There is much discussion of adopting COVID-19 immunity certificates to allow those proven to have antibodies to the SARS-CoV-2 virus that causes COVID-19 to resume normal life and help restart the economy. This article points out issues that must be considered before adopting any such program. These issues fall into six categories: the uncertain science of COVID-19 immunity; the questionable quality of COVID-19 antibody tests; practical problems with issuing such certificates; deciding how the certificates might be used; ethical and social issues they would raise, especially fairness and self-infection; and potential legal barriers. It does not ultimately take a position on whether some narrow COVID-19 immunity plans should be adopted, concluding that the answer depends on too many currently unknown conditions. But its seventh part makes recommendations to decision-makers who might consider implementing such programs.

中文翻译：

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COVID-19豁免证书：科学，道德，政策和法律。

关于采用COVID-19免疫证书以允许那些被证明具有SARS-CoV-2病毒抗体的人有很多讨论，这些病毒会导致COVID-19恢复正常生活并帮助经济复苏。本文指出了采用任何此类程序之前必须考虑的问题。这些问题分为六类：不确定的COVID-19免疫科学；COVID-19抗体检测的质量令人怀疑；颁发此类证书的实际问题；决定如何使用证书；他们会提出的道德和社会问题，特别是公平和自我感染；以及潜在的法律障碍。最终并没有就是否应采用某些狭窄的COVID-19免疫计划采取立场，得出的结论是取决于太多目前未知的条件。