Vaccine hesitancy is a considerable issue in European

Countries and leads to low coverage rates. After a long

public debate, in July 2017, Italy turned the Vaccination Plan

mandatory to be admitted in schools. to assess vaccine

hesitancy and identify possible predictor of vaccine hesitancy

Bert, F

D’Errico, Mm

Fabiani, L

Fantini, Mp

Gabutti, G

Gualano, Mr

Marranzano, M

Quattrocolo, F

Siliquini, R

Squeri, R

Staniscia, T

Voglino, G

Vaccine hesitancy is a considerable issue in European Countries and leads to low coverage rates. After a long public debate, in July 2017, Italy turned the Vaccination Plan mandatory to be admitted in schools. to assess vaccine hesitancy and identify possible predictor of vaccine hesitancy

G Voglino

MR Gualano

F Bert

F Quattrocolo

MM D’Errico

MP Fantini

M Marranzano

T Staniscia

G Gabutti

L Fabiani

R Squeri

R Siliquini

Archivio istituzionale della ricerca - Università di Ferrara

[Ver: A3B2-WIN8.07r/W-Standard] [29.10.2018–1:06pm] [1–1] [Page No. 1] FIRST PROOFS//blrnas3.glyph.com/cenpro/ApplicationFiles/Journals/OUP/EURP/Vol02809/Comp/eurpub-title.3d (EURPUB)Paper: eurpub-title OUPEUROPEAN JOURNAL OFPUBLIC HEALTHVolume 28 Supplement 4SUPPLEMENT11TH EUROPEAN PUBLIC HEALTH CONFERENCEWinds of change: towards new ways of improving public health in EuropeLjubljana, Slovenia 28 November –1 December 2018ABSTRACT SUPPLEMENTGuest editors: Ivan Erzen,Tit Albreht and Dineke Zeegers PagetCONTENTS1. Introduction2. Plenary Sessions3. Parallel Programme4. Poster Walks5. Poster DisplaysDownloaded from https://academic.oup.com/eurpub/article-abstract/28/suppl_4/cky260/5187184 by Universita degli Studi di Ferrara - Biblioteca S. Maria delle Grazie user on 01 April 2019/ / b l rnas3 /cenp ro /App l i ca t ionF i les /Jou rna l s /OUP/EURP/Vo l02809 /180217/Comp/APPFi l e /OP-EURP180217.3d [13.11.2018–6:19pm] [5–308] Paper: OP-EURP180217Results:We identified four latent groups of sleep and functioning overtime among 5148 participants: 1) poor sleep and moderatefunctioning (6.2%), 2) good sleep and poor functioning(24.6%), good sleep and good functioning (64.0%, reference),and 4) poor sleep and poor functioning (5.3%). Members ofthe latent group 2, had a notably increased risk of prematureexit from paid employment (HR 4.38, 95% CI 3.44–5.57), butthe risk was highest for those belonging to the group 4 (HR8.10, 95% CI 6.00–10.94). Covariates only somewhat con-tributed to these associations. No excess risk was confirmed forpeople of the group 1.Conclusions:These results highlight the advantages of person-orientatedmethods to pinpoint risk groups that can be missed in studieswith variable orientated methods. Thus, people with differentrisk factor combinations need to be considered in the efforts toprevent premature exit from paid employment.Key messages: Poor sleep combined with poor functioning overt time islinked to the highest risk of early exit, but also people withgood sleep are at an increased risk of early exit, if they havepoor functioning. Person-orientated methods help pinpoint risk groups thatcan be missed in studies with more variable orientatedmethods.Job satisfaction and intention to quit among youngphysicians – evidence from AustriaHarald StummerH Stummer, S Angerer, C Jamnig, E NöhammerUMIT University for Health Sciences, Medical Informatics and Technology,Hall in Tyrol, AustriaContact: harald.stummer@umit.atBackground:In Austria, a shortage of physicians is forecasted to occurwithin the next 10 years. On the one hand, this is due to thedemographic structure in that occupational group, on theother hand, a large number of young physicians havingreceived their education in Austria do then either choose topursue a career abroad, or proceed in another occupationalline. The present paper aims at investigating the drivers of thelast reason mentioned, namely the reasons of young physiciansdesiring to leave their profession.Methods:We used a job satisfaction questionnaire together with aninverse intention to quit-scale, which were sent out electro-nically to all young physicians in training. Being best translatedwith the US-American interns, this group is called‘Turnusärzte’ in Austria. In total, 404 young physicians filledin the questionnaire, 44.6% male with an average workexperience of two years.Results:Only 22.8% of all respondents never thought about leaving theprofession, while 39.4% are doing so on a regular basis. Usingdiscriminant and regression analysis to explore the factorsassociated with the intention to quit, four factors weresignificant and together explain 24.6% in variance: (a)mental strains, (b) (especially administrative) workload (c)hospital hierarchy and (d) working hours. In addition, genderdifferences are apparent. While a higher (administrative)workload results in more thoughts about leaving the profes-sion for men, the perception of hospital hierarchy isspecifically relevant to women. The more hierarchical thecurrent employer is rated, the likelier intention to quitbecomes for females.Conclusions:In order to ensure the security of health care supply, it isimportant to investigate the reasons for