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Hepatitis C ACNBA
Transcript of Hepatitis C ACNBA
North Bay & Area FACTS Did you know? Hepatitis C Made Simple: Know your Status Who Pays??? Hep C Team REALLY!!! Websites 20% of people infected with HCV get the acute infection
80% will need treatment or live with it!
Aboriginal people & women spontaneously clear at a higher rate
Baby boomers have the highest rates of
( Born between 1945-1964) ODBP (via Trillium or OW/ODSP) but
requires EAP (Exceptional Access
Private health insurance
Some drug companies www.aidsnorthbay.com
Rancourt Brandy deGaia Kelsey
Secord Hepatitis C Community Coordinator Psycho Social Support Services Coordinator AKA Counsellor Treatment Nurse Ourtreach Worker Establishes and leads a Hepatitis C network within the local community, bridging and addressing gaps within the health, social, and legal sectors to enhance community collaboration of services that affect people living with/at-risk of acquiring HCV Provide case management and practical support assistance such as food vouchers, hygiene kits, vitamins, meal supplement, transit passes, and holiday hampers to individuals on HCV Treatment Receives referral and books new clients in for intake appointment Presentations Provides holistic counselling, assessments, consultation, and education for clients and/or families, as well as education services for staff and/or volunteers Helps individuals with referrals, advocacy, housing issues, etc.. Provides substance use counselling as well as referrals/assessments for Methadone Maintenance Program, Substance Use Treatment, and Opiate Replacement Therapy Provide individuals with education on HCV and their health Prepare the client prior to treatment Support the client managing the side effects during treatment Provide follow-up to address side effects and medications after treatment Provide vaccinations & immunizations Provide individuals with education on
HCV and their health Prepare the client prior to treatment Support the client managing the side
effects during treatment Provide follow-up to address side effects
and medications after treatment Provide vaccinations &
immunizations Delivers education and training sessions Provides support services to individuals,
such as going to appointments with clients Organizes & runs different outreach
programs such as street outreach
& peer support Treatment
Hepatitis C Dual Therapy Triple Therapy 6 Months 1 Year 6 Months to
1-Year Peg-Interferon Ribavirin Injection once a week Pills twice a day Geno 2 & 3
75-90 % clearance rate Geno 1
50 % clearance rate Peg-Interferon Ribavirin Teleprevir or Boceprevir Injection once a week Pills twice a day Pills take on time Only Geno 1
Cost $60 000-70 000
75% clearance rate
Only available to individuals with a
higher amount of liver damage
Increased side effects #1 Blood-born virus in Canada (Blood to Blood)
Infectious disease that affects the liver
Can lead to cirrhosis, liver failure, and cancer
5 times the rate of HIV infection Lots of individuals don’t know they have it!
You work with individuals infected or at risk!
No vaccine BUT there is a cure! Client There are 6 types of genotypes; 1, 2, 3, 4, 5 & 6. They will only fund treatment once, unless you did not clear HCV the first time. If you re-infect yourself, they will not fund the treatment again! HCV can live outside the body for 4 days and in the right conditions up to 36 days! Boiling water, fire, and/or bleach DOES NOT kill HCV!!! Viricides kill hepatitis C (i.e. Barbicide & Cavicide) You can be infected with more than one genotype at a time. Studies have shown individuals followed by a team are
90% more successful at completing HCV treatment Treatment Nurse So you want treatment??? Once you have cleared the hep C virus,
you can still get infected again. Funded by the Ministry of Health and Long-Term Care Hepatitis
ABC's Hepatitis A Hepatitis B Hepatitis C Fecal-oral transmission
DNA type of Virus
Vaccine Available Through Blood, semen, vaginal secretions, anal and breast milk
Acute & Chronic
DNA type of Virus
Vaccine Available Blood-to-blood transmission
Acute & Chronic
RNA type of virus
Treatment Available Symptoms of
Treatment Flu-like symptoms
Loss of appetite
Taste changes Depression
Birth abnormalities Symtoms of Hepatitis C Tired a lot
Light or clay-colored stools Jaundice
Bruise or bleed easily
Dry or itchy skin Where Antibody Test RNA or PCR Test Positive Negative Detectable Not Detectable Hep C Testing You have to request Hepatitis C testing! It is not included in your regular blood work. Family Doctor Health Unit Walk-in Clinic Shows if your body has come into contact with HCV Does NOT show you have the virus Send for a RNA or PCR Test Your body has never come into contact with HCV Tells us your viral load
genotype Decide to get treatment
Live with it! You do not have the virus! You have fought it off on your own! WHAT ARE THE RISKS? High Risks??? Medium Risks??? Low Risks??? No Risks???