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Hawaiian, Alaska leaders tout airline deal

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Hawaiian, Alaska leaders tout airline deal


The top executives of Hawaiian and Alaska airlines said their companies are moving forward on an upcoming merger that they characterized as pro-consumer and pro-competitive because it allows them to compete more effectively in an industry dominated by larger
carriers Delta, United, American and Southwest, which together make up 80% of the U.S. market.

Peter Ingram, Hawaiian
Airlines president and CEO, and Ben Minicucci, Alaska Airlines president and CEO, made their remarks Thursday during a “fireside chat” at a “Hawaiian Airlines Business Luncheon” at the Hilton Hawaiian Village Waikiki Beach Resort. During the event, which was hosted by the Chamber of Commerce Hawaii, the airline leaders discussed the effect on Hawaii’s economy, business community and residents if Alaska Airlines is approved to buy Hawaiian for $1.9 billion.

Minicucci pledged to keep serving POG (passion orange guava drink) and indicated that he understands the importance of keeping robust and affordable neighbor island flights. He reiterated that union jobs are protected, and said when it comes to decisions about nonunion jobs and other integrations that Alaska Airlines planned to take time
to understand the needs. Alaska announced it was establishing a 16-member Hawai‘i Community Advisory Board, or HICAB, to honor the legacy and significance of the Hawaiian Airlines brand as the airlines work toward combining as well as to reinforce Alaska Airlines’ expanded role in Hawaii.

“Honolulu will become our second-largest base in our system, and it will be a big, big operation. We are going to need everything that’s required here today. Our intention is to grow this pie, not to keep it the same,” Minicucci said.

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The boards of both airlines approved the deal Dec. 2,
but there are still a lot of unknowns, and more hurdles to go. The process is expected to take 12 to 18 months.

To move forward, the deal still must be approved by Hawaiian shareholders, as well as competition authorities, including the U.S. Department of Justice and state attorneys general — and that’s not always a slam dunk.

A special meeting has been called for Feb. 16 so that Hawaiian’s shareholders, who are required to give concurrence, can vote on the merger/acquisition of Hawaiian Airlines.

Hawaiian Airlines
spokesperson Alex Da Silva said in an email to the Honolulu Star-Advertiser after Thursday’s fireside chat that “approval of our combination with Alaska by our shareholders is a required step for us to proceed with the transaction. More information is available in our public regulatory filings. As for other steps, we will continue to share information via our public filings and with the regulatory authorities in the weeks and months ahead.”

So far, the timeline hasn’t been thrown off by a lawsuit filed Jan. 10 by Deann Owen in the U.S. District Court of the Southern District of New York against Hawaiian Holdings Inc., parent company of Hawaiian Airlines, and the company’s board of directors. The case alleges violations of the Securities and Exchange Act of 1934 related to the defendants’ efforts to sell the company to Alaska Air Group Inc. through merger vehicle Marlin Acquisition Corp. Owen’s suit, which demands a jury trial, claims the sale process is unfair and would result in irreparable injury, and thus seeks to enjoin an upcoming stockholder vote on the proposed transaction.

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Among Owen’s claims is that “the definitive proxy statement fails to adequately disclose why the company board was willing to settle on a purchase price of $18 per share of company common stock after the initial offering was at a purchase price of $20 per share of company common stock.”

Another claim is that the definitive proxy statement “fails to adequately disclose why no market check was conducted for other possible strategic alternatives, including the possibility of an investment by a potential equity partner.”

Owen’s suit also alleges that Hawaiian insiders are the primary beneficiaries of the proposed transaction, not the company’s public stockholders such as herself. Moreover, she claims that the board and the company’s executive officers “are conflicted because they will have secured unique benefits for themselves from the proposed transaction not available to plaintiff as a public stockholder of Hawaiian.”

Some industry analysts also have speculated that Hawaiian could face headwinds during the regulatory process given that JetBlue and Spirit Airlines just asked an appeals court to fast-track review of a federal judge’s decision to block JetBlue’s proposed $3.8 billion purchase of Spirit.
U.S. District Judge William Young on Jan. 16 blocked JetBlue’s purchase of Spirit Airlines after the Justice Department filed a suit saying the purchase would drive up fares by eliminating Spirit, the nation’s biggest low-cost airline.

Young said the government had proved that the merger “would substantially lessen competition” and
violated a century-old antitrust law.

