Tennessee Health Department Warns of Hepatitis C Epidemic

The Tennessee Department of Health is issuing a public health advisory urging residents to increase their awareness about Hepatitis C, a life-threatening disease spread by direct contact with blood from an infected person. The rate of acute Hepatitis C cases in Tennessee has more than tripled in the last seven years, and the steadily increasing number of cases may only represent “the tip of the iceberg” of the state’s Hepatitis-C epidemic, according to TDH Commissioner John Dreyzehner, MD, MPH.

“In addition to reported cases of acute Hepatitis C it is estimated that more than 100,000 Tennesseans may be living with chronic Hepatitis C and not know it,” Dreyzehner said. “Many people have Hepatitis C for years, not realizing it, while the viral infection slowly destroys their livers.”

There is no vaccine to prevent Hepatitis C, so efforts to avoid exposure to infected blood are most important in preventing the spread of the disease. Most of the increase in transmission of Hepatitis C in Tennessee is due to the sharing of contaminated needles and syringes among intravenous drug users who are abusing both legal and illegal pain medicines.

Once infected with Hepatitis C, some people may recover fully, but most, 70 to 85 percent, will develop long-term infection. Early symptoms of Hepatitis C infection can include fatigue, abdominal pain, itching and dark urine. Many people, however, are not aware they have the disease until the virus has already caused liver cancer or liver damage.

“We strongly encourage those who suspect they might be infected to seek testing as soon as possible,” Dreyzehner said. “Testing can be done by a private health care provider and in some county health departments. The Centers for Disease Control and Prevention recommends all individuals born from 1945 to 1965 be tested, as well as individuals of any age who have any specific risk factors, including a history of injection drug use or unsanitary tattooing or piercing. If chronic Hepatitis C infection is present, a doctor can recommend treatment options. The sooner an infection is identified and treatment started, the better a person’s chances are for recovery.”

The treatment for Hepatitis C is currently expensive and a person can later become re-infected. A recent CDC report shows Hepatitis C is the most common blood-borne infection in the United States, 

To see the advisory, go to http://tn.gov/health/article/health-advisories

The treatment for Hepatitis C is currently expensive and a person can later become re-infected. A recent CDC report shows Hepatitis C is the most common blood-borne infection in the United States, with approximately three million people living with the infection. That report, available online at www.cdc.gov/mmwR/pdf/wk/mm6417.pdf, includes information about a 364 percent increase in Hepatitis C in four Appalachian states, including Tennessee, between 2006 and 2012.

“The best way to prevent Hepatitis C infection is to avoid recreational use of pain medicines, to avoid injecting drugs, and to not let those you love become dependent on or inject pain medicines or other illicit drugs such as heroin and methamphetamines,” Dreyzehner said. “We must all work more aggressively to reduce Hepatitis C in our communities; left unchecked, it will destroy families and wreak havoc on communities.”

What is hepatitis? Hepatitis means inflammation of the liver. This inflammation can be caused by factors including heavy alcohol use, toxins, some medications and some medical conditions. However, hepatitis is most commonly caused by a virus. In the United States, the most common types of viral hepatitis are caused by three distinct viruses: hepatitis A is caused by the hepatitis A virus (HAV); hepatitis B is caused by the hepatitis B virus (HBV); and hepatitis C is caused by the hepatitis C virus (HCV). While someone can be infected with more than one virus at a time, a person will not progress from one type of viral hepatitis to other. Each virus is spread in slightly different ways. For additional information, go to: Hepatitis A: www.cdc.gov/hepatitis/hav/afaq.htm#overview http://tn.gov/health/article/hepatitis-hepA Hepatitis B: www.cdc.gov/hepatitis/hbv/bfaq.htm#overview http://tn.gov/health/article/hepatitis-hepB www.hbvadvocate.org/ Hepatitis C: www.cdc.gov/hepatitis/hcv/cfaq.htm#overview http://tn.gov/health/article/hepatitis-hepC http://hcvadvocate.org/

What is hepatitis C? Hepatitis C is an infection of the liver caused by the hepatitis C virus (HCV). Acute hepatitis C refers to the period shortly after becoming infected with HCV. The infection ranges from mild illness with few or no symptoms to severe illness requiring hospitalization. Of those that become infected with HCV, roughly 20 percent will be able to get rid of or clear the virus on their own within six months. The remaining 80 percent will remain infected for more than six months and develop what is called chronic hepatitis C.

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