Italy is expanding the number of people eligible for a booster vaccine as the 4th wave in the COVID-19 pandemic grips Europe. Health Minister Roberto Speranza told lawmakers in the Chamber of Deputies on Wednesday that anyone 40 years or older can get the booster shot starting on Dec. 1. Italy has already offered boosters to those 60 years old and older who received their last vaccine dose at least six months earlier.

The country hasn’t been hit as hard in the latest wave of the coronavirus pandemic as some northern countries including Austria and Germany as well as several nations in eastern Europe. Since early in the pandemic, Italy has also required masks to be worn indoors in places like supermarkets, cinemas, churches and on mass transit.