What Is Hepatitis C And How Can You Get It

Preventing The Spread Of Hepatitis C

There is no vaccine available to prevent a person from being infected with hepatitis C. Recommended behaviours to prevent the spread of the virus include:

• Always use sterile injecting equipment. This can be accessed from your local needle and syringe program service.
• Avoid sharing personal items such as toothbrushes, razors, nail files or nail scissors, which can draw blood.
• If you are involved in body piercing, tattooing, electrolysis or acupuncture, always ensure that any instrument that pierces the skin is either single use or has been cleaned, disinfected and sterilised since it was last used.
• If you are a healthcare worker, follow standard precautions at all times.
• Wherever possible, wear single-use gloves if you give someone first aid or clean up blood or body fluids.
• Although hepatitis C is not generally considered to be a sexually transmissible infection in Australia, you may wish to consider safe sex practices if blood is going to be present, or if your partner has HIV infection. You may wish to further discuss this issue and personal risks with your doctor.

Is There A Cure

Though there is no vaccine for Hepatitis C, treatments can reduce the viral load to undetectable levels which is considered cured or in remission.

The virus is considered cured when it is not detected in your blood 12 weeks after treatment is completed. This is otherwise known as a sustained virologic response .

Hepatitis C is one of the most serious hepatitis viruses. However, with newer treatments developed over the past few years, the virus is much more manageable than it was in the past.

Current antiviral drugs that help cure hepatitis C may also help prevent the health complications of chronic liver disease.

The reports less than half of people who contract the hepatitis C virus may clear it from their bodies without treatment. For this group of people, the virus will be a short-term acute condition that goes away without treatment.

But for most people, acute hepatitis C will likely develop into a chronic condition that requires treatment.

Since the virus often doesnt produce symptoms until after more significant liver damage occurs, its important to get tested for hepatitis C if you think you might have been exposed.

approved the antiviral drug Mavyret for an 8-week treatment period for people with all genotypes of hepatitis C.

This treatment is now being used for many people instead of the 12-week treatment that was previously required.

Noninvasive ways to test for liver damage caused by hepatitis C are also now available to aid in diagnosis.

How Does Hepatitis C Affect The Liver

When infected, the liver becomes inflamed, which may cause the healthy, soft tissues in the liver to harden and scar. If not stopped, inflammation and scarring can lead to serious liver diseases such as cirrhosis of the liver or liver tumors. If the damage is severe enough, the liver may not perform all of its functions normally.

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What Are The Treatments For Hepatitis C

Treatment for hepatitis C is with antiviral medicines. They can cure the disease in most cases.

If you have acute hepatitis C, your health care provider may wait to see if your infection becomes chronic before starting treatment.

If your hepatitis C causes cirrhosis, you should see a doctor who specializes in liver diseases. Treatments for health problems related to cirrhosis include medicines, surgery, and other medical procedures. If your hepatitis C leads to liver failure or liver cancer, you may need a liver transplant.

What Is A Biopsy

A biopsy is a medical procedure. A tiny piece of liver is removed and examined to find out the extent of damage. It involves a large needle and local anesthetic, as well as some risk of bleeding. A pathologist looks at the piece of liver under microscopes to determine how much damage has occurred in the liver. This is a very useful test and used to be done very commonly. However, the procedure is done much less frequently than in the past. For most patients with hepatitis B and C, liver biopsy is not required. Today, other tests can be used to try to estimate the fibrosis in the liver.

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Who Is At Risk For Hepatitis C

You are more likely to get hepatitis C if you:

• Have injected drugs

• Pain in your abdomen
• Jaundice

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.

How Can I Protect Myself And Others

• Never share injecting drug equipment or things that may have blood on them such as toothbrushes and razors. Also avoid sharing straws or rolled up banknotes if snorting drugs with others.
• Use condoms for anal and vaginal sex and latex gloves for fisting.
• During group sex, cover anything which goes from one partner to another with a fresh condom or fresh latex glove for each new person it enters. Clean objects with warm water and anti-bacterial soap before using on a new partner.
• Dont share enema equipment or pots of lubricant.

If you have hepatitis C you may want to tell a partner and explain that youre infectious. They can then decide if they’re happy to take any risks and whether they want to take precautions. That way they cannot accuse you of infecting them without them knowing that the risk was there.

