Drive-through vaccinations prove successful in immunizing mountain communities against tick-borne encephalitis during the Covid-19 pandemic


TBE vaccine


In March 2020 the covid-19 pandemic led to the abruption of most of the routine outpatient activities in the Italian hospitals and Prevention Departments, including those vaccinations which were not urgent and/or scheduled for the age 0-6. As soon as a milder phase of the pandemic made it possible, since June 2020, in the mountain territory of the province of Belluno (Veneto, North-East of Italy), in the Alps, 12.152 doses of vaccine against tick-borne encephalitis have been administered by means of the innovative “drive-through” modality. No significant adverse events occurred and the demand by the population has kept growing since the previous year, proving the “drive-through” to be safe, efficient and successful.


1. Comunicato Regione Veneto n°391, 13/03/2020.
2. World Health Organization, Guidance on routine immunization services during COVID-19 pandemic in the WHO European Region, 20 th March 2020.
3. World Health Organization, Guiding principles for immunization activities during the covid-19 pandemic –Interim guidance, 26 th March 2020.
4. Regione Veneto, COVID-19 Fase 2 - Linee di Indirizzo Regionali per le attività dei Dipartimenti di Prevenzione, All.1 al prot. 186806 dell’11/05/2020.
5. Gupta A, Evans GW, Heragu SS: Simulation and optimization modeling for drive-through mass vaccination - A generalized approach. Simul. Model. Pract. Theory 37 (2013): 99-106.
6. Carrico RM, McKinney WP, Watson NA, Wiemken T, Myers J: Drive-thru influenza immunization: fifteen years of experience. Jour Em Med Vol 10, No 3 (2012).
7. Kwon KT, Ko JH, Shin H, Sung M, Kim JY. Drive-Through Screening Center for COVID-19: a Safe and Efficient Screening System against Massive Community Outbreak. J Korean Med Sci. 2020;35(11):e123. Published2020 Mar 23.
8. Kim E. Drawing on Israel's Experience Organizing Volunteers to Operationalize Drive-Through Coronavirus Testing Centers [published online ahead of print, 2020 Apr 16]. Disaster Med Public Health Prep. 2020;1-3.
9. Hill K, Campbell R, Mutch C, Koch O, Mackintosh C. Drive-through testing in COVID-19: experience from NHS Lothian. Clin Med (Lond). 2020;20(3):290-291.
10. Reusken CBEM, Ieven M, Sigfrid L, Eckerle I, Koopmans M. Laboratory preparedness and response with a focus on arboviruses in Europe. Clin Microbiol Infect. 2018;24(3):221-8.
11. All. A DGR nr. 612, 14-05-2019: “Vaccinazione contro il virus Tick Borne Encephalitis (TBE) nella Regione del Veneto”.
12. Report informatizzato_20200906_ore17.pdf, Azienda Zero [last accessed 7th Sept 2020].
13. Wallis L: Want fries with that? Am J Nurs. 2012 Oct;112(10):13.
14. Roehr B. Drive-in vaccination allows 16 seconds per shot. BMJ. 2009 Aug 25;339:b3462.
15. Bryson K, Owensby K: Running Over the Flu Bug in a “Drive Thru” Vaccination Clinic, American Journal of Infection Control, Vol 32, 3, 2004, pag E126-E127.
16. Banks LL, Vanderjagt A, Crandall C. The view through the window: characterizing participants in a drive-through influenza vaccination clinic. Disaster Med Public Health Prep. 2014 Jun;8(3):243-246.
17. Banks LL, Crandall C, Esquibel L: Throughput times for adults and children during two drive-through influenza vaccination clinics. Disaster Med Public Health Prep. 2013 Apr;7(2):175-81.
18. Burger TL, Fry DA. Drive-through flu clinic meets high expectations. Pa Nurse. 2007 Dec;62(4):25-6.
19. “Drive-in Immunisation Clinics Advice for providers during COVID-19 response - Guidance for GP practices considering vehicle-based influenza vaccination clinics”, available at: [last accessed 4th May 2020].
20. “School Age Immunisation Service providing drive-through clinics to ensure young people continue to receive vaccinations during COVID-19”, available at: [last accessed 14th Sept 2020].