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HCVets@gmail.com  
 

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
 

 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

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

 

 


 


Medical or Dental Procedures & Reused Devices
 
2004 Blood Typing- CDC and the Food and Drug Administration (FDA) have recommended since 1990 that fingerstick devices be restricted to individual use
2004 CDC Report Finger Stick Device Lancets

2010 CDC Clinical Reminder: Use of Fingerstick Devices on More ...
 - The purpose of this CDC clinical reminder is that fingerstick devices ... to remove and replace the lancet after each use... 
 

1970 Jetgun Nursing Instructions
 
How to use the jetgun, detailing how the device got contaminated.
1990 FDA Jetgun Autoclaves Recalled FDA Enforcement Report- Vernitron Majestic Table Top Sterilizers, Models 8080, Recall...The locking hub may detach from the unit at high pressure...compromise of sterility... (note: these autoclaves were used to sterilize the Ped-o-Jet Jetguns used by the military. Sterilization could not be guaranteed.)
 
1999 Global Injections Unsafe injections in the developing world and transmission of bloodborne pathogens: a review-...Five studies attributed 20-80% of all new infections to unsafe injections...major mode of transmission of hepatitis C... occur routinely
 
2003 CDC Guidelines Nosocomial transmission of bloodborne viruses from infected health care workers to patients...some occupations ... higher risk ... rate of HCV in oral surgeons
 
2004 CDC Jetgun History Research by the CDC on jetgun history- Needle-Free Jet Injection Bibliography, Device & Manufacturer Roster, and Patent List
 
2004 CDC Report Finger Stick Device Lancets CDC and the Food and Drug Administration (FDA) have recommended since 1990 that fingerstick devices be restricted to individual use

 
2005 USA Surgical Tissue Adhesive Hepatitis C scare halts use of surgical adhesive-The Health, Labor and Welfare industry on Tuesday ordered a pharmaceutical company to stop the sale of an imported surgical tissue adhesive after an elderly man ...contracted the hepatitis C virus ... weakened following an operation...died
 
2005 VA Surgical Clinics Investigation EL PASO, Tx - A Beaumont Army Hospital staff member contracts Hepatitis "c" and now several patients are also infected. Up to 5% of all the patients tested so far have tested positive...
 
2008 HCV Dental Implants Transmission Hepatitis patient sues, blames dental implants-A woman who underwent dental implant surgery ...suing the makers of products ... after she learned the products had been recalled and she had contracted Hepatitis C.
 
2008 Legal Advice for Patients PUBLIC HEALTH CRISIS: Queries irk hepatitis patients- Attorneys telling clients not to reveal past drug, sexual activity- Southern Nevada Health District's intent to embarrass...when it determined what questions to ask former patients of two Las Vegas gastroenterology clinics regarding their past risk factors for hepatitis...
 
2008 Multi-Risk Transmission Factors Frequency distribution of hepatitis C virus genotypes in different geographical regions of Pakistan and their possible routes of transmission- Infectious Diseases 2008, 8:69...More than 70% of the cases were acquired in hospitals through reuse of needles/syringes and major/minor surgery...
 
2008 NV State Investigation UPDATE So Nevada Hepatitis C Investigation UPDATE:"Patients were put at risk, health officials say, when a syringe would be reused on an infected patient and then used to draw anesthesia from vials intended for just one patient. The vials would then be used on other patients, potentially spreading disease."
 
2008 VA Nevada Exposures VA Office of Inspector General,inspectionefurbished scopes were purchased and a scope broke... GI providers reused syringes...contaminated medication from vials...contracts were awarded to the GI provider group or that senior managers received kickbacks.
 
2009 CDC Report- Hemodialysis Unit Hepatitis C Virus Transmission at an Outpatient Hemodialysis Unit --- New York, 2001--2008 -...  negative to anti-HCV positive in a New York City hemodialysis unit Supervisory staff members failed to address these breaches. Many of the direct care staff members were unaware of ...unit's written infection control policies, including those pertaining to cleaning and disinfection. Investigators also noted the lack of a separate clean area for... has 8% risk factor
 
2009 Congressional Probe - VA Clinics
 
Kerry urges probe of unsanitary conditions at VA
 
2009 GA Med Center Endoscopes Columbia County Medical Center In Hot Water-GA officials.. look at a local medical center. Workers... not have followed proper cleaning procedures. ..1,300 patients... received this letter...concerns over the sterilization process of endoscopes
 
2009 GA VA Ear, Nose and Throat Clinic The fact that it took five years for them to catch a mistake like that....nose and throat clinic at the VA Medical Center ...that they may have been exposed...
 
2009 TN VA Wrong Valves VA mum extent of equipment contamination caused by wrong valve used during procedures... noticed wrong valve on the tubing used in colonoscopies
 
2009 VA- FL Endoscopes The VA insists the risk of infection is minimal and only involved tubing on equipment, not any device that actually touched a patient.
 
2010 CDC Report- Mulitple Exposures HCV quasispecies sequences from the patients were nearly identical (96.9%–100%) to those from source patients with chronic viral hepatitis. All affected patients in both clinics received
 
2010 Lawsuit Nevada ...Health officials have blamed reuse of vials ... jury...ordered Teva ... to pay $356 million in punitive damages.. Baxter...$144 million..
 
2013 HCV transmitted by biopsy forceps The problem at a colposcopy clinic ...began in May 1999 and was detected on May 24 of this year...health officials are contacting nearly 2,500 patients after discovering that unsterilized biopsy forceps were used
 
2015 FDA Fingerstick Risk
 
May 12, 2015 Safety Communications > Use of Fingerstick Devices on More Than One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial Communication (8/26/2010)
Food and Drug Administration
 
Dental treatmen was commonest conventional risk factor Dental treatment: 278 (32.55%)...Non-conventional transmission of hepatitis C: a true possibility ignored... show very high risk for HCV transmission by dental procedures.
 
Finger Stick Device potential source In teaching patients how to administer finger sticks and insulin shots to themselves, the nurse changed the needle.. but reused...I don't believe this nurse was cognizant of the possibility...was a potential source..
 
HCV Detected in Dental Surgeries Our data indicate that there is extensive contamination by HCV of dental surgeries after treatment of anti-HCV patients and that if sterilisation and disinfection are inadequate there is the possible risk of transmission to susceptible individuals
 
VA OIG Report VA supply orders not equal to demand...
 
 

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