Thursday, September 29, 2022

How Bad Is Hepatitis C

How Do You Get Hep C

From Cirrhosis to a Hepatitis C Cure | William’s Story

You can acquire Hep C if you receive blood from a person infected with HCV. Before 1992, when blood screening for HCV infection was not available, Hep C spread through blood transfusion and organ donation. This is not the case now due to widespread screening of blood donors in the United States. However, one can still get Hep C in the following situations:

  • Sharing needles and syringes

It’s Different Than Hepatitis A And B

Each form of hepatitis has its own specific virus that spreads and is treated differently. “Hepatitis simply means inflammation of the liver, or that the virus has an affinity for hurting the liver,” Reau says.

  • Hepatitis A is an acute, short-term infection that often does not require treatment.
  • Hepatitis B hides deep in the body and, like hepatitis C, is treated in a variety of ways, from antiviral medications to liver transplants.

“The viruses are different, but all of them should be taken very seriously since they can lead to significant liver disease and even death,” she adds.

Stages Of Hepatitis C

The hepatitis C virus affects people in different ways and has several stages:

  • Incubation period. This is the time between first exposure to the start of the disease. It can last anywhere from 14 to 80 days, but the average is 45
  • Acute hepatitis C. This is a short-term illness that lasts for the first 6 months after the virus enters your body. After that, some people who have it will get rid of, or clear, the virus on their own.
  • Chronic hepatitis C. For most people who get hepatitis C — up to 85% — the illness moves into a long-lasting stage . This is called a chronic hepatitis C infection and can lead to serious health problems like liver cancer or cirrhosis.
  • Cirrhosis. This disease leads to inflammation that, over time, replaces your healthy liver cells with scar tissue. It usually takes about 20 to 30 years for this to happen, though it can be faster if you drink alcohol or have HIV.
  • Liver cancer. Cirrhosis makes liver cancer more likely. Your doctor will make sure you get regular tests because there are usually no symptoms in the early stages.

Learn more about the stages and progression of hepatitis C.

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Getting Tested Is The Only Way To Know If You Have Hepatitis C

A blood test called a hepatitis C antibody test can tell if you have been infected with the hepatitis C viruseither recently or in the past. If you have a positive antibody test, another blood test is needed to tell if you are still infected or if you were infected in the past and cleared the virus on your own.

  • Are 18 years of age and older
  • Are pregnant
  • Currently inject drugs
  • Have ever injected drugs, even if it was just once or many years ago
  • Have HIV
  • Have abnormal liver tests or liver disease
  • Are on hemodialysis

Hepatitis C Symptoms & Treatment

COVID

FAST FACTS:

  • Hepatitis C is found in infected blood. It is also rarely found in semen and vaginal fluids.

  • Hepatitis C is mainly passed on through using contaminated needles and syringes or sharing other items with infected blood on them. It can also be passed on through unprotected sex, especially when blood is present.

  • You can prevent hepatitis C by never sharing needles and syringes, practising safer sex, and avoiding unlicensed tattoo parlours and acupuncturists.

  • Hepatitis C will often not have any noticeable symptoms, but a simple blood test carried out by a healthcare professional will show whether you have hepatitis C.

  • In the early stages, some peoples bodies can clear a hepatitis C infection on their own, others may develop chronic hepatitis C and will need to take antiviral treatment to cure the infection.

  • Without treatment, chronic hepatitis C can lead to permanent liver damage.

Hepatitis C is part of a group of hepatitis viruses that attack the liver.

Its mainly passed on through contaminated needles, either from injecting drugs or from needle stick injuries in healthcare settings. It can also be transmitted sexually, especially during anal sex or other types of sex that may involve blood.

Some groups are more at risk of getting hepatitis C than others, including people who use drugs, people in prisons, men who have sex with men, health workers and people living with HIV.

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Complications Of Hepatitis C

If the infection is left untreated for many years, some people with hepatitis C will develop scarring of the liver .

Over time, this can cause the liver to stop working properly.

In severe cases, life-threatening problems, such as liver failure, where the liver loses most or all of its functions, or liver cancer, can eventually develop.

Treating hepatitis C as early as possible can help reduce the risk of these problems happening.

What It Will Take To Eliminate Hepatitis C In Canada

Canada is one of 194 countries that endorsed the World Health Organizations Global Health Sector Strategy on Viral Hepatitis in 2016, committing to among other things the elimination of viral hepatitis as a major public health threat by 2030. But what does eliminating viral hepatitis mean in practice? The recent Global Hepatitis Summit in Toronto from June 14 to 17, 2018, brought together researchers, healthcare providers, and public health practitioners from around the world to try to answer this question. Presenters shared the latest research findings, marked which countries are on track to meet the targets, and discussed…

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How Is Hepatitis Diagnosed

Chronic hepatitis can quietly attack the liver for years without causing any symptoms. Unless the infection is diagnosed, monitored, and treated, many of these people will eventually have serious liver damage. Fortunately, blood tests can determine whether you have viral hepatitis, and if so, which kind.

