Milan 2015: creating a safer, healthier and sustainable world

There are always many reasons why one should visit Milan. Some may come for its art, such as Leonardo da Vinci's Last Supper. Some may come for the opera at the world-famous La Scala. Others may come for the shopping, in via Montenapoleone, or to enjoy the beauty of the nearby Italian lakes and mountains.

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In 2015 there are even more reasons to come to Milan. It is the setting for EXPO 2015, a vast complex in which the countries of the world demonstrate their commitment to “Feeding the Planet, Energy for Life”. This provides an appropriate backdrop for two other major events concerned with the health and wellbeing of our societies, at national and European level. Two major conferences will be held in parallel at the Milan Conference Centre (MiCo). These are the 48th National Congress of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI) and the 8th European Public Health (EPH) Conference, which showcases the work of the 14,000 members of the much younger European Public Health Association.

All three of these events recognize the enormous challenges that face our societies, in Italy, Europe, and the world. Indeed, it would be impossible to ignore them. Every day images appear on television screens and in newspapers of the horrors of war, in Ukraine, North Africa, and the Middle East, or its consequences, with thousands already having drowned in the Mediterranean. There are also challenges nearer to home, as the imposition of austerity policies leaves a generation of young people without the opportunities that their parents and grandparents had to gain a step on the ladder to employment and security.

Yet these three events also offer hope for the future. At EXPO 2015 one can enter row after row of imaginatively designed national pavilions displaying ideas and innovations that can contribute to food security for a growing world population, such as the celebration of beauty and biodiversity in the Italian pavilion, or the opportunity, in the United Kingdom's pavilion, to imagine oneself as one of the bees, whose pollination is essential for a third of everything we eat.

The two public health conferences will bring together researchers, teachers, and practitioners, with the shared goal of giving Italy, and Europe, a better, healthier, and more secure future. Speakers will describe new ways of making the invisible visible. They will draw attention to the needs of vulnerable populations. They will explore ever more imaginative approaches to exploiting the wealth of data about how we live our lives. They will offer many lessons on what works to improve health and, as importantly, what does not. And they will discuss new ways to translate this evidence into policy and practice.

In these ways, both SitI and EUPHA will demonstrate their commitment to making our societies better places in which to live, creating a world in which threats to health are anticipated and confronted and where policies are informed by evidence. They will demonstrate their determination to strengthen public health capacity, both among the workforce of today and among future generations. But above all, they will provide an opportunity for shared learning, exploiting the remarkable natural laboratories provided by the 20 Italian regions and the 53 countries of the European region.

This supplement of Epidemiologia & Prevenzione contributes to this process. It showcases some of the best studies presented at the 48th National Congress of SItI, with 26 papers summarizing presentations in the main conference sessions (plenary and workshops), 9 reviews written by SItI working groups, and over 12 original papers selected from the best abstracts presented. Papers have been published in English, the international language of science, to place work of the highest quality by Italian researchers, working at all levels and in all parts of the country, on the European stage.

For centuries, scholars, writers, musicians, and scientists have come to Italy for inspiration. Copernicus, Goethe, Ibsen, Keats, Wagner – the list is almost endless and the legacy is apparent in the most unexpected places, such as the Padua children's ward in the English hospital named after William Harvey, who studied in that city and discovered the circulation of the blood. Now it is the turn of EuropÈs public health community to draw inspiration from all that this remarkable country has to offer.

Carlo Signorelli
President, Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)

Martin McKee
President, European Public Health Association (EUPHA)


Introduzione / Introduction

p. 5
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Milan 2015: creating a safer, healthier, and sustainable world
Milano 2015; creare un mondo più sicuro, più sano e più sostenibile
Carlo Signorelli, Martin McKee

