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Hepatitis C: Do you have it?
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   Many people who feel perfectly healthy could be infected with a potentially deadly virus called hepatitis C. The hepatitis C virus (HCV) is one of the most common chronic blood-borne infections in the United States. In the next 10 to 20 years, deaths due to hepatitis C are expected to triple and could exceed the annual number of deaths due to HIV, the virus that causes AIDS. If you are one of the 4 million Americans who are infected with HCV, it's what you don't know that could hurt you.

What is hepatitis C?
   Hepatitis C is an infection of the liver that often produces no signs or symptoms. Many of those infected with chronic HCV already have suffered serious liver damage by the time symptoms such as fatigue, mild fever, and aching joints and muscles occur. If left untreated, HCV can cause permanent scarring of the liver, liver cancer and even death. In addition to being the leading cause of liver transplantation in the United States, HCV causes more than 8,000 deaths each year.
   "Hepatitis C does not discriminate," says Alan P. Brownstein, president and CEO of the American Liver Foundation. "It affects men, women and children from all walks of life, and all people need to understand their potential risk factors."
   HCV is spread primarily through blood to blood contact. Two common risk factors are contact with infected blood through injection drug use or a blood transfusion prior to 1992, when there was no test to detect HCV. An estimated 300,000 Americans who received blood transfusions or organ transplants before 1992 are believed to have been infected this way.

Getting Tested and Treated
   If you think that you may have been exposed to HCV, see your doctor and ask to be tested. Early diagnosis and treatment could potentially restore good health. Therapy with interferon alone or in combination with ribavirin can help many people with chronic hepatitis C. Additional treatment options are being developed. More research is needed to develop cures for chronic hepatitis.

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