Control of Hepatitis B: To Be or Not To Be?

Abstract
The needs of children should not be made to wait. —John F. Kennedy, 1963 The recent recommendations of the American Academy of Pediatrics (AAP) Committee on Infectious Diseases and the Immunization Practices Advisory Committee of the Centers for Disease Control to immunize all infants against hepatitis B virus (HBV) infection have engendered concerns and questions which should not eclipse the import and intent of these recommendations.1,2 Behind these statements lay much deliberation and expertise drawn from those in pediatrics, medicine, infectious diseases, and public health. The undeniable conclusions of both committees are that control of HBV infection and its consequences (1) is necessary, (2) requires a new approach, and (3) must include universal infant immunization and should include immunization of adolescents whenever resources permit.
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