Welcome to HCV Advocate’s hepatitis blog. The intent of this blog is to keep our website audience up-to-date on information about hepatitis and to answer some of our web site and training audience questions. People are encouraged to submit questions and post comments.

For more information on how to use this blog, the HCV drug pipeline, and for more information on HCV clinical trials
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Be sure to check out our other blogs: The HBV Advocate Blog and Hepatitis & Tattoos.


Alan Franciscus

Editor-in-Chief

HCV Advocate



Tuesday, October 27, 2015

Bristol-Myers Tops Estimates on Cancer, Hepatitis C Sales

Bristol-Myers Squibb Co., a drugmaker increasingly focused on developing new cancer treatments, beat third-quarter profit estimates on better-than-expected revenue from its oncology drug Opdivo and the start of U.S. sales for its hepatitis C drug.

Third-quarter earnings, excluding one-time items, were 39 cents a share, beating the 35-cent average of analysts’ estimates compiled by Bloomberg. Sales rose 3.7 percent from a year earlier to $4.07 billion. Analysts had estimated $3.86 billion on average.

The New York-based company also raised its full-year sales forecast to a range of $16 billion to $16.4 billion, from a prior projection of $15.5 billion to $15.9 billion, and increased its full-year adjusted earnings forecast to $1.85 to $1.90 a share, from a previous estimate of $1.70 to $1.80 a share. It’s the third time Bristol-Myers has raised its earnings projections this year.

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Check out the Staff of HCSP / HCV Advocate

About Us

The Hepatitis C Support Project (HCSP) is a registered non-profit organization founded in 1997 by Alan Franciscus and other HCV positive individuals to address the lack of education, support, and services available at that time for the HCV population.
alan_15Alan Franciscus – Executive DirectorHCSP and Editor-in-Chief, HCV Advocate Website. Alan has been working in hepatitis C and HCSP since 1997 and considers HCV advocacy his highest priority.
Clara Maltrás is an English to Spanish translator – Clara has over 20 years of experience in the medical field. Clara specializes in translating HIV/Hepatitis C newsletters, pharmaceutical brochures, and information about Cardiology/Neurology implanted devices. Clara has been working with the Hepatitis C Support Project/ HCV Advocate since 2002 and in HIV since 1995.Clara Maltras2
jacquesJacques Chambers, , Benefits Counselor in private practice with over 40 years of experience in public benefits and private insurance. Jacques has been working in Hepatitis C and HCSP since 2003, and in HIV since 1990.
Judith BarlowWebmaster, HCV Advocate Website.Judith consults with a wide variety of small business owners and non-profits about building and/or maintaining existing websites.judy
Kate 0022Kate FryeAdministrative Assistant.Kate started working with HCSP in 2007 and has performed many duties over the years. Her current focus is primarily handling correspondence from prisoners. She answers the many letters we receive and sends information to people that do not have access to our website.
Leslie HoexOwner of Blue Kangaroo Design. Leslie has been doing graphic design and desktop publishing with Alan and the HCV Advocate since 2006. Alan has always allowed her free rein with her designing. She is honored to be working for such a wonderful group, helping to spread their awareness of HCV and HBV.Leslie
lucindaLucinda K. PorterRN has written for the HCV Advocate since 1998. She is the author of Free from Hepatitis C and Hepatitis C One Step at a Time. Lucinda underwent three hepatitis C treatments and is now cured.
Rose ChristensenOffice Manager, Assistant Editor. Rose started as a volunteer with HCSP in 1997 and has become an integral part of the day to day operations of the project.Rose2

Dr. David Mazoff

Dr. David Mazoff

It is with regret that we announce that Dr. Mazoff has retired from the Hepatitis C Support Project (HCSP)/HCV Advocate effective September 30, 2015. We are happy for David, but he will be missed by all of us at HCSP and the hepatitis C community.

David became a full-time employee of HCSP/HCV Advocate on January 01, 2003 although he did volunteer work for us prior to his official start day. David’s responsibilities included webmaster, general editor, and production of our fact sheets/guides, and newsletters, and many additional duties.

From the beginning, David raised our game.  He was an important part of our growth from a small local group in San Francisco, CA to a large national advocacy organization. He helped us implement a new website in early 2000’s, and he designed and implemented our current site that we launched in September 2015.

David took on many duties throughout the years that included the production of our fact sheets, guides, and our newsletters. David also was in charge of posting news items to our blog and many, many more duties.  His shoes will be hard to fill.

David lives in Victoria, B.C., Canada.  He will be spending time playing swing jazz, Latin jazz and Argentine tango with his accordion.  His aim is to join a group and play professionally.  He also plans on hiking, bird watching and volunteering for HepCBC in his spare time.  Knowing David he will accomplish all of his wish list and much more.

We wish David the best of luck as he lives his so-called retirement to the fullest.  I hope that David realizes how much his work has helped thousands of people with hepatitis C and B.

If you happen to run into David, give him a big ole Canadian ‘hi’ and a bear hug for all his great work.

