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Extreme poverty first

An argument on the equitable distribution of the Covid‐19 vaccine in Peru

Dados Bibliográficos

ID19517002
AutoresCarlos Augusto Yabar Varas (0000-0002-9607-5693, autor correspondente)
Ano2024
Volume24
Fascículo2
Páginas97-101
Data de publicação2024-06-01
Open AccessSim
TipoARTICLE
PeriódicoDeveloping World Bioethics (JOURNAL)
Identificadores do periódicoISSN: 1471-8731 • E-ISSN: 1471-8847
EditoraWiley (PUBLISHER • GB)
DOI10.1111/dewb.12391
PMID36735901
OpenAlexW4319068128
IdiomaEN
Citações recebidas3
Referências citadas5

Effective vaccines for COVID‐19 are already available to humankind. In Peru, 86 million doses were administered to cover the demand for 33 million Peruvian people. Hence, vaccination has been prioritized in groups: health personnel, subjects with pre‐existing health conditions and those over 65 years of age. However, given the social problems and the public health situation in Peru, this work defends that the priority of vaccination should be focused on the population living in extreme poverty. The method used was an ethical argumentation on the distribution of scarce antiSARS‐CoV2 vaccine in Peru. This argument is based on the analysis of the Peruvian population living in extreme poverty, which presents different layers of vulnerability, and that, in the face of an eventual SARS‐CoV2 infection, these would be exacerbated one after the other, through a cascade effect. This scenario would give rise to new vulnerabilities to those already existing, causing greater damage. Vaccination efforts on this key population would give them the opportunity to continue to find ways to bring food to their homes, significantly reducing the risk of contagion in their environment and mitigating the devastating effect of the local diseases to which they are already exposed. Four objections related to this argument are raised with their corresponding responses. Priority access to the vaccine would significantly reduce the humanitarian harm to people living in extreme poverty, prevailing the principles of justice and equity

Development economics · Disease · Economic growth · Economics · Environmental health · Extreme poverty · Harm · Pandemic · Political science · Population · Poverty · Socioeconomics · Sociology · Vaccination · COVID-19 epidemiological studies · Law · Medicine · SARS-CoV-2 and COVID-19 Research · Vaccine Coverage and Hesitancy · Virology

  • Conceptual and empirical reflection provide more arguments for the centrality of extreme poverty in Covid‐19 vaccination

    Open Access•Carlos Augusto Yabar Varas•Developing World Bioethics•2023

  • Combining state‐led distribution with a parallel market‐based distribution to improve Covid‐19 vaccine distribution

    Open Access•Manuel Zeledón‐Ramírez, Timothy Daly et al.•Developing World Bioethics•2023

  • Sociodemographic Inequalities in Covid-19 Booster Dose Vaccination Coverage

    Open Access•Claudio Intimayta-Escalante, Gustavo Tapia-Sequeiros et al.•Journal of Racial and Ethnic…•2025

  • An ethical framework for global vaccine allocation

    Open Access•Ezekiel J Emanuel, Ezekiel Emanuel et al.•Science•2020

  • Challenges in ensuring global access to Covid-19 vaccines

    Open Access•Olivier J Wouters, Kenneth C Shadlen et al.•The Lancet•2021

  • Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With Covid-19 in Brazil

    Open Access•Waldecy Rodrigues, Humberto da Costa Frizzera et al.•Frontiers in Public Health•2022

  • Pandemic prioritarianism

    Open Access•Lasse Nielsen•Journal of Medical Ethics•2022

  • Identifying and evaluating layers of vulnerability – a way forward

    Open Access•F Luna•Developing World Bioethics•2019

Citações por ano1
Intervalo de citações2023 - 2025 (3)
Altamente citadoNão

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