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Published on: June 25, 2015
Association between vaccination coverage decline and influenza incidence rise among Italian elderly
Lamberto Manzoli1,2, Giovanni Gabutti1, Roberta Siliquini3
1Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Abstract:
After a peak of 68.3% during the 2005-06 season, influenza vaccine coverage among Italian elderly showed an unprecedented, prolonged decline. According to the National surveillance network, the vaccination coverage was ≤50% during two of the last three seasons (2014-17). In parallel, influenza-like illness (ILI) rates increased from 2.71% in the triennium 2005-08, to 4.24% in the last triennium. A significant association was found between ILI rise and vaccine coverage decline (P = 0.036), and according to a conservative estimation, each 1% increase in coverage may prevent ≥2690 ILI cases among the elderly. A reinforcement of influenza immunization policies is strongly needed in Italy.
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