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HEALTH

What you need to know about getting a flu vaccination in Italy this year

Always an important part of the medical calendar, the seasonal flu vaccine campaign has taken on a new importance this year. Here's what you need to know about getting a flu jab in Italy.

What you need to know about getting a flu vaccination in Italy this year
Photo: AFP
Italy has begun its flu vaccination campaign early this year, as part of efforts to lower the strain on health services during the cornavirus emergency.
 
Every year, flu outbreaks affect between four and 15 percent of the population in Italy, placing a heavy burden on the healthcare system.
 
 
Health authorities are advising people to get vaccinated early this year before the flu begins to circulate.
 
As getting a vaccine is more important than ever in 2020, here's what you need to know.
 
Who needs to have a flu shot?
 
According to the Italian Ministry of Health, the at-risk categories eligible for a free flu shot are:
  • Over 65s (some regions extend the recommendation to over 60s)
  • Pregnant women (or those who are postpartum at the start of the epidemic season.)
  • People with long-term health conditions including asthma, diabetes, 
  • Anyone aged between 6 months to 65 years of age suffering from chronic diseases affecting the respiratory, cardio-circulatory, intestinal or neuromuscular systems, diabetes and severe obesity, chronic renal or adrenal insufficiency, hematopoietic organ diseases, tumors, immunosuppression drug induced or diseases such as HIV, hepatitis.
  • Residents of long-term care facilities.
  • Relatives and contacts (adults and children) of those at high risk of complications (regardless of whether the person at risk has been vaccinated or not).
  • Doctors and health personnel.
  • Police and firefighers
  • Veterinarians
  • Blood donors

Anyone who does not fall into the above categories can buy a vaccine at a pharmacy, costing about €25, and have it inoculated by their doctor.

According to the Ministry of Health, “the flu vaccine is advised for all those who wish to avoid the flu and who do not have specific contraindications, after consulting their doctor.”

What about children?

While free vaccines are available for children in the US, UK, Canada, and several European countries, this is not the case nationwide in Italy.

At the moment, only a few regions in Italy offer free vaccination to children and adolescents who do not have long-term health conditions. Check with your doctor or local ASL (Azienda Sanitaria Locale, or local health office) on the rules where you are.

Where and when can I get a vaccine?
 
This depends on which Italian region you live in, as procedures, availability and timing varies by local health authority.
 
If you are registered with your local ASL (health authority), contact their Prevention Department or your GP or pediatrician for more information.
 
 
Many foreign nationals living in Italy are not eligible for Italian state healthcare for a variety of reasons and need private cover.
 
If this is your situation, speak to a private doctor, who may be able to give you a prescription. Alternatively you may buy the vaccine at a pharmacy, depending on availability.
 

 
The flu vaccine campaign begins on different dates in different regions. In many areas it has already started. This is the date on which the region will release all available doses of the vaccine to healthcare providers, with a certain percentage reserved for sale at pharmacies.
 
Here's when the campaign starts in each region:
 
Abruzzo – 1 October
Basilicata – October 15th
Calabria – October 1st
Campania – October 1st
Emilia-Romagna – 12 October
Friuli Venezia Giulia -1 October
Lazio – 1 October
Liguria – 5 October
Lombardy – 19 October
Marche – October 15
Molise – October 15th
Piedmont – October 26th
Puglia – 1 October for those at risk, 1 November for the rest of the population
Sardinia – October 1st
Sicily – 5 October
Tuscany – 5 October
Trentino Alto Adige – 12 October
Umbria – 1st October
Valle D'Aosta – 12 October
Veneto – 12 October
 
Some regions are organising vaccination days at schools, while others including Lazio are allowing more pharmacies to give the vaccines.

 
However, in many areas the vaccine may not be available to some patients until several weeks after the start date, as many local health authorities say they are prioritising vaccines for at-risk patients during the first two to four weeks of the campaign.
 
In some areas, this is simply due to supply problems. As one pharmacist in Rome told the Repubblica newspeper: “Even if you want to buy the vaccine at the pharmacy, you will not find it. All the supply has been used for the at risk categories”.
 
Health authorities have urged people not to rush to get vaccinated, stressing that the vaccine will also be availble later in the year, with campaigns in most regions running until the end of January 2021.
 
Flu season in Italy is currently expected to peak in December.

 
For more information, see the Ministry of Health's flu information website or contact your local ASL.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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