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[The elimination of measles and rubella in Italy]

Giovanna Adamo1, Giulia Sturabotti1, Pasquale De Soccio1

  • 1Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Italia.

Igiene E Sanita Pubblica
|February 13, 2018
PubMed

Insights

Measles and rubella outbreaks persist globally, including Italy, despite elimination targets. Increased vaccination coverage and enhanced public health strategies are crucial for achieving measles elimination goals in Italy.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Global measles and rubella elimination targets set by the World Health Organization (WHO) have not been met, leading to ongoing outbreaks across all WHO Regions.
  • Despite international efforts, measles and rubella outbreaks continue to pose a significant public health challenge, necessitating a closer examination of regional epidemiological contexts.
  • Italy, in particular, has experienced a notable increase in measles cases, highlighting persistent gaps in achieving adequate vaccination coverage.

Purpose of the Study:

  • To provide a detailed analysis of the current epidemiological context of measles and rubella in Italy.
  • To identify key factors contributing to the ongoing measles outbreaks in Italy.
  • To recommend priority actions for achieving measles and rubella elimination goals in Italy.

Main Methods:

  • Analysis of the epidemiological situation of measles and rubella worldwide and specifically within Europe.
  • Detailed examination of the current epidemiological context in Italy, focusing on measles case surges and vaccination coverage rates.
  • Review of current vaccination policies and proposed public health interventions.

Main Results:

  • Measles and rubella outbreaks are occurring in all WHO Regions, indicating a failure to meet elimination targets.
  • Italy has seen a surge in measles cases since early 2017, with vaccination coverage rates remaining below the critical 95% target.
  • The current epidemiological situation in Italy underscores the urgent need for intensified public health interventions.

Conclusions:

  • Achieving measles and rubella elimination requires sustained and coordinated efforts beyond policy changes.
  • Compulsory vaccination decrees, while important, must be complemented by regional commitment, supplemental immunization activities, and improved healthcare worker communication.
  • Effective citizen communication and a strengthened surveillance network are essential for successful disease elimination strategies in Italy.

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