Ethical review of COVID-19 vaccination requirements for transplant center staff and patients

Olivia S. Kates; Peter G. Stock; Michael G. Ison; Richard D.M. Allen; Patrizia Burra; Jong Cheol Jeong; Vivek Kute; Elmi Muller; Alejandro Nino-Murcia; Haibo Wang; Anji Wall

doi:10.1111/ajt.16878

Ethical review of COVID-19 vaccination requirements for transplant center staff and patients

Olivia S. Kates, Peter G. Stock^*, Michael G. Ison, Richard D.M. Allen, Patrizia Burra, Jong Cheol Jeong, Vivek Kute, Elmi Muller, Alejandro Nino-Murcia, Haibo Wang, Anji Wall

^*Corresponding author for this work

Research output: Contribution to journal › Comment/debate › peer-review

20 Scopus citations

Abstract

Transplant centers seeking to increase coronavirus disease 2019 (COVID-19) vaccine coverage may consider requiring vaccination for healthcare workers or for candidates. The authors summarize current data to inform an ethical analysis of the harms, benefits, and individual and societal impact of mandatory vaccination, concluding that vaccine requirements for healthcare workers and transplant candidates are ethically justified by beneficence, net utility, and fiduciary duty to patients and public health. Implementation strategies should mitigate concerns about respect for autonomy and transparency for both groups. We clarify how the same arguments might be applied to related questions of caregiver vaccination, allocation of other healthcare resources, and mandates for non-COVID-19 vaccines. Finally, we call for effort to achieve global equity in vaccination as soon as possible.

Original language	English (US)
Pages (from-to)	371-380
Number of pages	10
Journal	American Journal of Transplantation
Volume	22
Issue number	2
DOIs	https://doi.org/10.1111/ajt.16878
State	Published - Feb 2022

ASJC Scopus subject areas

Immunology and Allergy
Transplantation
Pharmacology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/ajt.16878

Cite this

@article{45567897b18040bca5e9d001dc2be3d1,

title = "Ethical review of COVID-19 vaccination requirements for transplant center staff and patients",

abstract = "Transplant centers seeking to increase coronavirus disease 2019 (COVID-19) vaccine coverage may consider requiring vaccination for healthcare workers or for candidates. The authors summarize current data to inform an ethical analysis of the harms, benefits, and individual and societal impact of mandatory vaccination, concluding that vaccine requirements for healthcare workers and transplant candidates are ethically justified by beneficence, net utility, and fiduciary duty to patients and public health. Implementation strategies should mitigate concerns about respect for autonomy and transparency for both groups. We clarify how the same arguments might be applied to related questions of caregiver vaccination, allocation of other healthcare resources, and mandates for non-COVID-19 vaccines. Finally, we call for effort to achieve global equity in vaccination as soon as possible.",

author = "Kates, {Olivia S.} and Stock, {Peter G.} and Ison, {Michael G.} and Allen, {Richard D.M.} and Patrizia Burra and Jeong, {Jong Cheol} and Vivek Kute and Elmi Muller and Alejandro Nino-Murcia and Haibo Wang and Anji Wall",

note = "Funding Information: The authors thank the following individuals for their thoughtful review of an early version of the manuscript: Curie Ahn (South Korea), Ian Dittmer (New Zealand), Riadh Fadhil (Qatar), Rudolf Garcia-Gallont (Guatemala), Ifeoma Ulasi (Nigeria), and Kristof Van Assche (Belgium). Publisher Copyright: {\textcopyright} 2021 The American Society of Transplantation and the American Society of Transplant Surgeons",

year = "2022",

month = feb,

doi = "10.1111/ajt.16878",

language = "English (US)",

volume = "22",

pages = "371--380",

journal = "American Journal of Transplantation",

issn = "1600-6135",

publisher = "Wiley-Blackwell",

number = "2",

}

TY - JOUR

T1 - Ethical review of COVID-19 vaccination requirements for transplant center staff and patients

AU - Kates, Olivia S.

AU - Stock, Peter G.

AU - Ison, Michael G.

AU - Allen, Richard D.M.

AU - Burra, Patrizia

AU - Jeong, Jong Cheol

AU - Kute, Vivek

AU - Muller, Elmi

AU - Nino-Murcia, Alejandro

AU - Wang, Haibo

AU - Wall, Anji

N1 - Funding Information: The authors thank the following individuals for their thoughtful review of an early version of the manuscript: Curie Ahn (South Korea), Ian Dittmer (New Zealand), Riadh Fadhil (Qatar), Rudolf Garcia-Gallont (Guatemala), Ifeoma Ulasi (Nigeria), and Kristof Van Assche (Belgium). Publisher Copyright: © 2021 The American Society of Transplantation and the American Society of Transplant Surgeons

PY - 2022/2

Y1 - 2022/2

N2 - Transplant centers seeking to increase coronavirus disease 2019 (COVID-19) vaccine coverage may consider requiring vaccination for healthcare workers or for candidates. The authors summarize current data to inform an ethical analysis of the harms, benefits, and individual and societal impact of mandatory vaccination, concluding that vaccine requirements for healthcare workers and transplant candidates are ethically justified by beneficence, net utility, and fiduciary duty to patients and public health. Implementation strategies should mitigate concerns about respect for autonomy and transparency for both groups. We clarify how the same arguments might be applied to related questions of caregiver vaccination, allocation of other healthcare resources, and mandates for non-COVID-19 vaccines. Finally, we call for effort to achieve global equity in vaccination as soon as possible.

AB - Transplant centers seeking to increase coronavirus disease 2019 (COVID-19) vaccine coverage may consider requiring vaccination for healthcare workers or for candidates. The authors summarize current data to inform an ethical analysis of the harms, benefits, and individual and societal impact of mandatory vaccination, concluding that vaccine requirements for healthcare workers and transplant candidates are ethically justified by beneficence, net utility, and fiduciary duty to patients and public health. Implementation strategies should mitigate concerns about respect for autonomy and transparency for both groups. We clarify how the same arguments might be applied to related questions of caregiver vaccination, allocation of other healthcare resources, and mandates for non-COVID-19 vaccines. Finally, we call for effort to achieve global equity in vaccination as soon as possible.

UR - http://www.scopus.com/inward/record.url?scp=85119335545&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85119335545&partnerID=8YFLogxK

U2 - 10.1111/ajt.16878

DO - 10.1111/ajt.16878

M3 - Comment/debate

C2 - 34706165

AN - SCOPUS:85119335545

SN - 1600-6135

VL - 22

SP - 371

EP - 380

JO - American Journal of Transplantation

JF - American Journal of Transplantation

IS - 2

ER -

Ethical review of COVID-19 vaccination requirements for transplant center staff and patients

Abstract

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this