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From the same journal

From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe

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From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe. / Moran, N. E.; Gainotti, S.; Petrini, C.

In: Journal of Medical Ethics, Vol. 34, No. 9, 01.09.2008, p. 669-674.

Research output: Contribution to journalArticle

Harvard

Moran, NE, Gainotti, S & Petrini, C 2008, 'From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe', Journal of Medical Ethics, vol. 34, no. 9, pp. 669-674. https://doi.org/10.1136/jme.2007.022343

APA

Moran, N. E., Gainotti, S., & Petrini, C. (2008). From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe. Journal of Medical Ethics, 34(9), 669-674. https://doi.org/10.1136/jme.2007.022343

Vancouver

Moran NE, Gainotti S, Petrini C. From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe. Journal of Medical Ethics. 2008 Sep 1;34(9):669-674. https://doi.org/10.1136/jme.2007.022343

Author

Moran, N. E. ; Gainotti, S. ; Petrini, C. / From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe. In: Journal of Medical Ethics. 2008 ; Vol. 34, No. 9. pp. 669-674.

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@article{6753b85d503240ea84003380a833235d,
title = "From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe",
abstract = "Increasing geographical mobility and international travel augment the ease and speed by which infectious diseases can spread across large distances. It is therefore incumbent upon each state to ensure that immunisation programmes are effective and that herd immunity is achieved. Across Europe, a range of immunisation policies exist: compulsion, the offer of financial incentives to parents or healthcare professionals, social and professional pressure, or simply the dissemination of clear information and advice. Until recently, immunisation against particular communicable diseases was compulsory in Italy. The Italian National Vaccination Plan (NVP) (2005-7) paved the way for regions to suspend the sanctions associated with compulsory vaccinations for children when certain criteria are met-for example when immunisation coverage is high and when effective monitoring/surveillance systems are in place-and thus marked a milestone in the move from compulsory to voluntary immunisation. The forthcoming NVP for 2008 10 confirms the liberal approach to vaccination in Italy as it entrusts to the regions responsibility for the achievement and maintenance of herd immunity. This paper reviews the arguments for and against compulsory and voluntary immunisation in relation to the Italian NVP (2005-7) and in the context of the diverse immunisation policies that exist across Europe. It concludes with cautious support for the NVP and an associated shift from compulsory to voluntary immunisation in Italy, and draws similarities between issues concerning regional variation in immunisation policy in Italy and national variation in immunisation policy across Europe and beyond.",
keywords = "PHILOSOPHICAL EXEMPTIONS, PROGRAMS, MEASLES, MYTHS, TRUST",
author = "Moran, {N. E.} and S. Gainotti and C. Petrini",
year = "2008",
month = "9",
day = "1",
doi = "10.1136/jme.2007.022343",
language = "English",
volume = "34",
pages = "669--674",
journal = "Journal of Medical Ethics",
issn = "0306-6800",
publisher = "BMJ Publishing Group",
number = "9",

}

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TY - JOUR

T1 - From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe

AU - Moran, N. E.

AU - Gainotti, S.

AU - Petrini, C.

PY - 2008/9/1

Y1 - 2008/9/1

N2 - Increasing geographical mobility and international travel augment the ease and speed by which infectious diseases can spread across large distances. It is therefore incumbent upon each state to ensure that immunisation programmes are effective and that herd immunity is achieved. Across Europe, a range of immunisation policies exist: compulsion, the offer of financial incentives to parents or healthcare professionals, social and professional pressure, or simply the dissemination of clear information and advice. Until recently, immunisation against particular communicable diseases was compulsory in Italy. The Italian National Vaccination Plan (NVP) (2005-7) paved the way for regions to suspend the sanctions associated with compulsory vaccinations for children when certain criteria are met-for example when immunisation coverage is high and when effective monitoring/surveillance systems are in place-and thus marked a milestone in the move from compulsory to voluntary immunisation. The forthcoming NVP for 2008 10 confirms the liberal approach to vaccination in Italy as it entrusts to the regions responsibility for the achievement and maintenance of herd immunity. This paper reviews the arguments for and against compulsory and voluntary immunisation in relation to the Italian NVP (2005-7) and in the context of the diverse immunisation policies that exist across Europe. It concludes with cautious support for the NVP and an associated shift from compulsory to voluntary immunisation in Italy, and draws similarities between issues concerning regional variation in immunisation policy in Italy and national variation in immunisation policy across Europe and beyond.

AB - Increasing geographical mobility and international travel augment the ease and speed by which infectious diseases can spread across large distances. It is therefore incumbent upon each state to ensure that immunisation programmes are effective and that herd immunity is achieved. Across Europe, a range of immunisation policies exist: compulsion, the offer of financial incentives to parents or healthcare professionals, social and professional pressure, or simply the dissemination of clear information and advice. Until recently, immunisation against particular communicable diseases was compulsory in Italy. The Italian National Vaccination Plan (NVP) (2005-7) paved the way for regions to suspend the sanctions associated with compulsory vaccinations for children when certain criteria are met-for example when immunisation coverage is high and when effective monitoring/surveillance systems are in place-and thus marked a milestone in the move from compulsory to voluntary immunisation. The forthcoming NVP for 2008 10 confirms the liberal approach to vaccination in Italy as it entrusts to the regions responsibility for the achievement and maintenance of herd immunity. This paper reviews the arguments for and against compulsory and voluntary immunisation in relation to the Italian NVP (2005-7) and in the context of the diverse immunisation policies that exist across Europe. It concludes with cautious support for the NVP and an associated shift from compulsory to voluntary immunisation in Italy, and draws similarities between issues concerning regional variation in immunisation policy in Italy and national variation in immunisation policy across Europe and beyond.

KW - PHILOSOPHICAL EXEMPTIONS

KW - PROGRAMS

KW - MEASLES

KW - MYTHS

KW - TRUST

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U2 - 10.1136/jme.2007.022343

DO - 10.1136/jme.2007.022343

M3 - Article

VL - 34

SP - 669

EP - 674

JO - Journal of Medical Ethics

JF - Journal of Medical Ethics

SN - 0306-6800

IS - 9

ER -