Abstract

The COVID-19 pandemic has evidenced the chronic inequality that exists between populations and communities as regards global healthcare. Vaccination, an appropriate tool for the prevention of infection, should be guaranteed by means of proportionate interventions to defeat such inequality in populations and communities affected by a higher risk of infection. Equitable criteria of justice should be identified and applied with respect to access to vaccination and to the order in which it should be administered. This article analyzes, as regards the worldwide distribution of anti-COVID-19 vaccines, the various ways the principle of equity has been construed and applied or even overlooked. The main obstacle to equal access to vaccines is vaccine nationalism. The perception of equity varies with the differing reference values adopted. Adequate response to needs appears to be the principal rule for achieving the criterion of equity in line with distributive justice. Priorities must be set equitably based on rational parameters in accordance with current needs. The entire process must be governed by transparency, from parameter identification to implementation. The issue of equal access to vaccination affects the entire world population, necessitating specific protective interventions. In light of this, the World Health Organization (WHO) has devised the COVAX plan to ensure that even the poorest nations of the world receive the vaccine; certain initiatives are also supported by the European Union (EU). This pandemic has brought to the fore the need to build a culture of equitable relationships both in each country’s own domain and with the rest of the world.

Highlights

  • Legal Medicine, University of Padua, via G

  • The COVID-19 pandemic has evidenced the chronic inequality that exists between populations and communities as regards global healthcare [1,2], attributable to various factors [3] including the varying availability of resources, due to socioeconomic reasons, to prevent and cope with diseases

  • In order to ensure protection, proportionate interventions are required with the quali-quantitative properties necessary for abating the inequality that exists between populations and communities at a higher risk of COVID-19 infection or of a severe COVID-19 infection

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Summary

Healthcare Inequality and the COVID-19 Pandemic

The COVID-19 pandemic has evidenced the chronic inequality that exists between populations and communities as regards global healthcare [1,2], attributable to various factors [3] including the varying availability of resources, due to socioeconomic reasons, to prevent and cope with diseases. Inequality as regards the risk of contracting COVID-19 is due to the fact that certain individuals, communities, and populations are at a higher risk of contracting the infection or of contracting a severe infection [4] than others. In order to ensure protection, proportionate interventions are required with the quali-quantitative properties necessary for abating the inequality that exists between populations and communities at a higher risk of COVID-19 infection or of a severe COVID-19 infection. Our objective is to evaluate the criteria and rules that will enable the implementation of equity and whether policymakers have applied said rules, or whether some have chosen to adopt vaccine nationalism

COVID-19 Pandemic and Equal Access to Treatment and Vaccination
Equity and Vaccine Nationalism
Needs as an Expression of Risk
Equitable Vaccination
Supranational Initiatives Based on Equity
Findings
Conclusions
Full Text
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