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The issue of compulsory vaccination against COVID-19 raises a dilemma of ethics, population health, and personal rights. Although vaccines have been effective in lessening the number of hospitalizations and deaths, mandatory vaccinations for everyone provoke ethical and legal issues. There should be a balance between the policies protecting the community against disease and those promoting individual freedom of choice. A universal mandate can be perceived as coercive enough, and more so where voluntary compliance can be met by means of education, ease of access, and trust among people. Rather, more ethically and practically justified are specific vaccination requirements of healthcare workers and high-risk populations.
The provision of COVID-19 vaccines and boosters has greatly enhanced the ability of the world to manage outbreaks. Nonetheless, at this point, it might not be necessary to make the vaccine compulsory for all. According to the principle of proportionality in ethics in public health, the restriction of personal freedom must be as non-invasive a measure as it is necessary to ensure the safety of the population (Aliyu, 2021). Open communication and community outreach will be better than coercion to promote vaccination and make it more sustainable. Limited mandates can be relevant even to people in the healthcare or communal environment, where the threat of transmitting the virus to the population at risk is high.
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Order nowIt is necessary to balance the ethics of the protection of the population and conservation of individual liberties. Some of the ethical principles that may come into conflict in decision-making regarding the pandemic include beneficence (doing good) and autonomy (respecting choice). Education and motivation, rather than coercion, should be pursued by the governments and healthcare facilities, and equitable access to vaccines and compensation for the rare adverse effects should be ensured (Torreele & Amon, 2021). The confidence of the people is enhanced when they are not coerced but they are made to be informed.
In the case of children, their parents or other individuals in charge would normally take health decisions with the counsel of medical experts. The recent research that reported that COVID-19 infection can increase the chances of developing diabetes in children raises the interest in the long-term well-being of children (Barrett, 2022). This fact advocates the idea of supporting, but not making compulsory, the vaccination of able-age children against possible complications. In the end, although a policy on the protection of human health is crucial, it must respect human dignity, promote the choice of an informed person, and weigh personal freedom and social accountability.
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- Aliyu, A. A. (2021). Public health ethics and the COVID-19 pandemic. Annals of African medicine, 20(3), 157-163.
- Barrett, C. E. (2022). Risk for newly diagnosed diabetes 30 days after SARS-CoV-2 infection among persons aged 18 years—United States, March 1, 2020–June 28, 2021. MMWR. Morbidity and mortality weekly report, 71.
- Torreele, E., & Amon, J. J. (2021). Equitable COVID-19 vaccine access. Health and human rights, 23(1), 273. https://pmc.ncbi.nlm.nih.gov/articles/PMC8233010/