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Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017

BACKGROUND AND AIM OF THE WORK: In response to the alarming reduction of vaccination coverage rates, Italian Ministry of Health approved the law number 119/2017, which has extended the number of mandatory vaccinations, for school attendance, from four to ten. The present study aims to evaluate acces...

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Autores principales: Costantino, Claudio, Casuccio, Alessandra, Sannasardo, Claudia Emilia, Vella, Carlotta, Scarpitta, Francesco, Randazzo, Maria Angela, Foresta, Angelo, Casuccio, Nicolò, Ventura, Gianmarco, Bono, Stefania Enza, Vitale, Francesco, Restivo, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7975909/
https://www.ncbi.nlm.nih.gov/pubmed/32275265
http://dx.doi.org/10.23750/abm.v91i3-S.9413
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author Costantino, Claudio
Casuccio, Alessandra
Sannasardo, Claudia Emilia
Vella, Carlotta
Scarpitta, Francesco
Randazzo, Maria Angela
Foresta, Angelo
Casuccio, Nicolò
Ventura, Gianmarco
Bono, Stefania Enza
Vitale, Francesco
Restivo, Vincenzo
author_facet Costantino, Claudio
Casuccio, Alessandra
Sannasardo, Claudia Emilia
Vella, Carlotta
Scarpitta, Francesco
Randazzo, Maria Angela
Foresta, Angelo
Casuccio, Nicolò
Ventura, Gianmarco
Bono, Stefania Enza
Vitale, Francesco
Restivo, Vincenzo
author_sort Costantino, Claudio
collection PubMed
description BACKGROUND AND AIM OF THE WORK: In response to the alarming reduction of vaccination coverage rates, Italian Ministry of Health approved the law number 119/2017, which has extended the number of mandatory vaccinations, for school attendance, from four to ten. The present study aims to evaluate accesses to the vaccination services of the Palermo Local Health Unit (LHU) and the variation of the vaccination coverage rates for hexavalent and measles, mumps, rubella and varicella (MMRV) vaccines, after the implementation of the law 119/2017. METHODS: An extent of opening hours and an involvement of other health-care professionals in the vaccination services of the Palermo LHU have been adopted to manage the excess of accesses after the introduction of 119/2017 law and to limit the discomfort of general population. Vaccination accesses and coverage rates were calculated from the electronic immunization registers. RESULTS: An overall increase of about 15% of single vaccination accesses was observed in the three semester after the introduction of the law in the LHU of Palermo. A peak of 35,516 accesses was observed during the second semester of 2017 (+ 30% compared to the same semesters of 2016 and 2018). From 2016 to 2018, coverage rates for full hexavalent cycle and first dose of MMRV, at 24 and 36 months, and for full MMRV cycle and fourth dose of diphtheria, tetanus, pertussis, poliomyelitis (DTPa+IPV), among 6 years old children, showed considerable increases. CONCLUSIONS: Law 199/2017 demonstrated a high efficacy in increase vaccination coverage rates also in Sicily. The synergy established between the LHU and the University of Palermo allowed an excellent management of the accesses to vaccination services, making it possible to respond to the public health needs of the general population.
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spelling pubmed-79759092021-03-24 Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017 Costantino, Claudio Casuccio, Alessandra Sannasardo, Claudia Emilia Vella, Carlotta Scarpitta, Francesco Randazzo, Maria Angela Foresta, Angelo Casuccio, Nicolò Ventura, Gianmarco Bono, Stefania Enza Vitale, Francesco Restivo, Vincenzo Acta Biomed Original Article BACKGROUND AND AIM OF THE WORK: In response to the alarming reduction of vaccination coverage rates, Italian Ministry of Health approved the law number 119/2017, which has extended the number of mandatory vaccinations, for school attendance, from four to ten. The present study aims to evaluate accesses to the vaccination services of the Palermo Local Health Unit (LHU) and the variation of the vaccination coverage rates for hexavalent and measles, mumps, rubella and varicella (MMRV) vaccines, after the implementation of the law 119/2017. METHODS: An extent of opening hours and an involvement of other health-care professionals in the vaccination services of the Palermo LHU have been adopted to manage the excess of accesses after the introduction of 119/2017 law and to limit the discomfort of general population. Vaccination accesses and coverage rates were calculated from the electronic immunization registers. RESULTS: An overall increase of about 15% of single vaccination accesses was observed in the three semester after the introduction of the law in the LHU of Palermo. A peak of 35,516 accesses was observed during the second semester of 2017 (+ 30% compared to the same semesters of 2016 and 2018). From 2016 to 2018, coverage rates for full hexavalent cycle and first dose of MMRV, at 24 and 36 months, and for full MMRV cycle and fourth dose of diphtheria, tetanus, pertussis, poliomyelitis (DTPa+IPV), among 6 years old children, showed considerable increases. CONCLUSIONS: Law 199/2017 demonstrated a high efficacy in increase vaccination coverage rates also in Sicily. The synergy established between the LHU and the University of Palermo allowed an excellent management of the accesses to vaccination services, making it possible to respond to the public health needs of the general population. Mattioli 1885 2020 2020-04-10 /pmc/articles/PMC7975909/ /pubmed/32275265 http://dx.doi.org/10.23750/abm.v91i3-S.9413 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Costantino, Claudio
Casuccio, Alessandra
Sannasardo, Claudia Emilia
Vella, Carlotta
Scarpitta, Francesco
Randazzo, Maria Angela
Foresta, Angelo
Casuccio, Nicolò
Ventura, Gianmarco
Bono, Stefania Enza
Vitale, Francesco
Restivo, Vincenzo
Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
title Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
title_full Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
title_fullStr Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
title_full_unstemmed Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
title_short Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
title_sort public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7975909/
https://www.ncbi.nlm.nih.gov/pubmed/32275265
http://dx.doi.org/10.23750/abm.v91i3-S.9413
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