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Hawaiian and Alaska officially have filed with the U.S. Justice Department for antitrust clearance, and both
Ingram and Minicucci maintain that their situation is vastly different from that of JetBlue and Spirit. They said their deal doesn’t involve a low-cost carrier; their operations have little overlap; and customers will benefit from expanded travel options and services.

“We feel strongly as we go through the process that our merger will prevail,” Minicucci said.

There’s potentially a lot riding on the merger, given Hawaiian’s financial challenges of the past several years. The deal that is
moving forward with Alaska includes $900 million in
Hawaiian debt.

Hawaiian reported Tuesday a fourth-quarter loss of $101.2 million, or $1.96 per share. When adjusted for nonrecurring costs, the loss came to $2.37 per share.

The adjusted results missed Wall Street expectations. Three analysts surveyed by Zacks Investment Research had estimated an average loss of $2.35 per share per adjusted share.

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Hawaiian posted revenue of $669.1 million in the period, which also fell short
of Wall Street expectations, which were estimated at an average of $669.2 million by the three analysts surveyed by Zacks Investment
Research.

The airline ended the year with revenue of $2.72 billion and a loss of $260.5 million, or $5.05 per share.

While Hawaiian has said its balance sheet is strong, the airline’s debt situation has left some speculating that if the merger with Alaska doesn’t work out,
Hawaiian could face a third bankruptcy. However, Ingram indicated during the fireside chat that Hawaiian had not been actively searching for a buyer before entering into negotiations with Alaska.

“Hawaiian wasn’t shopping itself last year. We weren’t standing on the side with a big for-sale sign,” he said. “We were working on our own plan as an independent airline. We have a lot
of confidence in that. I’ll acknowledge the last few years have been very challenging starting with the pandemic, including the slow return of Japanese visitors, which is gradually improving over the course of 2023.”

Ingram said up until the deal was struck, “Plan A” was to “operate as a carrier with our stand-alone plan. We continue to compete aggressively as we complete our recovery from the challenges of the last couple of years.”

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Ingram said “Plan B” was getting the deal agreed on with Alaska.

“To me all that changed
after we made the announcement is ‘Plan B’ is now ‘Plan A.’” he said. “We’ve agreed that this is the plan going forward. We think it is a better outcome for our company. It’s a better outcome for our employees. It’s a
better outcome for our shareholders. It’s good for consumers. But if for some reason we had to go back to the other plan, we are completely confident in our ability to execute that as well.”

Da Silva said in an email to the Star-Advertiser that Hawaiian in 2024 will continue “strengthening our business and enhancing the guest experience with better techn­ology, exciting products including complimentary Starlink WIFI, a new flagship aircraft in our 787-9, and the continued expansion of our network.”

———

The Associated Press
contributed to this report.

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Alaska Sports Scoreboard: Dec. 6, 2025

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Alaska Sports Scoreboard: Dec. 6, 2025


Wrangell’s Alana Harrison, center, huddles with her teammates in a game against Unalaska in the girls volleyball 2A state tournament at Dimond High School on December 4, 2025. (Marc Lester / ADN)

High School

Hockey

Tuesday

Monroe Catholic 8, Lathrop 3

West 3, Wasilla 1

South 2, Dimond 0

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Wednesday

North Pole 9, West Valley 6

Delta 6, Monroe Catholic 5

West 1, Chugiak 0

Thursday

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Palmer 5, Kenai Central 2

North Pole 8, Colony 2

Friday

Palmer 6, Soldotna 0

West Valley 7, Colony 2

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Juneau-Douglas 4, Kenai Central 2

Kodiak 6, Service 3

Dimond 3, Eagle River 0

Saturday

Service 4, Kodiak 3

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Juneau-Douglas 8, Kenai Central 2

Palmer 14, Homer 2

Wasilla 6, Chugiak 3

• • •

Volleyball

Thursday

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Nelson Island 2, SISD 0 (25-20, 25-15)

Susitna Valley 3, Metlakatla 0 (25-16, 25-19, 25-14)

Martin L Olson 2, Nunamiut 1 (25-14, 23-25, 25-21)

Dillingham 3, Glennallen 1 (19-25, 25-18, 25-17, 25-23)

Shaktoolik 2, Gustavus 1 (25-12, 22-25, 25-15)

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Sand Point 3, Tri-Valley 0 (25-17, 25-17, 25-13)

