Italy's response to vaccine hesitancy: An innovative and cost effective National Immunization Plan based on scientific evidence

Signorelli, Carlo; Guerra, Ranieri; Siliquini, Roberta; Ricciardi, Walter

doi:10.1016/j.vaccine.2017.06.011

Cited by 48 publications

(47 citation statements)

References 4 publications

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“…In Italy, to contain disease resurgence and reverse the trend toward lower vaccination rates, a life-course immunization approach was implemented in the 2017-2019 national vaccination plan, with childhood, adolescent, adult, and older adult vaccinations all being prioritized [17]. This was put in place after extensive internal discussion between different health specialties and public health bodies making Italy one of only a few countries to explicitly make life-course vaccination a priority [18][19][20]. While other countries (e.g.…”

Section: Older Adultsmentioning

confidence: 99%

“…For example, while Italy's new National Vaccine Plan focuses on a range of factors pertinent to life-course immunization, the introduction of financial penalties for parents who do not vaccinate their children directly addresses parents' contribution to community immunity. Early indications that the policy was driving the uptake of catch-up vaccines invite close attention, as the new government has now weakened the mandatory policy [20,124,125]. Different policies recently introduced in Germany, France, Australia, and various US states provide natural experiments enabling scholars to observe the effects of policy design and implementation on uptake, although the ethics and efficacy of mandatory policies remain topics of contention [126].…”

Section: Addressing Vaccine Uptake By Understanding and Including Pubmentioning

confidence: 99%

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Life-course immunization as a gateway to health

Philip

Attwell

Breuer

et al. 2018

Expert Review of Vaccines

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Introduction: Extending the benefits of vaccination against infectious diseases from childhood throughout the entire lifespan is becoming an increasingly urgent priority in view of the world's aging population, emergence and reemergence of infectious diseases, and the necessity to invest more on prevention versus cure in global healthcare. Areas covered: This perspective discusses how life-course immunization could benefit human health at all stages of life. To achieve this, the current vaccination paradigm should be changed and all stakeholders have a role to play. Expert commentary: To enhance immunization confidence in the population, it is essential that stakeholders eliminate complacency toward infectious diseases, improve vaccination convenience, remove barriers among different healthcare specialties, and address prevention as a single entity. They must also consider societal and cultural mindsets by understanding and including public viewpoints. A new "4Cs' model encompassing convenience, confidence, complacency, and cultural acceptance is proposed to convert 'vaccine availability' to 'vaccination acceptance' throughout life. Life-course vaccination should become the new social norm of a healthy lifestyle , along with a healthy diet, adequate physical exercise, and not smoking. We are 'all in' to make life-course immunization a gateway for all people to lead longer, healthier lives.

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Section: Older Adultsmentioning

confidence: 99%

Section: Addressing Vaccine Uptake By Understanding and Including Pubmentioning

confidence: 99%

Life-course immunization as a gateway to health

Philip

Attwell

Breuer

et al. 2018

Expert Review of Vaccines

View full text Add to dashboard Cite

show abstract

“…56 As one of the strategies to achieve this, PNPV allows for vaccines to be actively offered free-of-charge to target populations. 57 One of the novel policies adopted by PNPV is the recommendation of the Tdap vaccine for adults and older adults, Figure 2. Correlation between respiratory infectious episodes and COPD.…”

Section: Pertussis Diphtheria and Tetanus In Italymentioning

confidence: 99%

The unmet need for pertussis prevention in patients with chronic obstructive pulmonary disease in the Italian context

Blasi

Bonanni

Braido

et al. 2019

Human Vaccines & Immunotherapeutics

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“…7 Nevertheless, traditional media such as national newspapers and television still play a crucial role in addressing health topics, even more so when they make headlines 8 or are dealt with at the political level. 9 We have previously developed a news media monitoring model for public health and applied it to case of vaccines 10 ; in particular we have analytically reported on media coverage of the "Fluad case" 4,11 when in 2014 three deaths were blamed to be associated with influenza Fluad vaccine, this gathering large attention from the media and negative impact on influenza vaccine uptake.…”

Section: Introductionmentioning

confidence: 99%

Immunization and media coverage in Italy: an eleven-year analysis (2007-17)

Odone

Tramutola

Morgado

et al. 2018

Human Vaccines & Immunotherapeutics

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Immunization polices in Italy has recently reached important milestones, including the approval of the National Immunization Prevention Plan and of a new law mandatory immunization; this stimulating a lively debate at the scientific, political and societal-level, reflected on the media. We applied a model previously published to quantitatively and qualitatively assess media coverage on vaccines and immunization-related topics on the most read Italian newspaper, "Corriere della Sera", over an 11-year study period (2007-2017). We retrieved relevant key words and articles, reported on included articles' topic, position, approach to immunization and on other selected indicators' summary statistics, temporal trends and correspondence with key epidemiological and policy events. Over the study period the quote "vaccin*" was mentioned on average 325 times per year; with an increase of 150% after the approval of the new law on mandatory immunization in 2017. In the same year, on average, two first-page articles per week were published on the topic. We report a clear association between key events (i.e the H1N1 influenza pandemic, the "Fluad case", the approval of the new law on mandatory immunization) and their media coverage. Overall, 84% of articles had a positive attitude towards immunization, this share decreasing to 79% when only considering articles published after the approval of the law on mandatory vaccination. Media play a crucial role in channelling health-related information and significantly influence health behaviours. We urge public institutions, health authorities and the scientific community not to underestimate the opportunity to monitor media coverage on key healthcare topics and to convey evidence-based health education messages through the media.

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Italy's response to vaccine hesitancy: An innovative and cost effective National Immunization Plan based on scientific evidence

Cited by 48 publications

References 4 publications

Life-course immunization as a gateway to health

Life-course immunization as a gateway to health

The unmet need for pertussis prevention in patients with chronic obstructive pulmonary disease in the Italian context

Immunization and media coverage in Italy: an eleven-year analysis (2007-17)

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