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But if you tell an epidemiologist or a public health expert that a drug given to 7 million people has only had six bad results, they understand the tragedy and sympathize with the families, but they don’t see that as a global problem. Maybe they would feel that way if they had 600 bad results, or 6,000. This is not just because of the obvious rarity of blood clots – the low risk. It’s because of the benefit that millions more people, perhaps billions, are being denied. The people receiving the shots are protected against Covid-19, but if so a lot Many people are fired, even those who are not protected by a pandemic tsunami by a wall of herd immunity caused by the tsunami. In this construction, the benefits to the entire population outweigh the risks to the individuals.
Centers for Disease Control and Prevention Essentially Immunization Practice Advisory Committee in favor of physicians and individuals than public health and populations. This Friday, ACIP will meet again, and most observers believe they will probably recommend reopening the J&J spike. But people will almost certainly not have less confidence in the vaccine. The global fight against Covid-19 now depends on widespread vaccines. Turn off the faucets or give the well that it is contaminated, and you will endanger millions of lives.
Badut written before How Covid-19 has challenged people’s sense individual freedom and security in the face of participation in a wider community. These philosophies are not exactly in opposition, but they do not completely overlap. The pandemic challenged the Americans tie your arms against it, and frankly, most of the time we failed. “One thing that stood out at the ACIP meeting was striking, and people in individual clinical medicine, rather than in public health, seemed to think about how things were, people kept talking about the idea of‘ Don’t do harm, ’” says Govind Persad, a law professor at Denver Sturm University. University bioethics and Washington Post op-ed which criticized the interruption. “In public health ethics and public health practice, people think in terms of harm reduction.”
“Do no harm” is essential in clinical medicine — the principle of non-harm, doing nothing that could harm the patient. But harm reduction tends to be applied more broadly: what can we do here that is not inherently excellent but reduces harm in general? Provide clean needle exchanges and safe injection sites for intravenous drug users to combat the spread of blood-borne diseases; give methadone to people who are addicted to opioids so they don’t have to get drugs from illegal abuse. In the event of a pandemic, the aspects of reducing the damage from the massive vaccine seem clear: Get a flock of immunity to protect everyone’s life, especially people who can’t get vaccinated themselves for any reason.
When doctors talk to patients, however, they do no harm in the first place. “It simply came to our notice then. It comes down to values, people’s fears, people’s anxieties. If the fear of getting a blood clot after Johnson & Johnson vaccination is so deep for weeks, is that patient worth it? asks Peter Chin-Honge, an infectious disease doctor in San Francisco. “That’s an interesting clash that hasn’t really been talked about. We want the benefit of society at the end of the day, but we should not avoid aspects of speaking out for each patient. ”
That is the doubt, but it is arguably because the benefits of society outweigh the benefits of the individual – without compromising on reducing harm without harm. As follows: I am a man over 50 years old, so as anyone can know, he is at low risk for blood clots. But I have a low risk (perhaps) of killing Covid-19. I am very careful with exposure, as it is not one of the combinations that usually causes a serious infection, as I live in a place with a low infection rate. I will hardly get it and I will hardly get a serious case. Maybe the small risks of getting vaccinated don’t outweigh the risks of not getting my vaccine. That doesn’t make me question it. I’m not! Give the juice, doc. But you see what I mean.
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