群体免疫力,疫苗接种和道德义务
Matthew Bullen1, George S Heriot2, Euzebiusz Jamrozik3,4,5
1Box Hill Hospital, Eastern Health, Melbourne, Victoria, Australia.
Journal of medical ethics
|June 5, 2023
概括
"群体免疫"一词有多种含义,影响了疫苗政策的伦理论点. 了解这些含义对于评估个人义务和强制性疫苗接种策略的合理性至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生物伦理学生物伦理学
背景情况:
- 群体免疫力经常被用来证明强制性疫苗接种政策的合理性.
- 群体免疫的概念是模两可的,有多种解释.
- 对群体免疫的不同解释影响了伦理考虑和政策决策.
研究的目的:
- 分析"群体免疫"的多个参考.
- 检查群体免疫的不同解释如何影响疫苗接种的伦理义务.
- 评估基于群体免疫概念的强制性疫苗政策的合理性.
主要方法:
- "群体免疫"一词的概念分析.
- 检查流行病学结果 (消除与特有平衡).
- 对疫苗接种义务和胁迫的伦理评价.
主要成果:
- "群体免疫力"可以指流行病下降的门,人口免疫率或间接收益.
- 群体免疫论据的有效性因病原体而异,最佳条件不适用于所有疾病.
- 对于免疫力减弱或抗原变异的病原体 (例如,SARS-CoV-2),大规模接种疫苗可能只会延迟感染,削弱个人贡献的义务,并减少强迫的理由.
结论:
- 强制性疫苗接种政策的伦理理由取决于"群体免疫力"和病原体特征的具体解释.
- "群体免疫"一词的模糊性使其在公共卫生伦理学中的应用变得复杂.
- 强制性疫苗政策对病原体来说不那么合理,因为群体免疫值不容易达到,或者再感染是常见的.
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