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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Does Hepatitis C Infection Remain Contagious?

We have a patient that had hepatitis C. She states and has been treated and no longer has it. I am under the impression that once one has Hepatitis C one is always carrier. We are a pain center that does injections. What precautions should I take? Do I need to double bag all linen? Thank you for your help.
Mon, 2 Apr 2018
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General & Family Physician 's  Response
Hello,

Hepatitis C is a viral disease that is transmitted similarly to hepatitis B (injection of the drug through infected needless, transfusion of infected blood, skin piercing with infected equipment, sexual relationships and mother-to-child (low risk, however, Once you are infected by the hepatitis C virus, the infection remains chronic in 50-85% of cases. In other words, the body is able to clear the virus in 15-50% of cases (similarly to hepatitis B).

Therefore, a person can be infected by the hepatitis C virus but if the body reacts optimally then antibodies are produced and the infection is cleared in 15%-50% of cases. Anti-HCV antibodies result positive thus confirming exposure to HCV but infection is either acute or chronic or a past infection that has resolved. Otherwise, if HCV RNA is detected, this indicates ongoing active infection.

For those requiring treatment, the goal of treatment in Hepatitis C is the so-called Sustained Virological Response (SVR), meaning non-detectable HCV RNA after treatment. Treatment of Hepatitis C has made tremendous progress lately, achieving SVR in about 99% of patients after the right treatment.

Therefore, I think that your patient belongs to the group of persons being infected with Hepatitis C but the body was unable to clear the virus, she has been treated and has achieved a good SVR (as explained above). Therefore, she has not completely cleared the virus (she is a chronic carrier), with low risk of disease progression and transmitting the disease due to treatment response.



Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ervin Toçi
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How Long Does Hepatitis C Infection Remain Contagious?

Hello, Hepatitis C is a viral disease that is transmitted similarly to hepatitis B (injection of the drug through infected needless, transfusion of infected blood, skin piercing with infected equipment, sexual relationships and mother-to-child (low risk, however, Once you are infected by the hepatitis C virus, the infection remains chronic in 50-85% of cases. In other words, the body is able to clear the virus in 15-50% of cases (similarly to hepatitis B). Therefore, a person can be infected by the hepatitis C virus but if the body reacts optimally then antibodies are produced and the infection is cleared in 15%-50% of cases. Anti-HCV antibodies result positive thus confirming exposure to HCV but infection is either acute or chronic or a past infection that has resolved. Otherwise, if HCV RNA is detected, this indicates ongoing active infection. For those requiring treatment, the goal of treatment in Hepatitis C is the so-called Sustained Virological Response (SVR), meaning non-detectable HCV RNA after treatment. Treatment of Hepatitis C has made tremendous progress lately, achieving SVR in about 99% of patients after the right treatment. Therefore, I think that your patient belongs to the group of persons being infected with Hepatitis C but the body was unable to clear the virus, she has been treated and has achieved a good SVR (as explained above). Therefore, she has not completely cleared the virus (she is a chronic carrier), with low risk of disease progression and transmitting the disease due to treatment response. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ervin Toçi