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US vaccine advisers say not all babies need a hepatitis B shot at birth

US vaccine advisers say not all babies need a hepatitis B shot at birth


US vaccine advisers say not all babies need a hepatitis B shot at birth

NEW YORK — A federal vaccine advisory committee voted on Friday to end the longstanding recommendation that all U.S. babies get the hepatitis B vaccine on the day they’re born.

For decades, the government has advised that all babies be vaccinated against the liver infection right after birth.

But the Advisory Committee on Immunization Practices, most of whom have been appointed by U.S. Health Secretary Robert F. Kennedy Jr., decided to recommend the birth dose only for babies whose mothers test positive, and in cases where the mom wasn’t tested.

For other babies, it will be up to the parents and their doctors to decide if a birth dose is appropriate. The committee voted to suggest that when a family decides not to get a birth dose, then the vaccination series should begin when the child is 2 months old.

The vote passed 8-3.

The acting director of the Centers for Disease Control and Prevention, Jim O’Neill, is expected to decide later whether to accept the committee’s recommendation.

Committee members said the risk of infection for most babies is very low and that earlier research that found the shots were safe for infants was inadequate.

They also worried that in many cases, doctors and nurses don’t have full conversations with parents about the pros and cons of the birth-dose vaccination.