Biology:Immunity passport

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Short description: Medical record for travel purposes


An Italian health pass (fede di sanità) for travel during times of plague, 1611

An immunity passport,[1] immunity certificate,[2] health pass or release certificate[3] (among other names used by various local authorities) is a document, whether in paper or digital format, attesting that its bearer has a degree of immunity to a contagious disease.[4] Public certification is an action that governments can take to mitigate an epidemic.[5]

When it takes into account natural immunity or very recent negative test results, an immunity passport cannot be reduced to a vaccination record or vaccination certificate that proves someone has received certain vaccines verified by the medical records of the clinic where the vaccines were given.,[6] such as the Carte Jaune ("yellow card") issued by the World Health Organization (WHO), which works as an official vaccination record.

The concept of immunity passports received much attention during the COVID-19 pandemic as a potential way to contain the pandemic and permit faster economic recovery.[7] Reliable serological testing for antibodies against SARS-CoV-2 virus is done to certify people as relatively immune to COVID-19 and issue immunity documentation.[8]

History

Sample of a certificate, which should, among other things, demonstrate immunity to yellow fever caused by illness. It was used for immigration to the United States in the late 19th century.[9]

Quarantine has been used since ancient times as a method of limiting the spread of infectious disease. Consequently, there has also been a need for documents attesting that a person has completed quarantine or is otherwise known not to be infectious. One of the oldest known immunity passports, issued in 1578 in Venice, was found by Jacek Partyka,[10] and since the 1600s, various Italian states issued fedi di sanità to exempt their bearers from quarantine.[11]

The International Certificate of Vaccination (Carte Jaune) is a certificate of vaccination and prophylaxis, not immunity. The document has remained largely unchanged since it was adopted by the International Sanitary Convention of 1944.[12] The certificate is most commonly associated with Yellow Fever, but it is also used to track vaccination against other illnesses.[citation needed]

Modern definition

An immunity certificate is a legal document issued by a testing authority following a serology test demonstrating that the bearer has antibodies making them relatively immune to a disease.[citation needed]

These antibodies can either be produced naturally by recovering from the disease, or triggered through vaccination or another medical procedure.[citation needed]

Reliable immunity certificates can be used to exempt holders from quarantine and social distancing restrictions, permitting them to travel and work in most areas, including high-risk occupations such as medical care.

In the COVID-19 context, it has been argued that such certificates are of practical use to society only if all of the following conditions can be satisfied:[13][14][15][16]

  • Recovered or vaccinated patients have protective immunity that prevents them from being reinfected
  • The protective immunity is long-lasting
  • The pathogen mutates sufficiently slowly for immunity to work against most strains
  • Immunity tests have low false-positive rates

However, some long-standing vaccines recommended by the World Health Organization, such as Meningococcal vaccine, are less than 100% effective and their protection is not everlasting.[17]

COVID-19

EU Digital COVID Certificate

See also

References

  1. ↑ "COVID-19: What are immunity passports and how would they work?". 19 June 2020. https://www.weforum.org/agenda/2020/06/immunity-passport-quarantine-work-covid-19/. 
  2. ↑ "Is this how to get out of lockdown?". 3 April 2020. https://www.cnn.com/2020/04/03/health/immunity-passport-coronavirus-lockdown-intl/index.html. 
  3. ↑ "Explained: Are immunity passports, release certificates the way to go?". indianexpress.com. May 10, 2020. https://indianexpress.com/article/explained/immunity-passports-release-certificates-coronavirus-6400763/. 
  4. ↑ ""Immunity passports" in the context of COVID-19". April 24, 2020. https://www.who.int/news-room/commentaries/detail/immunity-passports-in-the-context-of-covid-19. 
  5. ↑ Threat Talk: The Comparative Politics of Internet Addiction. Routledge. 24 February 2016. pp. 131. ISBN 978-1-317-01027-2. https://books.google.com/books?id=xw-gCwAAQBAJ&pg=PR4. 
  6. ↑ "Locating and Tracking Adult Vaccine Records". March 17, 2020. https://www.cdc.gov/vaccines/adults/vaccination-records.html. 
  7. ↑ "'Immunity passport' key to containing spread of coronavirus". UPI. April 30, 2020. https://www.upi.com/Top_News/Voices/2020/04/30/Immunity-passport-key-to-containing-spread-of-coronavirus/1961588246960/. 
  8. ↑ "Immunity certification for COVID-19: ethical considerations". Bulletin of the World Health Organization 99 (2): 155–161. February 2021. doi:10.2471/blt.20.280701. PMID 33551509. 
  9. ↑ "Immunity, Capital, and Power in Antebellum New Orleans". The American Historical Review (American Historical Association) 124 (2): 440, footnote 88. 2 April 2019. doi:10.1093/ahr/rhz176. https://academic.oup.com/ahr/article-abstract/124/2/425/5426380?redirectedFrom=fulltext. Retrieved 25 June 2020. 
  10. ↑ "Stare druki - Blog Biblioteki Jagiellońskiej - Uniwersytet Jagielloński". https://blog.bj.uj.edu.pl/stare-druki/-/journal_content/56_INSTANCE_gJh937aPNE4h/136002189/150945795. 
  11. ↑ "Fedi' di Sanita Archivi". http://www.passaporto-collezionismo-scripofilia.com/category/fedi-di-sanita/. 
  12. ↑ (in en) International Sanitary Convention of 1944, Modifying Convention of June 21, 1926: Message from the President of the United States Transmitting a Certified Copy of the International Sanitary Convention of 1944, Modifying the International Sanitary Convention of June 21, 1926, which was Signed for the United States of America at Washington on January 5, 1945. U.S. Government Printing Office. 1945. https://books.google.com/books?id=07A65AFNUlcC&pg=PA23. 
  13. ↑ "What policy makers need to know about COVID-19 protective immunity". Lancet 395 (10236): 1527–1529. May 2020. doi:10.1016/S0140-6736(20)30985-5. PMID 32353328. 
  14. ↑ "Profile of a killer: the complex biology powering the coronavirus pandemic". Nature 581 (7806): 22–26. May 2020. doi:10.1038/d41586-020-01315-7. PMID 32367025. Bibcode: 2020Natur.581...22C. 
  15. ↑ "Privileges and Immunity Certification During the COVID-19 Pandemic". JAMA 323 (22): 2243–2244. June 2020. doi:10.1001/jama.2020.7712. PMID 32374358. 
  16. ↑ ""Vaccine Passport" Certification - Policy and Ethical Considerations". The New England Journal of Medicine 385 (11): e32. March 2021. doi:10.1056/NEJMp2104289. PMID 33789006. 
  17. ↑ "Meningococcal vaccines : WHO position paper, November 2011". Wkly. Epidemiol. Rec. 86 (47): 521–540. November 2011. PMID 22128384. 



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