Editoriale
Topical interest of the origin of Hygiene and Public Health
Competitive colonization of Legionella and Pseudomonas aeruginosa in water systems of residential facilities hosting closed communities Legionella versus Pseudomonas aeruginosa in water systems of residential facilities
Gian Loreto D’Alò,1,2,* Alessandra Messina1, Cinzia Mozzetti1, Domenico Cicciarella Modica3, Patrizia De Filippis1
Affiliations
1 Section of Hygiene, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, via Montpellier 1, 00133 Rome, Italy
2 District 6 – Local Health Agency Rome 2, Via della Tenuta di Torrenova 138 00133, Rome, Lazio Region, Italy
3 District 4 – Local Health Agency Rome 6, Via dei Castelli Romani 2/P 00071, Pomezia (Rome), Lazio Region, Italy
Keywords: Antibiosis; Biofilm; Drinking water; Legionella; Microbial interactions; Pseudomonas aeruginosa
Abstract
Legionella and Pseudomonas aeruginosa are pathogens that live and multiply in water systems and resist disinfection through biofilm formation. As suggested by some studies, we wanted to verify whether the presence of P. aeruginosa can lead to a less frequent presence of Legionella in water systems of retirement homes and group homes. We collected 123 hot water and biofilm samples from showerheads.
Hospital networks in Italy: state of the art and future pespectives. Insights from a qualitative research study.
G. Damiani1, M. Di Pumpo*1, G. Giubbini2, L. Lombi3, M.L. Specchia1, L. Sommella4
1 Università Cattolica del Sacro Cuore – Rome, Italy
2 Fondazione Policlinico Universitario “A. Gemelli” IRCCS – Rome, Italy
3 Università Cattolica del Sacro Cuore – Milan, Italy
4 Fondazione Policlinico Universitario “Campus Bio-Medico di Roma” – Rome, Italy
Keywords: Hospital networks, complexity, integration/coordination, governance, future developments.
ABSTRACT
Background
Hospitals have undergone important that changes that have led, in recent decades at the international level, to the need for greater integration between hospitals and local healthcare services. The main institutional networks that have been developed in Italy are, as commended by the institutional levels, of 4 main types: the Emergency-Urgency Network, the Time-Dependent Networks, the Oncological Networks, and the Networks with primary care settings. It was important to assess the state of the art and analyze it in relation to possible future developments.
When there is no communication between urban planners and public health operators: urban Dermanyssus gallinae infestations in humans.
Annunziata Giangaspero1*, Vito D’Onghia2, Antonella Puccini3, Maria Filomena Caiaffa4, Luigi Macchia5, Alessandra Barlaam1
1Department of Agriculture, Food, Natural Resources and Engineering (DAFNE), University of Foggia, Via Napoli 25, 71121 Foggia, Italy
2Department of Science in Civil Engineering and Architecture (DICAR), Polytechnic University of Bari, Via E. Orabona 4, 70125, Bari, Italy
3Agenzia Sanitalia Locale, Via Tratturo Castiglione 14, 71122, Foggia, Italy
4School and Chair of Allergology and Clinical Immunology, Department of Medical and Surgical Sciences, University of Foggia, Italy
5School and Chair of Allergology and Clinical Immunology, Department of Emergency and Organ Transplantation, University of Bari – Aldo Moro, Italy
Keyword: urban health
Abstract
At the international level, it is necessary to apply urban health strategies that can integrate concrete actions to protect and promote health in urban and architectural planning. In cities, the “urban fauna” mostly consists of synanthropic birds (sparrows, starlings, swallows, martins, jackdaws, crows, hawks, gulls, pigeons) that have adapted to a continuous relationship with humans.
La “ri-disorganizzazione” del Servizio Sanitario Nazionale
Non vi è alcun dubbio che, sotto la spinta degli effetti sanitari della pandemia da COVID19 e della approvazione (il 13/7/2021) del Piano Nazionale di Ripresa e Resilienza (PNRR), si è in presenza ancora una volta di un tentativo di riorganizzazione del Servizio sanitario nazionale. Alcuni significativi elementi di questa volontà politica sono stati già indicati negli Editoriali di questa Rivista pubblicati negli ultimi due anni – dalla dichiarazione dello stato di emergenza nazionale per il contenimento della diffusione dell’epidemia da COVID-19 (D.L. 25/3/2020, n. 19) a tutt’oggi.
Gli esperti diScienze politiche applicate alla sanità hanno fatto rilevare che le proposte di riorganizzazione – soprattutto tendenti a rafforzare la sanità territoriale (cure primarie e servizi territoriali)2 – risalgono addirittura alla legge istitutiva del Servizio sanitario nazionale e sono state “rinnovellate”da numerosi successivi atti legislativi mai completamente realizzati.
La motivazione è facile da comprendere perché da tempo è fin troppo noto che non è possibile modificare un sistema, come quello sanitario (ma non solo questo), unicamente attraverso cambiamenti strutturali3.