Hepatitis: The Silent Epidemic in Kentucky
On behalf of the Kentucky Rural Health Association, the Kentucky DPH Adult Viral Hepatitis Prevention Program and the Kentucky Immunization Program, we would like to thank all our sponsors for making our First Annual Hepatitis: The Silent Epidemic in Kentucky conference such a sucess.
Reminder: Please go to TRAIN Course Number 1050937 to evaluate and get continuing education credits.
Hepatitis C is a disease of the liver caused by the hepatitis C virus (HCV) found in the blood of people who have this disease. HCV infection can lead to severe illness, liver damage and, in some cases, death. CDC Fact Sheet On Hepatitis C.
Who is at Risk for Hepatitis C?
Hepatitis C is a serious public health problem that affects people of all ages in the United States and around the world. HCV is spread by contact with the blood of an infected person. About 1.6 percent of Americans have been infected with HCV. Many infected people may not be aware of their HCV infection because they are not clinically ill.
Certain behaviors and circumstances increase your risk for hepatitis C.
- Inject drugs, even one time.
- Received clotting factors before 1987.
- Are a hemodialysis patient.
- Received blood transfusions and/or solid organs before 1992.
- Have undiagnosed liver problems.
- Infants born to HCV-infected mothers.
- Work in healthcare/public safety and had a known HCV exposure.
- Have multiple sex partners.
- Have sex with an HCV-infected partner.
How is Hepatitis C Virus Spread?
HCV is spread by contact with the blood of a HCV infected person. Many infected people may not be aware of their HCV infection because they are not clinically ill.
HCV may be spread by:
- Injecting drug use, even one time.
- During birth from HCV-infected mother to child.
- Contact with blood of a HCV-infected person.
- Sharing items such as razors, toothbrushes or other personal care items exposed to blood.
- Using unsterilized needles or other instruments in ear or body piercing, tattooing or acupuncture.
- Unprotected sex
Transmission of HCV by breastfeeding may be possible but has not been documented, according to current guidelines. Maternal HCV infection is not a contraindication to breastfeeding. Mothers infected with HCV who want to breastfeed should consult their health care providers.
Hepatitis C virus is not spread by sneezing, hugging, coughing, sharing eating utensils or drinking glasses, food or water or casual contact.
What are the symptoms of Hepatitis C?
Most people who get Hepatitis C don’t know they are infected because they don’t look or feel sick at all. You may have Hepatitis C (and be spreading the virus) and not know it. If people do have signs or symptoms, they may have any or all of the following:
- Sudden fatigue
- Abdominal pain
- Nausea and/or vomiting
- Loss of appetite
- Dark urine
- Jaundice (yellow skin or eyes)
How is Hepatitis C Diagnosed?
The only way to know if you are infected with Hepatitis C, are recovering or are a chronic carrier is by having a blood test at your physician's office or performed by a health care provider.
People with a history that may include a risk for HCV transmission should inform their health care provider and consider being tested.
Serologic testing of pregnant women for HCV infection is not routinely recommended. However, women whose personal history suggests an increased risk for HCV infection should be tested. Children born to HCV-positive mothers should be tested for HCV infection. Approximately 5 percent of babies born to previously identified HCV-positive women will acquire the infection from the transmission of the virus at birth.
What is the Treatment for Hepatitis C?
Licensed drugs are available for the treatment of certain persons with chronic Hepatitis C. However, treatment is not always effective. Infections caused by certain types of HCV respond better to these treatments than others. Many people with chronic illness will still develop complications from hepatitis C, such as cirrhosis or cancer of the liver. This is why prevention is so important.
Persons diagnosed with Hepatitis C should:
- See their physician regularly for follow-up care.
- Avoid alcohol, or any other substances which can cause liver damage.
- Tell your doctor about all medicines that you are taking (even over-the-counter and herbal medicines.)
- Get vaccinated against Hepatitis A if not immune.
- Protect others from exposure to HCV-infected blood and other body fluids with the practice of good hand washing and do not share personal care items that might have blood on them (e.g., razors, toothbrushes).
- Exposed sexual partners should be tested for anti-HCV. Use latex condoms with continued sexual intercourse for protection of a partner against infected semen or vaginal secretions.
- Do not donate blood, organs, or tissue.
- Never share needles, syringes or other drug paraphernalia.
How can Hepatitis C be Prevented?
If infected with Hepatitis C
- Do not donate your blood, body organs, other tissue or sperm.
- Cover your cuts.
- Do not share your toothbrushes, razors or other personal care items exposed to blood with others.
- Use latex condoms with continued sexual intercourse for protection of a partner against infected semen or vaginal secretions.
For more information about Hepatitis C virus, contact your health care provider, local health department or The Kentucky Department for Public Health at (502) 564-3261.
Links to Other Websites about Hepatitis C:
||Perinatal Hepatitis C Active Surveillance Project
The Kentucky Department for Public Health is requesting the assistance of Kentucky Healthcare Providers with an active surveillance project to help us estimate the number of pregnant women and children aged five years and less who are infected with hepatitis C virus (HCV), and seen in birthing hospitals, medical practices, and clinics throughout the Commonwealth.
In Kentucky, only acute hepatitis C cases are normally required to be reported.
Health care providers are asked to report voluntarily:
- all HCV-positive pregnant women;
- all infants born to HCV-positive women; and
- all HCV-positive infants and children 5 years old and younger seen in birthing hospitals, medical practices and clinics
in addition to the current hepatitis B infection reporting requirements in these populations.
To report any HCV-positive individuals in the above categories during this time range, please complete the reporting form and fax to the Kentucky Department for Public Health at (502) 564-4760.
We deeply appreciate your time and effort in helping with this active surveillance project for perinatal HCV infections. If you have additional questions or concerns, please call Kathy Sanders, RN, MSN at (502) 564-3261, ext. 4236 or Julie Miracle, RN, BSN at (502) 564-4478, ext. 4260.
Cover Letter to Healthcare Providers