Hepatitis C Danger In Your MD's Office?
Outbreaks Of Dangerous Infection Coming From An Unlikely Place
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At Risk At The Doctor's?
Doctor's offices and other outpatient settings have recently been under fire for spreading insidious infections like hepatitis. Dr. Emily Senay reports.
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CBS News medical correspondent Dr. Emily Senay reports.
"We were completely confounded," McKnight said. "We had no idea where I could have gotten that."
Soon her husband Tom, a family physician in Fremont, Neb., discovered some of his patients had also been infected.
"The only common denominator was that we were all cancer patients," McKnight said.
And they all were receiving chemotherapy at the same cancer-treatment center.
In the end, 99 people were infected, the largest outbreak of its kind in North American history. The cause: Nurses were discarding used needles, but were reusing the syringes, thereby passing the infection from patient to patient.
"It's a constant worry about am I going to wake up and be jaundiced?" McKnight said. "Is this the day that cirrhosis is going to show up?"
Since 1999, The Centers for Disease Control has tracked 31 outbreaks including Norman Okla., at a pain treatment clinic. In 2002, 71 were infected there. Other outbreaks include:
These known outbreaks could be just the tip of the iceberg.
"There's no excuse for this. It's on the order of driving against traffic on the freeway; it's that reckless," said the Center for Disease Control's Dr. Michael Bell.
He blames these outbreaks on sloppy infection-control practices in out-patient settings, which are not regulated as strictly as hospitals.
"The problem with non-hospital settings, ambulatory settings, is that a lot of times there's less of a framework to make sure people do things right every time," Bell said.
Anesthesiologist Rebecca Twersky of Long Island College Hospital demonstrated one way infection can easily be spread with multi-dose vials designed for use on more than one patient.
"What you shouldn't do is take the same syringe that I just used before go back into that bottle and take out the medication," Twersky said. "Even if you've changed the needle, if you're still using the same syringe."
Then you've contaminated the bottle.
"Then in comes the next patient, and you know you go thru the whole process not realizing that patient A might have put their microscopic blood particles into the multi-dose vial," Twersky said.
Evelyn McKnight founded a patient advocacy group and is now lobbying Capitol Hill to mandate better infection control in outpatient settings.
"You should not feel like seeking healthy care is a high-risk behavior," McKnight said. "Every patient deserves to feel safe when they seek health care."
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See all 53 CommentsAt the peak of the bad blood distributed from the prisons, and during the Vietnam era, millions of Vets got Hep C from reusable needles and vials, plus lack of universal precautions. Gov stats show 1 in 5 Vets from that era have the virus.
Here''s a link to documentation, studies, government stats on many other ways the virus transmits. It will blow your mind. Again, thank you!
Non-Drug Related Transmission of Hepatitis C Virus 2006-2008
hcvets.com/data/transmission_methods/transmission.htm#October_
Godofredo, you are so right, hope folks listen up. More than 50 percent of patients headed to transplant, must be re-vaccinated.
Did you know a huge chunk of the money for hep c prevention funding, if the current legalization is past, will go to those two vaccines. Can you believe that... loc.thomas.gov type in hepatitis c
- Many people with hepatitis B and C have no symptoms but can stay healthy by changing behaviors (e.g., abstain from alcohol) and getting vaccinated for hepatitis A (and B if needed).
- Your liver is your internal powerplant and hepatitis viruses kill liver cells. The liver doesn''t have a way to let you know it is in trouble so many people don''t find out they have a problem until it is too late.
- Learn more about viral hepatitis, the liver, prevention and view full videos @ www.hepatitisfoundation.org
- Thank you, Katie Couric & staff for featuring viral hepatitis! I hope we can work together. We need more accurate health reporters to raise awareness about this critical epidemic.
Corinna Dan, RN, MPH
Chief Operating Officer
Hepatitis Foundation International
- Many people with hepatitis B and C have no symptoms but can stay healthy by changing behaviors (e.g., abstain from alcohol) and getting vaccinated for hepatitis A (and B if needed).
- Your liver is your internal powerplant and hepatitis viruses kill liver cells. The liver doesn''t have a way to let you know it is in trouble so many people don''t find out they have a problem until it is too late.
