Science Current Events | Science News | Brightsurf.com
 

Annals of Internal Medicine publishes new CDC recommendations on hepatitis C screening

August 17, 2012
Without other risk factors, all Americans born between 1945 and 1965 should have a one-time screening for the hepatitis C virus (HCV) according to new recommendations being published early online today in Annals of Internal Medicine, the flagship journal of the American College of Physicians. The Centers for Disease Control and Prevention (CDC) also recommends that all persons identified with HCV should receive a brief alcohol screening and intervention and be referred to appropriate care and treatment services for HCV and related conditions.

Up to 3.9 million people in the United States are infected with HCV, a virus that can cause inflammation and permanent liver damage. The infection is most prevalent among people born from 1945 through 1965, and approximately 50 to 75 percent of those with HCV are unaware that they are infected. This is a problem because HCV progresses slowly, and the risk of serious complications increases as time passes.

The recommendation developers sought to identify testing strategies that would increase the proportion of HCV-infected persons who know their status. In particular, whether a testing strategy based on year of birth would identify persons living with HCV infection who have not been identified by risk-based testing. They conducted a systematic review of evidence published between 1995 and February 2012 to assess the prevalence of HCV and clinical outcomes. They found that the proportion of people born between 1945 and 1965 with HCV antibody was higher than that of the general population. Among that cohort, the recommendation authors found strong evidence that achieving sustained virologic response (SVR) was associated with reduced risk for death and liver cancer.

The CDC recommends that persons identified with HCV have a brief alcohol screening and intervention, as alcohol use has been shown to accelerate the progression of liver disease. The recommendation authors considered evidence from a systematic review of 22 randomized, controlled trials published since 2010 to determine the effects of a brief alcohol intervention versus no intervention on reduction of alcohol use. The research showed that patients who had a brief alcohol reduction intervention reduced their weekly alcohol consumption by an average of 38.42 grams compared with those who had no intervention.

Previously, the CDC recommended antibody screening only of individuals with health or lifestyle indicators suggesting potential infection. These indicators include a history of injecting drugs, having a blood transfusion before 1992, or being a chronic hemodialysis patient. Low case identification may result from the difficulty of implementing risk-based screening given the limited time of primary care visits and unease in discussing behavioral risks.

American College of Physicians


Related Hepatitis C Current Events and Hepatitis C News Articles


Public health surveillance system may underestimate cases of acute hepatitis C infection
A new study suggests that massive underreporting may occur within the system set up by the U.S. Centers for Disease Control and Prevention (CDC) to estimate the incidence of acute hepatitis C virus (HCV) infection.

The new detection method for a key drug resistant hepatitis C virus mutation
A rapid, sensitive, and accurate method to detect drug resistant hepatitis C virus (HCV) mutants has been developed.

AASLD updates guidance for use of hepatitis C drugs
The American Association for the Study of Liver Diseases (AASLD), in partnership with the Infectious Diseases Society of America (IDSA) and in collaboration with the International Antiviral Society-USA (IAS-USA), created online Recommendations for Testing, Managing, and Treating Hepatitis C in 2014 to aid practitioners treating patients infected with hepatitis C virus (HCV).

Needle exchanges can prevent more HIV outbreaks like one in Indiana
Congress needs to immediately lift the ban on federal funding for needle exchange programs to counter the threat of HIV outbreaks among injection drug users like the one that has seen an alarming number of new cases erupt in a single rural Indiana county.

When inflammation occurs, kidneys work to protect themselves, researchers find
In an apparent effort to help themselves, inflamed kidney cells produce one of the same inflammation-suppressing enzymes fetuses use to survive, researchers report.

Restoring natural immunity against cancers
Scientists at the Institut Pasteur and Inserm have successfully increased the infiltration of immune cells into tumors, thus inducing the immune system to block tumor growth. In an article published in Nature Immunology, the scientists show that, in combination with existing immunotherapies, this process efficiently destroys cancer cells.

New national study finds autoimmune disease severely impacts patients
In a new national survey of rheumatoid arthritis (RA) patients, Health Union found a severe impact on quality of life, employment, and ability to afford treatment.

Ledipasvir plus sofosbuvir: Hint of added benefit in further patient group
The German Institute for Quality and Efficiency in Health Care (IQWiG) has assessed documents subsequently submitted by the drug manufacturer in the commenting procedure on the dossier assessment of the fixed-dose drug combination of ledipasvir and sofosbuvir (trade name: Harvoni).

