13239_doi_deposit
20220531100000
assa
nadiag@assaf.org.za
assa
South African Journal of Science
S. Afr. J. Sci
1996-7489
05312022
118
5/6
The ethics behind mandatory COVID-19 vaccination post-Omicron: The South African context
Keymanthri
Moodley
Centre for Medical Ethics and Law, Department of Medicine, Stellenbosch University, Cape Town, South Africa
https://orcid.org/0000-0003-3404-4901
The legitimacy of mandatory vaccine policies is underscored by a public health ethics framework based on the principles of limited autonomy, social justice and the common good. Ideally, vaccine uptake ought to occur on a voluntary basis as an act of solidarity to ensure that everyone is protected. Given that the altruistic approach has failed and vaccine uptake remains sub-optimal in South Africa, in this paper, I argue for vaccine mandates, in a post-Omicron context. This viewpoint is substantiated by several considerations. Healthcare workers are fatigued after 2 years of treating COVID-19 and many are still treating patients with post-viral syndromes, mental health conditions and cardiovascular complications. Health systems remain under pressure as people with non-COVID diseases, neglected during the pandemic, are also now presenting to medical practices and hospitals. Although South Africa has emerged from a relatively less severe fourth wave of COVID-19, there have been many deaths. Vaccine and natural immunity in a relatively young general population has been advantageous. However, the country has a high prevalence of HIV and those who are untreated may not be able to clear the coronavirus easily. Similarly chronic illnesses place many at risk for severe disease from COVID variants, especially if unvaccinated. The future is shrouded in uncertainty. The next variant could be similar to or less severe than Omicron, yet still impact negatively on health systems, education and the economy. Physical distancing is not ideal in many low socio-economic settings, making vaccines an important component of our prevention toolbox. Our safest option now is to ensure that as many South Africans as possible are vaccinated and receive boosters. Vaccine mandates work to achieve this end.
05312022
1
10.17159/sajs.2016/crossmark
sajs.co.za
false
2022-02-10
2022-04-08
2022-05-31
https://creativecommons.org/licenses/by/4.0/
10.17159/sajs.2022/13239
20220531100000
https://sajs.co.za/article/view/13239
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