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1.
J Law Med Ethics ; 49(4): 552-563, 2021.
Article in English | MEDLINE | ID: covidwho-2093423

ABSTRACT

This article argues that the Supreme Court should not require a religious exemption from vaccine mandates. For children, who cannot yet make autonomous religious decision, religious exemptions would allow parents to make a choice that puts the child at risk and makes the shared environment of the school unsafe - risking other people's children. For adults, there are still good reasons not to require a religious exemption, since vaccines mandates are adopted for public health reasons, not to target religion, are an area where free riding is a real risk, no religion actually prohibits vaccinating under a mandate, and policing religious exemptions is very difficult.


Subject(s)
Vaccination , Vaccines , Adult , Child , Humans , Parents , Religion , Schools
2.
J Med Ethics ; 2022 May 11.
Article in English | MEDLINE | ID: covidwho-1874634
4.
Lancet ; 398(10317): 2186-2192, 2021 12 11.
Article in English | MEDLINE | ID: covidwho-1521624

ABSTRACT

Since the first case of COVID-19 was identified in the USA in January, 2020, over 46 million people in the country have tested positive for SARS-CoV-2 infection. Several COVID-19 vaccines have received emergency use authorisations from the US Food and Drug Administration, with the Pfizer-BioNTech vaccine receiving full approval on Aug 23, 2021. When paired with masking, physical distancing, and ventilation, COVID-19 vaccines are the best intervention to sustainably control the pandemic. However, surveys have consistently found that a sizeable minority of US residents do not plan to get a COVID-19 vaccine. The most severe consequence of an inadequate uptake of COVID-19 vaccines has been sustained community transmission (including of the delta [B.1.617.2] variant, a surge of which began in July, 2021). Exacerbating the direct impact of the virus, a low uptake of COVID-19 vaccines will prolong the social and economic repercussions of the pandemic on families and communities, especially low-income and minority ethnic groups, into 2022, or even longer. The scale and challenges of the COVID-19 vaccination campaign are unprecedented. Therefore, through a series of recommendations, we present a coordinated, evidence-based education, communication, and behavioural intervention strategy that is likely to improve the success of COVID-19 vaccine programmes across the USA.


Subject(s)
Behavior Therapy , COVID-19 Vaccines , COVID-19/transmission , Communication , Immunization Programs , SARS-CoV-2 , Humans , Politics , United States , Vaccination Refusal/psychology
5.
Health Equity ; 5(1): 688-696, 2021.
Article in English | MEDLINE | ID: covidwho-1442998

ABSTRACT

Purpose: To investigate whether coronavirus disease 2019 (COVID-19) vaccination campaigns targeted at health care personnel (HCP) in the United States have addressed the lived experiences of HCP on the frontlines of the COVID-19 pandemic and to analyze policy and legal considerations for improving COVID-19 vaccine uptake among HCP. Methods: We conducted a literature and policy review to explore the lived experiences of different occupational groups of HCP on the frontlines of the COVID-19 pandemic-physicians, nurses, trainees, and nonclinical essential workers-in relation to ongoing COVID-19 vaccination campaigns. Finally, we discuss policy and legal considerations to improve the state of HCP COVID-19 vaccine uptake as the pandemic progresses. Results: COVID-19 vaccination campaigns have not achieved consistent high uptake among HCP for many reasons, including vaccine hesitancy, personal, professional considerations, and equity-rooted challenges. Conclusion: HCPs lived experiences during the COVID-19 pandemic reveal meaningful impediments to their COVID-19 vaccine uptake. We suggest that health care systems minimize inequity inherent in existing vaccination campaigns by providing financial and social support to HCP to raise HCP COVID-19 vaccine uptake.

7.
J Law Med Ethics ; 49(2): 293-302, 2021.
Article in English | MEDLINE | ID: covidwho-1354058

ABSTRACT

Employers and governments are interested in the use of serological (antibody) testing to allow people to return to work before there is a vaccine for SARS-CoV-2. We articulate the preconditions needed for the implementation of antibody testing, including the role of the U.S. Food & Drug Administration.


Subject(s)
COVID-19 Serological Testing , COVID-19 , COVID-19 Testing , COVID-19 Vaccines , Employment , Humans , SARS-CoV-2
9.
Microbes Infect ; 22(10): 608-610, 2020.
Article in English | MEDLINE | ID: covidwho-917384

ABSTRACT

This article draws on a broadcast popular among the anti-vaccine community to map out six themes used by the broadcast to mislead viewers about COVID-19. The themes are the claim that "they" - government and pharma - are lying to you, claims that COVID-19 is an excuse to remove civil liberties, viewing everyone as an expert, claiming that science cannot save us, skewing the science, and a claim that "they" are out to harm the viewers. The article points out that similar themes are used to mislead followers with anti-vaccine information. It highlights the concern that these themes will not only mislead people who are already anti-vaccine about the pandemic, but may draw in people who are not anti-vaccine but are seeking information about COVID-19, and suggests some options for dealing with the misinformation. Scientists benefit from understanding these claims, as we are often tasked with providing rebuttals to this misinformation.


Subject(s)
COVID-19/epidemiology , Communication , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Public Health/methods , Vaccination/psychology , COVID-19/immunology , COVID-19/prevention & control , Coronavirus Infections/immunology , Humans , Public Health/education , Vaccination/adverse effects , Vaccines
10.
J Law Biosci ; 7(1): lsaa025, 2020.
Article in English | MEDLINE | ID: covidwho-209955
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