Surveillance of adverse events following immunization with meningococcal group C conjugate vaccine: Tuscany, 2005-2012

INTRODUCTION

Post-licensure vaccine safety studies are essential to identify uncommon events that may be difficult to assess during pre-licensure studies. The aim of our study was to evaluate the safety of serogroup C meningococcal conjugate (MCC) vaccine in Tuscany from 2005 to 2012.

METHODS

All adverse events (AEs) to MCC vaccine notified from 2005 to 2012 were obtained from the regional health authority.

RESULTS

Following 451,570 doses administered, 110 suspected AEs were notified (mean annual reporting rate: 2.8/10,000 doses). The most frequently AE reported was fever (60%), followed by swelling at the injection site (11%) and febrile seizures (10%). Overall, 77.3% of cases were not severe, while 21.8% required hospitalization. Almost four months after the receipt of the vaccine, a one-year-old infant was diagnosed with a pervasive developmental disorder with disturbance of speech, but any link with the vaccinations received was refuted. Most AEs (80.9%) occurred after co-administration with other vaccines, especially with MMR or MMRV vaccines (42.7%) or the DTPa-HBV-IPV/Hib vaccine (33.7%).

DISCUSSION

Our study confirmed the high level of safety of MCC vaccine in Tuscany: AEs proved rare and all cases had only temporary and self-resolving consequences. As usually only the most severe suspected AEs are reported, the true proportion of AEs requiring hospitalization was most probably overestimated, and it is plausible that most of these cases were in fact only temporally related.

Alien insects in Italy: comparing patterns from the regional to European level

The introduction of species outside their native range contributes to the loss of biodiversity, alters the structure and functioning of ecosystems, and damages economy and human health. Insects are one of the taxa with the highest frequency of introduction due to their high diversity, biological properties, and close association with human activities. Here, the allodiversity of Italian entomofauna was analyzed, with a focus on Tuscany (Central Italy). A list of alien insects in Tuscany is included. The status of the alien entomofauna in Italy was updated. The number of alien insects amounts to 122 in Tuscany and 923 in Italy. An introduction rate of 98 species per decade was estimated in Italy. In Tuscany, alien insects belong to 10 orders, mostly Coleoptera (38%), Hemiptera (Sternorrhyncha and Auchenorrhyncha) (23%), and Hymenoptera (13%). They have been most often introduced through vegetable items (ornamental plants or crops). Most species come from the Nearctic region (26%) and are both phytophagous (63%) and amphigonic (80%). Differences and similarities in introduction patterns and in insect abundances across orders among regional, national, and European scales, also considering worldwide abundances, are discussed. Finally, a paucity of information regarding the negative impacts of many species, except for economic pests, phytosanitary threats, and vectors of disease, is underlined. A deeper understanding of the alien insects' ecological impact might help designate policies aimed at preventing further introductions and control the invasive populations of already established species.