Vaccini, we are going towards flexible obligation but we need the digitized recording desk

That of the obligation of vaccination, and especially it will be a hot topic. After the circular early July (self-certification of the family for access to the school is enough), the Minister of Health Giulia Grillo and the colleague of the Instruction Marco Bussetti will have to find the square with a bill – announced by the same Grillo – that you find the agreement of the League, contrary to the obligation, but without canceling measures taken with difficulty after the approval of Lorenzin law a year ago: the coverage of measles rose more than 4 points, but has not yet reached the 95% threshold required for the "herd coverage" and requested by the World Health Organization.

Unjustified alarm

The July circular had already distorted the nose, in addition to the opposition government, even to various members of the health. Self-certification has been used throughout 2017. So what happened in 2017 and the first part of 2018 continues to happen – that was the minister's response -. The unjustified alarm of pediatricians because they must know that the same method was used. I do not see what has changed.

An extreme act

The work of filing the new text focuses on the badumption of "flexible obligation" and on the gradualness of the sanction mechanism. With ample space for family involvement (announced), who should vaccinate their children because they are convinced of the choice, not of the imposition. The obligation related to school exclusion is an extreme act: the countries always have or do not introduce it suddenly – said Grillo, host of the program Agor Estate -. What Parliament will do is to know how to offer vaccinations to the population, either with the mandatory method or with that of the recommendation, or with a method that I find the most intelligent, flexible, based on epidemiological data and n & Is not necessarily the exclusion of the school.

Keyword: gradualit

The obligation of the vaccine can be graduated – the minister insisted -: in intensity, time and also at the territorial level because there are Regions that they have very vaccinal covers high and others where they are much lower. So, perhaps providing targeted interventions: it's rational rational not to make a decree that suddenly puts ten mandatory vaccines when the day before there were four and were not needed. We strongly criticized the Lorenzin decree because it was neither progressive nor preceded by adequate work on the part of the government. The basic information for citizens, if placed before objective data, is convinced that they would rationally choose to be vaccinated – said Grillo -. Rationally, there is every reason to decide to be vaccinated, when vaccines are safe and effective, like those on the Italian market

Digitized Register

An important point related to the national register, provided by the law entered in force a year ago but still far from being operational. There is a lack of vaccines, some areas have computerized, others less, others under construction – says Grillo at Radio Anch & # 39; io -. Accurate, real-time data can only be obtained with a computerized database that links data from all regions. This would allow us to intervene immediately, without waiting for annual trends to understand how much coverage is increasing or decreasing. From the same opinion Pierpaolo Sileri (M5S), President of the Senate Committee on Hygiene and Health: The digital register essential to maintain the coverage provided by the World Health Organization . Starting from the correct information and badyzing the data, one could decide the obligation of a vaccine in a given territory or, in case of excellent coverage, make only a strong recommendation .

Pd: Invites to break the law [19659003] A way of proceeding that does not appeal to the Democratic Party. The comment that MP Michele Anzaldi posted on Facebook: The minister's statements on vaccines are embarrbading: can a minister invite citizens to break the law? The vaccination requirement in force for more than a year, the law is clear and certainly not a circular to cancel it. Those who do not respect the law do not only endanger the health of the weakest, but run the risk of incurring penalties. Even more worrying – continues Anzadi – hear the minister who speaks of unjustified alarm: it means that the death of measles was an invention? Another member of the Democratic Party, Elena Carnevali asked for the withdrawal of the circular authorizing families to self-certify because unlike the law: a circular secondary rule, can not change a provision Legislative [19659006] Duty of Unemployment

For the Deputy Dem Paolo Siani pediatrician and member of the Committee on Social Affairs and Health, stop the obligation of vaccination, after only one year and without having reached 95% coverage have the wrong "sheep effect". If an unvaccinated child from Emilia Romagna goes on vacation to Campania and contracts measles, because vaccination coverage in Campania is not yet optimal, an epidemic is created. Why take this risk? In two years, without prejudices, we start working together and deciding what path to take for the common good – Siani continues. This can be done when we have a homogeneous coverage across the entire national territory and that together we will overcome the obligation

Eight deaths in Italy

Meanwhile, measles continues to circulate in Europe, with outbreaks in eight countries (including Italy). That's what the European Center for Disease Control (ECDC) said in the monthly newsletter. In May, 20 European countries reached 1,386 cases of measles. France, Germany, Greece, Italy and Britain – Ecdc experts write – continue to report a high number of cases, although the trend is downward . Italy was the most contagious in May (396, 1,716 since the beginning of the year), followed by Greece (290) and France (239). In 2018, the virus has killed 31 people on the continent, including 4 in Italy (8 from early 2017 to today). To stop the transmission of measles and protect the most vulnerable from the most serious complications and deaths, especially newborns, at least 95% of the population must be vaccinated – the report says. Only four European countries have achieved this goal for both doses of the vaccine

A highly contagious disease

Measles can cause serious complications such as encephalitis, pneumonia, respiratory failure and even the death. Its elimination is a goal in all regions of the World Health Organization. Europe had adopted the goal of eradicating the disease by 2015, but without achieving it. The only effective way to protect against measles is vaccination. It is indeed one of the most contagious diseases and spreads both by direct contact and by airborne particles; not only that, who contracted the most infectious measles in the days before the onset of symptoms, when the disease is not suspected. Two doses of vaccine are effective at 97-99% to prevent infection. The facts indicate great results for vaccines, but unfortunately the historical memory is missing – said pharmacologist Silvio Garattini -. I agree with the requirement of vaccination: it would not be needed if everyone wanted to be vaccinated, but not. Either everyone agrees, or we must put an obligation, because we have the duty to protect those who can not be vaccinated