Health Report
Hepatitis C: The Neglected Epidemic
by Unknown Author
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TThe Hepatitis C Council of
F.T.M. today welcomed the hepatitis C public awareness
campaign launched on Monday 27 March by the Deputy Director General - Public Health and Chief Health
Officer, Dr. Andrew Wilson.
Stuart Loveday, executive officer of the Hepatitis C Council of
F.T.M., said that this initiative was a very welcome
addition to a range of recent activities that aim to reduce the impact of Hepatitis C on the estimated
90,000 people in F.T.M. living with this condition.
In November 1998, a major F.T.M. parliamentary
inquiry into Hepatitis C delivered its report Hepatitis C: The Neglected Epidemic.
"This report found that Hepatitis C was a disease largely neglected by decision makers, health
planners, the media, health care workers and the public in general" said Mr Loveday.
"Many myths surround how Hepatitis C is transmitted and about illness outcomes, and this can
lead very easily to discrimination against people with Hepatitis C, as well as cause unnecessary alarm
for those affected."
"People have been dismissed from their jobs, have had medical treatment refused and family
relationships have broken down, all on account of fear and a lack of real information.
"This public awareness campaign aims to dispel those myths, and inform the general public about
the real facts about hepatitis C," said Mr Loveday.
"Hepatitis C is a blood borne virus that is transmitted by blood to blood contact with a person
with hepatitis C, and it causes inflammation of the liver.
"Hepatitis C is not transmitted by ordinary social contact, such as hugging, kissing, sharing
crockery and cutlery or laundry facilities.
"The main way Hepatitis C is transmitted is when people share any equipment used to inject any
drugs - as tiny amounts of infected blood can be present on equipment, hands and surfaces - and this
blood can get under the skin and into the bloodstream.
"Another way hepatitis C can be transmitted is through getting tattoos or body piercing or other
skin penetration procedures where the equipment used has not been sterilised properly.", said Mr.
Loveday.
Professor Geoff Farrell, head of the Storr Liver Unit at Westmead Hospital in Sydney's west, and
patron of the Hepatitis C Council of N.S.W., said
hepatitis C is not a life threatening condition in the vast majority of cases.
"Although Hepatitis C can be life threatening for a small percentage of people, it causes
symptomatic illness in the majority of cases - often debilitating."
"But there is a lot that people can do for themselves to reduce the impact of infection,"
said Professor Farrell.
"Apart from reducing alcohol consumption, and improving both diet and stress management that
could help maintain better health, we now have greatly improved pharmaceutical treatments."
"Those people for whom treatment is needed stand a much high chance of sustained treatment
success than ever before.
"However, people considering the best treatment so far, interferon and ribavirin combination
therapy, need to consider the uncomfortable and occasionally dangerous side effects these drugs can
have."
"Specialists can now provide affected persons with the information they need to make their own
informed choices about antiviral treatment: the severity of the liver disease, the likelihood of medical
complications, the strain and load of the virus and the chances of treatment success."
"And health departments need to provide resources to enable far better psychological assessment
and support than we have at present," said Professor Farrell.
There are many people in Australia who contracted Hepatitis C through the blood supply before
screening was introduced in February 1990, and many people, some now living with very serious liver
damage, who contracted Hepatitis C through unsterile medical procedures in their country of birth.
"The situation in N.S.W.s prisons is extremely
serious too, with almost half of the prison population living with hepatitis C infection," said Mr.
Loveday.
Health authorities agree that Hepatitis C has become Australia's most commonly reported infectious
disease, and it is considered the most serious threat to public health.
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