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A conceptual approach to the rationale for SARS-CoV-2 vaccine allocation prioritisation.
Kohns Vasconcelos, Malte; Marazia, Chantal; Koniordou, Markela; Fangerau, Heiner; Drexler, Ingo; Afum-Adjei Awuah, Anthony.
  • Kohns Vasconcelos M; Institute for Medical Microbiology and Hospital Hygiene, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
  • Marazia C; Paediatric Infectious Diseases Research Group, Institute for Infection and Immunity, St. George's, University of London, London, UK.
  • Koniordou M; Department of the History, Philosophy and Ethics of Medicine, Centre for Health and Society, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
  • Fangerau H; Center for Clinical Epidemiology and Outcomes Research (CLEO), Athens, Greece.
  • Drexler I; Department of the History, Philosophy and Ethics of Medicine, Centre for Health and Society, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
  • Afum-Adjei Awuah A; Institute for Virology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Pathog Glob Health ; 115(5): 273-276, 2021 07.
Article in English | MEDLINE | ID: covidwho-1262047
ABSTRACT
Currently vaccines protecting from COVID-19 are a scarce resource. Prioritising vaccination for certain groups of society is placed in a context of uncertainty due to changing evidence on the available vaccines and changing infection dynamics. To meet accepted ethical standards of procedural justice and individual autonomy, vaccine allocation strategies need to state reasons for prioritisation explicitly while at the same time communicating the expected risks and benefits of vaccination at different times and with different vaccines transparently. In this article, we provide a concept summarising epidemiological considerations underlying current vaccine prioritisation strategies in an accessible way. We define six priority groups (vulnerable individuals, persons in close contact with the vulnerable, key workers with direct work-related contact with the public, key workers without direct work-related contact to the public, dependents of key workers and members of groups with high interpersonal contact rates) and state vaccine priorities for them. Additionally, prioritisation may follow non-epidemiological considerations including the aim to increase intra-societal justice and reducing inequality. While national prioritisation plans integrate many of these concepts, the international community has so far failed to guarantee equitable or procedurally just access to vaccines across settings with different levels of wealth.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / COVID-19 Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Language: English Journal: Pathog Glob Health Year: 2021 Document Type: Article Affiliation country: 20477724.2021.1932136

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / COVID-19 Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Language: English Journal: Pathog Glob Health Year: 2021 Document Type: Article Affiliation country: 20477724.2021.1932136