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Hepatitis B shot for newborns has nearly eliminated childhood infections with this virus in the US

The hepatitis B vaccine for newborns, recommended since 1991, has significantly reduced U.S. childhood infections. Current CDC guidelines might change, potentially delaying vaccination, putting infants at risk. Vaccination at birth is crucial to prevent chronic infections and severe health outcomes.

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Hepatitis B shot for newborns
About 80% of parents currently choose to follow CDC guidelines to vaccinate their babies for hepatitis B at birth. timnewman/iStock via Getty Images Plus

Hepatitis B shot for newborns has nearly eliminated childhood infections with this virus in the US

David Higgins, University of Colorado Anschutz Medical Campus

Graphic saying '95% Drop in U.S. childhood hepatitis B infections since 1991, when routine infant vaccination began'
The Conversation, CC BY-ND

Before the United States began vaccinating all infants at birth with the hepatitis B vaccine in 1991, around 18,000 children every year contracted the virus before their 10th birthday – about half of them at birth. About 90% of that subset developed a chronic infection.

In the U.S., 1 in 4 children chronically infected with hepatitis B will die prematurely from cirrhosis or liver cancer.

Today, fewer than 1,000 U.S. children or adolescents contract the virus every year – a 95% drop. Fewer than 20 babies are reported infected at birth.

I am a pediatrician and preventive medicine specialist who studies vaccine delivery and policy. Vaccinating babies for hepatitis B at birth remains one of the clearest, most evidence-based ways to keep American children free of this lifelong, deadly infection.

On Sept. 18, 2025, the Advisory Committee on Immunization Practices, an independent panel of experts that advises the Centers for Disease Control and Prevention, debated changing the recommendation. According to the proposed language of the vote, infants whose mothers test positive for hepatitis B would still receive the vaccine at birth. Infants whose mothers do not test positive for hepatitis B would get the vaccine at 1 month of age, though parents would have the choice for them to receive it earlier. On Sept. 19, however, the committee tabled the vote, delaying it to the next committee meeting, scheduled for Oct. 22-23.

Although such a proposed change sounds small, it is not based on any new evidence. It would undo more than three decades of a prevention strategy that has nearly eliminated early childhood hepatitis B in the U.S.

While the committee regularly reviews vaccine guidance, nothing is business as usual about this meeting. In June 2025, Secretary of Health and Human Services Robert F. Kennedy Jr. disbanded the entire committee and handpicked new members. The committee has long-standing procedures to evaluate the evidence supporting the risks and benefits of a given vaccine, as well as other parameters of its use. But in this case, these procedures are not being followed.

Why the CDC adopted universal hepatitis B shots

Hepatitis B is a virus that infects liver cells, causing inflammation and damage. In adults, it is spread through blood and bodily fluids, which can happen through unprotected sex, contaminated needles or contact with open cuts or sores of someone who is carrying it.

The hepatitis B vaccine has been available since the early 1980s. Before 1991, public health guidance recommended giving newborns and young children the hepatitis B vaccine only if they were at high risk of being infected – for example, if they were born to a mother infected with hepatitis B or living in a household with someone known to have hepatitis B.

That targeted plan failed. Tens of thousands of children were still infected each year.

Newborn lying on exam table touching doctor's stethoscope
Children are most likely to get infected by hepatitis B at birth, when contact with their mother’s blood can transmit the virus. Ekkasit Jokthong/iStock via Getty Images Plus

Some newborns were exposed when their mothers weren’t properly screened or if their mothers got infected late in pregnancy. Children also became infected through household contacts or in child care settings by exposures as ordinary as shared toothbrushes or a bite that breaks the skin. Because hepatitis B can survive for a week on household surfaces, and many carriers are unaware they are infected, even babies and toddlers of uninfected mothers remained at risk.

Recognizing these gaps, in 1991 the CDC recommended hepatitis B vaccination for every child starting at birth, regardless of maternal risk.

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Vaccinating at birth

The greatest danger for infants contracting hepatitis B is at birth, when contact with a mother’s blood can transmit the virus. Without preventive treatment or vaccination, 70% to 90% of infants born to infected mothers will become infected themselves, and 90% of those infections will become chronic. The infection in these children silently damages their liver, potentially leading to liver cancer and death.

About 80% of parents choose to follow the CDC’s guidance and vaccinate their babies at birth. If the CDC’s recommendations change to delaying the first dose to 1 month old, it would leave babies unprotected during this most vulnerable window, when infection is most likely to lead to chronic infection and silently damage the liver.

The hepatitis B vaccines used in the U.S. have an outstanding safety record. The only confirmed risk is an allergic reaction called anaphylaxis that occurs in roughly 1 in 600,000 doses, and no child has died from such a reaction. Extensive studies show no link to other serious conditions.

The current recommendations are designed to protect every child, including those who slip through gaps in maternal screening or encounter the virus in everyday life. A reversion to the ineffective risk-based approach threatens to erode this critical safety net.

