Incidence of acute hepatitis B in different ethnic groups in a low-endemic country, 1992-2009: Increased risk in second generation migrants

► Incidence of acute HBV in FGM from endemic countries is higher than native Dutch. ► Incidence in Dutch born, second generation migrants is also increased. ► Since 1999, incidence in Dutch-born heterosexuals in Amsterdam is increasing. ► Much of this increase is due to a relative increase in the SGM population. ► Screening and vaccination should be offered to first and second generation migrants.