Expertise, Values, Scientific Advice – and the Vaccination of Children

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Lucie White

Abstract

The policy decision to recommend the vaccination of children against COVID was a controversial one - a controversy that Guibilini and colleagues characterize as stemming from expert disagreement. I argue that scientific dissent was not the primary issue here - rather, this is a problem of a persistent ambiguity concerning what standard needs to be met for the vaccination of children to be justified - which potential benefits should we take into account, and for whom? I trace the decision-making process in both the UK and the US to draw this out, and then consider some of the key ethical questions we need to consider when adopting a standard of justification.

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“Expertise, Values, Scientific Advice – and the Vaccination of Children”. 2025. Diametros 22 (82): 37-52. https://doi.org/10.33392/diam.2010.
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“Expertise, Values, Scientific Advice – and the Vaccination of Children”. 2025. Diametros 22 (82): 37-52. https://doi.org/10.33392/diam.2010.
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References

Advisory Committee on Immunization Practices (ACIP) (2021), “Grading of Recommendations, Assessment, Development, and Evaluation (GRADE): Pfizer-BioNTech COVID-19 Vaccine for Persons Aged 12-15 Years,” URL = https://www.cdc.gov/vaccines/acip/recs/grade/covid-19-pfizer-biontech-vaccine-12-15-years.html [Accessed 12.04.2024].

Bennett M. (2020), “Should I do as I’m told? Trust, Experts, and COVID-19,” Kennedy Institute of Ethics Journal 30(3-4): 243–263.

Bernstein, J. (2017), “The case against libertarian arguments for compulsory vaccination,” Journal of Medical Ethics 43(11): 792–796.

Birch, J. (2021), “Science and Policy in Extremis: The UK’s Initial Response to COVID-19,” European Journal for the Philosophy of Science 11(90): 1–27.

Brennan, J. (2018), “A libertarian case for mandatory vaccination,” Journal of Medical Ethics 44(1): 37–43.

Centres for Disease Control and Prevention (CDC) (2021), “CDC Director Statement on Pfizer’s Use of COVID-19 Vaccine in Adolescents Age 12 and Older,” URL = https://archive.cdc.gov/#/details?url=https://www.cdc.gov/media/releases/2021/s0512-advisory-committee-signing.html [Accessed 15.04.2024].

Douglas, H. (2000), “Inductive Risk and Values in Science,” Philosophy of Science 67(4): 559-579.

Douglas, H. (2009), Science, Policy and the Value-Free Ideal, University of Pittsburgh Press, Pittsburgh.

Flanigan, J. (2014), “A defense of compulsory vaccination.” HEC Forum 26(1): 5–25.

Gargano, J.W., Wallace, M., Hadler, S. C., et al. (2021), “Use of mRNA COVID-19 Vaccine After Reports of Myocarditis Among Vaccine Recipients: Update from the Advisory Committee on Immunization Practices — United States, June 2021,” Morbidity and Mortality Weekly Report (MMWR) 70(27): 977-82, doi: 10.15585/mmwr.mm7027e2.

Giubilini, A. (2020), “An argument for compulsory vaccination: the taxation analogy,” Journal of Applied Philosophy 37(3): 446–466.

Giubilini A. (2021), “The Double Ethical Mistake of Vaccinating Children against COVID-19,” URL = https://blog.practicalethics.ox.ac.uk/2021/09/the-double-ethical-mistake--of-vaccinating-children-against-covid-19/ [Accessed 12.04.2024].

Giubilini, A., Gur-Arie, R., Jamrozik, E. (2025), “Expertise, Disagreement, and Trust in Vaccine Science and Policy: The Importance of Transparency in a World of Experts,” Diametros 22 (82): 7-27.

Hansson, S. O., (2003), “Ethical Criteria of Risk Acceptance,” Erkenntnis 59(3): 291–309, doi: 10.1023/A:1026005915919.

John, S. (2020), “The Ethics of Lockdown: Communication, Consequences, and the Separateness of Persons,” Kennedy Institute of Ethics Journal, 30(3-4): 265-289.

John, S. (2022), “How low can you go? Justified hesitancy and the ethics of vaccination against COVID-19,” Journal of Medical Ethics 48(12): 1006-1009.

Joint Committee on Vaccination and Immunisation Influenza Sub-Committee (2011), “Minute of meeting on Monday 19 September 2011,” URL = https://webarchive.nationalarchives.gov.uk/ukgwa/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@ab/documents/digitalasset/dh_131105.pdf [Accessed 28.05.24].