health professionalsleaving their profession. The present study helps close thisresearch gap and shows that for Austria extensive reformsconcerning the occupational conditions of young physiciansare needed.Key messages: There is a high proportion of young physicians that want toleave their profession. Gender differences can be seen in hierarchy and adminis-trative work.2.I. Vaccination service, delivery and responseThe NAVIDAD multicentre project: attitudes towardscompulsory vaccination in ItalyGianluca VoglinoG Voglino1, MR Gualano1, F Bert1, F Quattrocolo1, MM D’Errico2,MP Fantini3, M Marranzano4, T Staniscia5, G Gabutti6, L Fabiani7,R Squeri8, R Siliquini11Department of Public Health, University of Torino, Turin, Italy2Department of Biomedical Sciences and Public Health, UniversitàPolitecnica delle Marche, Ancona, Italy3Department of Biomedical and Neuromotor Sciences (DIBINEM), Universityof Bologna, Bologna, Italy4Department of Medical and Surgical Sciences and Advanced Technologies,Catania, Italy5Department of Medicine and Aging Sciences, University of Chieti, Chieti-Pescara, Italy6Department of Medical Sciences, Section of Hygiene and PreventiveMedicine, University of Ferrara, Ferrara, Italy7Department of Public Health and Internal Medicine, University of L’Aquila,L’Aquila, Italy8Department of Hygiene, Preventive Medicine and Public Health, UniversityHospital G. Martino, Messina, Messina, ItalyContact: gianluca.voglino@unito.itBackground:Vaccine hesitancy is a considerable issue in EuropeanCountries and leads to low coverage rates. After a longpublic debate, in July 2017, Italy turned the Vaccination Planmandatory to be admitted in schools. to assess vaccinehesitancy and identify possible predictor of vaccine hesitancy.Methods:The NAVIDAD study was conducted among September 2016and May 2017 in 15 Italian cities. For this project a 63 itemsquestionnaire was administered to 1820 pregnant woman. Thispaper assessed interviewer’s opinion on mandatory vaccinesand how it is influenced by socio-economic framing, will-ingness to vaccinate the newborn, information sources andconfidence in the Italian National Healthcare Service (NHS).Results:Most women of the sample (81.6%) declared to be in favour ofmandatory vaccinations, 13.8% were against them and 4.5%did not answer to the question. Information sources play a keyrole in determining the opinion on restoration of mandatoryvaccine, in particular women who got information from anti-vaccination movements websites are less likely to accept it(OR: 0.35, 95%CI: 0.21-0.58, p < 0.001). Women who hadconfidence in healthcare professional information agreed moreon mandatory vaccination than the other (OR: 2.66,95%CI:1.62-4.36, p < 0.001), who perceive that healthcareprofessionals have economic interest in child immunizationand who declared that healthcare providers inform only onvaccinations benefits not on risks were less likely to agree oncompulsory vaccination (OR: 0.66, CI 95%: 0.46-0.96,p = 0,03;OR: 0.66, CI 95%: 0.46-0.95, p = 0.03).48 European Journal of Public Health, Vol. 28, Supplement 4, 2018Downloaded from https://academic.oup.com/eurpub/article-abstract/28/suppl_4/cky260/5187184 by Universita degli Studi di Ferrara - Biblioteca S. Maria delle Grazie user on 01 April 2019/ / b l rnas3 /cenp ro /App l i ca t ionF i les /Jou rna l s /OUP/EURP/Vo l02809 /180217/Comp/APPFi l e /OP-EURP180217.3d [13.11.2018–6:19pm] [5–308] Paper: OP-EURP180217Conclusions:Information sources and confidence towards health profes-sionals are the main determinants of acceptance of mandatoryvaccine restoration. In order to increase the acceptability of therestoration and reduce vaccine hesitancy, these aspects need tobe strengthened.Key messages: Mandatory vaccination is generally well accepted and nosocial determinant can be considered a predictor ofacceptability. Confidence in health system is a determinant of acceptanceof mandatory vaccination.Immunization and media coverage in Italy: an eleven-year analysis (2007-17)Anna OdoneC Signorelli1, V Tramutola2, M Morgado2, L Vezzosi2, C Pasquarella2,A Odone11University Vita-Salute San Raffaele, Milan, Italy2University of Parma, Parma, ItalyContact: anna.odone@mail.harvard.eduBackground:Italy has recently approved an innovative NationalImmunization Prevention Plan and a new law on mandatoryimmunization; this stimulating a lively debate at the scientific,political and societal-level, reflected on the media.Methods:We applied a model we had previously published toquantitatively and qualitatively assess media coverage ofvaccines and immunization-related topics on the nationalpress over an 11-year study period (2007-2017). We retrievedrelevant key words and articles, reporting on articles’topic, position, approach to immunization and on otherselected indicators’ summary statistics, temporal trendsand correspondence with key epidemiological and policyevents.Results:We screened 11 year issues of the most read Italian newspaper,‘‘Corriere della Sera’’. Over the study period the quote‘‘vaccin’’ was mentioned on average 325 times per year;with a 150% increase after the approval of the new law onmandatory immunization in 2017. In the same year, onaverage, two first-page articles per week were published on thetopic. We report a clear association between key events (theAH1N1 influenza pandemic, the ‘‘Fluad case’’, the approval ofcontroversial polices) and their media coverage. 