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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



(Note to reader- the following guidelines for standard practices during injections of vaccines were not followed by the military during the height of the hepatitis epidemic. Needles, syringes and vials were commonly reused.)

Appropriate Vaccine Administration - Centers for Disease Control
 2011- CDC Vaccine Guidelines
File Format: PDF/Adobe Acrobat -
...vaccines...should be used in conjunction with professional standards of medication ... Infection Control
Healthcare providers should follow Standard Precautions to minimize the risks of spreading disease during the administration of vaccines.

Handwashing - Handwashing is critical to prevent the spread of illness and disease. Hands should be washed thoroughly with soap and water or cleansed with an alcohol-based waterless antiseptic before vaccine preparation, between patients, and any time hands become soiled, e.g. diapering or cleansing excreta.

Gloves - Occupational Safety and Health Administration (OSHA) regulations do not require gloves to be worn when administering vaccines unless the person administering the vaccine is likely to come into contact with potentially infectious body fluids or has open lesions on the hands. If gloves are worn, they should be changed between patients. Gloves will not prevent needlestick injuries. Any needlestick injury should be reported immediately to the site supervisor, with appropriate care and follow-up given as directed by local/state guidelines.
Fig 1 depicts a medic with bleeding blisters on his hands from a multiuse jetgun injector..

Equipment Disposal - Used needles should not be recapped, cut, or detached from the syringes before disposal. All used syringe/needle devices should be placed in puncture proof containers to prevent accidental needlesticks and reuse. Empty or expired vaccine vials are considered medical waste and should be disposed of according to state regulations.
The California Department of Health Services’ Immunization Branch has developed a complete package of resources on vaccine administration, available at
 A DVD, “Immunization Techniques: Best Practices with Infants, Children, and Adults” is also available for order at