The fourth ethical comment towards COVID-19 (three years later). Trust and faith: social and moral profile of vaccination

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Abstract

The summarizing up the semantic and systemic results should comprise the next phase to provide insights into COVID-19 pandemic and consider it as a modern epidemic and humanitarian crisis on global level. The journal «Infection and Immunity» regularly and consistently present the results of ethically viewed legal framework of the pandemic and the administrative regulation of the public health system. Analysis and ethical assessment of the situation covers a wide range of issues, including the provision and operational adaptation of the regulatory framework, the problems of medical care, the processes and conditions for developing diagnostics, treatment and prevention, as well as all aspects related to the organization and implementing vaccination. Three previous ethical comments presented in 2020–2022 during the pandemic were devoted to these issues. Current study within the framework of the «fourth ethical commentary» follows directly from the data obtained while evaluating and analysing real-world experience on vaccination in the context of a regional cluster — the CIS member states, presented in the previous article. The perceived need and obvious significance of the study is to highlight objective factors of vulnerability in the vaccination during the COVID-19 pandemic and identify the response spectrum to form trust/or distrust to vaccination in various sectors of society, depending on a set of social and moral factors, including those coupled to a religious denomination. The data obtained are of paramount importance to find the moral ways to support and stabilize a responsible attitude with the aim to protect moral, social and physical health in emergency situations.

About the authors

Olga I. Kubar

St. Petersburg Pasteur Institute

Author for correspondence.
Email: okubar@list.ru

DSc (Medicine), Leading Researcher, Laboratory of Etiology and Control of Viral Infections; Member of the Russian Committee on Bioethics (RCB); ex-member of the International Committee on Bioethics

Russian Federation, St. Petersburg

Galina L. Mikirtichan

St. Petersburg State Pediatric Medical University

Email: okubar@list.ru

DSc (Medicine), Professor, Head of the Department of Humanitarian Disciplines and Bioethics

