Ethical dilemma of mandatory vaccination

‘In the absence of a mandatory vaccine policy, the government can consider other lesser restrictive options. They are as follows:

1. The government can emphasise the educational approach on the vaccine-hesitant population by informing them of the risk-benefit analysis of the vaccine and the importance of taking the vaccine while also addressing their concerns.
2. The government can use behaviour nudge techniques, such as providing incentives or gift cards as the cost incurred will be minimal in comparison to them contracting Covid-19.
3. The government should actively ensure they clamp down on disinformation on social media that further reinforces the false belief of people who hold such extreme views.
4. The health ministry should release data and statistics that are available to bring
5. transparency to help the vaccine-hesitant population make an informed decision.
6. Teachers should not be allowed to teach in schools if they are not vaccinated and continue teaching from home until they get vaccinated.
7. Those who are fully vaccinated can play their role by sharing their experiences as studies have shown people tend to believe their own peers. Social media influencers can use their star power to influence the fence-sitters.
8. The education ministry should consider setting up vaccination centres at schools and provide counselling for school children who refuse vaccines.

‘In a nutshell, the government should navigate through this ethical dilemma cautiously. The government should consider other less restrictive alternatives that will protect the individual’s self-determination which is also in the state’s interest.’

Read here (Free Malaysia Today, Sept 12, 2021)

If you’re going to mandate Covid vaccination at your workplace, here’s how to do it ethically

‘Maintaining and promoting trust is important when it comes to vaccine mandates. It matters to people subject to mandates and it matters to the public more broadly because mutual trust is a cornerstone of effective public health engagement. People should feel supported in their health decision making and they should trust and feel respected by their employers. We’re seeing increasing politicisation about COVID public health measures, in Australia and internationally. This is a social harm we should avoid.’

Read here (The Conversation, August 18, 2021)

Covid-19 and mandatory vaccination: Ethical considerations and caveats

‘Vaccines are one of the most effective tools for protecting people against COVID-19. Consequently, with COVID-19 vaccination under way or on the horizon in many countries, some may be considering whether to make COVID-19 vaccination mandatory in order to increase vaccination rates and achieve public health goals and, if so, under what conditions, for whom and in what contexts.

‘It is not uncommon for governments and institutions to mandate certain actions or types of behaviour in order to protect the wellbeing of individuals or communities. Such policies can be ethically justified, as they may be crucial to protect the health and wellbeing of the public. Nevertheless, because policies that mandate an action or behaviour interfere with individual liberty and autonomy, they should seek to balance communal well-being with individual liberties (1). While interfering with individual liberty does not in itself make a policy intervention unjustified, such policies raise a number of ethical considerations and concerns and should be justified by advancing another valuable social goal, like protecting public health.

‘This document does not provide a position that endorses or opposes mandatory COVID-19 vaccination. Rather, it identifies important ethical considerations and caveats that should be explicitly evaluated and discussed through ethical analysis by governments and/or institutional policy-makers who may be considering mandates for COVID-19 vaccination.’

Download here (WHO Policy Brief, April 13, 2021)

Home Ground: Ethical issues in Covid-19 vaccine roll-outs

‘A principled and pragmatic approach to securing and allocating Covid-19 vaccines works best... ‘Every vaccination programme carries with it ethical concerns over, among other things, safety, efficacy and how to distribute and allocate the vaccine when there are limited supplies...

‘A vaccine programme in the middle of a global pandemic is even trickier. On the one hand, speedy access to the vaccine can make the difference between life and death. On the other hand, the vaccines for Covid-19 are new and relatively untested: The world is learning of side effects as millions more get jabbed; and while we know the short-term efficacy, no one knows how long the protection lasts.

‘As Prof Lim said at the webinar, rolling out vaccination in the middle of a public health emergency is like chasing after a moving target. This requires constant monitoring and updating of rules and plans.’

This account also discusses, in the Singapore context: (1) The race to get hold of supplies (2) Who gets jabbed first and why (3) Why giving a choice of vaccine is not a good idea.

Read here (Straits Times, Mar 12, 2021)

No jab, no job? Ethical issues in mandatory Covid-19 vaccination of healthcare personnel

‘Mandating COVID-19 vaccination of healthcare personnel (HCP) could maximise vaccine uptake, but risks exacerbating breakdowns in trust between HCP and their institutions.

‘Ethical arguments for mandating COVID-19 vaccination of HCP appeal to their duties to ‘do no harm’ and to care for patients, but the fulfilment of these duties requires a safe working environment.

‘We argue for policies aimed at strengthening HCP’s trust in healthcare systems by addressing HCP concerns, including the institutional factors that have put them at risk of infection throughout the COVID-19 pandemic, before considering a COVID-19 vaccine mandate.’

Read here (BJM, February 17, 2021)