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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
Mass Vaccinations
1970 Jetgun Nursing Instructions
 

2014 AASLD Study Hepatitis C not an STD

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Info: Plan Backfires-
VBA Fast Letter Boost Claims
 
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Bull World Health Organ. 1999;77(10):789-800. Links
 

Unsafe injections in the developing world and transmission of bloodborne pathogens: a review.

World Health Organization, Geneva, Switzerland.

Unsafe injections are suspected to occur routinely in developing countries. We carried out a literature review to quantify the prevalence of unsafe injections and to assess the disease burden of bloodborne infections attributable to this practice.

Quantitative information on injection use and unsafe injections (defined as the reuse of syringe or needle between patients without sterilization) was obtained by reviewing the published literature and unpublished WHO reports. The transmissibility of hepatitis B and C viruses and human immunodeficiency virus (HIV) was estimated using data from studies of needle-stick injuries. Finally, all epidemiological studies that linked unsafe injections and bloodborne infections were evaluated to assess the attributable burden of bloodborne infections.


It was estimated that each person in the developing world receives 1.5 injections per year on average. However, institutionalized children, and children and adults who are ill or hospitalized, including those infected with HIV, are often exposed to 10-100 times as many injections. An average of 95% of all injections are therapeutic, the majority of which were judged to be unnecessary. At least 50% of injections were unsafe in 14 of 19 countries (representing five developing world regions) for which data were available.

Eighteen studies reported a convincing link between unsafe injections and the transmission of hepatitis B and C, HIV, Ebola and Lassa virus infections and malaria. Five studies attributed 20-80% of all new hepatitis B infections to unsafe injections, while three implicated unsafe injections as a major mode of transmission of hepatitis C. In conclusion, unsafe injections occur routinely in most developing world regions, implying a significant potential for the transmission of any bloodborne pathogen.

Unsafe injections currently account for a significant proportion of all new hepatitis B and C infections. This situation needs to be addressed immediately, as a political and policy issue, with responsibilities clearly defined at the global, country and community levels.

PIP: Unsafe injections and the consequent transmission of bloodborne pathogens are suspected to occur routinely in the developing world. This paper presents a review of the literature to determine the prevalence of unsafe injection practices and assess the disease burden of bloodborne infections. Quantitative data on injection usage and unsafe injection practices, such as the reuse of unsterilized syringe or needles between patients, is obtained by reviewing published articles and unpublished reports of the WHO. In addition, the transmissibility of hepatitis B and C viruses and HIV was determined using information from studies of needle-stick injuries. All epidemiological researches that associate injections with bloodborne diseases were examined to assess the attributable burden of bloodborne infections. It was estimated that each person in developing countries receives an average of 1.5 injections per annum. However, institutionalized children, children and adults who are sick or confined in hospitals, often receive 10-100 times as many injections. Of these injections, 95% are therapeutic, a majority of which are unnecessary. At least 50% of injections in 14 of 19 countries were unsafe. Furthermore, 18 studies present convincing evidence on the association of unsafe injection practices and the transmission of bloodborne viruses such as hepatitis B and C, Ebola, Lassa virus infections and malaria. Such practices account for a significant number of hepatitis B and C infections.

PMID: 10593026 [PubMed - indexed for MEDLINE]

 

 

Related Articles:

October 27, 1998 SFGate DEADLY NEEDLES Fast Track to Global Disaster Reynolds Holding, William Carlsen, Chronicle Staff Writers- For decades, researchers warned that contaminated syringes could transmit deadly viruses with cruel efficiency.  But efforts to defuse the crisis were failed, and today, it has become an insidious global epidemic, destroying millions of lives every year.

"Dear Colleague" letter from the Centers for Disease Control and Prevention (CDC) Federal heads in the sand:(  written by Acting Deputy Director, Epidemiology and Surveillance Division, National Immunization Program, CDC; in response to San Francisco Chronicle  Two 3-part series of articles on needle safety published in 1998. The first series, "Deadly Needles," caught the attention of readers by claiming that "one million health care workers each year are injured by needle sticks - more than 100,000 of them in California." The second series, "The Invisible Epidemic, 1920-87," began with an article on health risks associated with the use of contaminated needles and resulted in the publication of a "Dear Colleague" letter from the Centers for Disease Control and Prevention (CDC)