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CDC vaccine committee overturns decades-old hepatitis B recommendation for newborns

ACIP replaced the universal birth dose with selective guidance for infants of infected or unknown-status mothers and encouraged individual decision-making, citing concerns despite no new safety risks.

  • On Friday, the Advisory Committee on Immunization Practices voted to end the routine hepatitis B vaccine birth dose, narrowing it to infants born to mothers who test positive or unknown, and shifting decision-making for mothers who test negative.
  • HHS Secretary Robert F. Kennedy Jr. replaced ACIP members this year, installing allies, skeptics, and anti‑vaccine presenters who prioritized individual choice over routine recommendations.
  • Independent reviews found the birth dose safe and effective, with the Vaccine Integrity Project citing over 400 studies and up to 90% effectiveness; the committee had no new safety data prompting the change.
  • Wisconsin's health department reiterated its Dec. 11, 2025 recommendation for newborn hepatitis B vaccination, citing "extensive evidence," while federal reviews signal broader childhood vaccine schedule changes.
  • More than 20 states now consult other advisory groups, and a prior U.S. targeted approach later led to large hepatitis B case increases, raising risks amid potential wider childhood vaccine schedule changes.
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npr broke the news in Washington, United States on Wednesday, December 10, 2025.
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