Who Should Get Tested

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You should consider getting tested for hepatitis C if you’re worried you could have been infected or you fall into one of the groups at an increased risk of being infected.

  • Hepatitis C often has no symptoms, so you may still be infected if you feel healthy.
  • The following groups of people are at an increased risk of hepatitis C:
  • ex-drug users and current drug users, particularly users of injected drugs
  • people who received blood transfusions before September 1991
  • recipients of organ or tissue transplants before 1992
  • people who have lived or had medical treatment in an area where hepatitis C is common high risk areas include North Africa, the Middle East and Central and East Asia
  • babies and children whose mothers have hepatitis C
  • anyone accidentally exposed to the virus, such as health workers
  • people who have received a tattoo or piercing where equipment may not have been properly sterilised
  • sexual partners of people with hepatitis C

If you continue to engage in high-risk activities, such as injecting drugs frequently, regular testing may be recommended. Your doctor will be able to advise you about this.

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Could I Give Hepatitis C To Someone Else

Yes, once you have hepatitis C, you can always give it to someone else. If you have hepatitis C, you cannot donate blood. You should avoid sharing personal items like razors and toothbrushes. It is very rare to pass hepatitis C in these ways, but it can happen. Always use a condom when you have sex. If you have hepatitis C, your sexual partners should be tested to see if they also have it.

Talk to your doctor first if you want to have children. The virus isnt spread easily from a mother to her unborn baby. But it is possible, so you need to take precautions. However, if youre trying to have a baby, do not have sex during your menstrual cycle. The hepatitis C virus spreads more easily in menstrual blood.

How Do I Avoid Getting Sick

These tips will help protect you and your family from Hepatitis A:

  • Wash your hands after using the washroom and changing diapers, and before preparing or eating food.
  • When travelling, especially to developing countries:
  • drink water from a safe supply
  • avoid ice cubes in drinks
  • eat only freshly cooked food
  • avoid non-peelable raw fruit or vegetables
  • Talk to your doctor about getting a Hepatitis A vaccination before travelling.
  • Cook food to a safe internal temperature using a digital thermometer.
  • If you think that you have been exposed to the Hepatitis A virus, see your doctor immediately. Vaccination can prevent the onset of symptoms if given within two weeks of exposure.
  • If you have been diagnosed with Hepatitis A, or any other gastrointestinal illness, do not prepare food or pour water for other people.
  • Also, these safe food practices will reduce your risk of contracting Hepatitis A and other foodborne illnesses.

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    How Will I Know If My Treatment Works

    The goal of treatment is to reduce the amount of the hepatitis C virus in your blood to levels that cant be detected after 24 weeks of therapy. The amount of the virus in your blood is called your viral load. At the end of your treatment, your doctor will need to measure your viral load and find out how healthy your liver is. He or she may repeat many of the same tests that were done when you were first diagnosed with hepatitis C.

    If your blood has so few copies of the virus that tests cant measure them, the virus is said to be undetectable. If it stays undetectable for at least 6 months after your treatment is finished, you have what is called a sustained virologic response . People who have an SVR have a good chance of avoiding serious liver problems in the future.

    Treatment may not reduce your viral load. You may not have an SVR after treatment. If thats true, your doctor will discuss other treatment options with you. For example, if 1 round of treatment did not decrease your viral load enough, your doctor may recommend a second round. Even if treatment doesnt keep you from having active liver disease, lowering your viral load and controlling chronic liver inflammation may help you feel better for a longer time.

    Can You Die From Hepatitis C

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    Complications from untreated hepatitis C, including cirrhosis and liver cancer, can be fatal, though HCV itself is rarely fatal.

    According to the Centers for Disease Control and Prevention , people who develop cirrhosis from HCV have a

    more than half of people with an HCV infection will develop chronic hepatitis C. Chronic hepatitis C is long term and can lead to permanent cirrhosis or liver cancer.

    Chronic hepatitis C usually has no symptoms. People with chronic hepatitis C may not even know they have it. But once symptoms appear, it means that damage to the liver has already begun.

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    Contaminated Needles And Infected Blood

    You can get hepatitis C from sharing contaminated needles, syringes and other injecting equipment during recreational drug use. Banknotes and straws used for snorting may also pass the virus on.

