Tetanus vaccination status in construction workers: Results from an institutional surveillance campaign

Matteo Riccò, Luigi Vezzosi, Carlo Cella, Marco Pecoraro, Giacomo Novembre, Alessandro Moreo, Enrico Maria Ognibeni, Gert Schellenberg, Graziano Maranelli

Research output: Contribution to journalArticle

Abstract

Background: Since 1963 Italian law (Law 292/1963, Legislative Decree n.81/2008), defines Tetanus Vaccination (TeV) as mandatory for defined occupational categories, including Construction Workers (CWs). Materials and Methods: An institutional survey on of CWs was performed in the Autonomous Province of Trento (Oct. 2016-Apr. 2017). Vaccination booklets/certificate were retrieved recalling: TeV status (1), and TeV settings (2), i.e. basal schedule; year of last shot, healthcare providers who performed TeV, and TeV formulate(s). Results: Data about 205 CWs were collected (mean age 40.6±10.3 years; 78.0% <50 year-old, 71.7% born in Italy). Overall, 38.5% of CW had received last vaccination shot >10 years before the survey (mean: 8.8 ± 8.2 years). The majority of boosters had been administered by Vaccination Services of the Local Health Unit (47.3%), followed by Occupational Physicians (20.0%) and General Practitioners (11.2%). In 85.9% of CWs, a monovalent formulation was used. Combined TeV were mainly reported in CW who had received last vaccination shot in Vaccination Services (96.2%; p<0.001). Conclusions: TeV coverage rates in CWs are insufficient, and vaccination shots are frequently performed with inappropriate, monovalent formulates. As only professionals from Vaccination Services systematically employ combined vaccines and particularly Tdap, our results not only stress the opportunity for promoting TeV among CWs, but also the importance of improving reception of up to date official recommendations in Occupational Physicians, General Practitioner and professionals of Emergency Departments. (www.actabiomedica.it)..

Original languageEnglish
Pages (from-to)269-278
Number of pages10
JournalActa Biomedica
Volume90
Issue number2
DOIs
Publication statusPublished - May 23 2019

Fingerprint

Tetanus
Vaccination
General Practitioners
Combined Vaccines
Physicians
Pamphlets
Health Personnel
Health Services
Hospital Emergency Service
Appointments and Schedules

Keywords

  • Combined vaccines
  • Occupational health
  • Tetanus
  • Tetanus toxoid
  • Vaccination
  • Vaccine hesitancy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Riccò, M., Vezzosi, L., Cella, C., Pecoraro, M., Novembre, G., Moreo, A., ... Maranelli, G. (2019). Tetanus vaccination status in construction workers: Results from an institutional surveillance campaign. Acta Biomedica, 90(2), 269-278. https://doi.org/10.23750/abm.v90i2.6759

Tetanus vaccination status in construction workers : Results from an institutional surveillance campaign. / Riccò, Matteo; Vezzosi, Luigi; Cella, Carlo; Pecoraro, Marco; Novembre, Giacomo; Moreo, Alessandro; Ognibeni, Enrico Maria; Schellenberg, Gert; Maranelli, Graziano.

In: Acta Biomedica, Vol. 90, No. 2, 23.05.2019, p. 269-278.

Research output: Contribution to journalArticle

Riccò, M, Vezzosi, L, Cella, C, Pecoraro, M, Novembre, G, Moreo, A, Ognibeni, EM, Schellenberg, G & Maranelli, G 2019, 'Tetanus vaccination status in construction workers: Results from an institutional surveillance campaign', Acta Biomedica, vol. 90, no. 2, pp. 269-278. https://doi.org/10.23750/abm.v90i2.6759
Riccò, Matteo ; Vezzosi, Luigi ; Cella, Carlo ; Pecoraro, Marco ; Novembre, Giacomo ; Moreo, Alessandro ; Ognibeni, Enrico Maria ; Schellenberg, Gert ; Maranelli, Graziano. / Tetanus vaccination status in construction workers : Results from an institutional surveillance campaign. In: Acta Biomedica. 2019 ; Vol. 90, No. 2. pp. 269-278.
@article{0c8bdc199b174ab69109b563db3e9b5e,
title = "Tetanus vaccination status in construction workers: Results from an institutional surveillance campaign",
abstract = "Background: Since 1963 Italian law (Law 292/1963, Legislative Decree n.81/2008), defines Tetanus Vaccination (TeV) as mandatory for defined occupational categories, including Construction Workers (CWs). Materials and Methods: An institutional survey on of CWs was performed in the Autonomous Province of Trento (Oct. 2016-Apr. 2017). Vaccination booklets/certificate were retrieved recalling: TeV status (1), and TeV settings (2), i.e. basal schedule; year of last shot, healthcare providers who performed TeV, and TeV formulate(s). Results: Data about 205 CWs were collected (mean age 40.6±10.3 years; 78.0{\%} <50 year-old, 71.7{\%} born in Italy). Overall, 38.5{\%} of CW had received last vaccination shot >10 years before the survey (mean: 8.8 ± 8.2 years). The majority of boosters had been administered by Vaccination Services of the Local Health Unit (47.3{\%}), followed by Occupational Physicians (20.0{\%}) and General Practitioners (11.2{\%}). In 85.9{\%} of CWs, a monovalent formulation was used. Combined TeV were mainly reported in CW who had received last vaccination shot in Vaccination Services (96.2{\%}; p<0.001). Conclusions: TeV coverage rates in CWs are insufficient, and vaccination shots are frequently performed with inappropriate, monovalent formulates. As only professionals from Vaccination Services systematically employ combined vaccines and particularly Tdap, our results not only stress the opportunity for promoting TeV among CWs, but also the importance of improving reception of up to date official recommendations in Occupational Physicians, General Practitioner and professionals of Emergency Departments. (www.actabiomedica.it)..",
keywords = "Combined vaccines, Occupational health, Tetanus, Tetanus toxoid, Vaccination, Vaccine hesitancy",
author = "Matteo Ricc{\`o} and Luigi Vezzosi and Carlo Cella and Marco Pecoraro and Giacomo Novembre and Alessandro Moreo and Ognibeni, {Enrico Maria} and Gert Schellenberg and Graziano Maranelli",
year = "2019",
month = "5",
day = "23",
doi = "10.23750/abm.v90i2.6759",
language = "English",
volume = "90",
pages = "269--278",
journal = "Acta Biomedica de l'Ateneo Parmense",
issn = "0392-4203",
publisher = "L'Ateneo Parmense",
number = "2",

