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Privileges and Immunity Certification During the COVID-19 Pandemic

Educational Objective
To understand the Immunity Certification during the COVID-19 Pandemic can increase social privilege and inequities
1 Credit CME

As the coronavirus disease 2019 (COVID-19) crisis enters its next phase, attention turns to the widespread testing programs needed to resume and maintain normal life activities.1 Effective prevention and surveillance require testing for active infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and for antibodies that indicate prior infection and potential immunity.2 There is an established approach for infected individuals: mild cases self-isolate; and severe cases receive treatment. But what is the appropriate response for people with positive antibody tests?

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Article Information

Published Online: May 6, 2020. doi:10.1001/jama.2020.7712

Correction: This article was corrected on May 13, 2020, for minor editing changes.

Corresponding Author: Mark A. Hall, JD, Wake Forest University School of Medicine, Department of Social Science and Health Policy, Medical Center Blvd, Winston-Salem, NC 27157 (mhall@wakehealth.edu).

Conflict of Interest Disclosures: None reported.

References
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Studdert  DM , Hall  MA .  Disease control, civil liberties, and mass testing.   N Engl J Med. Published online April 9, 2020. doi:10.1056/NEJMp2007637PubMedGoogle Scholar
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Walensky  RP , Del Rio  C .  From mitigation to containment of the COVID-19 pandemic.   JAMA. Published online April 17, 2020. doi:10.1001/jama.2020.6572PubMedGoogle Scholar
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Abasi  J .  The promise and peril of antibody testing for COVID-19.   JAMA. Published online April 17, 2020. doi:10.1001/jama.2020.6170Google Scholar
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McNeil  DG . The coronavirus in America: the year ahead. New York Times. April 20, 2020. Accessed April 30, 2020. https://www.nytimes.com/2020/04/18/health/coronavirus-america-future.html
5.
World Health Organization. Immunity “passports” in context of COVID-19. Posted April 24, 2020. Accessed April 30, 2020. https://www.who.int/news-room/commentaries/detail/immunity-passports-in-the-context-of-covid-19
6.
Greely  HT . Practical and ethical conundrums behind COVID-19 immunity certificates. Boston.com. April 11, 2019. Accessed April 30, 2020. https://www.boston.com/news/health/2020/04/11/first-opinion-covid-19-immunity-certificates-practical-and-ethical-conundrums
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Equal Opportunity Employment Commission. Pandemic preparedness in the workplace and the Americans With Disabilities Act. EEOC-NVTA-2009-3. March 21, 2020. Accessed April 30, 2020. https://www.eeoc.gov/facts/pandemic_flu.html
8.
Yong  E .  Our pandemic summer.   Atlantic. April 15, 2020. Accessed April 30, 2020. https://www.theatlantic.com/health/archive/2020/04/pandemic-summer-coronavirus-reopening-back-normal/609940/Google Scholar
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Yancy  CW .  COVID-19 and African Americans.   JAMA. Published online April 15, 2020. doi:10.1001/jama.2020.6548PubMedGoogle Scholar
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Levenson  M . Twitter blocks The Federalist for promoting corona virus parties. New York Times. March 25, 2020. Accessed May 2, 2020. https://www.nytimes.com/2020/03/25/us/chickenpox-parties-federalist-twitter.html
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