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[智利父母拒绝强制接种疫苗。伦理和法律挑战]

[Parental refusal to mandatory vaccination in Chile. Ethical and legal challenges].

作者信息

Valera Luca, Ramos Vergara Paulina, Porte Barreaux Ignacio, Bedregal García Paula

机构信息

Instituto de Filosofía, Facultad de Filosofía, Pontificia Universidad Católica de Chile, Santiago, Chile.

Centro de Bioética, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Rev Chil Pediatr. 2019 Dec;90(6):675-682. doi: 10.32641/rchped.v90i6.1002.

Abstract

This article is an ethical and legal reflection about the current trend of parents to refuse vaccination of their children under a legal regime that establishes mandatory use of certain vaccines. We analyze the main arguments used by parents to refuse obligatory vaccination, i.e., the fear of the negative effects that vaccination may have on the child; the violation of the "right to autonomy"; religious or pseudo-philosophical beliefs; and the resistance to the State intervention in personal or family mat ters. Therefore, this statement implies a necessary ethical analysis of childhood vaccination. Finally, it will be discussed the responsibility of parents and the State -the health authority- in the care of mi nors. Vaccination is a benefit for both the inoculated and the community, the best preventive policy. At the same time, it is considered a complex case that demands a profound debate, whose purpose should be the transition from an apparent conflict between parents and the State, to convergence for the care of minors. In other words, it is emphasized the fact that parents, beyond the fulfillment of a heterogeneous normative duty, must act motivated by voluntary adherence to the best interest of the child and the community.

摘要

本文是关于在法定制度规定某些疫苗强制接种的情况下,当前父母拒绝为其子女接种疫苗这一趋势的伦理与法律思考。我们分析了父母拒绝强制接种疫苗所使用的主要论据,即担心接种疫苗可能对孩子产生负面影响;侵犯“自主权利”;宗教或伪哲学信仰;以及抵制国家对个人或家庭事务的干预。因此,这一陈述意味着对儿童疫苗接种进行必要的伦理分析。最后,将讨论父母和国家(卫生当局)在照顾未成年人方面的责任。疫苗接种对接种者和社区都是一项益处,是最佳的预防政策。同时,这被视为一个复杂的案例,需要进行深入辩论,其目的应是从父母与国家之间表面的冲突,转变为在照顾未成年人方面的趋同。换句话说,强调了这样一个事实,即父母除了履行各种规范性义务之外,必须出于自愿坚持儿童和社区的最大利益而行动。

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