}

TY - JOUR

T1 - Tetanus vaccination status in construction workers

T2 - Results from an institutional surveillance campaign

AU - Riccò, Matteo

AU - Vezzosi, Luigi

AU - Cella, Carlo

AU - Pecoraro, Marco

AU - Novembre, Giacomo

AU - Moreo, Alessandro

AU - Ognibeni, Enrico Maria

AU - Schellenberg, Gert

AU - Maranelli, Graziano

PY - 2019/5/23

Y1 - 2019/5/23

N2 - Background: Since 1963 Italian law (Law 292/1963, Legislative Decree n.81/2008), defines Tetanus Vaccination (TeV) as mandatory for defined occupational categories, including Construction Workers (CWs). Materials and Methods: An institutional survey on of CWs was performed in the Autonomous Province of Trento (Oct. 2016-Apr. 2017). Vaccination booklets/certificate were retrieved recalling: TeV status (1), and TeV settings (2), i.e. basal schedule; year of last shot, healthcare providers who performed TeV, and TeV formulate(s). Results: Data about 205 CWs were collected (mean age 40.6±10.3 years; 78.0% <50 year-old, 71.7% born in Italy). Overall, 38.5% of CW had received last vaccination shot >10 years before the survey (mean: 8.8 ± 8.2 years). The majority of boosters had been administered by Vaccination Services of the Local Health Unit (47.3%), followed by Occupational Physicians (20.0%) and General Practitioners (11.2%). In 85.9% of CWs, a monovalent formulation was used. Combined TeV were mainly reported in CW who had received last vaccination shot in Vaccination Services (96.2%; p<0.001). Conclusions: TeV coverage rates in CWs are insufficient, and vaccination shots are frequently performed with inappropriate, monovalent formulates. As only professionals from Vaccination Services systematically employ combined vaccines and particularly Tdap, our results not only stress the opportunity for promoting TeV among CWs, but also the importance of improving reception of up to date official recommendations in Occupational Physicians, General Practitioner and professionals of Emergency Departments. (www.actabiomedica.it)..

AB - Background: Since 1963 Italian law (Law 292/1963, Legislative Decree n.81/2008), defines Tetanus Vaccination (TeV) as mandatory for defined occupational categories, including Construction Workers (CWs). Materials and Methods: An institutional survey on of CWs was performed in the Autonomous Province of Trento (Oct. 2016-Apr. 2017). Vaccination booklets/certificate were retrieved recalling: TeV status (1), and TeV settings (2), i.e. basal schedule; year of last shot, healthcare providers who performed TeV, and TeV formulate(s). Results: Data about 205 CWs were collected (mean age 40.6±10.3 years; 78.0% <50 year-old, 71.7% born in Italy). Overall, 38.5% of CW had received last vaccination shot >10 years before the survey (mean: 8.8 ± 8.2 years). The majority of boosters had been administered by Vaccination Services of the Local Health Unit (47.3%), followed by Occupational Physicians (20.0%) and General Practitioners (11.2%). In 85.9% of CWs, a monovalent formulation was used. Combined TeV were mainly reported in CW who had received last vaccination shot in Vaccination Services (96.2%; p<0.001). Conclusions: TeV coverage rates in CWs are insufficient, and vaccination shots are frequently performed with inappropriate, monovalent formulates. As only professionals from Vaccination Services systematically employ combined vaccines and particularly Tdap, our results not only stress the opportunity for promoting TeV among CWs, but also the importance of improving reception of up to date official recommendations in Occupational Physicians, General Practitioner and professionals of Emergency Departments. (www.actabiomedica.it)..

KW - Combined vaccines

KW - Occupational health

KW - Tetanus

KW - Tetanus toxoid

KW - Vaccination

KW - Vaccine hesitancy

UR - http://www.scopus.com/inward/record.url?scp=85066754696&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85066754696&partnerID=8YFLogxK

U2 - 10.23750/abm.v90i2.6759

DO - 10.23750/abm.v90i2.6759

M3 - Article

AN - SCOPUS:85066754696

VL - 90

SP - 269

EP - 278

JO - Acta Biomedica de l'Ateneo Parmense

JF - Acta Biomedica de l'Ateneo Parmense

SN - 0392-4203

IS - 2

ER -