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Coronavirus (COVID-19) domestic vaccine certification: equality impact assessment

The aim of this EQIA is to analyse the potential impacts for each protected characteristic under the Equality Act 2010, both positive and negative, of using Covid Vaccine Certification domestically. Where there are potential negative impacts, mitigating actions have been identified.

This document is part of a collection


References

1. Section 4 of the Equality Act 2010

2. Joint letter: Equality and Human Rights and the Coronavirus in Scotland - The Children and Young People's Commissioner Scotland (cypcs.org.uk)

3. EAVE II | The University of Edinburgh

4. The REACT 1 programme | Faculty of Medicine | Imperial College London

5. Office for National Statistics (24 September 2021). Coronavirus (COVID-19) Infection Survey, UK

6. Public Health England (9 September 2021). Duration of protection of COVID-19 vaccines against clinical disease.

7. Public Health Scotland COVID-19 Statistical Report

8. https://www.gov.scot/binaries/content/documents/govscot/publications/research-and-analysis/2021/11/coronavirus-covid-19-vaccine-certification-evidence-paper-update/documents/coronavirus-covid-19-vaccine-certification-evidence-paper-update/coronavirus-covid-19-vaccine-certification-evidence-paper-update/govscot%3Adocument/coronavirus-covid-19-vaccine-certification-evidence-paper-update.pdf

9. Get tested for coronavirus (COVID-19) - NHS (www.nhs.uk)

10. Diagnostic testing for SARS-CoV-2 infection (who.int)

11. S0519_Impact_of_false_positives_and_negatives.pdf (publishing.service.gov.uk)

12. Asymptomatic testing backed by new research studies - GOV.UK (www.gov.uk)

13. SARS-CoV-2 antigen rapid lateral flow test (LFT) sensitivity | CLEP (dovepress.com)

14. Comparing the diagnostic accuracy of point-of-care lateral flow antigen testing for SARS-CoV-2 with RT-PCR in primary care (REAP-2) - EClinicalMedicine (thelancet.com)

15. S1393_SPI-B_SPI-M_EMG_Considerations_for_potential_impact_of_Plan_B_measures_13_October_2021.pdf (publishing.service.gov.uk)

16. Coronavirus (COVID-19): getting tested in Scotland - gov.scot (www.gov.scot)

17. Options for the use of rapid antigen tests for COVID-19 in the EU/EEA - first update (europa.eu)

18. WHO (13 December 2020). Coronavirus disease (COVID-19): How is it transmitted?

19. SAGE. Insights on transmission of COVID-19 with a focus on the hospitality, retail and leisure sector

20. SPI-B (2 July 2020) S0582_High_connectivity_situations_outside_the_occupational_or_workplace_context__1_.pdf (publishing.service.gov.uk)

21. Public Health Scotland COVID-19 Statistical Report

22. Scottish household survey 2019: annual report - gov.scot (www.gov.scot)

23. Public Health Scotland. Daily Trend of Vaccinations by Age Group and Sex (accessed 20 September 2021)

24. Ten threats to global health in 2019 (who.int)

25. Robertson, E. et al (2021). Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study. Brain, Behavior, and Immunity, Volume 94 2021, p. 41-50.

26. Public attitudes to coronavirus: tracker - data tables - gov.scot (www.gov.scot)

27. Coronavirus and vaccine hesitancy, Great Britain - Office for National Statistics (ons.gov.uk)

28. Public Health Scotland COVID-19 Statistical Report

29. Scottish Government (10 September 2019). Scottish household survey 2018: annual report

30. Scottish COVID-19 Mental Health Tracker Study: Wave 4 Report (www.gov.scot)

31. Scottish Government (October 2020). Scottish Covid Mental Health Tracker Study: Wave 1

32. Scottish Government (February 2021). Scottish Covid Mental Health Tracker Study: Wave 2

33. Scottish Government (June 2021) Scottish COVID-19 Mental Health Tracker Study: Wave 3 Report - gov.scot (www.gov.scot)

34. Scottish Government (October 2020). Scottish Covid Mental Health Tracker Study: Wave 1

35. Scottish Government (February 2021). Scottish Covid Mental Health Tracker Study: Wave 2

36. Vaccinations for 16 to 17-year-olds - gov.scot (www.gov.scot)

37. Vaccinating children and young people aged 12 to 17 years | The coronavirus (COVID-19) vaccine (nhsinform.scot)

38. Mills and Ruttenauer, 14 October 2021 S1401_University_of_Oxford_and_Nuffield_College_The_impact_of_mandatory_COVID-19_certificates_on_vaccine_uptake_Synthetic_Control_Modelling_of_Six_Countries__14_October_2021.pdf (publishing.service.gov.uk)

39. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1027643/S1401_University_of_Oxford_and_Nuffield_College_The_impact_of_mandatory_COVID-19_certificates_on_vaccine_uptake_Synthetic_Control_Modelling_of_Six_Countries__14_October_2021.pdf

40. Lockdown Lowdown (Phase 2)

41. COVID-19 Early Years Resilience and Impact Survey (CEYRIS) (publichealthscotland.scot)

42. Institute for Fiscal Studies (6 April 2020). Sector shutdowns during the coronavirus crisis: which workers are most exposed?.

43. Age UK (16 October 2020). The impact of COVID-19 to date on older people’s mental and physical health

44. Public attitudes to coronavirus: tracker - data tables - gov.scot (www.gov.scot)

45. Impact of Covid-19 on older people’s mental and physical health: one year on

46. COVID-19 Shielding Programme (Scotland) rapid evaluation-summary report (publichealthscotland.scot)

47. Public Health Scotland (September 2020). COVID-19 Shielding Programme (Scotland) Impact and Experience Survey

48. high-4967-scotinfrom-age-scotland-big-survey---full-report.pdf (ageuk.org.uk)

49. Deloitte (2019). Global Mobile Consumer Survey: UK cut. Plateauing at the peak: the state of the smartphone. UK-representative sample (n = 4,150).

50. Scottish Government (2019). Scotland’s People Annual Report.

51. Cabinet Ofice (11 May 2021). Voter identification: photographic ID ownership in Great Britain

52. Safe Lives (October 2016). Safe Later Lives: Older people and domestic abuse

53. Scottish Government (September 2020). Scottish health survey 2019: volume one - main report

54. Scottish Government (December 2018). A Fairer Scotland for Disabled People: employment action plan

55. National Records of Scotland (19 May 2021). Deaths involving coronavirus (COVID-19) in Scotland Report

56. National Records of Scotland (24 March 2021). Deaths involving coronavirus (COVID-19)  in Scotland – Week 11

57. Williamson, E.J et al (2021). Risks of covid-19 hospital admission and death for people with learning disability: population based cohort study using the OpenSAFELY platform. BMJ 2021;374:n1592

58. Scottish Government (January 2021). Barriers to adherence with COVID-19 restrictions

59. Disability Equality Scotland (November 2021) https://yoursayondisability.scot/vaccine-certification-scheme/

60. Glasgow Disability Alliance (August 2020). Supercharged: A Human Catastrophe.

61. Disability Equality Scotland (March 2021). Your Say: Weekly polling on Vaccine Passports.

62. Ada Lovelace Institute (March 2021). The Data Divide: Public attitudes to tackling social and health inequalities in the COVID-19 pandemic and beyond.

63. Disability Equality Scotland (November 2021) https://yoursayondisability.scot/vaccine-certification-scheme/

64. Scottish Commission for Learning Disabilities (17 December 2019). 2019 Report https://www.gov.uk/definition-of-disability-under-equality-act-2010

65. Citizens Advice (June 2018). Don’t miss a trick: Be scam aware

67. NHS England (25 June 2019). Personal Social Services Survey of Adult Carers in England (SACE)

68. Public Health England (2015). Disability and domestic abuse: risk, impacts and response

69. Glasgow Adult Protection (2020). Adult Protection Committee Biennial report 2018 - 2020

70. Scottish Public Health Network (May 2018). Health Care Needs Assessment of Gender Identity Services

71. Mcneil, J. et al (2017). Suicide in trans populations: a systematic review of prevalence and correlates. Psychology of Sexual Orientation and Gender Diversity, Issue 3, Vol. 4 p. 341-353.

72. Wright, T. (28 July 2020). Being trans and feeling lonely: a reflection on loneliness literature, community connectedness, and mental health in the transgender and gender diverse community. London School of Hygiene and Tropical Medicine.

