Immunity certification for COVID-19: ethical considerations

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dc.contributor.authorReis, Andreas A.
dc.contributor.authorThomé, Beatriz
dc.contributor.authorWl Ho, Calvin
dc.contributor.authorTam, Clarence C.
dc.contributor.authorKelly-Cirino, Cassandra
dc.contributor.authorEmanuel, Ezekiel
dc.contributor.authorBeca, Juan Pablo
dc.contributor.authorLittler, Katherine
dc.contributor.authorSmith, Maxwell J.
dc.contributor.authorParker, Michael
dc.contributor.authorKass, Nancy
dc.contributor.authorGobat, Nina
dc.contributor.authorLei, Ruipeng
dc.contributor.authorUpshur, Ross
dc.contributor.authorHurst, Samia
dc.contributor.authorMunsaka, Sody
dc.contributor.authorVoo, Teck Chuan
dc.date.accessioned2022-02-17T20:33:21Z
dc.date.available2022-02-17T20:33:21Z
dc.date.issued2021
dc.description.abstractRestrictive measures imposed because of the coronavirus disease 2019 (COVID-19) pandemic have resulted in severe social, economic and health effects. Some countries have considered the use of immunity certification as a strategy to relax these measures for people who have recovered from the infection by issuing these individuals a document, commonly called an immunity passport. This document certifies them as having protective immunity against severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the virus that causes COVID-19. The World Health Organization has advised against the implementation of immunity certification at present because of uncertainty about whether long-term immunity truly exists for those who have recovered from COVID-19 and concerns over the reliability of the proposed serological test method for determining immunity. Immunity certification can only be considered if scientific thresholds for assuring immunity are met, whether based on antibodies or other criteria. However, even if immunity certification became well supported by science, it has many ethical issues in terms of different restrictions on individual liberties and its implementation process. We examine the main considerations for the ethical acceptability of immunity certification to exempt individuals from restrictive measures during the COVID-19 pandemic. As well as needing to meet robust scientific criteria, the ethical acceptability of immunity certification depends on its uses and policy objectives and the measures in place to reduce potential harms, and prevent disproportionate burdens on non-certified individuals and violation of individual liberties and rights.es
dc.description.versionVersión aceptadaes
dc.identifier.citationVoo TC, Reis AA, Thomé B, Ho CW, Tam CC, Kelly-Cirino C, Emanuel E, Beca JP, Littler K, Smith MJ, Parker M, Kass N, Gobat N, Lei R, Upshur R, Hurst S, Munsaka S. Immunity certification for COVID-19: ethical considerations. Bull World Health Organ. 2021 Feb 1;99(2):155-161. doi: 10.2471/BLT.20.280701.es
dc.identifier.urihtpps://doi.org/10.2471/BLT.20.280701es
dc.identifier.urihttp://hdl.handle.net/11447/5546
dc.language.isoenes
dc.subjectCOVID-19es
dc.subjectCertificationes
dc.subjectImmunityes
dc.titleImmunity certification for COVID-19: ethical considerationses
dc.typeArticlees
dcterms.sourceBulletin of the World Health Organizationes

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