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Pox Parties for Grannies? Chickenpox, Exogenous Boosting, and Harmful Injustices.
Heidi Malm1, Mark Christopher Navin1,2,3
1Loyola University Chicago.
The American Journal of Bioethics : AJOB
|August 26, 2020
Summary
Discouraging childhood chickenpox vaccination to prevent shingles in adults is unethical. This approach harms children by treating them as means to others
Area of Science:
- Immunology
- Public Health Policy
- Medical Ethics
Background:
- Chickenpox and shingles are caused by the varicella zoster virus (VZV).
- VZV persists in nerve cells after chickenpox recovery and can reactivate as shingles.
- The Exogenous Boosting Hypothesis (EBH) suggests exposure to chickenpox boosts immunity against shingles.
Purpose of the Study:
- To evaluate the ethical implications of public health policies that discourage routine childhood varicella vaccination.
- To argue against immunization strategies that sacrifice child welfare for potential adult benefit.
Main Methods:
- Ethical analysis of public health policies.
- Critique of the Exogenous Boosting Hypothesis (EBH) in policy-making.
- Examination of parental and physician duties.
Main Results:
- Policies discouraging childhood varicella vaccination are deemed unethical, regardless of EBH validity.
- Such policies exploit children, treating them as instruments for adult benefit.
- These strategies conflict with ethical medical practice and parental obligations.
Conclusions:
- Immunization policies must prioritize children's well-being and avoid instrumentalization.
- The ethical framework for public health must uphold individual rights and transparency.
- Discouraging vaccination based on EBH is ethically indefensible.
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