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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

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
 

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 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

 

 

Military discontinues the use of jet guns for mass immunization of military troops
U.S. Department of Defense (DoD) needle-free injection policy chronology
 

(1997-11-20) Ped-O-Jet® manufacturer (Keystone Industries, Cherry Hill, NJ) notifies Defense Supply Center Philadelphia (DSCP) (Defense Logistics Agency) of intent to withdraw as device supplier over liability concern for bloodborne disease transmission from multiple-use-nozzle design. 
 

(1997-12-05) DoD Medical Materiel Quality Control Program (MMQCP) issues withdrawal of automatic jet hypodermic injection units (MMQC-97-1169)
 

(1997-12-07) DSCP issues Medical Products Quality Control System (MPQCS) device alert (DSCP 970147) as "cautionary measure", while noting the absence of bloodborne disease transmission case reports over 35 years of military use (followup MMQC-98-1019 dated 1998-Jan-30).
 

(1998-01-09) Armed Forces Epidemiological Board (AFEB) concurs with withdrawal of Ped-O-Jet® for "routine immunization", but availability for "public health emergency".  AFEB recommends use of "newer technology" devices with disposable parts for skin contact. 
 

(1998-04-20) Navy Bureau of Medicine and Surgery updates via BUMED notice 6230 its Immunization Requirements And Recommendations document (3.6Mb .pdf) prohibiting jet injector use until otherwise directed. 
 

(1998-04-28) AFEB recommends DoD formulate new needle-free injector specifications and support device research and development. 
 

(1998-07-09) Letter from Dr. Sue Bailey, Assistant Secretary of Defense, Health Affairs, to United States Representative Alan B. Mollohan (D-WV), explaining DoD policy on jet injectors in response to the concerns of a constituent of the Congressman.  
 

(1998-1999) Manufacturer discontinuation of large multi-dose vials for yellow fever, meningococcal, and tetanus-diphtheria vaccines because of military withdrawal of Ped-O-Jets® capable of using them (MMQC-99-1248 dated 1998-Nov-03 and MMQC-99-1251 dated 1999-Aug-12). 
 

(1998-11-25) Navy Bureau of Medicine and Surgery authorizes military use of new disposable-cartridge jet injector (Preventive Medicine Directorate). 
 

Current DoD policies and information available at the Military Immunization Information Source http://www.cdc.gov/nip/dev/jetinject.htm (link no longer active. This is a copy of .pdf file 2004 CDC Jetgun Bio Update )

 

Admission- Problems Existed With Jet Injectors
 NOVEMBER 1998
(((Thanks Roger))))
http://www-nehc.med.navy.mil/prevmed/epi/BUMED25NOV98.txt


SUBJ/MEDICAL JET INJECTOR USE FOR IMMUNIZATIONS, UPDATE//
REF/A/DOC/BUMEDNOTE 6230/20APR98//

REF/B/MSG/NAVMEDLOGCOM FORT DETRICK MD/081300ZDEC97/NOTAL//

NARR/REF A IS BUMED IMMUNIZATION REQUIREMENTS AND
RECOMMENDATIONS NOTICE
. REF B IS NAVMEDLOGCOM DRUG RECALL
NUMBER 97-75, DOD-MMQC-97-1169

AUTOMATIC JET HYPODERMIC INJECTION UNITS/WITHDRAWAL (DPSC 970147).//
POC/MCBRIDE/CDR,MC,USN/MED-24B/WASHINGTON DC/TEL:COM (202)762-3495
/TEL:DSN: 762-3495//


RMKS/1. THIS MESSAGE HAS BEEN COORDINATED WITH THE COMMANDANT OF THE MARINE CORPS (CMC). THE COMMANDANT HAS AUTHORIZED TRANSMISSION TO MARINE CORPS ACTIVITIES.

2. PURPOSE: UPDATE GUIDANCE IN REFS A AND B ON USING COMMERCIAL JET INJECTORS FOR ADMINISTERING IMMUNIZATIONS.

3. BACKGROUND: SINCE ISSUING REFS A AND B, SEVERAL ACTIVITIES EXPRESSED INTEREST IN USING A NEW TRANSCUTANEOUS, CO2 POWERED IMMUNIZATION DEVICE MANUFACTURED BY BIOJECT, INC. THIS DEVICE, MARKETED AS "BIOJECTOR 2000 INJECTION MANAGEMENT SYSTEM", IS THE ONLY FOOD AND DRUG ADMINISTRATION (FDA) LICENSED HYPODERMIC JET INJECTOR. IT AVOIDS RISKS OF BLOOD-BORNE PATHOGEN TRANSMISSION AND NEEDLE-STICK INJURY ASSOCIATED WITH PREVIOUSLY USED JET INJECTOR GUNS.

4. GUIDANCE:

A. BIOJECTOR 2000 INJECTION MANAGEMENT SYSTEM IS AUTHORIZED FOR USE IN NAVY AND MARINE CORPS ACTIVITES FOR IMMUNIZATION ADMINISTRATION TO SERVICE MEMBERS AND OTHER BENEFICIARIES. AT THIS TIME, NO OTHER HYPODERMIC JET INJECTOR SYSTEM IS FDA APPROVED-THIS IS REQUIRED PRIOR TO CONSIDERATION FOR BUMED AUTHORIZATION.

B. USE OF HYPODERMIC JET INJECTOR APPARATUS LISTED IN REF B REMAINS UNAUTHORIZED.

C. WITH BIOJECTOR 2000, ESTIMATED COST PER INJECTION AND MECHANICS OF PREPARATION FOR EACH INJECTION MAY LIMIT COST AND PAGE 03 RUENMED3162 UNCLAS EFFICIENCY BENEFITS. HOWEVER, THESE CONCERNS MAY BE OFFSET BY SAFETY ENHANCEMENT THROUGH AVOIDANCE OF BLOOD-BORNE PATHOGEN EXPOSURE AND ELIMINATION OF POSSIBLE NEEDLE-STICK INJURY TO BOTH PATIENTS AND THOSE ADMINISTERING IMMUNIZATIONS. ALSO, SHARPS DISPOSAL IS NOT NECESSARY.

5. POINTS OF CONTACT:
A. PROCUREMENT: NAVMEDLOGCOM, FORT DETRICK, MD-LT
WILLIAMS, TEL: (301)619-3086; DSN 343-3086 OR HM1
SPICER, TEL: (301)619-7118; DSN 343-7118.
B. BUMED-24: CDR MCBRIDE, (AS ABOVE)
EMAIL: WZMCBRIDE@US.MED.NAVY.MIL.//

RTAUZYUW RUENMED3162 3291800-UUUU--RUCOFAE.
ZNR UUUUU
RUCKMEA T CG II MEF
RUWICBD T CG FIRST FSSG
RUWICBE T CG I MEF

R 251800Z NOV 98 ZYB PSN 895734I36
FM BUMED WASHINGTON DC//24//
TO AIG SEVEN SEVEN EIGHT THREE
AIG SIX NINE FOUR SEVEN
INFO AIG ONE THREE SEVEN SEVEN SIX
BT
UNCLAS //N06230//
MSGID/GENADMIN/BUMED//