Necessary conditions for the future consideration of vaccine certificates
ABSTRACT Vaccine certificates were deployed during the COVID-19 pandemic to enable the partial restoration of social and economic activities whilst protecting the public’s health. Despite widespread adoption, their use was (and remains) controversial, especially because of concerns regarding their impact on liberty. Getting clarity on the conditions under which vaccine certificates should and should not be considered is critical as the world prepares for future infectious disease threats, including those that may differ substantially from the COVID-19 pandemic. To this end, we offer a framework which argues that as three key factors increase – the pathogenicity of the infectious disease, the prevalence of the infectious disease, and the protective effects of its associated vaccine – so, too, does the pro tanto justification for considering the use of vaccine certificates, while lower levels diminish the justification. This is because higher ‘scores’ for each of these dimensions will provide stronger justification for trade-offs with liberty that are likely to occur as a result of vaccine certificate use. While not a comprehensive framework for evaluating the use of vaccine certificates, these three conditions comprise a framework that can aid decision-makers in determining whether vaccine certificates are worthy of further consideration in the face of a future threat.
- Discussion
24
- 10.1016/j.ajic.2020.05.002
- May 12, 2020
- American Journal of Infection Control
The electronic medical record and COVID-19: Is it up to the challenge?
- Research Article
63
- 10.1016/j.lanepe.2021.100221
- Oct 1, 2021
- The Lancet Regional Health - Europe
Since 2005, the world has faced several public health emergencies of international concern arising from infectious disease outbreaks. Of these, the COVID-19 pandemic has had by far the greatest health and economic consequences. During these emergencies, responses taken by one country often have an impact on other countries. The implication is that coordination between countries is likely to achieve better outcomes, individually and collectively, than each country independently pursuing its own self-interest. During the COVID-19 pandemic, gaps in multilateral cooperation on research and information sharing, vaccine development and deployment, and travel policies have hampered the speed and equity of global recovery. In this Health Policy article, we explore how multilateral collaboration between countries is crucial to successful responses to public health emergencies linked to infectious disease outbreaks. Responding to future global infectious disease threats and other health emergencies will require the creation of stronger mechanisms for multilateral collaboration before they arise. A change to the governance of multilateral institutions is a logical next step, with a focus on providing equal ownership and leadership opportunities to all member countries. Europe can be an example and advocate for stronger and better governed multilateral institutions.
- Research Article
40
- 10.1016/j.jgar.2021.02.013
- Mar 1, 2021
- Journal of Global Antimicrobial Resistance
Antimicrobial resistance research in a post-pandemic world: Insights on antimicrobial resistance research in the COVID-19 pandemic
- Discussion
21
- 10.1016/j.jinf.2021.01.018
- Jan 29, 2021
- Journal of Infection
Impact of COVID-19 preventive measures on other infectious and non-infectious respiratory diseases in Pakistan
- Front Matter
2
- 10.1016/j.jpeds.2022.10.001
- Oct 11, 2022
- The Journal of pediatrics
Epidemiologic Changes Caused by the Preventive Measures for the Coronavirus Disease 2019 Pandemic: An Additional Challenge for Pediatricians
- Abstract
- 10.1016/s0924-8579(13)70221-8
- Jun 1, 2013
- International Journal of Antimicrobial Agents
SP29-2 Surveillance in Asia: the ANSORP experience
- Peer Review Report
- 10.7554/elife.80466.sa0
- Nov 10, 2022
Editor's evaluation: Disentangling the rhythms of human activity in the built environment for airborne transmission risk: An analysis of large-scale mobility data
- Peer Review Report
- 10.7554/elife.80466.sa1
- Nov 10, 2022
Decision letter: Disentangling the rhythms of human activity in the built environment for airborne transmission risk: An analysis of large-scale mobility data
- Front Matter
4
- 10.1111/jep.13667
- Feb 14, 2022
- Journal of evaluation in clinical practice
The brave new world of pandemic resilience.
