{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:31:30Z","timestamp":1772638290430,"version":"3.50.1"},"reference-count":31,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Herpes Zoster (shingles) is an infection that occurs when varicella-zoster virus reactivates from the latent state. Incidence and severity of Herpes Zoster disease increase with age. Antiviral drugs are the elective treatment; however, prevention of disease reactivation through effective and safe vaccines is available in Italy out-of-pocket from age 65 onwards. The Romagna Local Health Authority (northern Italy) administered catch-up vaccinations in March\u2013May 2022 for immunizations not performed during the COVID-19 pandemic. In this study, adherence rates to the catch-up campaign and recall activities adopted in two centers were investigated. The uptakes for only the catch-up vaccinations were 11.4% and 12.4%. Having suffered from Herpes Zoster or having family members who suffered from it would not seem to be drivers of increased uptake. Although sending text-messages to all involved patients was the main motivation for vaccine uptake (85.7\u201395.1%), word of mouth and web\/news advertising also contributed to adoption in Center No. 2. In both centers, the need for greater synergy between public health departments and general practitioners to engage their patients emerged, as did the need for additional recall measures. Studying the main drivers of vaccine hesitancy, especially at the local level, can help in targeting campaigns and catch-up activities in order to achieve widespread acceptance.<\/jats:p>","DOI":"10.3390\/vaccines10101770","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T11:53:55Z","timestamp":1666612435000},"page":"1770","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Adherence to Herpes Zoster (Shingles) Catch-Up Campaign at the Romagna Local Health Authority (Italy), a Multi-Center Retrospective Observational Study"],"prefix":"10.3390","volume":"10","author":[{"given":"Andrea","family":"Ceccarelli","sequence":"first","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Scrimaglia","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"},{"name":"Hygiene Unit, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia","family":"Fossi","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Ceccaroni","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Federici","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Reali","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaella","family":"Angelini","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Ravenna, Department of Public Health, Romagna Local Health Authority, 48121 Ravenna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Silvestrini","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Ravenna, Department of Public Health, Romagna Local Health Authority, 48121 Ravenna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Sintoni","sequence":"additional","affiliation":[{"name":"Cesena and Rubicone\u2019s Health District, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3257-6552","authenticated-orcid":false,"given":"Maria Pia","family":"Fantini","sequence":"additional","affiliation":[{"name":"Hygiene Unit, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4954-9419","authenticated-orcid":false,"given":"Davide","family":"Gori","sequence":"additional","affiliation":[{"name":"Hygiene Unit, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Righi","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7276-0277","authenticated-orcid":false,"given":"Marco","family":"Montalti","sequence":"additional","affiliation":[{"name":"Operative Unit of Hygiene and Public Health-Cesena, Department of Public Health, Romagna Local Health Authority, 47522 Cesena, Italy"},{"name":"Hygiene Unit, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1097\/00013542-199310000-00006","article-title":"Epidemiology, Outcome and Control of Varicella-Zoster Infection","volume":"4","author":"Miller","year":"1993","journal-title":"Rev. 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