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Senate Veterans Affairs Meeting
Jetgun injections
&
Hepatitis C Transmission
Oct 22, 2015
Washington DC
 
"Test The Rest" Campaign
Vietnam Era Veterans Hepatitis C Testing Enhancement Act
Action Needed!!
 
Jetguns- Bringing down hep-c
American Legion Post 1619 is urging all Vietnam vets to get tested

 
Newsweek-
VA's Hepatitis C Problem    
By Gerard Flynn

 
Orange Count Registry
Vietnam vets blame 'jet guns' for their hepatitis C
By Lily Leung Feb. 14, 2016 
 

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

 

 
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
Mass Vaccinations
1970 Jetgun Nursing Instructions
 

2014 AASLD Study Hepatitis C not an STD

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One Vets' Journey Though Treatment
 

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Info: Plan Backfires-
VBA Fast Letter Boost Claims
 
Disability Ratings
Does Your Medical Record Show Hep C Related Diseases?
The Liver and Hepatitis C

 
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

 


Hepatitis C Genotype Analysis: Results in a Large Veteran Population with Review of the Implications for Clinical Practice
...
© 2012 by the Association of Clinical Scientists, Inc.

((((((( COST TO READ FULL STUDY ))))))))...

Context Hepatitis C virus (HCV) infects up to 1.8% of the US general population, although the rate is significantly higher in military veterans at 5.4–20%. Early detection and accurate diagnosis are critical as chronic HCV infection can lead to liver cirrhosis and hepatocellular carcinoma. Genotype analysis has both therapeutic and prognostic importance in patients with HCV infections.

Objective We compare two versions of a commonly utilized platform for genotype analysis in HCV infections and review the implications of the results for clinical practice.

Design A retrospective review of 9401 genotype results from 2001–2010 were analyzed. All results were obtained from the James A. Haley VA Medical Center, a large referral veterans’ healthcare facility.

Results Genotype 1 was identified in 80.1% of samples, genotype 2 in 11.1%, genotype 3 in 7.4%, and genotype 4 in 1.2%. Genotypes 5 and 6 were rarely present in our patient population. Improvements in diagnostic methodologies over the study period resulted in shifts in genotype subtyping. Specifically, upgrading from the Versant HCV genotype assay (LIPA) (Siemens, Tarrytown, NY) to the newer version 2.0 assay resulted in an increase in identification of genotype 1a by 18.5%.

Conclusions Improved technologies lead to accurate genotype identification and subtyping, both of which have increasingly important prognostic and therapeutic implications. The clinical importance of these results in patients with HCV infections is reviewed.

(((( http://www.annclinlabsci.org/content/42/4/355.full

 

genotype assay

Which test is used to determine Veterans exposed to same source infections?

  1. Siemens Versant HCV genotype assay LIPA
  2. Siemens 2.0 assay

Specifically, upgrading from the Versant HCV genotype assay (LIPA) (Siemens, Tarrytown, NY) to the newer version 2.0 assay resulted in an increase in identification of genotype 1a by 18.5%.

 Improved technologies lead to accurate genotype identification and subtyping, both of which have increasingly important prognostic and therapeutic implications.

The clinical importance of  improved technology for HCV genotype assay offer accurate genotype identification and subtyping of blood borne pathogen such as Hepatitis C,

  1. important prognostic and therapeutic implications.
  2. Identify breaches in universal precautions 
  3. Identify same source encounter

Hepatitis C Genotype Analysis: Results in a Large Veteran Population with Review of the Implications for Clinical Practice
Abstract: © 2012 by the Association of Clinical Scientists, Inc.
The clinical importance of these results in patients with HCV infections is reviewed here. http://www.annclinlabsci.org/content/42/4/355.full
doubled since last year...