Bambery Ben, Douglas Thomas, Selgelid Michael J, Maslen Hannah, Giubilini Alberto, Pollard Andrew J, Savulescu Julian
Monash University.
University of Oxford.
Public Health Ethics. 2017 Dec 8;11(2):221-234. doi: 10.1093/phe/phx021. eCollection 2018 Jul.
Strategies to increase influenza vaccination rates have typically targeted healthcare professionals (HCPs) and individuals in various high-risk groups such as the elderly. We argue that they should (instead or as well) focus on increasing vaccination rates in children. Because children suffer higher influenza incidence rates than any other demographic group, and are major drivers of seasonal influenza epidemics, we argue that influenza vaccination strategies that serve to increase uptake rates in children are likely to be more effective in reducing influenza-related morbidity and mortality than those targeting HCPs or the elderly. This is true even though influenza-related morbidity and mortality amongst children are low, except in the very young. Further, we argue that there are no decisive reasons to suppose that children-focused strategies are less ethically acceptable than elderly or HCP-focused strategies.
提高流感疫苗接种率的策略通常针对医疗保健专业人员（HCPs）以及各类高危人群，如老年人。我们认为，他们应该（取而代之或同时）将重点放在提高儿童的疫苗接种率上。由于儿童的流感发病率高于其他任何人群，并且是季节性流感流行的主要驱动因素，我们认为，旨在提高儿童接种率的流感疫苗接种策略在降低流感相关发病率和死亡率方面可能比针对医疗保健专业人员或老年人的策略更有效。即便儿童中与流感相关的发病率和死亡率较低（极年幼的儿童除外），情况也是如此。此外，我们认为，没有决定性的理由认为以儿童为重点的策略在道德上不如以老年人或医疗保健专业人员为重点的策略可接受。
