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Veterans are warning of hepatitis C `crisis'

Crime/Corruption Breaking News News Keywords: TAINTED BLOOD TRAIL
Source: Houston Chronicle
Published: November 9, 1999 Author: Mike Snyder
Posted on 11/13/1999 12:11:38 PST by Askel5

Veterans are warning of hepatitis C `crisis'

By MIKE SNYDER
Copyright 1999 Houston Chronicle

In July 1998, Terry Baker and several of his buddies attended a leadership conference for Vietnam veterans in Savannah, Ga. They noticed a booth hosted by a Washington health consulting firm offering free hepatitis C tests.

"My buddies said to me, `We will (be tested) if you will,' " recalled Baker, who lives in Middletown, Del. "And I was the one who ended up testing positive."

It turned out that 9 percent of the 122 veterans tested at the conference were infected with the potentially lethal liver virus, said Audrey Wright Spolarich, a principal in the consulting firm, Health Policy Analysts.

It was among the first indications that the infection rate among veterans is far higher than the estimated 1.8 percent infection rate in the general U.S. population.

Subsequent studies confirmed that hepatitis C is a particularly serious problem in the veteran community. In March, a one-day study of 26,000 patients at Department of Veterans Affairs medical facilities found that about 8 percent were infected. And a study presented this week at a medical conference in Dallas found that 19 percent of 791 veterans using the San Francisco Veterans Affairs hospital were infected.

As Veterans Day on Thursday approaches, veterans' advocates around the country are struggling to promote awareness of hepatitis C and to help veterans obtain the medical care and social support that they need.

"When I was first diagnosed, I was devastated," said Baker, 47. "The doom and gloom comes over you. I've always been a healthy individual and tried to take care of myself, and boom, I have a serious illness. "Then I realized that more and more of us were coming down with the illness -- enormous numbers."

That realization prompted Baker to form an organization called Veterans Aimed Toward Awareness, which is working with public officials and advocacy groups to educate veterans about the disease and to encourage those who are at risk to be tested. "It's a crisis out there right now," said Ed Wendt, a Houston journalist and Army veteran who learned in 1994 that he had hepatitis C. Wendt, who later was diagnosed with liver cancer, is awaiting a liver transplant. Wendt said he was able to obtain the treatment he needed at the Department of Veterans Affairs Medical Center here, but he said many other veterans have had difficulty working through the agency's bureaucracy. Sadly," he said, "a lot of veterans are not aware of how to fight the system like I have done."

Moreover, it appears that many veterans are unaware that they are at risk.

In a recent survey of 500 veterans by Baker's organization, 74.8 percent said they were "not very" or "not at all" concerned about their risk for having contracted the hepatitis C virus. More than two-thirds (67.5 percent) said they were unfamiliar with the disease, and 58.3 percent said they were unlikely to be tested.

Baker said his group is working with the American Liver Foundation and other organizations to develop public service announcements, brochures and other tools to educate veterans about hepatitis C.

The reasons for the high infection rates among veterans are unclear.

Alan Brownstein, president of the American Liver Foundation, said little research has been conducted on the question. Some experts, he said, believe that battlefield blood exposure may be a factor, particularly among Vietnam-era veterans.

Hepatitis C is spread through contact with infected blood. A major source of infection is blood transfusions before 1992, when a reliable test was instituted to screen infected blood from the national blood supply.

Research by Veterans Aimed Toward Awareness shows that field hospitals performed more than 364,900 blood transfusions on U.S. personnel in Vietnam. In addition, soldiers, medics and nurses were exposed to blood while caring for the wounded.

In January, the Department of Veterans Affairs established two national "centers of excellence" for hepatitis C treatment, one in San Francisco and the other in Miami. The agency also issued treatment guidelines for the disease, which generally follow the standard of care developed by the Centers for Disease Control and Prevention and the National Institutes of Health.

Prior to the guidelines, Baker said, veterans who sought care at VA facilities often were told that they had "nothing to worry about -- go home and we'll keep an eye on it."

Even now, he said, "each facility sometimes decides to make its own rules," in spite of the national guidelines. For example, Baker said, pharmacists at some VA facilities have been unwilling to pay for the two costly drugs that, taken in combination, are the most effective treatment for hepatitis C. As a result, he said, veterans served by those facilities don't have access to the treatment.

In Houston, Dr. B.S. Anand, a physician who treats veterans with hepatitis C at the Department of Veterans Affairs Medical Center, said he believes the hospital has sufficient staff and budget to meet the need. "The VA has now provided us with extra help in terms of personnel, and we have the latest tests to diagnose the viral load, to get a sense of how much virus is circulating in the blood," he said.