Aniak 2, Emmonak 0 (25-15, 25-11)

Tanalian 2, Nelson Island 0 (25-15, 25-18)

Unalaska 3, Wrangell 0 (25-13, 25-23, 25-20)

Martin L Olson 2, Scammon Bay 0 (25-13, 25-14)

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Susitna Valley 3, Dillingham 1 (25-9, 23-25, 25-15, 25-21)

Shaktoolik 2, Anchor Lutheran 0 (25-9, 25-17)

Kisimgiugtuq 2, Aniak 0 (28-25, 25-20)

Unalaska 3, Sand Point 0 (25-16, 25-13, 25-23)

Tanalian’s Erik McGee and Warren Davis reach for a block on Nelson Island’s Gordon Pitka in the mixed six volleyball state tournament at Dimond High School on December 4, 2025. (Marc Lester / ADN)

Friday

Scammon Bay 2, Gustavus 1 (20-25, 25-21, 25-17)

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Nelson Island 2, Emmonak 0 (25-23, 25-18)

Metlakatla 3, Glennallen 0 (25-21, 25-21, 25-12)

Aniak 2, SISD 0 (25-16, 25-20)

Nunamiut 2, Anchor Lutheran 0 (25-13, 25-5)

Nunamiut 2, Aniak 0 (25-22, 25-16)

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Nelson Island 2, Scammon Bay 1 (25-10, 23-25, 25-0)

Wrangell 3, Tri-Valley 1 (25-27, 25-23, 25-18, 25-10)

Tanalian 3, Martin L Olson 1 (25-13, 8-25, 25-22, 25-23)

Shaktoolik 3, Kisimgiugtuq 0 (25-14, 25-5, 25-15)

Sand Point 3, Metlakatla 0 (25-20, 25-20, 26-24)

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Nelson Island 2, Kisimgiugtuq 0 (25-13, 25-10)

Martin L Olson 2, Nunamiut 1 (25-27, 25-16, 26-24)

Tanalian 3, Shaktoolik 1 (25-20, 17-25, 25-19, 25-23)

Unalaska 3, Susitna Valley 1 (23-25, 25-23, 25-22, 25-22)

Wrangell 3, Dillingham 2 (16-25, 25-21, 25-21, 20-25, 15-9)

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Sand Point 3, Wrangell 0 (25-14, 25-21, 25-18)

Saturday

Martin L Olson 2, Nelson Island 0 (25-16, 25-21)

Martin L Olson 2, Shaktoolik 0 (25-22, 25-21)

Susitna Valley 3, Sand Point 1 (25-17, 17-25, 25-21, 25-17)

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Tanalian 3, Martin L Olson 1 (27-25, 23-25, 25-22, 28-26)

Unalaska vs. Susitna Valley (Late)

• • •

Wrestling

Tuesday

Dimond 55, Bartlett 47

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Boys – 145: Prince Bonilla (5-15), Dimond over Benjamin Fudge (13-14), Bartlett (F 3:48)

Boys – 135: Taven Carbaugh (12-13), Dimond over Aurelius Atwood (4-12), Bartlett (F 5:51)

Boys – 119: Yeng Lao (17-6), Bartlett over Joshawa McCorkle (3-22), Dimond (TF 19-3 (3:03)

Boys – 285: Denver Spencer (17-11), Bartlett over Juan Hernandez (0-0), Dimond (F 1:26)

Boys – 215: Jayce Casarez (10-4), Bartlett over Creed Cvancara (12-5), Dimond (F 3:30)

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Boys – 189: Donald Goss (0-4), Bartlett over Tristan Mason (5-23), Dimond (F 4:21)

Boys – 171: Everett Monteil (6-7), Dimond over Alton Drones (4-6), Bartlett (TF 18-1 (4:33)

Boys – 160: Yaroslav Ustymenko (16-16), Dimond over Jonny Larsen (6-6), Bartlett (SV 7-4)

Boys – 152: Keller Jackson (18-6), Dimond over Isiah Anaruk (16-10), Bartlett (F 5:12)

Girls – 126: Nyah O`Neil (17-5), Dimond over Teresa Vicens (8-6), Bartlett (TF 17-2 (3:48)

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Girls – 100: Kaylee Kofford (22-6), Bartlett over Aoife Stout (13-7), Dimond (F 3:56)

Chugiak 62, Eagle River 46

Boys – 135: Lukas Nuxall (7-5), Chugiak over Izzak Alonzo (7-18), Eagle River (F 3:59)

