Butte County Hepatitis C Task Force

Statistics for hepatitis C indicate that up to 2% of any population is infected with the hepatitis C virus. Butte County, therefore, would have about 4,000 people with hepatitis C many of whom do not know they have the disease; all of whom would benefit by medical care.

A few years ago a countywide Hepatitis C Task Force was developed made up of social and health agency staff, people infected with hepatitis C, and other interested residents. The goal of the Task Force is to educate the public and health care professionals and to assist those infected to improve their outcomes. The focus of this collaborative project includes prevention, early identification, and treatment using best practices. By sharing information and resources, the Task Force seeks to enhance this information and resources to better serve those infected with hepatitis C throughout the county.

Hepatitis C is primarily a blood-born virus that affects the liver. Only 2% of patients will have such severe disease that they will eventually need a liver transplant. However, for every 10 people who need a liver transplant, there is currently only one organ available. Most people affected have no disease or mild liver disease from their hepatitis C. Not everyone infected with hepatitis C needs treatment, and up to 60% can be treated successfully.

Since 1992 the national blood supply has been screened for hepatitis C and is extremely low risk to recipients. Currently, injection drug needle sharers are among the highest risk group for contracting hepatitis C. Other sources of blood exposure also contribute to transmission. In 10% of hepatitis C patients no known source of exposure has been identified.

Prevention includes not sharing items contaminated with blood such as toothbrushes, nail clippers, and body piercing items; tattooing at professional parlors; not sharing drug paraphernalia, and using blood barriers such as condoms and gloves.

Hepatitis C Frequently Asked Questions

Q. What is hepatitis C (HCV)?

A. The name of a virus that replicates in the liver. One of the most common causes of liver disease, HCV has affected more than 4 million people in the United States.

Q. How do people get HCV?

A. HCV is a blood-borne disease. It is not as easy to get as hepatitis B. The blood supply in the US has been safe since 1992 (risk from blood transfusion is rare). The people who get HCV today are mostly those who share IV drug needles. All other ways people get the blood of others into their blood stream is low risk; 3 to 5%. If there is a history of multiple partners and sexually transmitted diseases the risk for getting HCV increases to 17%.

Q. How can people avoid getting HCV?

A. Do not share IV drug paraphernalia. Do not share razors, toothbrushes or pedicure equipment such as files or nail clippers. Do not share body piercing equipment or jewelry. Have tattoos or piercing at professional businesses only. Practice safer sex. When using blood-contaminated sharps, be especially cautious.

Q. What is the course of the disease?

A. Up to 25% of people who get HCV get over it and will not be contagious. Those who develop chronic HCV have varied outcomes. Only about 2% of those with chronic HCV will go to “end stage liver disease” and need a liver transplant. Most experts agree that HCV usually does not cause symptoms for up to 40 years. Children and women generally have better outcomes than chronically infected men.

Q. How can I live successfully with HCV?

A. Do not drink alcohol. Experts agree that not drinking alcohol is the number one way to slow progression with HCV. Eat a balanced diet and exercise as tolerated. It is essential to have a support system. Use only those drugs/herbs/vitamins prescribed by your doctor. Vaccinations against hepatitis A and B are very important. You may not donate blood or organs. To avoid giving anyone HCV practice safer sex (unless you have a very long- term monogamous relationship), do not share personal items, and cover open sores. An informed patient is an empowered patient. If you have HCV there is no reason to be denied employment. In fact, there is no need to disclose your infection. Remember, it is difficult to get HCV. It is prudent to cover all wounds until healed and avoid sharing blood-contaminated objects. If you have debilitating symptoms of HCV, discuss with your medical provider how to address the issue with your employer.

Q. How can I get further information about HCV?

A. Call Butte County Public Health Department at 1-877-783-4636. Also visit the websites below.