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Welcome. Hepatitis Overview Ho_ovr.ppt. Overview. Briefly Discuss Hepatitis A, B Focus on Hepatitis C. Acronyms. HIV – Human Immunodeficiency Virus HAV- Hepatitis A Virus HBV- Hepatitis B Virus HCV- Hepatitis C Virus HCC- Hepatocellular Carcinoma. Hepatitis.

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Welcome l.jpg

Welcome

Hepatitis

Overview

Ho_ovr.ppt


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Overview

  • Briefly Discuss Hepatitis A, B

  • Focus on Hepatitis C


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Acronyms

  • HIV – Human Immunodeficiency Virus

  • HAV- Hepatitis A Virus

  • HBV- Hepatitis B Virus

  • HCV- Hepatitis C Virus

  • HCC- Hepatocellular Carcinoma


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Hepatitis

  • Inflammation of the Liver

  • Fibrosis, Cirrhosis

  • HCC-Hepatocellular Carcinoma


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Hepatitis A (HAV)

  • Transmitted Fecal/Oral Route -Contaminated Food or Water -Sexual Activity -Dirty Diapers, Daycare Centers

  • Vaccine Preventable


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Hepatitis B (HBV)

  • Transmitted Similar to HIV – Sex or Sharing Needles/Works With Street Drugs. Occupational Exposure.

  • Some Can be Carriers for Years.

  • Vaccine Preventable.


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Hepatitis C (HCV)

  • Believed in United States over _____ years.

  • 1970’s –1980’s known as ________

  • Named Hepatitis C in ______

  • No Vaccine


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HCV -- Scope of the Problem

  • _____ % of the General Population

  • _____ million people infected in the U.S.

  • ___________ believed infected in Texas

  • ___________ Deaths Annually in U.S.


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HCV Transmission

  • Blood Transfusion - Prior July, 1992

  • IDU- Sharing of Needles or “works”

  • Hemophilia – Treatments Prior to 1987

  • Hemodialysis – Kidney Dialysis

  • Perinatal

  • Occupational


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HCV Sexual Transmission

  • “…Inefficiently spread through this manner”source: CDC MMWR Oct 16, 1998, vol 47/RR-19

  • Long Term Monogamous Couples– Low but Not Zero

  • Number of Partners & History of STD’s May be a Factor


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HCV Disease Process

  • Most stay in Chronic Condition Years/Decades

  • ____-____% Develop Cirrhosis ; ____-____% Develop HCC

  • Most die “With” Hepatitis C, not “From” Hepatitis C


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HCV Treatment

  • Most Common

    • Combination- Interferon/ Ribavirin

    • Usually _____ or _____ Weeks

  • Treatment May Not be Appropriate for Every Client


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HCV Prevention

  • Remember HCV is Blood Borne

  • Avoid Sharing Toothbrush – Razor

  • Unsanitary Body Piercings – Tattoos

  • Occupational/Home/Office –Always Use ___________ ________.


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HCV Resources

  • Hepatitis C Support Groups Most Major Cities

    • www.texasliver.org  Support Groups

  • HCV Web Resources

    www.tdh.state.tx.us/ideas/factsht/factsht.htm

    www.cdc.gov/hepatitis

    www.liverfoundation.org


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HCV -- In Summary

  • Estimated - 3.9 Million Infected in U. S.

  • Named Hepatitis C in 1989

  • HCV Transmission is Bloodborne

  • Treatment May/May Not be Appropriate


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