“…Moreover, 20 years after the implementation of hepatitis B vaccination in Italy, a generation of children and young adults (involving 30 age-cohorts) is emerging with practically no markers of HBV infection. [14][15][16][17] Particularly, the decrease of acute hepatitis B cases was evident in some previously hyper-endemic areas of Southern Italy: for example in Afragola, located in Campania Region, the rate cohorts. Also in Tuscany, the introduction of universal hepatitis B vaccination has resulted in a relevant decrease in incidence of hepatitis B cases, especially in the age group 15-24 years.…”