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Secondly, the Roma and Sinti are not a nomadic ethnic group: nomadism is practiced by less than 3% of the population [4], and the term itself is considered to be outdated both linguistically and culturally, even by National Inclusion Strategy [5]. Nomadism has often been used “to provide cultural legitimacy to the marginalisation of Roma and Sinti”. [6] The poor access of Roma and Sinti communities to health services is not caused by mobility, but by marginalisation [5,7-11]. As clearly stated by the authors, the Roma and Sinti accepted to be vaccinated when such a possibility was offered to them. This goes to show that the lack of coverage cannot be solely attributed to the refusal by the Roma and Sinti communities to vaccinate [9].

euro surveillance/eurosurveillance

Letter to the editor: Outbreak of a new measles B3 variant in the Roma/Sinti population with transmission in the nosocomial setting, Italy, November 2015 to April 2016