- Research Article
1
- 10.1097/mlr.0000000000001872
- Jun 8, 2023
- Medical Care
espanolLa politica europea de energia lleva varios anos en primera linea de actuacion de la UE. Su incorporacion al Tratado de Lisboa, asi como su relacion estrecha con otras politicas de la UE tales como competencia, mercado interior, tecnologia o medio ambiente, han convertido a la energia en un actor principal en lo que respecta a la accion y legislacion europeas y hay que mencionar las politicas y actuacion en el campo internacional, incluida la ayuda al desarrollo. No debe olvidarse en este contexto el transporte como gran consumidor de energia y uno de los mayores responsables de emision de gases de efecto invernadero. Tampoco hay que dejar de lado la tecnologia como tal. Las tres dimensiones de la politica de energia, competitividad, sostenibilidad y seguridad de abastecimiento, estan al mismo nivel de importancia, pero el equilibrio que se establezca entre las tres necesita decisiones politicas cuidadosas, que no suponen necesariamente alcanzar los optimos individuales de manera separada. La dimension exterior habria de anadirse a las tres anteriores. La UE persigue ejercer un cierto liderazgo mundial en relacion con sus objetivos para los horizontes 2020 y 2050. EnglishEuropean energy policy has been at the forefront of EU action for several years now. Its inclusion in the Lisbon Treaty, as well as its connection with other key EU policies such as competition, internal market, technology or environment, has made energy a major player in terms of EU action and legislation, let alone in its international policies and action including development aid. Transport as a major energy user - and greenhouse gas emitter - should not be forgotten in this context. Neither should technology as such. The three pillars of energy policy, that is to say competitiveness, sustainability, and security of supply are on an equal footing, but the balance to be struck between them requires delicate political set-offs, which means that the optimum objective for each of them separately is unlikely to be attainable. A pillar on external relations should also be added to the former three. The EU pursues exert world leadership in view of its 2020 and 2050 objectives.
- Supplementary Content
6
- 10.1016/s0140-6736(20)32478-8
- Nov 1, 2020
- The Lancet
A tribute to some of the doctors who died from COVID-19
- Research Article
- 10.52152/x3993704
- Oct 3, 2025
- Lex localis - Journal of Local Self-Government
Introduction and aim: The escalating threat of droplet-transmitted infectious diseases, exemplified by the SARS and COVID-19 pandemics, has exposed critical vulnerabilities in global health preparedness. A significant gap persists in standardized, contextually-relevant emergency nursing education for undergraduate students, particularly in densely populated regions like Macao. This study aimed to develop and validate, through expert consensus, a scientifically rigorous educational framework to equip future nurses with the essential competencies to manage droplet-transmitted infectious disease emergencies. Material and methods: This study employed a rigorous, multi-round modified Delphi method. An initial 58-item framework was systematically developed by synthesizing evidence from a comprehensive literature review and qualitative insights from preliminary interviews with eight clinical and academic experts. This framework was then subjected to a formal two-round Delphi consultation with a panel of ten distinguished experts in infectious disease control, emergency nursing, and nursing education to achieve consensus on its structure and content. Consensus criteria were stringently defined as a mean item score of ≥ 4.0 (5-point scale), a Coefficient of Variation (CV) of ≤ 0.25, and a statistically significant Kendall's W. Results: A robust consensus was achieved. The iterative process resulted in a finalized, three-tier framework comprising six core modules and 56 validated Level 3 items. The final round demonstrated a significant and improved level of expert agreement (Kendall's W = 0.454, p < .001). Crucially, all 56 final items met the stringent consensus criteria, with CV values ranging from an excellent 0.00% to 16.35%, and the percentage of scores ≥ 4.0 ranging from 88.9% to 100.0%. These results confirm the framework's high internal consistency and strong validation by the expert panel. Conclusion: This study culminates in the development of a scientifically validated and contextually relevant educational framework that addresses a critical deficit in nursing education. More than just a curriculum, this framework provides a replicable, evidence-based model for nursing education reform, designed to bridge the gap between academic theory and the practical demands of frontline emergency response. Its adoption can significantly enhance the preparedness and competence of future nursing professionals, thereby strengthening the resilience of public health systems against future respiratory-based pandemic threats.
- Front Matter
9
- 10.1016/j.ijid.2020.10.094
- Nov 2, 2020
- International Journal of Infectious Diseases
Lessons from the COVID-19 Pandemic—Unique Opportunities for Unifying, Revamping and Reshaping Epidemic Preparedness of Europe’s Public Health Systems
- Front Matter
27
- 10.1016/s2213-2600(22)00056-x
- Feb 10, 2022
- The Lancet. Respiratory Medicine
Future pandemics: failing to prepare means preparing to fail
- Research Article
2
- 10.1017/ehs.2024.28
- Jan 1, 2024
- Evolutionary human sciences
Multiple proposals suggest that xenophobia increases when infectious disease threats are salient. The current longitudinal study tested this hypothesis by examining whether and how anti-immigrant sentiments varied in the Netherlands across four time points during the COVID-19 pandemic (May 2020, February 2021, October 2021 and June 2022 through Flycatcher.eu). The results revealed that (1) anti-immigrant sentiments were no higher in early assessments, when COVID-19 hospitalizations and deaths were high, than in later assessments, when COVID-19 hospitalizations were low, and (2) within-person changes in explicit disease concerns and disgust sensitivity did not relate to anti-immigrant sentiments, although stable individual differences in disgust sensitivity did. These findings suggest that anecdotal accounts of increased xenophobia during the pandemic did not generalize to the population sampled from here. They also suggest that not all increases in ecological pathogen threats and disease salience increase xenophobia.
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