Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy
Operative Unit of Epidemiology, Department of Prevention, Provincial Health Agency, Messina, Italy
New Microbiol. 2022 Apr;45(2):115-123.
Infectious diseases still register significant morbidity and mortality worldwide. Surveillance through a mandatory notification system allows the continuous analysis of the situation even at a local level and its importance has been highlighted by the recent COVID-19 pandemic. This paper aimed to outline the importance of the mandatory notification system as a Public Health tool in the continuous monitoring of infectious diseases. To this aim, we carried out a cross-sectional study examining the notifications reported in the Italian territory of Messina, Sicily, in the period 2001-2020. The institutional websites were examined and the notification data were used to obtain the incidences. Overall, a significant reduction of the incidence notification trend was observed. Chickenpox was by far the most notified infectious disease, followed by scabies, pediculosis, and brucellosis. Outbreaks of brucellosis, measles and hepatitis A occurred. All the diseases decreased over time, except syphilis, for which a significant increase was observed. Surveillance of infectious diseases through a mandatory notification system remains a bulwark of public health despite underreporting. Our study reflects the situation of a typical high-income area, although some unexpected criticisms are highlighted. Continuous information about correct behaviors through education campaigns are crucial in order to improve the situation. Keywords: mandatory notifications, infectious diseases, surveillance, public health Corresponding author: Alessio Facciolà, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy. Email: afacciola@unime.it.
传染病在全球范围内仍有较高发病率和死亡率。通过强制性报告系统进行监测，可以持续分析疫情情况，甚至在地方层面也能进行分析，这在最近的 COVID-19 大流行中得到了强调。本文旨在强调强制性报告系统作为公共卫生工具在传染病持续监测中的重要性。为此，我们进行了一项横断面研究，检查了 2001-2020 年西西里墨西拿意大利领土的报告病例。我们检查了机构网站，并使用报告数据获得了发病率。总体而言，发病率报告趋势呈显著下降趋势。水痘是迄今为止报告最多的传染病，其次是疥疮、虱子和布鲁氏菌病。暴发的布鲁氏菌病、麻疹和甲型肝炎都有发生。除梅毒外，所有疾病的发病率都随时间下降，梅毒的发病率呈显著上升趋势。尽管存在漏报情况，但通过强制性报告系统监测传染病仍然是公共卫生的重要保障。我们的研究反映了一个典型高收入地区的情况，但也突出了一些意外的批评。通过教育宣传不断提供关于正确行为的信息对于改善这种情况至关重要。关键词：强制性报告、传染病、监测、公共卫生 通讯作者：Alessio Facciolà，意大利墨西拿大学生物医学和牙科科学与形态功能成像系。电子邮件：afacciola@unime.it。
