COVID-19 Vaccine Passports: Derogating Non-Derogable Fundamental Human Rights
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Abstract
The global fervor to develop and deliver a vaccine to protect people against COVID-19, the disease caused by SARS-CoV-2, has been extraordinary. COVID-19 vaccine development has been pursued at an unprecedented speed and scale; following the Emergency Use Authorization (EUA) of COVID-19 vaccines, rapid mass vaccination deployment efforts commenced in all earnest. This fervor to get a needle into every arm has now led to the European Commission president calling on the EU’s 27 member states to consider mandatory vaccination across Europe. With an intensification in COVID-19 vaccine hesitancy and many refusing to be vaccinated, an important question that arises is whether obligatory COVID-19 vaccination policies are ethical and legal in terms of international human rights norms and standards. Article 4(2) of the International Covenant on Civil and Political Rights which was ratified by 173 States Parties worldwide enumerates a specific list of human rights from which no derogation is allowed even in times of a public emergency. Included in this list of non-derogable rights is a sub-category of internationally recognized human rights known as “physical integrity rights” that includes the right to be free from medical or scientific experimentation. International human rights law is unambiguous that all people should be afforded their non-derogable fundamental human right to free and informed consent. Normative ethical perspectives and legal obligations erga omnes dictate that States Parties should not make COVID-19 vaccination mandatory in breach of International Human Rights Law relating to non-derogable rights that are regarded as core human rights, jus cogens. A bioethics perspective, rooted in fundamental human rights, should play a crucial role in the COVID-19 pandemic.
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References
2. Barnes J , and N Allen. EU must consider mandatory vaccination, says Ursula van der Leyen The Telegraph. Accessed December 20, 2021 https://www.telegraph.co.uk/world-news/2021/12/01/eu-must-consider-mandatory-vaccination-says-ursula-von-der-leyen/
3. Vergara, R J D., P J D. Sarmiento, and J Darwin, N Lagman. Building public trust: a response to COVID-19 vaccine hesitancy predicament. Journal of Public Health 43, no. 2 (2021): e291-e292. DOI:10.1093/pubmed/fdaa282
4. Hall, M A., and David M. Studdert. Vaccine Passport” Certification—Policy and Ethical Considerations. New England Journal of Medicine 2021; 385:e32. DOI: 10.1056/NEJMp2104289
5. Dror, A A, N. Eisenbach, S. Taiber, N. G. Morozov, M. Mizrachi, A. Zigron, S. Srouji, and E. Sela. Vaccine Hesitancy: The Next challenge in the Fight against COVID-19. European Journal of Epidemiology 35, no. 8 2020: 775–779. DOI: 10.1007/s10654-020-00671-y
6. International Covenant on Civil and Political Rights (ICCPR). G.A. Res. 2200A (XXI), 1966.
7. Richards, David L., and K. Chad Clay. An umbrella with holes: Respect for non-derogable human rights during declared states of emergency, 1996–2004. Human Rights Review 13, no. 4 2012: 443-471. DOI:10.1007/s12142-012-0245-z
8. Office of the United Nations High Commissioner for Human Rights. Emergency Measures and Covid-19 Guidance. 2020. https://www.ohchr.org/Documents/Events/EmergencyMeasures_COVID19.pdf
9. World Economic Forum. 5 charts that tell the story of vaccines today 2020. Accessed December 15, 2021. https://www.weforum.org/agenda/2020/06/vaccine-development-barriers-coronavirus/
10. Le, T T , Z. Andreadakis, A Kumar, R G Román, S Tollefsen, M Saville, and S Mayhew. The COVID-19 Vaccine Development Landscape. National Review of Drug Discoveries 19, no. 5 (2020): 305–306. DOI: 10.1038/d41573-020-00073-5. PMID: 32273591.
11. Walter, E. B., and M. A. Moody. “Vaccine Development: Steps to Approval of an Investigational Vaccine. ” North Carolina Medical Journal 82, no. 2 (2021): 141–144. DOI: https://doi.org/10.18043/ncm.82.2.141
12. Opel, D , D A Salmon, and E K Marcuse. Building Trust to Achieve Confidence in COVID-19 Vaccines. JAMA Network Open 3, no. 10 (2020): e2025672. DOI:10.1001/jamanetworkopen.2020.25672
13. Food and Drug Administration (FDA), US Department of Health and Human Services. Fact Sheet for Recipients and Caregivers: Emergency Use Authorization (EUA) of Pfizer-BioNtech COVID-19 Vaccine to Prevent Corona Virus Disease 2019 (COVID-19) in Individuals 18 Years of Age and Older. Accessed December 20, 2021. https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines
14. Food and Drug Administration (FDA), US Department of Health and Human Services. Fact Sheet for Recipients and Caregivers: Emergency Use Authorization (EUA) of Moderna COVID-19 Vaccine to Prevent Corona Virus Disease 2019 (COVID-19) in Individuals 18 Years of Age and Older. Accessed December 20, 2021. https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines
15. Food and Drug Administration (FDA), US Department of Health and Human Services. Fact Sheet for Recipients and Caregivers: Emergency Use Authorization (EUA) of the Janssen COVID-19 Vaccine to Prevent Corona Virus Disease 2019 (COVID-19) in Individuals 18 Years of Age and Older. Accessed December 20, 2021. https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines
16. Centers for Disease Control and Prevention (CDC), US Department of Health and Human Services. Safety of COVID-19 Vaccines. Accessed July 13, 2021. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/safety-of-vaccines.html
17. CDC, US Department of Health and Human Services. Key Things to Know about COVID-19 Vaccines. Accessed June 25, 2021. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/keythingstoknow.html
18. Burchill, R. When Does an Emergency Threaten the Life of the Nation? Derogations from Human Rights Obligations and the War on International Terrorism. New Zealand Yearbook of Jurisprudence 9 (2005): 96–114.
