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Alan Franciscus

Editor-in-Chief

HCV Advocate



Friday, May 1, 2015

Implementing the Nation’s First State Hepatitis C Testing Law

As the first state hepatitis C testing law in the nation progresses into its second year of implementation, the New York State Department of Health (NYSDOH) is taking steps to educate both healthcare providers and consumers about the importance of HCV screening for individuals born between 1945 and 1965 (often referred to as the “Baby Boomers”) and New York’s related law requiring that healthcare providers offer a one-time HCV screening to patients in this birth cohort as part of routine primary care. Here is an overview of the activities that the NYSDOH has been engaged in to implement and evaluate the new law.

The Law

The NYS Hepatitis C Testing Law was signed into law by the governor on October 23, 2013 and implemented effective January 1, 2014.  This new law mirrors the Centers for Disease Control and Prevention’s (CDC) 2012 expanded hepatitis C virus (HCV) screening recommendations, requiring healthcare providers in the state to offer a one-time HCV screening test to all persons born between 1945 and 1965, and is similar to the 2010 NYS HIV Testing Law .  The law was enacted to increase HCV testing and ensure timely diagnosis and linkage to care.

The two key provisions of the NYS Hepatitis C Testing Law  are:

- See more at: https://blog.aids.gov/2015/05/implementing-the-nations-first-state-hepatitis-c-testing-law.html#sthash.LmYhdAYZ.dpuf

A physician's lesson on hepatitis C

One of a physician’s responsibilities is to stay in tune with the new updates in medicine. A few years ago, I attended a class about hepatitis C. We have made some great advances in the treatment for hepatitis C, but we need to find those who have the infection first.

In this class, the instructor said that patients with hepatitis C may present without symptoms and have a slightly-elevated liver function test on some occasions, then return to normal. Obviously, this makes hepatitis C very elusive and easy to miss. Here is my lesson on hepatitis C.

Read more...

Man Gets Free Hep C Treatment

ALTOONA - A large drug company is now giving free medicine to a local man, denied treatment for a deadly disease. Mike Miller, from Bedford County, is  one of more than 100 patients in our region and millions in the United States with hepatitis C, a virus that leads to cirrhosis and liver cancer.

A few weeks ago, nurse Karen Brandt held up a stack of insurance company denials she received for Mike Miller , alone.

"I was dealing with so many shutdowns every time we tried to get hepatitis C medicine authorized and I started to think this is crazy I need to do something," she says.

Read more...

Register Today for Webinar on Hepatitis C and African American Women

In recognition of both National Women’s Health Week and Hepatitis Awareness Month, the HHS Offices on Women’s Health, Minority Health, and HIV/AIDS and Infectious Disease Policy are co-sponsoring a webinar, Hepatitis C and African American Women, on Thursday, May 7, 2015 – 1:30-2:45 PM (ET).

Because of disproportionate rates of hepatitis C virus infection, African Americans are among the populations prioritized by the Action Plan for the Prevention, Care and Treatment of Viral Hepatitis (Action Plan), which outlines steps to educate communities about the benefits of viral hepatitis prevention, care, and treatment as well as actions to enhance healthcare provider knowledge about the populations most heavily impacted. The national Action Plan underscores the importance of the participation and engagement of partners from many sectors beyond the federal government in order to achieve the plan’s life-saving goals, especially those related to addressing health disparities like improving outcomes for African Americans living with hepatitis C.

Webinar presenters will discuss how women may be affected by hepatitis C, challenges and strategies to improve testing and access to care, and what steps individuals and health care providers can take to address hepatitis C among women in the African American community.

Register for the webinar today ! 
Presenters will include:
  • Hope King  [ PDF 92.2 KB], PhD, MSPH, Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta
  • Camilla Graham  [ PDF 92.2 KB]MD, MPH, Viral Hepatitis Center, Beth Israel Deaconess Medical Center, Boston
  • Gloria Searson  [ PDF 92.2 KB], ACSW, Coalition on Positive Health Empowerment, New York City
The webinar will also highlight:
  • Key hepatitis C data including the health disparities among African Americans,
  • Recent hepatitis C treatment advances,
  • Why African American women should know about hepatitis C, and
  • Resources available to help increase awareness and learn more about hepatitis C.
We hope you can join us and be a part of this important conversation and then help share this information with others. 

- See more at: https://blog.aids.gov/2015/05/register-today-for-webinar-on-hepatitis-c-and-african-american-women.html#sthash.kNhhtwoY.dpuf

Hepatitis C, HIV hits American Indians at high rate in Minnesota

DULUTH, Minn. — The rate of hepatitis C among American Indians in Minnesota is “terrifyingly higher” than for other racial and ethnic groups, a state epidemiologist said on Thursday. The occasion was the Health Department’s annual release of data for HIV/AIDS and hepatitis A, B and C in Minnesota.

The chronic liver disease — a virus that’s often abbreviated as HCV — also is seen at a relatively high rate outside of the Twin Cities metro area, said Kristin Sweet of the Minnesota Department of Health.

“A lot of people think hepatitis C is an urban issue,” Sweet said. “Our data do not hold to that.”

Read more....

