key: cord-0767904-v05ziosz
authors: Testa, Giuliano; Wall, Anji; Lee, Seung Hee; Fine, Robert
title: Executive orders prohibiting vaccine mandates: Implications for transplant patients and physicians
date: 2022-03-15
journal: Am J Transplant
DOI: 10.1111/ajt.17016
sha: 4bfac0b773a18901510d0f656085da0ad4a1efc0
doc_id: 767904
cord_uid: v05ziosz

nan

There is ongoing discussion within the transplant community, lay press, and US government leaders about the appropriateness for vaccine There are strong clinical and ethical reasons to support at least a limited mandate for COVID-19 vaccination prior to solid organ transplantation. 3 We believe that COVID-19 vaccination should be seen as a modifiable risk factor similar to the many other modifiable risks we strive to control or eliminate to decrease the risk of death after transplantation. It is because of the clinical evidence of COVID-19 vaccine benefits that the transplant community strongly encourages vaccination against SARS-CoV-2 among the steps in workup prior to an organ transplant. 4 The fundamental problem with the executive order to ignore vaccine status in the provision of medical care is that it takes the medical decision-making out of the hands of transplant physicians. It is unacceptable to require transplant physicians to ignore a medically relevant modifiable risk in a patient being considered for listing or transplan- The recently proposed nationwide mandate to ignore vaccination status in transplantation, is yet another example of undue interference in our right to provide care to our patients. 5 We, as transplant physicians, should be allowed to deliver the best care to our patients, make decisions based on medical evidence, and not bear the responsibility of transplanting high-risk patients based on a government order.

The authors of this manuscript have no conflicts of interest to disclose as described by the American Journal of Transplantation. 

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