{"id":38172,"date":"2018-09-14T13:23:52","date_gmt":"2018-09-14T11:23:52","guid":{"rendered":"https:\/\/www.fedaiisf.it\/?p=38172"},"modified":"2018-09-17T10:34:24","modified_gmt":"2018-09-17T08:34:24","slug":"vaccini-il-ritorno-del-morbillo-e-colpa-anche-dei-tagli-alla-sanita","status":"publish","type":"post","link":"https:\/\/www.fedaiisf.it\/en\/vaccini-il-ritorno-del-morbillo-e-colpa-anche-dei-tagli-alla-sanita\/","title":{"rendered":"Vaccines. The return of measles is also due to the cuts to health care"},"content":{"rendered":"<p>In addition to anti-scientific theories, the decrease in public spending contributes to a reduction in vaccination coverage.<\/p>\n<p>Health care spending cuts also affect measles, mumps, and rubella (MMR) vaccination coverage, which decreases by 0.5% for every 1% spending cut. This is the conclusion reached by an analysis published in the European Journal of Public Health carried out by Bocconi University in collaboration with the London School of Hygiene and Tropical Medicine and the Istituto Superiore di Sanit\u00e0.<\/p>\n<p><span id=\"result_box\" class=\"\" lang=\"it\"><span class=\"\">The adoption of austerity policies in the Italian healthcare system was significantly associated with the decline in MMR vaccination rates.<\/span> <span class=\"\">However, the recent introduction of mandatory vaccination for Italian children can help counteract this trend.<\/span><\/span><\/p>\n<p><span id=\"result_box\" class=\"\" lang=\"it\"><span class=\"\"> Vaccines are among the most effective and successful public health interventions, saving two to three million lives each year globally.<\/span> <span class=\"\">In 2017, 86% of children worldwide received their primary vaccinations, the highest percentage ever.<\/span> <span class=\"\">While vaccination coverage in the European Region is generally high compared to other parts of the world, some new challenges have emerged.<\/span> <span class=\"\">Highly mobile populations, difficulties in achieving or maintaining high immunization coverage in routine immunization schedules, under minority ethnic, religious or cultural immune groups, healthcare reorganizations, lack of funding, and an increasingly visible and vocal anti-vaccination movement are <a href=\"https:\/\/www.fedaiisf.it\/wp-content\/uploads\/2018\/09\/Coperura-vaccinale.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-38173 alignright\" src=\"https:\/\/www.fedaiisf.it\/wp-content\/uploads\/2018\/09\/Coperura-vaccinale.png\" alt=\"\" width=\"410\" height=\"509\" srcset=\"https:\/\/www.fedaiisf.it\/wp-content\/uploads\/2018\/09\/Coperura-vaccinale.png 802w, https:\/\/www.fedaiisf.it\/wp-content\/uploads\/2018\/09\/Coperura-vaccinale-242x300.png 242w, https:\/\/www.fedaiisf.it\/wp-content\/uploads\/2018\/09\/Coperura-vaccinale-768x952.png 768w\" sizes=\"auto, (max-width: 410px) 100vw, 410px\" \/><\/a>all challenges to achieve gtrggr immunity<\/span> <span class=\"\">for vaccine-preventable diseases across Europe, resulting in epidemics, disease and even death.<\/span>\u00a0<\/span><\/p>\n<p><span id=\"result_box\" class=\"\" lang=\"it\"><span class=\"\">Between 2010 and 2014, public health expenditure in Italy decreased by more than 2%, although this varies from region to region.<\/span> <span class=\"\">Fixed effects models estimate that each 1% reduction in public health expenditure per capita was associated with a 0.5 percentage point reduction (95% CI: 0.36-0.65 percentage points) in MMR coverage, after adjusting for temporal effects and regional specific trends<\/span>. <span class=\"\">The consequences can be illustrated by comparing two regions, Lazio, where public health expenditure decreased by 5% and MMR coverage by more than 3 percentage points, and Sardinia, a historically poor region, where public health expenditure partly increased and MMR rates remained roughly stable.<\/span><\/span><\/p>\n<p><span id=\"result_box\" class=\"\" lang=\"it\"><span class=\"\">Italy&#039;s most recent budget will increase health spending by 1.3% annually in 2018-20, which will create a fund to invest in infectious disease prevention.<\/span> <span class=\"\">However, whether this will be enough to reverse the decline in immunization coverage remains to be seen, as it remains below the projected increase in GDP.<\/span><\/span><\/p>\n<p><span class=\"\">In conclusion, these findings highlight the risks of disinvestment in public health services.<\/span> <span class=\"\">Italy is now addressing its low vaccination rate by combining legislation and budget increases.<\/span> <span class=\"\">It will be important to monitor these developments, not only to inform policy in Italy but across Europe, where many countries now face similar problems<\/span><\/p>\n<p>Related news: <a href=\"https:\/\/academic.oup.com\/eurpub\/advance-article\/doi\/10.1093\/eurpub\/cky178\/5090999?searchresult=1\" target=\"_blank\" rel=\"noopener\">Austerity, meals and mandatory vaccination: cross-regional analysis of vaccination in Italy 2000\u201314<\/a><\/p>\n<p><a href=\"https:\/\/bari.repubblica.it\/cronaca\/2018\/09\/16\/news\/vaccini_il_presidente_di_farmindustria_a_lecce_se_fossimo_cinici_vorremmo_un_italia_no_vax_-206629703\/\" target=\"_blank\" rel=\"noopener\">Vaccini, the president of Farmindustria in Lecce: \u201cIf we were cynics we would like a no-vax Italy<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Oltre alle teorie anti-scientifiche, la diminuzione della spesa pubblica contribuisce a ridurre le coperture vaccinal. Anche i tagli alla spesa sanitaria influiscono sulle coperture vaccinali di morbillo, parotite e rosolia (MMR), che diminuiscono dello 0,5% per ogni taglio di spesa dell&#8217;1%. \u00c8 la conclusione cui giunge un&#8217;analisi pubblicata sull\u2019European Journal of Public Health realizzata dall\u2019Universit\u00e0 &hellip;<\/p>","protected":false},"author":4,"featured_media":38175,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[39],"class_list":["post-38172","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-notizie","tag-vaccini"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/38172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/comments?post=38172"}],"version-history":[{"count":0,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/38172\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media\/38175"}],"wp:attachment":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media?parent=38172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/categories?post=38172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/tags?post=38172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}