84% ofretrieved articles had a positive attitude towards immuniza-tion, this decreasing to 79% after the approval of thecompulsory immunization law.Conclusions:Media play a crucial role in channelling health-relatedinformation and significantly influence health behaviours.We urge public institutions, health authorities and thescientific community not to underestimate the opportunityto monitor media coverage on key healthcare topics and toconvey evidence-based health education messages through themedia.Key messages: We monitored 11 years of media content on vaccines,reporting interesting findings on temporal trends, approachto immunization and association to key epidemiological andpolicy events. Health authorities should not underestimate the opportu-nity to monitor media reporting on key healthcare topicsand to convey health education messages through tradi-tional and new media.Improving Vaccination Services Delivery – Localcontributions to global Measles eliminationGuilherme DuarteG Duarte, A Leite Unidade, M Paixão, P Marques, E Cale, AC SilvaUnidade de Saúde Pública Amadora, Administração Regional de Saúde deLisboa e Vale do Tejo, Lisbon, PortugalContact: guilhermegduarte@hotmail.comIn Portugal, coverage of measles-mumps-rubella (MMR), 1stand 2nd doses have been 95% since 2006. However, there isregional and local variation, with areas below the herdimmunity threshold, increasing the risk of having pockets ofsusceptible individuals. Outbreaks of imported measles haveoccurred in 2017 and 2018. MMR is administered free ofcharge as part of the National Vaccination Programme (PNV)at ages 2 and 6. PNV is locally managed by local Public HealthUnits (LPHU) which monitor and evaluate vaccinationcoverage using MMR coverage as proxy of compliance, whileprimary health care nurses are responsible for vaccinesadministration.In Amadora, we observed a declining trend in vaccinationcoverage since 2012. According to our vaccination registry,vaccination coverage was below 95% in 5 of 9 primary healthcare units (78-94%), thus endangering herd immunity. Weestimated 2222 susceptible individuals from selected (1998-2008) cohorts, using administrative data.We implemented an intervention during 2017 on primaryhealth care units aiming for: reduction of susceptibleindividuals by actively calling unvaccinated children fromchosen cohorts; regular monitoring and internal report ofMMR coverage to healthcare units; improving communicationand involvement of all healthcare workers in vaccinationactivities; capacitation and training of personnel; and lastly,studying organizational dispositions and differences of servicedelivery across all health units.Following intervention, 3 primary healthcare units improvedsignificantly its vaccination coverage. We were able to decreasesusceptible individuals in selected cohorts by 28% (to 1599).Difficulties reported included an hard-to-reach and mobilepopulation, perceived lack of resources but also lack oforganization in vaccination activities.With plenty to do, it was possible to implement anintervention with satisfactory results of reducing susceptibleindividuals by acting on healthcare units.Key messages: Acting locally is essential to adress pockets of susceptibleindividuals preventing occurrence of outbreaks fromimported cases. It is important to monitor regularly coverage and ensure it isabove the herd immunity threshold.Measles vaccination coverage in young adults inSwitzerland 2012&2015 – does awareness play a role?Monica WymannM Wymann, E Altpeter, JL Richard, M Mäusezahl-FeuzSwiss Federal Office for Public Health, Bern, SwitzerlandContact: monica.wymann@bag.admin.chBackground:We evaluated the impact of the Swiss national measleselimination strategy (NMES) on vaccination coverage andawareness among young adults.Methods:We conducted a cross-sectional telephone survey at the beginningand at the end of the NMES. We compared the results of thebaseline and endline survey, only considering interviews withmatching vaccination record provided (2012: N = 803, 2015:N = 1048). To determine the determinants of complete vaccina-tion, we used weighted multivariate logistic regression.Results:Vaccination coverage for two doses of measles vaccine in 20 to29 year-olds increased from 77% (95% CI 73-81%) in 2012 to88% (95% CI 85-90%) in 2015. Towards the end of the NMES,more participants knew for sure that adults can get measles,32% (95% CI 28-36%) in 2012, 41% (95% CI 37-45%) in2015. There was a trend for more participants to be sure thatthey could get missing vaccinations as adults, 18% (95% CI 14-21%) in 2012, 23% (95% CI 19-26%) in 2015. We found11th European Public Health Conference: Parallel Programme 49Downloaded from https://academic.oup.com/eurpub/article-abstract/28/suppl_4/cky260/5187184 by Universita degli Studi di Ferrara - Biblioteca S. Maria delle Grazie user on 01 April 2019

