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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
 
ibtimes.com| 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 | azcentral.com 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.
 

DisabledVeterans.org
OIG INVESTIGATES VA CHOICE PROGRAM PROBLEMS
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

Home
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
 

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 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

BVA Granted Claims
Nexus Letters
Doctors Testimony

VA physicians
Private Physicians
 
Search Board of Appeals Website
BVA Jetgun Decisions
BVA Hepatitis C Decisions

Great Advice!  
After the jetgun win
What to do next

 

 


Download the PDF here

Hepatitis C testing practices and prevalence in a high-risk urban ambulatory care setting

Journal of Viral Hepatitis, March 2011 Early View (Articles online in advance of print)

"we found a very high estimated prevalence of HCV infection in a high-risk urban patient population with a high prevalence of risk factors. We found strong evidence that physicians are using a risk-based screening strategy to identify patients with HCV infection, using known risk factors and other conditions associated with HCV to guide testing. We also found evidence that screening recommendations should be expanded to include the high prevalence birth cohort." ...20% of people 55-64 yrs old or 1 in 5' have HCV.....age was significantly independently associated....

http://www.latimes.com/news/local/la-me-boomers-hepatitis-20120502,0,4558891.story
Los Angeles Times
Wed 2 May 2012

The Centers for Disease Control and Prevention urges people born
between 1945 and 1965 to be tested, noting that roughly 75 percent of
people with the disease are baby boomers. The number of baby boomers
dying from a "silent epidemic" of hepatitis C infections is increasing
so rapidly that federal officials are planning a new nationwide push
for widespread testing. Three in 4 of the estimated 3.2 million people
who have chronic hepatitis C -- and a similar proportion of those who
die from the disease -- are baby boomers. Deaths from the virus nearly
doubled between 1999 and 2007 to more than 15 000, according to a
recent Centers for Disease Control and Prevention study.

Hepatitis C is the leading infectious cause of cirrhosis and liver
cancer and is the most common reason for liver transplants in the
United States, according to the CDC. In 2007, deaths from the disease
surpassed those linked to HIV, and the numbers of fatalities are
expected to continue increasing, researchers reported. "We have sort
of a perfect storm of an age wave of people who are moving through
time who are progressively becoming sicker from an infection that was
acquired several decades ago," said John Ward, director of the
Division of Viral Hepatitis at the CDC. "We think we are at a very
critical juncture."

Many boomers unknowingly contracted the virus in younger years from
using drugs or having blood transfusions before screening was improved
during the AIDS crisis. Unaware of the risk and without symptoms, most
have never been tested for hepatitis C and don't know they have it.
The disease -- primarily contracted through blood -- often remains
hidden for decades while it slowly destroys liver cells. There is no
vaccine. [There are, however, now effective therapies, depending on
the virus genotype. - Mod.CP]

"Hepatitis C is really a stealth virus," said Elizabeth Bancroft,
medical epidemiologist with the Los Angeles County Department of
Public Health. "It can live in you for many, many, many years."

There are at least 530 000 people living with hepatitis C in
California, including an estimated 134 000 in Los Angeles County,
according to health officials. Concerned about the disease among baby
boomers, the CDC plans to issue a recommendation this year [2012] that
everyone born between 1945 and 1965 be tested. Up until now, the
federal agency only urged screening for those believed to be at risk.
That strategy hasn't worked, in part because of the stigma; doctors
don't ask about previous drug use, and patients don't offer up the
information.

The CDC recommendation is coming in an era when safer, faster and more
effective drug treatments are becoming available, and more are being
tested. The new medications still have side effects but increase the
odds of suppressing the virus and its complications, according to
research. Health officials say the new medications, although they
aren't cheap, are far less costly than liver transplants and liver
cancer treatment, which can climb into the hundreds of thousands of
dollars.

The disease is "a significant and very costly problem" in California,
said Gil Chavez, deputy director of the center for infectious diseases
for the state public health department. In California, officials said
hospitalization charges for liver disease, cancer and transplants
totaled more than USD 2 billion in 2010. The state adopted a plan in
2009 to improve education about the disease and to increase access to
testing and care, but Chavez said much more needs to be done. The
expected federal recommendation for screening baby boomers will help
providers and patients understand the dangers, he said.
 

The WHO Factsheet on hepatitis C can be accessed at:
http://www.who.int/mediacentre/factsheets/fs164/en/index.html