2012-12-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/643450摘要：人類與外界環境的接觸一直持續，時常因自然或其他人為因素遭受病毒或微生物感 染，嚴重時甚至危及生命安全，此現象已非單純的個人或家庭衛生問題，而是攸關國家 整體公共衛生、國土安全及國際人權保障之重要議題。相較於其他抗病毒藥物，疫苗可 使得一般民眾免於感染的潛在威脅，也是目前流行病防治及控制上特別重要的一環，對 於個人生命之延續及社會永續發展更是功不可沒。但從 2003 年 SARS 在全球爆發流行，一直到 2009 年 H1N1 引發的社會恐慌，國內 民眾對於疫苗安全及其實際成效，始終抱持著高度懷疑態度及不信任感。其中，當然牽 涉到科學知識本身所挾帶的不確定性及風險，以及整體國家及社會發展現況所加深的緊 張對立與衝突。簡言之，從疫苗研發到上市應用等各階段，除科學研究所著重的專業判 準，及建立國家級的疫苗研發團隊外，尚涵蓋倫理、法律、社會、經濟及政治等國家制 度面向的問題及爭議。因此，疫苗政策的制定及推行必須兼顧科學知識以外的國家法律制度、社會治理及 公眾溝通等層面，才能夠重拾我國民眾對於疫苗安全的信心。所以無論是為了形成民眾 對於疫苗研發或應用的普遍共識，或是整體公共衛生政策的完善建立，本計畫將藉針對 各相關 ELSI 子議題進行探討及研究分析，達成後續政策建議及建立倫理、法律治理架構 的目標。<br> Abstract: This integrated research program intended to investigate the ethical, legal, social, policy, and risk communication problems arising from the development, clinical trial, application, and distribution of vaccine. The research team is composed of ethics, law, public health, policy and politics scholars to jointly collaborate and investigate this comparatively new ELSI field of medical advancement in vaccination development. Project 1 will explore the ethical issues in vaccine development, research and application, and will outline the general pictures, identify and analyze the key ethical issues which are of domestic relevance and importance. Project 2 will analyze the legal issues in vaccine development and application. Project 3 will study the justice issues and the harm and risks resulting from vaccination. Project 4 will research on the social risk and communication in vaccine development and application. Project 5 will explore the public policy and social recognition in implementing the newly developed and not entirely approved vaccination. This research program is intended to combine expertise of ethic, legal and social disciplines and work closely with medical vaccine and infection experts with the hope of identifying and resolving the most important ELSI issues in vaccine development and application in Taiwan.