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疫苗接种伦理。

Vaccination ethics.

机构信息

Oxford Uehiro Centre for Practical Ethics and Wellcome Centre for Ethics and Humanities, University of Oxford, 16-17 St Ebbes St, Oxford OX1 1PT, UK.

出版信息

Br Med Bull. 2021 Mar 25;137(1):4-12. doi: 10.1093/bmb/ldaa036.

DOI:10.1093/bmb/ldaa036
PMID:33367873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7799313/
Abstract

UNLABELLED

Vaccination decisions and policies present tensions between individual rights and the moral duty to contribute to harm prevention. This article focuses on ethical issues around vaccination behaviour and policies. It will not cover ethical issues around vaccination research.

SOURCES OF DATA

Literature on ethics of vaccination decisions and policies.

AREAS OF AGREEMENT

Individuals have a moral responsibility to vaccinate, at least against certain infectious diseases in certain circumstances.

AREAS OF CONTROVERSY

Some argue that non-coercive measures are ethically preferable unless there are situations of emergency. Others hold that coercive measures are ethically justified even in absence of emergencies.

GROWING POINTS

Conscientious objection to vaccination is becoming a major area of discussion.

AREAS TIMELY FOR DEVELOPING RESEARCH

The relationship between individual, collective and institutional responsibilities to contribute to the public good of herd immunity will be a major point of discussion, particularly with regard to the COVID-19 vaccine.

摘要

未加标签

疫苗接种决策和政策在个人权利和为预防伤害做出贡献的道德责任之间存在紧张关系。本文重点讨论疫苗接种行为和政策的伦理问题。它不包括疫苗接种研究的伦理问题。

数据来源

关于疫苗接种决策和政策的伦理文献。

共识领域

个人有道德责任接种疫苗,至少在某些情况下要接种某些传染病疫苗。

争议领域

一些人认为,除非出现紧急情况,否则非强制性措施在道德上是可取的。另一些人则认为,即使在没有紧急情况的情况下,强制性措施在道德上也是合理的。

新出现的问题

对疫苗接种的出于良心的反对正在成为一个主要的讨论领域。

有待研究的领域

个人、集体和机构对促进群体免疫这一公共利益的责任之间的关系将是一个主要的讨论点,特别是在 COVID-19 疫苗方面。

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本文引用的文献

1
Demandingness and Public Health Ethics.要求与公共卫生伦理。
Moral Philos Politics. 2019;6(1):65-87. doi: 10.1515/mopp-2018-0057. Epub 2019 May 1.
2
An Argument for Compulsory Vaccination: The Taxation Analogy.强制接种疫苗的一个论据:税收类比。
J Appl Philos. 2020 Jul;37(3):446-466. doi: 10.1111/japp.12400. Epub 2019 Nov 1.
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Voluntary vaccination: the pandemic effect.自愿接种疫苗:大流行的影响。
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Nudging Immunity: The Case for Vaccinating Children in School and Day Care by Default.推动免疫:默认情况下为在校儿童和日托儿童接种疫苗的理由。
HEC Forum. 2019 Dec;31(4):325-344. doi: 10.1007/s10730-019-09383-7.
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Influenza Immunization in Low- and Middle-Income Countries: Preparing for Next-Generation Influenza Vaccines.中低收入国家的流感免疫接种:为下一代流感疫苗做准备。
J Infect Dis. 2019 Apr 8;219(Suppl_1):S97-S106. doi: 10.1093/infdis/jiz024.
6
Influenza Vaccination Strategies Should Target Children.流感疫苗接种策略应以儿童为目标人群。
Public Health Ethics. 2017 Dec 8;11(2):221-234. doi: 10.1093/phe/phx021. eCollection 2018 Jul.
7
Raising Rates of Childhood Vaccination: The Trade-off Between Coercion and Trust.提高儿童疫苗接种率:强制与信任之间的权衡。
J Bioeth Inq. 2018 Jun;15(2):199-209. doi: 10.1007/s11673-018-9841-1. Epub 2018 Mar 1.
8
Justifications for Non-Consensual Medical Intervention: From Infectious Disease Control to Criminal Rehabilitation.非自愿医疗干预的正当理由:从传染病控制到刑事康复
Crim Justice Ethics. 2016 Sep 1;35(3):205-229. doi: 10.1080/0731129X.2016.1247519. Epub 2016 Nov 7.
9
Imposing penalties for vaccine rejection requires strong scrutiny.对拒绝接种疫苗实施惩罚需要严格审查。
J Paediatr Child Health. 2017 May;53(5):439-444. doi: 10.1111/jpc.13472. Epub 2017 Feb 6.
10
Vaccine Delays, Refusals, and Patient Dismissals: A Survey of Pediatricians.疫苗延迟、拒绝和患者解雇:儿科医生调查。
Pediatrics. 2016 Sep;138(3). doi: 10.1542/peds.2016-2127.