Costantino Claudio, Rizzo Caterina, Rosselli Roberto, Battista Tatiana, Conforto Arianna, Cimino Livia, Poscia Andrea, Fiacchini Daniel
Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) "G. D'Alessandro", University of Palermo, 90127 Palermo, Italy.
Department of Traslational Research and New Technologies in Medicine and Surgery, University of Pisa, 56122 Pisa, Italy.
Vaccines (Basel). 2022 Jun 27;10(7):1030. doi: 10.3390/vaccines10071030.
Vaccine hesitancy (VH) is one of the main causes of the widespread decline in vaccination coverage and has become the subject of ongoing debate among public health professionals. The present commentary is a "decalogue" of strategic actions to counteract vaccine hesitancy for public health professionals that comes from the cognitive and formative path put in place by the "Communication in Public Health" working group (WG) of the Italian Society of Hygiene, Preventive Medicine, and Public Health. From the establishment of a national, multidisciplinary WG on VH to the activation of a national monitoring/surveillance system on vaccine hesitancy, several proposals are discussed. The identification and dissemination of good practices and tools to counteract and understand vaccine hesitancy, interdisciplinary training on vaccine hesitancy and on risk communication, community engagement and infodemiology, the inclusion of effective interventions to counteract vaccine hesitancy within the National Immunization Plan (NIP), the promotion and growth of a community of practice and research in the field of vaccine hesitancy, collaborations between scientific societies, and knowledge from the behavioral sciences represent other actions recommended in the present commentary. The present document suggests ten undeferrable strategies that could be implemented at the national and local levels in Italy, and that could be borrowed by other European countries in order to counteract vaccines hesitancy with a systematic and organic approach.
疫苗犹豫是疫苗接种覆盖率普遍下降的主要原因之一，已成为公共卫生专业人员持续争论的主题。本评论是一份针对公共卫生专业人员应对疫苗犹豫的战略行动“十诫”，源自意大利卫生、预防医学和公共卫生学会“公共卫生沟通”工作组（WG）所采取的认知和形成路径。从设立一个关于疫苗犹豫的全国性多学科工作组到启动一个关于疫苗犹豫的全国监测/监督系统，文中讨论了若干建议。识别和传播应对及理解疫苗犹豫的良好做法和工具、关于疫苗犹豫和风险沟通的跨学科培训、社区参与和信息流行病学、将应对疫苗犹豫的有效干预措施纳入国家免疫规划（NIP）、促进和发展疫苗犹豫领域的实践与研究社群、科学学会之间的合作以及行为科学知识，是本评论中推荐的其他行动。本文件提出了十条不可拖延的战略，这些战略可在意大利的国家和地方层面实施，其他欧洲国家也可借鉴，以便以系统和有机的方式应对疫苗犹豫。
