Dr. Ian Greenwald, an emergency physician at Duke University Medical Center and an expert in distaster response planning, offers his thoughts on a mass vaccination campaign in the Durham/Chapel Hill area in the face of a disruptive and widespread pandemic during Session III (Emergency Preparedness and Response: Global Pandemic, Local Contexts).

Although I will most likely go down in winter forum history as the girl that would readily kill her “65 year old retired grandpa over a ‘more useful and potentially productive’ 5 year old,” the entire discussion on rationing and dictating who receives vaccines (and in a sense who determines who lives or dies) was very eye-opening. Doctors have long been said to have “God complexes” and criticized for this mentality.  However today when you think of it, we were indeed playing the role of a higher power who had to dictate who was worthy of living. It was easy to laugh some of the comments off at the forum in order to take some of the weight from our shoulders. However, when we went into our breakout sessions we soon learned that being put into this decision is certainly stressful and I left the room with my head spinning, doubting whether I knew what criteria for selection was most important to me personally. The easy way out, would just be to give up and pray and hope for the best. However I think it is crucial, with each day new strains of viruses and spread being aided through the growth of infrastructure and commerce, the chances of another pandemic breaking out is likely. I also think it is important to put these measures in place because (just as Dr. Rosoff touched on a little through questions) in the end the people who end up having to make tough decisions (like in the case of Hurricane Katrina as he also spoke about) may be held accountable when the “wrong people are picked” or when socially unacceptable or pleasant decisions are made. Although it doesn’t sound pleasant, but I feel in the case of a pandemic there must be an acceptable loss of life and that we must set up a better system of who receives vaccines. If not, everyone loses in the end. Just some of the many thoughts that were swirling around up in my head.

Dr. Wald brings up the major issues of what determinants should be used to choose the recipients of a limited supply of vaccine.

How can we avoid racism, ageism, economism, among other potential bias in the measure systems?

What is the most socially just way?

Mandatory vaccinations for healthcare workers

On January 7, 2011, in Flu Devils, Student Voices, by npr5@duke.edu

According to this Time article, the health department of the state of New York over the summer of 2009 made it mandatory that all health care workers receive the influenza vaccine. Complementing the IDSA policy reading, this article discusses some of the ethical concerns with making influenza vaccination mandatory for healthcare workers.

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