Joint Committee on Vaccination and Immunisation (JCVI) (2021a), “JCVI statement on COVID-19 vaccination of children and young people aged 12 to 17 years: 4 August 2021,” URL = https://www.gov.uk/government/publications/jcvi-statement-august-2021-covid-19-vaccination-of-children-and-young-people-aged-12-to-17-years/jcvi-statement-on-covid-19-vaccination-of-children-and-young-people-aged-12-to-17-years-4-august-2021 [Accessed 12.04.2024].

Joint Committee on Vaccination and Immunisation (JCVI) (2021b), “JCVI Statement on COVID-19 Vaccination of Children Aged 12 to 15 years: 3 September 2021,” URL = https://www.gov.uk/government/publications/jcvi-statement-september-2021-covid-19-vaccination-of-children-aged-12-to-15-years/jcvi-statement-on-covid-19-vaccination-of-children-aged-12-to-15-years-3-september-2021 [Accessed 12.04.2024].

Joint Committee on Vaccination and Immunisation (JCVI) (2021c), “Minute of the JCVI Extraordinary Meeting on COVID-19 Immunisation. Thursday 26 August 2021 08:00-11:00,” URL = https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation#meetings-agenda-and-minutes [Accessed 12.04.2024].

Joint Committee on Vaccination and Immunisation (JCVI) (2021d), “Minute of the JCVI Extraordinary Meeting on COVID-19 Immunisation – extraordinary meeting with cardiologists. Tuesday 1 September 2021 17:00-20:00,” URL = https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation#meetings-agenda-and-minutes [Accessed 12.04.2024].

Joint Committee on Vaccination and Immunisation (JCVI) (2021e), “Minute of the JCVI Extraordinary Meeting on COVID-19 Immunisation. Thursday 2 September 2021 08:00-11:45,” URL = https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation#meetings-agenda-and-minutes [Accessed 12.04.2024].

Kirkland, A. (2016), Vaccine Court: The Law and Politics of Injury, New York University Press, New York.

The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (NCPHSBBR) (1979), “The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research,” URL = https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.html [Accessed 30.05.24].

Pamuk, Z. (2022), “COVID-19 and the Paradox of Scientific Advice,” Perspectives on Politics 20(2): 562-576.

Robert Koch Institut (RKI) (2021), Epidemiologisches Bulletin 33, 2021 (19. August 2021), URL = https://www.rki.de/DE/Aktuelles/Publikationen/Epidemiologisches-Bulletin/2021/33_21.pdf?__blob=publicationFile&v=3 [Accessed 29.05.24].

UK Government (2013), “Joint Committee on Vaccination and Immunisation Code of Practice 2013,” URL = https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation#code-of-practice-and-conflicts-of-interests [Accessed 21.05.2024].

UK Government (2021a), “Correspondence: Terms of reference for UK CMO advice on universal vaccination of children and young people aged 12 to 15 years against COVID-19,” URL = https://www.gov.uk/government/publications/universal-vaccination-of-children-and-young-people-aged-12-to-15-years-against-covid-19/terms-of-reference-for-uk-cmo-advice-on-universal-vaccination-of-children-and-young-people-aged-12-to-15-years-against-covid-19 [Accessed 26.05.2024].

UK Government (2021b), “Correspondence: Universal Vaccination of Children and Young People aged 12-15 years against COVID-19,” URL = https://www.gov.uk/government/publications/universal-vaccination-of-children-and-young-people-aged-12-to-15-years-against-covid-19/universal-vaccination-of-children-and-young-people-aged-12-to-15-years-against-covid-19 [Accessed 12.04.2024].

Wallace, M., Woodworth, K.R., Gargano, J.W., et al. (2021), “The Advisory Committee on Immunization Practices’ Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine in Adolescents Aged 12–15 Years — United States, May 2021,” Morbidity and Mortality Weekly Report (MMWR) 70(20): 749–752.

Welsh Government (2021), “Written Statement: COVID-19 Vaccination – JCVI & Chief Medical Officers’ advice on vaccinating 12-15 year olds,” URL = https://www.gov.wales/written-statement-covid-19-vaccination-jcvi-chief-medical-officers-advice-vaccinating-12-15-year [Accessed 26.05.2024].

White, L. (forthcoming), “Justification for Coercion in a Public Health Crisis: Not just a Matter of Individual Harm,” Monash Bioethics Review, doi: 10.1007/s40592-024-00196-0.