Ethical considerations for vaccination programmes in acute humanitarian emergencies
Humanitarian emergencies result in a breakdown of critical health-care services and often make vulnerable communities dependent on external agencies for care. In resource-constrained settings, this may occur against a backdrop of extreme poverty, malnutrition, insecurity, low literacy and poor infra...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The World Health Organization
2013-04-01
|
| Series: | Bulletin of the World Health Organization |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000400012&lng=en&tlng=en |
| _version_ | 1827332953698467840 |
|---|---|
| author | Keymanthri Moodley Kate Hardie Michael J Selgelid Ronald J Waldman Peter Strebel Helen Rees David N Durrheim |
| author_facet | Keymanthri Moodley Kate Hardie Michael J Selgelid Ronald J Waldman Peter Strebel Helen Rees David N Durrheim |
| author_sort | Keymanthri Moodley |
| collection | DOAJ |
| description | Humanitarian emergencies result in a breakdown of critical health-care services and often make vulnerable communities dependent on external agencies for care. In resource-constrained settings, this may occur against a backdrop of extreme poverty, malnutrition, insecurity, low literacy and poor infrastructure. Under these circumstances, providing food, water and shelter and limiting communicable disease outbreaks become primary concerns. Where effective and safe vaccines are available to mitigate the risk of disease outbreaks, their potential deployment is a key consideration in meeting emergency health needs. Ethical considerations are crucial when deciding on vaccine deployment. Allocation of vaccines in short supply, target groups, delivery strategies, surveillance and research during acute humanitarian emergencies all involve ethical considerations that often arise from the tension between individual and common good. The authors lay out the ethical issues that policy-makers need to bear in mind when considering the deployment of mass vaccination during humanitarian emergencies, including beneficence (duty of care and the rule of rescue), non-maleficence, autonomy and consent, and distributive and procedural justice. |
| first_indexed | 2024-03-07T17:11:29Z |
| format | Article |
| id | doaj.art-26e0941208ef4d95bcedc1ca874605b2 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T17:11:29Z |
| publishDate | 2013-04-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-26e0941208ef4d95bcedc1ca874605b22024-03-03T00:58:30ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862013-04-0191429029710.2471/BLT.12.113480S0042-96862013000400012Ethical considerations for vaccination programmes in acute humanitarian emergenciesKeymanthri Moodley0Kate Hardie1Michael J Selgelid2Ronald J Waldman3Peter Strebel4Helen Rees5David N Durrheim6Universiteit StellenboschHunter New England Population HealthMonash UniversityThe George Washington UniversityWorld Health OrganizationUniversity of WitwatersrandHunter Medical Research InstituteHumanitarian emergencies result in a breakdown of critical health-care services and often make vulnerable communities dependent on external agencies for care. In resource-constrained settings, this may occur against a backdrop of extreme poverty, malnutrition, insecurity, low literacy and poor infrastructure. Under these circumstances, providing food, water and shelter and limiting communicable disease outbreaks become primary concerns. Where effective and safe vaccines are available to mitigate the risk of disease outbreaks, their potential deployment is a key consideration in meeting emergency health needs. Ethical considerations are crucial when deciding on vaccine deployment. Allocation of vaccines in short supply, target groups, delivery strategies, surveillance and research during acute humanitarian emergencies all involve ethical considerations that often arise from the tension between individual and common good. The authors lay out the ethical issues that policy-makers need to bear in mind when considering the deployment of mass vaccination during humanitarian emergencies, including beneficence (duty of care and the rule of rescue), non-maleficence, autonomy and consent, and distributive and procedural justice.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000400012&lng=en&tlng=en |
| spellingShingle | Keymanthri Moodley Kate Hardie Michael J Selgelid Ronald J Waldman Peter Strebel Helen Rees David N Durrheim Ethical considerations for vaccination programmes in acute humanitarian emergencies Bulletin of the World Health Organization |
| title | Ethical considerations for vaccination programmes in acute humanitarian emergencies |
| title_full | Ethical considerations for vaccination programmes in acute humanitarian emergencies |
| title_fullStr | Ethical considerations for vaccination programmes in acute humanitarian emergencies |
| title_full_unstemmed | Ethical considerations for vaccination programmes in acute humanitarian emergencies |
| title_short | Ethical considerations for vaccination programmes in acute humanitarian emergencies |
| title_sort | ethical considerations for vaccination programmes in acute humanitarian emergencies |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000400012&lng=en&tlng=en |
| work_keys_str_mv | AT keymanthrimoodley ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies AT katehardie ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies AT michaeljselgelid ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies AT ronaldjwaldman ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies AT peterstrebel ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies AT helenrees ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies AT davidndurrheim ethicalconsiderationsforvaccinationprogrammesinacutehumanitarianemergencies |