English

The NAVIDAD multicentre project: attitudes towards compulsory vaccination in Italy

Background:
Vaccine hesitancy is a considerable issue in European Countries and leads to low coverage rates. After a long public debate, in July 2017, Italy turned the Vaccination Plan mandatory to be admitted in schools. to assess vaccine hesitancy and identify possible predictor of vaccine hesitancy.
Methods:
The NAVIDAD study was conducted among September 2016 and May 2017 in 15 Italian cities. For this project a 63 items questionnaire was administered to 1820 pregnant woman. This paper assessed interviewer’s opinion on mandatory vaccines and how it is influenced by socio-economic framing, will- ingness to vaccinate the newborn, information sources and confidence in the Italian National Healthcare Service (NHS). Results:
Most women of the sample (81.6%) declared to be in favour of mandatory vaccinations, 13.8% were against them and 4.5% did not answer to the question. Information sources play a key role in determining the opinion on restoration of mandatory vaccine, in particular women who got information from anti- vaccination movements websites are less likely to accept it (OR: 0.35, 95%CI: 0.21-0.58, p<0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than the other (OR: 2.66, 95%CI:1.62-4.36, p < 0.001), who perceive that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46-0.96, p = 0,03;OR: 0.66, CI 95%: 0.46-0.95, p = 0.03). Conclusions:
Information sources and confidence towards health profes- sionals are the main determinants of acceptance of mandatory vaccine restoration. In order to increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened

