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Fairly Prioritizing Groups for Access to COVID-19 Vaccines

JAMA. Published online September 10, 2020. doi:10.1001/jama.2020.18513


The supply of any successful vaccine for coronavirus disease 2019 (COVID-19) will initially be limited. Who should have access first? The US National Academy of Medicine (NAM) has proposed a framework for COVID-19 vaccine allocation.1 Others have discussed distributing vaccine among countries.2 This Viewpoint delineates how ethical values should guide prioritization of a COVID-19 vaccine among populations within the US. The discussion may be relevant to other countries as well.

In vaccine prioritization, ethics interacts with important scientific and practical questions. These include whether a vaccine will prevent SARS-CoV-2 transmission and what medical factors affect vaccine effectiveness, dosing, and durability, as well as COVID-19 infection rates and outcomes among those not vaccinated. To the extent that a vaccine does not prevent transmission, but just reduces the severity of illness, its effect and distribution should resemble therapeutics that only protect direct recipients.


Read more here : https://jamanetwork.com/journals/jama/fullarticle/2770684?guestAccessKey=0f8fea67-d3ea-4b1d-96fe-c7eaa7f5089e&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=091020

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