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Immunization coverage in Italy.

S Salmaso, M A Stazi, S Luzi

    Bulletin of the World Health Organization
    |January 1, 1987
    PubMed
    Summary
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    Immunization coverage for pertussis, measles, and rubella in Italy was low in 1985, with regional disparities. Pertussis vaccine use declined, while measles and rubella vaccine uptake increased.

    Area of Science:

    • Public Health
    • Epidemiology
    • Vaccinology

    Background:

    • Data on immunization coverage for pertussis, measles, and rubella in Italy was lacking or incomplete prior to 1985.
    • Regional variations in vaccine uptake were suspected but not systematically documented.

    Purpose of the Study:

    • To assess the immunization coverage rates for pertussis, measles, and rubella across various Italian local health units (Unità Sanitaria Locale - USL).
    • To identify regional differences in vaccination coverage and analyze trends in vaccine utilization.

    Main Methods:

    • A nationwide survey was conducted in 1985 by the Istituto Superiore di Sanità (ISS).
    • Modified Expanded Programme on Immunization (EPI) cluster sampling techniques were employed in 80 USLs.
    • Schools with children aged 3 to 10 years served as primary sampling units (clusters).

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  • Immunization histories were collected for each sampled child.

    • Main Results:

    • Low overall immunization coverage was reported across the surveyed USLs.
    • Significant regional disparities in coverage were observed between Northern, Central, and Southern Italy.
    • A declining or stagnant trend in pertussis vaccine uptake was noted.
    • An increasing trend in measles and rubella immunization coverage was documented.

    Conclusions:

    • The study highlighted inadequate immunization coverage for key childhood diseases in Italy during 1985.
    • Regional inequities in vaccine access and uptake necessitate targeted public health interventions.
    • Shifting trends in vaccine utilization, particularly for pertussis, warrant further investigation and policy consideration.