka nui o nā hihia i 910. ʻO nā hōʻike i ka manuahi ʻo ʻAmelika Hui Pū ʻIa mai ka makahiki 1979.

I kēia manawa: He mea nui ka loaʻa ʻana o ka lāʻau āpau ma mua o ka huakaʻi. ʻAʻohe mea ola no ka polio. Hoʻopili ka mālama ʻana i ka hoʻonui ʻana i nā pae hōʻoluʻolu a me ka pale ʻana i nā pilikia.

1957: H2N2 flu

Ua hoʻomaka hou kahi maʻi ahulau nui i ka makahiki 1957. ʻO ka maʻi H2N2, i hoʻomaka ʻia i nā manu, i hōʻike mua ʻia ma Singapore i Pepeluali 1957, a laila ma Hong Kong i ʻApelila 1957.

Ua ʻike ʻia ma nā kūlanakauhale kahakai i United States i ke kauwela o 1957.

ʻO 1.1 miliona ka nui o ka make a puni ka honua.

Kuhi ʻia kēia maʻi ahonui he akahai no ka mea ua hopu mua ʻia. Ua hiki i nā kānaka ʻepekema ke hoʻomohala i kahi lāʻau lapaʻau ma muli o ka ʻike mai ka hoʻokumu ʻana i ka lāʻau lapaʻau flu mua i 1942.

I kēia manawa: H2N2 ʻaʻole holo hou i ke kanaka, akā maʻi mau nō ia i nā manu a me nā puaʻa. Hiki paha ke lele hou ka virus mai nā holoholona i nā kānaka i ka wā e hiki mai ana.

1981-1991: Ka maʻi ʻeha ʻelua

ʻO ka maʻi maʻi ka maʻi maʻi i loaʻa ai ke kuni, ka ihu ihu, ka ʻūhā, nā maka ʻulaʻula, a me ka ʻāʻī ʻeha, a ma hope iho ua pāhola ʻia ka maʻi ma luna o ke kino holoʻokoʻa.

He maʻi lele loa ia e pālahalaha i ka lewa. loaʻa ka maʻi ʻula ma mua o ka lāʻau āpau. I ka ʻāpana ʻelua o ke kenekulia 20, ʻo ka hapa nui o nā hihia ma muli o ka lawa ʻole o ka uhi ʻana o ka lāʻau.

Hoʻomaka nā kauka e paipai i kahi lāʻau lapaʻau lua no nā mea āpau. Mai ia manawa, loaʻa mau i kēlā me kēia makahiki, ʻoiai ua ʻoi aku kēia ma 2019.

I kēia manawa: Ua ʻike ʻo ʻAmelika Hui Pū ʻIa i nā maʻi liʻiliʻi o ka maʻi ʻula i nā makahiki i hala iho nei. Wahi a ka CDC hiki i nā huakaʻi huakaʻi ʻole ke kipa aku i nā ʻāina ʻē ke loaʻa i ka maʻi. Ke hoʻi mai lākou i ka home i ʻAmelika Hui Pū ʻIa, hoʻoili lākou i nā poʻe ʻē aʻe ʻaʻole i lāʻau lāʻau.

E mālama pono i nā lāʻau āpau a ke kauka i ʻōlelo ai.

1993: Ka wai haumia ma Milwaukee

ʻO kekahi o nā mea kanu mālama wai ʻelua o Milwaukee i lilo i haumia me ka cryptosporidium, kahi parasite nāna e hoʻopuka i ka maʻi cryptosporidiosis. ʻO nā ʻōuli e like me ka make wai, ke kuni, ka ʻōpū o ka ʻōpū, a me ka maʻi pākī.

Ua hōʻike ʻia kahi noiʻi mua 403,000 ka poʻe i maʻi a he 69 ka poʻe i make, e like me ka Water Quality & Health Council, e hoʻolilo ana i ka wai nui loa i ka mōʻaukala o ʻAmelika Hui Pū ʻIa.

Ua ola ka hapa nui o ka poʻe iā lākou iho. ʻO ka poʻe i make, ua hoʻohoka ka hapanui i nā ʻōnaehana pale.

I kēia manawa: ʻO Cryptosporidiosis kahi hopohopo makahiki mau. Hōʻike ka CDC i nā hihia ma waena o 2009 a me 2017. ʻO ka helu o nā hihia a me nā laha ʻokoʻa i kēlā me kēia makahiki.

Hoʻolahalaha ʻo Cryptosporidium ma o ka lepo, nā meaʻai, ka wai, a i ʻole ke hoʻopili ʻana me nā feces haumia. ʻO ia kekahi o nā kumu maʻamau o ka maʻi e hana ʻia ma o ka hoʻohana ʻana i ka wai hoʻoliʻiliʻi kauwela a hiki ke maʻalahi ʻia mai nā holoholona mahiʻai a i ʻole nā ​​hoʻonohonoho mālama keiki.

