Mass Vaccination Programme: Public Health Success and Ethical Issues – Bangladesh Perspective

  • Abu Sadat Mohammad Nurunnabi The G. Raymond Chang School of Continuing Education, Ryerson University, Toronto, ON, Canada
  • Miliva Mozaffor Biomedical Research Foundation (BRF), Dhaka, Bangladesh
  • Mohammad Akram Hossain National Institute of Preventive and Social Medicine (NIPSOM), Dhaka-1212, Bangladesh
  • Sadia Akther Sony Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka-1000, Bangladesh
Keywords: Ethical issues, vaccine, mass vaccination, immunization, EPI, public health, Bangladesh.

Abstract

Vaccines are responsible for many global public health successes, such as the eradication of smallpox and significant reductions in other serious infections like diphtheria, pertussis, tetanus, polio and measles. However, mass vaccination has also been the subject of various ethical controversies for decades. Several factors need to be considered before any vaccine is deployed at national programme like the potential burden of disease in the country or region, the duration of the protection conferred, herd immunity in addition to individual protection, vaccine-related risks, financing and the logistical feasibility of the large-scale vaccination. Moreover, several ethical dilemmas revolve around authority and mandates for vaccination, informed consent, benefits vs. risks, and disparities in access to vaccination. This review paper aims to elaborate the ethical issues involved in mass vaccination programme and present some additional challenges in the context of a resource-poor settings of public health in Bangladesh.

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Author Biographies

Abu Sadat Mohammad Nurunnabi, The G. Raymond Chang School of Continuing Education, Ryerson University, Toronto, ON, Canada

Internationally Trained Medical Doctors (ITMD) Bridging Program

Miliva Mozaffor, Biomedical Research Foundation (BRF), Dhaka, Bangladesh

Clinician Researcher, Biomedical Research Foundation (BRF), Dhaka, & Laboratory Consultant and Lecturer,
Department of Biochemistry, Medical College for Women & Hospital, Uttara, Dhaka-1230, Bangladesh

Mohammad Akram Hossain, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka-1212, Bangladesh

Professor and Head, Department of Microbiology and Mycology

Sadia Akther Sony, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka-1000, Bangladesh

Program Manager, Department of Public Health and Informatics

Published
2018-11-04
How to Cite
Nurunnabi, A. S. M., Mozaffor, M., Hossain, M. A., & Sony, S. A. (2018). Mass Vaccination Programme: Public Health Success and Ethical Issues – Bangladesh Perspective. Bangladesh Journal of Bioethics, 9(3), 11-15. https://doi.org/10.3329/bioethics.v9i3.48912
Section
Articles