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CDC Vaccine Panel Delays Vote on Newborn Hepatitis B Birth-Dose Policy

Members sought time to review late changes that could replace the universal newborn dose with a risk‑based approach.

Overview

  • The CDC’s Advisory Committee on Immunization Practices voted 6–3 to postpone a decision and set a new vote for Friday after last‑minute wording changes caused confusion.
  • The panel is weighing whether to drop the routine birth dose for infants whose mothers test negative and instead rely on prenatal testing or shared clinical decision‑making.
  • A revision would not prohibit vaccinating at birth but could end Medicaid and other public coverage requirements for the dose, potentially limiting access for low‑income families.
  • Public‑health experts credit the birth dose, in place since 1991, with sharply reducing pediatric hepatitis B and warn that delaying the first shot to two months could add about 1,400 infections each year.
  • The review follows the committee’s recent overhaul under HHS Secretary Robert F. Kennedy Jr., drawing criticism from medical groups, as local officials in Polk County, Iowa, report a rise in perinatal cases.