Perinatal Hepatitis B Prevention

Hepatitis B is an inflammatory liver disease caused by the hepatitis B virus which results in liver damage that can lead to cirrhosis and an increased risk of liver cancer. Hepatitis B virus is generally spread when bodily fluid from an infected person enters the body of someone who is not infected. It can also be passed from an infected mother to her baby at birth

The Perinatal Hepatitis B Prevention Program works to identify the Hepatitis B status of pregnant women, to communicate with those at high risk for transmitting Hepatitis B infection to their infants and to ensure access to Hepatitis B immune globulin and Hepatitis B vaccine.

Hepatitis B vaccine is available free of charge to hospitals participating in the VFC program from the Vermont Department of Health Immunization Program.

Hepatitis B Reporting

An algorithm has been developed for guidance on prevention of perinatal hepatitis B transmission, and information on reporting all suspected cases to the Health Department. By law, incidences of Hepatitis B infection are to be reported to the Vermont Department of Health, including of women who are pregnant and who have a positive test for Hepatitis B.

Our Local Health nurses work with people with this infection, and their families, to understand the recommendations about vaccination, treatment and care.

Treatment schedule for babies at high-risk for hepatitis B

HBIG and hepatitis B vaccine administered within 12 hours of birth (using different sites, usually each lateral thigh for injection)

Treatment Schedule


 Single Antigen Vaccine




Not to be used < 6 weeks of age
Use monovalent Hep B vaccine at birth


1 -2 months

2 months


6 months

4 months



6 months

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