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Do Tuscan people adhere to meningococcal C vaccination during an emergency campaign?
A Bechini1, D Paolini2, F Pieralli1
1Department of Health Sciences, University of Florence, Florence, Italy.
Objectives:
Tuscany region (Italy) recorded a rise in the number of meningococcal disease cases between January 2015 and February 2016, (52 cases) compared to 2014 (16 cases). The aim of this study was to describe the emergency meningococcal C (MenC) vaccination programme in Tuscany and the population's adherence to the activities performed in the Local Health Unit (LHU) of Florence.
Methods:
The MenC vaccination programme and the planning of the prevention and communication activities were analysed in the LHU of Florence. As an indicator of population's adherence, the vaccination coverage (VC) during the emergency campaign was investigated and adverse drug reactions (ADR) surveillance was reported.
Results:
The communication campaign included a dedicated toll-free telephone number, press releases (newspapers, radio, television, websites), and informative letters addressed to mayors, secondary schools, and sports associations. Citizens aged 11-20 years were the primary target of the campaign. Due to the high incidence of cases among older people, the vaccination was extended to subjects over 45 years. The population's adherence to the vaccination campaign was satisfactory: VC reached 47.1% for the primary target. The ADR reporting rate (3.1/10,000) on meningococcal vaccine in our study confirmed the safety of the vaccination.
Conclusions:
In 2017, only 10 cases of invasive meningococcal diseases (IMD) were reported, suggesting the effectiveness of the immunization campaign. Similar VC during emergency MenC vaccination programmes have been reached in other Italian regions and other EU countries, too. The achievement of greater vaccination coverage is restricted by a sentiment of hesitancy towards vaccines among the general population.
Insights
An emergency meningococcal C (MenC) vaccination program in Tuscany, Italy, showed satisfactory adherence, with vaccination coverage reaching 47.1% for the primary target group. The campaign
Area of Science:
- Epidemiology
- Public Health
- Vaccinology
Background:
- Tuscany experienced a significant increase in meningococcal disease cases between January 2015 and February 2016.
- This surge necessitated an immediate public health intervention to control disease spread.
Purpose of the Study:
- To detail the emergency meningococcal C (MenC) vaccination program implemented in Tuscany.
- To assess population adherence to the vaccination campaign within the Local Health Unit (LHU) of Florence.
Main Methods:
- Analysis of the MenC vaccination program and associated communication strategies in Florence's LHU.
- Investigation of vaccination coverage (VC) as a measure of population adherence.
- Monitoring of adverse drug reactions (ADR) to ensure vaccine safety.
Main Results:
- A multi-channel communication campaign targeted citizens aged 11-20 and extended to individuals over 45 due to high incidence.
- Vaccination coverage reached 47.1% for the primary target demographic.
- The adverse drug reaction reporting rate was 3.1 per 10,000, confirming vaccine safety.
Conclusions:
- The immunization campaign demonstrated effectiveness, with a significant decrease in invasive meningococcal disease (IMD) cases in 2017.
- Achieving higher vaccination coverage is challenged by public vaccine hesitancy.
- The study highlights the importance of effective communication in emergency vaccination programs.
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