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Vaccine nationalism and internationalism: perspectives of COVID-19 vaccine trial participants in the United Kingdom

Samantha Vanderslott · Katherine R. W. Emary · Rebecca te Water Naudé · Marcus Rex English · Tonia M. Thomas · Maia Patrick-Smith +6 more

38 citations0/0 files storedBMJ Global Health

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research Global Security and Public Health

Abstract

BACKGROUND: Vaccine nationalism has become a key topic of discussion during the development, testing, and rollout of COVID-19 vaccines. Media attention has highlighted the ways that global, coordinated access to vaccines has been limited during the pandemic. It has also exposed how some countries have secured vaccine supply, through bilateral purchase agreements and the way pharmaceutical companies have priced, negotiated, and delivered these supplies. Much of the focus of this debate has been on the vaccine supply 'winners' and 'losers', but the voices of public opinion have been more limited. METHODS: We explore the concepts of vaccine nationalism and internationalism from the perspective of vaccine trial participants, using an empirical perspectives study that involved interviews with phase I/II COVID-19 vaccine trial participants in Oxford, UK. We surveyed and interviewed participants between September and October 2020 about their views, motivations and experiences in taking part in the trial. RESULTS: First, we show how trial participants describe national and international ideas about vaccination as intertwined and challenge claims that these positions are mutually exclusive or oppositional. Second, we analyse these viewpoints further to show that vaccine nationalism is closely connected with national pride and metaphors of a country's scientific achievements. Participants held a global outlook and were highly supportive of the prioritisation of vaccines by global need, but many were also pessimistic that such a solution could be possible. CONCLUSION: Trial participants constitute an informed public group, with situated public expertise that the global community could draw on as an expert opinion. We argue that vaccine nationalism is strongly attached to national character and, therefore, it is more difficult for ownership of a vaccine to be though of as international.

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2013Coding In-depth Semistructured Interviews 2018Famine, Affluence, and Morality 2020Determinants of COVID-19 vaccine acceptance in the US 2021Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment 2006Grounded Theory: An Exploration of Process and Procedure 2016The Power of Constructivist Grounded Theory for Critical Inquiry 2021Covid-19 vaccine hesitancy among ethnic minority groups 2018Famine, Affluence and Morality

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