[Evidence-based prevention].
The purpose of this contribution is to indicate the situation of the initiatives ongoing in the nation to abolish preventative action lacking evident and solid foundations of efficacy from our health legislation. The status of the proposal for the bill, "Measures for the simplification of administrative duties related to the protection of health and other health-related actions", is illustrated, as well as the ongoing work of the "EBP (Evidence Based Prevention) subcommittee" instituted within the permanent scientific committee of the CCM. The national situation regarding two of the first interventions of rationalization activated is presented: the abolition of health controls for food workers and health controls on minors with low-risk jobs. The first data are presented of the latest monitoring of the administrative and health effects in the Veneto Region following the abolition of LISA, which occurred in 2004. A troubling evaluation is expressed on the state of the attempt to renew prevention in the nation especially regarding the sectors of veterinary medicine and job-related medicine. Further effort on the part of scientific societies is hoped for and the necessity of a strong initiative by the coordinating inter-regional prevention round-table is demonstrated. The round-table should take the initiative to discuss with the CCM a work program that involves evaluation interventions in all areas of prevention, including those relative to work-places and veterinary services. In this way, an attempt to reconstruct, from the bottom-up, a unitary vision of intervention will be possible, one that is now strongly fragmented at the level of the central government.
Valsecchi
Massimo
M
Direzione Dipartimento di Prevenzione, Az. ULSS 20 Verona. massimo.valsecchi@ulss20.it
D002675:Child, Preschool; D019317:Evidence-Based Medicine / Q000592:standards*; D006801:Humans; D007114:Immunization / Q000941:ethics / Q000331:legislation & jurisprudence*; D007223:Infant; D007558:Italy; D011314:Preventive Health Services / Q000331:legislation & jurisprudence*