Reviews / revisioni

p. 8
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Green areas and public health: improving wellbeing and physical activity in the urban context
Spazi verdi e salute pubblica: migliorare il benessere e l’attività fisica nei contesti urbani
Daniela D’Alessandro, Maddalena Buffoli, Lorenzo Capasso, Gaetano Maria Fara, Andrea Rebecchi, Stefano Capolongo, and the Hygiene on Built EnvironmentWorking Group on Healthy Buildings of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 14
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Incidence of infection-associated cancers in Italy and prevention strategies
Incidenza dei tumori di origine infettiva in Italia e linee di prevenzione
Silvio De Flora, Emanuele Crocetti, Paolo Bonanni, Antonio Ferro, Francesco Vitale, and the Vaccines and Cancer Prevention/ScreeningWorking Groups of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 21
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Molecular epidemiology tools in the management of healthcare-associated infections: towards the definition of recommendations
L’epidemiologia molecolare nella gestione delle infezioni correlate all’assistenza: verso la definizione di raccomandazioni condivise
Stefania Boccia, Cesira Pasquarella, Marco Colotto, Martina Barchitta, Annalisa Quattrocchi, Antonella Agodi, and the Public Health Genomics and GISIOWorking Groups of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 27
Appropriate perioperative antibiotic prophylaxis: challenges, strategies, and quality indicators
Appropriatezza della profilassi antibiotica perioperatoria: sfide, strategie e indicatori di qualità
Antonella Agodi, Martina Barchitta, Andrea Maugeri, Luisa Sodano, Cesira Pasquarella, and the GISIOWorking Group of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 33
Professional competencies in health promotion and public health: what is common and what is specific? Review of the European debate and perspectives for professional development
Competenze professionali in promozione della salute e in sanità pubblica: cosa è commune e cosa è specifico? Revisione del dibattito europeo e prospettive per lo sviluppo professionale
Alessandra Mereu, Alessandra Sotgiu, Alessandra Buja, Alessandra Casuccio, Rosaria Cecconi, Leila Fabiani, Emilia Guberti, Chiara Lorini, Liliana Minelli, Giancarlo Pocetta, Paolo Contu, and the Health PromotionWorking Group of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 39
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How to choose health technologies to be assessed by HTA? A review of criteria for priority setting
Come scegliere le tecnologie sanitarie da sottoporre a HTA? Una revisione dei criteri usati per il priority setting
Maria Lucia Specchia,Marcella Favale, FrancescoDiNardo, Giovanna Rotundi, Carlo Favaretti,Walter Ricciardi, Chiara deWaure, and the HTAWorking Group of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 45
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Genetic testing and economic evaluations: a systematic review of the literature
Test genetici e valutazioni economiche: una revisione sistematica della letteratura
Elvira D’Andrea, Carolina Marzuillo, Ferruccio Pelone, Corrado De Vito, Paolo Villari
p. 51
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HPV vaccination for boys? A systematic review of economic studies
Vaccinazione anti-HPV anche per i maschi? Una revisione sistematica degli studi farmaco-economici
Ersilia Sinisgalli, Irene Bellini, Laura Indiani, Antonino Sala, Angela Bechini, Paolo Bonanni, Sara Boccalini
p. 59
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Antimeningococcal and antipneumococcal vaccination determinants: a European systematic literature review
Analisi dei determinanti associati con la vaccinazione antimeningococco C e antipneumococco: risultati di una revisione sistematica di letteratura condotta in Europa
Valentina Malerba, Claudio Costantino, Giuseppe Napoli, Valentina Marchese, Alessandra Casuccio, Garden Tabacchi, Francesco Vitale, ESCULAPIO working group

Contributions / interventi

p. 66
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From surveillance to development of nutritional guidelines
Dalla sorveglianza allo sviluppo di raccomandazioni nutrizionali
Emilia Guberti, Elena Alonzo, Giulia Cairella, Vincenzo Pontieri, Francesco Talarico
p. 71
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The importance of indicators in monitoring water quality according to European directives
Importanza dell’utilizzo di indicatori per il monitoraggio della qualità dell’acqua secondo la normative europee
Margherita Ferrante, Chiara Copat, Cristina Mauceri, Alfina Grasso, Tiziana Schilirò, Giorgio Gilli
p. 76
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Migrant health: the Apulian model
Lo stato di salute degli immigrati: il modello pugliese
Cinzia Germinario, Maria Serena Gallone, Silvio Tafuri
p. 81
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Evidence-based approach for continuous improvement of occupational health
L’approccio evidence-based per il continuo miglioramento della salute in ambito lavorativo
Lamberto Manzoli, Giovanni Sotgiu, Nicola Magnavita, Paolo Durando, and the NationalWorking-Group on Occupational Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)

