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What to Know About the Hepatitis B Shot — and Why Trump Officials Are Targeting It

The CDC panel voted to stop universal hepatitis B vaccination at birth, highlighting shared decision-making amid a projected 8% rise in perinatal infections without the birth dose.

  • On Dec. 5, the CDC's Advisory Committee on Immunization Practices voted to recommend not requiring the hepatitis B vaccine at birth for all newborns and emphasized individualized timing with health-care providers in the United States.
  • Panel leaders said the change responds to real‑world care realities, framing it as accommodating health‑care providers and parents/guardians amid real‑world testing and follow‑up system gaps that prompted the universal birth‑dose policy.
  • Longstanding evidence shows the vaccine's historical rollout over about 40 years includes hundreds of millions of birth-dose shots, vaccine safety monitoring confirms no higher risk at birth, and JAMA analysis estimates about 625 perinatal infections annually prevented.
  • Modeling indicates limiting the birth dose to HBsAg‑positive mothers could raise perinatal infections to about 7646, with insurers possibly shifting costs to families and health systems.
  • Given screening gaps, Cincinnati Children's urged families to consult their child's doctor, as false negatives or missed screening could leave infants unprotected from hepatitis B, especially among pregnant women who test HBsAg‑positive.
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Montana StandardMontana Standard
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What to know about the hepatitis B shot — and why Trump officials are targeting it

The U.S. government long advised that all babies be immunized against hepatitis B right after birth, but a federal vaccine advisory committee voted Dec. 5 to change that.

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New Hampshire Union Leader broke the news in New Hampshire, United States on Monday, December 8, 2025.
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