evidence: So, how ethical are these booster doses for whole country populations, including teens and young adults, while other people are still waiting to get that first dose? What does this mean for individuals in vulnerable situations, such as persons affected by leprosy, in countries with low vaccine rates? Should they now be even more patient, waiting their turn? The COVID-19 pandemic already has had a disproportionate impact on persons affected by leprosy. Many persons affected by leprosy, who are often without a safety net and living below the poverty line, have lost their jobs (Source: United Nations Human Rights Council). According to Dr Tahir Dahiru, Executive Director of the Leprosy and Tuberculosis Relief Initiative Nigeria (LTR), "many persons affected by leprosy have lost their jobs and other sources of livelihood, people were confined to their homes because of the lockdown and other restrictions". Key activities for early diagnosis and prevention of physical disabilities due to leprosy have been interrupted by the pandemic, causing a 37% reduction in the global number of newly diagnosed leprosy patients in 2020 (Source: WHO Weekly Epidemiological Record). For many, essential medicines have become unavailable due to disrupted supply channels. And finally, persons affected by leprosy have not been included in priority groups for COVID-19 vaccination and often have limited access to healthcare services, including vaccination sites (Source: United Nations Human Rights Council)