R. Siliquini

IRIS UniversitÃ  Politecnica delle Marche

Quattrocolo, Francesca

Institutional Research Information System University of Turin

Results:We identified four latent groups of sleep and functioning overtime among 5148 participants: 1) poor sleep and moderatefunctioning (6.2%), 2) good sleep and poor functioning(24.6%), good sleep and good functioning (64.0%, reference),and 4) poor sleep and poor functioning (5.3%). Members ofthe latent group 2, had a notably increased risk of prematureexit from paid employment (HR 4.38, 95% CI 3.44–5.57), butthe risk was highest for those belonging to the group 4 (HR8.10, 95% CI 6.00–10.94). Covariates only somewhat con-tributed to these associations. No excess risk was confirmed forpeople of the group 1.Conclusions:These results highlight the advantages of person-orientatedmethods to pinpoint risk groups that can be missed in studieswith variable orientated methods. Thus, people with differentrisk factor combinations need to be considered in the efforts toprevent premature exit from paid employment.Key messages: Poor sleep combined with poor functioning overt time islinked to the highest risk of early exit, but also people withgood sleep are at an increased risk of early exit, if they havepoor functioning. Person-orientated methods help pinpoint risk groups thatcan be missed in studies with more variable orientatedmethods.Job satisfaction and intention to quit among youngphysicians – evidence from AustriaHarald StummerH Stummer, S Angerer, C Jamnig, E No¨hammerUMIT University for Health Sciences, Medical Informatics and Technology,Hall in Tyrol, AustriaContact: harald.stummer@umit.atBackground:In Austria, a shortage of physicians is forecasted to occurwithin the next 10 years. On the one hand, this is due to thedemographic structure in that occupational group, on theother hand, a large number of young physicians havingreceived their education in Austria do then either choose topursue a career abroad, or proceed in another occupationalline. The present paper aims at investigating the drivers of thelast reason mentioned, namely the reasons of young physiciansdesiring to leave their profession.Methods:We used a job satisfaction questionnaire together with aninverse intention to quit-scale, which were sent out electro-nically to all young physicians in training. Being best translatedwith the US-American interns, this group is called‘Turnusa¨rzte’ in Austria. In total, 404 young physicians filledin the questionnaire, 44.6% male with an average workexperience of two years.Results:Only 22.8% of all respondents never thought about leaving theprofession, while 39.4% are doing so on a regular basis. Usingdiscriminant and regression analysis to explore the factorsassociated with the intention to quit, four factors weresignificant and together explain 24.6% in variance: (a)mental strains, (b) (especially administrative) workload (c)hospital hierarchy and (d) working hours. In addition, genderdifferences are apparent. While a higher (administrative)workload results in more thoughts about leaving the profes-sion for men, the perception of hospital hierarchy isspecifically relevant to women. The more hierarchical thecurrent employer is rated, the likelier intention to quitbecomes for females.Conclusions:In order to ensure the security of health care supply, it isimportant to investigate the reasons for health professionalsleaving their profession. The present study helps close thisresearch gap and shows that for Austria extensive reformsconcerning the occupational conditions of young physiciansare needed.Key messages: There is a high proportion of young physicians that want toleave their profession. Gender differences can be seen in hierarchy and adminis-trative work.2.I. Vaccination service, delivery and responseThe NAVIDAD multicentre project: attitudes towardscompulsory vaccination in ItalyGianluca VoglinoG Voglino1, MR Gualano1, F Bert1, F Quattrocolo1, MM D’Errico2,MP Fantini3, M Marranzano4, T Staniscia5, G Gabutti6, L Fabiani7,R Squeri8, R Siliquini11Department of Public Health, University of Torino, Turin, Italy2Department of Biomedical Sciences and Public Health, Universita`Politecnica delle Marche, Ancona, Italy3Department of Biomedical and Neuromotor Sciences (DIBINEM), Universityof Bologna, Bologna, Italy4Department of Medical and Surgical Sciences and Advanced Technologies,Catania, Italy5Department of Medicine and Aging Sciences, University of Chieti, Chieti-Pescara, Italy6Department of Medical Sciences, Section of Hygiene and PreventiveMedicine, University of Ferrara, Ferrara, Italy7Department of Public