David Higgins, Assistant Professor of Pediatrics, University of Colorado Anschutz Medical Campus

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Health

Type 2 Diabetes Doesn’t Have to Be Your Future: Medicare Has a Benefit That Can Help

Left unchecked, prediabetes can progress to type 2 diabetes. However, with the right support, prediabetes can often be managed or even reversed. If you have Medicare, you may qualify for a Medicare-covered program that can help you lower your chances of developing type 2 diabetes – at no cost to you.

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Type 2 Diabetes Doesn't Have to Be Your Future: Medicare Has a Benefit That Can Help

(Feature Impact) Nearly 1 in 2 people age 65 and older has prediabetes – a condition where blood sugar (glucose) levels run higher than normal. Left unchecked, prediabetes can progress to type 2 diabetes. However, with the right support, prediabetes can often be managed or even reversed. If you have Medicare, you may qualify for a Medicare-covered program that can help you lower your chances of developing type 2 diabetes – at no cost to you.

The Medicare Diabetes Prevention Program is a covered Medicare benefit that gives you practical tools, personalized support, and proven strategies to make healthy lifestyle changes. Learn how to eat better, exercise more, and build healthy habits that stick while guided by a certified coach who helps you every step of the way.

Research shows the program works. People with prediabetes who complete the program result in weight loss, which ultimately leads to reduced risk of type 2 diabetes onset.

What can you expect?

Prevention does not mean you have to make big changes all at once. This program helps you take small, realistic steps that can add up to lasting results. It includes 16 core sessions where you can learn how to reduce your diabetes risk by making healthier meals, moving more, and building healthy habits.

The core sessions are followed by six months of monthly maintenance sessions to help you keep your momentum.

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You can choose the class format that works for you

You can enroll in these services from approved Medicare Diabetes Prevention Program suppliers and participate in the way most convenient for you:

  • In-Person: Attend sessions in a community location.
  • Live-Distance Learning: Join interactive group sessions from home.
  • Self-Paced Online: This new option allows you to access online content and learn on your own schedule. 

Visit www.medicare.gov/PreventDiabetes to find a class that’s right for you.

Who is eligible?

You may qualify if you are enrolled in Medicare Part B and meet these criteria:

  • Have had one of the following test results within the past 12 months:
    • Hemoglobin A1c between 5.7% and 6.4%
    • Fasting plasma glucose between 110 and 125 mg/dL
    • Two-hour plasma glucose between 140 and 199 mg/dL after an oral glucose tolerance test
  • Have a body mass index (BMI) of 25 or higher (or 23 or higher if you self-report as Asian descent).
  • Have never been diagnosed with type 1 or type 2 diabetes or end-stage renal disease (ESRD).

What does it cost?

If you have Medicare Part B and qualify for the program, you pay nothing to participate. If you are in a Medicare Advantage Plan, you may have to go to an in-network provider to get these services. Contact your plan for more information.

Ready to get started on your healthier future?

Take control of your health on your own terms, schedule, and pace that fits into your life. Check with your doctor to find out if you have prediabetes or are at risk for developing type 2 diabetes. If you’re eligible for the Medicare Diabetes Prevention Program, your doctor can refer you, or you can enroll on your own.

If you’re ready to get started today, find the class that’s right for you at: www.medicare.gov/PreventDiabetes.

Information provided by the U.S. Department of Health and Human Services

Photos courtesy of Shutterstock

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SOURCE:

Centers for Medicare & Medicaid Services

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Women's Health

Dry Eye: An Overlooked Symptom of Perimenopause and Menopause

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Dry Eye: An Overlooked Symptom of Perimenopause and Menopause

(Feature Impact) Dry eye is one of the most overlooked symptoms of perimenopause, the phase of fluctuating hormones leading up to a woman’s final period, and menopause, the point in a woman’s life when she’s gone a year without a period.

In fact, 79% of women1 recognize hot flashes as a symptom of menopause, but only 14% recognize dry eye as a menopause-related symptom, according to the 2026 Bausch + Lomb (Peri)Menopausal Survey. What’s more, 78% of women1 were surprised to learn that dry eye is a symptom of perimenopause or menopause.

“Dry eye is still widely overlooked as a symptom of menopause, and many women think it’s just a minor nuisance, but the truth is it can significantly affect your daily life,” said Neda Gioia, OD, CNS, IFMCP, FOWNS, founder, Integrative Vision. “Early symptoms are often misunderstood or self-treated but it’s very important for women who experience symptoms to see an eye doctor and get an accurate diagnosis and treatment.”

During perimenopause and menopause, declining hormone levels can impact tear production, tear quality and tear evaporation, contributing to dry eye symptoms including redness, fluctuating vision and a gritty or tired feeling in the eyes, all of which can impact day-to-day comfort and quality of life. If left untreated, dry eyes may worsen over time, potentially impacting eye health and vision. Among peri-, menopausal and post-menopausal women who experienced dry eye, 80% said the symptom came as a surprise.

