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We discuss the potential effects that delaying the initial hepatitis B vaccine dose until 2 months will have on global health communities, the economy, well-being, and development. Despite the WHO 2030 elimination goals, shifts toward delaying the newborn \u201cbirth dose\u201d and rising vaccine hesitancy pose a risk of a public health reversal resulting in hepatitis B (HBV) remaining a global threat. We argue that maintaining universal birth-dose recommendation should remain the most reliable strategy to mitigate systemic screening gaps and achieve the global elimination of hepatitis B, along with other forms of viral hepatitis.<\/jats:p>","DOI":"10.1007\/s10096-026-05542-0","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T01:04:51Z","timestamp":1778547891000},"page":"2901-2904","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hepatitis B control in jeopardy"],"prefix":"10.1007","volume":"45","author":[{"given":"Efstathios","family":"Karakasidis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Mazin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"5542_CR1","unstructured":"CDC. 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