Ethics and negotiations for access to vaccines: Methodological and ethical exceptionalities ; Ética y negociaciones para el acceso a vacunas: excepcionalismos metodológicos y éticos ; Ética e negociações para o acesso às vacinas: excepcionalidades metodológicas e éticas

Purpose/Context. This article analyzes the different factors that have affected access to vaccines for the prevention of SARS-COV2 infection, paying particular attention to the interests involved in the negotiations. An analysis of the processes of vaccine research, production, procurement, distribution, and marketing is detailed, as well as the international ethical standards that guide these practices. Methodology/Approach. Similarly, a framework of scientific, methodological, ethical and legal exceptions for research, production and commercialization of vaccines is identified, while the norms imposed by the global market system regarding intellectual property protection (TRIPS), negotiations and contracts, defense of private and corporate interests have been maintained and deepened without exceptions. It also highlights the role played by the richest countries, accumulating more doses than necessary, which seriously impacted the access of low-income countries. Results/Findings. The international ethical norms and agreements made by governments that should limit conducts such as these and avoid their consequences and that have not been complied with are analyzed. Discussion/Conclusions/Contributions. It concludes with a concrete proposal that could alleviate the current situation and includes a reflection on the impact on the life and health of the most vulnerable countries and groups, if the international order continues to be governed by the global market system instead of a new, fairer global pact. ; Propósito/Contexto. En este artículo se analizan los distintos factores que han afectado el acceso a las vacunas para la prevención de la infección por SARS-COV2 poniendo particular atención a los intereses que atraviesan las negociaciones. Se detalla un análisis de los procesos de investigación, producción, contratación, distribución y comercialización de vacunas, así como las normas éticas internacionales que orientan estas prácticas. Metodología/Enfoque. De igual modo, se identifican un marco de excepciones ...