%0 Journal Article
%T Infectious Diseases and Vaccination Strategies: How to Protect the ¡°Unprotectable¡±?
%A Elena Bozzola
%A Mauro Bozzola
%A Valeria Calcaterra
%A Salvatore Barberi
%A Alberto Villani
%J ISRN Preventive Medicine
%D 2013
%R 10.5402/2013/765354
%X Introduction. The circulation of infectious diseases puts small infants too young to be vaccinated at risk of morbidity and mortality, often requiring prolonged hospitalization. Material and Methods. We have reviewed the medical records of children not eligible for vaccination because of age, admitted to hospital for pertussis, measles, or varicella from February 1, 2010, till February 1, 2012. Results. Of the case records scrutinized, 21 were hospitalized for pertussis, 18 for measles, and 32 for varicella. Out of them, 42%, 66%, and 78% diagnosed with, respectively, pertussis, measles, and varicella had a complicated course of the disease. Discussion. To avoid infectious disease circulation, childhood immunization strategies should be adopted, such as vaccination of healthcare givers, adult household contacts, and parents planning to have, or who have had, a newborn baby. 1. Introduction Since the days of Jenner and Pasteur, inducing an immune response to infectious diseases by the way of vaccination has become a widely applied intervention to keep people healthy. Globally, the population coverage of vaccination programs has expanded so that immunization has served to eradicate potential fatal diseases, such as smallpox [1]. Moreover, vaccination has stickling reduced the morbidity and mortality due to childhood infectious diseases, such as pertussis and measles, in developed countries. In Italy the schedule for pertussis vaccination consists of a course of a free-of-charge vaccination by 3 months of age and a booster dose at 5-6 years, in combination with tetanus and diphtheria. Measles-mumps-rubella vaccine is currently offered free of charge in a two-dose routine immunization program at 12¨C15 months and at 5-6 years of age, respectively [2, 3]. However, in the last years, a resurgence of both pertussis and measles has been experienced. The outbreaks occurred predominantly among older children and young adults who had not been vaccinated. As well as in other countries, in Italy, pertussis and measles are still circulating and can run a severe course in young infants, requiring hospitalization [4]. As for varicella, in 1995, in the United States the vaccine was first introduced as part of the routine childhood vaccination program. Since then, clinical trials and postmarketing surveillance studies have shown that the vaccine is effective and safe, so that new prospects of the prevention of varicella have been opened. In Italy, varicella vaccine is available since 2001 but is not included in the routine childhood vaccination schedule of most regions
%U http://www.hindawi.com/journals/isrn.preventive.medicine/2013/765354/