A compensation system for vaccine injuries is needed for diseases such as Ebola

Credit: National Cancer Institute

As one part of a comprehensive plan to promote vaccine development for diseases of poverty, such as Ebola, there needs to be a plan to lessen the risks of litigation and liability and ensure recipients of vaccines are fairly compensated in the rare instances that they are harmed. A compensation system for vaccine injuries, based on no-fault principles and, most likely, overseen by the World Bank, could represent a solution to this problem argue Amir Attaran and Kumanan Wilson of the University of Ottawa, Ontario, Canada in a Policy Forum article published this week in PLOS Medicine.

The recent devastating Ebola outbreak has revealed myriad systemic deficiencies in health systems, international institutions, drug development and global readiness for public health emergencies. While there are substantial technical challenges in developing vaccines the lack of arrangements for vaccines to be deployed rapidly without hesitation because of liability due to iatrogenic harm also represents a potential barrier for vaccine deployment for future outbreaks.

Solutions to the liability issue include the country experiencing the indemnifying the vaccine supplier, or using the United Nations' immunity from lawsuit to shield the vaccine supplier as was done during the H1N1 pandemic. However, the authors argue that a superior option is for the international community to establish a no-fault compensation fund for novel vaccines released on an emergency basis to low-income countries.

The authors conclude, "[w]e think it is not too ambitious in the available time before an Ebola vaccine is available for routine use to create an international no-fault injury compensation program, disbursed upon the advice of an expert panel agreeing as to causality, and funded through the World Bank's residual influenza trust funds, plus possibly other Ebola-specific contributions. In the intermediate term, such an arrangement should be institutionalized through the World Bank, its access to insurance markets, and its proposed Global Pandemic Emergency Facility. In the long term, countries should be given assistance to devise no-fault compensation systems within their domestic law, so as to obviate the need to manage liability at the international level."

Explore further

Global vaccine-development fund could save thousands of lives, billions of dollars

More information: Attaran A, Wilson K (2015) The Ebola Vaccine, Iatrogenic Injuries, and Legal Liability. PLoS Med 12(12): e1001911. DOI: 10.1371/journal.pmed.1001911
Journal information: PLoS Medicine

Citation: A compensation system for vaccine injuries is needed for diseases such as Ebola (2015, December 1) retrieved 13 July 2020 from https://medicalxpress.com/news/2015-12-compensation-vaccine-injuries-diseases-ebola.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments