Prioritising access to pandemic influenza vaccine: a review of the ethics literature.
Identifieur interne : 000010 ( PubMed/Curation ); précédent : 000009; suivant : 000011Prioritising access to pandemic influenza vaccine: a review of the ethics literature.
Auteurs : Jane H. Williams [Australie] ; Angus Dawson [Australie]Source :
- BMC medical ethics [ 1472-6939 ] ; 2020.
Abstract
The world is threatened by future pandemics. Vaccines can play a key role in preventing harm, but there will inevitably be shortages because there is no possibility of advance stockpiling. We therefore need some method of prioritising access.
DOI: 10.1186/s12910-020-00477-3
PubMed: 32408869
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prioritising access to pandemic influenza vaccine: a review of the ethics literature.</title><author><name sortKey="Williams, Jane H" sort="Williams, Jane H" uniqKey="Williams J" first="Jane H" last="Williams">Jane H. Williams</name><affiliation wicri:level="1"><nlm:affiliation>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006</wicri:regionArea></affiliation></author><author><name sortKey="Dawson, Angus" sort="Dawson, Angus" uniqKey="Dawson A" first="Angus" last="Dawson">Angus Dawson</name><affiliation wicri:level="1"><nlm:affiliation>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006, Australia. angus.dawson@sydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32408869</idno><idno type="pmid">32408869</idno><idno type="doi">10.1186/s12910-020-00477-3</idno><idno type="wicri:Area/PubMed/Corpus">000010</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000010</idno><idno type="wicri:Area/PubMed/Curation">000010</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000010</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prioritising access to pandemic influenza vaccine: a review of the ethics literature.</title><author><name sortKey="Williams, Jane H" sort="Williams, Jane H" uniqKey="Williams J" first="Jane H" last="Williams">Jane H. Williams</name><affiliation wicri:level="1"><nlm:affiliation>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006</wicri:regionArea></affiliation></author><author><name sortKey="Dawson, Angus" sort="Dawson, Angus" uniqKey="Dawson A" first="Angus" last="Dawson">Angus Dawson</name><affiliation wicri:level="1"><nlm:affiliation>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006, Australia. angus.dawson@sydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC medical ethics</title><idno type="eISSN">1472-6939</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The world is threatened by future pandemics. Vaccines can play a key role in preventing harm, but there will inevitably be shortages because there is no possibility of advance stockpiling. We therefore need some method of prioritising access.</div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">32408869</PMID><DateRevised><Year>2020</Year><Month>05</Month><Day>18</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6939</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>May</Month><Day>14</Day></PubDate></JournalIssue><Title>BMC medical ethics</Title><ISOAbbreviation>BMC Med Ethics</ISOAbbreviation></Journal><ArticleTitle>Prioritising access to pandemic influenza vaccine: a review of the ethics literature.</ArticleTitle><Pagination><MedlinePgn>40</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12910-020-00477-3</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The world is threatened by future pandemics. Vaccines can play a key role in preventing harm, but there will inevitably be shortages because there is no possibility of advance stockpiling. We therefore need some method of prioritising access.</AbstractText><AbstractText Label="MAIN TEXT" NlmCategory="UNASSIGNED">This paper reports a critical interpretative review of the published literature that discusses ethical arguments used to justify how we could prioritise vaccine during an influenza pandemic. We found that the focus of the literature was often on proposing different groups as priorities (e.g. those with pre-existing health conditions, the young, the old, health care workers etc.). Different reasons were often suggested as a means of justifying such priority groupings (e.g. appeal to best overall outcomes, fairness, belonging to a vulnerable or 'at risk' group etc.). We suggest that much of the literature, wrongly, assumes that we are able to plan priority groups prior to the time of a particular pandemic and development of a particular vaccine. We also point out the surprising absence of various issues from the literature (e.g. how vaccines fit within overall pandemic planning, a lack of specificity about place, issues of global justice etc.).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The literature proposes a wide range of ways to prioritise vaccines, focusing on different groups and 'principles'. Any plan to use pandemic vaccine must provide justifications for its prioritisation. The focus of this review was influenza pandemic vaccines, but lessons can be learnt for future allocations of coronavirus vaccine, if one becomes available.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>Jane H</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Marie Bashir Institute for Infectious Disease and Biosecurity, University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dawson</LastName><ForeName>Angus</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Level 1, Medical Foundation Building K25, Sydney, NSW, 2006, Australia. angus.dawson@sydney.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Marie Bashir Institute for Infectious Disease and Biosecurity, University of Sydney, Sydney, Australia. angus.dawson@sydney.edu.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>Health/17-18/73536</GrantID><Agency>Department of Health, Australian Government</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Med Ethics</MedlineTA><NlmUniqueID>101088680</NlmUniqueID><ISSNLinking>1472-6939</ISSNLinking></MedlineJournalInfo><CitationSubset>E</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Critical interpretative review</Keyword><Keyword MajorTopicYN="N">Ethics</Keyword><Keyword MajorTopicYN="N">Pandemic influenza</Keyword><Keyword MajorTopicYN="N">Prioritisation</Keyword><Keyword MajorTopicYN="N">Vaccine</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>03</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId 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