E hoʻomaʻamaʻa i ka hoʻomaʻemaʻe pilikino pilikino, e like me ka holoi lima, ke hoʻomoana, a ma hope paha o ka pā ʻana i nā holoholona. E hōʻole i ka ʻauʻau ʻana inā he pākī kou.

2009: H1N1 flu

I ka puna o 2009, ua ʻike ʻia ka maʻi H1N1 maʻAmelika Hui Pū ʻIa a hoʻolaha koke ʻia ma ʻō a ma ʻaneʻi a me ka honua. Ua hana kēia ulia i nā poʻomanaʻo e like me ka maʻi puaʻa.

ʻO ia he 60.8 miliona mau hihia, 274,304 haukapila, a me 12,469 i make ma United States.

Ma ke ao holoʻokoʻa, 80 pākēneka o ka make ʻana o kēia laha i kuhi ʻia i hiki i nā poʻe ma mua o 65.

I ka hopena o Kekemapa 2009, ua loaʻa ka lāʻau kūpona H1N1 i nā poʻe āpau i makemake ia. Hoʻomaka e lohi nā pae hana Virus.

I kēia manawa: Ke hele nei ka laha H1N1 i kēlā me kēia kau, akā ʻoi aku ka liʻiliʻi o ka make a me nā haukapila. Hoʻololi nā maʻi Influenza i kēlā me kēia makahiki, e hoʻemi ana i ka maikaʻi o nā lāʻau āpau o ka makahiki i hala. He mea nui e kiʻi i kāu lāʻau āpau makahiki e hoʻēmi i kou makaʻi no ka maʻi flu.

2010, 2014: Ka maʻi hanu

ʻO Pertussis, ka mea i ʻike ʻia ma ke ʻano he kohā, he maʻi lele loa ia a ʻo kekahi o nā maʻi i ʻike pinepine ʻia ma United States. Hiki ke hala i kēia mau hōʻeha batuna i mau mau mahina.

ʻO nā kamaliʻi liʻiliʻi loa no ka wīpī i ka makaʻu kiʻekiʻe loa no nā hihia hoʻoweliweli ola. I ka wā o ka laha mua,.

Hiki mai kahi maʻi ʻōpū whooping i kēlā me kēia 3 a 5 mau makahiki. ʻO ka CDC e hoʻonui ana i ka nui o nā hihia a ʻo ia paha ka "maʻamau hou."

I kēia manawa: ʻO ka hanana o ka maʻi i ʻoi aku ka liʻiliʻi ma mua o ka wā. Pono ka CDC āpau i ka lāʻau āpau, akā loaʻa i nā wahine hāpai i kahi lāʻau lapaʻau i ke kolu o ka trimester e hoʻonui ai i ka palekana i ka wā hānau.

Paipai pū ʻia nō hoʻi nā keiki āpau, a me nā mea āpau i hana ʻole i ka lāʻau āpau.

1980s i kēia manawa: HIV a me AIDS

Ua kākau mua ʻia i ka makahiki 1981, ua ʻike ʻia ke ahulau e ʻike ʻia i kēia lā ma ke ʻano he maʻi maʻi maʻamau ka HIV. I kēia manawa ʻike mākou ua hōʻino ka HIV i ka ʻōnaehana pale o ke kino a hōʻemi i kona hiki ke kaua aku i nā maʻi.

ʻO ka AIDS ke kahua hope loa o ka maʻi HIV a, e like me ka CDC, i ka makahiki 2018 ke kumu o ka make ma ʻAmelika Hui Pū ʻIa ma waena o nā kānaka 25 a 34 mau makahiki. Ma muli wale o ka loaʻa ʻana o ke kanaka i ka maʻi HIV ʻaʻole ia he manaʻo e hoʻomohala lākou iā AIDS.

E lawe ʻia i ka moekolohe a i ʻole ma o ke koko a i ʻole nā ​​wai o ke kino mai kekahi kanaka i kekahi. Hiki ke hoʻoiho ʻia mai ka makuahine a i ka pēpē hānau inā ʻaʻole mālama ʻia.

ʻO ka prophylaxis pre-exposed (a i ʻole PrEP) kahi ala no nā heluna lehulehu e pale aku i ka maʻi HIV ma mua o ka hōʻike. Loaʻa i ka pila (inoa inoa Truvada) nā lāʻau i hoʻohana ʻia me ka hoʻohui ʻia me nā lāʻau ʻē aʻe e mālama i ka maʻi HIV.

