Expert calls for Hep B vaccines at birth in Ontario, saying kids are falling through the cracks

Dr. Jordan Feld wants this province to follow international guidance and vaccinate children at birth.

Published December 12, 2025

Published by: Ottawa Citizen
Published on: December 12, 2025
By Elizabeth Payne

A leading liver expert is calling on the Ontario government to re-evaluate its hepatitis B vaccination strategy, saying some children are falling through the cracks and getting diagnosed with hepatitis B virus (HBV) before vaccines are offered at age 12.

That puts them at high risk for a life of chronic illness and even liver cancer that could have been prevented, says Dr. Jordan Feld, director of the Toronto Centre for Liver Disease at the University Health Network and a senior scientist at Toronto General Hospital Research Institute. He wants Ontario to follow international guidance and vaccinate children at birth.

His comments come amid an outcry in the United States after a Centres for Disease Control panel, appointed by Health Secretary Robert F. Kennedy Jr., voted to scrap birth doses of the vaccine. That decision has been heavily criticized by experts, who say the change is not based on science and will put children at risk.

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CDC advisers drop decades-old universal hepatitis B birth dose recommendation, suggest blood testing after 1 dose

Published December 5, 2025

Published by: CIDRAP
Published on: December 5, 2025
By Mary Van Beusekom, Laine Bergeson, Liz Szabo, Chris Dall

This morning, after contentious discussion, the Advisory Committee on Immunization Practices (ACIP) voted 8-3 to drop the recommendation for a universal birth hepatitis B vaccine dose and 6-4 to suggest that parents use serologic testing—which detects antibodies in the blood—to determine whether more than one dose of the three-dose series are needed.

Under the first recommendation, only infants born to mothers who test positive for hepatitis B would receive a birth dose, while parents of other babies would be advised to postpone the first dose for at least two months.

ACIP makes vaccination recommendations to the Centers for Disease Control and Prevention (CDC), including those for different age-groups and disease risk status, as well as on US immunization schedules for children, adolescents, and adults. The CDC director has ultimate discretion whether to approve ACIP’s advice, and physicians can make their own decisions about whether to comply, but ACIP recommendations have historically affected insurance coverage of vaccines.

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Panel Votes to Stop Recommending Hepatitis B Shots at Birth for Most Newborns

In a move toward Health Secretary Robert F. Kennedy Jr.’s goal of upending vaccine policy, the committee recommended delaying the shots for infants whose mothers test negative for the virus.

Published December 5, 2025

Published by: The New York Times
Published on: December 5, 2025
By Apoorva Mandavilli

A federal vaccine committee took a major step toward Health Secretary Robert F. Kennedy Jr.’s goal of remaking the childhood vaccine schedule on Friday, voting to end a decades-long recommendation that all newborns be immunized at birth against hepatitis B, a highly infectious virus that can cause severe liver damage.

The divisiveness and dysfunction of the committee in making the decision, however, raised questions about the reliability of the advisory process and left at least one critic “very concerned about the future” of the Centers for Disease Control and Prevention.

The panel, called the Advisory Committee on Immunization Practices, voted 8 to 3 that women who test negative for hepatitis B should consult with their health care provider and decide “when or if” their child will be vaccinated against the virus at birth. The committee did not change the recommendation that newborns of mothers known to be infected or whose status is unknown be immunized. The shift is not expected to affect insurance coverage of the shots.

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Vaccine Committee May Make Significant Changes to Childhood Schedule

Comments by President Trump, Health Secretary Robert F. Kennedy Jr. and some panelists suggest the committee is likely to delay hepatitis B shots and discuss revising the use of other vaccines.

Published December 2, 2025

Published by: The New York Times
Published on: December 2, 2025
By Apoorva Mandavilli

Advisers to Health Secretary Robert F. Kennedy Jr. appear poised to make consequential changes to the childhood vaccination schedule, delaying a shot that is routinely administered to newborns and discussing big changes to when or how other childhood immunizations are given.

Decisions by the group are not legally binding, but they have profound implications for whether private insurance and government assistance programs are required to cover the vaccines.

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vaccines

Why We Vaccinate

Published December 24, 2024

Published by: The Tyee
Published on: December 24, 2024
By Michelle Gamage

There’s a concerning trend emerging in Canada and the United States when it comes to vaccine hesitancy.

In the United States, a key legal adviser to Robert F. Kennedy Jr., the man tapped to be the next U.S. health secretary, is working to get rid of polio and hepatitis B vaccines in America, according to the New York Times. Kennedy himself has vocally opposed vaccines for years.

And here in Canada the overall childhood vaccination rate is declining, said Dr. Jason Wong, chief medical officer at the BC Centre for Disease Control. Wong is the deputy provincial health officer and a clinical associate professor in the University of British Columbia school of population and public health.

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Tag: hepatitis B