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The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020.
MMWR Morb Mortal Wkly Rep. 2020 Nov 27; 69(47):1782-1786.MM

Abstract

To reduce the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) and its associated impacts on health and society, COVID-19 vaccines are essential. The U.S. government is working to produce and deliver safe and effective COVID-19 vaccines for the entire U.S. population. The Advisory Committee on Immunization Practices (ACIP)* has broadly outlined its approach for developing recommendations for the use of each COVID-19 vaccine authorized or approved by the Food and Drug Administration (FDA) for Emergency Use Authorization or licensure (1). ACIP's recommendation process includes an explicit and transparent evidence-based method for assessing a vaccine's safety and efficacy as well as consideration of other factors, including implementation (2). Because the initial supply of vaccine will likely be limited, ACIP will also recommend which groups should receive the earliest allocations of vaccine. The ACIP COVID-19 Vaccines Work Group and consultants with expertise in ethics and health equity considered external expert committee reports and published literature and deliberated the ethical issues associated with COVID-19 vaccine allocation decisions. The purpose of this report is to describe the four ethical principles that will assist ACIP in formulating recommendations for the allocation of COVID-19 vaccine while supply is limited, in addition to scientific data and implementation feasibility: 1) maximize benefits and minimize harms; 2) promote justice; 3) mitigate health inequities; and 4) promote transparency. These principles can also aid state, tribal, local, and territorial public health authorities as they develop vaccine implementation strategies within their own communities based on ACIP recommendations.

Links

PMC Free PDF

Authors

McClung N
No affiliation info available
Chamberland M
No affiliation info available
Kinlaw K
No affiliation info available
Bowen Matthew D
No affiliation info available
Wallace M
No affiliation info available
Bell BP
No affiliation info available
Lee GM
No affiliation info available
Talbot HK
No affiliation info available
Romero JR
No affiliation info available
Oliver SE
No affiliation info available
Dooling K
No affiliation info available

MeSH

Advisory CommitteesCOVID-19COVID-19 VaccinesCenters for Disease Control and Prevention, U.S.Coronavirus InfectionsDrug ApprovalHealth Care RationingHumansImmunizationPandemicsPneumonia, ViralUnited StatesUnited States Food and Drug AdministrationViral Vaccines

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33237895

Citation

McClung, Nancy, et al. "The Advisory Committee On Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020." MMWR. Morbidity and Mortality Weekly Report, vol. 69, no. 47, 2020, pp. 1782-1786.
McClung N, Chamberland M, Kinlaw K, et al. The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(47):1782-1786.
McClung, N., Chamberland, M., Kinlaw, K., Bowen Matthew, D., Wallace, M., Bell, B. P., Lee, G. M., Talbot, H. K., Romero, J. R., Oliver, S. E., & Dooling, K. (2020). The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(47), 1782-1786. https://doi.org/10.15585/mmwr.mm6947e3
McClung N, et al. The Advisory Committee On Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020 Nov 27;69(47):1782-1786. PubMed PMID: 33237895.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020. AU - McClung,Nancy, AU - Chamberland,Mary, AU - Kinlaw,Kathy, AU - Bowen Matthew,Dayna, AU - Wallace,Megan, AU - Bell,Beth P, AU - Lee,Grace M, AU - Talbot,H Keipp, AU - Romero,José R, AU - Oliver,Sara E, AU - Dooling,Kathleen, Y1 - 2020/11/27/ PY - 2020/11/25/entrez PY - 2020/11/26/pubmed PY - 2020/12/1/medline SP - 1782 EP - 1786 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb Mortal Wkly Rep VL - 69 IS - 47 N2 - To reduce the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) and its associated impacts on health and society, COVID-19 vaccines are essential. The U.S. government is working to produce and deliver safe and effective COVID-19 vaccines for the entire U.S. population. The Advisory Committee on Immunization Practices (ACIP)* has broadly outlined its approach for developing recommendations for the use of each COVID-19 vaccine authorized or approved by the Food and Drug Administration (FDA) for Emergency Use Authorization or licensure (1). ACIP's recommendation process includes an explicit and transparent evidence-based method for assessing a vaccine's safety and efficacy as well as consideration of other factors, including implementation (2). Because the initial supply of vaccine will likely be limited, ACIP will also recommend which groups should receive the earliest allocations of vaccine. The ACIP COVID-19 Vaccines Work Group and consultants with expertise in ethics and health equity considered external expert committee reports and published literature and deliberated the ethical issues associated with COVID-19 vaccine allocation decisions. The purpose of this report is to describe the four ethical principles that will assist ACIP in formulating recommendations for the allocation of COVID-19 vaccine while supply is limited, in addition to scientific data and implementation feasibility: 1) maximize benefits and minimize harms; 2) promote justice; 3) mitigate health inequities; and 4) promote transparency. These principles can also aid state, tribal, local, and territorial public health authorities as they develop vaccine implementation strategies within their own communities based on ACIP recommendations. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/33237895/The_Advisory_Committee_on_Immunization_Practices'_Ethical_Principles_for_Allocating_Initial_Supplies_of_COVID_19_Vaccine___United_States_2020_ DB - PRIME DP - Unbound Medicine ER -