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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?
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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
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1970 Jetgun Nursing Instructions
 

2014 AASLD Study Hepatitis C not an STD

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2008-05-23 Frequency distribution of hepatitis C virus genotypes in different geographical regions of Pakistan and their possible routes of transmission- Author: Muhammad Idrees and Sheikh Riazuddin Credits/Source: BMC Infectious Diseases 2008, 8:69... specific objective of this study was to find out the frequency of various HCV genotypes present in well-characterized Pakistani HCV isolates and their possible routes of contamination... More than 70% of the cases were acquired in hospitals through reuse of needles/syringes and major/minor surgery that is very common in this country.

 

Frequency distribution of hepatitis C virus genotypes in different geographical regions of Pakistan and their possible routes of transmission

Information regarding hepatitis C virus genotypes and subtypes circulating in Pakistan and various risk factors for their transmission are not known well. The specific objective of this study was to find out the frequency of various HCV genotypes present in well-characterized Pakistani HCV isolates and their possible routes of contamination.

Method A total of 3351 serum samples were tested by type-specific genotyping assay. Out of 3351 HCV RNA positive patients, 2039 were males and 1312 were females.

The 2165 genotyped patients belonged to Punjab region, 823 patients to North West Frontier Province, 239 to Sindh and 124 patients were from Balochistan.

Results: Out of the total 3351 tested serum samples, type-specific PCR fragments were observed in 3150 (94.00%) serum samples.

The distribution of genotypes of the 3150 typable samples as determined by this assay, was as follows: 280 (8.35%) patients were infected with HCV genotype 1a, 101 (3.01%) with genotype 1b, 5 (0.15%) with 1c, 252 (7.52%) with subtype 2a, 27 (0.80%) with subtype 2b, 3 (0.09%) were with type 2c, 1664 (49.05%) with subtype 3a, 592 (17.66%) with genotype 3b, 25 (0.75%) were with 3c, 50 (2%) with genotype 4, 6 (0.18%) with subtype 5a, 4 (0.12%) with subtype 6a and 161 (4.80%) patients were infected with mixed infection. Two hundred and one (6.00%) serum samples were found untypable by the present genotyping system.

More than 86% and 72% patients with genotypes 3a and 3b respectively had received multiple injections in past. For genotypes 1a and 1b the route of contamination was major/minor surgery along with unknown reasons.

Majority of the cases with type 2a, 2b and indeterminate genotypes were sporadic. Mixed infections were common in thalassaemic patients.

Conclusion: The most common HCV genotype in Pakistan is type 3a. Regional difference in genotypes was observed only in Balochistan province of Pakistan.

More than 70% of the cases were acquired in hospitals through reuse of needles/syringes and major/minor surgery that is very common in this country.


Author: Muhammad Idrees and Sheikh Riazuddin
Credits/Source: BMC Infectious Diseases 2008, 8:69

Published on: 2008-05-23

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