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ISSN 0021-2571 (print) · 2384-8553 (online) | Coden: AISSAW 55 (No. 1) | 1-104 (2019) ANNALI DELL’ISTITUTO SUPERIORE DI SANITÀ ANNALI Volume 55 No. 1 2019 DELL’ISTITUTO SUPERIORE DI SANITÀ - DELL’ISTITUTO Volume 55, No. 1, 2019 Volume A SCIENCE JOURNAL for PUBLIC HEALTH www.iss.it Ann Ist Super Sanità 2019 | Vol. 55, No. 1 ANNALI dell’Istituto Superiore di Sanità A SCIENCE JOURNAL FOR PUBLIC HEALTH Publication Annali dell’Istituto Superiore di Sanità is published quarterly and in special issues. Freely available online at www.iss.it/anna - www.annali-iss.eu Annali dell’Istituto Superiore di Sanità is indexed in - CAB - CHEMABS - EMBASE/Excerpta Medica - FSTA - MEDLINE - SCOPUS - WEB OF SCIENCE Annali Editorial Office Scientific Communication Unit Istituto Superiore di Sanità Viale Regina Elena, 299 00161 Rome, Italy Tel.: +39 06 49902945 Fax: +39 06 49902253 E-mail: [email protected] www.iss.it/anna - www.annali-iss.eu Papers to be presented for publication should be submitted online to www.annali-iss.eu. Instructions to Authors are available online at www.iss.it/anna. Publishing support Il Pensiero Scientifico Editore, Rome Via San Giovanni Valdarno 8, 00138 Rome, Italy www.pensiero.it Subscription information & terms Il Pensiero Scientifico Editore Tel.: +39 06 86282324 Fax: 06 86282250 E-mail: [email protected] Year 2019 Italy individual subscription € 57,00 | Italy institutional subscription € 67,00. Other countries € 67,00 Each quarterly issue € 21,00 Responsibility for the contents and opinions expressed on this journal rests solely with the author(s). ISSN 0021-2571 (print), 2384-8553 (online) Coden: AISSAW 55 (No. 1) ©Istituto Superiore di Sanità 2019. Some rights reserved. Reg. Stampa - Tribunale di Roma, n. 482 del 29 ottobre 1985 (cartaceo); n. 121 del 16 maggio 2014 (online) Printed in March 2019 by Ti Printing s.r.l. Via Case Rosse 23, 00131 Rome, Italy Ann Ist Super Sanità 2019 | Vol. 55, No. 1 ANNALI dell’Istituto Superiore di Sanità A SCIENCE JOURNAL FOR PUBLIC HEALTH Commissioner of the Istituto Superiore di Sanità Silvio Brusaferro Responsible Director Paola De Castro Editor-in-chief Enrico Alleva Istituto Superiore di Sanità Assistant Editor Federica Napolitani Cheyne Istituto Superiore di Sanità Scientific Committee Enrico Alleva, Luca Busani, Pietro Comba, Paola De Castro, Paola Fattibene, Alessandro Giuliani, Giovanni Rezza, Emanuele Scafato, Stefano Vella Istituto Superiore di Sanità Editorial Office Annarita Barbaro, Maria Cristina Barbaro, Alessandra Fuglieni, Federica Napolitani Cheyne, Laura Radiciotti Istituto Superiore di Sanità Editorial Advisory Board Dino Amadori Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, Meldola, Italy Jacqueline N. Crawley Laboratory of Behavioral Neuroscience, NIMH, NIH, Bethesda, USA Jean-François Delfraissy Agence Nationale de Recherches sur le sida et les hépatites virales, Paris, France Chris Beyrer Johns Hopkins Bloomberg School of Public Health, Baltimore, USA Tony Fletcher London School of Hygiene & Tropical Medicine, London, UK Sui Huang Institute for Systems Biology, Seattle, USA Ana Marušic´ Dept of Research in Biomedicine and Health, University of Split School of Medicine, Croatia Stefania Maggi CNR Aging Branch Institute of Neuroscience, Padova, Italy Francesco M. Marincola Infectious Disease and Immunogenetics Section, NIH, Bethesda, USA Juana Martín de las Mulas González-Albo Dpto de Anatomía y Anatomía Patológica Comparada, Facultad de Veterinaria, UCO, Córdoba, Spain Patrick Smeesters Université Catholique de Louvain, Louvain-La-Neuve, Belgium David Vlahov School of Nursing, University of California, San Francisco, CA, USA Bernard Zalc (Boris) Centre de Recherche de l’Institut du Cerveau et de la Moelle epiniere, UPMC, Paris, France Graphic design of the cover: Massimo Delle Femmine, Istituto Superiore di Sanità The photograph on the cover is an optical microscope image of Ascospores of Chaetomium sp. (at a 100x magnification) by Anna Maria Coccia, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy Ann Ist Super Sanità 2019 | Vol. 55, No. 1 ANNALI dell’Istituto Superiore di Sanità Vol. 55, No. 1 2019 Contents EDITORIAL 1 From the impatient doctor to the patient-doctor Oreste Tolone COMMENTARIES 3 West Nile virus infection in Europe: need for an integration of occupational health practice and public health activities Francesco Chirico and Nicola Magnavita 6 Organ donor families should be free to meet their recipients under controlled conditions if both sides wish, Italian National Committee for Bioethics says Carlo Petrini and Reg Green ORIGINAL ARTICLES AND REVIEWS 10 Measuring health literacy in Italy: a validation study of the HLS-EU-Q16 and of the HLS-EU-Q6 in Italian language, conducted