All of the different elements of the project as outlined above were used in constructing an ethics framework, which is a practical heuristic to help decision makers with difficult and complex judgments. A good framework seeks to provide a ‘frame’ for such decisions built upon all relevant empirical and ethical considerations [13] in response to the particular circumstances of a pandemic. It requires judgment and flexibility. Unlike some regulatory documents it does not seek to provide a list of rules or all of the answers. The framework clearly articulates a set of steps in decision-making: defining clear aims, setting up processes for decision-making, distinguishing decisions and actions that can be made pre-pandemic and those that will have to wait until the characteristics of the pandemic and vaccine are known.

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