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Moral principles for allocating scarce medical resources in an influenza pandemic

Marcel Verweij

Journal of Bioethical Inquiry 6 (2):159--169 (2009)

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Why should HCWs receive priority access to vaccines in a pandemic?Xavier Symons, Steve Matthews & Bernadette Tobin - 2021 - BMC Medical Ethics 22 (1):1-9.details BackgroundViral pandemics present a range of ethical challenges for policy makers, not the least among which are difficult decisions about how to allocate scarce healthcare resources. One important question is whether healthcare workers should receive priority access to a vaccine in the event that an effective vaccine becomes available. This question is especially relevant in the coronavirus pandemic with governments and health authorities currently facing questions of distribution of COVID-19 vaccines.Main textIn this article, we critically evaluate the most common ethical (...) Download Export citation Bookmark 1 citation
Health inequities in times of a pandemic.Marcel Verweij - 2009 - Public Health Ethics 2 (3):207-209.details (No abstract is available for this citation). Download Export citation Bookmark 2 citations
Withdrawal of intensive care during times of severe scarcity: Triage during a pandemic only upon arrival or with the inclusion of patients who are already under treatment?Annette Dufner - 2021 - Bioethics 35 (2):118-124.details Many countries have adopted new triage recommendations for use in the event that intensive care beds become scarce during the COVID‐19 pandemic. In addition to establishing the exact criteria regarding whether treatment for a newly arriving patient shows a sufficient likelihood of success, it is also necessary to ask whether patients already undergoing treatment whose prospects are low should be moved into palliative care if new patients with better prospects arrive. This question has led to divergent ethical guidelines. This paper (...) Download Export citation Bookmark 1 citation
Ethical Advice for an Intensive Care Triage Protocol in the COVID-19 Pandemic: Lessons Learned from The Netherlands.Marcel Verweij, Suzanne van de Vathorst, Maartje Schermer, Dick Willems & Martine de Vries - 2020 - Public Health Ethics 13 (2):157-165.details At the height of the COVID-19 crisis in the Netherlands a shortness of intensive care beds was looming. Dutch professional medical organizations asked a group of ethicists for assistance in drafting guidelines and criteria for selection of patients for intensive care treatment in case of absolute scarcity, when medical selection criteria would no longer suffice. This article describes the Dutch context, the process of drafting the advice and reflects on the role of ethicists and lessons learned. We argue that timely (...) Download Export citation Bookmark 5 citations
Prioritizing Vaccine Access for Vulnerable but Stigmatized Groups.C. Kaposy & N. Bandrauk - 2012 - Public Health Ethics 5 (3):283-295.details This article discusses the prioritization of scarce and in-demand influenza vaccines during a pandemic. The mass vaccination campaign in Canada against H1N1 influenza in 2009 illustrated that some groups considered vulnerable may also be stigmatized. In 2009, prisoners and people with severe obesity were given priority of H1N1 vaccination in some Canadian jurisdictions. Assigning priority for vaccination to such groups may be socially unpopular. This article examines a number of possible arguments that might motivate opposition to prioritizing stigmatized groups. We (...) Download Export citation Bookmark 5 citations
Prioritising access to pandemic influenza vaccine: a review of the ethics literature. [REVIEW]Jane H. Williams & Angus Dawson - 2020 - BMC Medical Ethics 21 (1):1-8.details Background The world is threatened by future pandemics. Vaccines can play a key role in preventing harm, but there will inevitably be shortages because there is no possibility of advance stockpiling. We therefore need some method of prioritising access. Main text This paper reports a critical interpretative review of the published literature that discusses ethical arguments used to justify how we could prioritise vaccine during an influenza pandemic. We found that the focus of the literature was often on proposing different (...) Download Export citation Bookmark 7 citations
Racism without racists and consequentialist life‐maximizing approaches to triaging.Luis Cordeiro-Rodrigues & Cornelius Ewuoso - 2022 - Bioethics 36 (3):243-251.details Bioethics, Volume 36, Issue 3, Page 243-251, March 2022. Download Export citation Bookmark 3 citations
Ethical Vaccine Distribution Planning for Pandemic Influenza: Prioritizing Homeless and Hard-to-Reach Populations.K. Buccieri & S. Gaetz - 2013 - Public Health Ethics 6 (2):185-196.details The manner in which limited vaccines are distributed during a pandemic is an ethical issue. The utility principle has been used to argue priority be given to certain individuals based on factors such as the epidemiology of the spread of disease and maintaining the functioning of society. The equity principle has been used to encourage fair practices that account for the economic and social costs of all decisions made. We argue that both principles are met through priority vaccination of homeless (...) Download Export citation Bookmark 2 citations
Equality in the allocation of scarce vaccines.Ben Saunders - 2018 - Les Ateliers de l'Éthique / the Ethics Forum 13 (3):65-84.details In the event of a pandemic, demand for vaccines may exceed supply. One proposal for allocating vaccines is to use a lottery, to give all citizens an equal chance, either of getting the vaccine or of surviving. However, insistence on strict equality can result in seriously suboptimal outcomes. I argue that the requirement to treat all citizens impartially need not be interpreted to require equal chances, particularly where citizens are differently situated. Assuming that we want to save lives, we should (...) Download Export citation Bookmark

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