Alan and the staff of the
Hepatitis C Support Project/HCV Advocate

[HAP] NASTAD Releases White Paper on Drug User Health and ACA Opportunities‏

With generous support from the Elton John AIDS Foundation, NASTAD is pleased to announce the release of a new white paper: Modernizing Public Health to Meet the Needs of People Who Use Drugs: Affordable Care Act Opportunities. The paper assesses new financing and delivery models for drug user health services. Working with the O’Neill Institute for National & Global Health Law, the project team focused on coverage and financing opportunities for community-based drug user health and harm reduction services typically not covered by insurance. Research focused on eight states, assessing how health departments, community-based organizations, Medicaid programs and plans and hospitals are working together to better address the needs of people who use drugs.
The need to find creative solutions to ensure that broader health care systems and payers are providing prevention, care, and treatment services for people who use drugs comes in the midst of a public health crisis for this population. Rates of HIV infection and viral hepatitis are substantially higher among persons who use drugs than among persons who do not. Opioid use in particular in the United States is at epidemic proportions. This crisis – coupled with limited federal and state resources for drug user health programs and services – has made leveraging the ACA and partnerships with broader health systems and payers even more critical.
NASTAD has been awarded another year of Elton John AIDS Foundation funding to support a learning collaborative that builds off of the findings of the white paper and supports health departments to partner with broader health care systems and payers to increase access to drug user health services. To see more of NASTAD’s drug user health work, including our Statement of Urgency: Addressing the Opioid Epidemic in the United States and Minimizing Harm, Maximizing Health: The Role of Public Health Programs in Drug User Health, please visit our website.
 For questions, please contact Amy Killelea at akillelea@nastad.org

Cornell Studies Hepatitis C Populations Not Typically Tallied in Survey


New research highlights how government estimates on hepatitis C prevalence in the United States leave out about 1 million people from several groups not regularly included in the tally, say researchers from Cornell University.   

The government estimates are from a 2014 report of the National Health and Nutrition Examination Survey (NHANES), a health assessment from a representative sample of the country’s population, according to an article posted on the university web site. Out of an estimated 3.6 million people who have the hepatitis C virus antibodies, the survey indicates that 2.7 million are currently infected with the virus.  

Results of a study from Weill Cornell Medicine published this month in the journal Hepatology say that a closer analysis of data from various sources revealed that the government estimate excludes six populations, including some that are stigmatized and live on the margins of society. The study authors say that the number of US residents who have antibodies for hepatitis C is probably closer to or exceeding 4.6 million and that 3.5 million are infected

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Medication Adherence Trial In Hepatitis C Patients Launched

A new medication adherence application from emocha helps keep HCV patients on track.

According to the CDC, approximately three to four million individuals are chronically infected with Hepatitis C Virus (HCV) in the United States and at least three quarters of those who become infected will develop chronic infection which, if left untreated, can produce long-term complications and even death.

HCV therapy has been revolutionized by recent developments in treatments, including oral options that achieve high levels of HCV cure when taken as directed. That means medication adherence is a high priority for both healthcare providers and payers, both in terms of the potential benefits and because of the high costs of these medications, which can be up to $1,000 per pill or more than $80,000 for an entire course of treatment.

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Sunday, October 25, 2015

AASLD / IDSA Guidance - Treat All Patients with Chronic Hepatitis C

WHEN AND IN WHOM TO INITIATE HCV THERAPY

Successful hepatitis C treatment results in sustained virologic response (SVR), which is tantamount to virologic cure, and as such, is expected to benefit nearly all chronically infected persons. When the US Food and Drug Administration (FDA) approved the first IFN-sparing treatment for HCV infection, many patients who had previously been “warehoused” sought treatment, and the infrastructure (experienced practitioners, budgeted health-care dollars, etc) did not yet exist to treat all patients immediately. Thus, the panel offered guidance for prioritizing treatment first to those with the greatest need. Since that time, there have been opportunities to treat many of the highest-risk patients and to accumulate real-world experience of the tolerability and safety of newer HCV medications. More importantly, from a medical standpoint, data continue to accumulate that demonstrate the many benefits, within the liver and extrahepatic, that accompany HCV eradication. Therefore, the panel continues to recommend treatment for all patients with chronic HCV infection, except those with short life expectancies that cannot be remediated by treating HCV, by transplantation, or by other directed therapy. Accordingly, prioritization tables are now less useful and have been removed from this section.

Despite the strong recommendation for treatment for nearly all HCV-infected patients, pretreatment assessment of a patient’s understanding of treatment goals and provision of education on adherence and follow-up are essential. A well-established therapeutic relationship between practitioner and patient remains crucial for optimal outcomes with new direct-acting antiviral (DAA) therapies. Additionally, in certain settings there remain factors that impact access to medications and the ability to deliver them to patients. In these settings, practitioners may still need to decide which patients should be treated first. The descriptions below of unique populations may help physicians make more informed treatment decisions for these groups. (See sections on HIV/HCV coinfection, cirrhosis, liver transplantation, and renal impairment).

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