Hepatitis C Presentation for CHOW 2011

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Brief presentation about viral hepatitis for outreach workers in Seattle, Washington

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Hepatitis C Presentation for CHOW 2011

  1. 1. CHOW: Viral Hepatitis<br />Hepatitis Education Project<br />911 Western Avenue, Suite 302<br />Seattle, WA<br />
  2. 2. Hepatitis Topics<br />What are the hepatitis viruses?<br />Hepatitis C transmission<br />Hepatitis C diagnosis and progression<br />
  3. 3. Hepatitis viruses<br />Hepatitis A<br />Fecal-Oral Transmission Cycle<br />Acute Infection<br />Hepatitis B<br />Transmitted through infected blood and bodily fluids (semen and vaginal fluids)<br />Can be an acute or chronic infection<br />Hepatitis C<br />Transmitted through infected blood<br />
  4. 4. Vaccine Preventable<br />Hepatitis A vaccine<br />2 shots over six months <br />lifelong protection<br />Hepatitis B vaccine<br />3 shots over six months<br />lifelong protection<br />Combination hepatitis A/B vaccine<br />3 shots over six months or 4 shots over 12 months<br />lifelong protection<br />
  5. 5. Hepatitis C Transmission<br />Hepatitis C virus (HCV, hep C) is shared when infected blood enters the bloodstream of another person<br /><ul><li>Tattoos: sharing ink or sharps
  6. 6. Dialysis: contaminated medical equipment
  7. 7. Mother-to-child at birth
  8. 8. Higher risk sex
  9. 9. Blood transfusion prior to 1992
  10. 10. Injection drug use
  11. 11. Re-use of needles
  12. 12. Snorting drugs with others</li></li></ul><li>Long-term effects of Hepatitis C<br />Over 20-40 years the liver can slowly become scarred<br />Severe scarring is called cirrhosis; cirrhotic livers begin to fail if the disease is not stopped<br />Liver cancer risk is higher if cirrhosis present<br />
  13. 13. Patient experiences<br />For some (15-25%) hepatitis C will be an acute infection<br />HCV antibodies are not protective<br />75-85% will develop chronic hepatitis C<br />Some will never have a problem<br />Some will get serious liver disease, including cirrhosis<br />Hepatitis C continues to be the leading cause of liver transplantation in the U.S.<br />
  14. 14. Symptoms of hepatitis C<br />Most people have no symptoms<br />But for those who do:<br /><ul><li>Fatigue
  15. 15. Insomnia
  16. 16. Depression
  17. 17. Joint pains
  18. 18. Memory or concentration problems</li></li></ul><li>Hepatitis C Diagnosis<br />Blood test<br />Antibody test first<br />Confirm with PCR test; this looks for active virus in the blood<br />
  19. 19. Types of hepatitis C<br />Hepatitis C is like a family with 6 different siblings - Genotypes<br />In the U.S. we have 3 different genotypes<br />Genotype 1<br />Most common in the U.S.<br />Genotypes 2 & 3<br />
  20. 20. Testing positive, now what?<br />Get blood tests to check liver function<br />Check and monitor liver scarring (fibrosis)<br />Abdominal ultrasound<br />Liver biopsy<br />Consider treatment<br />

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