Hepatitis C

Welcome to
HCVets.com

This site is provided by past and presents members of the United States Military with Hepatitis C (HCV) to assist fellow Retirees/Veterans / Active Military and Dependents with awareness to the Hep C virus exposure methods during military service.

The Hepatitis C Epidemic

Each hour of every day, three people die from
Hepatitis C or it's related conditions!
Two of these people have Military backgrounds.
Click Here- View Slide Show

The VA Testimony before the Subcommittee on Benefits Committee on Veterans’ Affairs, U.S. House of Representatives, April 13, 2000, Gary A. Roselle, M. D., Program Director for Infectious Diseases, Veterans Health Administration, Department of Veterans Affairs, state, "One in 10 US Veterans are infected with HCV", a rate 5  times greater than the 1.8% infection rate of the general population."

A study conducted in 1999, by the Veterans Health Administration (VHA), and involving 26,000 veterans shows that up to 10% of all veterans in the VHA system tested positive for hepatitis C.

Of the total number of persons who were hepatitis C antibody positive, and reported an era of service, 62.7% were noted to be from the Vietnam. The second most frequent group is listed as post-Vietnam at 18.2%, followed by 4.8% Korean conflict, 4.3% post-Korean conflict, 4.2% from WWII, and 2.7% Persian Gulf era veterans.[1],
 

The information provided at this site will assist you in determining
eligibility for filing a military service connected claim for Hepatitis C.

It is our mission to:
Maintain reliable and comprehensive information on:

Hepatitis C Transmission Documentation
Understanding The Hepatitis C Liver 
VA Information and Forms  
Federal Benefits for Veterans & Dependents 2008
Research Links for Information and Support 
Opinions and Statements from Hepatitis C Veterans
VA Treatment Protocol flow sheet for patients with cirrhosis
  HEPATITIS C, military, veteran, veterans, Viet Nam, hepatitis C virus, hepatitis C transmission, jetgun injections, jet gun, airgun, hepatitis c veterans, MILITARY, hcv, needleless, hepatitus c, vets, veteran, airguns, vaccine , vaccine contamination, yellow fever, virus, infection, awareness, dental, medical, surgery, disease, flaviviridae,razor, barber,imune serum globulin, isg, blood

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Military Service Connection for Hep C
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The Statistics

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Veterans who served in Vietnam accounted for more than 60% of all positive test results. More than half of all liver transplant patients within the Veterans Health Administration are the result of the  hepatitis C virus (HCV).  Millions of veterans from all wars were infected and most do not know it.[14] Veterans will  not get tested because they don't think they were exposed to risk factors stated by the Veterans Affairs Department and the Centers for Disease Control (CDC).

The factors for HCV transmission listed by both agencies, predominately focus on drugs, drug paraphernalia, sexually activities and  alcohol as screening tools to test patients.

These Agencies fail to mention, no universal precautions for medical personnel were in place until 1996. Prior to that, it was common practice for medical personnel to reuse devices such as the jetguns, needles and vials that held the vaccine.

The use of mass inoculations can not be overlooked within this past half century.  First the Military used glass syringe needles, switching to stainless steel, Both types were reused and could not be sterilized because products did not exist that would kill the virus. [13] . In compliance, most health care providers did not wear gloves during dental and medial procedures.

Korea and Vietnam Veterans also reflect the improved "medical delivery capabilities", for providing medical attention. Much needed blood for wounded soldiers were delivered as quickly as possible. Experimental Vaccines, like the Meningitis and Hepatitis B, containing human blood bi-products, became routine. .[15]

Military and dependents were also vaccinated with pneumatic air guns (jet guns), proven to spread hepatitis [3].  They also received the small pox vaccine administered with  the special needle, used over and over again, along with the vial that contained the vaccine.[16] Veterans shared, among themselves, friends and family members, grooming items like toothbrushes, manicure sets, razors and other personal devices that carry the possibility to retain blood. Many Veterans donated blood after returning home and felt it was their duty to do so.

