Vaccines

Models project more chronic hepatitis B infections under delayed newborn vaccination

The model projected more chronic infections under delayed or shared-decision vaccination, with reports giving different estimates for shared decision-making.

Reported by 3 outlets Monday, October 19, 2026

A nurse giving a vaccine in a patient’s arm
Photo: Public domain, U.S. Navy Medicine

A modeling study published in Annals of Internal Medicine projected that delaying the hepatitis B vaccine birth dose or replacing universal vaccination with shared decision-making could increase chronic infections among U.S. children. Researchers modeled a single-year birth cohort of 3.6 million children through age 20.

Medical Xpress reported projected increases of 19% for vaccination at 2 months and 83% under shared decision-making, compared with universal vaccination at birth. The New York Times also reported an increase of as much as 83%. Time reported a 19% rise if 75% of infants received the vaccine at 2 months, and a 225% rise if 26% received it. The reports therefore give different estimates for shared decision-making. The study authors said universal vaccination at birth remained the most effective strategy for preventing childhood infections.

Reporting on this story

More top stories

This Week in Medicine

The week in medicine, in five minutes

The most important medical news of the week, summarized for you and easy to read. Every Sunday, free.

Free. No spam. Unsubscribe anytime.