Boys – 130: Jacob Driscoll (23-10), Eagle River over Briar Otts (4-8), Chugiak (F 0:56)

Boys – 119: Archer Hicks (17-12), Chugiak over Wyatt Zeiler (14-8), Eagle River (MD 9-1)

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Boys – 112: Oliver Dunlavey (13-13), Chugiak over Aiden Smith (7-6), Eagle River (F 0:44)

Boys – 103: Tanner Bailey (16-11), Chugiak over Grant Brunner (14-12), Eagle River (Dec 11-4)

Boys – 215: Braden Ott (16-5), Eagle River over Oliver Stoltze (6-6), Chugiak (F 2:42)

Boys – 189: Bryson Diola (16-1), Eagle River over Morgan Robinson (4-3), Chugiak (F 5:02)

Boys – 171: Elias Rimbert (20-6), Chugiak over Gavin Wiess (27-10), Eagle River (MD 17-5)

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Boys – 160: Richard Dunlavey (21-8), Chugiak over Vern Stott (5-11), Eagle River (F 2:34)

Boys – 152: Kamdon Marchant (13-8), Chugiak over Caleb Driscoll (24-15), Eagle River (Dec 9-5)

Boys – 145: Michael Roschi (16-0), Eagle River over Mason Scow (9-12), Chugiak (F 1:46)

Boys – 140: August Rogers (16-17), Eagle River over Brock Baker (2-9), Chugiak (F 4:46)

Girls – 126: Sabreena Otts (29-8), Chugiak over Cheyenne Bobo (0-0), Eagle River (F 2:36)

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Girls – 114: Talia Jenkins (22-5), Chugiak over Lillian Dwyer (17-18), Eagle River (F 3:06)

Girls – 107: Rylee Ruggles (17-6), Chugiak over Violet Roschi (29-9), Eagle River (F 5:44)

Girls – 152: Lily Boze (13-10), Eagle River over Ereale Campbell (15-17), Chugiak (Dec 6-0)

South 122, Service 24

Boys – 189: Bohdan Porter (25-4), South over Lucas Witwer (13-17), Service (F 2:00)

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Boys – 152: Shane Ostermiller (19-2), South over Lucas Gross (0-1), Service (F 1:25)

Boys – 140: Benson Mishler (21-2), South over Braiden Sanchez (15-9), Service (MD 19-6)

Boys – 135: Shaw Gerondale (20-4), South over Mason Childress (8-10), Service (F 1:36)

Boys – 130: Dylan Frawner (19-6), South over Urijah Eppelsheimer (10-6), Service (TF 16-0 (2:38)

Girls – 152: Savannah Stout (27-2), South over Julie Ishnook (17-13), Service (TF 20-3 (2:21)

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Girls – 114: Julia Dunlap (32-6), South over Scarlett Easton (28-12), Service (Dec 8-5)

Girls – 100: Ava Rogers (11-9), South over Rebekah Ellsworth (5-11), Service (Dec 8-1)

West 75, Bettye Davis East 53

Boys – 285: Matt Manumalealii (0-0), West over Jerome Keil-Mano (5-2), East (F 3:29)

Boys – 215: Aiden Luzano (2-8), West over Scottie Saechao (1-0), East (F 0:58)

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Boys – 189: Ezekiel Alabado (2-4), East over Declan Gee (7-12), West (Dec 6-4)

Boys – 171: Ryder Thomas (11-7), West over Kalek Donnelly (8-5), East (F 1:00)

Boys – 160: Lucas Starck (15-4), West over Julian Ferreira (7-8), East (F 2:00)

Boys – 152: Liam Ferreira (6-7), East over Chris Espina (4-12), West (Dec 11-8)

Boys – 145: Damien Ambrose (14-9), West over Levi Hanks (2-2), East (F 3:33)

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Boys – 140: Ramon armenta (6-3), East over Gage Williams (3-9), West (F 3:56)

Boys – 135: Mason Rhude (7-12), West over Warren Smallwood (4-1), East (SV 13-10)

Boys – 119: Jerriel Medina-Salazar (3-3), West over Eranda Dissanayake (1-0), East (F 4:35)

Boys – 112: Colter Campbell (13-1), East over Juan Rojas Arismendy (11-3), West (TF 19-2 (2:13)

