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Ann Ig. Nov-Dec 2023; 35(6): 707-714 doi: 10.7416/ai.2023.2577. Epub 2023 Jul 24.

The Erice 58 Charter on ‘The health of migrants. An equity challenge for the public health system’

M. Marceca1,2,3,14, G.M. Fara1,2,4,14, G. Giammanco1,4,14, C. Signorelli1,4,14, F. Vitale1,4,6,14, S. Declich3,5,14, M.E. Tosti5,14, M. Fabiani5,14, W. Mazzucco1,6,14, P. Giorgi Rossi7,14, P. Barretta8,14, M. Affronti3,9,14, S. La Placa3,10,14, E. Petrona Baviera3,14, M. Aragona11,14, M. Mazzetti3,14, G. Baglio3,12,14, E. Eugeni12,14, S. Geraci3,13,14, A. Sparaco10,14, P. Immordino6,14, M.L. Russo3,14, D. Giannini2,3,14, F. Turatto2,3,14, A. Gatta2,3,14, C. De Marchi2,3,14, L. Siena2,14, A. Bellini2,14, S. Scarso2,6,14, M. Sabato2, the 59th Course Participants14 and the other Signatories of the final document15

1 Italian Society for Hygiene, Preventive Medicine and Public Health (SItI), Italy
2 Department of Public Health & Infectious Diseases, Sapienza University of Rome
3 Italian Society of Migration Medicine (S.I.M.M.), Italy
4 Director of the School of Epidemiology, Ettore Majorana Foundation and Centre for Scientific Culture, Erice, Italy
5 National Institute of Health (ISS), National Centre for Global Health, Rome, Italy
6 Promise Department, University of Palermo, Italy
7 Local Health Authority, Reggio Emilia
8 “Carta” Association, Rome, Italy
9 Sicilian Episcopal Conference (CESI), Regional Migration Office, Italy
10 Local Health Authority, Trapani, Italy
11 National Institute for the promotion of migrant populations’ health and the contrast to the fight against the diseases of poverty (INMP), Rome, Italy
12 Agenzia Nazionale per i Servizi Sanitari Regionali – Agenas, Italy
13 Caritas of Rome, Italy
14 The 58th Course Participants:
R. Albertini, University of Parma; G. Angeloni, Sapienza University of Rome; D. Bardhi, University of L’Aquila; S. Barigazzi, , Milan; S. Bellopede, University “Federico II” of Naples; L. Bernardini, University “Tor Vergata” of Rome; N. Berselli, University of Modena and Reggio Emilia; A. Bruno, University of Palermo; A.L. Calaprice, Local Health Authority, Bari; M.C. Carmignani, Local Health Authority Abruzzo 1, Avezzano; E. Cimino, University of L’Aquila; G. Colarieti, University of Brescia; V. Cucca, University of Milano Bicocca; A. Cutuli, University of Catania; L. Dansero, University of
Turin; V. De Gennaro, University of Milano Bicocca; V. De Nicolò, Sapienza University of Rome; L. De Pasquale, University of Modena and Reggio Emilia; G. Di Martino, Provincial Health Authority of Ragusa; D. Di Thiene, Local Health Authority of Rome 1; F. Dijust, University of Udine; M.C. Facchini, University of Modena and Reggio Emilia; M. Festa, University of Brescia; M.C. Finzi, University of Parma; P. Fioretti, University of Perugia; V. Fraccacreta, University of Parma; R. Gallo, Sapienza University of Rome; M.P. Genovese, University of Messina; D. Graci, University of Palermo; G. Granvillano, University of Catania; S. Iodice, University “Federico II” of Naples; G. Lauria, University of Milano Bicocca; G. Leotta, University of Catania; C. Lombardo, University of L’Aquila; A. Marini, Local Health Authority of Romagna, Ravenna; S. Marozzi, University of Parma; T. Marzulli, Local Health Authority of Romagna, Ravenna; E. Massaro, University of Genua; F. Mazzitelli, University of Messina; F. Meo, G. D’Annunzio University, Chieti-Pescara; C. Migliore, University of Parma; M. Mihoc, University of Parma; I. Minicucci, University of Perugia; G. Minutolo, University of Palermo; E. Miotto, University of Udine; F. Mogliazzi, University “Tor Vergata” of Rome; M. Monti, University of Modena and Reggio Emilia; F. Mosaico, University “Tor Vergata” of Rome; M. Muselli, University of L’Aquila; V. Nervi, University of Brescia; P. Olivani, Italian Society of Migration Medicine; E. Ottani, University of Brescia; C. Pacillo, Catholic University of the Sacred Heart, Rome; M. Palella, University of Catania; D. Panizzut, Italian Society of Migration Medicine; M. Parisi, University of Milano Bicocca; R. Pennone, Local Health Authority Naples 2 North; A. Petrazzuolo, University of Udine; V. Pettinicchio, Local Health Authority Rome 2; P. Pirastu, Local Health Authority of Cagliari; G. Russo, University of Udine; W. Salameh, University of
Cagliari; G. Santolini, University of Perugia; F. Scalia, University of Milano Bicocca; L. Somenzi, University of Parma; S. Sorosina, University of Brescia; M. Tolomeo, University of Milano Bicocca; F. Traglia, University “Tor Vergata” of Rome; V. Vitale, Local Health Authority of Bari; L. Zagra, University of Palermo; G. Zanutto, Alma Mater Studiorum University of Bologna; B. Zerbi, University of Parma.
15 The other Signatories of the Final Document F. Angelotti, A. Antognelli, N. Balan, M. Baldini, A. Battaglia, F. Berghenti, M. Bertini, C. Bianchi, L. Borruso, G. Brindisi, M. Calacoci, F. Calzedda, M. Caminiti, R. Campus, P. Capparucci, C. Cavallucci, C. Cerini, V. Chiandotto, C. Ciani, A. Corsaro,
S. Curzi, V. De Gennaro, Si. Del Principe, Sa. Del Principe, A. Demurtas, M.G. Dente, M. Di Matteo, S. Di Matteo, L. Di Pietrantonio, F. D’Osualdo, P. Egini, F. Ena, S. Esposito, S. Ferrara, B. Formenti, V. Forte, C. Fozza, G. Frega, V. Gasbarre, Fe. Giannini, Fr. Giannini, R. Gramenzi, M.A. Grimaldi, L. Leuzzi, S. Loddo, Ele. Lorenzini, O. Lorenzini, Eli. Lorenzini, C. Lupi, G. Marchetti, R. Marini, S. Marona, M.T. Migliano, I. Miglioli, R. Millevolte, E. Missoni, V. Monetti, F. Munari, S. Mura, F. Nieddu, A. Oggiano, E. Ortica, V. Ortica, C. Padovan, D.W. Pairone , G. Panci, A. Pasquini, A. Pellacchia, S.
Pelosio, T. Peratoner, G. Pili, G. Pituru, G. Pitzalis, P. Politi, F. Quagliani, F. Rosin, M. Sambuco, T. Santini, S. Saran, S. Schivazappa, S. Scolastra, P. Seccia, L. Surace, A. Verona, A. Villani.