19. Human Rights Committee. General Comment 29, States of Emergency (article 4). U.N. Doc. CCPR/C/21/Rev.1/Add.11, 2001.
20. Human Rights Committee. Statement on Derogations from the Covenant in Connection with the COVID-19 Pandemic. International Covenant on Civil and Political Rights CCPR/c128/2, 2020.
21. International Commission of Jurists. Siracusa Principles on the Limitation and Derogation of Provisions in the International Covenant on Civil and Political Rights. UN Doc E/CN.4/1984/4, Annex at 58, 1985.
22. Lillich, R B. The Paris Minimum Standards of Human Rights Norms in a State of Emergency. American Journal of International Law 79, no. 4 (1985): 1072–1081.
23. Council of Europe. Convention for the Protection of Human Rights and Fundamental Freedoms, Rome.” 4.XI.Nov. 4, 1950, 213 UNTS 222 (entered into force Sept. 3, 1953).
24. American Convention on Human Rights, opened for signature Nov. 22, 1969 (entered into force July 18, 1978).
25. Koji, T. Emerging Hierarchy in International Human Rights and Beyond: From the Perspective of Non‐derogable Rights. European Journal of International Law 12, no. 5 (2001): 917-941. DOI:10.1093/ejil/12.5.917
26. Orakhelashvili, A. Peremptory Norms in International Law. Oxford: Oxford University Press, 2006.
27. Farer, T. The Hierarchy of Human Rights. American University International Law Review 8, no. 1 (1992): 115-119.
28. Van Aardt, W. “State Responsibility for Human Rights Abuses Committed by Non-State Actors under the Constitution.” Doctoral dissertation, North-West University, 2004.
29. Velasquez Rodriguez Case Judgement of 29 July 1988, Inter-Am. Ct. Hr. (Ser. C) No. 4 (1988) at para. 166.
30. Jošt, M., and T S Cox. Food Production and Bioethics. Sociologija Sela 3, no. 4 (2000): 149.
31. Nuremberg Code, 1947.
32. World Health Organization. Guidance for Managing Ethical Issues in Infectious Disease Outbreaks. WHO, 2016, 35–38.
33. United Nations Educational, Scientific and Cultural Organization (UNESCO). Universal Declaration on Bioethics and Human Rights (UDBHR), Art 3 and Art 6. 2005.
34. Council of Europe. The Convention for the Protection of Human Rights and Dignity of the Human Being with Regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine. 1997.
35. Council of Europe. COVID-19 Vaccines: Ethical, Legal and Practical Considerations. Resolution 2361, 2021.
36. Flood, C M, B Thomas, and K Wilson. Mandatory Vaccination for Health Care Workers: An Analysis of Law and Policy. Canadian Medical Association Journal 193, no. 6 (2021): E217–E220. DOI: 10.1503/CMAJ.202755-F
37. UNESCO International Bioethics Committee (IBC) and the UNESCO World Commission on the Ethics of Scientific Knowledge and Technology (COMEST). Statement on COVID-19: Ethical Considerations from a Global Perspective. 2021.
38. Gur-Arie, R., E. Jamrozik, and P. Kingori. No Jab, No Job? Ethical Issues in Mandatory COVID-19 Vaccination of Healthcare Personnel. BMJ Global Health 6, no. 2 (2021): e004877. DOI:10.1136/bmjgh-2020-004877
39. Opel, D. J., D. S. Diekema, and L. F. Ross. Should We Mandate a COVID-19 Vaccine for Children? JAMA Pediatrics 175, no. 2 (2021): 125–126. DOI: 10.1001/jamapediatrics.2020.3019
40. Van Aardt, Willem. The Mandatory COVID-19 Vaccination of School Children: A Bioethical and Human Rights Assessment. Journal of Vaccines & Vaccination 12, no. 3 (2021).
41. van Aardt, Willem. Proof of COVID-19 Vaccination to Study-A Biomedical Ethical Analysis. Journal of Biology and Today's World 10, no. 5 (2021): 1-4.
42. Lagerwall, Anne, and Anthony Carty. Jus cogens. Oxford Bibliographies-International Law, 1 (2015).