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May 2014 VA Hep C Treatment Guidelines
UPDATE: Feb 26, 2016-
Funding and Prioritization Status Update

UPDATE: March 2016
VA Hep C Treatment Guidelines
VA to treat all vets in system

By Judith Graham
VA Extends New Hepatitis C Drugs to All Veterans in Its Health System

Orange Count Registry
Vietnam vets blame 'jet guns' for their hepatitis C
By Lily Leung Feb. 14, 2016 
CBS News Investigates
Congress outraged over hepatitis C treatment VA can't afford
Dr. Raymond Schinazi played a leading role developing a drug that cures hepatitis C while working seven-eighths of his time for the VA| By amynordrum

Hepatitis C drug costing VA, DoD millions
By Patricia Kime, Staff writer
We're looking at a company who is milking a cash cow for everything it's worth," Sanders said. 

VA to outsource care for 180,000 vets with hepatitis C
Dennis Wagner, The Arizona Republic 12:27 a.m. EDT June 21, 2015

VA to outsource care for 180,000 vets with hepatitis C
, The Republic | 11:51 a.m. MST June 19, 2015
Dr. David Ross, the VA's director public-health pathogens programs, resigned from the working group. "I cannot in good conscience continue to work on a plan for rationing care to veterans," he wrote.

VA Region Stops Referring Patients To Outside Hospitals Thanks To Budget Shortfall
Michael Volpe Contributor ...According to a memo — the entire region has been forced to stop all “non-VA care” referrals due to a budget shortfall.
Sen. Mark Kirk admitted the VA Choice Program is a failed joke in a letter to Secretary Bob McDonald despite attempts to fix it.

Denied Hep C VA dental care?
Please click here

Dried Hepatitis C Blood Exposure 11/23/2013 Weeks later inconspicuous blood transmits virus and more likely to cause accidental exposures to Hep C

Lack of Standards for
Mass Vaccinations
1970 Jetgun Nursing Instructions

2014 AASLD Study Hepatitis C not an STD

Test the Rest Campaign
Documentation & Surveillance Alerts
Military Hepatitis History  
Understanding The Liver 
VA Flow Sheet for Cirrhosis
VA Defines Risk Factors
Hep C & Pro-Prebiotic
Need to know-Grassroots Research
Blog Another12Weeks
One Vets' Journey Though Treatment

 Ask NOD
 What Would Veterans Do?
Blog for VA Claims

Help with VA Claims

Info: Plan Backfires-
VBA Fast Letter Boost Claims
Legal- Fed Regs state:
Judge decision may be relied upon
Cotant v. Principi, 17 Vet.App. 116, 134 (2003),
Service Connected Claims
# 1 Conclusion of Law 
# 2 Conclusion of Law 
More Claims
Jetgun Decisions
Hep C Decisions
Search Board of Appeals Website
BVA Jetgun Decisions
BVA Hepatitis C Decisions

Great Advice!  
After the jetgun win
What to do next



VA Defines the Risk Factors for Hepatitis C Transmission

The following information is from the VA Website. The VA states,  "The source of infection is unknown in about 10 percent of acute hepatitis C cases and in 30 percent of chronic hepatitis C cases." This is  because additional factors below are not listed or acknowledged by claims processors. Links include scientific research and journal articles findings.

  • This symbol represents the VA risk factor
    • This symbol represents "HCVets notes" include documents with links that expands these risks and directly associated with military service.

for Health Care Providers

Hepatitis C: Military-Related Blood Exposures, Risk Factors, VA Care

There has been considerable interest expressed by veterans and organizations representing them concerning the possible relationship between hepatitis C virus (HCV) infection and immunization with jet injectors (air gun injection) or other military-related blood exposures. Although there have been no case reports of hepatitis C being transmitted by a jet gun injection, it is biologically plausible.

Any veteran enrolled in the VA health care system who has concerns about hepatitis C infection, because of jet gun injectors, other blood exposure during military service, any of several risk factors, or for any other reason, is welcome and encouraged to request testing for hepatitis C at his or her nearest VA hospital.

Risk Factors for Hepatitis C

A number of factors help predict whether a person is at risk of hepatitis C; this doesn't mean these factors cause the disease, just that they are tend to occur more often in those with the disease than those without it.

VA recommends testing for anyone who

  • Was born of a mother who had hepatitis C at the time.
  • Has ever snorted drugs and shared equipment
    • Snorting does not cause Hepatitis C but sharing paraphernalia/equipment can transmit hepatitis C.
  • Has liver disease or abnormal liver function test
    • Hepatitis C does not always cause elevated liver test results. Service medical records with lab results are hard, if not imposable, to obtain. Older, private medical records are usually on microfiche.
  • Has had a sexual partner with Hepatitis C, now or in the past
    • Sexual transmission happens if trauma with blood results in both partners. The science is clear. Google this study: Sexual transmission of (HCV) is rare
    • 2013 AASLD Study Hepatitis C not an STD
  • Has had 10 or more lifetime sexual partners
    • Sexual transmission happens if trauma with blood results in both partners
    • Google this study: Lack of Evidence of Sexual Transmission of Hepatitis C Among Monogamous Couples: Results of a Ten-Year Prospective Follow-Up Study
  • Has HIV infection
    • 1 in 3 HIV patients are co-infected. 25,000 Vets have Hepatitis c and HIV, whereas depression and diabetes account for as many as 60% of patients.
    • 50,000 Veterans with HCV are unaccounted within Veterans Health Administration
      NewsWeek- VA's Hepatitis C Problem


VA says: The source of infection is unknown in about 10 percent of acute hepatitis C cases and in 30 percent of chronic hepatitis C cases.
Hepatitis C Care in VA

If a veteran does test positive for hepatitis C, VA has tremendous expertise to care for him or her. In fact, VA cares for more individuals with hepatitis C than any other health care system in the country. For hepatitis C-positive veterans who enroll in VA medical care, VA offers:

  • Excellent patient education and professional education that both empowers the veteran and enables his or her health care provider to stay current with the latest disease management information
  • All medications that can help hepatitis C or its complications, via the VA formulary
  • A multifaceted team approach to care, with different specialists working together to help patients
  • Dedicated professionals who take advantage of VA continuing medical education on the latest approaches to hepatitis C care
  • Patient education via brochures, supports groups, education programs, and Web-based resources that helps patients be part of the care team
And should the disease worsen (which it can, over the years, in a small percentage of patients), liver transplantation is also available.

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Much more information is available on this Web site. To find your local VA medical center, call the VA toll free at 1-800-827-1000 or visit the Web at