AUTHOR=Tretter Max , Ehrlich David B. , von Ulmenstein Ulrich 

TITLE=Easing Restrictions During Vaccine Scarcity. How Mitigation Measures Help Tackling Associated Moral and Behavioral Challenges

JOURNAL=Public Health Reviews

VOLUME=42

YEAR=2021

URL=https://www.ssph-journal.org/journals/public-health-reviews/articles/10.3389/phrs.2021.1604269

DOI=10.3389/phrs.2021.1604269

ISSN=2107-6952

ABSTRACT=<p><bold>Background:</bold> When vaccines became first available during the Covid-19 pandemic, their demand significantly exceeded their supply. In consequence, the access to vaccines, initially, was distributed unequally. At the same time, governments started easing pandemic restrictions for vaccinated and recovered persons and restoring their freedoms since their risk of transmitting the virus is significantly reduced.</p><p><bold>Evidence:</bold> We show that restoring freedoms for vaccinated and recovered persons – while upholding restrictions for the rest of the population – is morally unfair during vaccine scarcity. Further, it may yield unintended side-effects, including perverse incentives, growing rifts in society, and the expansion of marginalization.</p><p><bold>Policy Options &amp; Recommendations:</bold> We recommend accompanying easing for vaccinated and recovered individuals by mitigation measures for those who are neither vaccinated nor recovered. We propose, first, to temporarily lift the same restrictions for negative-tested individuals, as for vaccinated or recovered people. Second, the state must ensure broad and easy access to testing for everyone – free of charge.</p><p><bold>Conclusion:</bold> If done right, these mitigation measures create (at least temporarily) equal access to freedom for everybody – solving the moral problem of unfair access to freedoms and counteracting possible negative consequences.</p>