Reply:

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  • Potential conflict of interest: Nothing to report.

Reply:

We agree with Dr. Jhaveri and Dr. Murray that available data show that there is no evidence of hepatitis B transmission from infected mothers to infants who are breast-fed and that breast-feeding should not be prohibited, particularly for infants who receive appropriate prophylaxis with hepatitis B immune globulin and hepatitis B vaccine. Because of space constraints, it was not possible for the guidelines to include all aspects of hepatitis B management. We appreciate Dr. Jhaveri and Dr. Murray for bringing this to our readers' attention.

Anna S. F. Lok*, Brian J. McMahon†, * Division of Gastroenterology, University of Michigan Medical Center, Ann Arbor, MI, † Liver Disease and Hepatitis Program, Alaska Native Medical Center and Arctic Investigations Program, Centers for Disease Control, Anchorage, AK.

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