An example of population consultation project was started recently by the French Ministry of Health, Marisol Touraine, who intends to consult the population on the matter of mandatory vaccination, as a part of a wide-ranging review of immunisation policies. This initiative comes after a report confirmed that vaccination is a sensitive society issue, which needs a large consultation of all stakeholders, including the civil society, with the aim of engaging them in a discussion about immunisation and its importance to public health.
Preparedness is a key strategic element of an effective response to health threats. However, despite evident improvements in recent years, there is still large evidence of ineffective management of epidemic and pandemic events at any level, as the Ebola outbreak in West Africa recently showed.
Declaring an emergency is a dirty work, but someone has to do it. When facing a serious threat to global public health, even if complete evidence is lacking, someone has to take the responsibility to push the red button that activates a chain of coordinated actions (such as cooperation among states and research on vaccines). Choosing to do this, the risk of giving a false alarm is unavoidable.
Members of the ECOM project will gather for a final symposium on November 10th 2015 in Stockholm, prior to the European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE). ECOM – which stands for Effective Communication in Outbreak Management – is an EU funded project that aims to develop strategies for improving risk-communication during major pandemic outbreaks in Europe.
The alarming drop of vaccine coverage in Italy reported by the Istituto superiore di sanità and the rising scepticism towards the efficacy and safety of vaccinations is not due to parents being less informed than ten years ago. On the contrary, nowadays the resolution to take mindful health choices for their own children is a stronger drive for families to gather information. A drive that does not represent a lack of attention or a weaker desire to protect their kids.
Italy is facing a serious drop in vaccine coverage, which are falling close to – and in some cases even below – the target set by the Minister of Health in the current national plan for vaccine prevention. This is a serious problem for public health, since, for infections transmitted from man to man (tetanus being an exception), a high coverage is necessary to protect those people that cannot be vaccinated either because of their age or because of clinical reasons, such as for cancer therapies, through the mechanism of herd immunity.
