Equitable global allocation of monkeypox vaccines

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dc.contributor.authorSchaefer, G.O.
dc.contributor.authorEmanuel, E.J.
dc.contributor.authorAtuire, C.A.
dc.contributor.authorLeland, E.J.
dc.contributor.authorPersad, G.
dc.contributor.authorRichardson, H.S.
dc.contributor.authorSaenz, C.
dc.date.accessioned2023-09-06T10:57:08Z
dc.date.available2023-09-06T10:57:08Z
dc.date.issued2023
dc.descriptionResearch Articleen_US
dc.description.abstractWith the world grappling with continued spread of monkeypox internationally, vaccines play a crucial role in mitigating the harms from infection and preventing spread. However, countries with the greatest need – particularly historically endemic countries with the highest monkeypox case-fatality rates – are not able to acquire scarce vaccines. This is unjust, and requires rectification through equitable allocation of vaccines globally. We propose applying the Fair Priority Model for such allocation, which emphasizes three key principles: 1) preventing harm; 2) prioritizing the disadvantaged; and 3) treating people with equal moral concern. Post exposure prophylaxis (PEPV) has the most potential to mitigate harm, and so ensuring countries have sufficient supply for PEPV should be the first priority. And historically endemic countries, which face disadvantages that compound potential harms from monkeypox, should be the first recipients of such vaccines. Once sufficient supply is allocated for countries to apply PEPV, global allocation could move on to pre-exposure prophylaxis (PrEP), again prioritizing historically endemic countries first before distribution to the rest of the global community, based on projected number of cases and vulnerability to harm.en_US
dc.identifier.otherhttps://doi.org/10.1016/j.vaccine.2023.07.021
dc.identifier.urihttp://ugspace.ug.edu.gh:8080/handle/123456789/39897
dc.language.isoenen_US
dc.publisherVaccineen_US
dc.subjectEquitableen_US
dc.subjectmonkeypoxen_US
dc.subjectvaccinesen_US
dc.titleEquitable global allocation of monkeypox vaccinesen_US
dc.typeArticleen_US

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