Cargando…

If the Objective is Herd Immunity, on Whom Should it be Built?

Assuming that there is no other solution than herd immunity in front of the current pandemic, on which groups of citizens should we build this herd immunity? Given the fact that young people face a mortality rate which is at least a thousand times smaller than people aged 70 years and more, there is...

Descripción completa

Detalles Bibliográficos
Autor principal: Gollier, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417852/
https://www.ncbi.nlm.nih.gov/pubmed/32836866
http://dx.doi.org/10.1007/s10640-020-00504-2
_version_ 1783569580940066816
author Gollier, Christian
author_facet Gollier, Christian
author_sort Gollier, Christian
collection PubMed
description Assuming that there is no other solution than herd immunity in front of the current pandemic, on which groups of citizens should we build this herd immunity? Given the fact that young people face a mortality rate which is at least a thousand times smaller than people aged 70 years and more, there is a simple rational to build it on these younger generations. The transfer of some mortality risk from the elderly to younger people raises difficult ethical issues. However, none of the familiar moral or operational guidelines (equality of rights, VSL, QALY, ...) that have been used in the Western world over the last century weights the value of young lives 1000 times or more than the lives of the elders. This suggests that Society could offer covid protection to the elders by recommending them to remain confined as long as this herd immunity has not been attained by the younger generations. This would be a potent demonstration of intergenerational solidarity towards the most vulnerable people in our community. The welfare gain of this age-specific deconfinement strategy is huge, as it can reduce the global death toll by more than 80% as compared to a strategy of non-targeted herd immunity.
format Online
Article
Text
id pubmed-7417852
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Netherlands
record_format MEDLINE/PubMed
spelling pubmed-74178522020-08-11 If the Objective is Herd Immunity, on Whom Should it be Built? Gollier, Christian Environ Resour Econ (Dordr) Article Assuming that there is no other solution than herd immunity in front of the current pandemic, on which groups of citizens should we build this herd immunity? Given the fact that young people face a mortality rate which is at least a thousand times smaller than people aged 70 years and more, there is a simple rational to build it on these younger generations. The transfer of some mortality risk from the elderly to younger people raises difficult ethical issues. However, none of the familiar moral or operational guidelines (equality of rights, VSL, QALY, ...) that have been used in the Western world over the last century weights the value of young lives 1000 times or more than the lives of the elders. This suggests that Society could offer covid protection to the elders by recommending them to remain confined as long as this herd immunity has not been attained by the younger generations. This would be a potent demonstration of intergenerational solidarity towards the most vulnerable people in our community. The welfare gain of this age-specific deconfinement strategy is huge, as it can reduce the global death toll by more than 80% as compared to a strategy of non-targeted herd immunity. Springer Netherlands 2020-08-11 2020 /pmc/articles/PMC7417852/ /pubmed/32836866 http://dx.doi.org/10.1007/s10640-020-00504-2 Text en © Springer Nature B.V. 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Gollier, Christian
If the Objective is Herd Immunity, on Whom Should it be Built?
title If the Objective is Herd Immunity, on Whom Should it be Built?
title_full If the Objective is Herd Immunity, on Whom Should it be Built?
title_fullStr If the Objective is Herd Immunity, on Whom Should it be Built?
title_full_unstemmed If the Objective is Herd Immunity, on Whom Should it be Built?
title_short If the Objective is Herd Immunity, on Whom Should it be Built?
title_sort if the objective is herd immunity, on whom should it be built?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417852/
https://www.ncbi.nlm.nih.gov/pubmed/32836866
http://dx.doi.org/10.1007/s10640-020-00504-2
work_keys_str_mv AT gollierchristian iftheobjectiveisherdimmunityonwhomshoulditbebuilt