Improving the delivery of flu vaccine for the older people in times of economic recession: What social epidemiology tells us, and what else we need to know

Carlos Chiatti, Pamela Barbadoro, Giovanni Lamura, Francesco Di Stanislao, Emilia Prospero

Research output: Contribution to journalArticle


Despite controversies, flu vaccine programs targeted to the older people are highly recommended and represent a common public health policy in industrialized Countries. Although demographic aging will increase the share of population at higher risk of influenza, today economic recession is putting public budgets under pressure. Underfunding of prevention is becoming a larger problem, as prevention expenditure generally appears easier to cut compared with other frontline services like hospital bed-placement. In this commentary, after revising existing evidence and current economic scenario, we identify examples of promising topics for future research in the area of flu vaccination, with regard inter alia to: (1) the re-design of national vaccination programs (possible to be achieved also by using a comparative approach); (2) up to date economic evaluations of different national delivery systems; (3) the development of innovative interventions aimed at improving vaccine coverage and addressing also "hard-to-reach" segments of the older population.

Original languageEnglish
Pages (from-to)986-988
Number of pages3
JournalHuman Vaccines
Issue number9
Publication statusPublished - Sep 2011



  • Economic recession
  • Health inequalities
  • Influenza vaccine
  • Social epidemiology
  • Vaccination programs

ASJC Scopus subject areas

  • Immunology
  • Pharmacology, Toxicology and Pharmaceutics(all)

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