Dasabuvir in hepatitis C: Indication of added benefit in certain patients
The drug dasabuvir (trade name Exviera) has been available since January 2015 for the treatment of adults with chronic hepatitis C infection. The German Institute for Quality and Efficiency in Health Care (IQWiG) examined in a dossier assessment whether this drug offers an added benefit over the appropriate comparator therapy.

The life and death of beta cells
Diabetes is one of the scourges of modern society, and the number of cases is rising every year. Already, there are over 380 million diabetics around the world.
More Hepatitis C Current Events and Hepatitis C News Articles

Hepatitis C Treatment One Step at a Time: Inspiration and Practical Tips for Successful Treatment

Hepatitis C Treatment One Step at a Time: Inspiration and Practical Tips for Successful Treatment
by Lucinda Porter RN (Author), Diana Sylvestre MD (foreword) (Foreword)


Hepatitis C Treatment One Step at a Time provides the practical advice and daily inspiration you need to help you successfully complete hepatitis C (HCV) treatment. Deciding to undergo HCV antiviral therapy is one of the bravest and most important steps toward health you’ll ever make. As a nurse in the HCV field and a patient who underwent three courses of HCV therapy, Lucinda K. Porter understands how physically and emotionally challenging this experience can be. In Hepatitis C Treatment One Step at a Time, she provides entries for each day of treatment, offering you a daily dose of relief, encouragement, and tips to help you stay on track. From dealing with fatigue and nausea to nosy co-workers and lab results, Porter shows you how to: Prepare mentally, physically, and financially...

Living With Hepatitis C For Dummies

Living With Hepatitis C For Dummies
by Nina L. Paul (Author), Gina Pollichino (Foreword)


A comprehensive, empathetic guide for anyone suffering from this serious liver disease Approximately 4 million Americans and 170 million people worldwide suffer from hepatitis C, a viral liver disease that is treatable but not curable. It accounts for more than 40 percent of U.S. liver disease deaths--about 8,000 to 10,000 people annually--and is the most common reason for liver transplantation. This compassionate guide explains how hepatitis C affects the liver and the body and provides solid advice on today's treatment options--from drugs (and their side effects) to transplants and alternative therapies--as well as tips on dealing with the emotional and financial burdens the disease brings with it. Nina L Paul, PhD (New York, NY) earned her doctorate in infectious disease epidemiology...

Hepatitis C Symptoms, Treatment and Cure

Hepatitis C Symptoms, Treatment and Cure
by Dennis Clause (Author)


Most people don’t know that there are symptoms of Hepatitis C that go undiagnosed for many years because it rarely causes symptoms in its early stage. Actually, someone who has been carrying Hepatitis C for decades may not have any symptoms until it has caused a significant liver damage. Even then, the symptoms typically appear and disappear.

The Hepatitis C Cookbook: Easy and Delicious Recipes

The Hepatitis C Cookbook: Easy and Delicious Recipes
by Heather Jeanne (Author), Eugene Sommer (Introduction), Kev Krueger (Introduction)


Hepatitis C is a potentially fatal virus that attacks the liver. According to the Centers for Disease Control, Hepatitis C has already infected an estimated four to five million Americans, and worldwide it may have infected as many as 200 million. Most experts agree that if the rate of Hepatitis C infection isn't curbed soon, it will eventually kill more people each year than AIDS. However, Hepatitis C is not always fatal, and it can be fought successfully. For many who suffer from the virus, eating properly can delay the end stages leading to cirrhosis of the liver. It also can diminish the uncomfortable symptoms of the disease. The Hepatitis C Cookbook has been prepared with the special dietary needs of people suffering from Hepatitis C in mind. Hepatitis C does not have to make eating...

Hepatitis C Treatment: An Essential Guide for the Treatment of the Hepatitis C Virus (Hep C)

Hepatitis C Treatment: An Essential Guide for the Treatment of the Hepatitis C Virus (Hep C)


If you want to learn how to successfully treat the Hepatitis C virus, then this book is for you!
Read on your PC, Mac, smart phone, tablet, or Kindle device.

If you're one among the millions of people diagnosed with Hepatitis C, don’t lose hope. Although, it is natural to feel scared and overwhelmed at first, bear in mind that Hepatitis C can be effectively treated. Fifty percent of people diagnosed with Hepatitis C experience complete recovery and go on to lead normal lives. The key to battling Hepatitis C is to be aware of what you’re dealing with and to know what lies ahead.

