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CDC Vaccine Panel Votes to End Universal Hep B Vaccine for Newborns
Vaccine advisers to the CDC this morning voted to end its decades-long recommendation that all infants born in the U.S. receive the Hep B vaccine within 12-24 hours of birth.
Advisers to the Centers for Disease Control and Prevention (CDC) this morning voted to end a decades-long recommendation that all infants born in the U.S. receive the hepatitis B vaccine (Hep B) within 12-24 hours of birth.
Instead, for babies born to mothers who test negative for hepatitis B, the committee recommends that families determine whether to give their child the Hep B shot at birth through individual decision-making with their physician.
For infants who don’t get the birth dose, the committee recommends the initial dose of the vaccine not be administered until infants are at least 2 months old.
Three of the 11 committee members — Dr. Raymond Pollack, Dr. Cody Meissner and Dr. Joseph R. Hibbeln — opposed the recommendation. The remaining eight members supported it.
Andrew Johnson from the Centers for Medicare & Medicaid Services assured the committee that the language change will not affect Medicaid or insurance coverage of the vaccine.
For mothers whose hepatitis B status is unknown or who test positive, the birth dose recommendation remains in place.
Children’s Health Defense CEO Mary Holland, a long-time critic of the universal birth dose policy, welcomed the committee’s vote to “end the ill-considered universal recommendation for the Hep B birth vaccine dose.”
Holland added:
“The science behind that universal recommendation was a sham, based on thoroughly inadequate clinical trials. Hundreds of babies unquestionably died because of it. While I question whether any baby should receive a vaccine against a rare disease in infancy, I am pleased that this is now a matter for parents and their healthcare practitioner to decide — not a state mandate based on a federal pharma-backed recommendation.
“And while the ACIP [Advisory Committee on Immunization Practices] on this issue was tedious and rancorous at times, it is an extremely positive change that actual debate about childhood vaccines is occurring in government venues with impact. This is the transparency that Secretary Kennedy promised.”
Dr. Monique Yohanan, senior fellow for health policy at Independent Women, told The Defender there was never “a good science-based reason to have a universal vaccination that 99% of babies born in the United States are not at any risk,” and that the vote was “good news for babies.”
She added that she hoped it would “provide an opportunity to actually have outreach to the moms who are positive for hepatitis B, women who are immigrants, women who are IV drug users.” She said the previous policy was “performative compassion. And these are really underserved women who we ignored the outreach that they needed.”
The committee also voted 6-4 with one abstention that after the initial Hep B shot, parents should consult with healthcare providers to consider whether their child should have a serology test, which would show whether they had antibodies considered sufficient to protect them against the disease.
The committee voted to update the CDC Vaccines for Children (VFC) Program funding to match ACIP’s recommendations. Several committee members, including Meissner and Hibbeln, abstained from voting on the VFC resolution, protesting that they didn’t understand the implications of the vote — reflecting some of the disagreement that pervaded the two-day meeting.
The votes on the Hep B vaccine were originally scheduled for the September meeting, but were deferred to allow the CDC work group to put together more data to inform the committee’s decision.
Today’s vote was postponed from yesterday so members could have more time to review the language of the proposal.
Like flying in a plane that wasn’t safety tested?
The decision to postpone followed a contentious day-long meeting on Thursday, during which some members of the committee and liaisons from professional associations argued there was no need to change the recommendation, because there was no “evidence of harm” from the vaccine.
Advocates for changing the recommendation pointed to a near-complete lack of safety data — small clinical trials for the vaccines tracked infants for a week or less after the shot and little follow-up research on autoimmune and neurological disorders.
Big differences of opinion persisted at today’s meeting.
ACIP member Retsef Levi, Ph.D., said that for parents whose children were at extremely low risk, the decision to give them the vaccine was analogous to flying in a plane — they wouldn’t get in a plane that hadn’t been safety tested, why should they give their child a vaccine that hadn’t been safety tested.
Meissner disagreed, saying, “We know vaccines are safe. There is no question that the COVID vaccine recommendations were dishonest, disingenuous, but the hepatitis B vaccine is very well established.”
In opening remarks, Dr. Robert Malone — who chaired the meeting because the newly named committee chairperson, Dr. Kirk Milhoun, is traveling — said “the credibility of the ACIP rests not on speed, but on rigor.”
Commenting on the heated discussions during Thursday’s meeting, Milhoun said that scientific debates are necessarily contentious.
