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May 1 2026

Vaccine compensation: The Supreme Court of Cassation clarifies the causal link

The Supreme Court of Cassation, in ruling no. 10741 of April 23, 2026, has clarified the evidentiary standards for vaccine compensation under Law 210/1992. The Court established that the causal link between the vaccine and the onset of a permanent pathology does not require absolute scientific certainty, but rather satisfies the civil standard of "more likely than not." By emphasizing temporal proximity and the absence of alternative causes (differential diagnosis), the ruling protects the rights of injured parties even in the absence of broad epidemiological consensus. This decision provides a vital precedent, shifting the focus from abstract statistics to individual clinical history, thereby ensuring effective protection of health rights within the framework of public vaccination programs.

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April 19 2026

Medical liability and filler treatments: the Florence Court of Appeal on insurance indemnity

The Court of Appeal of Florence, with ruling no. 1099 of 10 June 2025, has provided significant clarifications on medical liability and insurance indemnity obligations regarding filler-related damages. The decision establishes that insurers must hold the healthcare professional harmless not only for the compensation due to the patient (net of the deductible) but also for the legal costs awarded to the claimant. A central point of the ruling concerns the distinction between these burdens and defense costs under Art. 1917, paragraph 3, of the Italian Civil Code, confirming the physician's right to reimbursement for legal defense expenses. This judgment serves as a key reference for the aesthetic medicine sector, reaffirming that insurance protection must fully cover the procedural consequences of a claim to ensure the professional's financial security.

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Medical malpractice: the Court of Rome rules on nosocomial infections
April 7 2026

Medical malpractice: the Court of Rome rules on nosocomial infections

The Court of Rome, in Ruling No. 3386 of March 5, 2026, addressed medical malpractice regarding nosocomial infections contracted during hospitalization. The decision clarifies that while the patient must prove the causal link between the hospital stay and the infection, the burden shifts to the healthcare facility to prove the diligent adoption of all prevention and sanitization protocols. The Court ruled that generic defenses based on the inevitability of infectious risk are insufficient; hospitals must provide rigorous documentary evidence concerning the sterility of environments and medical devices to avoid liability. This approach reinforces the duty of risk management and requires analytical documentation of hospital hygiene procedures to prevent successful compensation claims.

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February 24 2026

Unsuitable premises and the right to refuse work: legal protections against retaliatory dismissal

The Supreme Court of Cassation, with ordinance no. 3145 of February 12, 2026, has upheld the nullity of a dismissal issued to an employee who refused to work in premises that were unsuitable and hazardous to health. The ruling clarifies that refusing to perform professional duties constitutes a legitimate exercise of the "exception of non-performance" (Art. 1460 c.c.) when the employer breaches their fundamental safety obligations under Art. 2087 of the Civil Code. Regarding the burden of proof, the Court established that while the worker must only allege the existence of a risk, the employer must demonstrate the actual suitability of the work environment. This decision reinforces protections against retaliatory termination by identifying dismissals based on absences provoked by the employer's own failure to provide safe working conditions as null and void.

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