Vaccination policy

In Italy there are 4 mandatory vaccines at present:

  • Tetanus (starting from 2-3 months, 3 doses before the 12th months, plus recalls)
  • Poliomyelitis (starting from 2-3 months, 3 doses before the 12th months, plus recalls)
  • Hep B (starting from 2-3 months, 3 doses before the 12th months, plus recalls)
  • Diphtheria (starting from 2-3 months, 3 doses before the 12th months, plus recalls)

The first three doses alone are mandatory, at 2-3, 4-6 and 11 months (infant’s age). Some local health authorities consider mandatory the polio booster at 5/6 years of age, yet the law is not clear; we suggest to consider it mandatory and recommend to take every necessary step to defend your belief. Vaccines are requested also in case of sporting competitions and rugby teams usually require a tetanus shot. For some working categories they require a tetanus shot and/or the HepB.
Exemptions are accepted for medical reasons only, yet it just becomes an option when health authorities recognize an adverse event from a previous vaccination. It is otherwise possible an active objection.

A presumed “drop in vaccination coverage” is a myth that Italian public health authorities wave to both terrify the general population and justify a new PNPV, which has largely been opposed by those health professionals who still retain honesty and scientific dignity. 2 Italian regions (Emilia Romagna and Veneto plus the city of Trieste of Friuli Venezia Giulia) have now laws to bar babies from attending nurseries and kindergatens (both public and private) if they haven’t received all their shots, which often becomes a number of vaccines far beyond the 4 mandatory in Italy. This new trend in the Italian vaccination policy is going to raise the number of paediatric mandatory vaccines to all those included in the 2017/’19 PNPV, i.e. 15 vaccines per 1 to 6 doses each.


EFVV organisations in Italy:



Other pro-choice organisations in Italy:





Unvaccinated children in most regions of Italy are at present allowed at any pre-school and school level, except in the Emilia Romagna  and Veneto regions and the city of Trieste, Friuli Venezia Giulia. The DPR 355/99 states that schools must accept every child regardless her/his vaccine status. There have been a few kindergartens rejecting unvaccinated kids, yet it was possible to step in and make sure that law was respected. Several regions regulated and therefore still recognize objection to vaccination; the procedure is similar anywhere. Pediatricians are being put under a strong pressure because the public health authorities want them to reach high coverage objectives. Some of them refuse to have unvaccinated children as patients.


Adverse event following immunisation public reporting system


It is really hard to have a doctor report an adverse reaction and even harder to have it recognized by the authorities (despite the law 210/1992 compensation program). Since the decriminalization of the doctor’s refusal to report an adverse reaction, the number of reports have – quite obviously- plummeted and the vast majority of them (GP and also hospital doctors) refuse to take action. Most of the times parents fill the online forms and many still do not know about this option. For more information please refer to Comilva.