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

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

Authors

  • Matteo Riccò Azienda USL di Reggio Emilia V.le Amendola n.2 - 42122 RE Servizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL) Dip. di Prevenzione http://orcid.org/0000-0002-6525-2159
  • Luigi Vezzosi University of Campania "Luigi Vanvitelli"
  • Carlo Cella Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)
  • Marco Pecoraro Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)
  • Giacomo Novembre Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)
  • Alessandro Moreo Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)
  • Enrico Maria Ognibeni Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)
  • Gert Schallenberg Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)
  • Graziano Maranelli Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento Department of Prevention, Operative Unit for Health and Safety in the Workplaces, Trento (TN)

Keywords:

Tetanus, Combined vaccines, Tetanus toxoid, Occupational health, Vaccination, Vaccine hesitancy.

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.

Author Biography

Matteo Riccò, Azienda USL di Reggio Emilia V.le Amendola n.2 - 42122 RE Servizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL) Dip. di Prevenzione

Dr. Matteo RICCO', Local Health Unit of Reggio Emilia

Via Amendola n.2, 42122 Reggio Emilia (RE).

Department of Public Health, Service for Health and Safety in the Workplace, Reggio Emilia (RE)

Tel. 0039.3392994343 – 0039.522.837587;

Email: [email protected]  / [email protected]

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Published

23-05-2019

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Riccò M, Vezzosi L, Cella C, Pecoraro M, Novembre G, Moreo A, et al. Tetanus vaccination status in construction workers: results from an institutional surveillance campaign. Acta Biomed [Internet]. 2019 May 23 [cited 2024 Jul. 21];90(2):269-78. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/6759