Russian Federation, St. Petersburg

References

  1. Анализ отношения общества к вакцинации от COVID-19 в отдельных странах ЦАРЭС. Аналитический отчет. Апрель 2021. 104 c. [Analysis of society’s attitude to vaccination against COVID-19 in selected CAREC countries. Analytical report. April 2021. 104 p. (In Russ.)] URL: https://www.carecinstitute.org/wp-content/uploads/2021/04/CAREC-Institute-vaccination-attitudes-report-RUS-22-Apr-2021.pdf
  2. Бочкаева З.В., Макаров В.В. Новые технологические подходы к созданию вакцин для профилактики COVID-19 // II Междунар. науч.-практ. конф. по вопросам противодействия новой коронавирусной инфекции и другим инфекционным заболеваниям (9–10 декабря 2021 г., Санкт-Петербург): cб. материалов / под ред. А.Ю. Поповой, В.В. Кутырева. Саратов: Амирит, 2021. С. 28–31. [Bochkaeva Z.V., Makarov V.V. New technological approaches to the creation of vaccines for the prevention of COVID-19 // II International Scientific and Practical Conference on countering new coronavirus infection and other infectious diseases, December 9–10, 2021, St. Petersburg: proceedings. Eds.: A.Yu. Popova, V.V. Kutyrev. Saratov: Amirite, 2021. 28–31 рр. (In Russ.)]
  3. В Кишиневе проходит протест против обязательной вакцинации от коронавируса // NewsMaker. Дата публикации: 03.08.2021. [A protest against mandatory vaccination against coronavirus is taking place in Chisinau // NewsMaker. Publication date: 03.08.2021. (In Russ.)] URL: https://newsmaker.md/rus/novosti/v-kishineve-prohodit-protest-protiv-obyazatelnoy-vaktsinatsii-ot-koronavirusa-video (14.11.2022)
  4. В РПЦ расходятся во мнении по вопросу вакцинации от COVID-19. В вакцину не верит даже патриарх Кирилл // Рамблер. Дата публикации: 17.09.2020. [The ROC disagrees on the issue of vaccination against COVID-19. Even Patriarch Kirill does not believe in the vaccine // Rambler. Publication date: 17.09.2020. (In Russ.)] URL: https://news.rambler.ru/other/44859192-v-rpts-rashodyatsya-vo-mnenii-po-voprosu-vaktsinatsii-ot-covid-19-v-vaktsinu-ne-verit-dazhe-patriarh-kirill (14.11.2022)
  5. ВОЗ. Десять проблем здравоохранения, над которыми ВОЗ будет работать в 2019 году. [WHO: ten threats to public health in 2019] URL: https:// www.who.int|news-room|sportlight|ten –threats-to-global-health-in-2019 (14.11.2022)
  6. ВЦИОМ выяснил, как россияне относятся к вакцинации от COVID-19 // РИА Новости. Дата публикации: 10.06.2021. [VTSIOM found out how Russians feel about vaccination against COVID-19 // RIA Novosti. Publication date: 10.06.2021. (In Russ.)] URL: https://ria.ru/20210610/vtsiom-1736476723.html (14.11.2022)
  7. Гончарова В.Е. Этические вопросы проведения клинических исследований и вакцинации против COVID-19 // Медицинская этика. 2021. Т. 10, № 2. С. 35–40. [Goncharova V.E. Ethical issues of conducting clinical trials and vaccination against COVID-19. Meditsinskaya etika = Medical Ethics, 2021, vol. 10, no. 2, pp. 35–40. (In Russ.)]
  8. Горошко Н.В., Емельянова Е.К., Пацала С.В. Проблема ковид-антивакцинаторства: Россия на мировом фоне // Социальные аспекты здоровья населения. 2021. Т. 67, № 4. [Goroshko N.V., Emelyanova E.K., Patsala S.V. The problem of COVID-anti-vaccination: Russia on a global background. Sotsial’nye aspekty zdorov’ya naseleniya = Social Aspects of Population Health, 2021, vol. 67, no. 4. (In Russ.)] doi: 10.21045/2071-5021-2021-67-4-3
  9. Доклад Святейшего Патриарха Кирилла на Епархиальном собрании г. Москвы (22 декабря 2021 года). Report of His Holiness Patriarch Kirill at the Diocesan Meeting of Moscow (December 22, 2021). URL: http://www.patriarchia.ru/db/text/5874415.html (14.11.2022)
  10. Дорошенко Е.Н. Конституционно-правовые основы ограничения прав человека в связи с пандемией новой коронавирусной инфекции // Актуальные проблемы российского права. 2020. Т. 15, № 12. С. 48–56. [Doroshenko E.N. Constitutional law foundations for the restriction of human rights in connection with the new COVID-19 pandemic. Aktualnye problemy rossiyskogo prava = Actual Problems of Russian Law, 2020, vol. 15, no. 12, рр. 48–56. (In Russ.)] doi: 10.17803/1994-1471.2020.121.12.048-056
  11. Духовной опасности для верующих в вакцинации нет — Армянская Апостольская церковь // SPUTNIK Армения. Дата публикации: 12.11.2021. [There is no spiritual danger for believers in vaccination — Armenian Apostolic Church // SPUTNIK Armenia. Publication date: 12.11.2021. (In Russ.)] URL: https://ru.armeniasputnik.am/20211112/dukhovnoy-opasnosti-dlya-veruyuschikh-v-vaktsinatsii-net--armyanskaya-apostolskaya-tserkov-35296492.html (14.11.2022)
