Multivalue ethical framework for fair global allocation of a COVID-19 vaccine

Journal of Medical Ethics
Yangzi LiuBrian C Drolet

Abstract

The urgent drive for vaccine development in the midst of the current COVID-19 pandemic has prompted public and private organisations to invest heavily in research and development of a COVID-19 vaccine. Organisations globally have affirmed the commitment of fair global access, but the means by which a successful vaccine can be mass produced and equitably distributed remains notably unanswered. Barriers for low-income countries include the inability to afford vaccines as well as inadequate resources to vaccinate, barriers that are exacerbated during a pandemic. Fair distribution of a pandemic vaccine is unlikely without a solid ethical framework for allocation. This piece analyses four allocation paradigms: ability to develop or purchase; reciprocity; ability to implement; and distributive justice, and synthesises their ethical considerations to develop an allocation model to fit the COVID-19 pandemic.

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Citations

Aug 21, 2020·Journal of Medical Ethics·Thomas DouglasJonathan Pugh
Jul 30, 2020·Journal of Medical Ethics·Kenneth Boyd
Oct 22, 2020·Environmental Chemistry Letters·Han DaiEric Lichtfouse
Dec 19, 2020·Journal of Medical Ethics·Rohit Gupta, Stephanie R Morain
Jan 20, 2021·BMJ Global Health·Iestyn WilliamsLydia Kapiriri
Nov 10, 2020·Frontiers in Immunology·Omna SharmaChris R Triggle
Feb 17, 2021·BMJ Global Health·Anders HerlitzNicole Hassoun
Feb 18, 2021·Journal of Medical Ethics·Nancy S JeckerDouglas S Diekema
Jan 6, 2021·Journal of Medical Internet Research·Fulian YinZhiwen Hu
Feb 5, 2021·Science Translational Medicine·Wayne C KoffJaap Goudsmit
Apr 24, 2021·British Journal of Clinical Pharmacology·Michael R MillarAngelina Jayakumar
Jun 11, 2021·Journal of Medical Ethics·Rosamond Rhodes
Jun 18, 2021·PharmacoEconomics·Erin KirwinChristopher McCabe
Jul 3, 2021·International Journal of Environmental Research and Public Health·F Marijn StokJohn B F de Wit
Jul 16, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Prashant UpadhyayMuhammad Junaid Tahir
Jul 3, 2021·Nature Human Behaviour·Jim A C EverettMolly J Crockett
Oct 8, 2021·BMC Medical Ethics·Bridget Pratt, Susan Bull
Jan 14, 2022·Journal of Public Health Policy·Vageesh Jain, Paula Lorgelly

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