“If they are not contentious, if they are not approached with rigor, then we end up with bad decisions. We end up with bad science. We must actively engage in responsible debate concerning contentious issues. We must boldly address change, risk new ideas, and conflicting hypotheses, which is the proper nature of evidence-based science.”
Dr. Jason Goldman, a liaison to the ACIP for the American College of Physicians, attacked opposing viewpoints as unscientific. Goldman said the Hep B vaccine discussion was “an unnecessary solution looking for a problem.”
‘If adults won’t go for the shots, then give them to babies’
The Hep B vaccine has been universally recommended for infants since 1991. The first shot is currently given within 24 hours after birth to prevent infection with hepatitis B from mothers who carry the disease — less than 0.5% of mothers.
Mothers can be tested in the hospital to determine whether they have the disease, and current tests have a 100% accuracy rate, according to FDA ex officio ACIP participant Tracy Beth Høeg, M.D., Ph.D.
However, a 1991 New York Times article posted on Substack yesterday by Dr. Meryl Nass showed that when the universal shot was rolled out, the goal was not to prevent maternal transmission — the goal was to prevent adult cases, at a time when adult cases were deemed a national crisis. However, adults commonly didn’t get the shot.
“If adults won’t go for the shots, then give them to babies,” the article said.
Following Thursday’s meeting, legacy media attacked the committee and the CDC’s presenters and highlighted charges of misinformation by liaison members.
Liaisons are nonvoting members from professional medical organizations who can offer their opinions and advice to the committee.
Representatives from some of those groups, including the American Academy of Pediatrics (AAP) and the American Medical Association (AMA), were disinvited in August from participation in the workgroups due to conflicts of interest.
Since then, the AAP has boycotted the ACIP meetings
At the start of today’s meeting, Meissner castigated AAP for this move. He said he was concerned that by not participating, they would be seen as being more focused on making a political statement than attending to the health of children.
He said that pediatricians should be part of the discussions. “Refusal to participate in the ACIP meetings does not appear to be in the best interest of children.”
Immediately following today’s vote, the Times quoted “experts” from some of the staunchest advocates for all vaccines on the childhood schedule, such as the director of the Center for Infectious Disease Research & Policy, Michael Osterholm, Ph.D., saying that the vote shows federal health authorities can no longer be trusted.
Osterholm, a member of the COVID-19 Advisory Board under the Biden administration, is one of the key players in the “Vaccine Integrity Project,” funded by iAlumbra, a nonprofit founded by Walmart heiress and philanthropist Christy Walton. The project plans to make its own vaccine recommendations.
Vaccine recommendations ‘should not be treated as mandates’
During the day-and-a-half-long discussion about the Hep B vaccine, several committee members, including Dr. Evelyn Griffin, raised concerns that the birth recommendation posed challenges for informed consent, because mothers who had just delivered babies were not in a position to calmly evaluate risks and benefits.
Others, including Levi, argued that the vaccine requirements for children to attend school effectively functioned as mandates.
Liaison members universally disagreed that the recommendations were mandates and argued that ACIP recommendations were really only recommendations, and parents could do what they wanted.
CDC ex officio member, Dr. Adam Langer, who was opposed to changing the recommendation, said that the recommendations had come to function as mandates, but that was not the intention. He proposed the committee make a formal statement that “all vaccine recommendations are recommendations. They should not be treated as mandates.”
He added that mandates put in place by state and local jurisdictions were “problematic.”
“We have a lot of challenges with our culture and our traditions in this country, with telling people what they must and must not do. But that’s not what we’re saying here. We’re saying that at the population level, in the majority of cases, this is what the sign shows is the best practice.”
He said providers should always make the best decision for the individual patient they are working with. “That’s the reason why you’ve been entrusted with a license to practice medicine.”
Watch the ACIP meeting here:
VIDEO LINK - New Window, Full screen
Related articles in The Defender
- Sparks Fly as ACIP Members Debate Hep B Vaccine for Newborns, Delay Vote Again
- Medical Establishment Mounts PR Blitz Amid Reports CDC Plans to Scrap Hep B Vaccine for Newborns
- Safety Data on Hepatitis B Vaccine for Newborns ‘Sadly Lacking’
- CDC Plan to Review Hep B Vaccine for Babies Sends Mainstream Media into Tailspin
- CDC Vaccine Advisers May Roll Back Recommendation for Hep B Shot at Birth
- Hep B Vaccines Come With High Risk, Little Benefit — Why Does CDC Recommend Them for Every Newborn?
- Key Takeaways From Last Week’s Meeting of New CDC Vaccine Advisers
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