ADRIAN GORE: Why we are mandating vaccines for Discovery’s SA-based employees
Last week we announced our intent to move to a mandatory vaccination policy effective January 1 for our SA-based employees. It received extensive media coverage and social media responses. It is a big step, and Discovery debated it at length and sought wide-ranging input. Ultimately, as a science-led organisation we feel a strong moral imperative to do this, given the need to curb the loss of life and the indisputable proof that vaccines work in doing so. I want to share our six-point rationale.
1. People are dying. We need to stop it.
We are living through an unprecedented health tragedy. Based on excess deaths data published by the SA Medical Research Council, we calculate there have been more than 220,000 excess deaths in SA due to Covid-19 since May 2020. More than 14,000 of our members have passed away, and we have experienced devastating loss of life in our own organisation. Every life lost is a life too many, and every effort to curb further loss must be taken.
With the projected onset of the fourth wave later in 2021, we must do everything we can to suppress it. Based on our actuarial projections, more than 30,000 lives can be saved if we are able to vaccinate over 60% of our population over the coming months. We must act boldly, and now.
2. Our data is unequivocal. Vaccines work, and are safe.
Vaccines work. Our data shows vaccinated individuals have 50%--80% lower risk of infection, 70%-85% lower risk of hospitalisation and 90%-95% lower risk of death, when compared to those who are unvaccinated.
In addition, our own data mirrors the international research, proving Covid-19 vaccines to be extremely safe. Fewer than one in every 20 Discovery members who received the Pfizer-BioNTech vaccine showed any signs of side effects within seven days of vaccination, and almost all were mild and resolved quickly.
In fact, the risk of adverse events post vaccination is extremely low, and as per global research is substantially lower than the risk of adverse events post Covid-19 infection. As an example, your risk of experiencing inflammation of the heart muscle because of vaccination is 73% lower than your risk of experiencing it because of contracting Covid-19 unvaccinated. To put it simply, once vaccinated you are at greater risk of dying from the normal flu than from Covid-19 (based on UK data, where more than 75% of the population is fully vaccinated).
3. There is a strong public health imperative.
People who are vaccinated pose less of a risk to others when they contract Covid-19. In fact, their transmission risk is 50%-80% lower should they inadvertently contract Covid-19. The public health imperative for vaccination at scale is therefore clear: reduce the risk of contracting Covid-19 in the first instance, reduce transmission risk, and reduce severe disease and death.
Furthermore, there is an economic argument: the cost of treating illness brought on by Covid-19, as well as the compounding cost due to missed workdays and business closures, is a cost borne by society and not the individual. The need to act in the greatest good of the public is therefore paramount.
4. Vaccine supply is no longer the dominant constraint; overcoming hesitancy is.
The government-led mass vaccination programme now has the capacity to vaccinate 400,000 individuals a day. It is free at the point of care, and there is ample stock. Unlike a few months ago where vaccine supply was the major obstacle to beating the pandemic, vaccine hesitancy is now the main hurdle.
We believe corporate SA has a strong role to play to ensure vaccination at pace and scale. Our hope is that other organisations will follow suit, with a profound systemic impact on vaccination take-up.
5. Taking the above into account, there is a clear moral and social obligation to pursue this.
Since the start of the pandemic we have attempted to assume a socially minded leadership position, in line with our core purpose to “make people healthier and to enhance and protect their lives”; and in line with our values, particularly, acting as a force for social good. In living this purpose we have deployed our capabilities to assist with vaccinating South Africans as part of the national rollout.
Taking this next step is crucial both ethically, given the scale of immune-compromised people in our country, and practically, given the degree of vaccine hesitancy being observed.
6. The law is an enabler of our policy, and not an impediment to it.
The issue of constitutionality has been raised vociferously since our announcement. Our position and approach has been vetted extensively, with wide-ranging input from various legal and constitutional law experts, and has been found to be defensible given the public health crisis and the overwhelming proof that vaccination is the single most important thing we can do to protect ourselves and others against Covid-19.
In addition, the law actually compels us to do everything possible to protect our employees from harm and ensure a safe workplace. This includes protecting employees from exposure to potential biological hazards, as required by the Occupational Health and Safety Act.
Taking the above six points into account, we are confident in our position based on the moral argument underpinning it. On top of this, the policy’s implementation is guided by the principle of mutual respect, where all voices are heard.
The policy recognises the right of employees to object to being vaccinated and includes, where necessary and possible, exemptions and reasonable accommodation of employees. This considers the operational and business requirements of Discovery and the employee’s health, religious and other legal rights — seeking to balance individual rights with the right of all employees across the group. The steps we are taking to make all our buildings vaccinated-only zones include a similar appeals process.
The implementation will also include a comprehensive engagement plan — spanning education, counselling and logistic enablement — as well as the opportunity for employees to consult with clinical experts, health professionals, and Discovery and human resources leaders. The objective is to offer such compelling evidence and support during the remainder of the year that employees vaccinate voluntarily, and the mandate becomes nothing more than a filed policy come the new year.
The reality is it’s necessary, and urgent. We are living during a devastating infectious disease pandemic. We have an accountability to provide safe workspaces for our employees and to act in our country’s best interest. Vaccination is our best hope of defeating the pandemic and restoring our national vibrancy and way of life.
Yes, there may be pockets of criticism and pushback, but we won’t shirk our responsibility to lead in this context given what is at stake.
• Gore is Discovery CEO.
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