Rentmeester Christy A, Dasgupta Rajib, Feemster Kristen A, Packard Randall M
Center for Health Policy and Ethics; Creighton University School of Medicine; Omaha, NE USA.
Center of Social Medicine and Community Health; Jawaharlal Nehru University; New Delhi, India.
Hum Vaccin Immunother. 2014;10(4):1122-25. doi: 10.4161/hv.27667. Epub 2014 Jan 8.
We introduce the problem of vaccine coercion as reported in Moradabad, India. We offer commentary and critical analysis on ethical complexities at the intersection of global public health and regional political strife and relate them to broader vaccine goals. We draw upon a historical example from malaria vaccine efforts, focusing specifically on ethical and health justice issues expressed through the use of coercion in vaccine administration. We suggest how coercion is indicative of failed leadership in public health and consider community-based collaborations as models for cultivating local investment and trust in vaccination campaigns and for success in global public health initiatives.
我们介绍了印度莫拉达巴德报道的疫苗强制接种问题。我们对全球公共卫生与地区政治冲突交汇处的伦理复杂性进行评论和批判性分析，并将其与更广泛的疫苗目标联系起来。我们借鉴疟疾疫苗研发工作中的一个历史实例，特别关注在疫苗接种管理中使用强制手段所引发的伦理和健康正义问题。我们指出强制手段如何表明公共卫生领域领导力的失败，并将基于社区的合作视为培养地方对疫苗接种运动的投入和信任以及全球公共卫生倡议取得成功的典范。
