title: [About <<responsibility>> of vaccination].
abstract: The debate over compulsory or merely recommended vaccination remains open, albeit latent, in those countries that have mandatory vaccine schedules. Despite the advantages of preventive immunization from the point of medical, economic and social features, it's clear, in the current status of medical ethics, that the exercise of patient autonomy calls for personal responsibility in the election of treatments and, in fact, the vaccines. Therefore, it is necessary to change the simple idea of prevention as <<risk reduction>>, characteristic of a <<third person ethic>> in order to pass to a preventative medicine concept that will be able to support the achievement of moral attitudes towards achieving the good <<health>> for the individual and for the community. This is only possible from a <<first person ethic>> wherever is possible to present an alternative between mandatory vs. recommendation from the concept of <<responsibility>> that, with the help of a series of measures, could combine the effective protection for the whole community with the responsible exercise of the personal autonomy.
authors.affiliation: Assicurazioni, Istituto di Igiene, Italia. marialuisa.dipietro@gmail.com
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Di Pietro
authors.forename: Pietro
authors.initials: P
authors.lastname: Refolo
authors.forename: Fermín J
authors.initials: FJ
authors.lastname: González-Melado
mesh_terms: D000533:Altruism; D001294:Attitude to Health; D006801:Humans; D032521:Immunity, Herd; D037141:Mandatory Programs / Q000941:ethics / Q000331:legislation & jurisprudence; D009042:Motivation; D010342:Patient Acceptance of Health Care; D026684:Personal Autonomy; D011315:Preventive Medicine / Q000941:ethics / Q000331:legislation & jurisprudence; D011634:Public Health; D045808:Refusal to Participate / Q000941:ethics / Q000331:legislation & jurisprudence; D040242:Risk Reduction Behavior; D012941:Social Responsibility; D012945:Social Values; D014611:Vaccination / Q000941:ethics* / Q000331:legislation & jurisprudence / Q000639:trends; D014612:Vaccines / Q000009:adverse effects
chemical_list: D014612:Vaccines