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Ann Ig [journal]
- [Mozioni conclusive]. [Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):72-4.
- [Migliorare il marketing sociale in tema di vaccinazioni "pre· sidiando" il web]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):54-64.
Immunisation is one of the most important and cost- effective interventions in Public Health because of their significant positive impact on population health.However, since Jenner's discovery there always been a lively debate between supporters and opponents of vaccination; Today the antivaccination movement spreads its message mostly on the web, disseminating inaccurate data through blogs and forums, increasing vaccine rejection.In this context, the Società Italiana di Igiene (SItI) created a web project in order to fight the misinformation on the web regarding vaccinations, through a series of information tools, including scientific articles, educational information, video and multimedia presentations The web portal (http://www.vaccinarsi.org) was published in May 2013 and now is already available over one hundred web pages related to vaccinations Recently a Forum, a periodic newsletter and a Twitter page have been created. There has been an average of 10,000 hits per month. Currently our users are mostly healthcare professionals. The visibility of the site is very good and it currently ranks first in the Google's search engine, taping the word "vaccinarsi" The results of the first four months of activity are extremely encouraging and show the importance of this project; furthermore the application for quality certification by independent international Organizations has been submitted.
- [Migliorare l'offerta vaccinale]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):53-5.
Despite the benefits of routine vaccination of newborns are known and widely documented, in recent years we are observing a gradual increase in the number of parents who express doubts and concerns about the safety of vaccines and the real need to submit their children to vaccinations included in the national recommendations. This attitude is reinforced by the current epidemiological profile, in Western countries, of many vaccine preventable diseases, accompanied by a low risk perception among parents. Institutions and all the actors involved in vaccination programs have a duty to investigate the reasons for the loss of confidence in vaccination among the population in order to identify and implement appropriate and effective interventions. The improvement of vaccination should, theoretically, goes on a double track, placing side by side the provision of effective vaccines, safe and necessary, and interventions designed to increase demand for vaccination among the population, improve access to vaccination services, improve the system as a whole. But to actually improve the vaccinations' offer it is necessary also to provide interventions aimed at regaining the confidence of the population in relation to vaccination and the institutions that promote them. Particular attention should be given to the aspects of communication and risk communication.
- [Garantire la sicurezza alimentare e la qualità nutrizionale]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):39-50.
Nutrition needs increasingly integration between Food Safety and Nutritional Prevention, duties, in Italy, since I 998 the Food Hygiene and Nutrition services (SIAN) do. Furthermore, working in Evidence Based Prevention (EBP) is necessary to improve the prevention and make it more useful to people health, so it must be used tested efficacy methods, above all in a unsuitable economic and human sources contest. In order to improve the prevention and working in EBP, SIAN have devised and achieved some Nutritional Prevention Projects, interregional, regional and local wide net-working, by using process and efficacy indicators, in some projects also user's satisfaction indicators are used. Project's results will be used to work in EBP ever more in order to improve the prevention and make it repeatable and sustainable to prevent the gradual and constant increase of chronic-degenerative diseases an consequently health costs.
- [Ridurre le disuguaglianze migliorando l'offerta preventiva]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):29-38.
Terms of inequalities issue in health service are defined and the consolidated scientific acquisitions are recalled. Three prioritary areas of action are defined and described, that Prevention Departments are suggested to activate through focused programs in order to reduce specific inequalities. First area of action: includes three types of vital interventions: vaccinations, contrasting of tuberculosis infection and oncological screening that have to be granted to specific disadvantaged groups of population as Rom communities, immigrant women, prisoners e psychiatric patients. Second area of action: actions on focused urban planning aiming to improve conditions of social housing (with a special focus on thermal insulation, minimal distances to be kept towards streets of havy traffic), increase of increase of urban green spaces enjoyed by the population and contrasting degradation of housing (with particular attention to poisoning by carbon monoxide). Third area of action: actions contrasting cardiovascular diseases, that is the leading cause of death and inequalities in health for the working class population. A coordinated intervention directly in the workplace is proposed, where a particularly high percentage of individuals exposed to specific risk factors is present.
- [Gestire il difficile equilibrio tra esigenze occupazionali e salute pubblica nei grandi siti industriali]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):23-8.
Environmental pressures affecting Taranto area led institutional commitment to the local Health (LHA) and Environment Agency, which have helped to provide data in support of epidemiological and health impacts evidence.This is relevant in view of the issues related to the public health which led the Apulia Region to enact measures for environmental monitoring of dioxins (Regional Law 44/2008) and protection of food safety (Regional Council Deliberation 1442/2009). The LHA investigated three lines of development: monitoring of food matrices, studies of human biomonitoring and the establishment of local Cancer Registry. Same time to the actions of the Taranto Judiciary, Apulia Region has enacted the RL 24/12, integrating the legislative gap present into the Environmental Authorization procedures, which will allow the Health Damage Assessment, through the correlation between environmental monitoring data, biomonitoring and Cancer Registry. The next step will see the LHA involved in managing effective and feasible prevention initiatives. The Special Health and Environment Plan objective is to monitor the Taranto population health status, to screen the health determinants, to estimate the toxicologically relevant indicators of possible contamination and, if possible, to modify the correlations between risk factors, body burden, and specific diseases.
- [Dismettere le pratiche "preventive" inefficaci per alleggerire i gravami sui cittadini e sulle imprese]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):15-9.
Many preventive services do not apply EBP interventions, but continue to employ resources in activities clearly ineffective. This happens even though there is full knowledge of the futility of certain practices. It follows a fall of responsiveness in the relationship with the user, which does not understand the misalignment between what we do and what should be done. It is therefore necessary to realign the work plans to the real problems of health, not just the provision of the law passed by the times. To achieve this goal hygienists must be more leaders and innovators than manager oriented to the achievement of merely quantitative production targets. In this scenario should be paid great attention to the cultural change of operators who must not have a behavior not consonant to the new way of working.
- [Riorganizzare gli ospedali per migliorare efficienza e qualità]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):11-4.
The current economic difficulties and the changed epidemiological picture, characterized by an increase in life expectancy, which shows in the elderly, chronically ill and disabled the main, both health and social, care needs,r equires a remark on the hospital network and organization. Today, most of the application assistance is usually at low intensity of care, whereas the acute event is shrinking. The prevalence of hospital admissions concern the elderly, who get into acute events but on a substrate of chronicity and co-morbidity conditions. There must be a new model of hospital network, with the possibility of converting some hospital centres for medium intensity care and selecting few centres for high intensity care, where concentrating the more expensive technology and the skill and expertise of the professional. The -suggestion is a renewed health planning that detects:- hospitals for widespread disease, equipped with emergency war for minor codes-hospital at high intensity of care for emergency-urgency- hospital for particular fields of medical speciality and research.
- [La sanità pubblica nelle grandi crisi economico-sociali]. [English Abstract, Journal Article]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):3-7.
The term "crisis" in different cultures (such as ancient Greece or China) can have a positive meaning, since it indicates a time of growth, change and opportunity. Over the centuries there have been times of severe economic and social crisis that led to the implementation of major reforms and improved population health. Nowadays, despite the new economic crisis which has also affected health care for its rising costs, health economics does not hesitate to affirm the importance of key objectives such as prevention and medical assistance. Prevention is not prediction. Prevention means "going upstream" and fixing a problem at the source; the goal is to reduce diseases' effects, causes and risk factors, thereby reducing the prevalence of costly medical conditions.
- [Il nostro paese, e anche in Europa, è che fare con una crisi economica e sociale. Introduzione]. [Editorial]
- Ann Ig 2014 May-Jun; 26(3 Suppl 1):v.