73. Gender Shades (2018). Gender Shades: Intersectional Accuracy Disparities in Commercial Gender Classification

74. https://www.akt.org.uk/Handlers/Download.ashx?IDMF=c0f29272-512a-45e8-9f9b-0b76e477baf1

75. National Records of Scotland (14 September 2021). First mixed-sex civil partnerships registered

76. Key Facts — The UK Weddings Taskforce

77. Hitched (20 October 2020). New Study: 71% of Couples Are Postponing Their Wedding Due to COVID-19

78. (Research news - Impact of COVID-19 on weddings reinforces need for marriage law reforms, experts say - University of Exeter)

79. (Daily Question | 21/06/2021 | YouGov)

80. Royal College of Obstetricians & Gynaecologists (23 April 2021). Coronavirus infection and pregnancy FAQs

81. News: New data show rise in hospital admissions for unvaccinated pregnant women | NIHR

82. 2021-11-02-coronavirus-covid-19-infection-in-pregnancy-v14.1.pdf (rcog.org.uk)

83. Impact of SARS-CoV-2 variant on the severity of maternal infection and perinatal outcomes: Data from the UK Obstetric Surveillance System national cohort | medRxiv

84. Public Health Scotland COVID-19 Statistical Report

85. 2021-11-02-coronavirus-covid-19-infection-in-pregnancy-v14.1.pdf (rcog.org.uk)

86. Villar, J. et al (2021). Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection - The INTERCOVID Multinational Cohort Study. JAMA Pediatrics 2021; 175(8):817–826

87. Public Health Scotland COVID-19 Statistical Report

88. COVID-19 vaccination: a guide on pregnancy and breastfeeding - GOV.UK (www.gov.uk)

89. Scottish Government (19 May 2021). Coronavirus (COVID-19): shielding advice and support

90. Coronavirus (COVID-19) infection and pregnancy (rcog.org.uk)

91. COVID-19 vaccination: a guide on pregnancy and breastfeeding - GOV.UK (www.gov.uk)

92. NHS England » NHS encourages pregnant women to get COVID-19 vaccine

93. Pregnant Then Screwed. The true scale of the crisis facing working mums.

94. Results are taken from questions run on behalf of Scottish Government on the YouGov online omnibus survey. The sample is demographically and geographically representative of adults 18+ across Scotland, with c.1000 responses each week. Fieldwork took place on 7-8 September among a sample size of 1021 adults. Respondents were asked the extent to which they agree or disagree with the following statement: “The high level of people with two doses of the vaccine in Scotland gives me more confidence to go out and about.”

95. Source: YouGov online survey. Fieldwork took place on 24-25 August among a sample size of 1007 adults, with results to this question re-based to exclude those who selected “Not applicable” (n=799). Respondents were shown the following statement: “One possible approach to allow entry to venues such as stadiums, arenas and nightclubs is to introduce a Covid certification scheme. The exact details of this would need to be confirmed but an example may involve showing a certificate that proves you have been fully vaccinated or tested negative in the last 48 hours.” Then theywere asked the extent to which they agree or disagree with the following statement: “If I wanted to go to a venue or event, having this scheme in place would make me feel more comfortable doing this.”

96. Clinical Trials Arena (22 July 2021). Lack of trials in pregnant people driving Covid-19 vaccine hesitancy.

97. Robertson, E. et al (2021). Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study. Brain, Behavior, and Immunity, Volume 94,

98. Public Health Scotland (1 September 2021). COVID-19 Statistical Report

99. Scottish Government (October 2020). Impact of COVID-19 on Equality Groups – Ethnicity Analysis

100. Scottish Government (September 2020). COVID-19 At Risk Groups: Understanding the health, social and economic impacts.

101. Scottish Government (24 June 2020). Inequalities by ethnicity in the context of Covid-19 slide-pack

102. Public Health Scotland COVID-19 Statistical Report

103. Institute for Fiscal Studies (April 2020). Sector shutdowns during the coronavirus crisis: which workers are most exposed?

104. University College London (25 March 2021). Covid-19 Social Study – Results Release 32

105. Bell, S. et al (2021). COVID-19 vaccination beliefs, attitudes, and behaviours among health and social care workers in the UK: a mixed-methods study. medRxiv 2021.04.23.21255971

106. Public Health Scotland (1 September 2021). Vaccine uptake equality report – Supplementary Tables

107. Public Health Scotland COVID-19 Statistical Report

108. Factors influencing COVID-19 vaccine uptake among minority ethnic groups (publishing.service.gov.uk)

109. Cooke, G. et al (2007). Impact on and use of an inner-city London Infectious Diseases Department by international migrants: a questionnaire survey. BMC Health Serv Res 7, 113

110. Stagg, HR et al (2012).BMJ Open 2012. Poor uptake of primary healthcare registration among recent entrants to the UK: a retrospective cohort study.