- Learn more about viral hepatitis, the liver, prevention and view full videos @ www.hepatitisfoundation.org
- Thank you, Katie Couric & staff for featuring viral hepatitis! I hope we can work together. We need more accurate health reporters to raise awareness about this critical epidemic.
Corinna Dan, RN, MPH
Chief Operating Officer
Hepatitis Foundation International
- Many people with hepatitis B and C have no symptoms but can stay healthy by changing behaviors (e.g., abstain from alcohol) and getting vaccinated for hepatitis A (and B if needed).
- Your liver is your internal powerplant and hepatitis viruses kill liver cells. The liver doesn''t have a way to let you know it is in trouble so many people don''t find out they have a problem until it is too late.
- Learn more about viral hepatitis, the liver, prevention and view full videos @ www.hepatitisfoundation.org
- Thank you, Katie Couric & staff for featuring viral hepatitis! I hope we can work together. We need more accurate health reporters to raise awareness about this critical epidemic.
Corinna Dan, RN, MPH
Chief Operating Officer
Hepatitis Foundation International
- Many people with hepatitis B and C have no symptoms but can stay healthy by changing behaviors (e.g., abstain from alcohol) and getting vaccinated for hepatitis A (and B if needed).
- Your liver is your internal powerplant and hepatitis viruses kill liver cells. The liver doesn''t have a way to let you know it is in trouble so many people don''t find out they have a problem until it is too late.
- Learn more about viral hepatitis, the liver, prevention and view full videos @ www.hepatitisfoundation.org
- Thank you, Katie Couric & staff for featuring viral hepatitis! I hope we can work together. We need more accurate health reporters to raise awareness about this critical epidemic.
Corinna Dan, RN, MPH
Chief Operating Officer
Hepatitis Foundation International
Evelyn McKnight
Daniel Hughes
HCVets.com
We desperately need an Awareness Campaign to reach out to the general public, not only to those identified as %u201Chigh risk%u201D, but to all Americans. People are not asking for Hepatitis C testing because they are unaware that they are at risk. We can prevent immeasurable illness and suffering if doctors would add Hepatitis C as part of the annual physical.
Thank you Katie Couric, Dr. Senay and CBS. I hope you continue to cover the many aspects of this silent killer. Millions infected %u2013 irreversible damage being done.
Thank you HONOReform for your hard work and determined mission.
Robin Lord Smith
Maryland Hepatitis C Action
KNOW YOUR HEPATITIS C STATUS! GET TESTED! IGNORANCE IS NOT BLISS!
Hepatitis C requires a blood to blood transmission. It is the most common chronic blood borne virus in the U.S. today. 5 times more prevalent than HIV. It is the leading cause of liver transplants in the U.S. 2/3 of patients will die waiting for a liver transplant because there are not enough organs to go around (please sign your donor cards!)
It is important to know that Doctors do NOT test for Hepatitis C on annual physicals or routine exams. You have to ASK TO BE TESTED! You do not have any symptoms that damage is being done until the latter stages of the disease and that can be from 10 to 40 years! There are treatments for Hepatitis C that are 45-80% successful depending on your genotype.
Unlike HIV, Hep C does not die when it hits the air and can live on surfaces for up to 4 days plus. It is a simple blood test and can be added to your routine tests the next time you see your doctor. Just ask him/her to add it! Take care and be your OWN advocates.
Peace
Pam Langford
www.HEALSoftheSouth.com
www.HEALSoftheSouth.org
Jet injectors were used to vaccinate our military until 1999. The CDC''s own studies showed that the injectors and the vaccine vials got contaminated and were capable of transmitting Hepatitis C.
http://www.hhs.gov/nvpo/meetings/dec2003/Contents/ThursdayPM/Weniger.pdf
Their rationale for using the jet injectors was that the time saved during mass immunization was worth the risk of Hep C infection.
1 in 10 Veterans is now infected with Hepatitis C (62.7% of Vietnam Vets are infected)
http://veterans.house.gov/hearings/schedule106/apr00/4-13ben/groselle.htm
Yet, most of them don''t know it.