Wolf Biedenfeld, president of the Houston chapter of the Vietnam Veterans of America, said many veterans face social problems that can compromise their ability to deal with hepatitis C or other illnesses. For example, he said, a veteran suffering from post-traumatic stress disorder might be withdrawn and isolated, making it less likely that he would seek medical attention.

Such personal issues also can complicate a veteran's attempt to demonstrate that his hepatitis C infection is service-related, which often is necessary to obtain free health care and disability benefits, he said. A veteran who has been homeless or in prison, or who has been an injection drug user, has other risk factors for infection that the government can cite as a reason for denying a service connection, Biedenfeld said.

"The government's general position is: `If we can find another reason (for infection), we'll find it,' " Biedenfeld said.

Legislation introduced in Congress this year would make it easier for infected veterans to establish a service connection for hepatitis C. Biedenfeld, however, said the bill is languishing. "Congress is in no hurry to create a new financial liability for the government," he said.

Dave Lackey, a spokesman for Sen. Olympia Snowe, a Maine Republican who sponsored the bill, said the measure has not been scheduled for a hearing. He said Snowe is working to build support among her colleagues on an issue that many know little about.

"These things take time," Lackey said.

Baker, meanwhile, said he has overcome his personal hepatitis C crisis -- treatment with the drug combination cleared the virus from his system. But he continues to speak about the issue around the country and to lobby federal officials for better services.

"There are American heroes who are dying, even as we speak, from this illness, and everyone is hemming and hawing about what they should be doing," he said.


Wallaby's excellent bit of research (with plenty of "real time" cites and science embedded within) … Is the Blood Trade Responsible for the Spread of the AIDS Epidemic?


1 Posted on 11/13/1999 12:11:38 PST by Askel5 (askel5@hotmail.com)
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To: BLOODHOUNDS Wallaby Budge T'wit BigM CholeraJoe

...

2 Posted on 11/13/1999 12:12:03 PST by Askel5
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To: Askel5

Don't expect the likes of Mrs. Mckernan to do anything for the VEt. After all she is a knee pad wearer butt girl of clinton. Just another Rino

3 Posted on 11/13/1999 12:55:12 PST by dts32041
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To: dts32041

Add Liddy Dole to your list of Clinton protectors.

4 Posted on 11/13/1999 13:16:36 PST by Askel5
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To: Askel5

Congress is in no hurry to create a new financial liability for the government,"

I'd say 4 million Americans infected with Hep C through the blood system is enough liability to deal with.

oops..forgot about those 75,000 hemophiliacs world wide that got exposed (and many infected) from prison plasma from Bubba's bad blood farm.

5 Posted on 11/13/1999 13:45:03 PST by BigM
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To: BigM

oops..forgot about those 75,000 hemophiliacs world wide that got exposed (and many infected) from prison plasma from Bubba's bad blood farm.

I'd say you're not the only one ...

(assuming I believed you =)

6 Posted on 11/13/1999 14:25:00 PST by Askel5
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To: Askel5

Baker, meanwhile, said he has overcome his personal hepatitis C crisis -- treatment with the drug combination cleared the virus from his system.

I'm a Vietnam era vet with Hep C. I have never heard of a cure. My VA knows I have it, and I also filed for disability. Please give the name and number of the VA where Mr. Baker was treated.

Thanks,

5.56mm

7 Posted on 11/13/1999 16:21:19 PST by M Kehoe
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To: Askel5

I read about the high rate of hep-c among vets last year in one of my science magazines. It said that the VA had ordered that all vets arriving at or entering VA hospitals should be checked for hep-c. I am a Vietnam era vet(although I went to Vietnam 7 times as a civilian) but never went to Vietnam while in the military. Fortunately I tested negative. Strangely, my exwife tested positive. Good luck!

8 Posted on 11/13/1999 20:50:36 PST by blam (csteele5@bellsouth.net)
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To: Cholera Joe

I hope I am wrong...but did all of those who got Hep C, get vaccinated for Hep B. As you know sometimes vaccinations don't take...so even if you got vaccinated, you might not get Hep C. But, it would be an interesting question to ask of those you see in your practice.

9 Posted on 11/14/1999 05:18:26 PST by rubbertramp (rtramp@hotmail.com)
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To: rubbertramp

but did all of those who got Hep C, get vaccinated for Hep B.

Not likely. Hep B vaccine wasn't introduced until the early 80's. At first, only medics and contacts of cases got it. I don't think it became common for all servicemen until the 90's. Most of these guys got infected in the sixties and seventies. Hep C has been around for quite a while.