Girls – 165: Kenya-Marie Bruno (17-2), East over Laura Souza (1-4), West (F 0:49)

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Girls – 145: Bridey Lee Piscoya (6-10), West over Victoria Orozco (6-4), East (F 3:36)

Girls – 132: Lily Oldham (18-7), West over Aniyah Smalley (5-5), East (F 1:51)

Girls – 120: Ivy Shanklin (3-9), West over Molly Antijunti (0-1), East (F 5:13)

• • •

College

Volleyball

Thursday

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UAF 3, UAA 0 (25-21, 25-18, 25-15)

Friday

Point Loma 3, UAF 1 (25-22, 25-20, 20-25, 25-18)

• • •

Women’s basketball

Thursday

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Western Oregon 82, UAF 24

Saint Martin’s 69, UAA 60

Saturday

Saint Martin’s 74, UAF 37

Western Oregon 77, UAA 69

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• • •

Men’s basketball

Thursday

Saint Martin’s 78, UAA 63

UAF 80, Western Oregon 70

Saturday

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Saint Martin’s 66, UAF 56

UAA 64, Western Oregon 56

• • •

Hockey

Friday

Stonehill 3, UAA 2

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Saturday

UAA vs. Stonehill (Late)

UAF vs. Grand Canyon (Late)





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Howling Mat-Su winds leave thousands without power

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Howling Mat-Su winds leave thousands without power


PALMER — High winds knocked out power for thousands in Mat-Su on Saturday morning with gusts forecast up to 80 mph in places before the weekend ends.

As of 9 a.m., there were nearly 17,000 members without power, according to Matanuska Electric Association. Major outages included Knik-Goose Bay and Fairview Loop roads. Another large outage knocked out more than 2,000 members from Palmer to Hatcher Pass.

There were reports of trees down on some side roads and damaged railroad crossing gates, as well as at least one small brush fire sparked by a downed power line.

By 10 a.m., the Palmer Airport had recorded a gust of 84 mph while the Wasilla Airport and the Glenn Highway near the Parks Highway had seen gusts of between 70 and 74 mph, according to weather station observations.

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A high wind warning from the National Weather Service is in place until 11 p.m. Sunday for the Matanuska Valley including Wasilla, Sutton, Big Lake, Chickaloon and Palmer. The warning calls for northeast winds of 30 to 40 mph with possible gusts up to 80 mph. Wind chill could drop to between minus 10 and minus 20 degrees by Sunday evening, the agency said.

Power outages began early Saturday morning.

“We have multiple crews out in the field and are calling in more as they become available. Winds are not expected to die down today and will last into at least tomorrow evening,” Matanuska Electric Association said in a Facebook post, encouraging people to avoid downed power lines. “Please stay safe – there is a lot of debris scattered outside.”

Wasilla police warned that numerous traffic signals were dark Saturday morning due to power outages. The Matanuska-Susitna Borough announced the central landfill near Palmer is closed Saturday due to high winds.Palmer airport officials on Friday urged pilots to secure all aircraft.

A high wind advisory for the Anchorage area and the northwest Kenai Peninsula — including Nikiski, Kenai, Soldotna and Sterling — remains in effect until 11 p.m. Sunday. Forecasters expected north winds of 20 to 30 mph and gusts up to 50, and wind chill dropping to between minus 5 and minus 15 by Sunday night. Knik Arm, West Anchorage and areas along the coast of northern Cook Inlet were likely to experience the strongest winds, according to the advisory.

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This is a developing story. Check back for updates.





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Hepatitis vaccines credited as life-saving for Alaska children may be upended

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Hepatitis vaccines credited as life-saving for Alaska children may be upended


Dr. Brian McMahon, medical and research director of the liver and hepatitis program at the Alaska Native Tribal Health Consortium, stands outside at the consortium’s campus on Oct. 8. (Yereth Rosen / Alaska Beacon)

Western Alaska, where almost all the residents are Indigenous, used to have the world’s highest rate of childhood liver cancer caused by hepatitis B. After decades of screenings and vaccinations, that problem has been eliminated; since 1995, only one person under the age of 30 has been diagnosed with hepatitis-caused cancer.

Now the Trump administration is seeking to end one of the key tools credited with accomplishing that goal: hepatitis B vaccinations of newborns.