in Florence and its surroundings Chiara Lorini, Vieri Lastrucci, Sarah Mantwill, Virginia Vettori, Guglielmo Bonaccorsi and Florence Health Literacy Research Group 19 Hospital discharge diagnoses in patients with positive blood cultures in an Italian academic hospital Francesca Valent, Laura Deroma, Roberto Cocconi, Alessia Picierno and Assunta Sartor 26 Impact of the lack of integrated care for older people with urinary incontinence and their family caregivers: results from a qualitative pilot study in two large areas of the Marche Region Alessia Carsughi, Sara Santini and Giovanni Lamura Ann Ist Super Sanità 2019 | Vol. 55, No. 1 34 iGeneration’s social media usage in retrieving information related to healthcare education: a web-based survey among Italian and Romanian undergraduate medical students Ariana-Anamaria Cordos‚, Sorana D. Bolboaca˘, Rosa Prato and Francesca Fortunato 41 Health issues and informal caregiving in Europe and Italy Marina Petrini, Francesca Cirulli, Antonio D’Amore, Roberta Masella, Aldina Venerosi and Alessandra Carè 51 Revisiting problems and solutions to decrease Mycobacterium tuberculosis pyrazinamide false resistance when using the Bactec MGIT 960 system Alessandro Mustazzolu, Claudio Piersimoni, Angelo Iacobino, Federico Giannoni, Barbara Chirullo and Lanfranco Fattorini BRIEF NOTES 55 Tuberculosis outbreak in a grammar school, Serbia, 2016 Milena Ilic, Sefadil Spahic, Mirsada Spahic, Omer Spahic, Irena Ilic and Branislav Tiodorovic 59 Association between epicardial fat thickness and cognitive function in elderly. A preliminary study Walter Verrusio, Alessia Renzi, Valerio Massimo Magro, Marco Musumeci, Paola Andreozzi and Mauro Cacciafesta 63 Identikit of the Umbrian traveller: analysis of clinical activity in a travel medicine unit, Italy Vincenza Gianfredi, Massimo Moretti, Massimo Gigli and Igino Fusco-Moffa MONOGRAPHIC SECTION Towards integration of epidemiological and social sciences approaches in the study of communities affected by asbestos exposure 68 Preface Edited by Pietro Comba and Daniela Marsili 70 Communication and health education in communities experiencing asbestos risk and health impacts in Italy Daniela Marsili, Corrado Magnani, Adriana Canepa, Caterina Bruno, Ferdinando Luberto, Angelo Caputo, Lucia Fazzo, Amerigo Zona and Pietro Comba 80 An outbreak of cancer and asbestosis among former amosite-exposed subjects in Ledro Valley, Italy. From discovery to environmental cleanup Giuseppe Parolari 90 “Candido’s List”: the workers of Collotta Cis & Figli at Molina di Ledro in Trento Province, Italy. A tale of magnesia, asbestos and work Alessandro Fedrigotti, Alessandro Riccadonna and Donato Riccadonna 94 Narrating and remembering as practices of care, community, and commitment in asbestos contaminated contexts Agata Mazzeo 100 Book Reviews, Notes and Comments Edited by Federica Napolitani Cheyne 101 Publications from International Organizations on Public Health Edited by Anna Maria Rossi 1 Ann Ist Super Sanità 2019 | Vol. 55, No. 1: 1-2 DOI: 10.4415/ANN_19_01_01 EDITORIAL From the impatient doctor to the patient-doctor DITORIAL Oreste Tolone E Dipartimento di Scienze Filosofiche, Pedagogiche ed Economico-Quantitative, Università degli Studi “Gabriele D’Annunzio”, Chieti-Pescara, Italy Over the last century, we have witnessed the trans- be increasingly freed from a privileged relationship; in formation of the paternalistic doctor-patient relational particular, the growing specialization and technologiza- model – which had characterized the existence of medi- tion of medicine, the affirmation of a business model cine in its first two millennia of activity – into ashared of care, a nomadism which makes the patient itinerant, model. A model, that is centred on the patient (patient in search of the best services where they are offered, centred medicine), and no longer on the disease (disease the interference of the mass media (which heavily affects centred medicine) [1-4] – as Ludolf Krehl and Viktor von the communication between doctor and patient) [13], Weizsäcker had already argued at the beginning of the interrupt the bond of trust. The “patient-doctor”, who 20th century [5, 6]; a model based on the recognition, knows, who undermines the authority of the doctor to the actors, of equal powers and responsibilities. The and of medicine, who proposes the various therapeutic shared model, which inaugurates a form of new thera- options, in fact overturns the traditional paternalistic peutic alliance between doctor and patient, risks, how- model into an extreme autonomous model. ever, to assume, within a health apparatus that moves However, this overturning seems to duplicate rather in the triangulation economy/technology/politics [7], than undo the error of perspective