Are asylum seekers, refugees and foreign migrants considered in the COVID-19 vaccine discourse?

Are asylum seekers, refugees and foreign migrants considered in the COVID-19 vaccine discourse?
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DOI:
10.1136/bmjgh-2020-004085
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发表时间:
2020-11
期刊:
影响因子:
8.1
通讯作者:
Mukumbang FC
Mukumbang FC
中科院分区:
医学2区
文献类型:
--
作者:
Mukumbang FC

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引言有一种有利的信念,即针对SARS-COV-2病毒的有效疫苗是COVID-19大流行的灵丹妙药。由于许多国家发现维持全国封锁会适得其反,而且个人对自己的卫生和社交(身体)距离做法变得自满,因此对强效疫苗的需求更加迫切。目前,有超过100种COVID-19候选疫苗正在开发中,其中一些处于人体试验阶段。据认为,COVID-19疫苗的引入将防止全球经济每月损失3750亿美元。1科学界一致认为,根除这一流行病的唯一方法是为全世界所有人接种疫苗。2为此,联合国大会呼吁“迅速扩大生产规模,建立供应链,促进和确保公平、透明、平等、高效和及时地获得药物和未来的COVID-19疫苗”。3因此,目前,与COVID-19大流行相关的全球卫生和政治话语主要是COVID-19疫苗的开发、生产和分销。关于疫苗分配,有许多关于国家之间道德分配的建议。4有关收购COVID-19疫苗的立场是一致的。一个极端是疫苗民族主义,即政府与制药商签署协议,在其他国家获得疫苗之前为其人口提供疫苗。5另一个极端是通过公平分配在全球范围内获得COVID-19疫苗,其基础是全球公共利益的概念,影响不止一个国家的居民,即使不一定是整个世界。6许多国家表现出两者兼而有之的情况,首先努力为其人口确保疫苗,但也在帮助确保各地最脆弱者获得疫苗方面尽自己的一份力量。“获取COVID-19工具加速器”是一项全球合作项目,旨在加快COVID-19检测、治疗和疫苗的开发、生产和公平获取,1疫苗支柱通过COVID-19疫苗全球获取(COVAX)基金管理。通过COVAX平台,鼓励各国签署一项协议,以确保他们获得预期的2010年全球气候变化的一部分。
INTRODUCTION There is a propitious belief that a potent vaccine against the SARS-COV-2 virus is a panacea for the COVID-19 pandemic. The need for a potent vaccine is heightened as many nations are finding it counterproductive to sustain national lockdowns and individuals are becoming complacent with their hygiene and social (physical) distancing practices. Currently, there are more than 100 COVID-19 vaccine candidates under development, with a number of these in the human trial phase. It is suggested that the introduction of a COVID-19 vaccine will prevent the loss of US $375 billion to the global economy every month. 1 There is a scientific consensus that the only way toeradicate the pandemic will be to vaccinate all people worldwide. 2 To this end, the United Nations General Assembly calls for ‘the rapid scaling up of manufacturing and establishment of supply chains that promote and ensure fair, transparent, equitable, efficient and timely access to drugs and future COVID-19 vaccines’. 3 Consequently, at this moment, global health and political discourse related to the COVID-19 pandemic are dominated by COVID-19 vaccine development, production and distribution. Regarding the vaccine distribution, there are many proposals on the table for the ethical distribution between countries. 4 There is a continuum of positions regarding the acquisition of COVID-19 vaccines. To one extreme is vaccine nationalism, whereby governments sign agreements with pharmaceutical manufacturers to supply their populations with vaccines ahead of the vaccines becoming available for other countries. 5 On the other extreme is the global access to COVID-19 vaccine through fair distribution underpinned by the notion of global public good—impacting residents of more than one country, even if not necessarily the whole world. 6 Many countries display a mix of both, first trying to secure vaccines for their populations but also doing their share in terms of helping to ensure that vaccines are available to the most vulnerable everywhere. The Access to COVID-19 Tools Accelerator, a global collaboration, seeks to accelerate the development, production and equitable access to COVID-19 tests, treatments and vaccines, 1 with the vaccine pillar being managed through the COVID-19 Vaccines Global Access (COVAX) Facility. Through the COVAX platform, countries are encouraged to sign up to a deal that will ensure that they receive a portion of the anticipated 2
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