• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: 737-255-4300

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Hepatitis C


Transmission

Hepatitis C (HCV) is transmitted when the infected blood of one person gets into the blood stream of another person. Prior to 1992, persons receiving blood transfusions or other blood products were at risk. New screening tests have been used in the United States since 1992 to screen blood. The majority of HCV is currently transmitted through the sharing of needles and needle sharing equipment (works). Health care workers who have been stuck by a needle or cut with other contaminated instruments may be at risk, although the risk is fairly low. Studies show the transmission of HCV through sexual intercourse is possible, but less common than direct exposure to HCV infected blood. The virus can also be passed to a baby during pregnancy or delivery.


Incubation

Two to twenty five weeks although the average is six to nine weeks.


Typical Symptoms

Most people who are infected with the hepatitis C virus do not have symptoms and lead normal lives. If symptoms are present they are generally mild flu-like symptoms, dark urine, light stools, jaundice, fatigue, and fever.


Diagnosis

A simple blood test will tell if you have been exposed to the hepatitis C virus. More specific blood tests can assist in determining the status of the infection. There are three stages. Approximately 15-25% of persons with HCV are able to clear HCV from their system without medical treatment, known as resolved. Persons may be in an acute stage in which the virus is rapidly attacking the liver. Persons in the acute stage may have symptoms but the majority are asymptomatic. The virus may also be in a chronic stage during which time the virus is slowly attacking the liver. Most persons with

HCV are in the chronic stage. It may take years (two decades or more) to develop serious liver problems and most never do.


Can Hepatitis C be treated?

Treatment is recommended for all people, including non-pregnant women, with acute or chronic hepatitis C (including children three years or older and adolescents). Current treatments usually involve just 8–12 weeks of oral therapy (pills) and cure over 90% with few side effects. The FDA has approved several medications to treat hepatitis C.


What can a person with chronic Hepatitis C do to take care of his or her liver?

People with chronic Hepatitis C should be monitored regularly by an experienced doctor. They should avoid alcohol because it can cause additional liver damage. They also should check with a health professional before taking any prescription pills, supplements, or over-the-counter medications, as these can potentially damage the liver. If liver damage is present, a person should check with his or her doctor about getting vaccinated against Hepatitis A and Hepatitis B.


Testing for Hepatitis C

CDC recommends hepatitis C testing if you:

  • Are 18 years of age and older (get tested at least once in your lifetime)
  • Are pregnant (get tested during each pregnancy)
  • Currently inject drugs (get tested regularly)
  • Have ever injected drugs, even if it was just once or many years ago
  • Have HIV
  • Have abnormal liver tests or liver disease
  • Are on hemodialysis
  • Received donated blood or organs before July 1992
  • Received clotting factor concentrates before 1987
  • Have been exposed to blood from a person who has hepatitis C
  • Were born to a mother with hepatitis C


Prevention

Do not share needles or "works." Do not share personal items which could be contaminated with blood (i.e. razors, toothbrushes). Avoid unprotected vaginal, oral, and anal sex. Clean up spilled blood with bleach and wear gloves when touching blood.


Vaccine

There is no vaccine for hepatitis C.




Last updated June 2, 2021