CDCs Shift Under RFK Jr: Controversy Over Hepatitis B Vaccine Policy

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Under RFK Jr., the CDC provides a megaphone to the anti-vaccine movement - The Washington Post

CDC’s Shift Under RFK Jr.

Under Robert F. Kennedy Jr.'s leadership, the CDC has moved towards amplifying anti-vaccine perspectives, notably seen in the recent repeal of the universal hepatitis B birth vaccine recommendation. The agency now promotes individual-based decision-making, allowing parents and healthcare providers to weigh vaccine risks and benefits rather than endorsing blanket immunization policies.

Controversy Over Hepatitis B Vaccine

The CDC’s Advisory Committee on Immunization Practices voted to delay the hepatitis B vaccine from birth to two months for newborns of mothers testing negative for the virus. This shift reflects skepticism about one-dose efficacy and aligns with rhetoric commonly used by anti-vaccine advocates questioning vaccine safety and necessity. Critics warn this could increase hepatitis B infections that were previously minimized by early vaccination.

Implications for Childhood Immunization

This change also signals a broader reassessment of the childhood vaccine schedule, scrutinizing longstanding recommendations. By encouraging individualized decisions, the CDC under RFK Jr. risks undermining public confidence in vaccines, potentially reversing decades of progress in preventing infectious diseases.

About the People Mentioned

Robert F. Kennedy Jr.

Robert F. Kennedy Jr. is an American politician, environmental lawyer, and author, born on January 17, 1954, in Washington, D.C. He is the third of eleven children of Robert F. Kennedy, the U.S. Attorney General, and Ethel Skakel Kennedy. His family's political legacy includes his uncle, President John F. Kennedy. Kennedy's early life was marked by personal struggles, including drug addiction, which led to his arrest for heroin possession in 1983. However, he later redirected his life towards environmental advocacy and public service. Kennedy graduated from Harvard University in 1976 with a degree in American history and literature and later earned a law degree from the University of Virginia in 1981. He began his career as an assistant district attorney in Manhattan but soon shifted his focus to environmental law. In 1987, he received a master's degree in environmental law from Pace University, where he taught environmental law from 1986 to 2018 and co-founded the Environmental Litigation Clinic. Notably, Kennedy is the founder of the Waterkeeper Alliance, a global clean water advocacy group, and Children's Health Defense, which focuses on childhood chronic diseases and environmental exposures. He has been recognized for his environmental activism, including being named TIME Magazine's "Hero for the Planet" for his efforts in restoring the Hudson River. Kennedy has also been involved in high-profile legal cases against companies like DuPont and Monsanto. In recent years, he has been a vocal figure in vaccine skepticism and public health controversies. In the 2024 U.S. presidential election, Kennedy initially ran as an independent candidate before endorsing Donald Trump. Currently, his involvement in public life includes controversial stances on health and environmental issues. Despite these controversies, his work in environmental law and advocacy has had significant impacts on public health and environmental protection.

About the Organizations Mentioned

Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention (CDC) is a premier U.S. public health agency established on July 1, 1946, originally as the Communicable Disease Center. It evolved from the wartime Malaria Control in War Areas program (MCWA) created during World War II to combat malaria around military bases in the southern United States[1][3][7]. Headquartered in Atlanta, Georgia, the CDC has grown from a regional malaria control unit to a comprehensive national and global health protection agency. The CDC’s mission is to protect public health and safety through disease control and prevention, health promotion, and emergency preparedness. It investigates and responds to emerging health threats such as infectious diseases—including COVID-19, influenza, and bioterrorism agents—as well as chronic diseases, injuries, workplace hazards, environmental health threats, and more[2][6]. The agency conducts scientific research via over 200 specialized laboratories nationwide, supports public health workforce development, and communicates critical health information to the public[6][5]. Throughout its history, the CDC has expanded its scope and structure significantly. It was renamed the Center for Disease Control in 1970, then the Centers for Disease Control in 1980 as it incorporated multiple centers, and finally adopted the current name, Centers for Disease Control and Prevention, in 1992 to emphasize prevention efforts while retaining the CDC acronym for recognition[2][8]. Its organizational breadth now includes centers focused on infectious diseases, chronic diseases, environmental health, injury prevention, occupational safety, and health statistics. Notable achievements include leading vaccination campaigns against diseases like measles and rubella, advancing injury prevention, and mounting global efforts against infectious outbreaks. The CDC also played a pivotal role in combating antibiotic misuse and bioterrorism preparedness. Despite past controversies like the Tuskegee syphilis study, the agency remains a leader in epidemiology and public health innovation, employing a multidisciplinary workforce of scientists, clinicians, and public health experts dedicated t

Advisory Committee on Immunization Practices

## Advisory Committee on Immunization Practices (ACIP): Overview, History, and Impact The **Advisory Committee on Immunization Practices (ACIP)** is a federal advisory committee under the U.S. Centers for Disease Control and Prevention (CDC) responsible for providing expert recommendations on the use of vaccines and related agents to control vaccine-preventable diseases in the U.S. civilian population[1][2][6]. Its guidance covers routine immunization schedules for children and adults, as well as nonroutine situations such as outbreaks and travel[2]. ACIP’s recommendations are foundational for both public health policy and clinical practice, influencing everything from school entry requirements to insurance coverage for vaccines[1]. ## History and Structure Established in March 1964 by the U.S. Surgeon General, ACIP was created under Section 222 of the Public Health Service Act to provide ongoing, independent advice to the Secretary of Health and Human Services (HHS) on vaccine policy[1][2]. The committee comprises medical and public health experts, including both voting and liaison members, and operates through regular public meetings and specialized work groups that review evidence and draft recommendations[2][6]. Final recommendations require a majority vote and are published in CDC’s Morbidity and Mortality Weekly Report (MMWR), making them official federal guidance[1][2]. ## Key Achievements ACIP’s recommendations have shaped the U.S. immunization landscape for over half a century, ensuring the integration of new vaccines (such as those for HPV, hepatitis B, and COVID-19) into routine care as soon as they are licensed[1][2]. During the COVID-19 pandemic, ACIP played a pivotal role in rapidly developing and updating vaccination guidelines, including recommendations for multiple age groups and immunocompromised individuals[5]. The committee’s rigorous, evidence-based process is designed to balance scientific rigor with public transparency, often assessing new vaccines in parallel with FDA approval[7]. ## Current Status

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