Sabbatucci Michela, Odone Anna, Signorelli Carlo, Siddu Andrea, Maraglino Francesco, Rezza Giovanni
Department Infectious Diseases, National Institute of Health, 00161 Rome, Italy.
Ministry of Health, Directorate General Health Prevention, Communicable Diseases and International Prophylaxis, 20379 Rome, Italy.
J Clin Med. 2021 Jun 8;10(12):2540. doi: 10.3390/jcm10122540.
Maintaining high vaccine coverage (VC) for pediatric vaccinations is crucial to ensure herd immunity, reducing the risk of vaccine-preventable diseases (VPD). The Italian vaccination Law (n. 119/2017) reinforced mandates for polio, diphtheria, tetanus, and hepatitis B, extending the mandate to pertussis, type b, chickenpox, measles, mumps, and rubella, for children up to 16 years of age. We analyzed the national temporal trends of childhood immunization rates from 2014 to 2019 to evaluate the impact of the mandatory reinforcement law set in 2017 as a sustainable public health strategy in Italy. In a 3-year period, 9 of the 10 compulsory vaccinations reached the threshold of 95% and VC for chicken pox increased up to 90.5%, significantly. During the same period, the recommended vaccinations (against meningococcus B and C, pneumococcus, and rotavirus) also recorded a significant increase in VC trends. In conclusion, although the reinforcement of compulsory vaccination generated a wide public debate that was amplified by traditional and social media, the 3-year evaluation highlights positive results.
维持儿童疫苗接种的高疫苗接种率（VC）对于确保群体免疫、降低疫苗可预防疾病（VPD）的风险至关重要。意大利疫苗接种法（第119/2017号）强化了脊髓灰质炎、白喉、破伤风和乙型肝炎的强制接种规定，并将百日咳、b型流感嗜血杆菌、水痘、麻疹、腮腺炎和风疹的强制接种规定扩大到16岁以下儿童。我们分析了2014年至2019年全国儿童免疫接种率的时间趋势，以评估2017年制定的强制强化法作为意大利一项可持续公共卫生战略的影响。在3年时间里，10种强制疫苗中有9种达到了95%的阈值，水痘的疫苗接种率显著提高至90.5%。在同一时期，推荐接种的疫苗（针对B型和C型脑膜炎球菌、肺炎球菌和轮状病毒）的疫苗接种率趋势也显著上升。总之，尽管强制接种的强化引发了广泛的公众辩论，传统媒体和社交媒体也对此进行了放大，但3年的评估突出了积极成果。