Dear Katie Couric:
We have waited a long time for a hero that can help us find all those Veterans to get them tested before it''s too late. Otherwise they will continue to suffer and expose others (including our children) to Hepatitis C unknowingly. Future generations will be infected by a virus that is being exposed to suboptimal treatment drugs making it stronger and stronger. A virus that is already killing more people yearly than Aids.
We need your help. Your voice is much louder than ours.
Sincerely,
Silvia Hinojosa-Price, R.N.
Maria
Peace
Pam
Dan
Thank you for bringing major media attention to the ''Silent Epidemic''.
I am HEPC positive. I don''t know where I got the disease or when, but the doctor suspects I picked it up sometime about 30 years ago.
I never did IV drugs, had a transfusion/dialysis,don''t have any tattoos & piercings,don''t work in the medical area, not a combat veteran,etc..
I was finally tested for HCV when my doctor couldn''t find any other good reason for my aches & pains & total exhaustion. I was shocked when I found out I had HEPC.
I am now, at 57 years years old, in line for months of painful treatment. I am uninsured. HCV treatment of Interferon & Ribavirin can cost $6,000 a month!
For your information: HCV can be passed through shared toothbrushes and razors and tattoos & piercings. Unlike HIV/AIDS, sexual transmission rates are very low, although using safe *** methods is recommended. I have checked with two former partners & neither of them have HCV.
Katie, please continue to raise awareness of HEPC and of the plight of the uninsured American.
Thank you!
Thank you for bringing major media attention to the ''Silent Epidemic''.
I am HEPC positive. I don''t know where I got the disease or when, but the doctor suspects I picked it up sometime about 30 years ago.
I never did IV drugs, had a transfusion/dialysis,don''t have any tattoos & piercings,don''t work in the medical area, not a combat veteran,etc..
I was finally tested for HCV when my doctor couldn''t find any other good reason for my aches & pains & total exhaustion. I was shocked when I found out I had HEPC.
I am now, at 57 years years old, in line for months of painful treatment. I am uninsured. HCV treatment of Interferon & Ribavirin can cost $6,000 a month!
For your information: HCV can be passed through shared toothbrushes and razors and tattoos & piercings. Unlike HIV/AIDS, sexual transmission rates are very low, although using safe *** methods is recommended. I have checked with two former partners & neither of them have HCV.
Katie, please continue to raise awareness of HEPC and of the plight of the uninsured American.
Thank you!
Thank you for bringing major media attention to the ''Silent Epidemic''.
I am HEPC positive. I don''t know where I got the disease or when, but the doctor suspects I picked it up sometime about 30 years ago.
I never did IV drugs, had a transfusion/dialysis,don''t have any tattoos & piercings,don''t work in the medical area, not a combat veteran,etc..
I was finally tested for HCV when my doctor couldn''t find any other good reason for my aches & pains & total exhaustion. I was shocked when I found out I had HEPC.
I am now, at 57 years years old, in line for months of painful treatment. I am uninsured. HCV treatment of Interferon & Ribavirin can cost $6,000 a month!
For your information: HCV can be passed through shared toothbrushes and razors and tattoos & piercings. Unlike HIV/AIDS, sexual transmission rates are very low, although using safe *** methods is recommended. I have checked with two former partners & neither of them have HCV.
Katie, please continue to raise awareness of HEPC and of the plight of the uninsured American.
Thank you!
Thank you for bringing major media attention to the ''Silent Epidemic''.
I am HEPC positive. I don''t know where I got the disease or when, but the doctor suspects I picked it up sometime about 30 years ago.
I never did IV drugs, had a transfusion/dialysis,don''t have any tattoos & piercings,don''t work in the medical area, not a combat veteran,etc..
I was finally tested for HCV when my doctor couldn''t find any other good reason for my aches & pains & total exhaustion. I was shocked when I found out I had HEPC.
I am now, at 57 years years old, in line for months of painful treatment. I am uninsured. HCV treatment of Interferon & Ribavirin can cost $6,000 a month!
For your information: HCV can be passed through shared toothbrushes and razors and tattoos & piercings. Unlike HIV/AIDS, sexual transmission rates are very low, although using safe *** methods is recommended. I have checked with two former partners & neither of them have HCV.
Katie, please continue to raise awareness of HEPC and of the plight of the uninsured American.
Thank you!
Thank you for bringing major media attention to the ''Silent Epidemic''.
