Evidence map›Paper›PMID 23599553›Full record

ArticleBulletin of the World Health Organization2013

Ethical considerations for vaccination programmes in acute humanitarian emergencies.

Keymanthri Moodley, Kate Hardie, Michael J Selgelid, Ronald J Waldman, Peter Strebel, Helen Rees, David N Durrheim

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Article
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  6. Article
  7. Article
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  10. Article
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  12. Article
  13. The development of global vaccine stockpiles.The Lancet. Infectious diseases · 2015
    Review
  14. Review
  15. Article
  16. Development of a cholera vaccination policy on the Island of Hispaniola, 2010-2013.The American journal of tropical medicine and hygiene · 2013
    Article
  17. Ethical Frameworks and Global Health: A Narrative Review of the "Leave No One Behind" Principle.Inquiry : a journal of medical care organization, provision and financing
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Keymanthri MoodleyCentre for Medical Ethics and Law, Faculty of Medicine and Health Sciences, University of Stellenbosch, PO Box 19063, Tygerberg 7505, Cape Town, South Africa. km@sun.ac.za
Kate Hardie
Michael J Selgelid
Ronald J Waldman
Peter Strebel
Helen Rees
David N Durrheim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Humanitarian emergencies result in a breakdown of critical health-care services and often make vulnerable communities dependent on external agencies for care. In resource-constrained settings, this may occur against a backdrop of extreme poverty, malnutrition, insecurity, low literacy and poor infrastructure. Under these circumstances, providing food, water and shelter and limiting communicable disease outbreaks become primary concerns. Where effective and safe vaccines are available to mitigate the risk of disease outbreaks, their potential deployment is a key consideration in meeting emergency health needs. Ethical considerations are crucial when deciding on vaccine deployment. Allocation of vaccines in short supply, target groups, delivery strategies, surveillance and research during acute humanitarian emergencies all involve ethical considerations that often arise from the tension between individual and common good. The authors lay out the ethical issues that policy-makers need to bear in mind when considering the deployment of mass vaccination during humanitarian emergencies, including beneficence (duty of care and the rule of rescue), non-maleficence, autonomy and consent, and distributive and procedural justice.

Indexed as

AltruismBeneficenceDecision MakingDisaster PlanningEpidemicsHealth Care RationingHuman RightsHumansImmunization ProgramsInformed ConsentVaccinesVaccines

Identifiers

PMID23599553
PMCPMC3629456

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.