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COVID-19 VACCINES

Over-50s in Italy without Covid booster face 100 euro fine

People aged 50 and over living in Italy could be fined 100 euros if they fail to get a booster shot within a specified timeframe, according to the country's latest set of Covid rules.

A medical worker prepares a dose of a Covid-19 vaccine at a hospital in Vercelli, Piedmont, on April 15, 2021
A medical worker prepares a dose of a Covid-19 vaccine at a hospital in Vercelli, Piedmont, on April 15, 2021 (Photo by MARCO BERTORELLO / AFP).

Over-50s will require a ‘super green pass’ health certificate (showing the bearer is vaccinated or recently recovered from Covid) to enter their workplace from February 15th, while anyone (employed or not) in this age group who remains unvaccinated as of February 1st will be fined 100 euros, according to the government’s January 5th decree.

Those who do not get their booster shot could also face a 100-euro fine under the new vaccine mandate for over-50s.

The government hopes the requirement will prevent healthcare facilities from becoming overwhelmed by Covid cases, and allow the country to remain open as people return to work and school after the Christmas break.

“We are working in particular on the age groups that are most at risk of being hospitalised, to reduce pressure on hospitals and to save lives,” said Prime Minister Mario Draghi at the cabinet meeting where the measure was adopted.

READ ALSO: How will Italy enforce its vaccine mandate for over-50s?

The new rules for the first time impose a vaccine requirement on anyone living in Italy aged 50 or over, or anyone due to turn 50 by June 15th (the date by which the mandate is currently due to expire).

The “one-off” 100-euro fines will be collected “automatically” by Italy’s Agenzie delle Entrate (Inland Revenue-Recovery Agency) based on data passed on from the country’s national health system, the health ministry confirmed in an update published on its official vaccination information site.

Those who are notified that they are in violation of the rules have ten days to communicate to their local health office (Azienda sanitaria locale or Asl), the reason for their vaccination status.

Certain categories of people, including those with certified medical conditions and those who have recovered from Covid in the past six months, are exempt from the requirement (though the Covid-recovered must get vaccinated once the six months are up).

The decree also specifies that the 100 euro fine applies to those who as of February 1st have not completed their primary vaccination cycle “in accordance with the instructions and within the timeframe provided in the Ministry of Health’s circular,” as well as those who haven’t received a booster shot within the required timeframe.

READ ALSO: Calendar: When do Italy’s Covid-19 rules change?

However, exactly what those timeframes are is left ambiguous.

For receiving a booster, the decree references previous laws which offer up both six months and nine months from the last shot as possible timeframes. For now, it’s safest to assume that you should get your booster shot within six months of your last dose to avoid the fine; this is how Italian news outlets such as il Quotidiano have interpreted the decree.

Booster shots are currently available to all adults in Italy four months after completion of the initial vaccination cycle. Find out how to book a booster shot in Italy here.

When it comes to the timeframe for completing the initial vaccination cycle, the decree text remains unclear and the government may be yet to issue further guidance. The Local is seeking clarification.

Regardless, those who have received or are shortly due to receive their primary dose should ensure they schedule their second dose within the timeframe recommended by the healthcare provider administering the shot.

In recent days Italy has seen record highs in its Covid infection rates, with over 196,000 new cases recorded on Wednesday, and hospitals have reported being inundated by patients suffering from Covid symptoms. Most of those hospitalised with the virus are unvaccinated and over the age of 50.

The latest records from the national statistics agency Istat show that 28 million people in Italy out of a total of 59 million residents – almost half the population – are over the age of 50.

Whilst Italy has one of highest Covid vaccination rates in Europe (74 percent of the entire population is fully jabbed) it’s estimated that around 2.3 million people aged over 50 in the country have still not had a single dose.

Find more information about Italy’s Covid-19 vaccination campaign on the Italian health ministry’s website (available in English).

Member comments

  1. We have a green pass that was issued this summer and are boosted. Is there any other requirements? we are US citizens.

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COVID-19 VACCINES

How to get a Covid booster jab in Italy this autumn

Italy's autumn Covid vaccine booster campaign is now underway, along with its seasonal flu jabs rollout.