Weekly Special Topic: Overview of the Liver



Overview of the Liver

Learn about what can harm the liver and more importantly how to keep the liver healthy in our newly revised fact sheet: 
 



HealthWise: Hepatitis C Awareness—A Little Effort Makes a Big Difference, by Lucinda K. Porter, RN

Even if you know these facts about hepatitis C, please keep reading:
  • More people in the U.S. die every year from hepatitis C than die from HIV.
  • The hepatitis C death rate is increasing annually.
  • The number of new hepatitis C infections is increasing at alarming rates, particularly among teens and young adults.
  • Despite the increase in new hepatitis C virus (HCV) infections, there has been a decrease in the prevalence of HCV in the U.S. because so many are dying.
  • Hepatitis C infection is preventable and curable. However, various obstacles stand in the way, two of which are:
  • The majority of those with HCV don’t know they have it; you can’t treat HCV without a diagnosis, and
  • Across the US, insurance companies and state Medicaid programs are denying treatment to many people. So, although HCV is curable and preventable we are miles away from preventing it and curing everyone.  
This month’s article suggests ways you can make a difference and change the strong hold that HCV has on our communities. May is Hepatitis Awareness Month and May 19 is Hepatitis Testing Day, both presenting opportunities for getting involved. We have the Centers for Disease Control and Prevention (CDC) to thank for initiating these events, but ultimately the success of these events depends on you. It is time for all of us to help.

If you think you don’t have the time for this, take note. The inspiration for this article is because Carleen McGuffey, a woman who had serious complications from HCV asked, “How can I, an average lay person with a heart to serve, put my time, money and effort behind stopping hep C? Where should I focus? How can we, the little people, make the most impact?”  Carleen has six children, is on treatment and is incredibly active in the HCV community. If she can find time to make a difference, anyone can.

If everyone did a little something to raise hep C awareness, think of the effect it would have. Just like the Grand Canyon was made drop by drop, HCV can be eradicated person by person. No act is too small; just act.   

So, Carleen, how can you serve?  How can you make the most impact?  Begin by searching your heart, and see where you are called. What stirs you up? What gives you joy? What makes you rage? What makes you want to make a difference? Is there a particular issue that really gets under your skin or makes you weep? It differs for each of us. Some of us focus on prevention; for some it is political advocacy or support groups. The list is endless. A huge part of my work focuses on helping patients through treatment, and helping people stay well with hep C. That is my passion, along with getting people tested.

If you are looking for ways to act, the CDC’s Know More Hepatitis campaign is a good place to start. It offers an extensive list of ways to raise awareness. Here are some things everyone can do and that don’t take a lot of time or money:
  • Ask every baby boomer you meet to get tested.   
  • Tell your story and put a face on hep C. This is a powerful way to defy stigma.
  • Join an online or in-person support group. When we care for our wounded, we keep them in the fight for their lives.
  • A low effort way to send a message is the signature line of your email, such as: “One in 30 Americans born between 1945 and 1965 is living with hepatitis C. Get tested, get treated, get cured!” I use a graphic from the CDC’s website.
  • Check with your state’s CDC Viral Hepatitis Prevention Coordinator on programs or events in your state.
  • Sign up for action alerts so you know what is going on. Make the occasional call, send a fax or email to your elected officials—local, state or federal. Silence is apathy. Let them know you care about hepatitis C, and that you expect them to care too. An office visit or speaking at public hearings has an even bigger impact. You can sign up for action alerts from NVHR and Caring Ambassadors.
  • Post messages to Facebook, Instagram, Pinterest or Twitter reminding the world about hepatitis C.
  • Write a letter to the editor of your local paper about the need to reach the estimated 75 percent of people who have hepatitis C but who are not yet diagnosed.
  • Send money to your favorite viral hepatitis organization. No amount is too small. If everyone with HCV donated ten dollars, that would amount to nearly $30 million dollars.
  • Ask your local radio station to run a public service announcement (PSA). The CDC provides some scripts.
  • Send e-cards to friends, family, and colleagues who are baby boomers, encouraging them to get tested for hepatitis C.
  • Send media alerts to local TV, radio, cable or newspapers to publicize noteworthy events, such as testing days.
  • Ask your local governing body to issue a proclamation recognizing May as Hepatitis Awareness Month and/or May 19 as Hepatitis Testing Day. The CDC provides information on how to do this. After you get the proclamation, send a press release about it to your local paper.
  • Ask organizations that have community calendars to promote local testing or awareness events. Check the NVHR member list to see what groups are active in your state.
  • Learn more about HCV on the HCV Advocate’s website. Well-informed is well-armed. If you really want to expand your knowledge, look for trainings in your area provided by the Hepatitis C Support Project.
  • Lastly, my favorite is a game I call, “Six -degrees of hepatitis C.” It’s based on the concept of six degrees of separation, which is the theory that a chain of “a friend of a friend” statements can be made to connect any two people in a maximum of six steps. Instead, when I meet someone for the first time, I try to work hepatitis C in to the conversation in six sentences or less. It is surprisingly easy, and fun to do.
If you are tempted to pass on the opportunity to raise awareness, keep in mind that in 2013, approximately 53 people died every day from hepatitis C. That is more than two an hour. With an increasing death rate, what are you waiting for? We have lives to save.  

Lucinda K. Porter, RN, is a long-time contributor to the HCV Advocate and author of Free from Hepatitis C and Hepatitis C One Step at a Time. Her blog is http://www.lucindaporterrn.com/


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