Vacunas contra la covid-19: consideración bioética
DOI:
https://doi.org/10.5294/pebi.2021.25.2.7Palabras clave:
Covid-19, vacunas, bioética, Organización Mundial de la Salud, inmunización, efectos adversosResumen
La pandemia de la covid-19 ha tenido impactos inconmensurables en la economía, la educación y la socialización, además de la pérdida de millones de vidas. Por lo tanto, se ha acelerado el desarrollo de un número sin precedentes de candidatos a vacunas contra la covid-19 para controlar la pandemia. A su vez, la autorización para su uso de emergencia por parte de la Organización Mundial de la Salud permitió el inicio de la inmunización de la población a través de vacunas que aún se encuentran en ensayos clínicos. Aquí presentamos una perspectiva de los preceptos bioéticos de autonomía, no maleficencia, beneficencia y justicia en el contexto del uso de emergencia de vacunas contra la covid-19. Además, se enfatiza la importancia de la vigilancia en todas las etapas del desarrollo de la vacuna con el fin de detectar efectos adversos y asegurar el cumplimiento de los preceptos bioéticos.
Descargas
Citas
WHO. WHO Coronavirus (COVID-19) Dashboard[Internet]; 2021 [cited 2021 May 14]. Available from: https://covid19.who.int/
Tregoning JS, Brown ES, Cheeseman HM, Flight KE, Higham SL, Lemm N‐M., et al. Vaccines for COVID-19. Clin Exp Immunol [Internet]. 2020 Nov 18;202(2):162–92. DOI: https://doi.org/10.1111/cei.13517
Wouters OJ, Shadlen KC, Salcher-Konrad M, Pollard AJ, Larson HJ, Teerawattananon Y, et al. Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment. Lancet (London, England) [Internet]. 2021 Mar 13;397(10278):1023–34. DOI: https://doi.org/10.1016/S0140-6736(21)00306-8
Flanagan KL, Best E, Crawford NW, Giles M, Koirala A, Macartney K, et al. Progress and Pitfalls in the Quest for Effective SARS-CoV-2 (COVID-19) Vaccines. Front Immunol [Internet]. 2020 Oct 2;11:579250. DOI: https://doi.org/10.3389/fimmu.2020.579250
Afolabi MOS. Vaccination. In: Encyclopedia of Global Bioethics [Internet]. Cham: Springer International Publishing; 2016. p. 2911–8. DOI: https://doi.org/10.1007/978-3-319-09483-0_432
Vashishtha VM, Kumar P. Emergency use authorisation of Covid-19 vaccines: An ethical conundrum. Indian J Med Ethics [Internet]. 2021 Feb 16;06(01):20–2. DOI: https://doi.org/10.20529/IJME.2020.122
Ospina Henao S, Marín Mora A, Chan Solano F, Ávila-Aguero ML. Bioethical Implications in Vaccine Development, a COVID-19 Challenge. Cureus [Internet]. 2020 Sep 18;12(9):e10530. DOI: https://doi.org/10.7759/cureus.10530
Krause PR, Gruber MF. Emergency Use Authorization of Covid Vaccines — Safety and Efficacy Follow-up Considerations. N Engl J Med [Internet]. 2020 Nov 5;383(19):e107. DOI: https://doi.org/10.1056/NEJMp2031373
Stern PL. Key steps in vaccine development. Ann Allergy Asthma Immunol [Internet]. 2020 Jul;125(1):17–27. DOI: https://doi.org/10.1016/j.anai.2020.01.025
Shrotri M, Swinnen T, Kampmann B, Parker EPK. An interactive website tracking COVID-19 vaccine development. Lancet Glob Heal [Internet]. 2021 [cited 2021 Nov 13];9(5):e590–2. DOI: https://doi.org/10.1016/S2214-109X(21)00043-7
CDC. Vaccine Testing and Approval Process | CDC [Internet]; 2016 [cited 2021 May 14]. Available from: https://www.cdc.gov/vaccines/basics/test-approve.html
Bowman J. Vaccine Development, Testing, and Regulation | History of Vaccines [Internet]. The college of Physicians of Philadelphia; 2016 [cited 2021 May 16]. Available from: https://www.historyofvaccines.org/content/articles/vaccine-development-testing-and-regulation
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England) [Internet]. 2020;395(10223):497–506. DOI: https://doi.org/10.1016/S0140-6736(20)30183-5
Han S. Clinical vaccine development. Clin Exp Vaccine Res [Internet]. 2015 Jan;4(1):46–53. DOI: https://doi.org/10.7774/cevr.2015.4.1.46