Back in the old days before the antigens had been identifed, we referred to Infectious Hepatitis (what's now Hep A) and Serum Hepatitis (B and C) because of the common association with transfusion of blood products. Once the antigen tests for A and B became available, we could identify them but there were still people who had hepatitis that was Non A-Non-B. Once we became able to identify a specific antigen it became know as Hep C. Hep C becomes chronic in many cases. No cure and treatment is only effective 40% of the time.

The reason many vets have it has to do with having received transfusions after wounds,being exposed to the blood of someone infected(as in stopping your buddy's bleeding), IV drug abuse, or in a few cases, the local bar girls.

10 Posted on 11/14/1999 13:24:56 PST by CholeraJoe
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To: Askel5

The other concern I have for this, is what countries have these veterans visited? There were many diseases in many places, most treatable, but some of us got checked before we got home to see if we were carriers. Is this something they should have checked us for?

Hmmmmmm...

11 Posted on 11/14/1999 13:33:11 PST by RaceBannon
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To: RaceBannon

Is this something they should have checked us for?

We didn't have a test for HepC until the early 90's. If you received a transfusion prior to 1992, have ever injected drugs, even once, or have had sex with an IV drug user you should be tested now. This is a bloodborne infection, not spread by casual contact. The prevalence among average US residents is 1.8%, residents of Africa and Asia have a higher prevalence, and high risk groups like prisoners or IV drug users have a very high prevalence(some estimates are that 30-50% of long term prison inmates are positive).

12 Posted on 11/14/1999 13:45:44 PST by CholeraJoe
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To: M Kehoe

"I'm a Vietnam era vet with Hep C. I have never heard of a cure. My VA knows I have it, and I also filed for disability. Please give the name and number of the VA where Mr. Baker was treated."

For other reasons I'm assuming the following medical center would be an expert on Hep. C and could probably give you the best advice/referral:

VA Med. Center
4150 Clement St.
San Francisco, CA 94121
(415-221-4810)

Good luck, stay well.

13 Posted on 11/14/1999 14:15:17 PST by Justa
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To: BigM

> infected from prison plasma from Bubba's bad blood farm.

Holy &%^$#$@, are you saying that OUR BUBBA CLINTON sold bad prison farm blood and made people get sick and die from AIDS and Hepatitis C? This is shocking. Where are the news media? Why haven't the TV News people reported this?

14 Posted on 11/14/1999 17:10:01 PST by T'wit
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To: T'wit

Why haven't the TV News people reported this?

Reported only in Canada..pity!

Huge bump coming the blood trail way! God bless the RCMP!

15 Posted on 11/14/1999 19:51:59 PST by BigM
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To: BigM

> Why haven't the TV News people reported this?

That is a vexing metaphysical question. The answer lies very deep. It is nearly impossible to say whether the reporters are total knee-padded sluts for Clinton, or total imbeciles. I lean one way then the other. It's a fine line. Maybe they are both -- pure sub-moronic POTUS-suckers, like Eleanor Clift, Nina Burleigh or the entire N.O W. organization.

The Canuck reporters must be 115 IQ points higher than our turkeys.

16 Posted on 11/14/1999 21:08:28 PST by T'wit
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To: CholeraJoe

How silly of me...it is also very contagious..so difficult to track. It can be caught from an afflicted person easily, right?

17 Posted on 11/15/1999 04:02:37 PST by rubbertramp (rtramp@hotmail.com)
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To: rubbertramp

It can be caught from an afflicted person easily, right?

No. Hep C is contagious only through blood exchange and sexual intercouse. It is more contagious than HIV but less so than Hep B. There have been cases of household contacts exposed through sharing of razors, nailclippers and the like as well as indivduals infected through poorly sterilized tattoo and body piercing instruments.

By and large though, the most common routes of infection have been transfusion or IV drug use.

18 Posted on 11/15/1999 04:42:37 PST by CholeraJoe
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To: Askel5

19 Posted on 11/15/1999 04:51:40 PST by Prince Charles (First_Fugitives@yahoo.com)
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To: Prince Charles

Hey Prince , check out the lead story in the Toronto Star today! The blood trail blazes brightly!

a HUGE bump and a drip!

20 Posted on 11/15/1999 04:55:19 PST by BigM
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To: BigM

G'morning Mike, thanks for the tip! Look for the post shortly.

Cheers.

21 Posted on 11/15/1999 05:09:05 PST by Prince Charles (First_Fugitives@yahoo.com)
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To: Justa M Kehoe CholeraJoe

Thanks Justa. Hope that helps, M Kehoe

22 Posted on 11/15/1999 05:57:30 PST by Askel5
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To: Justa ,Askel5

Thanks for the number and the info.

5.56mm

23 Posted on 11/15/1999 06:13:52 PST by M Kehoe
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To: "And I was the one who ended up testing positive."

...

24 Posted on 11/16/1999 18:19:49 PST by Askel5
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