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Welcome

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  1. Welcome Hepatitis Overview Ho_ovr.ppt

  2. Overview • Briefly Discuss Hepatitis A, B • Focus on Hepatitis C

  3. Acronyms • HIV – Human Immunodeficiency Virus • HAV- Hepatitis A Virus • HBV- Hepatitis B Virus • HCV- Hepatitis C Virus • HCC- Hepatocellular Carcinoma

  4. Hepatitis • Inflammation of the Liver • Fibrosis, Cirrhosis • HCC-Hepatocellular Carcinoma

  5. Hepatitis A (HAV) • Transmitted Fecal/Oral Route -Contaminated Food or Water -Sexual Activity -Dirty Diapers, Daycare Centers • Vaccine Preventable

  6. 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.

  7. Hepatitis C (HCV) • Believed in United States over _____ years. • 1970’s –1980’s known as ________ • Named Hepatitis C in ______ • No Vaccine

  8. 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.

  9. HCV Transmission • Blood Transfusion - Prior July, 1992 • IDU- Sharing of Needles or “works” • Hemophilia – Treatments Prior to 1987 • Hemodialysis – Kidney Dialysis • Perinatal • Occupational

  10. 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

  11. HCV Disease Process • Most stay in Chronic Condition Years/Decades • ____-____% Develop Cirrhosis ; ____-____% Develop HCC • Most die “With” Hepatitis C, not “From” Hepatitis C

  12. HCV Treatment • Most Common • Combination- Interferon/ Ribavirin • Usually _____ or _____ Weeks • Treatment May Not be Appropriate for Every Client

  13. HCV Prevention • Remember HCV is Blood Borne • Avoid Sharing Toothbrush – Razor • Unsanitary Body Piercings – Tattoos • Occupational/Home/Office –Always Use ___________ ________.

  14. 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

  15. 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