In the early 1980’s when AIDS was still unexplained and HIV
was spreading unchecked so was HCV. Both agents are blood borne viruses that
struck intravenous drug users and blood transfusion recipients. In 1989 Hepatitis C virus was identified and
now estimates are about 130-200 million people are affected worldwide. About
35,000 people worldwide die every year from HCV related liver disease. 30% of
people infected with HIV are also infected with HCV as well. Many of the
antiretrovirals used to treat HIV build up in poisoning the organ the HCV drugs
are trying to Save. “Their differences are greater than their similarities.”
Says Miriam Alter an epidemiologist at the university of texas medical branch
in galveston. 80% of people affected with HIV know they have it yet only 30% of
people with HCV know they have it. Worldwide number drops to 5% “it doesn’t
matter how good your treatments are if the majority of your affected population
is not diagnosed” Gregory Dore Head of viral hepatitis clinical research
program at university of new south Wales in Sydney. One of the more recent
developments in testing for HCV has been the development of rapid test for
anti-HCV. The OraQuick HCV Rapid Antibody Test was approved by the FDA in February
2011. As we know presence of the antibody does not mean that the person is
infected with the virus but only shows exposure to the virus. Further testing
will need to be done to confirm current infection. But the development of this
assay allows for faster screening of larger numbers of people and can be used
to rule out infection. For additional information on this assay refer to
http://www.orasure.com/docs/pdfs/products/hcv/us/OraQuick_HCV_Package_Insert.pdf
Wow, I had no idea that the percentage was so high for people who are not aware that they are infected with HCV. That's really shocking to me, especially in comparison to the people affected with HIV. What good are the treatments, if over half are not even diagnosed, and therefore not being treated? Now that we have rapid tests for anti-HCV available, I believe that we should screen patients that are at high risk behaviors for HCV. Places for the screenings could include Emergency Rooms, Trauma centers, Health Departments, etc. By screening at the listed places, we could raise the awareness of patients that are infected with HCV and start treating them.
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