I am HEPC positive. I don''t know where I got the disease or when, but the doctor suspects I picked it up sometime about 30 years ago.
I never did IV drugs, had a transfusion/dialysis,don''t have any tattoos & piercings,don''t work in the medical area, not a combat veteran,etc..
I was finally tested for HCV when my doctor couldn''t find any other good reason for my aches & pains & total exhaustion. I was shocked when I found out I had HEPC.
I am now, at 57 years years old, in line for months of painful treatment. I am uninsured. HCV treatment of Interferon & Ribavirin can cost $6,000 a month!
For your information: HCV can be passed through shared toothbrushes and razors and tattoos & piercings. Unlike HIV/AIDS, sexual transmission rates are very low, although using safe *** methods is recommended. I have checked with two former partners & neither of them have HCV.
Katie, please continue to raise awareness of HEPC and of the plight of the uninsured American.
Thank you!
Katie, Thank you for bringing info like this to the public. They/We need to know about this growing epidemic. I wish I had known more sooner, and had myself tested. My doctor estimates that I had had it for 20 years when I was finally diagnosed in 1999. By that time, I had cirrhosis of the liver. Seven years of fighting this virus, unsuccessfully, has brought me to the conclusion that we need more funding for public awareness and research to find a cure.
Again, thanks for the publicity.
Djchance
HCVSupport.org
When you read you''ll know why I am a huge online and off ADVOCATE for Hepatitis C.
I mention all of this to underscore the fact that this very serious disease can hit anyone. I''ve never taken drugs, had a tattoo, or engaged in any high risk behavior. I''m just a normal 61-year-old woman with a family.
Not only do we need to stop the infections from happening, we need to support the drug companies trying to develop better treatments AND we need to remove the public stigma of the disease.
Whatever you can do to help will be appreciated.
www.HopeforHepC.bravehost.com
www.HopeforHepCStory.bravehost.com
and many other groups I am advocting such as my space.
www.myspace.com/hopeforhepc
Please if YOU need any information at all please come to one of my sites for encouragement, education, comfort and love
I''d like to also thank you for doing the story. As you have heard hepatitis C is and has been in epidemic proportion for some time. There has been at least 3 Surgeon Generals that have called for public awareness campaigns and to no avail. I find it interesting that
"There''s no excuse for this. It''s on the order of driving against traffic on the freeway; it''s that reckless," said the Center for Disease Control''s Dr. Michael Bell", when this the department that has failed to act and knows the numbers seems surprised. I personally feel they should be investigated for their negligence and held accountable.
I''m one of the 1 in 5 Vietnam Era Vets who is infected and strongly suggest anyone who was vaccinated via jetgun or needle while in the military and their family as well, get tested for HCV. There is a link at www.hcvets.com, for a free home test kit if you prefer.
Please take the time to go to the website and you''ll see the extent this epidemic has grown and why so many Veterans are a risk, most of who are not even aware.
Harry Hooks
Forum Manager, HCVets.com
Good Luck
Butch
My Father was a Marine
My Father was a Marine
My brother was Navy
I was Air Force
Almost everybody in my family has an old Military Dress Uniform hanging in the closet.
In 2003 I was diagnosed by the VA with HCV and cirrhosis in 2005.
My Doc said I had a 30% chance to win, but I fought until I sometimes felt like the chemo was killing me and I went through hell for a year, but I WON !!!
I BEAT HCV INTO REMISSION.
Now the VA says I''m cured and refuses to test me for cancer and HCV regular, "You''re cured, go home."
Please don''t say CURED OF HCV until accredited universities, insurance companies and the blood bank says it.
Viruses are not alive, so they can''t die, they just get held down by anti-bodies, hopefully for the rest of your life.
I spent 30 years with undetected HCV, I don''t want to die now from undetected cancer because I''m "cured".
One last thing, it''s mathematical so be careful:
If 26,000,000 vets got innoculated (DoD estimate)
and at least 10% may have HCV
how come nobody is warning these 2,600,000 vets to get tested?
Each hour of every day 3 people in the USA die from HCV related illness,
Two of them have military connections.
Please warn them so they don''t have to get sick like I did.