Prevalence of Hepatitis C Among Military Retirees and Veterans.

1997 Did Shots Cause Hepatitis C? Officials Downplay Concerns
(Star Tribune)
"
Former Surgeon General C. Everett Koop said more research is needed on all possible transmission routes for hepatitis C - including immune globulin inoculations."
http://www.hcvets.com/data/transmission_methods/published_articles/did_shots_cause_hepatitis_c.htm
 


1998 HEPATITIS
C: SILENT EPIDEMIC, MUTE PUBLIC HEALTH RESPONSE       
SEVENTH REPORT
by the COMMITTEE ON GOVERNMENT REFORM AND OVERSIGHT     

Click here to read the report. "Former Surgeon General C. Everett Koop also called for an HCV screening program for all U.S. military personnel.                    

In the report
May 1997 VA researcher Dr. Gary Roselle published the first large study of HCV
infection in VA patients in November 1997. In a mandatory survey of VA
health care facilities, the number of HCV antibody positive patients
increased as follows:

6,612 in 1991

8,365 in 1992

14,097 in 1993

18,854 in 1994 (the last year with published data).


He concluded, ``This represents an increase of more than 285% during
the 4 year period.''\31\ \31\

....Since most veterans are not treated in VA medical facilities, the
actual incidence of HCV infected veterans is undoubtedly much greater.
VA has not conducted widespread surveillance to ascertain the number of
infected veterans.
''\32\ \32\Ibid.

Senator Richard Shelby (R AL) asked the Pentagon to look further into the possibility that immune globulins may have spread HCV. The Pentagon did not agree to study the issue and Senator Shelby inserted the following report language in the 1998 Department of Defense Appropriations bill: ``The Department of Defense shall determine rates of hepatitis C infection among personnel who served in deployments overseas or who received blood plasma products from individuals infected with hepatitis C and provide counseling and access to treatment for personnel as needed.''\33\

As ordered by Congress
Click here to read complete report
Results of DoD Investigations

Excerpt-
Hepatitis C Virus Infection Among U.S. Military Personnel: An Assessment Of Risks and Screening Strategies

Office of the Assistant Secretary of Defense --
Health Affairs, the Pentagon; Washington, DC

April 5, 1999


Serological Survey

  1. Vietnam era personnel: 1000 personnel currently on active duty who had been serving in the military since January 1, 1974.
    (Note: This is the end of the Vietnam era, and right after the military stopped administering the reusable small pox needle and small pox vacation by Jetgun)

  2. Active duty retirees with at least 20 years of military service: 2000 individuals.
    (Note: at least = 1980)  

Note: . Rather than determining rates of hepatitis C infection among personnel who "served" in deployments overseas or who received blood plasma products as ordered by Congress,  the 1999 Senate Armed Services Committee directed DoD to study the extent of service-connected hepatitis C infection...during separation and retirement physicals of active duty. The Vietnam Era is considered to have begun in 1964 and ended in 1975. But the veterans, that served during the Vietnam era from 1964 until 1974, were basically excluded from these results. Nobody tested the immune globulin, the ingredient used in many different vaccines.

In 1999 it was determined by scientists, the process to make immune globulin was inefficient at preventing the transmission of blood borne pathogens.

Safety and availability of immunoglobulin replacement therapy in relation to potentially transmissable agents  Clinical & Experimental Immunology Volume 118 Issue s1 Page 29 - October 1999... However, the role of partitioning of viruses cannot be taken in isolation; when antibodies to HCV were removed following the introduction of screening, the amount of recoverable HCV-RNA in the various Cohn fractions changed dramatically as a result of the virus no longer being complexed with antibody. 28 ...As Cohn–Oncley fractionation is not sufficient to remove lipid-coated viruses, additional antiviral inactivation steps are required.

