The Australian Technical Advisory Group on Immunisation (ATAGI) recommends that all newborn babies receive a hepatitis B vaccine at birth, followed by routine doses at 2, 4 and 6 months of age.
This recommendation applies regardless of the mother’s hepatitis B status.
Why is the birth dose recommended?
Although hepatitis B screening is offered during pregnancy, there are situations where:
- screening may not occur,
- results may be delayed, or
- infection may occur after testing.
Babies who acquire hepatitis B at birth have a much higher risk of developing chronic infection, which can lead to serious liver disease later in life.
The birth dose provides early protection during this vulnerable period.
Is the hepatitis B vaccine safe?
Yes. The hepatitis B vaccine has been used safely in Australia and worldwide for many years.
ATAGI has reaffirmed that the vaccine given at birth is safe and highly effective.
Recommended vaccine schedule
- At birth
- 2 months
- 4 months
- 6 months
- Additional dose at 12 months for pre-term or low-birth-weight babies
Cost
Under the National Immunisation Program, the hepatitis B vaccine is free for newborns.
Announcement
ATAGI recommendations for hepatitis B vaccination in newborns
ATAGI continues to recommend the hepatitis B birth dose for all newborns, regardless of maternal hepatitis B status. Screening during pregnancy may not always occur, results can be delayed, or infection may happen after testing.
The birth dose plays a key role in preventing chronic hepatitis B and its long-term complications. Healthcare providers are encouraged to promote birth dose vaccination and use SKAI resources to support informed conversations with families.
Further information
- ATAGI statement on the importance and safety of Hepatitis B vaccine at birth
- Use SKAI | Hepatitis B resources to support conversations with parents and caregivers
- Keep up to date – via the The Australian Immunisation Handbook | Hepatitis B
If you have questions about vaccinations for your child, the doctors and nurses at Sandy Hill Medical Centre are happy to discuss this with you.
