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CDC Vaccine Panel Shelves Hepatitis B Birth-Dose Change, Backs Universal Prenatal Testing

The birth-dose policy stays in place pending clearer evidence.

Overview

  • ACIP voted 11–1 to table a proposal that would have delayed the first hepatitis B dose to at least one month for infants of mothers who test negative.
  • The current recommendation to give newborns the vaccine within 24 hours remains, a policy credited with a roughly 95%–97% drop in pediatric hepatitis B since adoption in 1991.
  • Members cited unclear voting language and unresolved questions about safety and timing, while CDC scientists reported no benefit to waiting and warned of potential harms from delays.
  • The committee unanimously recommended universal hepatitis B testing for all pregnant women, noting CDC data that 12%–16% lack documented screening during pregnancy.
  • Next steps are undecided, with the next ACIP meeting tentatively set for Oct. 22–23 after a meeting that also moved away from the combined MMRV shot in young children.