Keywords
children
infectious diseases
refugee
vaccine hesitancy
vaccine awareness campaign
Abstract
Abstract
Background: Measles, a highly contagious and dangerous disease that can cause disability or even death, remains endemic in Ukraine. This is a serious public health problem that absolutely needs to be monitored.
Indeed, in the years 2017-2019, Ukraine was hit by a major measles epidemic, which caused serious problems for the population.
The numerous efforts to contain the spread of measles in the country are now waning in the face of a devastating war, which has already lasted for over a year, and the Covid-19 pandemic, which has further complicated the general situation.
Method: In this paper, the authors highlight a very serious public health problem and invoke the immediate implementation of an effective vaccination policy.
Discussion: The percentages of measles vaccination coverage in Ukraine have decreased drastically since the beginning of the conflict (which began on February 24, 2022), and this is a source of concern regarding the possibility of a new major measles epidemic. Indeed, a measles epidemic at this time would have frightening consequences, given the conditions in which the Ukrainian population is now living. The United Nations estimates that at least 6 million people have been displaced within Ukraine as a result of the conflict, and this internal mass exodus has significantly affected vaccination coverage and adherence to vaccination schedules, despite the efforts of the Ukrainian health authorities.
Conclusion. The ministry of health has prioritized vaccination programs with the help of the World Health Organization (WHO) and UNICEF, which are ensuring the free supply and delivery of vaccines through the deployment of mobile vaccination teams, even in areas where health facilities are not accessible. The main objective is to vaccinate as many people as possible in order to avoid a new epidemic, which could spread to the whole of Ukraine and also to other countries.
References
Martini M, Orsini D. Armed conflict in the world threatens the eradication of Poliomyelitis: risks of humanitarian crises. Pathog Glob Health. 2022 Jul;116(5):267-268. doi: 10.1080/20477724.2022.2081785.
Maggioni A, Gonzales-Zamora JA, Maggioni A, Peek L, McLaughlin SA, von Both U, Emonts M, Espinel Z, Shultz JM. Cascading Risks for Preventable Infectious Diseases in Children and Adolescents during the 2022 Invasion of Ukraine. Int J Environ Res Public Health. 2022 Jun 8;19(12):7005. doi: 10.3390/ijerph19127005.
UNICEF. Settimana mondiale delle Vaccinazioni, in Ucraina vaccini di base disponibili in oltre 30 punti Spilno dell'UNICEF. 28 April 2023. Available at: https://www.unicef.it/media/settimana-mondiale-delle-vaccinazioni-in-ucraina-vaccini-disponibili-in-30-spilno-unicef/ (Accessed on: 11/06/2023).
Amendola A, Bianchi S, Frati ER, Ciceri G, Faccini M, Senatore S, Colzani D, Lamberti A, Baggieri M, Cereda D, Gramegna M, Nicoletti L, Magurano F, Tanzi E. Ongoing large measles outbreak with nosocomial transmission in Milan, northern Italy, March-August 2017. Euro Surveill. 2017 Aug 17;22(33):30596. doi: 10.2807/1560-7917.ES.2017.22.33.30596.
Orsi A, Alicino C, Patria AG, Parodi V, Carloni R, Turello V, Comaschi M, Moscatelli P, Orengo G, Martini M, De Florentiis D. Epidemiological and molecular approaches for management of a measles outbreak in Liguria, Italy. J Prev Med Hyg. 2010 Jun;51(2):67-72. PMID: 21155408.
European Centre for Disease Prevention and Control. Communicable Disease Threats Report Week 10, 5–11 March 2023. Available at: https://www.ecdc.europa.eu/sites/default/files/documents/Communicable-Disease-Threats-Report-10-Mar-2023.pdf (Accessed on: 12/06/2023).
Bifulco M, Di Zazzo E, Pisanti S, Martini M, Orsini D. The nineteenth-century experience of the kingdom of the two Sicilies on mandatory vaccination: An Italian phenomenon? Vaccine. 2022 May 31;40(25):3452-3454. doi: 10.1016/j.vaccine.2022.04.052.
