Evidence map›Paper›PMID 35264173›Full record

ArticleBMC medical ethics2022

Social network-based ethical analysis of COVID-19 vaccine supply policy in three Central Asian countries.

Timur Aripov, Daniel Wikler, Damin Asadov, Zhangir Tulekov, Totugul Murzabekova, Kerim M Munir

Open access · goldAbstract read
In one paragraph

Article in BMC medical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 52% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Timur AripovDepartment of Public Health and Healthcare Management, Tashkent Institute of Postgraduate Medical Education, Parkent str. 51, Tashkent, 100007, Uzbekistan. timur_aripov@inbox.ru.
Daniel WiklerDepartment of Global Health and Population, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
Damin AsadovDepartment of Public Health and Healthcare Management, Tashkent Institute of Postgraduate Medical Education, Parkent str. 51, Tashkent, 100007, Uzbekistan.
Zhangir TulekovAl-Farabi Kazakh National University, 71 Al-Farabi Avenue, Almaty, 050040, Kazakhstan.
Totugul MurzabekovaKyrgyz-Netherlands Community of Volunteers Tuberculosis Foundation, Zhantosheva 121/33, Bishkek, Kyrgyzstan.
Kerim M MunirHarvard Medical School, Boston Children's Hospital, Developmental Medicine Center, ​300 Longwood Ave, Boston, MA, 02115, USA.
Tashkent Institute Of Postgraduate Medical Education · UZAl-Farabi Kazakh National University · KZHarvard Global Health Institute · USHarvard University · US

Funding

International Bioethics Research Postdoctoral Training - C. Asia NetworkD43TW011237 · FIC · BOSTON CHILDREN'S HOSPITAL · PI MUNIR, KERIM M · 2019 to 2023
$1.2M
FIC NIH HHS D43 TW011237
6 · The paper itself

Abstract

backgroundIn the pandemic time, many low- and middle-income countries are experiencing restricted access to COVID-19 vaccines. Access to imported vaccines or ways to produce them locally became the principal source of hope for these countries. But developing a strategy for success in obtaining and allocating vaccines was not easy task. The governments in those countries have faced the difficult decision whether to accept or reject offers of vaccine diplomacy, weighing the price and availability of COVID-19 vaccines against the concerns over their efficacy and safety. We aimed to analyze public opinion regarding the governmental strategies to obtain COVID-19 vaccines in three Central Asian countries, focusing particularly on possible ethical issues.

methodsWe searched for opinions expressed either in Russian or in the respective national languages. We provided data on the debate within three countries, drawn from social media postings and other sources. The opinion data was not restricted by source and time. This allowed collecting a wide range of possible opinions that could be expressed regarding COVID-19 vaccine supply and human participation in the vaccine trial. We recognized ethical issues and possible questions concerning different ethical frameworks. We also considered scientific data and other information, in the process of reasoning.

resultsAs a result, public views on their respective government policies on COVID-19 vaccine supply ranged from strongly negative to slightly positive. We extracted the most important issues from public debates, for our analysis. The first issue involved trade-offs between quantity, speed, price, freedom, efficacy, and safety in the vaccines. The second set of issues arose in connection with the request to site a randomized trial in one of the countries (Uzbekistan). After considering additional evidence, we weighed individual and public risks against the benefits to make specific judgements concerning every issue.

conclusionsWe believe that our analysis would be a helpful example of solving ethical issues that can arise concerning COVID-19 vaccine supply around the world. The public view can be highly critical, helping to spot such issues. An ignoring this view can lead to major problems, which in turn, can become a serious obstacle for the vaccine coverage and epidemics' control in the countries and regions.

Indexed as

COVID-19COVID-19 VaccinesEthical AnalysisHumansPandemicsPolicySARS-CoV-2Social NetworkingCOVID-19 VaccinesBioethicsCentral AsiaCOVID-19Low- and middle-income countriesVaccine

Identifiers

PMID35264173
PMCPMC8906360
OpenAlexW4220677289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.