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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

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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 July 2009 study (below) Non-conventional transmission of hepatitis C: a true possibility ignored. Hyder Q, et al., show very high risk for HCV transmission by dental procedures.
Dental treatment: 278 (32.55%) was the commonest conventional risk factor in Group-A.
The Centers for Disease Control and Prevention (CDC) addressed dental risk also, The results were issued April, 1996 based on the 1993 Viral Hepatitis Surveillance Program,

Results...Overall, 58% of persons reported no known source for their infection. Dental work reported as highest incident for hepatitis non a non b...
 
CDC's response to inquires why more is not done to make industry aware, defended its actions by stating, the Viral Hepatitis Surveillance Program included all hepatitis viruses in the survey. CDC felt because it was not specific for hepatitis C, (aka- nonA nonB, HCV) ... the results are inconclusive.
In 2001 industry demonstrated the products used to sanitize & disinfect medical and dental equipment, did not kill HCV. Combine the "for profit" public health, the lack of universal/standard procedures/ precautions... Does another HCV epidemic loom?

 

J Pak Med Assoc. 2009 Jul;59(7):430-3. Links

Non-conventional transmission of hepatitis C: a true possibility ignored.

Hyder Q, Burhan-ul-Haq M, Rashid R, Qazi S, Mehmood S, Hadi SF » « (2009) Non-conventional transmission of hepatitis C: a true possibility ignored. J Pak Med Assoc (PubMed: 19579727)

… We examined the possibility of non-conventional transmission of HCV by person-to-person contact. …

Show full abstract

OBJECTIVE: The exact mode of hepatitis C virus (HCV) transfer remains elusive in a vast majority of cases. We examined the possibility of non-conventional transmission of HCV by person-to-person contact.
 

METHOD: A questionnaire based, prospective study was conducted at Pakistan Institute of Medical Sciences (PIMS) from July-October, 2006.

Patients with compensated chronic hepatitis B (CHB) &/or C (CHC) were registered for 6 month interferon (IFN) therapy. All candidates furnished information about age, gender and mode of transmission. The unanswered queries were interpreted as "missing data". After omission of cases with hepatitis B virus (HBV) infection alone, the remaining persons included in the present study were placed in:

Group-A: Multifactorial transfer involving conventional (blood borne) and non-conventional modes;

Group-B: Unifactorial transfer by non-conventional routes only;

Group-C: No identifiable risk factor.

Unlike conventional routes, the non-conventional modes represented likelihood of CHB &/or CHC by exposure to household contacts, to persons with hepatic cirrhosis and during traveling.
 

RESULTS: Initially, 879 patients (mean age: 35.52 +/- 9.1 years) were registered. After exclusion of 25 subjects with HBV infection only, the remaining 854 were included. Of 854 cases, 830 (97.18%) were infected with HCV and 24 (2.81%) had co-infection with HBV & HCV.

According to the mode(s) of transmission, Identified Cases:

Group-A: 515 (60.30%);

Group-B: 136 (15.92%)

Group-C: 203 (23.77%)

Dental treatment: 278 (32.55%) was the commonest conventional risk factor in Group-A.

The non-conventional transfer of HCV in Group-A was mainly suggested by household contact: 222 (25.99%).

Groups-A and -B combined, the sum of any non-conventional risk factor was comparable with and even higher than the leading haematogenous routes in Group-A.

Groups-B and -C combined, HCV infection in 339 patients (39.69%) was apparently acquired by non-conventional modes, most probably by person-to-person interaction.
 

CONCLUSION: Non-conventional transmission of HCV is a genuine possibility which is currently underestimated.