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Immunization Offer Targeting Migrants: Policies and Practices in Italy

The unprecedented flow of migrants over the last three years places Italy in front of new issues regarding medical care from the rescue phase up to the integration into the national health services, including preventive actions. We used online questionnaires to investigate the Italian national and r...

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Detalles Bibliográficos
Autores principales: Dalla Zuanna, Teresa, Del Manso, Martina, Giambi, Cristina, Riccardo, Flavia, Bella, Antonino, Caporali, Maria Grazia, Dente, Maria Grazia, Declich, Silvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982007/
https://www.ncbi.nlm.nih.gov/pubmed/29757209
http://dx.doi.org/10.3390/ijerph15050968
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author Dalla Zuanna, Teresa
Del Manso, Martina
Giambi, Cristina
Riccardo, Flavia
Bella, Antonino
Caporali, Maria Grazia
Dente, Maria Grazia
Declich, Silvia
author_facet Dalla Zuanna, Teresa
Del Manso, Martina
Giambi, Cristina
Riccardo, Flavia
Bella, Antonino
Caporali, Maria Grazia
Dente, Maria Grazia
Declich, Silvia
author_sort Dalla Zuanna, Teresa
collection PubMed
description The unprecedented flow of migrants over the last three years places Italy in front of new issues regarding medical care from the rescue phase up to the integration into the national health services, including preventive actions. We used online questionnaires to investigate the Italian national and regional policies for immunization offer targeting asylum seekers, refugees, irregular migrants and unaccompanied minors. Another questionnaire was used to assess how these policies are translated into practice in migrant reception centres and community health services. Questionnaires were filled out at the national level, in 14 out of 21 Regions/Autonomous Provinces, and in 36 community health services and 28 migrant reception centres. Almost all responders stated that all vaccinations included in the National Immunization Plan are offered to migrant children and adolescents. The situation concerning adults is fragmented, with most of the Regions and local centres offering more vaccines than the national offer—which include polio, tetanus and measles–mumps-rubella. Data on immunized immigrants is archived at the regional/local level with different methods and not available at the national level. Further efforts to ensure consistency in vaccine provision and adequate mechanisms of exchanging data are needed to guarantee a complete vaccination offer and avoid unnecessary health actions, including unnecessary re-vaccination.
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spelling pubmed-59820072018-06-07 Immunization Offer Targeting Migrants: Policies and Practices in Italy Dalla Zuanna, Teresa Del Manso, Martina Giambi, Cristina Riccardo, Flavia Bella, Antonino Caporali, Maria Grazia Dente, Maria Grazia Declich, Silvia Int J Environ Res Public Health Article The unprecedented flow of migrants over the last three years places Italy in front of new issues regarding medical care from the rescue phase up to the integration into the national health services, including preventive actions. We used online questionnaires to investigate the Italian national and regional policies for immunization offer targeting asylum seekers, refugees, irregular migrants and unaccompanied minors. Another questionnaire was used to assess how these policies are translated into practice in migrant reception centres and community health services. Questionnaires were filled out at the national level, in 14 out of 21 Regions/Autonomous Provinces, and in 36 community health services and 28 migrant reception centres. Almost all responders stated that all vaccinations included in the National Immunization Plan are offered to migrant children and adolescents. The situation concerning adults is fragmented, with most of the Regions and local centres offering more vaccines than the national offer—which include polio, tetanus and measles–mumps-rubella. Data on immunized immigrants is archived at the regional/local level with different methods and not available at the national level. Further efforts to ensure consistency in vaccine provision and adequate mechanisms of exchanging data are needed to guarantee a complete vaccination offer and avoid unnecessary health actions, including unnecessary re-vaccination. MDPI 2018-05-12 2018-05 /pmc/articles/PMC5982007/ /pubmed/29757209 http://dx.doi.org/10.3390/ijerph15050968 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dalla Zuanna, Teresa
Del Manso, Martina
Giambi, Cristina
Riccardo, Flavia
Bella, Antonino
Caporali, Maria Grazia
Dente, Maria Grazia
Declich, Silvia
Immunization Offer Targeting Migrants: Policies and Practices in Italy
title Immunization Offer Targeting Migrants: Policies and Practices in Italy
title_full Immunization Offer Targeting Migrants: Policies and Practices in Italy
title_fullStr Immunization Offer Targeting Migrants: Policies and Practices in Italy
title_full_unstemmed Immunization Offer Targeting Migrants: Policies and Practices in Italy
title_short Immunization Offer Targeting Migrants: Policies and Practices in Italy
title_sort immunization offer targeting migrants: policies and practices in italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982007/
https://www.ncbi.nlm.nih.gov/pubmed/29757209
http://dx.doi.org/10.3390/ijerph15050968
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