STATEMENT OF TERESA L. WRIGHT, MD -CHIEF, GASTROENTEROLOGY SECTION, SAN FRANCISCO VETERANS ADMINISTRATION MEDICAL CENTER- BEFORE THE HOUSE VETERANS' AFFAIRS COMMITTEE SUBCOMMITTEE ON BENEFITS
July 16, 1998- Dr. Wright states; "From our own experience at the San Francisco VA Medical Center, HCV disease is a common problem...10 per cent of hospitalized veterans were seropositive for HCV. This is substantially lower however than the experience at San Francisco General hospital where the seroprevalence is 30 per cent...These questions are being addressed in a study which is just getting underway at our VA and which is funded for the coming five years."

April 13, 2000
Testimony of Gary A. Roselle, M. D. - 81% of all Military attending VA clinics and positive for  Hepatitis C are from the Vietnam and Post Vietnam Era.

Five years later-
 
VA Study 488- Elevated Prevalence of Hepatitis C Infection in Users of  United States Veterans Medical Centers
-In summary, we estimate that 5.4% of VA users are HCV-seropositive, exceeding ...the general population by more than 2-fold. Although Vietnam veterans had the highest prevalence (11%) in our sample, military-related exposures were not found to be significant risk factors. That this estimate differs considerably from some prior estimates used to determine health policy...

How the VA Used Study 488 to Deny Millions of Retired Military and Veterans Help.

The study 488 is used for the bases of a questionnaire that decides the need to test Retired Military and Veterans for Hepatitis C. The study results show 7% of Veterans attending VA clinics, reported having Hepatitis C and receiving a Jetgun injection during service. However, some clinics didn't get the right survey. The wrong survey data did not included the Jetgun option.

Both, the wrong and new surveys, did address the lifestyle risk involving multiple partners. Jason A. Dominitz, et al, reports 5.5% association to infection, if the patient had between 2 and 49 partners. Ironically, this risk is listed to determine the need to test Vets, but the Jetguns, with a higher occurrence rate, are not.

Study 488 IS flawed and diminishes the real need to test all Retired Military and Veterans
http://hcvets.com/data/transmission_methods/study488.htm

The Hepatitis C Endemic

VHA Unique Persons positive for
Hepatitis C Antibody
Percent by Era of Service

FY 1998-1999

Click to enlarge

 

The Veterans Administration statistics for 2004 state,  25,470,700 veterans are alive in the United States and the HCV infection rate among veterans in the VA system is about 10% .  This means, based on reported numbers of infected people by the CDC, 3,900,000. [4]  an estimated 11 3/4%  of the general population are veterans, or 458,250 veterans were included in the CDC results.  

Based on the infection rate quoted by the VA and CDC: 3,441,750 civilians of which 2,547,070 are Veterans, compromise the majority of infected people in the United States.

Approximately 75%  of the estimated people with HCV are Veterans with infections longer than 20 years.    

Out of the estimated three million chronically infected stated by the National Institutes of Health (NIH), an estimated 2,250,000 had this disease for over 20 years. A projected 30%, or 675,000 veterans, are expected to develop cirrhosis. Greater than 120,000 are expected to develop cancer NOW..  [5]

VA verses Private Health Care Standards to Qualify for Treatment Protocol
Compound these statistics by a new study that shows Veterans attending VA clinics do not receive appropriate testing, care and therapy; [6] The study shows the number of patients who benefit from treatment is less than 12%, while non-VA clinics boast clear rates as high as 40% for the toughest strain of the virus. Veterans are also denied treatment, or it is made unavailable because of medical problems treated for in non-VA clinics.

Pressure must be brought on our government to give all past and present military personnel, the respect they deserve. Such respect means providing, the paid for, proper care of our Veterans and their families, as promised, without delay. Hepatitis C must be made a presumed service connected disease because military services posed the most risk for transmission and most people with this disease have a military background.