Health and Internal Medicine, University of L’Aquila,L’Aquila, Italy8Department of Hygiene, Preventive Medicine and Public Health, UniversityHospital G. Martino, Messina, Messina, ItalyContact: gianluca.voglino@unito.itBackground:Vaccine hesitancy is a considerable issue in EuropeanCountries and leads to low coverage rates. After a longpublic debate, in July 2017, Italy turned the Vaccination Planmandatory to be admitted in schools. to assess vaccinehesitancy and identify possible predictor of vaccine hesitancy.Methods:The NAVIDAD study was conducted among September 2016and May 2017 in 15 Italian cities. For this project a 63 itemsquestionnaire was administered to 1820 pregnant woman. Thispaper assessed interviewer’s opinion on mandatory vaccinesand how it is influenced by socio-economic framing, will-ingness to vaccinate the newborn, information sources andconfidence in the Italian National Healthcare Service (NHS).Results:Most women of the sample (81.6%) declared to be in favour ofmandatory vaccinations, 13.8% were against them and 4.5%did not answer to the question. Information sources play a keyrole in determining the opinion on restoration of mandatoryvaccine, in particular women who got information from anti-vaccination movements websites are less likely to accept it(OR: 0.35, 95%CI: 0.21-0.58, p < 0.001). Women who hadconfidence in healthcare professional information agreed moreon mandatory vaccination than the other (OR: 2.66,95%CI:1.62-4.36, p < 0.001), who perceive that healthcareprofessionals have economic interest in child immunizationand who declared that healthcare providers inform only onvaccinations benefits not on risks were less likely to agree oncompulsory vaccination (OR: 0.66, CI 95%: 0.46-0.96,p = 0,03;OR: 0.66, CI 95%: 0.46-0.95, p = 0.03).48 European Journal of Public Health, Vol. 28, Supplement 4, 2018Downloaded from https://academic.oup.com/eurpub/article-abstract/28/suppl_4/cky213.131/5187093 by Universita degli Studi di Torino user on 26 November 2019Conclusions:Information sources and confidence towards health profes-sionals are the main determinants of acceptance of mandatoryvaccine restoration. In order to increase the acceptability of therestoration and reduce vaccine hesitancy, these aspects need tobe strengthened.Key messages: Mandatory vaccination is generally well accepted and nosocial determinant can be considered a predictor ofacceptability. Confidence in health system is a determinant of acceptanceof mandatory vaccination.Immunization and media coverage in Italy: an eleven-year analysis (2007-17)Anna OdoneC Signorelli1, V Tramutola2, M Morgado2, L Vezzosi2, C Pasquarella2,A Odone11University Vita-Salute San Raffaele, Milan, Italy2University of Parma, Parma, ItalyContact: anna.odone@mail.harvard.eduBackground:Italy has recently approved an innovative NationalImmunization Prevention Plan and a new law on mandatoryimmunization; this stimulating a lively debate at the scientific,political and societal-level, reflected on the media.Methods:We applied a model we had previously published toquantitatively and qualitatively assess media coverage ofvaccines and immunization-related topics on the nationalpress over an 11-year study period (2007-2017). We retrievedrelevant key words and articles, reporting on articles’topic, position, approach to immunization and on otherselected indicators’ summary statistics, temporal trendsand correspondence with key epidemiological and policyevents.Results:We screened 11 year issues of the most read Italian newspaper,‘‘Corriere della Sera’’. Over the study period the quote‘‘vaccin’’ was mentioned on average 325 times per year;with a 150% increase after the approval of the new law onmandatory immunization in 2017. In the same year, onaverage, two first-page articles per week were published on thetopic. We report a clear association between key events (theAH1N1 influenza pandemic, the ‘‘Fluad case’’, the approval ofcontroversial polices) and their media coverage. 