Evidence map›Paper›PMID 35215839›Full record

ArticleViruses2022

Effectiveness of Hepatitis B Vaccination Campaign in Italy: Towards the Control of HBV Infection for the First Time in a European Country.

Tommaso Stroffolini, Filomena Morisco, Luigina Ferrigno, Giuseppina Pontillo, Giuseppina Iantosca, Valentina Cossiga, Simonetta Crateri, Maria Elena Tosti, The Seieva Collaborating Group

Abstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Italy's NITAG shift: implications for public trust in vaccines.The Lancet regional health. Europe · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tommaso StroffoliniDepartment of Tropical and Infectious Diseases, Policlinico Umberto I, 00161 Rome, Italy.
Filomena MoriscoGastroenterology and Hepatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy.
Luigina FerrignoNational Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), 00161 Rome, Italy.
Giuseppina PontilloGastroenterology and Hepatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy.
Giuseppina IantoscaNational Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), 00161 Rome, Italy.
Valentina CossigaGastroenterology and Hepatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy.
Simonetta CrateriNational Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), 00161 Rome, Italy.
Maria Elena TostiNational Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), 00161 Rome, Italy.ORCID 0000-0003-1392-9874
The Seieva Collaborating Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 1991, a mass immunization campaign against the hepatitis B virus (HBV) for children and teenagers was introduced in Italy. This study evaluated the impact of the immunization campaign on the incidence and modes of HBV transmission.

methodAcute HBV cases of viral hepatitis were reported to the National Surveillance System (SEIEVA). Hepatitis A cases reported to the same system were used as controls to calculate the adjusted odds ratios and the population attributable risk for potential risk factors.

resultsThe incidence of acute HBV declined from 5.0 in 1990 to 0.4 in 2019 per 100,000 population. The fall was almost total in people targeted by the campaign: in 2019, zero cases (100% reduction) in the age-group 0-14 years and 0.1 cases per 100,000 population (99.4% reduction) in the age-group 15-24 years were reported. In the decade 2010-2019, nearly one-fifth (19.3%) of cases occurred in foreigners. Intravenous drug use is no longer a risk factor (OR = 0.7; 95% CI = 0.5-1.02). Beauty treatments, risky sexual exposure, and household contact with an HBsAg carrier were found to be independent predictors of acute hepatitis B.

conclusionsThe HB vaccination campaign proved effective in minimising acute HBV in Italy. Control of the infection is close to being reached for the first time in Europe.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionCase-Control StudiesChildChild, PreschoolDrug UsersEmigrants and ImmigrantsFemaleHepatitis BHepatitis B virusHumansImmunization ProgramsIncidenceepidemiologyHBVintravenous drug usersItalyrisk factors

Identifiers

PMID35215839
PMCPMC8875306

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.