Preconceived ideas and notions have stifled awareness to the many transmission methods, discovered yearly for this disease; the most recent, GYN spectrums used for gynecological exams. [11] [12]

How can you Help? File a claim! 

The Acknowledgement

Plan Backfires- VBA Fast Letter Boost Claims

The letter works to the Veterans advantage because it acknowledges possible ways for transmitting the virus previously denied by the VA claims adjusters. Claims that are pending or previously denied, should consider this as critical evidence to include.
 

Hepatitis C is a result of receiving immunizations in service  by means of a multi-use jet gun injector.
CONCLUSION OF LAW
Hepatitis C was incurred in service.  38 U.S.C.A. § 1131
(West 2002); 38 C.F.R. § 3.102, 3.303 (2005).
ADD TO YOUR CLAIM!

Alert
The VA wants proof Jetgun injections were used during boot camp, epically Korean  war claims. HCVets has a collection of pictures from many different branches of service. Please add your pictures of jet injections from camp year books. Email to HCVets@aol.com

We're also collecting pictures of any mass vaccinations with reused needles/vials and picture of medical/dental personal not wearing gloves to help those needing evidence.
View Boot Camp Pictures Submitted

Veteran's Alert
Flyer
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click on the PDF links to print.

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Inside VA Flyer1.pdf
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Click here to view the Slide Show
HEPATITIS C, THE SILENT EPIDEMIC
AMONG RETIRED MILITARY AND VETERANS

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Download the PowerPoint Presentation

Sign on letter
Veterans Are Under Fire And Account For More "Daily Dead", Than
Vietnam, Iraq And Afghanistan Combined.

Read- then add your name and send to local TV & Radio stations

Now Available-  HMA's Pamphlet 

"In Home test kit" voucher include.
"Are You At Risk for Hepatitis C?" 
Click here 
 



Latest information on the corporate takeover
of Hepatitis C funding
(Click on the picture to read more)

 

A Call to Action
Hepatitis C Epidemic Act, HR 2552

Don't let Hep C get lost in the mix of CDC's "EASY FIX" solutions for real pandemics.  
Please read the intentions of the Centers for Disease Control (CDC) to
stop General Awareness Campaigns at state levels

Make Public Health "DO ITS JOB" as two Surgeon Generals have asked!
Address the general public through an unbiased

"General Awareness Campaigns"
 Help us really stop the spread of Hepatitis C

Read more: Stop the Hepatitis C Epidemic Act HR2552

References

 [1] Testimony of Gary A. Roselle, M. D. Program Director for Infectious Diseases Veterans Health Administration Department of Veterans Affairs Before the Subcommittee on Benefits Committee on Veterans’ Affairs U.S. House of Representatives April 13, 2000 http://hcvets.com/data/va_news/testimony_of_gary_a.htm 

One in 10 Vets have Hepatitis C -A study conducted by the VHA, and involving 26,000 veterans, shows that eight to 10 percent of all veterans in the VHA system tested positive for hepatitis C. In this study, veterans who served in Vietnam accounted for more than 60 percent of those with positive test results. http://hcvets.com/data/va_news/alf1in10.htm 

Hepatitis C: Silent Epidemic, Mute Public Health Response
Seventh Report By The Committee On Government Reform And Oversight
http://hcvets.com/data/va_news/testimonyMuteResponse.htm

 From our own experience at the San Francisco VA Medical Center, HCV disease is a common problem....10 per cent of hospitalized veterans were seropositive for HCV. This is substantially lower...San Francisco General hospital where the seroprevalence is 30 per cent
http://hcvets.com/data/va_news/statementTeresaWright.htm

[2] The Consumers Union Report on Licit and Illicit Drugs by Edward M. Brecher and the Editors of Consumer Reports Magazine, 1972 some 90 to 95 percent of all GI users sniffed ("snorted") the drug or inserted a little in a cigarette and smoked it.
http://hcvets.com/news_letter/drugusenam.htm


