CDC Considers Changing Hepatitis B Vaccine Policy for Newborns Amid Winter Virus Surge and Public Health Recommendations
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CDC Considers Changing Hepatitis B Vaccine Policy for Newborns Amid Winter Virus Surge and Public Health Recommendations
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According to the Centers for Disease Control and Prevention, its Advisory Committee on Immunization Practices has just voted to roll back the long‑standing policy of giving a universal hepatitis B vaccine dose at birth. NPR and STAT News report that the panel voted 8 to 3 to recommend the birth dose only for babies born to mothers who test positive for hepatitis B, or whose infection status is unknown, and to suggest that other parents talk with their clinicians and, if they choose vaccination, start no earlier than two months of age. This is a major change from more than 30 years of advising that every newborn get a hepatitis B shot within 24 hours of birth.
STAT News notes that this change is not yet final; it must be approved by the CDC’s acting director or the Health and Human Services secretary before it becomes part of the official U.S. immunization schedule. In the meantime, several medical groups, including the American Academy of Pediatrics and New York State’s Department of Health, say they plan to continue recommending the hepatitis B birth dose for all infants. A joint statement from multiple medical and patient advocacy organizations, released by the American College of Emergency Physicians, calls the ACIP vote dangerous, warns it will increase childhood hepatitis B infections, and urges CDC leadership to reject the new recommendation.
For listeners, the key practical point is this: if you are pregnant or expecting a baby, talk early with your obstetric and pediatric care teams about hepatitis B testing in pregnancy and about birth‑dose vaccination. Hepatitis B can cause lifelong liver disease and liver cancer, and infection in infancy almost always becomes chronic. Because testing during pregnancy can miss some infections, many professional groups still view the universal birth dose as a critical safety net.
Beyond hepatitis B, winter in the United States continues to bring elevated circulation of respiratory viruses, including influenza, COVID‑19, and RSV. CDC surveillance typically shows hospitalizations for these infections climbing through December and January, especially among older adults, very young children, pregnant people, and those with chronic conditions. Updated flu and COVID‑19 vaccines, and in some cases RSV vaccines for older adults and monoclonal antibody products for certain infants, remain important tools to reduce severe disease. Listeners should check local health department or CDC updates for current activity in their area and seek prompt testing and treatment if they develop high fever, trouble breathing, chest pain, or confusion.
Standard winter health advisories still apply: stay home when acutely ill, improve indoor ventilation when possible, practice hand hygiene, and use high‑quality masks in crowded indoor spaces if you or your household are at higher risk. Extreme cold, storms, and power outages can also threaten health, especially for people who rely on powered medical devices or temperature‑sensitive medications, so emergency preparedness—backup power plans, extra prescriptions, and checking on vulnerable neighbors—remains an important part of public health guidance at this time of year.
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