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Immunization against A/H1N1 pandemic flu (2009- 2010) in pediatric patients at risk. What might be the most effective strategy? The experience of an h

tetano

Editor, Senior Moderator
Vaccination coverage rates against pandemic flu were far below those required by ItalianPublic Health Authorities.The aim of this retrospective study was to assess how the management of vaccination againstpandemic flu in the Health District of Piacenza (Northern Italy) had conditioned theadherence of patients at risk to the H1N1flu immunization program.

Methods: From a population of 27.018 children aged between 6 months and 16 years, 2361 pediatricpatients considered at risk according to the guidelines of the Ministry of Health were enrolledto receive pandemic flu vaccination.Children enrolled in the immunization program were vaccinated with one of the followingthree options:A) by their pediatrician in his office after contacting him directly or by phoneB) by their pediatrician in his office or in a public Health District office with the assistance ofa nurse after an appointment had been booked by patient's parents using a dedicated free ofcharge phone numberC) by a doctor of the public Health District after an appointment had been booked as foroption B

Results: The best outcomes of population vaccination coverage for pandemic flu were achieved whenpatients were vaccinated with option B (44.2%). For options A and C rates coverage resultswere 22.8% (OR 2,69) and 24.9% (OR 2, 39) respectively.

Conclusion: The results of this study may be taken into account by the public health Authorities whenplanning the management of future immunization campaigns out of the usual vaccinationschedule or in an emergency event.

Author: Giuseppe GregoriFabio FacciniErmanno BongiorniIlario MaffiniRoberto Sacchetti
Credits/Source: Italian Journal of Pediatrics 2012, 38:18


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