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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



The liver is one of the most complex organs in the human body. It is the body’s largest organ and responsible for more than 5,000 life-sustaining functions. The liver is primarily responsible for converting food into energy. Additionally, the liver filters the body from hundreds of potential toxins and synthesizes a variety of factors necessary to sustain life. When the liver is diseased, the entire body is affected. 
The virus causes a complicated, progressive disease that affects a diverse population. The Modes of transmission are not fully understood but the public health response emphasizes behavior driven risk transmission. HCV is a systemic infections, not just a liver disease. It is a blood borne virus in which most cases are asymptomatic. HCV is 5x more prevalent that HIV, globally.

Limited HCV prevention measures have led to multiple incident of provider-to-patient and environmental exposures.  2008 CDC Review

Natural History of HCV Most patients who acquire HCV infection are not aware. Acute infection with HCV is usually associated with flu like symptoms and not jaundice (turning yellow). As a result, patients may have the infection for years before being identified. Most patients are identified during routine physical exam or blood donations. Abnormal liver function tests are identified during these evaluations. When abnormal liver function tests or a history of risk factors are identified, further testing is recommended.

Hepatitis C Virus Infection Among Persons Born During 1945–1965 The Centers for Disease Control has issued a warning for all American citizens to be tested for Hepatitis C.

Extrahepatic Manifestations of HCV Among a chronic HCV cohort of 7,411 patients, at least one comorbid condition was seen in almost all patients (>99%) during the study period. HCV-infected patients reported almost double the number of comorbidities compared to uninfected controls. Of the 25 most common comorbidities, the majority of the comorbidities (n = 22) were known to be associated with either HCV antiviral treatment or disease. The five most frequent comorbidities were liver disease

Hepatitis C Genotypes and Quasispecies An important variable for all patients with chronic hepatitis C virus The "genotype" of HCV is the strain of the virus. Genotypes are genetically distinct groups of the virus that have arisen during its evolution...

Laboratory Tests and Hepatitis C Enzyme immunoassays (EIAs) detect the presence of antibodies in serum directed against HCV. These tests are commonly used for initial detection of hepatitis C. However, EIAs do not differentiate between acute, chronic or resolved infection... Qualitative HCV RNA Assays

Management and Treatment of Patients with Cirrhosis and Portal Hypertension - Hepatitis C2009 recommendations for the treatment of patients with cirrhosis and portal hypertension, from the VA National Hepatitis C website.

Liver Injury & Common Antibotics Warning Steer clear of moxifloxacin and levofloxacin if you are older or have a compromised liver as most of us do. Read and heed.

Scientists show brain vulnerable to Hepatitis C virus

High Comorbidity Burden of the U.S. Hepatitis C Virus-Infected Population


Latest Pipeline Treatment Options

VA Treatment Protocal Flow Sheet for
Patients with Cirrhosis



VA Clinical Manuals

Practical information for medical, nursing, and pharmacy staff for the treatment and care of patients with hepatitis C

VA- Hepatitis C Topics


VA- Liver Complications


VA- For Other Care Providers