The Preventive Health Professions in Italy: The Efficient Use of Resources, Skills and Best Practice during the Pandemic.

Health visitors (HVs) and environmental health officers (EHOs) are the healthcare workers (HCWs) who, in the Italian National Health Service, mainly operate in the prevention departments of local health authorities, guaranteeing the territorial activities specifically declared with the respective professional profiles. During the SARS-CoV-2 pandemic, it was necessary to reallocate all HCWs supporting Hygiene and Public Health Services involved on the front lines of the emergency, in order to perform preventive activities and to take immediate action to fight the spread of the virus. By means of an IT survey consisting of three sections, this study investigated how 960 HVs and EHOs dealt with this reallocation, with the shifting in service assignment, and with the perceived level of fatigue and pressure, through the application of skills acquired from university training. The synergy among the preventive health professions, the ability to work in a multi-professional team, and the complementary training of HCWs represent the main strengths for overcoming future public health challenges, aimed at protecting human health.

The invasive mosquito Aedes japonicus japonicus is spreading in northeastern Italy.

BACKGROUND: The invasive mosquito species, Aedes japonicus japonicus, was detected in northeastern Italy for the first time in 2015, at the border with Austria. After this finding, a more intensive monitoring was carried out to assess its distribution and to collect biological data. Herein, we report the results of four years (2015-2018) of activity. METHODS: The presence of Ae. j. japonicus was checked in all possible breeding sites through collections of larvae. The monitoring started from the site of the first detection at the Austrian border and then was extended in all directions. The mosquitoes were identified morphologically and molecularly. RESULTS: Aedes j. japonicus was found in 58 out of 73 municipalities monitored (79.5%). In total (2015-2018), 238 sampling sites were monitored and 90 were positive for presence of Ae. j. japonicus larvae (37.8%). The mosquito was collected mainly in artificial containers located in small villages and in rural areas. Cohabitation with other mosquito species was observed in 55.6% of the samplings. CONCLUSIONS: Aedes j. japonicus is well established in Italy and in only four years has colonised two Italian Regions, displaying rapid spreading throughout hilly and mountainous areas. Colonization towards the south seems limited by climatic conditions and the occurrence of a large population of the larval competitor, Ae. albopictus. The further spread of Ae. j. japonicus has the potential to pose new threats of zoonotic agents (i.e. Dirofilaria spp. and West Nile virus) within areas at altitudes previously considered at negligible risk in Italy.