More Than Medicine

MTM - Why are we giving Hepatitis B Vaccine to Newborns?


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A newborn’s first day should be calm, not a crash course in public health policy. We dive into why a vaccine built for adult risk factors—unprotected sex and shared needles—became a universal ritual in the nursery, and we trace the decisions, incentives, and safety debates that cemented it there. From hospital “quality measures” that reward blanket compliance to maternal screening protocols that already catch most perinatal risk, we examine whether universal dosing truly delivers the best protection at the right time.

I walk through the historical arc: early hepatitis B vaccines with low adult uptake, the strategic shift to the childhood schedule, and the guarantee of coverage that followed. Along the way, we unpack claims about waning immunity, reported adverse events, and the contested science around autoimmunity and neurologic outcomes. You’ll hear how trial duration, data interpretation, and institutional incentives can influence both perception and policy—and why that matters when the patient is hours old.

The goal isn’t outrage; it’s clarity. We explore practical alternatives: rigorous maternal screening, immediate prophylaxis for exposed newborns, and focused vaccination for high-risk adolescents and adults, including healthcare workers and people who inject drugs. Most of all, we center informed consent and transparent communication so families can weigh risks and benefits without pressure. If you care about medical ethics, vaccine policy, and protecting kids with smart, targeted prevention, this conversation opens a path toward a more balanced approach.

If this episode challenged your assumptions or gave you a clearer view of the tradeoffs, share it with a friend, subscribe for more evidence-focused conversations, and leave a review with your take—should newborn vaccination remain universal or shift to targeted protection?

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More Than MedicineBy Dr. Robert E. Jackson

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