How to get a Covid booster jab in Italy this autumn

The updated Covid vaccine is now available across Italy’s regions, with over nine million doses due to arrive in the country by the end of November.

The first jabs were available in some regions from the start of October: Lazio started its campaign on Monday, October 2nd, while Friuli Venezia Giulia’s launched a few days earlier on September 29th.

As healthcare is managed on a regional level in Italy, each region has its own start date and booking procedure.

The boosters are particularly recommended for over-60s, those who are immunosuppressed or pregnant, and healthcare workers, though jabs may be available to others on request.

The campaign aims to prevent a seasonal spike in infections, with vaccines targeting the new Eris variant as well as new winter flu viruses.

Which vaccines are available?

According to the latest health ministry circular, the government’s Covid booster campaign uses Pfizer and BioNTech’s monovalent Comirnaty vaccine targeting Omicron XBB 1.5, otherwise known as Kraken.

The European Medicines Agency has said the vaccine is also effective against other variants including Eris (EG.5.1), which as of late September had become the dominant strain in Italy at 43.5 percent, according to ISS data.

“Eris is one of the viral forms we are seeing and I am pleased to announce that the latest approved vaccines also protect against variants in circulation, including Eris,” EMA director Emer Cooke reportedly said in a recent press conference on respiratory diseases.

The EMA has said the vaccine is effective against new variants.

The EMA has said the vaccine is effective against new variants. Photo by MARCO BERTORELLO / AFP.

Who are they for?

The health ministry says the campaign is particularly aimed at the following groups:

  • Over-60s
  • Residents of care facilities
  • People who are pregnant or breastfeeding
  • Health and social care workers
  • People of any age with underlying health conditions

Vaccines are also recommended for caregivers, family members, and anyone who lives with a medically vulnerable person.

Anyone who doesn’t fall into any of these these categories but would still like to get a Covid booster can access one on request, subject to availability.

Administration of the booster is recommend six months from the last dose or from the last known Covid infection (as confirmed by testing).

A single dose of the adapted vaccine is also recommended for those who have not yet received any Covid vaccines. For children aged six months to four years who have not yet been vaccinated or infected with Covid, three doses are recommended, each several weeks apart.

How to get the booster

Your first step should be to visit the government’s vaccine booking website and see how the campaign is being conducted in your region (under ‘Prenota vaccino’).

Italy’s healthcare system operates on a regional rather than a national level, so getting a booster in Emilia-Romagna will be a different process to getting one in Lombardy.

In Lazio, for example, priority will be awarded in the first instance to health and social care workers and residents of care homes. The vaccine will be offered to over-80s and the medically vulnerable from October 16th, and other categories from October 30th.

If you can’t see the information you need on your regional authority’s website, it’s a good idea to contact your family doctor or local pharmacist to see what they can tell you about accessing the jab.

With Italy’s previous Covid vaccination campaigns, the websites for most regional health authorities have required patients to input their tessera sanitaria (national health card) and codice fiscale (tax code) numbers in order to make an online booking.

That means that if you don’t have one, you’ll likely need to make a phone call to either your regional health authority.

In the past, readers of The Local reported being able to book an appointment for a Covid vaccine by phone using only their codice fiscale number after explaining the situation (you’ll need the help of an Italian speaker if you don’t speak Italian).

As Italy’s Covid booster campaign is being rolled out alongside its seasonal flu jab campaign, you should be able to get both shots at the same time.

The Covid situation in Italy

According to the latest weekly bulletin from Italy’s National Health Institute (ISS), the number of Covid cases in Italy has increased over the past few weeks, with 38,775 new cases recorded between September 21st-27th, but the infection rate is slowing.

As of the week ending September 27th, the Rt (transmission rate) in Italy was 0.9, below the epidemic threshold,  and the numbers of hospitalisations and of Covid patients in intensive care is also low and stable, the data shows.

However the risk to older members of the population and people with underlying health conditions who become infected remains “severe”, the European Centre for Disease Prevention and Control (ECDC) warns.

“Vaccination saves lives, decreases the chances of being infected and reduces the risk of severe illness from COVID-19 and influenza,” ECDC director Andrea Ammon said in a recent press release encouraging uptake of the vaccines.

Find more information about Italy’s Covid-19 vaccination campaign on the Italian health ministry’s website.

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