Paul Conklin
Salisbury, NC
Health District notifies patients of potential exposure to hepatitis C urges testing for approximately 40,000 patients
The Southern Nevada Health District announced it is notifying approximately 40,000 patients of a local medical clinic about potential exposure to hepatitis C following an investigation of several acute cases of the illness. Patients who had procedures requiring injected anesthesia at the Endoscopy Center of Southern Nevada, located at 700 Shadow Lane, Las Vegas will begin to receive letters this week. The health district%u2019s notification includes patients who had procedures at the clinic between March 2004 and January 11, 2008, and recommends they contact their primary care physicians or health care providers to get tested for hepatitis C as well as hepatitis B and HIV.
The health district identified a cluster of three acute cases of hepatitis C in January 2008 and has identified a total of six cases to date. Five of the cases had procedures requiring injected anesthesia on the same day. The joint investigation identified the re-use of syringes (not needles) and the use of single dose vials of anesthesia medication on multiple patients as the potential sources of contamination.
Read more at: http://www.southernnevadahealthdistrict.org/press_releases/2008/022708b.html
Here''s yet another case for the books. This will continue unchecked as long as there is no loud and clear awareness campaign in place.
Polio was beating because the public was aware, Hep-c wwill always win until it is screamed loud and clear and not hidden away in STD/HIV clinics where the majority of the ones infected have no reason to go.
Feb. 27, 2008 The Southern Nevada Health District..40,000 patients of a Las Vegas Endoscopy Clinic ...at risk ..for Hepatitis C and other diseases. ... large-scale patient notification that was just announced moments ago. The joint investigation identified the re-use of syringes (not needles) and the use of single dose vials of anesthesia medication on multiple patients as the potential sources of contamination.
http://www.hcvets.com/data/transmission_methods/endoscopes2008.htm
Harry Hooks
Forum Manager HCVets.com
We are NOT Leppers & it''s UNFAIR that the general public thinks it''s a DRUGGIE disease. ANY where or way a person can have blood to blood contact is a RISK. NO one is talking & making the young pierced & tattooed generation AWARE of the RISK they are taking. Over 5 MILION AMERICANS with Hep C. PLEASE stay the course & get the TRUTH about this disease out so we can get the funding we so desperately need to find a CURE & a VACCINE at this time we have NEITHER. Only a vicious treatment with lots of side effects & about a 30% SVR Sustained Viral Response at BEST & that''s ALL geno types combined. Type 1A is the MOST common & HARDEST to treat. About 70% of ALL Hepatitis C is geno type 1A. Think about it our Vets got it from air gun injections serving our country. A hair cut, a trip to the nail salon, sharing a razer, nail clippers & the list goes on. The JURY is out on *** depending on who you believe the risk is quoted from 5 to 15%. AGAIN NO one is getting the MESSAGE out. PLEASE DON''T drop this story it is ONLY the beginning & YOU are the ANGEL & MESSENGER we ALL have been PRAYING for.
DRSLETMEDOWN
Please check out my website;
Hep C Support Group
http://groups.msn.com/HEPCSUPPORTGROUP
Hepatitis C Outreach Project
Mission Statement
Our mission is to inspire, support and enhance community efforts toward prevention, awareness, education, and treatment of Hepatitis C and promote organ donation.
We are committed to working with any organization, agency, or professional individual to develop partnerships resulting in quality programming and good public decision making based on accurate information regarding Hepatitis C.
We offer our resources and services freely in a spirit of goodwill and generosity, ever mindful of our purpose
We have been established for 15 years. We have spoken before the National Institutes of Health, American Public Health Association, at hospitals, State task Forces, Commissions, Women''s Health Conferences, tolegislators, and anyone who would listen or could be cornered.in the press and in every conceivable corner of the USA and elsewhere. For 15 years.
We have responded where the CDC would not go (ie Hazard, KY) and we continue to tell the truth about hepatitis C where it is neither financially beneficial or welcome information.
I want to know where the money for the newest foundation comes from, directly and indirectly.
Congress already knows.Pharmaceutical lobbyists, the former surgeons general, and many others have been there and done that.
Teresa Hanbey
Hepatitis C Outreach Project
www.hcop.org
PS
Forgive me, but anyone want to talk about tattoos, yet?
www.whyfiles.com search: tattoos
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