Offer to refugees arriving from Ukraine at war with Russia not only anti-Covid vaccination, but also routine prophylaxis because there is a risk of “epidemic outbreaks of vaccine-preventable diseases in reception facilities”. It is one of the recommendations contained in the circular with which the Ministry of Health provides the ASL with the “first indications” in relation “to the ongoing crisis in Ukraine and in anticipation of the consequent migratory phenomena towards our country”.
With regard to routine vaccinations, the Directorates General for Health Prevention and Health Planning of the dicastery “report significant problems due to low vaccination coverage (https://immunizationdata.who.int/pages/profiles/ukr.html) and the recent occurrence of outbreaks, such as the measles outbreak in 2019 and the polio outbreak that started in 2021 and is still ongoing in the country. This situation has its roots in years of organizational and vaccine procurement difficulties, as well as in a long history of vaccination hesitation in the country, widely spread both in the general population and among health professionals. In addition to representing an obstacle to adhering to the vaccination offer during the reception phase – therefore warns the ministry – this may further increase the risk of vaccine-preventable disease outbreaks developing in migrant reception facilitiesalready favored by the precarious hygienic-sanitary conditions associated with the crisis and the migratory phenomenon itself “.
For routine vaccinations, remember the Prevention and Planning DGs, “the Ukrainian vaccination calendar provides for the following vaccinations: hepatitis B; Tbc; diphtheria, tetanus, pertussis; polio; Haemophilus influenzae B; measles, mumps, rubella”. The ministry then dictates recommendations for minors up to the age of 18. “Subject never vaccinated, with insufficient documentation and uncertain vaccination status: it is recommended to offer the vaccinations provided, in relation to age, according to the calendar of the National Vaccination Prevention Plan; subject regularly vaccinated in the country of origin and with an adequately vaccinated status documented: it is recommended to offer the vaccinations provided, in relation to age, according to the calendar of the National Vaccine Prevention Plan, for the possible completion of the primary vaccination cycle or subsequent boosters “.
As for the over 18“for adult subjects not vaccinated or with uncertain vaccination status it is recommended to offer the following vaccinations: diphtheria, tetanus, pertussis; polio; measles, mumps, rubella (except pregnant women); chicken pox (evaluate); hepatitis B in case negative screening (evaluate) “.
INDICATIONS TO ASL, THE CIRCULAR
The circular from the Ministry of Health provides the ASL with the “first indications” in relation to “the ongoing crisis in Ukraine and in anticipation of the consequent migratory phenomena towards our country”. It is recommended to “alert the Local Health Authorities for the purpose of identifying and preparing the resources necessary for the execution of diagnostic tests – antigenic and molecular gold / nasopharyngeal swabs – for Sars-CoV-2 infection and for the administration of anti-Covid vaccines -19 and other routine vaccinations for this population at risk. The Local Health Authorities must also ensure the necessary surveillance, prevention and vaccination prophylaxis activities also in relation to other infectious diseases. Particular attention is drawn to the early identification of people with particular needs and specific vulnerabilities, we think, for example, of unaccompanied foreign minors, pregnant women, single-parent families “. For citizens who come from Ukraine, regardless of citizenship, without digital Passenger Locator Form (PLF, in digital or paper form) or green Covid-19 certification pursuant to the Ordinance of the Minister of Health of 22.02.22, the Territorially competent local health authorities will carry out the diagnostic tests within 48 hours of entry, if not done at the time of entry into the national borders. All those who will be identified as cases or case contacts (for example at screening in reception points) will be managed according to current legislation by adopting the most suitable prophylaxis and tracing measures “.
The vaccination coverage for covid-19 in Ukraine “is around 35% of the population, representing one of the lowest in Europe. The vaccines authorized in Ukraine correspond, for the most part, to those authorized by the EMA or equivalent ( Comirnaty, Covid-19 Vaccine Janssen, Covishield, Spikevax, Vaxzevria), to which the Coronavac (Sinovac) vaccine is added Recommendations As part of health care, it is recommended to offer the anti Sars-CoV2 / Covid-19 vaccination , in accordance with the indications of the National Anti Sars-CoV-2 vaccination plan, to all subjects from 5 years of age who declare that they are not vaccinated or do not have documentation certifying the vaccination, including the booster dose (booster) for individuals from 12 years of age “.
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