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What Causes Hepatitis C

The hepatitis C virus causes hepatitis C. The hepatitis C virus spreads through contact with an infected persons blood. Contact can occur by

• sharing drug needles or other drug materials with an infected person
• getting an accidental stick with a needle that was used on an infected person
• being tattooed or pierced with tools or inks that were not kept sterilefree from all viruses and other microorganismsand were used on an infected person before they were used on you
• having contact with the blood or open sores of an infected person
• using an infected persons razor, toothbrush, or nail clippers
• being born to a mother with hepatitis C
• having unprotected sex with an infected person

You cant get hepatitis C from

• being coughed or sneezed on by an infected person
• drinking water or eating food
• hugging an infected person
• shaking hands or holding hands with an infected person
• sharing spoons, forks, and other eating utensils
• sitting next to an infected person

A baby cant get hepatitis C from breast milk.18

How Is Hepatitis C Diagnosed

Symptoms alone generally dont offer enough information for a doctor to diagnose hepatitis C. Whats more, you might not have symptoms or notice any signs of the condition.

Thats why its so important to connect with a doctor or other healthcare professional and ask about getting tested if youve been exposed to the hepatitis C virus.

The also recommend hepatitis C testing for people who have abnormal liver tests, along with those who are:

• pregnant
• on hemodialysis

A healthcare professional can order a few different tests to help diagnose hepatitis C. These include:

• Blood tests. They may order a series of blood tests to check for the virus, starting with a hepatitis C antibody test. A PCR test can tell your healthcare professional whether the virus is currently active, and viral load testing can measure the amount of virus in your blood.
• Genotype test. This test can reveal which hepatitis C genotype you have. This information will help your healthcare professional find an effective treatment approach.
• Liver function test. If blood test results suggest chronic hepatitis C or your healthcare professional believes you could have liver damage, theyll order a liver function test. This test checks your blood for signs of heightened enzymes from your liver.
• Liver biopsy.This procedure can also help check for liver damage. A biopsy involves taking a small piece of tissue from your liver and testing it for cell abnormalities.

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How Is Hepatitis C Transmitted

The way the virus does spread is through contact with the blood of someone who is infected. Most commonly, this occurs through one of the following methods.

Intravenous drug usePeople who share needles or other supplies while injecting drugs like cocaine and heroin have a high risk for contracting hepatitis C. Even if you only used these types of drugs once years ago, there is still a chance you are infected.

Needlestick injuriesHealth care or other safety workers may come into contact with an infected persons blood if theyre accidentally stuck with a contaminated needle or other sharp object. Parents often worry about their children developing hepatitis C after finding a needle on the ground or at the beach. While thats possible, its unlikely, Dr. Nachman saysthe most commonly discarded needles are insulin needles, which typically dont contain enough blood to transmit hepatitis C. Plus, the virus can only survive about a day outside of the body.

Medical proceduresNow, donated blood and organs are screened for the hepatitis C virus. However, before 1992, that wasnt the case, so people who received blood transfusions or an organ transplant before that time might have become infected.

Tattoos and piercingsThese days, licensed and regulated tattoo parlors dont pose much of a danger. However, piercings or tattoos received in unregulated settings, such as prisons, may spread hepatitis C, Dr. Kodali says.

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How Is Hepatitis C Treated

There are some very effective options for the treatment of hepatitis C infection. They are listed on the Medicare PBS , which makes them available at a much lower cost.

Newer treatments differ from those available previously:

• they cure more than 95% of people
• their side effects are minimal
• treatments last just 8 to 12 weeks
• they involve just a few pills each day, with no injections required

Curing hepatitis C means clearing the virus from the body. It helps reduce liver inflammation and can also help reverse scarring and cirrhosis. You can be re-treated if your treatment doesnt work the first time.

You should check with your doctor before taking any other medication or supplements, and whether you need vaccinations against hepatitis A and hepatitis B. You should also avoid alcohol if you have hepatitis. If you have liver damage, you may also need to see a liver specialist

For more information on how to get treatment, contact the National Hepatitis Info Line on 1800 437 222.

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Should I Be Screened For Hepatitis C

Doctors usually recommend one-time screening of all adults ages 18 to 79 for hepatitis C. Screening is testing for a disease in people who have no symptoms. Doctors use blood tests to screen for hepatitis C. Many people who have hepatitis C dont have symptoms and dont know they have hepatitis C. Screening tests can help doctors diagnose and treat hepatitis C before it causes serious health problems.

How Can I Make A Difference For People With Hepatitis C

Anyone can help raise awareness about this widespread disease. Citizens can write letters to their state representatives or local newspapers and get involved in volunteer efforts with liver disease or Veteran-affiliated organizations . Speaking at support groups and sharing your experience is also a good way to help others with HCV.

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How To Prevent Hepatitis C

Cured of hepatitis C, however, doesnt mean immune. Hepatitis C is not a one-and-done illness like, say, the chickenpox. If you engage in the same behaviors that led to your hepatitis C infection the first time, you are likely to find yourself back in the same predicament.

Prevention, then, is all about avoiding that list of things that cause the viral infection. That means being super cautious with any activity that involves blood contact, including not sharing needles if you use drugs, avoiding tattoos and piercings at places that do not practice proper hygiene with the equipment, and only using your own personal items like razors and toothbrushes at home. Safe sex is recommended .