Now is not the time to live in a fantasy world, nor is it the time to be morbid and wallow in self-pity. The best thing that you can do is learn as much as possible about the...

Hep C Treatment: Discover How to Treat and Cure Your Hepatitis C (Hep C)

Hep C Treatment: Discover How to Treat and Cure Your Hepatitis C (Hep C)


If you or someone you know is infected with the Hepatitis C Virus (Hep C, or HCV), then this book is for you!
Read on your PC, Mac, smart phone, tablet, or Kindle device.

Hepatitis C is a serious condition which requires your immediate attention. Many people are afraid of the ridicule and stigmas associated with Hepatitis C and therefore shy away from seeking treatment while the condition worsens. Taking appropriate healing measures - including medication - is of utmost importance since statistics prove that as many as 80% of Hep C sufferers are cured successfully. However, there are other lifestyle factors that can greatly affect your recovery, including numerous alternative and home-based treatments that can help ease the symptoms. This book will discuss the Hepatitis...

Healing Hepatitis and Liver Disease Naturally: Detoxification. Liver gall bladder flush & Cleanse. Cure Hepatitis C and Hepatitis B. Lower blood cholesterol and stop cirrhosis

Healing Hepatitis and Liver Disease Naturally: Detoxification. Liver gall bladder flush & Cleanse. Cure Hepatitis C and Hepatitis B. Lower blood cholesterol and stop cirrhosis
by Peter Oyakhire (Author)


LIVE YOUR LIFE EXPECTANCY WITH CHRONIC LIVER DISEASE.

Studies show that all wellness traditions except western medicine offer detoxification and toxic waste management as a means of natural healing. Using the principles of natural healing and detoxification, Dr. Alexis Carrel, a Nobel Prize winner kept chicken heart alive for 38 years. He believed that cells could live indefinitely and that the secret of life is to feed nutrients to cells and to saturate the cells with Oxygen. If you can't get nutrients into the cells and you don't remove the toxins, the cells will be poisoned by their own waste products. He had found the secret to ageless body and timeless health.

Often overlooked is the pain associated with orthodox management of infective and degenerative liver diseases...

Hepatitis C Survival Secrets: With Critical Insights Your Doctor Won't Share

Hepatitis C Survival Secrets: With Critical Insights Your Doctor Won't Share
by Ralph Napolitano (Author)


Hepatitis C Survival Secrets can be of tremendous help to anyone with chronic Hepatitis C. The book is based on decades of ongoing research, including countless communications with other Hepatitis C survivors. The goal of the book is to present you with various treatment options that show real evidence for supporting, protecting and improving liver health and function. As a Hepatitis C survivor you need to learn about the many strategies and approaches available to manage your illness. Some people choose to take the conventional medical approach simply because it's covered by health insurance; others choose alternative medications because they believe they will be better off: and still others bury their heads in the sand and do ...

Hepatitis C: A Complete Guide for Patients and Families (A Johns Hopkins Press Health Book)

Hepatitis C: A Complete Guide for Patients and Families (A Johns Hopkins Press Health Book)
by Paul J. Thuluvath (Author)


The liver is the body’s workhorse. It makes proteins and bile, processes fats, and detoxifies drugs and alcohol. The liver is a resilient organ, but it is susceptible to damage from a number of sources, including viral infections. Such infections cause inflammation of the liver, called hepatitis. This book is a comprehensive guide to hepatitis C, which affects about 3 percent of the world’s population―3 to 4 million people in the United States alone. Some people with acute hepatitis C infection will be cured without any treatment, but when hepatitis C becomes chronic it may cause cirrhosis, liver cancer, and death.Hepatitis C is transmitted from an infected person to an uninfected person by sharing drug-injecting equipment, snorting cocaine, having sex, or getting a blood...

Herbs for Hepatitis C and the Liver (A Storey Medicinal Herb Guide)

Herbs for Hepatitis C and the Liver (A Storey Medicinal Herb Guide)
by Stephen Harrod Buhner (Author)


An insightful overview of the impending Hepatitis C epidemic, its causes, the most recent research, and an in-depth, detailed look at the botanical medicines that show promising results for restoring liver function. Includes formulas for using herbs to strengthen the liver and combat disease.

© 2015 BrightSurf.com