These vaccination hesitancy discourses respond to the individual vs collective conflict; parents defend their right to bring up their children without any interference from the state and focus their responsibility on the individual welfare of their sons and daughters, regardless of the consequences that their actions might have on the collective. In their management of risks, they consider those derived from vaccination more relevant than the individual or collective consequences of not doing so. The vaccines generating most doubts are the more controversial ones within the scientific world. Transparency in communication of adverse effects; authorities respect for other health/disease concepts; banishment of the term "anti-vaccines" from the media and scientific vocabulary, and developing spaces for dialogue are bridges to be built.
La llegada de una vacuna frente al SARS-CoV-2 que pueda frenar la expansión de la infección se ha postulado como la respuesta definitiva para frenar la pandemia de COVID-19. Lejos de ser una solución libre de conflictos éticos, la introducción de una nueva vacuna en la práctica de la salud pública, y que se haga en una situación de inestabilidad social, política y económica, vuelve a activar la línea de tensión entre el poder de las instituciones, la autonomía de las personas y las dinámicas de los mercados globales. Esto hace que sea preciso un análisis ético que incluya los conflictos en el ámbito de la investigación y el desarrollo de la vacuna, los elementos de justicia global presentes en la distribución de la vacuna, las decisiones de priorización cuando la oferta de esta no cubra la demanda existente y las posturas que se deberán tomar, desde los poderes públicos, para abordar los casos de reticencia por parte de las personas que no deseen que se les administre la vacuna -o que planteen dudas ante ello-. Palabras clave: ética de la salud pública; vacunación; reticencia; ética de la investigación; justicia; criterios distribución; COVID-19
Abstract. "Haste makes waste". An ethical analysis of the COVID-19 vaccine: Development, allocation and hesitationThe development of a vaccine against SARS-CoV-2 that can stop the spread of the infection has been postulated as the definitive response to end the COVID-19 pandemic. Far from being free of ethical conflicts, the introduction of a new vaccine in a situation of social, political and economic instability reactivates the tension among institutional power, people's autonomy and the dynamics of global markets. This requires an ethical analysis that includes conflicts in the field of vaccine research and development, glob-
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