Recreational Drug Information Website relatively few were either dysfunctional or addicted users after their return to the United States (58)  http://www.drugtext.org/reports/fada/fada1.htm

Hepatitis C in Vietnam Era Veterans Bradford Waters, M.D. Staff Hepatologist, Memphis VA Medical Center, Associate Professor of Medicine, University of Tennessee, Memphis  90-95% of addicts smoked heroin and only 5-10% of that group injected
http://hcvets.com/data/hepatitis_c_in_vietnam_era_veter.htm

[3] HCVets.com Transmission Methods for HCV http://hcvets.com/data/transmission_methods/transmission.htm

[4]  CDC Fact Sheet = Reported numbers of infected people by the CDC, 3,900,000,  http://www.cdc.gov/ncidod/diseases/hepatitis/c/fact.htm

 
[5] NIH Consensus Statements Management of Hepatitis C: 2002 June 10-12, 2002  Vol. 19, No. 1 FINAL STATEMENT August 27,2002 HCV is the most common chronic blood-borne infection  develop cirrhosis 20 years after initial infection as high as 20 to 30 percent in middle-aged subjects http://consensus.nih.gov/cons/116/116cdc_intro.htm

National Institute of Diabetes and Digestive and Kidney Disease Twenty percent of patients develop cirrhosis within 10 to 20 years of the onset of infection Liver failure from chronic hepatitis C is one of the most common reasons for liver transplants in the United States. Hepatitis C is the cause of about half of cases of primary liver cancer in the developed world. http://www.niddk.nih.gov/health/digest/pubs/chrnhepc/chrnhepc.htm

(K70,K73–K74) National Vital Statistics Vol 49 No 11 Deaths: Leading Causes for 1999- by Robert N. Anderson, Ph.D. Division of Vital Statistics    Table 1 page 15 all races and both sexes, ages 25–34 years is the tenth leading causes of death.  For age 45–54, the sixth leading cause of death
http://www.cdc.gov/nchs/data/nvsr/nvsr49/nvsr49_11.pdf

[6]  VA Study A comparison of hepatitis C treatment and outcomes at academic, private and Veterans' Affairs treatment centres D. M. Jensen*, S. J. Cotler*, H. Lam+, G. Harb & A. Shillington§
 .... End-of-treatment viral response for Veterans' Affairs centers, 17.2%  http://hcvets.com/data/hcv_liver/va_clear_rate.htm

[7]  Veterans' Health Care: Observations on VA's Assessment of
Hepatitis C Budgeting and Funding (25-APR-01, GAO-01-661T).
http://frwebgate.access.gpo.gov/cgi-bin/useftp.cgi?IPaddress=162.140.64.21&filename=d01661t.txt&directory=/diskb/wais/data/gao

[8]  CDC states no association with military service http://www.cdc.gov/ncidod/diseases/hepatitis/c_training/edu/1/epidem-trans-1.htm

[9]  Drug paraphernalia attributes to about 60% of HCV transmission  http://www.cdc.gov/ncidod/diseases/hepatitis/c_training/edu/1/epidem-trans-9.htm

[10]  Needle and syringe exchange and educational programs shown to be effective in preventing HIV are also useful for decreasing HCV transmission. http://webmd.lycos.com/content/article/1678.50912

Sniffing, Snorting Drugs May Raise Hepatitis C Risk "The study suggests that sniffing or snorting heroin with cocaine is a risk factor for HCV infection," lead author Dr. Beryl A. Koblin of the New York Blood Center http://hcvets.com/data/transmission_methods/sniffing.htm

National Institute of Cholera and Enteric Diseases, Post Bag 33, CIT Road Scheme XM, Kolkata 700010, India (e-mail:kamal412496@yahoo.com) "this continuous increase in HCV infection among IDUs, despite the needle and syringe exchange programme, is a cause for concern. The cause of this striking increase in HCV infection is unclear." http://hcvets.com/transmission_methods/druguseincreasehcvhiv.htm