The federal Advisory Committee on Immunization Practices on Friday voted to drop a longstanding recommendation for universal hepatitis vaccines for newborns. That is in accordance with the controversial views of U.S. Health Secretary Robert F. Kennedy Jr., a vaccine skeptic who fired all members of the previous committee and appointed like-minded members to replace them.

Current federal childhood hepatitis B vaccination guidelines recommend one dose of the vaccine at birth, followed by additional doses at intervals through 18 months. The recommendation for newborn vaccinations has been in place since 1991.

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The advisory committee, part of the U.S. Centers for Disease Control and Prevention, determined that children under 2 months should not be vaccinated unless their mothers are infected or could be infected by hepatitis B.

Some vaccine critics in the administration, including Kennedy and President Donald Trump themselves, argue — contradicting medical experts and years of medical research — that hepatitis B vaccines for young children are unnecessary, claiming that it is spread primarily or exclusively through adult behavior like sex and sharing of needles for illegal drug use.

“Hepatitis B is sexually transmitted. There’s no reason to give a baby that’s almost just born hepatitis B. So I would say wait till the baby is 12 years old and formed and take hepatitis B,” Trump said at a Sept. 22 news conference.

Those claims are false, said Dr. Brian McMahon, medical and research director of the liver and hepatitis program at the Alaska Native Tribal Health Consortium.

There is no credible evidence of a link between the vaccine and autism of any other health problem, McMahon said.

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And sexual transmissions accounted for only a tiny percentage of Alaska’s hepatitis B cases, he said.

Aside from mother-to-infant transmissions, which occur during childbirth, hepatitis B was predominantly spread in Western Alaska through normal daily activities. That is because, unlike the HIV virus or other hepatitis viruses, the hepatitis B virus can live for seven days on surfaces in schools and homes, like tables and personal-grooming items.

“The virus can be found all over, on school luncheon tabletops, counters and homes,” McMahon said. “Kids have open cuts and scratches from bug bites or anything else, and then they shed millions of particles of the virus on environmental surfaces. And then another kid comes along with an open cut or scratch.”

Such risks are exacerbated in rural Alaska, he said, where homes can be crowded and people pursue traditional subsistence lifestyles with a lot of outdoor activities.

“They’re hunting, fishing, cutting up meat, et cetera, and mosquito bites are real prominent,” he said.

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Hepatitis B virus particles, in orange, are seen in this microscopic image captured in 1981. (Dr. Erskin Palmer / U.S. Centers for Disease Control and Prevention)

Nationally, only 12.6% of chronic hepatitis B cases recorded from 2013 to 2018 were attributable to sexual transmission, according to a 2023 CDC study. Transmissions of all forms of hepatitis, including hepatitis B, are possible through contact sports like football, rugby and hockey, researchers have found.

Alaska’s disease and vaccination success

Before the past decades of vaccination and screening, hepatitis B was so prevalent in Western Alaska that it was classified as endemic there. It was the only part of the United States with such a classification. In some villages, 20% to 30% of the residents were infected, McMahon said.

Geography and ancient migration patterns accounted for historically high rates of the disease in Western Alaska, as well as other Indigenous regions of the Arctic.

Various strains have been carried from Asia to Alaska over millennia, according to scientists. And the remoteness of Indigenous communities meant isolation from medical services, making early diagnosis difficult in the past, allowing infections to linger and be passed down through generations, according to scientists.

In Alaska, children infected with the virus early in life had a high likelihood of winding up with chronic infections that caused serious complications later, such as liver failure. The worst cases resulted in cancer, and even death.

For McMahon, now in his 80s, treating cancer-stricken children in the Yukon-Kuskokwim region, where he worked in the 1970s, was harrowing.

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One of his patients was a 17-year-old high school valedictorian. A few months earlier, she started having abdominal pains, but she ignored them.

“She was really busy with school, and she’d gotten a full ride scholarship and was excited about going to the University of Alaska, representing her community,” McMahon said.

The pains turned out to be cancer, caused by a hepatitis B infection that she had not known she had. Too sick to be flown home, she died in the Bethel hospital.

“It was horrible,” McMahon said.

Another patient was an 11-year-old boy, also diagnosed after he complained of similar abdominal pain. McMahon visited him at home, where the boy was “in horrible pain” and yellow from jaundice.

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“He was just crying. He said, ‘I know I’m going to die. Just help me with my pain,’” McMahon said.

