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ABAC Calls for Global Action Against Unethical Hepatitis B Birth Dose Study in Guinea-Bissau
October 20, 2026
The African Hepatitis B Advocacy Coalition (ABAC), Hepatitis B Foundation (HBF) and other partners are calling on global health organizations, researchers, healthcare professionals, patient advocates, and community leaders to join a collective effort opposing a proposed hepatitis B birth dose vaccine study in Guinea-Bissau.
The proposed study, supported by the U.S. Department of Health and Human Services (HHS), has raised serious ethical and public health concerns regarding the potential withholding of a proven, lifesaving vaccine from newborns in a country with one of the highest hepatitis B burdens in the world.
Approximately 12% of adults in Guinea-Bissau are estimated to be living with chronic hepatitis B. Without timely vaccination, infants exposed to hepatitis B face a substantial risk of developing chronic infection, which can lead to cirrhosis, liver cancer, and premature death.
The evidence is clear: the hepatitis B birth dose saves lives. Decades of research have demonstrated that administering the hepatitis B vaccine within 24 hours of birth is a safe and effective intervention to prevent mother-to-child transmission and protect children from lifelong infection.
Recent modeling further highlights the consequences of delaying implementation in Guinea-Bissau. Achieving 90% timely birth dose and three-dose vaccination coverage beginning in 2027 could prevent approximately 58,300 acute and 20,300 chronic hepatitis B infections through 2050. Delaying implementation by just one year could result in an additional 4,500 acute and 1,500 chronic infections.
At a time when countries across Africa are working to expand hepatitis B birth dose coverage and accelerate elimination efforts, research must support equitable access to proven prevention strategies rather than delay their implementation.
Add Your Voice: Sign the Global Advocacy Letter
We invite organizations, healthcare professionals, researchers, advocates, and individuals around the world to add their names to this important call to action.
Together, we can ensure that scientific research advances health equity, protects vulnerable populations, and supports the global goal of eliminating hepatitis B as a public health threat.
For questions or additional information, please contact the African Hepatitis B Advocacy Coalition at Catherine.Freeland@hepb.org
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African Hepatitis B Advocacy Coalition referenced in CIDRAP in statement denouncing the Unethical Hepatitis B birth dose Study in Guinea-Bissau.
A vaccine injury initiative, a contested hepatitis B trial, and edited CDC COVID-19 vaccine guidance: The State of US Vaccine Policy. Written by: Izzy Brandstetter Figueroa, PhD, MPH, Elana Pearl Ben-Joseph, MD, MPH, Jess Steier, DrPH, Riley Mulholland, MPH
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The Hepatitis B Foundation and The African Hepatitis B Advocacy Coalition denounce the unethical HepB birth dose study in Guinea-Bissau
Doylestown, Pa., Oct. 14, 2026 | The Hepatitis B Foundation (HBF) and The African Hepatitis B Advocacy Coalition (ABAC) strongly oppose the U.S. Department of Health and Human Services’ plan to support a study of the hepatitis B birth dose in Guinea-Bissau.
We are deeply concerned with the study and its protocols, and the ethical issues that arise with withholding a proven preventative vaccine from those who are at high-risk of contracting the virus. Guinea-Bissau has one of the highest prevalence rates of hepatitis B in the world, with approximately 12% of adults estimated to be living with chronic hepatitis B. Guinea-Bissau also faces a substantial burden of hepatitis B-related hepatocellular carcinoma (HCC), or liver cancer, ranking seventh among the 49 sub-Saharan African countries in liver cancer mortality.
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Contact Us
For any inquiries or feedback, please reach out to our support team at Catherine.Freeland@hepb.org or Noah.Trudeau@hepb.org
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