Prioritization of COVID-19 vaccination. The added value of the “VALIDATE” approach

Refolo, Pietro; Bloemen, Bart; Corsano, Barbara; Grin, John; Gutiérrez-Ibarluzea, Iñaki; Hofmann, Bjørn; Oortwijn, Wija; Sampietro-Colom, Laura; Sandman, Lars; Wilt, Gert Jan van der; Sacchini, Darío

doi:10.1016/j.healthpol.2022.05.005

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…However, the aforementioned principles are the sole explicit "ethical considerations" mentioned in either text. This can be seen as clear proofas also pointed out by other authors [8,14,15]-that the Italian program for anti-COVID-19 vaccination contains very limited ethical reasoning and, more broadly speaking, that the issue of ethics behind this public health intervention is never properly addressed.…”

Section: Ethics Behind Public Health Interventionsmentioning

confidence: 65%

“…This issue was not limited to Italy but can be found in other countries as well, such as Spain or Sweden [15]. What we are emphasizing here is that-independently from the ethical approach which inspires a certain public health intervention-vaccination plans are often interpreted and presented as mere scientific decisions.…”

Section: Ethics Behind Public Health Interventionsmentioning

confidence: 99%

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What Type of Person Should I Be? About the Appeal to Virtues in Public Health Interventions

et al. 2023

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In line with how ethics has developed for the last three centuries, public health ethics has been widely dominated by a deontological as well as a utilitarian approach. The latter is a version of consequentialism, which states that maximizing utility is the primary goal of the majority of individuals or group action, while, on the other hand, virtue ethics, or at least the appeal to virtues, has been largely marginalized. The aim of this article is twofold. Firstly, we aim to highlight the political and ethical nature of public health interventions, often interpreted and presented as mere scientific enterprises. Secondly, we try to highlight the need to integrate or at least recognize the value of appeal to virtues in public health measures. The analysis will reference the Italian COVID-19 vaccination program as a case study. Initially, we will explore the political and ethical nature of any public health measure, using the implementation of the COVID-19 vaccination program in Italy as an example. Subsequently, we will illustrate the deontological approach to ethics, the utilitarian one, and the virtues one, focusing on the dynamic of the agent’s perspective. Lastly, we will briefly analyze both the Italian COVID-19 vaccination program and the communication campaign that promoted it.

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Section: Ethics Behind Public Health Interventionsmentioning

confidence: 65%

Section: Ethics Behind Public Health Interventionsmentioning

confidence: 99%

What Type of Person Should I Be? About the Appeal to Virtues in Public Health Interventions

et al. 2023

Self Cite

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Tailoring COVID-19 Vaccination Strategies in High-Seroprevalence Settings: Insights from Ethiopia

Gudina,

Elsbernd,

Yilma

et al. 2024

Vaccines

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This study aimed to retrospectively assess the cost-effectiveness of various COVID-19 vaccination strategies in Ethiopia. It involved healthcare workers (HCWs) and community participants; and was conducted through interviews and serological tests. Local SARS-CoV-2 variants and seroprevalence rates, as well as national COVID-19 reports and vaccination status were also analyzed. A cost-effectiveness analysis was performed to determine the most economical vaccination strategies in settings with limited vaccine access and high SARS-CoV-2 seroprevalence. Before the arrival of the vaccines, 65% of HCWs had antibodies against SARS-CoV-2, indicating prior exposure to the virus. Individuals with prior infection exhibited a greater antibody response to COVID-19 vaccines and experienced fewer new infections compared to those without prior infection, regardless of vaccination status (5% vs. 24%, p < 0.001 for vaccinated; 3% vs. 48%, p < 0.001 for unvaccinated). The cost-effectiveness analysis indicated that a single-dose vaccination strategy is optimal in settings with high underlying seroprevalence and limited vaccine availability. This study underscores the need for pragmatic vaccination strategies tailored to local contexts, particularly in high-seroprevalence regions, to maximize vaccine impact and minimize the spread of COVID-19. Implementing a targeted approach based on local seroprevalence information could have helped Ethiopia achieve higher vaccination rates and prevent subsequent outbreaks.

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Prioritization of COVID-19 vaccination. The added value of the “VALIDATE” approach

Cited by 2 publications

References 19 publications

What Type of Person Should I Be? About the Appeal to Virtues in Public Health Interventions

What Type of Person Should I Be? About the Appeal to Virtues in Public Health Interventions

Tailoring COVID-19 Vaccination Strategies in High-Seroprevalence Settings: Insights from Ethiopia

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