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Effectiveness of immunisation in health and social care - Coggle Diagram
Effectiveness of immunisation in
health and social care
Legal
Staff have a duty of care to their service users
Health and Safety at Work Act 1974 - everyone is responsible for everyone else's health and safety
Health and Safety at Work Act - employers must ensure that all reasonable measures are taken to keep individuals on their premises safe, including from infection
Human Rights Act 1998 - right to life,
freedom from inhuman or degrading
treatment, right to freedom,
respect for private life.
Which is more important - a practitioner's respect for private life and freedom to make own decisions about their health, or a service user's right to life?
Right to start a family - but in the early stages of the Covid 19 vaccination programme, the risks to a woman's fertility were unknown. Should a practitioner have the vaccination to protect service users, at the risk of not being able to start a family?
Legal protections and rights conflict with ethics
Professional
Staff have a duty of care to their service users
:
Staff are meant to respect the choices of their
service users and act as their advocates
Staff are required by codes of
practice to take action to minimise
the spread of infection and
follow all recommended guidance
Evidence base
The consequences of not vaccinating
MMR vaccine controversy led to a rise in cases, so the vaccine must have worked
Success of immunisation programmes historically
Smallpox has been eradicated
Polio is almost eradicated
New and changing vaccines
Covid-19 vaccine
Long term effectiveness and consequences are unknown
Flu vaccine has to be updated every year due to the virus mutating
How easy is it to keep up with this?
What if scientists get it wrong?
Ethical
Do we really have a right to tell people what they should
do to their bodies? The need for informed consent
For practitioners, which takes priority -
their professional responsibility to
keep service users safe,
or their own human rights?
Long term consequences - how long before scientists could prove that MMR jab did not cause autism? How long until the long term effects of the Covid vaccine are fully known?
Who is eligible for certain vaccinations? E.g. the Covid vaccine has only just been offered to 12 - 15 year olds
Does eligibility criteria for vaccines breach human rights? Does anyone have the right to decide who should be protected and who shouldn't? Does eligibility criteria reduce effectiveness of immunisation programmes?