Hepatitis C Fact Sheet*
SIGNS & SYMPTOMS
80% of persons have no sign or symptoms.
- dark urine
- abdominal pain
- loss of appetite
Hepatitis C Virus (HCV)
- Chronic infection: 55%-85% of infected persons
- Chronic liver disease: 70% of chronically infected persons
- Deaths from chronic liver disease: 1%-5% of infected persons may die
- Leading indication for liver transplant
- Occurs when blood or body fluids from an infected person enters the body of a person who is not infected.
- HCV is spread through sharing needles or "works" when "shooting" drugs, through needlesticks or sharps exposures on the job, or from an infected mother to her baby during birth.
RECOMMENDATIONS FOR TESTING BASED ON RISK FOR HCV INFECTION
Persons at risk for HCV infection might also be at risk for infection ith hepatitis B virus (HBV) or HIV.
|Persons||Risk of Infection||Testing Recommended
|Injecting drug users||High||Yes
|Recipients of clotting factors made before 1987||High||Yes
|Recipients of blood and/or solid organs before 1992||Intermediate||Yes
|People with undiagnosed liver problems||Intermediate||Yes
|Infants born to infected mothers||Intermediate||After 12-18 months old
|Healthcare/public safety workers||Low||Only after known exposure
|People having sex with multiple partners||Low||No
|People having sex with an infected steady partner||Low||No
- There is no vaccine toprevent hepatitis C.
- Do not shoot drugs. If you shoot drugs, stop and get into a treatment program. If you can't stop, never share needles, syringes, water, or ³works², and get vaccinated against hepatitis A and B.
- Do not share personal care items that might have blood on them (razors, toothbrushes).
- If you are a healthcare or public safety worker, always follow routine barrier precautions and safely handle needles and sharps; get vaccinated against hepatitis B.
- Consider the risks if you are thinking about getting a tattoo or body piercing. You might get infected if the tools have someone else's blood on them or if the artist or piercer does not follow good health practices.
- HCV can be spread by sex, but this is very rare. If you are having sex with more than one steady sex partner, use condoms* correctly and every time toprevent the spread of sexually transmitted diseases. You should also get vaccinated against hepatitis B.
- If you are HCV positive, do not donate blood, organs, or tissue.
- The efficacy of latex condoms in preventing infection with HCV is unknown, but their proper use may reduce transmission.
TREATMENT & MEDICAL MANAGEMENT
- HCV positive persons should be evaluated by their doctor for liver disease.
- Interferon and ribavirin are two drugs licensed for the treatment of persons with chronic hepatitis C.
- Interferon can be taken alone or in combination with ribavirin. Combination therapy using pegylated interferon and ribavirin, is currently the treatment of choice.
- Combination therapy can get rid of the virus in up to 5 out of 10 persons for genotype 1 and in up to 8 out of 10 persons with genotype 2 or 3.
- Drinking alcohol can make your liver disease worse.
STATISTICS & TRENDS
- Number of new infections per year has declined from an average of 240,000 in the 1980s to about 25,000 in 2001.
- Most infections are due to illegal injection drug use.
- Transfusion-associated cases occurred prior to blood donor screening; now occurs in less than one per million transfused unit of blood.
- Estimated 3 .9 million (1.8%) Americans have been infected with HCV, of whom 2 .7 million are chronically infected.
*Based on information published by the Centers for Disease Control.
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