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Italy. The novelty of the Decree on Vaccines: Obligations, Sanctions and Exceptions
The Council of Ministers, on the proposal of President Paolo Gentiloni and the Minister of Health Beatrice Lorenzin, approved a decree law containing urgent measures on vaccine prevention.
The decree aims at ensuring homogenous activities in the national territory on activities aimed at the prevention, containment and reduction of public health risks, with particular reference to the maintenance of adequate epidemiological safety conditions in terms of prophylaxis and vaccination coverage, overcoming The current regulatory fragmentation.
In this perspective, which also takes account of the obligations and agreed strategies at European and international level, they are mandatory by law, according to the schedule of the National Vaccination Prevention Program (age 0-16 years), and in reference To the cohort belonging to the vaccine shown below:
- Anti-hepatitis B;
- Anti Haemophilus influenzae type B;
- Anti-meningococcal B;
- Anti-meningococcal C;
Such vaccinations may be omitted or deferred only in the event of an established health hazard in relation to specific clinical conditions documented and attested by a general practitioner or pediatrician of their own choice.
In order to ensure the fulfillment of the vaccination obligation, the decree has the following measures:
- In the case of breach of the vaccination obligation to parents who have parental responsibility and guardians, a fine of € 500.00 to € 7,500.00 is imposed on the administrative penalty. Sanctions are imposed by Health Care Companies
- Even in the compulsory school, the schoolmaster is required to report to the competent ASL the attendance at the school of unaccompanied minors. Failure to report can supplement the offense of omission of official documents punished by art. 328 c.p.
- The parent or the parent parental authority on the child who violates the obligation to vaccinate is reported by the ASL to the Juvenile Court for the suspension of parental authority
- Children who do not have compulsory vaccinations can not be enrolled in kindergartens and public and private child schools. In such a case, the schoolmaster reports to the healthcare company responsible for the name of the child within five days for the vaccine to be fulfilled
- Even in the compulsory school, children who are not vaccinable for reasons of health are usually included by the school leader in classes where no other unvaccinated or non-immunized children are present
- If a child has already had the ailments indicated, this circumstance should be attested to by the medical practitioner who will also be able to arrange blood tests to ascertain that he has developed the antibodies
- From 1 June 2017, the Ministry of Health initiates an extraordinary public awareness campaign on the importance of vaccination for the protection of health. During the campaign, the Ministry of Health and the Ministry of Education, University and Research promote, from the school year 2017/2018, initiatives to train teaching staff and educating and educating pupils and pupils, Of students and students on issues of health prevention and in particular vaccinations, including with the involvement of parents' associations
- The decree measures come into force in the next school year.