[11]  Ford Hospital warns patients about hepatitis Testing instruments possibly contaminated June 25, 2002 BY PATRICIA ANSTETT AND HUYI JIN ELIZABETH KIM FREE PRESS MEDICAL WRITERS Olympus America can be reached at 631-844-5688,  www.olympus.com.  Contact PATRICIA ANSTETT at 313-222-5021 or anstett@freepress.com. Contact HUYI JIN ELIZABETH KIM at 313-223-4439 or kim@freepress.com.
http://hcvets.com/data/transmission_methods/sporadic_transmission.htm

100 women at risk after GP blunder by Camillo Fracassini and Sue Leonard 
UP TO 100 women have been put at risk of contracting HIV and hepatitis after they were given cervical smear tests using unsterilized equipment. http://hcvets.com/facts_documentation.htm#100 women

[12] Non-Drug related transmission of Hepatitis C Excerpt from Documented USA Media Reports, Scientific Journals and Government Agencies on  Non-Drug Related Transmission of Hepatitis C Virus
2003-2005

[13] Sterilants and Disinfectants Hepatitis C Survives Treatment with Commercial Sterilants and Disinfectants

14. Arthur Caplan, Ph.D. the Chairman of the Advisory Committee on Blood Safety and Availability states
"The main reason for the drastic increase in severe hepatitis C-related liver disease--that means leading to transplant, leading to death--is that 90 percent of people with chronic hepatitis C don't know they have it." 
http://www.hhs.gov/bloodsafety/transcripts/nov24_98.html
 
The American Liver foundation states- As many as 70% of those infected don’t know it http://www.liverfoundation.org/db/articles/1007
 
Because most persons with chronic HCV infection have yet to be diagnosed http://consensus.nih.gov/cons/116/091202116cdc_statement.htm

15  However, since 1984, when 64% of the men who got the vaccine already had full-blown AIDS, no additional reports have been released (Waves Forest, "Designer Diseases", Open Road, Fall 1988, p.3).
http://hcvets.com/data/transmission_methods/aids_history_and_censored.htm

Subcutaneous injections of a drug containing human immunoglobulins  Infect Dis 1977 Feb;135(2):252-8 Petrilli FL, Crovari P, De Flora  Since late 1974 and early 1975, several cases of viral hepatitis were reported in Italy among subjects who had received subcutaneous injections of a drug containing human immunoglobulins

Transfusion 1992 Nov-Dec;32(9):824-8 Recovery of hepatitis B antibody from human plasma products separated by a modified Cohn fractionation. Vox Sang 1974;27(4):302-9Berg JV, Berntsen KO, Bjorling H, Holmstrom B, Vyas GN PMID: 4213354, UI: 75014376

16 2002 CDC Sterilization Rules For Reusing Bifurcated Needles From Patricia Doyle, PhD dr_p_doyle@hotmail.com 12-17-2  http://hcvets.com/data/transmission_methods/smallpox_vaccine.htm

HCVets helped stop the use of "old style jetguns" and
made sure the new jetguns do not transmit blood!

Skip NavigationFDA Logo links to FDA home pageCenter for Devices and Radiological Health, U.S. Food and Drug AdministrationHHS Logo links to Department of Health and Human Services website

FDA General Hospital & Personal Use Devices Advisory Panel Presentation

Military application of jet injection in relationship to the transmission of bloodborne viruses.

Produced by:
HCVets.com

Narrated by:
Harry Hooks, Vietnam Combat Veteran

Click Here to view the presentation.

RESULTS: "We Won" by a 4 to 3 vote, jetguns will be safe from now on:)

In addition,  discussed between the World Health and the FDA panel, the statement that more than 10pl of blood is needed to transmit Hepatitis C is a bogus idea. 10 pl of blood can transmit Hepatitis C.

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