World Health Organization Ethics and COVID-19 Working Group. Vaccines/COVID-19 vaccine EUL issued | WHO - Prequalification of Medical Products (IVDs, Medicines, Vaccines and Immunization Devices, Vector Control) [Internet]; 2021 [cited 2021 Nov 13]. Available from: https://extranet.who.int/pqweb/vaccines/vaccinescovid-19-vaccine-eul-issued
U.S. Food and Drug Administration (FDA). Emergency Use Authorization for Vaccines Explained [Internet]; 2020 [cited 2021 Feb 14]. Available from: https://www.fda.gov/vaccines-blood-biologics/vaccines/emergency-use-authorization-vaccines-explained
WHO. Regulation and Prequalification [Internet]; 2021 [cited 2021 May 14]. Available from: https://www.who.int/teams/regulation-prequalification/eul/
World Health Organization (WHO). Coronavirus disease (COVID-19): Use of Emergency Use Listing procedure for vaccines against COVID-19 [Internet]; 2021 [cited 2021 May 15]. Available from: https://www.who.int/news-room/q-a-detail/coronavirus-disease-use-of-emergency-use-listing-procedure-forvaccines-against-covid-19
World Health Organization (WHO). Coronavirus disease (COVID-19): Vaccines [Internet]; 2021 [cited 2021 Jun 23]. Available from: https://www.who.int/news-room/q-a-detail/coronavirus-disease-(covid-19)-vaccines
Jecker NS, Wightman AG, Diekema DS. Vaccine ethics: an ethical framework for global distribution of COVID-19 vaccines. J Med Ethics [Internet]. 2021 Feb 16. DOI: https://doi.org/10.1136/medethics-2020-107036
Bowen RAR. Ethical and organizational considerations for mandatory COVID-19 vaccination of health care workers: A clinical laboratorian’s perspective. Clin Chim Acta [Internet]. 2020 Nov;510:421–2. DOI: https://doi.org/10.1016/j.cca.2020.08.003
World Health Organization Ethics and COVID-19 Working Group. COVID-19 and mandatory vaccination : Ethical considerations and caveats [Internet]; 2021. p. 13–7. Available from: https://apps.who.int/iris/rest/bitstreams/1342697/retrieve
UNESCO. Universal Declaration on Bioethics and Human Rights [Internet]; 2005 [cited 2021 Jan 1]. Available from: http://portal.unesco.org/en/ev.php-URL_ID=31058&URL_DO=DO_TOPIC&URL_SECTION=201.html
NHS Mid Essex CCG. COVID-19 Vaccination Consent Forms and Letters [Internet]; 2021 [cited 2021 Feb 23]. Available from: https://midessexccg.nhs.uk/medicines-optimisation/covid-19-resources/covid-19-vaccination-resources/covid-19-vaccination-consent-forms
NHS Mid Essex CCG. COVID-19 vaccination: easy-read consent form for adults - GOV.UK [Internet]; 2021 [cited 2021 May 8]. Available from: https://www.gov.uk/government/publications/covid-19-vaccination-easy-read-consent-form-for-adults
Law LS-C, Lo EA-G. Counselling for COVID-19 vaccine is necessary: Balancing the autonomy, beneficence and non-maleficence in the context of accelerating vaccine development. Int J Clin Pract [Internet]. 2021 Jun;75(6):e14015. DOI: https://doi.org/10.1111/ijcp.14015
Moodley K, Hardie K, Selgelid MJ, Waldman RJ, Strebel P, Rees H, et al. Ethical considerations for vaccination programmes in acute humanitarian emergencies. Bull World Health Organ [Internet]. 2013 Apr 1;91(4):290–7. DOI: https://doi.org/10.2471/BLT.12.113480
McAdams D, McDade KK, Ogbuoji O, Johnson M, Dixit S, Yamey G. Incentivising wealthy nations to participate in the COVID-19 Vaccine Global Access Facility (COVAX): a game theory perspective. BMJ Glob Heal [Internet]. 2020 Nov 30;5(11):e003627. DOI: https://doi.org/10.1136/bmjgh-2020-003627
The Lancet. Access to COVID-19 vaccines: looking beyond COVAX. Lancet [Internet]. 2021 Mar;397(10278):941. DOI: https://doi.org/10.1016/S0140-6736(21)00617-6
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2022 Persona y Bioética

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.