  12. Есть 6 вакцин: Sputnik V., Pfizer и другие. А какая лучше? — изучаем вместе: видеофайл // SPUTNIK Узбекистан. Дата публикации: 19.02.2021. [There are 6 vaccines: Sputnik V., Pfizer and others. And which one is better? — we study together: videofile // SPUTNIK Uzbekistan. Date of publication: 19.02.2021. (In Russ.)] URL: https://uz.sputniknews.ru/20210219/16044005.html
  13. Конгрегация Вероучения: Нота о нравственности использования некоторых вакцин против COVID-19. Рим, Управление Конгрегации вероучения, 21 декабря 2020 г. [Congregation of the Doctrine of the Faith. A note on the ethics of using some Covid-19 vaccines.» Rome, Office of the Congregation for the Doctrine of the Faith, December 21. (In Russ.)] URL: https://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_20201221_nota-vaccini-anticovid_en.html
  14. Коронавирусные ограничения и вакцинация граждан стали одними из ключевых тем в интервью председателя Духовного управления мусульман Российской Федерации Муфтия Шейха Равиля Гайнутдина для телеканала «Россия 24» 2021 // Совет муфтиев России. Дата публикации: 20 июля 2021. [Coronavirus restrictions and vaccination of citizens became one of the key topics in an interview with the chairman of the Spiritual Administration of Muslims of the Russian Federation Mufti Sheikh Ravil Gainutdin for the TV channel “Russia 24” 2021 // Council of Muftis of Russia. Date of publication: July 20, 2021. (In Russ.)] URL: https://muslim.ru/articles/278/30656
  15. Кубарь О.И. Этический комментарий к COVID-19 // Инфекция и иммунитет. 2020. Т. 10, № 2. С. 287–294. [Kubar O.I. Ethical comments on COVID-19. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2020, vol. 10, no. 2, pp. 287–294. (In Russ.)] doi: 10.15789/2220-7619-ECO-1447
  16. Кубарь О.И., Бичурина М.А., Романенкова Н.И. Второй этический комментарий к COVID-19 (год спустя) // Инфекция и иммунитет. 2021. Т. 11, № 1. С. 17–24. [Kubar O.I., Bichurina M.A., Romanenkova N.I. Second ethical comments towards COVID-19 (one year later). Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2021, vol. 11, no. 1, pp. 17–24. (In Russ.)] doi: 10.15789/2220-7619-SEC-1645
  17. Кубарь О.И., Микиртичан Г.Л., Владимирова Е.Ю., Таги-заде Т.Г., Мамедова Ф.М., Гаджиева У.К., Давтян С.А., Мавсисян Ф.М., Тилекеева У.М., Грамма Р.К., Насырова Ф.Ю., Тишкова Ф.Х., Мухамедова З.М., Атамурадова Ф.С. Третий этический комментарий к COVID-19 (два года спустя) — вакцинация, солидарность и доверие // Инфекция и иммунитет. 2022. Т. 12, № 2. C. 222–238. [Kubar O.I., Mikirtichan G.L., Vladimirova E.Yu., Taghi-zade T.G., Mamedova F.M., Gadzhieva U.K., Davtyan S.A., Mavsisyan F.M., Tilekeeva U.M., Gramma R.K., Nasyrova F.Yu., Tishkova F.H., Muhamedova Z.M., Atamuradova F.S. The third ethical commentary to COVID-19 (two years later) — vaccination, solidarity, and trust. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2022, vol. 12, no. 2, pp. 222–238. (In Russ.)] doi: 10.15789/2220-7619-THC-1875
  18. Лескова И.В., Зязин С.Ю. Недоверие к вакцинации как информационный вброс // Проблемы социальной гигиены, здравоохранения и истории медицины. 2021. Т. 29, № 1. C. 37–40. [Leskova I. V., Zyazin S. Yu. The lack of confidence to vaccination as information planting. Problemy sotsial’noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine, 2021, vol. 29, no. 1, pp. 37–40. (In Russ.)] doi: 10.32687/0869-866X-2021-29- 1-37-40
  19. Митрополия Молдовы: Вакцинация от нового типа коронавируса должна быть добровольной // NewsMaker. Дата публикации: 19.05.2020. [Archdiocese of Moldova: Vaccination against a new type of coronavirus should be voluntary // NewsMaker. Publication date: 03.08.2021. (In Russ.)] URL: https://newsmaker.md/rus/novosti/mitropoliya-moldovy-vaktsinatsiya-ot-novogo-tipa-koronavirusa-dolzhna-byt-dobrovolnoy (14.11.2022)
  20. Патриарх Кирилл привился одной из российских вакцин от COVID-19 // РИА Новости. Дата публикации: 13.04.2021. Patriarch Kirill was vaccinated with one of the Russian COVID-19 vaccines // RIA Novosti. Publication date: 13.04.2021. (In Russ.)] URL: https://ria.ru/20210413/patriarkh-1728130920.html (14.11.2022)
  21. Попова А.Ю., Тотолян А.А. Методология оценки популяционного иммунитета к вирусу SARS-CoV-2 в условиях пандемии COVID-19 // Инфекция и иммунитет. 2021. Т. 11, № 4. C. 609–616. [Popova A.Yu., Totolian A.A. Methodology for assessing herd immunity to the SARS-CoV-2 virus in the context of the COVID-19 pandemic. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2021, vol. 11, no. 4, pp. 609–616. (In Russ.)] doi: 10.15789/2220-7619-MFA-1770
  22. Святейший Патриарх Кирилл: Церковь должна оставаться свободной от сегрегации по иммунному признаку и принимать всех стремящихся ко Христу // Православие.ru. Дата публикации: 22.12.2021. [His Holiness Patriarch Kirill: The Church must remain free from segregation on the basis of immunity and accept all those who aspire to Christ // Pravoslavie.ru. Date of publication: 22.12.2021. (In Russ.)] URL: https://pravoslavie.ru/143567.html (14.11.2022)