“My wife was with me. She was a public health nurse. She was in tears. The community health aide practitioner was in tears. I was fighting my tears and pulling everything I could out of my bag to try to help this patient sedate. It was just something I’ll never forget. Never,” McMahon said.

He has relayed these and other experiences to the vaccine advisory committee in hopes of persuading members to keep the infant recommendations in place.

“I said, ‘Do you want to be responsible for children getting liver cancer because of this decision?’” McMahon said. “So I’m probably not very popular right now.”

Alaska was one of the first places in the world where the hepatitis B vaccine was used as soon as it became available in 1981.

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Epidemic Intelligence Service Officer Victoria Balta of the U.S. Centers for Disease Control and Prevention prepares to ride a snowmachine between villages in rural Alaska in 2024. She and other epidemiologists traveled to villages to draw blood from participants in a long-term study of the hepatitis B vaccine. (Jonathan Steinberg / U.S. Centers for Disease Control and Prevention)

The pilot vaccination project was at the insistence of Alaska Native organizations, along with the state government and the Alaska congressional delegation. Under that pilot program, according to newly published study by McMahon and other researchers from ANTHC and the CDC’s Arctic program, tribal health organizations and their partners screened 53,860 Alaska Native people for infection and gave vaccines to 43,618 Alaska Native people who tested negative, along with starting the universal newborn vaccinations.

Health officials have followed the outcomes since then, and the new study lists several achievements 40 years after universal newborn vaccination started.

Since 1995, according to the study, there have been no new symptomatic cases of hepatitis B among Alaska Natives under 20 anywhere in the state. Since 2000, no new cases of hepatitis-related liver cancer have been identified among Alaska Natives of any age in the Yukon-Kuskokwim Delta, a region where prevalence was concentrated in the past, the study said. And follow-up surveillance has revealed that childhood hepatitis B vaccinations remain effective for at least 35 years, the study said.

Successes are also reflected in the trend of acute hepatitis, the form of infection that is short-lived and can be cleared from the body.

There have been no identified cases of acute hepatitis among Alaska Native children since 1992, according to Johns Hopkins University. The rate of acute hepatitis among Alaskans of all ages and ethnicities dropped from 12.1 cases per 100,000 people to 0.9 per 100,000 in the 2002-2015 period, according to the state Department of Health’s epidemiology section.

Alaska’s rate of chronic hepatitis B — the long-term and persistent infection that can lead to serious liver problems — remains higher than the national average. As of 2020, Alaska’s rate of chronic hepatitis B was 14.2 cases per 100,000 people, nearly triple the national rate of 5 cases per 100,000 people, according to a report by the state Department of Health’s epidemiology section.

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McMahon said that is partly because of the legacy of infections in the older Native population, people whose childhood predated widespread vaccination, and prevalence among foreign-born residents who come from countries without widespread vaccination.

Debate over hepatitis B risks

This year, vaccine skeptics who are members of the Advisory Committee on Immunization Practices, however, along with people who are advising the committee, have argued that the risks of hepatitis B among children are too low to justify universal infant vaccination.

One of the officials making that argument at Thursday’s committee meeting was Dr. Cynthia Nevison, a vaccine skeptic hired as a CDC consultant. She contradicted McMahon’s description of children spreading the virus through casual contact with contaminated surfaces — a process known as “horizontal transmission.”

“There’s very little evidence that horizontal transmission has ever been a significant threat to the average American child, and the risk probably has been overstated,” she said at the meeting. Also overstated, she said, are the risks of “vertical transmission,” the viral transmission between mothers and their newborns.

The committee’s new recommendation must be approved by the CDC administrator before it becomes federal policy.

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McMahon said that no matter how national policy might change, Alaska Native tribal health organizations will continue administering hepatitis B vaccines to newborns.

“I know they’re not going to stop. Even if they have to pay for it. They’re so aware of this,” he said.

His fears, he said, are for low-income families who depend on free vaccinations through state programs that might lose funding and for parents who are getting conflicting messages that may lead to conclusions that the vaccine is not necessary.

“It could be a real mess,” he said.

Changes in the incidence rate of acute hepatitis B from 1980 to 2015 are shown in this graph. The rate is for all Alaskans and based on state health data. The graph notes key dates in the development and use of the hepatitis B vaccine. (Graph provided by Epidemiology Section of the Alaska Division of Public Health / Alaska Department of Health)

Originally published by the Alaska Beacon, an independent, nonpartisan news organization that covers Alaska state government.





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