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Out of Africa: a solidarity-based approach to vaccine allocation

Abstract:
This article sets forth a solidaristic approach to global distribution of vaccines against the SARS-CoV-2 virus. Our approach draws inspiration from African ethics and from the characterization of the Covid-19 crisis as a syndemic, a convergence of biosocial forces that interact with one another to produce and exacerbate clinical disease and prognosis. The first section elaborates the twin ideas of syndemic and solidarity. The second section argues that these ideas lend support to global health alliances to distribute vaccines beyond national borders. The third section introduces ethical criteria to guide global distribution, emphasizing priority to low- and middle-income countries, which have the least ability to obtain vaccines on their own. It also justifies giving priority to people at high risk of infection and high risk of severe disease and death.
Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1002/hast.1250

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author
ORCID:
0000-0001-6825-6916
More by this author
Role:
Author
ORCID:
0000-0002-5642-748X


Publisher:
Wiley
Journal:
Hastings Center Report More from this journal
Volume:
51
Issue:
3
Pages:
27-36
Publication date:
2021-05-03
DOI:
EISSN:
1552-146X
ISSN:
0093-0334
Pmid:
33939182


Language:
English
Keywords:
Pubs id:
1270015
Local pid:
pubs:1270015
Deposit date:
2022-07-28

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