08/18/2026
Administering the hepatitis B vaccine at birth has become a controversial issue over the past year. This immunization series offers important protection throughout the child’s life. 👨👩👧👦 Read one doctor’s personal experience due to lack of vaccine access.
Story submission by Dr. Trieu Pham: I am an urgent care physician, and a hepatitis B patient who nearly died. Because I was not vaccinated as a child, I needed a liver transplant to survive.
I grew up in Vietnam, where hepatitis B vaccines were not available until the mid-1990s. Most people born before that—people like me, like my uncle, like millions in the endemic areas across Southeast Asia and Africa—were never vaccinated. Many people contract and carry the virus without knowing it. If people never develop obvious symptoms, they never know to get screened and tested. Then, when they reach their late 40s and 50s with chronic hepatitis, they develop complications like liver cancer and cirrhosis. A lot of these people die.
I had been living in the United States for four or five years when I learned that my uncle—my mother’s older brother—had died. Liver cancer, they told me later. After that, my family got serious. Everyone got tested. We found out that multiple members of my family were living with chronic hepatitis B.
I already knew I was one of them. I was tested after moving to the US and found out I had the virus. It was a challenge to accept and for me, personally, it was scary. Hepatitis B is a chronic condition. We can suppress the virus and try to minimize complications. But we don’t have medication that can clear the virus completely. It does not go away.
I tried, for a long time, not to think about it.
The rest of Trieu's story is linked in the comments below.