    Being exposed to unsterilised tattoo and body piercing equipment can also pass hepatitis C on. Occasionally, you can get it from sharing a towel, razor blades or a toothbrush if there is infected blood on them.

    Hepatitis C infection is also passed on in healthcare settings, from needle stick injuries or from medical and dental equipment that has not been properly sterilised. In countries where blood products are not routinely screened, you can also get hepatitis C by receiving a transfusion of unscreened blood and blood products.

    You can prevent hepatitis C by:

    • never sharing needles and syringes or other items that may be contaminated with infected blood
    • only having tattoos, body piercings or acupuncture in a professional setting, where new, sterile needles are used
    • following the standard infection control precautions, if youre working in a healthcare setting.

    Questions To Ask Your Doctor

    • Do I need treatment?
    • What treatment is best for me?
    • What medicines should I take?
    • Are there any medicines I should avoid?
    • How can I cope with the side effects of treatment?
    • Is there a therapist I can talk to?
    • How long will my treatment last?
    • Can hepatitis C be cured?
    • Are organ transplants and blood transfusions safe?
    • Is it safe for me to get pregnant?

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    Getting Tested For Hepatitis C

    Seek medical advice if you have persistent symptoms of hepatitis C or there’s a risk you’re infected, even if you do not have any symptoms.

    A blood test can be carried out to see if you have the infection.

    GPs, sexual health clinics, genitourinary medicine clinics or drug treatment services all offer testing for hepatitis C.

    Early diagnosis and treatment can help prevent or limit any damage to your liver, as well as help ensure the infection is not passed on to other people.

    Types Of Hepatitis C Infection

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    There are six major identified hepatitis C virus genotypes, that is, specific genetic sequencing of the virus. In the United States, genotypes 1, 2 and 3 are most common, with genotype 1 accounting for the majority of cases.

    Your child’s genotype is important because certain genotypes respond better to treatment than others and the treatment regimen is different depending on the genotype. Your child’s doctor will test to see which genotype your child has before starting therapy for your child’s infection.

    In addition to the genotypes of hepatitis C, there are two common forms of hepatitis C infection: acute and chronic.

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    What Are The Symptoms Of Hepatitis C

    Most people infected with hepatitis C have no symptoms. Some people with an acute hepatitis C infection may have symptoms within 1 to 3 months after they are exposed to the virus. These symptoms may include

    If you have chronic hepatitis C, you most likely will have no symptoms until complications develop, which could be decades after you were infected. For this reason, hepatitis C screening is important, even if you have no symptoms.

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    Hepatitis C: What Happens

    About 25% of people who get hepatitis C defeat the virus after a short-term infection. The rest will carry the virus in their body for the long term. Chronic hepatitis C can cause very serious complications, including liver failure and liver cancer. There are effective treatments for the virus, though.

    Causes Of Hepatitis C

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    You can become infected with hepatitis C if you come into contact with the blood of an infected person.

    Other bodily fluids can also contain the virus, but blood contains the highest level of it. Just a small trace of blood can cause an infection. At room temperature, it’s thought the virus may be able survive outside the body in patches of dried blood on surfaces for up to several weeks.

    The main ways you can become infected with the hepatitis C virus are described below.

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    Who Is At Risk For Hepatitis C

    You are more likely to get hepatitis C if you

    • Have injected drugs

    If you have chronic hepatitis C, you probably will not have symptoms until it causes complications. This can happen decades after you were infected. For this reason, hepatitis C screening is important, even if you have no symptoms.

    Hepatitis C: How Does It Spread

    It spreads through infected blood. In the U.S., sharing needles or other items used to inject drugs is the most common cause of infection. Getting a tattoo or body piercing with an infected needle is another means of exposure. A mother may pass the virus to their child at birth. In rare cases, unprotected sex spreads hepatitis C, but the risk appears small. Having multiple sex partners, HIV, or rough sex seems to raise risk for spreading hepatitis C.

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    Testing For Hepatitis C

    Hepatitis C is usually diagnosed using 2 blood tests: the antibody test and the PCR test. These can be as part of a routine blood test or are often combined as a dried blood spot test. The dried blood spot test is similar to a blood sugar test in pricking the finger to get a blood spot that is put on a testing card. This is then sent to a laboratory to be tested.

    Another similar test is an antigen test, which if used can often get the results back in 90 minutes. This is very expensive and not many services have access to the machine needed.

    Hepatitis B: What Happens

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    Many adults who get hepatitis B have mild symptoms for a short time and then get better on their own. But some people are not able to clear the virus from the body, which causes a long-term infection. Nearly 90% of infants who get the virus will carry it for life. Over time, hepatitis B can lead to serious problems, such as liver damage, liver failure, and liver cancer.

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