The ethics of COVID-19 vaccine allocation: Don't forget the trade-offs!

The issue of COVID-19 vaccine allocation is still highly controversial on the international as well as on the national level (particularly in many low- and middle-income countries), and policy-makers worldwide struggle in striking a fair balance between different ethical principles of vaccine alloca...

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Main Authors: März, Julian (Author) , Molnar, Anett (Author) , Holm, Søren (Author) , Schlander, Michael (Author)
Format: Article (Journal)
Language:English
Published: 25 February 2022
In: Public health ethics
Year: 2022, Volume: 15, Issue: 1, Pages: 41-50
ISSN:1754-9981
DOI:10.1093/phe/phac001
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/phe/phac001
Verlag, lizenzpflichtig, Volltext: https://academic.oup.com/phe/article/15/1/41/6537098?login=true
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Author Notes:Julian W März, Anett Molnar, Søren Holm, Michael Schlander

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520 |a The issue of COVID-19 vaccine allocation is still highly controversial on the international as well as on the national level (particularly in many low- and middle-income countries), and policy-makers worldwide struggle in striking a fair balance between different ethical principles of vaccine allocation, in particular maximum benefit, reciprocity, social justice and equal respect. Any political decision that implements these principles comes at a cost in terms of loss of lives and of loss of life years that could potentially have been prevented by a different vaccination strategy. This article illustrates these trade-offs using quantitative analysis and shows how this approach can contribute to providing a rational and transparent grounding of political decisions on COVID-19 vaccine allocation. 
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