Mandatory vaccination: a joint statement of the Ethics and Vaccination working groups of the European Academy of Paediatrics

Hadjipanayis, Adamos; Dornbusch, Hans Jürgen; Grossman, Zachi; Theophilou, Leda; Brierley, Joe

doi:10.1007/s00431-019-03523-4

Cited by 15 publications

(9 citation statements)

References 23 publications

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“…Transfusion of blood plasma from healed patients may help the still infected to get over the illness. Some of the administered drugs (inotropes, antivirals, antibiotics, hydroxychloroquine, colchicine, azathioprine, and so on), especially when taken in combination therapy, may cause a QT tract prolongation at baseline ECG, which is a well-established marker of potential development of ventricular arrhythmias [44][45][46].…”

Section: Pathophysiologymentioning

confidence: 99%

Children’s heart and COVID-19: Up-to-date evidence in the form of a systematic review

et al. 2020

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The new coronavirus disease outbreak in 2019 (COVID-19) represents a dramatic challenge for healthcare systems worldwide. As to viral tropism, lungs are not the only COVID-19 target but also the heart may be involved in a not negligible percentage of the infected patients. Myocarditis-related cardiac dysfunction and potentially life-threatening arrhythmias are the main aftermaths. A few studies showed that myocardial injury in adult patients is often linked with a fatal outcome. Conversely, scientific evidence in children is sparse, although several reports were published with the description of a cardiac involvement in COVID-19 paediatric patients. In these young subjects, a background of surgically treated congenital heart disease seems to be a predisposing factor. Conclusion: This systematic review is aimed at summarizing all COVID-19 cases with a cardiac involvement published in paediatric age and trying to explain the underlying mechanisms responsible for COVID-19-related myocardial damage. What is Known: • Coronaviruses proved to be able to jump from animals to humans. • The outbreak of COVID-19 started from China (Dec 2019) and became pandemic. What is New: • Even in childhood, COVID-19 is not without the risk of cardiac involvement. • Myocarditis, heart failure, and arrhythmias are among the possible manifestations.

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Section: Pathophysiologymentioning

confidence: 99%

Children’s heart and COVID-19: Up-to-date evidence in the form of a systematic review

et al. 2020

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“…26 To set priority, based on proportion of severity of infection with SARS-CoV-2 and further complications, children with comorbidities and physically/mentally challenged are allowed to get vaccines rst comparing with normal healthy children. 27 Moreover, it is crucial to allow more time to gather safety and e cacy data of any vaccine that will ultimately show grounds for approval to use in children. 17,22 e American Academy of Pediatrics has also advocated for the inclusion of children in paediatric COVID-19 vaccine testing.…”

Section: Ethical Issuesmentioning

confidence: 99%

Children and COVID-19 Vaccine: A Public Health Ethics Perspective

Nurunnabi

Ashique

Jahan³

et al. 2022

Bangladesh Med J

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As COVID-19 cases were in rise all over the world and the World Health Organization declared a pandemic, there was an increasing focus on availability of new vaccines and drugs against the virus. Meanwhile, we already have several vaccines in COVID-19 vaccination programmes across the globe. During the process of development and clinical trials of the vaccines, several questions were popped up by multiple stakeholders about child vaccination against COVID-19. Most of the queries focused on safety of COVID-19 vaccines, the clinical trial process, priority criteria of getting a vaccine, why and why not children be included in the vaccination programme. In adult population of the country, COVID-19 vaccination programme is being carried out in an unequalled state; the focus is now on paeditric population, as some countries have already started to vaccinate children. At the time of writing this paper when Government of Bangladesh has not yet decided to vaccinate children in the country but initiatives has been taken by health department for above 12 years children vaccination. However, this paper aims to discuss potential ethical dilemmas related to COVID-19 vaccination in children especially in low-resource settings and dig into effective strategies to implement COVID-19 vaccination programme properly in the field of public health. Bangladesh Med J. 2021 Sept; 50(3): 44-48

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“…In countries where vaccination coverage rates are not at satisfactory levels and/or outbreaks of vaccine-preventable diseases tend to rise, the application of mandatory vaccination could be an effective intervention in protecting children from these diseases (23). Mandatory vaccination should always be implemented with caution and with regard to the setting, when an effective level of population protection is not achieved by voluntary immunization.…”

Section: The Big Challenge and The Principle Goalmentioning

confidence: 99%