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"Israeli citizens must not be forced to get vaccinated against Corona"

The national vaccination campaign has already begun, and the hope is to vaccinate as many people as possible.

Alongside the great hope, it is clear that there are those who will oppose getting vaccinated.

An ethics expert explains why we can not oblige citizens and even vital workers to get vaccinated, even if it is only for their benefit

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• Corona

• Vaccine for corona

Prof. Daniel Sperling, guest article

Monday, 21 December 2020, 06:38

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In the video: The Gad Corona vaccination campaign begins (Photo: Niv Aharonoson and Roni Knafo)

This week, the State of Israel joined a small number of Western countries that have begun to be vaccinated against the corona virus, and the success of this move depends on the willingness of the Israeli public to get vaccinated.

The fear of the vaccine is natural and justified.

This vaccine, which comes with the latest technology of the mRNA type (as opposed to attenuated and killed vaccine), has not been tested for a long time, and therefore its long-term consequences are unknown.

In addition, his approval move was much more agile than other vaccines.

Although the US Food and Drug Administration (FDA), which has approved in principle the vaccine for 16-year-olds and older, is an independent and professional body that has made an informed decision with the involvement of 22 researchers and scientists, the approval process is done in an emergency. Long term.

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Surveys in the UK, Israel, and other countries - even those with the highest number of victims in the world from the epidemic - show that between a quarter and a third of the population is unsure about the vaccine or tends to postpone the vaccine to a later date, if at all.

These high rates of refusal or hesitation to get vaccinated indicate the limitations of the argument for social solidarity, on the one hand, and the brevity of the epidemic-related intimidation argument, on the other.

Existential fear and internal rupture

Yes, they are not supported by the scientific view, which refers to the need to achieve herd immunity, according to which in order for the vaccine to be as effective as possible, a high proportion of the population must be vaccinated against it.

Instead of all these, they point to an internal and personal rupture at the individual level, associated with an existential fear of the unknown and its actual consequences for the individual.

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Therefore, there can be no ethical justification for the state to require its residents to be vaccinated, including subsequent vital populations in contact with large audiences such as health and education workers, even if it is intended to prevent further harm to others.

Equally, there is no justification for imposing any sanction on anyone who refuses to be vaccinated, both in the private sector and in the public sector.

Instead, the state must take all measures to encourage vaccination, and this by several means:

The vaccine is already here.

Corona vaccine (Photo: Reuven Castro)

First and foremost, by providing information and providing complete, up-to-date and reliable information regarding the medical benefits of the vaccine on the one hand and the side effects and possible risks associated with the vaccine on the other.

An analysis of a survey conducted in 19 countries and involving more than 13,000 people found that public trust in the government was significantly linked to the intention to get vaccinated.

The information provided by the state authorities and the manner in which it is presented to the public is of crucial importance in this task.

Second, by way of setting a personal example for the immunization of senior state officials and heads.

In this context, it will be very helpful if scientists and medical staff, who are known to the public and enjoy their trust, join this move, and strengthen the public in creating evidence-based messages, which will be written and maintain honest and courageous communication in the face of fear.

Their joining is required and claimed by virtue of the ethical duty they have imposed on themselves, which underlies medical care and concern for the other needy.

Third, if necessary, offer light but smart and dedicated incentives that may tip the scales and decide in favor of a vaccine.

Many large companies in Israel have already announced that they will work to encourage the vaccination of their employees, and some have even offered to reward them with a sum of money.

The encouragement of the vaccine should be to such an extent that it does not overwhelm the voluntariness of the consent to be vaccinated.

It should also be of a type that does not undermine confidence in the safety of the vaccine, for example by way of a significant financial offer.

Instead, he should aim for a respectable list of significant privileges at the individual level that will encourage him, with effort and reasonable risk, to get vaccinated.

A personal example must be given.

Benjamin Netanyahu gets vaccinated (Photo: Tomer Applebaum)

The justification for social intervention by way of incentives stems from the multiple benefit of the vaccine in the face of the harm whose current scope is limited, as is well known.

This justification is related, on the one hand, to the enormous damage that the corona plague has claimed from us in human life and the significant deterioration of its quality of life through disease, widespread economic vulnerability, restriction of liberties, reduced encounters and social interactions, and dilution of leisure and cultural life.

It stems from his apparent safety and the inevitable fact that there is no medical intervention action - beneficial as it may be - that does not necessarily carry a risk.

"He who desires life - let him be vaccinated"

One of the obvious benefits of the proposed vaccine concerns the large and diverse amount of people who are already experiencing it worldwide. This is a huge experimental sheet, from which the whole world learns every day and hour in instant cross-border media coverage. The main and most serious thing we know about the vaccine, after it has already been given, is related to the appearance of an abnormal and severe allergic reaction, which in extreme cases and in the absence of treatment and supervision can even be life-threatening. This reaction occurred in one health care worker in Alaska in the US out of 40,000 vaccinated there so far, and among two British women out of 138,000 vaccinated in the kingdom. This is a very negligible rate already. Except for local symptoms such as headaches, dizziness, fever or pain easy to place the stabbing, passed in a short period vaccine within a quarter to half of Mhmthsnim, did not report any other exceptional event. this is in addition to success critical of the vaccine after a clinical trial among tens of thousands of participants.

in light of great benefit expected from the vaccine at the individual and company level, and, given known it so far, while maintaining and commitment to continue careful monitoring and ongoing reporting of information relating to him and his safety, it seems that those who seek life and promoting the welfare associated with them, consider the vaccine in a positive and sympathetic.

Prof. Daniel Sperling is a faculty member in the Department of Nursing at the University of Haifa And a medical ethics expert

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