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What Are The Chances Of Getting Hepatitis C From Sex

Hepatitis C can spread through sexual intercourse, but it’s rare. And it’s extremely rare among monogamous couples. In fact, the CDC considers the risk of sexual transmission between monogamous couples so low that it doesn’t even recommend using condoms. Also, there’s no evidence that hepatitis C is spread by oral sex. But you should avoid sharing razors, toothbrushes, and nail clippers, and sex during menstruation.

If you have HIV or if you have multiple partners, you should take precautions. Using condoms will protect you and your partners.

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Is There A Way To Prevent Hepatitis C

Although currently theres no vaccine to protect people from contracting hepatitis C, there are vaccines for other hepatitis viruses, including hepatitis A and hepatitis B.

If you receive a hepatitis C diagnosis, your healthcare provider may advise you to get vaccinated against hepatitis A and B.

The vaccinations are recommended because these hepatitis viruses can lead to additional health and liver complications, especially in those with preexisting liver disease.

Since you cant prevent hepatitis C through a vaccine, the best prevention is to avoid exposure. Hepatitis C is a bloodborne pathogen, so you can limit your chances of exposure through these healthy lifestyle practices:

• Avoid sharing needles, razor blades, or nail clippers.
• Use proper safety precautions if youll be exposed to bodily fluids, such as when performing first aid.
• Hepatitis C isnt usually transmitted through sexual contact, but its possible. Limit your exposure by practicing sex with a condom or other barrier method. Its also important to openly communicate with sexual partners and to get tested if you suspect youve been exposed to the hepatitis C virus.

Because hepatitis C is transmitted through blood, its possible to contract it through a blood transfusion.

However, since the early 1990s, blood product screening tests have been standard protocol for minimizing the risk of this type of transmission.

Subsequent testing is based on risk. Talk to your doctor about your needs.

Can Hepatitis C Be Treated

Yes, since 2010 enormous progress has been made in the treatment of chronic hepatitis C. New therapies called direct-acting antivirals are pills that act on the virus itself to eradicate it from the body, unlike older medicines like interferon injections which work by stimulating an immune response. These new treatments are very effective and can achieve cure rates of over 90%. In most situations now, there is no need for interferon, which was responsible for many of the side effects previously associated with HCV treatment. The new treatment combinations require shorter treatment durations , have reduced side effects and appear to be effective at all stages of the disease.

Because these new therapies are very new, they remain very expensive. As such, drug coverage from both government and private companies may require that your liver disease has progressed to a certain stage before they are willing to cover the cost of these drugs.

Your primary care physician may refer you to a specialist to determine whether you are eligible for treatment. A specialist will help you decide which drug therapy is best for you based on the severity of your liver disease, your virus genotype and whether or not you have been treated in the past.

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How Do Doctors Treat The Complications Of Hepatitis C

If hepatitis C leads to cirrhosis, you should see a doctor who specializes in liver diseases. Doctors can treat the health problems related to cirrhosis with medicines, surgery, and other medical procedures. If you have cirrhosis, you have an increased chance of liver cancer. Your doctor may order an ultrasound test to check for liver cancer.

If hepatitis C leads to liver failure or liver cancer, you may need a liver transplant.

What Are The Signs And Symptoms Of Hepatitis C

Most people who contract hepatitis C do not have any symptoms, especially in the early stages. However, some people do develop early symptoms, which may include:

• Painful joints
• Rash
• Swelling

But 3 out of 4 cases result in a chronic infection. In these people, symptoms may develop years, even decades later, when liver damage occurs. Others develop symptoms from 2 weeks to 6 months after infection. The average time to develop symptoms is 6 to 7 weeks after acquiring the virus. Those newly infected with hepatitis C may experience mild-to-severe fever, fatigue, abdominal pain, loss of appetite, nausea, vomiting, joint pain, dark urine, clay-colored stool, and yellowing of the skin . A person who has hepatitis C infection but isn’t exhibiting any symptoms can still pass the virus on to others.

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If You Notice Symptoms See A Doctor Right Away

Symptoms of hepatitis C include the following:

• Jaundice a yellowish tone to the eyes and skin
• Mild, chronic right belly pain
• Nausea
• Loss of appetite
• Fatigue

If you believe you have been exposed to hepatitis C or notice any symptoms, visit your primary care doctor as soon as possible. If you test positive for the virus, your doctor can refer you to a hepatologist to discuss your options.

“I strongly encourage all baby boomers and others who are at high risk to get tested, even if you don’t look or feel sick,” Reau says. “If you do have hepatitis C, the earlier we discover it, the more likely we can prevent it from progressing and causing more serious damage.”