Global vaccine equity for COVID-19: A myriad of proposals, but are there too many cooks or too many recipes?

By Susi Geiger & Aisling McMahon. As we are nearing the second year-end in the COVID-19 pandemic, vaccine inequity is a stark global reality: on December 13th 2021, while global vaccine coverage stands at 56% of the population, this figure drops to 7.1% for low-income countries. In addition, new variants such as Omicron threaten to […]

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Regulating strain-specific vaccines – speed, rigour and challenge trials

By Jonathan Pugh and Dominic Wilkinson. The emergence of the Omicron variant has prompted a great deal of uncertainty. One significant area of uncertainty is the the extent to which the variant can escape the protection afforded by current vaccines. One early South African pre-print suggests that Omicron has more extensive Pfizer vaccine escape than […]

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I see no ships – ethical blindness in mandated vaccination of care home and NHS staff

By Fr Giles Pinnock. As of November 11th 2021, vaccination of care home staff in England against COVID-19 became mandatory. Responses to the Government’s own consultation did not support it, and the negative impact on the care of residents, and the inevitable upstream impact on discharges from hospitals has barely registered in the media, which […]

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Is vaccination status an acceptable factor in triage?

By Angela Wentz Faulconer. More than 625,000 people in the United States and over 4.4 million people worldwide have died from Covid-19. As the Delta variant surges, many hospitals find themselves caring for patients in hallways, with no ECMO available and every ICU bed taken. A growing number of physicians have suggested that as hospitals become overwhelmed, we might weigh vaccination status as […]

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Coercive vaccination: using the ‘seat belt analogy’ is not effective

By Iñigo de Miguel Beriain. The debate about coercive vaccination is gaining intensity in most Western countries. One of the arguments that have been put forward in recent days in support of coercive vaccination has been that of the ‘seat belt analogy (SBA)’, originally proposed by Giubilini and Savulescu. This argument states that, since the […]

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Vaccination, uncertainty, and the right to take risks

By Pei-hua Huang. Earlier this year, some patients developed a very rare and severe form of blood clot after receiving Covid-19 vaccines produced by AstraZeneca. The report prompted several countries to suspend the use of the AstraZeneca vaccines. The European Medicines Agency also stepped in and launched an investigation. We still don’t have a complete […]

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Are the Unvaccinated Unwittingly Enrolled into a Human Challenge Trial?

By Rafael Escandon. Dr. Walter Reed, between 1900-1901 designed and supervised a Human Challenge Trial (HCT) in Cuba in the search for the causative agent of yellow fever. While the 3 phases of Dr. Reed’s HCT were definitive in their establishment that yellow fever was transmitted via a mosquito-borne vector, ethical questions over the methods, […]

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Persuading anti-vaxxers: Stop talking about facts

By Michelle Bach. Even before the coronavirus pandemic, the WHO named vaccine hesitancy as one of the top ten threats to global health. The WHO attributes vaccine hesitancy to factors such as a lack of confidence, complacency, and convenience. In the UK, hesitancy has been associated with certain demographic factors such as race, age, and […]

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