Should You Be Screened for Hepatitis C? Know Your Status Before It is Too Late
Hepatitis C is
sometimes called a "silent killer" because it often has no symptoms and can go
decades without being detected.4 In the meantime, serious liver damage or even
liver cancer may occur.3
Recent studies
from the Centers for Disease Control and Prevention (CDC) have reported that
deaths from hepatitis C are on the rise. In 2007, there were more than 15,000 deaths
in the United States from hepatitis C, surpassing the 13,000 deaths from
HIV/AIDS in the same year.5
Baby boomers
(born during 1945-1965) have a greater prevalence of hepatitis C than the
general population and represent more than 76 percent of all cases of hepatitis C in
the United States.6
Moreover, 73 percent of the deaths from hepatitis C occur in this group.5
Those at
increased risk for hepatitis C include people who had blood transfusions before
1992, people with tattoos, people who used intravenous drugs – even once – and
those who work in a health care setting.3 Certain populations, including African
Americans and Hispanics, are also affected by hepatitis C at a significantly
higher rate than the general population.7,8
But there is good
news. For many patients, hepatitis C can be cured9, unlike other chronic
diseases such as hepatitis B and HIV/AIDS.
Screening for
hepatitis C is not currently part of routine testing; you may think you have
been tested, but chances are you haven’t. The CDC recently updated its guidelines
recommending that all baby boomers have a simple, one-time antibody test to
screen for hepatitis C.6 This new recommendation is to complement
the previous screening guidelines based on risk factors, and individuals of all
ages with risk factors should still be screened for hepatitis C. According to a CDC-sponsored study, it is
estimated that age-based screening of baby boomers could identify
more than 800,000 additional cases of chronic hepatitis C infection and, when
followed by treatment, could reduce the number of deaths by an additional
121,000 over risk-based screening.10
If you are a baby
boomer or have any risk factors, make sure to ask your doctor for a simple antibody
test to screen for hepatitis C at your next appointment.
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1 Chak, E, et. al. Hepatitis C Virus Infection In USA: An Estimate of True Prevalence. Liver Int. 2011;1096-1098.
5Ly KN, et al. The
Increasing Burden of Mortality From Viral Hepatitis in the United States
Between 1999 and 2007. Ann Intern Med.
2012;156:271-278.
6Centers for Disease
Control and Prevention. Recommendations for the Identification of Chronic
Hepatitis C Infection among Persons Born between 1945-1965. MMWR 2012;61(No.
RR-4):1-18.
7Hepatitis
C and Latinos. Hepatitis C Support Coalition. 2006. Available at: http://www.hcvadvocate.org/hepatitis/factsheets_pdf/Latinos.pdf. Accessed October 3, 2012.
8Pearlman BL. Hepatitis
C in African Americans. Clin Infect Dis.
2006;42:82-91.
9Pearlman BL and Traub
N. Sustained Virologic Response to Antiviral Therapy for Chronic Hepatitis C
Virus Infection: A Cure and So Much More. Clin
Infect Dis. 2011 Apr;52(7):889-900.
10Rein DB, et. al. The Cost-Effectiveness of Birth-Cohort Screening for Hepatitis C Antibody
in U.S. Primary Care Settings. Ann
Intern Med. 2012; 156:263-270.