Abstract

The Erice 58 Charter titled “The Health of Migrants: a Challenge of Equity for the Public Health System”, was unanimously approved at the conclusion of the 58th Residential Course of the School of Epidemiology and Preventive Medicine ‘Giuseppe D’Alessandro’ entitled “The Health of Migrants: a Challenge of Equity for the Public Health System. Epidemiological, clinical-relational, regulatory, organisational, training and public communication aspects at international, national and local level’, which took place from 28 March to 2 April 2022 in Erice (Sicily, Italy), at the ‘Ettore Majorana’ Foundation and Centre for Scientific Culture. The Course was promoted by the Italian Society of Migration Medicine (S.I.M.M.) and the Italian Society of
Hygiene, Preventive Medicine and Public Health (SItI), with the collaboration and patronage of the Istituto Superiore di Sanità (ISS). 72 learners participated (mainly resident doctors in ‘Hygiene and Preventive Medicine’ but also other health service professionals), whose average age was 37 years; on the basis of territorial origin, 13 of the 20 Italian regions were represented. During the intense learning experience, which consisted of 18 frontal lessons (with 20 lecturers from the bio-medical, socio-anthropological and journalistic fields) and 7 working group sessions (supported by 4 classroom tutors in addition to the lecturers) in ‘blended learning’ mode, the various dimensions and critical issues related to the possibility of
guaranteeing truly inclusive health policies for foreigners/migrants, throughout the country, were identified and discussed from an ‘Health Equity’ perspective. This enabled a small editorial group to draw up the basic document that, in the last session of the Course, was discussed and modified by all participants into the version of the ‘Erice 58 Charter’ presented here.

KEYWORDS: Health, migrants, immigrants, Health system, Equity
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