An ethical framework for public health immunisation programs.

David Isaacs
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引用次数: 10

Abstract

This paper presents seven ethical principles associated with the implementation of immunisation programs. For a public health immunisation program to be ethically justifiable, its principles and operation should be based on sound ethical values: the program should benefit the individual and the community; targeted diseases should be sufficiently severe and frequent to justify the risks and expense of the program, and vulnerable groups within the population should be targeted. The principles also deal with the obligation to monitor for adverse events and for disease incidence to ensure safety and effectiveness. When immunisations are voluntary, vaccine recipients or their parents or carers should be given sufficient information to make autonomous, informed decisions and incentives to participate in public health immunisation programs should not be coercive. Public health immunisation programs depend on mutual trust, which may be threatened by circumstances such as excessive media publicity about adverse events associated with vaccines.

公共卫生免疫规划的伦理框架。
本文提出了与实施免疫规划有关的七项伦理原则。为了使公共卫生免疫规划在道德上是合理的,其原则和运作应基于健全的道德价值观:该规划应使个人和社区受益;目标疾病应足够严重和频繁,以证明该规划的风险和费用是合理的,并且应针对人口中的弱势群体。这些原则还涉及监测不良事件和疾病发生率以确保安全和有效性的义务。在自愿接种疫苗的情况下,应向疫苗接种者或其父母或照顾者提供充分的信息,以作出自主、知情的决定,参与公共卫生免疫规划的激励措施不应是强制性的。公共卫生免疫规划依赖于相互信任,而这种信任可能会因媒体对疫苗相关不良事件的过度宣传等情况而受到威胁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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