Ke hōʻike ʻia kekahi i ka HIV ma o ka hana moekolohe a i ʻole ka hoʻohana ʻana i ka lāʻau hoʻōki, hiki i kēia mau lāʻau ke hana i mea e pale ai i ka maʻi mai ka hoʻokumu ʻana i kahi maʻi mau.

Manaʻo ka CDC no ka manawa mua i ka mōʻaukala o kēia ao, aia nā pono hana o ka honua e kāohi i ka maʻi HIV me ka ʻole o ka lāʻau lapaʻau a i ʻole ka hoʻōla, ʻoiai e hoʻokumu ana i ke kahua e hoʻopau hope loa i ka maʻi HIV.

ʻO ka kaohi ʻana i ka maʻi maʻi e pono ai i nā hui kiʻekiʻe o ka pilikia me ka mālama ʻana a me ka pale ʻana.

I kēia manawa: ʻOiai ʻaʻohe mea e ola ai no ka maʻi HIV, hiki ke hoʻēmi ʻia ka pilikia lawe ma o nā hana palekana, e like me ka hōʻoia ʻana e hoʻopau ʻia nā nila a me ka moekolohe me nā ʻano pale.

Hiki ke mālama ʻia nā hana palekana i ka wā hāpai e pale ai i ka maʻi mai ka lawe ʻia mai ka makuahine a ke keiki.

No nā pilikia kūpilikiʻi, ʻo PEP (prophylaxis post-exposed) kahi lāʻau antiretroviral hou e pale ana i ka maʻi HIV mai loko aʻe o 72 mau hola.

2020: COVID-19

ʻO ka maʻi maʻi SARS-CoV-2, kahi ʻano o ka maʻi coronavirus e hoʻomaka ai i ka maʻi COVID-19, i ʻike mua ʻia ma Wuhan City, Hubei Province, Kina i ka hopena o ka makahiki 2019. Me he mea lā ka laha maʻalahi ʻana o ke kaiāulu.

Ua hōʻike ʻia nā hihia ma ka honua holoʻokoʻa, a ma ka hopena o Mei 2020, aia ma kahi o 1.5 miliona mau hihia a ma luna o 100,000 mau make ma United States.

HE PANALUA CORONAVIRUS HEALTHLINE

E hoʻomaopopo mau me kā mākou hōʻike hou e pili ana i ka maʻi COVID-19 i kēia manawa. Eia kekahi, e kipa aku i kā mākou hub coronavirus no ka ʻike hou aku e pili ana i ka hoʻomākaukau ʻana, ka ʻōlelo aʻoaʻo no ka pale ʻana a me ka mālama ʻana, a me nā ʻōlelo aʻoaʻo a ka poʻe loea.

Hiki ke hoʻoweliweli i kēia maʻi, a ʻo nā mākua a me nā poʻe i loaʻa i nā kūlana olakino preexisting, e like me ka maʻi o ka puʻuwai a i ʻole ka maʻi ʻaʻa a i ʻole ka maʻi diabetes, me he mea lā ʻoi aku ka nui o ka pilikia no ka hoʻomohala ʻana i nā pilikia koʻikoʻi.

ʻAʻohe lāʻau lapaʻau i kēia manawa.

ʻO nā ʻōkuhi mua ka:

  • fiva
  • ʻūhū maloʻo
  • pokole o ka hanu
  • luhi

Noho Hou

Hoʻonaʻauao

ʻO ke aʻo ʻana iā ʻoe iho e pili ana i nā maʻi maʻi o kēia manawa hiki ke kōkua iā ʻoe e ʻike i ke ʻano o ke akahele āu e mālama ai i mea e palekana a olakino ai kou ʻohana.

E hoʻolōʻihi i ka manawa e ʻimi ai i nā maʻi ahulau e hoʻomau nei ma ka kipa ʻana iā CDC, keu hoʻi inā ʻoe e huakaʻi.

Palekana iā ʻoe iho a me kou ʻohana

ʻO ka nūhou maikaʻi ka hapanui o nā maʻi ahulau i helu ʻia ma aneʻi he kakaikahi a, i kekahi mau hihia, hiki ke pale ʻia. E ʻike pono i ka ʻohana o kāu ʻohana ma mua o ka huakaʻi ʻana ma mua o ka huakaʻi ʻana, a loaʻa nā lāʻau hoʻomaʻemaʻe flu hou loa.

ʻO nā ʻanuʻu maʻalahi i ka lumi kuke a me nā ʻenehana palekana meaʻai hiki ke pale aku iā ʻoe a me kou ʻohana mai ka ʻaelike a hoʻololi ʻana i nā maʻi.

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