  23. Совместное заявление Совета и Общества православных врачей России о проблемах вакцинации в России // Русская православная церковь. Официальный сайт Московского Патриархата. Дата публикации: 25.05.2009. [Joint statement of the Council and the Society of Orthodox Doctors of Russia on the problems of vaccination in Russia // Russian Orthodox Church. Official site of the Moscow Patriarchate. Date of publication: 25.05.2009. Date of publication: 25.05.2009. (In Russ.)] URL: http://www.patriarchia.ru/db/text/964218.html (14.11.2022)
  24. Фетва Совета Улемов Духовного собрания мусульман России по предотвращению распространения коронавирусной инфекции (COVID-19) (№ 07/21-СУ от 15 июля 2021 года). [Fatwa of the Ulema Council of the Spiritual Assembly of Muslims of Russia on preventing the spread of coronavirus infection (COVID-19) (N 07/21-SU dated July 15, 2021). (In Russ.)] URL: https://dsmr.ru/islam/fetvy.html (14.11.2022)
  25. Этика вакцинации (критерий научного и гуманитарного прорыва). Под общей ред. О.И. Кубарь. СПб.: ФБУН НИИЭМ имени Пастера, 2018. 176 с. [Ethics of vaccination (criterion of scientific and humanitarian breakthrough). Ed. O.I. Kubar. St. Petersburg: St. Petersburg Pasteur Institute, 2018. 176 p. (In Russ.)]
  26. Этика инфекционной патологии. Под ред. О.И. Кубарь. СПб.: ФБУН НИИЭМ имени Пастера, 2014. 116 с. [Ethics of infectious pathology. Ed. O.I. Kubar. St. Petersburg: Pasteur Research Institute, 2014. 116 p. (In Russ.)]
  27. Pelčić G., Karačić S., Микиртичан Г.Л., Кубарь О.И., Leavitt F. J., Cheng-tek Tai M., Morishita N., Vuletić S., Tomašević L. Религиозные возражения для вакцинации или религиозные оправдания для уклонения от вакцинации: действительно ли они существуют? Медицина и организация здравоохранения. 2020. Т. 5, № 1. С. 58–78. [Pelčić G., Karačić S., Mikirtichan G.L., Kubar O.I., Leavitt F.J., Cheng-tek Tai M., Morishita N., Vuletić S., Tomašević L. Religious objections to vaccination or religious justifications to refuse vaccination: is it really true? Meditsina i organizatsiya zdravookhrane niya = Medicine and Healthcare Organization, 2020, vol. 5, no. 1, pp. 58–78. (In Russ.)]
  28. Calabro G.E., Carini E., Tognetto A., Giacchetta I., Bonanno E., Mariani M., Ricciardi W., de Waure C. The Value(s) of vaccination: building the scientific evidence according to a value-based healthcare approach. Front. Public Health, 2022, no. 10: 786662. doi: 10.3389/fpubh.2022.786662
  29. Fridman A., Gershon R., Gneezy A. COVID-19 and vaccine hesitancy: a longitudinal study. PLoS One, 2021, no. 16: e0250123. doi: 10.1371/journal.pone.0250123
  30. Grüner S., Krüger F. The intention to be vaccinated against COVID-19: Stated preferences before vaccines were available. Appl. Econ. Letters, 2021, vol. 28. no 21. pp. 1847–1851. doi: 10.1080/13504851.2020.1854445
  31. Hwang Y., Jeong S.-H. Misinformation exposure and acceptance: the role of information seeking and processing. Health Commun., 2023, vol. 38, no. 3, pp. 585–593. doi: 10.1080/10410236.2021.1964187
  32. Kata A. A postmodern Pandora’s box: anti-vaccination misinformation on the Internet. Vaccine, 2010, vol. 28, no. 7, pp. 1709–1716. doi: 10.1016/j.vaccine.2009.12.022
  33. Lawes-Wickwar S., Ghio D., Tang M.Y., Keyworth C., Stanescu S., Westbrook J., Jenkinson E., Kassianos A.P., Scanlan D., Garnett N., Laidlaw L., Howlett N., Carr N., Stanulewicz N., Guest E., Watson D., Sutherland L., Byrne-Davis L., Chater A., Hart J., Armitage C.J., Shorter G.W., Swanson V., Epton T. A rapid systematic review of public responses to health messages encouraging vaccination against infectious diseases in a pandemic or epidemic. Vaccines (Basel), 2021, vol. 9, no. 2: 72. doi: 10.3390/vaccines9020072
  34. Maroiu C., Rusu A., Pap Z. I think i should get vaccinated, i feel i should not. individual differences in information processing and vaccination behavior (COVID-19). Healthcare (Basel), 2022, vol. 10, no. 7: 1302. doi: 10.3390/healthcare10071302
  35. Martel C., Pennycook G., Rand D.G. Reliance on emotion promotes belief in fake news. Cogn. Res. Princ. Implic., 2020, vol. 5, no. 1: 47. doi: 10.1186/s41235-020-00252-3
  36. Okuhara T., Ishikawa H., Okada H., Ueno H., Kiuchi T. Dual-process theories to counter the anti-vaccination movement. Prev. Med. Rep., 2020, vol. 20: 101205. doi: 10.1016/j.pmedr.2020.101205
  37. Paul E., Steptoe A., Fancourt D. Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications. Lancet Reg. Health Eur., 2021, vol. 1: 100012. doi: 10.1016/j.lanepe.2020.100012

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