111. Papageorgiou, V. et al (2020). Patient data-sharing for immigration enforcement: a qualitative study of healthcare providers in England. BMJ Open 2020; 10:e033202.

112. Digital Health (14 November 2018). NHS Digital confirms end of patient data sharing with Home Office

113. Scottish Government (15 September 2020). Scottish household survey 2019: annual report

114. Gender Shades (2018). Gender Shades: Intersectional Accuracy Disparities in Commercial Gender Classification

115. Scottish Government (October 2020). Impact of COVID-19 on Equality Groups – Ethnicity Analysis

116. Disability Scotland (March 2021). Your Say: Weekly polling on Vaccine Passports.

117. Senior Rabbi amongst faith leaders urging people to get COVID-19 vaccine (scojec.org)

118. https://twitter.com/MuslimScot/status/1353649483192672257?s=20

119. Operation Vaccination Campaign - Muslim Council of Britain (MCB)

120. UK Human Rights Blog (4 January 2020). Ethical veganism is a protected belief, rules Employment Tribunal

121. National Records of Scotland (6 October 2020). The Registrar General’s Annual Review of Demographic Trends

122. Torjesen, I. (2021). Covid-19: Middle aged women face greater risk of debilitating long term symptoms. BMJ 2021;372:n829

123. Etheridge, B.; Spantig, L. (2020). The Gender Gap in Mental Well-Being During the Covid-19 Outbreak: Evidence from the UK. Institute for Social and Economic Research, No. 2020-08, June 2020.

124. Scottish Government (2019). Annual Survey of Hours and Earnings 2019

125. Scottish Government (16 March 2021). Scottish Crime and Justice Survey 2019/20: main findings

126. Scottish Government (25 February 2021). Domestic abuse: statistics 2018-2019

127. Office for National Statistics (24 October 2017). Leisure time in the UK: 2015

128. Source: YouGov online survey. Fieldwork took place on 24-25 August among a sample size of 1007 adults, with results to this question re-based to exclude those who selected “Not applicable” (n=799). Respondents were shown the following statement: “One possible approach to allow entry to venues such as stadiums, arenas and nightclubs is to introduce a Covid certification scheme. The exact details of this would need to be confirmed but an example may involve showing a certificate that proves you have been fully vaccinated or tested negative in the last 48 hours.” Then theywere asked the extent to which they agree or disagree with the following statement: “If I wanted to go to a venue or event, having this scheme in place would make me feel more comfortable doing this.”

129. Robertson, E. et al (2021). Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study. Brain, Behavior, and Immunity, Volume 94 2021, p. 41-50.

130. National Institute of Standards and Technology (2019). Face Recognition Vendor Test Part 3: Demographic Effects

131. Office for National Statistics (6 March 2020). Sexual Orientation, UK: 2018

132. Just Like Us (18 February 2021). LGBT+ young people twice as likely to feel lonely and worry daily about mental health than peers.

133. Age UK (February 2018). Combating loneliness amongst older LGBT people

134. National AIDS Trust (2019). HIV in the UK statistics

135. Bhaskaran, K. et al (2021). HIV infection and COVID-19 death: a population-based cohort analysis of UK primary care data and linked national death registrations within the OpenSAFELY platform. The Lancet. Vol. 8, Issue 1, E24-E32, 01 January 2021.

136. Coronavirus disease 2019 (COVID‐19) outcomes in HIV/AIDS patients: a systematic review - Cooper - 2020 - HIV Medicine - Wiley Online Library

137. Waters, L.J, Pozniak, A.L (2021). COVID-19 death in people with HIV: interpret cautiously. The Lancet, Vol. 8, Issue 1, E2-E3, 1 January 2021.

138. Age UK (February 2018). Combating loneliness amongst older LGBT people

139. Terrence Higgins Trust (4 February 2021). Coronavirus vaccine guidance for people living with HIV

140. British HIV Association & Terrence Higgins Trust (11 January 2021). SARS-CoV-2 vaccine advice for adults living with HIV

Contact

Email: covid19-certificationhub@gov.scot

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