ATLANTA — Health Secretary Robert F. Kennedy Jr.’s new vaccine advisory committee meets Thursday to begin a two-day session focused on shots against COVID-19, hepatitis B and chickenpox.
Votes are expected Thursday afternoon on hepatitis B and on a combined shot against measles, mumps, rubella and chickenpox, but Department of Health and Human Services officials have not said exactly what proposals would be considered.
Information on the meeting agenda suggests the committee may be poised to roll back — at least partly — a longstanding recommendation that all U.S. children get an initial dose of hepatitis B vaccine right after birth.
The American Academy of Pediatrics and many public health officials support that decades-old practice.
Dr. Mysheika Roberts, health department director in Columbus, Ohio, said rates of the liver disease among children have dropped tremendously since it was put into place.
“I don’t understand the rationale of why we would stop providing that vaccine and that guidance to babies when we’ve seen such great progress in that area,” said Roberts, who was scheduled to join the vaccine panel but was dismissed by Kennedy. “If it’s not broken, why change it?”
The committee’s chair, Martin Kulldorff, also has raised the idea of recommending the MMRV combination shot not be given to children younger than 4. In a June presentation to the committee, he discussed rare instances of feverish seizures that have been associated with the first dose, given to kids between ages 1 and 2.
The ACIP last dealt with the issue in 2009, when it said either the combination shot or separate MMR and varicella shots were acceptable for the first dose. Today, most pediatricians suggest separate doses for the first round and give the combined shot for the second dose, pediatrics experts say.
Some doctors and public health experts say they are not aware of any new safety data that would explain the revisiting of those vaccination recommendations. They worry that th