Martini M, Orsini D. Achille Sclavo (1861-1930) and His Innovative Contributions to Italian Preventive Medicine and Healthcare Policy. Adv Exp Med Biol. 2022;1369:107-116. doi: 10.1007/5584_2021_673. Erratum in: Adv Exp Med Biol. 2022;1369:131-133.
World Health Organization. Measles. 2023. Available at: https://www.who.int/health-topics/measles#tab=tab_1 (Accessed on: 11/06/2023).
World Health Organization. Measles - number of reported cases. 2022. Available at:https://www.who.int/data/gho/data/indicators/indicator-details/GHO/measles---number-of-reported-cases (Accessed on: 11/06/2023).
R Rodyna, Measles situation in Ukraine during the period 2017-2019, European Journal of Public Health, Volume 29, Issue Supplement_4, November 2019, ckz186.496, https://doi.org/10.1093/eurpub/ckz186.496.
Wadman M. Measles epidemic in Ukraine drove troubling European year. Science. 2019 Feb 15;363(6428):677-678. doi: 10.1126/science.363.6428.677.
Holt E. Experts warn over potential for measles in Ukraine. Lancet. 2023 Mar 4;401(10378):719. doi: 10.1016/S0140-6736(23)00436-1.
Holt E. Experts warn over potential for measles in Ukraine. Lancet. 2023 Mar 4;401(10378):719. doi: 10.1016/S0140-6736(23)00436-1.
Orsini D, Bianucci R, Galassi FM, Lippi D, Martini M. Vaccine hesitancy, misinformation in the era of Covid-19: Lessons from the past. Ethics Med Public Health. 2022 Oct;24:100812. doi: 10.1016/j.jemep.2022.100812.
Budigan Ni H, de Broucker G, Patenaude BN, Dudley MZ, Hampton LM, Salmon DA. Economic impact of vaccine safety incident in Ukraine: The economic case for safety system investment. Vaccine. 2023 Jan 4;41(1):219-225. doi: 10.1016/j.vaccine.2022.11.004.
Vojtek I, Larson H, Plotkin S, Van Damme P. Evolving measles status and immunization policy development in six European countries. Hum Vaccin Immunother. 2022 Dec 31;18(1):2031776. doi: 10.1080/21645515.2022.2031776.
Pandey A, Galvani AP. Exacerbation of measles mortality by vaccine hesitancy worldwide. Lancet Glob Health. 2023 Apr;11(4):e478-e479. doi: 10.1016/S2214-109X(23)00063-3.
Leone Roberti Maggiore U, Scala C, Toletone A, Debarbieri N, Perria M, D'Amico B, Montecucco A, Martini M, Dini G, Durando P. Susceptibility to vaccine-preventable diseases and vaccination adherence among healthcare workers in Italy: A cross-sectional survey at a regional acute-care university hospital and a systematic review. Hum Vaccin Immunother. 2017 Feb;13(2):470-476. doi: 10.1080/21645515.2017.1264746.
Holt E. Experts warn over potential for measles in Ukraine. Lancet. 2023 Mar 4;401(10378):719. doi: 10.1016/S0140-6736(23)00436-1.
World Health Organization. Immediate and targeted catch-up vaccination needed to avert measles resurgence. 10 February 2023. Available at: https://www.who.int/europe/news/item/10-02-2023-immediate-and-targeted-catch-up-vaccination-needed-to-avert-measles-resurgence (Accessed on: 11/06/2023).
Orsi A, Butera F, Piazza MF, Schenone S, Canepa P, Caligiuri P, Arcuri C, Bruzzone B, Zoli D, Mela M, Sticchi L, Ansaldi F, Icardi G. Analysis of a 3-months measles outbreak in western Liguria, Italy: Are hospital safe and healthcare workers reliable? J Infect Public Health. 2020 Apr;13(4):619-624. doi: 10.1016/j.jiph.2019.08.016.