This article sets forth a solidaristic approach to global distribution of vaccines against the SARS-CoV-2 virus. Our approach draws inspiration from African ethics and from the characterization of the Covid-19 crisis as a syndemic, a convergence of biosocial forces that interact with one another to produce and exacerbate clinical disease and prognosis. The first section elaborates the twin ideas of syndemic and solidarity. The second section argues that these ideas lend support to global health alliances to distribute vaccines beyond national borders. The third section introduces ethical criteria to guide global distribution, emphasizing priority to low- and middle-income countries, which have the least ability to obtain vaccines on their own. It also justifies giving priority to people at high risk of infection and high risk of severe disease and death.

中文翻译：

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走出非洲：基于团结的疫苗分配方法

本文提出了一种针对SARS-CoV-2病毒的疫苗全球分发的统一方法。我们的方法从非洲伦理学以及Covid-19危机的特征-一种综合症-一种生物社会力量的相互融合中汲取了灵感，生物社会力量相互影响以产生并加剧临床疾病和预后。第一部分阐述了联合与团结的双重思想。第二部分认为，这些想法为全球卫生联盟提供了支持，以便在国界以外地区分发疫苗。第三部分介绍了指导全球分布的道德标准，强调了优先获得低能力和中等收入国家的能力，而中低收入国家自己获得疫苗的能力最低。。