RT Journal Article SR Electronic T1 Vaccine ethics: an ethical framework for global distribution of COVID-19 vaccines JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 308 OP 317 DO 10.1136/medethics-2020-107036 VO 47 IS 5 A1 Nancy S Jecker A1 Aaron G Wightman A1 Douglas S Diekema YR 2021 UL http://jme.bmj.com/content/47/5/308.abstract AB This paper addresses the just distribution of vaccines against the SARS-CoV-2 virus and sets forth an ethical framework that prioritises frontline and essential workers, people at high risk of severe disease or death, and people at high risk of infection. Section I makes the case that vaccine distribution should occur at a global level in order to accelerate development and fair, efficient vaccine allocation. Section II puts forth ethical values to guide vaccine distribution including helping people with the greatest need, reducing health disparity, saving the most lives and promoting narrow social utility. It also responds to objections which claim that earlier years have more value than later years. Section III puts forth a practical ethical framework to aid decision-makers and compares it with alternatives.