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kevin
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New figures released today by the Health Protection Agency (HPA) show reported cases of Hepatitis C infection in England to have increased by 4.5% from 8,196 cases reported in 2008 to 8,563 cases in 2009.


This year's figures released in advance of World Hepatitis Day bring the cumulative reported total (from 1992 to 2009) to 78,428 diagnosed cases. 

There has been a steady increase in the number of laboratory confirmed diagnoses of hepatitis C infection since 1995. These gradual yearly increases indicate an increase in public awareness with more people coming forward to get tested. Healthcare campaigns by the Department of Health, the NHS and the voluntary sectors are all likely to have contributed to this increase in awareness over recent years. 

Hepatitis is a condition characterised by inflammation of the liver and can be caused by the viral infections hepatitis A, B, C and E. Hepatitis C, is a blood-borne virus which if left untreated can eventually result in chronic liver disease, liver failure or death. Many individuals are unaware that they have become infected with the virus because signs and symptoms are rare in the early years of infection.

Currently, the greatest risk of contracting hepatitis C in the UK is through sharing equipment for injecting drugs. Sharing injecting equipment, even on a one-off basis, or a long time ago, could place an individual at risk of hepatitis C. Also, hepatitis C is more prevalent in the South Asian communities who have often acquired their infections via other routes. Others may have acquired their infections via blood transfusion in the UK more than two decades earlier, before the introduction of routine screening of blood for the virus in 1991.

There is currently no vaccine to protect against hepatitis C but simple measures such as using sterile injecting equipment and not sharing personal items like toothbrushes and razors will minimise your chances of being exposed to it.

Dr Mary Ramsay, Hepatitis expert at the Centre for Infections, at the HPA: "We must not get complacent about this, it is critical that awareness campaigns are sustained and enhanced if more people at risk of this infection are to be tested and treated."

"Liver disease is largely preventable and yet it continues to rise. The majority of hepatitis C infections can be treated successfully or prevented from occurring in the first place, yet new infections are continuing to occur and many existing infections remain undiagnosed"

"If people think they may have been exposed to the virus, they should contact their GP and request a test. Tackling undiagnosed hepatitis C infections by increasing awareness and encouraging people to come forward for testing could have a major impact on the number of people suffering needlessly from liver disease in the future."

The work of the HPA includes monitoring trends in hepatitis C at a national level and working with other agencies through a network of local leads to improve services for the prevention, diagnosis and treatment of hepatitis.

http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1273852041124?...

kevin
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Last seen: 51 weeks 1 day ago
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Hepatitis C in the UK: 2009 report

Synopsis

  • All primary care organisations in England and Wales should ensure that integrated pathways of care are available for patients with hepatitis C (ideally coordinated through a clinical network).
  • Strategic health authorities in England should take the lead in supporting local commissioners to ensure complete implementation of the hepatitis C Action Plan across all PCTs in their regions.
  • Commissioners and providers of services for injecting drug users in Wales and Northern Ireland need to review their programmes to ensure that a broad range of prevention services (in addition to needle and syringe exchange) is available.
  • Primary care organisations in England should develop mechanisms for obtaining reliable data on the number of patients referred, seen and treated for hepatitis C.
  • Lead agencies in Northern Ireland, Scotland and Wales need to urgently initiate expanded public information campaigns to raise awareness of hepatitis C.
  • Lead agencies in Wales and Northern Ireland should investigate the need for targeted public information campaigns to raise awareness of hepatitis C in individuals from the Indian sub-continent.
  • Commissioners and providers need to ensure that a high rate of testing in those attending specialist services for drug users is maintained. Lead agencies in all UK countries should ensure widespread access to testing for hepatitis C using alternative specimens (for example, oral fluid and dried blood spot).
  • Providers of prison health services should develop testing strategies and care pathways that allow equitable access to treatment services for offenders.
  • Lead agencies in all countries should assess the impact of awareness campaigns, by monitoring testing outside of high risk group settings.
  • National and local agencies should make efforts to understand and improve the completeness of routine surveillance systems for hepatitis C.
  • All commissioners of HCV services should evaluate the coverage of HCV testing services in their area and ensure that laboratories have appropriate pathways for referring samples for confirmatory testing.
  • National surveillance centres should develop systems for assessing and monitoring the incidence of hepatitis C in key risk groups. This includes injecting drug users, and if appropriate, HIV positive MSMs.

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Additional information

http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1259152221168?...

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