Original papers / articoli originali

p. 88
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Monitoring the web to support vaccine coverage: results of two years of the portal VaccinarSì
Presidiare il web per sostenere le coperture vaccinali: risultati di due anni di attività del portale vaccinarSì
Antonio Ferro, Anna Odone, Andrea Siddu, Massimiliano Colucci, Paola Anello, Michela Longone, Elena Marcon, Paolo Castiglia, Paolo Bonanni, Carlo Signorelli
p. 94
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Antibiotic consumption and resistance: results of the SPIN-UTI project of the GISIO-SItI
Consumo di antibiotici e resistenze: i risultati del progetto SPIN-UTI del GISIO-SItI
Antonella Agodi, Francesco Auxilia, Martina Barchitta, Silvio Brusaferro, Marcello Mario D’Errico,Maria Teresa Montagna, Cesira Pasquarella, Stefano Tardivo, Ida Mura, and the SPIN-UTI network and the GISIOWorking Group of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)
p. 99
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Management of women at high risk of hereditary breast cancer in the Veneto Regional Program for Prevention
La gestione delle donne ad alto rischio di tumore mammario ereditario nel Piano regionale della Regione Veneto
Annamaria Del Sole, Sandro Cinquetti, Chiara Fedato, Marco Montagna, Francesca Russo, Luca Gino Sbrogiò,Manuel Zorzi
p. 102
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Increased incidence of childhood leukemia in urban areas: a population-based case-control study
Il rischio di leucemia infantile è maggiore nella aree urbane: uno studio caso-controllo di popolazione
CarlottaMalagoli,Marcella Malavolti, Sofia Costanzini, Sara Fabbi, Sergio Teggi, Giovanni Palazzi, Elisa Arcolin,Marco Vinceti
p. 108
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Malnutrition decreases the odds of attaining motor milestones in HIV exposed children: results from a paediatric DREAM cohorts
La malnutrizione infantile ritarda lo sviluppo motorio nei bambini esposti a HIV: risultati dalla coorte pediatrica del programma DREAM
Ersilia Buonomo, Paola Scarcella, Dyna Tembo,Marina Giuliano, StefaniaMoramarco, Leonardo Palombi, Karin Nielsen-Saines, Sandro Mancinelli, Maria Cristina Marazzi
p. 113
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Reducing external drainage-related cerebrospinal fluid infections through implementation of a multidisciplinary protocol: experience in a paediatric hospital
Ridurre le infezioni correlate alle derivazioni liquorali esterne con l’applicazione di un protocollo condiviso: l’esperienza di in un ospedale pediatrico
Veronica Ciorba, Gaetano Ciliento, Marta Luisa Ciofi degli Atti
p. 119
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Assessment of the effectiveness of the universal varicella vaccination program in Toscana (Italy), in the period 2010-2013
Valutazione dell’efficacia del programma di vaccinazione universale antivaricella in Toscana (Italia), nel periodo 2010-2013
Luca Pieri, Barbara Rita Porchia, Francesca Pieralli, Giuditta Niccolai, Annalisa Roselli, Sara Boccalini, Paolo Bonanni, Angela Bechini and theWorking Group of Tuscan LHU’s
p. 124
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The first italian validation of the most widespread health literacy assessment tool: the Newest Vital Sign
La prima validazione in italia dello strumento per valutare la health literacy più usato al mondo: il Newest Vital Sign
Leonardo Capecchi, Andrea Guazzini, Chiara Lorini, Francesca Santomauro, Guglielmo Bonaccorsi
p. 129
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Molecular typing of XDR Acinetobacter baumannii strains in an Italian ICU
Caratterizzazione molecolare di Acinetobacter baumannii isolati da pazienti ricoverati in un reparto di terapia intensiva
Andrea Piana, Alessandra Palmieri, Silvia Deidda, Erica Mura, Bianca Maria Are, Salvatore Rubino, Silvana Sanna, Enrico Calaresu, Clementina Cocuzza, Ida Mura
p. 134
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Invasive pneumococcal disease in children and adults in seven Italian regions after the introduction of the conjugate vaccine, 2008-2014
Infezioni invasive da Streptococcus pneumoniae nel bambino e nell’adulto in 7 Regioni italiane dopo l’introduzione del vaccino glicoconiugato, 2008-2014
Fortunato D’Ancona, Maria Grazia Caporali, Martina Del Manso, Cristina Giambi, Romina Camilli, Fabio D’Ambrosio, Maria Del Grosso, Stefania Iannazzo, Elvira Rizzuto, Annalisa Pantosti
p. 139
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Influenza and immunization: a quantitative study of media coverage in the season of the «Fluad case»
Informazione: risultati di un’indagine di monitoraggio nella stagione del «caso Fluad»
Anna Odone, Valentina Chiesa, Veronica Ciorba, Paola Cella, Cesira Pasquarella, Carlo Signorelli
p. 146
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Vaccine coverage in Italy and assessment of the 2012-2014 National Immunization Prevention Plan
Coperture vaccinali in Italia e valutazione dell’attuazione del PNPV 2012-2014
Paolo Bonanni, Antonio Ferro, Raniero Guerra, Stefania Iannazzo, Anna Odone, Maria Grazia Pompa, Elvira Rizzuto, Carlo Signorelli

Supplementary material / materiale aggiuntivo