冒险保护他人--儿童疫苗接种与道德责任。

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2023-05-04 eCollection Date: 2023-07-01 DOI:10.1093/phe/phad005
Jessica Nihlén Fahlquist
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引用次数: 0

摘要

2020-2022 年期间的 COVID-19 大流行提出了有关个人自主权与保护人口、弱势人群和医疗保健系统之间平衡的伦理问题。小儿 COVID-19 疫苗接种不同于麻疹疫苗接种,因为儿童受影响的程度没有麻疹那么严重。有关小儿疫苗接种的主要问题是父母的自主权是否大于对人口的保护。当儿童被视为足够成熟,可以被赋予自主权时,就会出现这样的问题:他们是否有权拒绝接种疫苗,以及当父母意见不一致和/或儿童意见不一致时,应该由谁来做决定。在本文中,我认为应鼓励儿童不仅为自己负责,也为他人负责。在存在这种风险-收益比的情况下,对儿童接种疫苗的讨论将超越 2020-2022 年的大流行。这次大流行带来了一个对作为全球问题的公共卫生的未来至关重要的问题,即儿童在多大程度上应被视为负责任的决策者,能够为管理和潜在的解决方案做出贡献。我的结论是,在公共卫生领域,社会应鼓励儿童培养这种责任感,并将其视为一种美德。
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Taking Risks to Protect Others-Pediatric Vaccination and Moral Responsibility.

The COVID-19 pandemic during 2020-2022 raised ethical questions concerning the balance between individual autonomy and the protection of the population, vulnerable individuals and the healthcare system. Pediatric COVID-19 vaccination differs from, for example, measles vaccination in that children were not as severely affected. The main question concerning pediatric vaccination has been whether the autonomy of parents outweighs the protection of the population. When children are seen as mature enough to be granted autonomy, questions arise about whether they have the right to decline vaccination and who should make the decision when parents disagree with each other and/or the child. In this paper, I argue that children should be encouraged to not only take responsibility for themselves, but for others. The discussion of pediatric vaccination in cases where this kind of risk-benefit ratio exists extends beyond the 2020-2022 pandemic. The pandemic entailed a question that is crucial for the future of public health as a global problem, that is, to what extent children should be seen as responsible decision-makers who are capable of contributing to its management and potential solution. I conclude that society should encourage children to cultivate such responsibility, conceived as a virtue, in the context of public health.

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来源期刊
Public Health Ethics
Public Health Ethics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICAL ETHICS
CiteScore
3.10
自引率
9.50%
发文量
28
审稿时长
>12 weeks
期刊介绍: Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made. The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.
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