A conceptual approach to the rationale for SARS-CoV-2 vaccine allocation prioritisation.

Pathogens and Global Health
Malte Kohns VasconcelosAnthony Afum-Adjei Awuah

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 pl...Continue Reading

References

Jun 6, 2008·Disaster Medicine and Public Health Preparedness·James TaberyUNKNOWN University of Pittsburgh Medical Center Pandemic Influenza Task Force's Triage Review Board
Oct 11, 2008·BMJ : British Medical Journal·Norman Daniels, James E Sabin
Dec 17, 2010·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·M A FeufelG Gigerenzer
Jul 28, 2020·The Lancet Infectious Diseases·Julia A BielickiSylvie van der Werf
Oct 31, 2020·Lancet·Zaki Hassan-SmithKamlesh Khunti
Feb 4, 2021·Journal of the Royal Society, Interface·Chadi M Saad-RoyBryan T Grenfell
Feb 11, 2021·Nature·Zijun WangMichel C Nussenzweig
Feb 23, 2021·Materials Today : Proceedings·Ayush Kumar AgrawalHarish Kumar

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