84% ofretrieved articles had a positive attitude towards immuniza-tion, this decreasing to 79% after the approval of thecompulsory immunization law.Conclusions:Media play a crucial role in channelling health-relatedinformation and significantly influence health behaviours.We urge public institutions, health authorities and thescientific community not to underestimate the opportunityto monitor media coverage on key healthcare topics and toconvey evidence-based health education messages through themedia.Key messages: We monitored 11 years of media content on vaccines,reporting interesting findings on temporal trends, approachto immunization and association to key epidemiological andpolicy events. Health authorities should not underestimate the opportu-nity to monitor media reporting on key healthcare topicsand to convey health education messages through tradi-tional and new media.Improving Vaccination Services Delivery – Localcontributions to global Measles eliminationGuilherme DuarteG Duarte, A Leite Unidade, M Paixa˜o, P Marques, E Cale, AC SilvaUnidade de Sau´de Pu´blica Amadora, Administrac¸a˜o Regional de Sau´de deLisboa e Vale do Tejo, Lisbon, PortugalContact: guilhermegduarte@hotmail.comIn Portugal, coverage of measles-mumps-rubella (MMR), 1stand 2nd doses have been 95% since 2006. However, there isregional and local variation, with areas below the herdimmunity threshold, increasing the risk of having pockets ofsusceptible individuals. Outbreaks of imported measles haveoccurred in 2017 and 2018. MMR is administered free ofcharge as part of the National Vaccination Programme (PNV)at ages 2 and 6. PNV is locally managed by local Public HealthUnits (LPHU) which monitor and evaluate vaccinationcoverage using MMR coverage as proxy of compliance, whileprimary health care nurses are responsible for vaccinesadministration.In Amadora, we observed a declining trend in vaccinationcoverage since 2012. According to our vaccination registry,vaccination coverage was below 95% in 5 of 9 primary healthcare units (78-94%), thus endangering herd immunity. Weestimated 2222 susceptible individuals from selected (1998-2008) cohorts, using administrative data.We implemented an intervention during 2017 on primaryhealth care units aiming for: reduction of susceptibleindividuals by actively calling unvaccinated children fromchosen cohorts; regular monitoring and internal report ofMMR coverage to healthcare units; improving communicationand involvement of all healthcare workers in vaccinationactivities; capacitation and training of personnel; and lastly,studying organizational dispositions and differences of servicedelivery across all health units.Following intervention, 3 primary healthcare units improvedsignificantly its vaccination coverage. We were able to decreasesusceptible individuals in selected cohorts by 28% (to 1599).Difficulties reported included an hard-to-reach and mobilepopulation, perceived lack of resources but also lack oforganization in vaccination activities.With plenty to do, it was possible to implement anintervention with satisfactory results of reducing susceptibleindividuals by acting on healthcare units.Key messages: Acting locally is essential to adress pockets of susceptibleindividuals preventing occurrence of outbreaks fromimported cases. It is important to monitor regularly coverage and ensure it isabove the herd immunity threshold.Measles vaccination coverage in young adults inSwitzerland 2012&2015 – does awareness play a role?Monica WymannM Wymann, E Altpeter, JL Richard, M Ma¨usezahl-FeuzSwiss Federal Office for Public Health, Bern, SwitzerlandContact: monica.wymann@bag.admin.chBackground:We evaluated the impact of the Swiss national measleselimination strategy (NMES) on vaccination coverage andawareness among young adults.Methods:We conducted a cross-sectional telephone survey at the beginningand at the end of the NMES. We compared the results of thebaseline and endline survey, only considering interviews withmatching vaccination record provided (2012: N = 803, 2015:N = 1048). To determine the determinants of complete vaccina-tion, we used weighted multivariate logistic regression.Results:Vaccination coverage for two doses of measles vaccine in 20 to29 year-olds increased from 77% (95% CI 73-81%) in 2012 to88% (95% CI 85-90%) in 2015. Towards the end of the NMES,more participants knew for sure that adults can get measles,32% (95% CI 28-36%) in 2012, 41% (95% CI 37-45%) in2015. There was a trend for more participants to be sure thatthey could get missing vaccinations as adults, 18% (95% CI 14-21%) in 2012, 23% (95% CI 19-26%) in 2015. We found11th European Public Health Conference: Parallel Programme 49Downloaded from https://academic.oup.com/eurpub/article-abstract/28/suppl_4/cky213.131/5187093 by Universita degli Studi di Torino user on 26 November 2019

https://iris.unito.it/bitstream/2318/1717729/1/The%20NAVIDAD%20multicentre%20project%20attitudes.pdf

The NAVIDAD multicentre project: attitudes towards compulsory vaccination in Italy

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Archivio istituzionale della ricerca - Università di Ferrara

IRIS UniversitÃ Politecnica delle Marche

Institutional Research Information System University of Turin