Respondents reported their dry eye symptoms caused difficulty reading (58%), difficulty using screens (53%), difficulty driving (26%) and reduced productivity (17%), underscoring the often-overlooked impact dry eyes can have on everyday life.1

However, there are a variety of products and treatment approaches available to help manage dry eye symptoms. For example, Bausch + Lomb offers a range of options designed to address the main causes of dry eye.

A doctor-recommended, clinically proven once-daily soft gel supplement that targets the key root causes of dry eyes, Blink NutriTears supports healthy tear production and provides lasting, continuous relief.* § As part of a comprehensive approach to dry eye management, the supplement can be used with Blink Triple Care Preservative Free Lubricant Eye Drops, which are designed to directly address tear evaporation, one of the leading causes of dry eye, and provide instant and long-lasting symptom relief.

An eye care professional can help determine the approach that’s right for each individual. To learn more about dry eye and products to help combat it, visit JustBlink.com.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

12026 Bausch & Lomb (Peri)Menopause Survey via Suzy, n=402; Women ages 30–80+ who are perimenopausal, menopausal, or post-menopausal
§Based on a clinical study

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Bausch + Lomn

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health and wellness

The Oral and Cardiovascular Health Connection: 4 Tips to Protect Your Teeth, Gums and Heart

People often think of dentists and doctors as totally separate healthcare professionals: one cares for your teeth and mouth while the other handles the rest of the body. In reality, the different systems in the human body are closely interconnected and oral health is no exception, making dentists a vital part of your healthcare team. Care for your teeth, gums and heart all at once using these tips.

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The Oral and Cardiovascular Health Connection: 4 Tips to Protect Your Teeth, Gums and Heart

(Feature Impact) People often think of dentists and doctors as totally separate healthcare professionals: one cares for your teeth and mouth while the other handles the rest of the body. In reality, the different systems in the human body are closely interconnected and oral health is no exception, making dentists a vital part of your healthcare team.

Oral health and heart health have a particularly close connection, with inflammation at the core of it. When your gums are inflamed, the resulting bacteria can make their way from your mouth through your bloodstream, potentially contributing to your blood vessels constricting or becoming blocked. This, in turn, may force your heart to work harder and raise your blood pressure, putting you at risk of heart disease and stroke. More than 46% of adults in the U.S. have high blood pressure, and more than 40% of adults age 30 and older are affected by periodontal (gum) disease.

To help address these issues, the American Heart Association’s Healthy Smiles, Healthy Hearts initiative, in collaboration with Delta Dental of California, is encouraging dental teams to take a total-body perspective with their patients. Simple steps like blood pressure screenings during checkups can give a more complete picture of a person’s overall health. If a member of your dental care team pulls out a blood pressure cuff at your next appointment, it’s a good sign.

“The mouth is a gateway to the body and can often reveal more about your total body health than you may think,” said Daniel Croley, D.M.D., chief dental officer at Delta Dental of California and Affiliates. “Oral health professionals have a powerful opportunity to integrate more into their patients’ collective health care team beyond protecting their patients’ teeth By connecting oral health and heart health, this initiative helps dentists identify risks early and guide patients toward care that can improve and even save lives.” 

Care for your teeth, gums and heart all at once using these tips from experts at the American Heart Association.

Follow a Brushing and Flossing Schedule

18104 B detail embed2Good dental health starts with a daily routine. If you don’t want to sheepishly cringe next time the dentist inquires about yours, brush at least twice a day and floss at least once a day to disrupt plaque-forming bacteria. Dentists recommend using toothpaste with fluoride and brushing your teeth and gums thoroughly yet gently, as applying too much pressure can wear away enamel and cause gum recession.

Eat a Healthy Diet and Limit Sugar

Most kids are used to hearing sugar will rot their teeth – and that’s not just a parental scare tactic to get their little hands out of the candy jar. Sugar feeds harmful bacteria in your mouth, producing acid that can cause cavities and gum disease. For a diet your heart and teeth will both appreciate, prioritize vegetables, lean proteins, complex carbohydrates and healthy fats, while limiting added sugars and refined carbohydrates.

Avoid Smoking and Tobacco Products

The connection between smoking and oral disease is well established: smokers face significantly higher risks of developing periodontal disease, losing teeth or being diagnosed with oral cancer. Cigarettes aren’t the only form of tobacco to worry about, either. Vaping, dipping and chewing tobacco can also harm your dental health by drying out your mouth and restricting blood flow to the gums. Since these products are also harmful to heart health, quitting or avoiding them offers plenty of worthwhile benefits. Seek support if you need help to kick the habit.

Communicate with Your Healthcare Team

Since your body’s systems are connected to each other, it’s helpful to talk to your dentist about your blood pressure and to your doctor about your oral health. Start thinking of your dentist as a key member of your integrated healthcare team. Don’t be afraid to share your medical history, discuss the side effects of any medications you’re taking and ask for personalized recommendations on caring for your teeth, gums and overall health.

To learn more about how to improve your oral and cardiovascular health, visit Heart.org/OralHealth.

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SOURCE:

American Heart Association

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