Table 1.

Ethical concerns in the management of in-centre HD patients with COVID-19 vaccine hesitancy

Issues	Ethical concerns
Placement of unvaccinated patients within the dialysis unit	Discrimination
Isolation of unvaccinated patients	High risk of COVID-19 outbreak
	Breaches of privacy and confidentiality
Mix of unvaccinated and vaccinated patients within the same room	Unprotection of vaccinated patients
Miscellaneous
Transportation	Unprotection of the driver and vaccinated patients
Access to the dialysis unit	Unprotection of healthcare workers
Access to health services other than dialysis	Unprotection of vaccinated patients and healthcare workers
Waiting list for kidney transplantation	Poor medication adherence