HCMSG - Hepatitis C Mentor & Support Group, Inc.
Search
  • About Us
    • Our Mission
    • Board of Directors
    • Medical Advisors
  • Resources
    • Corona Virus
    • Hep C Facts & Stats
    • Medications and Treatments >
      • Patient Assistance Programs
    • Reading
    • Links
  • Programs/Training
    • The Circle Model >
      • THE CIRCLE Registration
      • Group and Facilitator Guide
    • Hepatitis C Online Training
    • The Hepatitis C Education and Support Group Assistance Program
    • Healthcare Provider Training
  • Newsletter
  • Blog
  • Support Us
    • Holiday 2020
  • Contact Us

HEPATITIS C INFECTIONS FUELED BY PRESCRIPTION PAIN  KILLER ABUSE

5/8/2015

0 Comments

 

Liz Szabo, USA TODAY1:59 p.m. EDT May 7, 2015(Photo: Jeffrey Thompson, AP)

(USA Today)--Rates of hepatitis C are soaring, largely driven by an epidemic of prescription pain killer abuse, a new report shows.

The incidence of acute hepatitis C infections among young people in rural areas of four Appalachian states more than tripled from 2006 to 2012, according to a report released today by the Centers for Disease Control and Prevention. New hepatitis cases among people age 30 and younger rose from 1.25 per 100,000 in 2006 people to 4 per 100,000 in 2012 in Kentucky, Tennessee, Virginia and West Virginia.

About 73% of these hepatitis C patients said they injected drugs, which can spread the virus when people share needles. The report is the first CDC study to link the rise in hepatitis C to an increase in injection drug use, says John Ward, director of viral hepatitis prevention at the CDC, who calls the rising infection rates "staggering."

Although the CDC focused this study on the four states with the highest hepatitis C rates, the agency plans to study the disease in other states, as well, Ward says.

"We're in the midst of a national epidemic of hepatitis C," Ward says. Nationwide, more than 20,000 Americans die from hepatitis C a year, which is more than the number who die from AIDS, he says. "The CDC views hepatitis C as an urgen public health problem."

The rate of new hepatitis C infections has risen nationwide, more than doubling from 0.3 cases per 100,000 people in 2010 to 0.7 cases in 2013. Kentucky had the highest rate that year, with 5.1 cases per 100,000, according to the CDC. Delaware and South Carolina had no reported cases that year.

The boom in abuse of prescription pain killers also has been blamed for an outbreak of 149 cases of HIV, the virus that causes AIDS, in rural Indiana. Most of the newly diagnosed HIV cases had injected a powerful prescription painkiller called Opana.

The HIV outbreak led Indiana Gov. Mike Pence to declare a public health emergency in March, allowing for a one-month program allowing injection drug users to exchange their old syringes for new ones. Pence has extended the program to May 24. He signed a law Tuesday allowing Indiana localities with health emergencies to begin their own needle exchanges.

Some acute hepatitis C infections go away without treatment within a few months, but about two-thirds turn into long-term, chronic infections, which can cause liver damage, liver cancer and death.

A newly approved drug, Sovaldi, cures hepatitis C in 90% of patients, but it's very expensive: A 12-week course of treatment costs $84,000.

The CDC estimates that there were nearly 30,000 acute hepatitis C infections nationwide in 2013 and that of 3.2 million Americans are infected.

Many people with hepatitis don't know they're infected, Ward says. The CDC recommends that Baby Boomers get tested for hepatitis C, because many undiagnosed cases of hepatitis C occur in the generation that came of age in the 1960s and 1970s.

Now, with the epidemic of prescription drug abuse, "a new generation of people in this country are getting infected," many of whom are much younger, Ward says.

Hepatitis C infections are concentrated in areas with high rates of opioid abuse. In the new CDC study, rates were twice as high in rural areas as in cities.

About 4.5 million Americans older than 12 abused prescription painkillers in 2013 and 289,000 used heroin, according to the Substance Abuse and Mental Health Services Administration.

Heroin use also has grown as people addicted to prescription painkillers switch to heroin because it's cheaper and easier to get, says Nora Volkow, director of the National Institute on Drug Abuse, part of the National Institutes of Health. About 75% of new heroin users previously abused opioid painkillers.

The number of first-time heroin users grew from 90,000 people in 2006 to 156,000 in 2012, according to the CDC.

Several studies have found that needle exchanges dramatically cut the rate of HIV transmission among injection drug users without increasing illegal drug use, says William Schaffner, an infectious disease expert at the Vanderbilt University School of Medicine in Nashville. Needle exchanges also give public health workers a chance to educate drug users and provide other health services. That's important, because people addicted to drugs may not get any other medical care.

Research shows that needle exchanges have helped to reduce HIV infections.

In New York, 52% of newly diagnosed AIDS patients were injection drug users in 1992. Ten years later, after the implementation of needle-exchange programs, only 3% of new HIV cases were injection drug users, according to the New York State Department of Health AIDS Institute.

The most successful needle exchanges also offer counseling, disease testing and referrals to places where patients can get treatment, Ward says.

There are 225 needle exchange programs in the USA, according to the North American Needle Exchange Network. The exchanges are found in 33 states, the District of Columbia and Puerto Rico.

The USA needs to offer more needle exchanges in order to reduce hepatitis and HIV infections, says Paul Samuels, president and director of the Legal Action Center, which advocates on behalf of people with HIV or substance abuse disorders.

"It is critically important that needle exchange programs like the temporary one in Indiana be replicated across the country, and be permanent," Samuels says. "Studies have repeatedly proven that needle exchange programs reduce HIV, hepatitis and other infections among people who use intravenous drugs without increasing intravenous drug use, and indeed they are a bridge to treatment for some participants. Substance use prevention and treatment, including treatment with medications, and harm reduction -- including needle exchange -- are all necessary components of a comprehensive strategy for combatting the opioid epidemic and addressing the many ways it can harm people with addictions."
http://www.whas11.com/story/news/nation/2015/05/07/infections-pain-killer/70951026/


0 Comments

Your comment will be posted after it is approved.


Leave a Reply.

    Archives

    January 2021
    December 2020
    November 2020
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    April 2013
    March 2013
    February 2013
    January 2013
    December 2012
    November 2012
    October 2012
    September 2012
    August 2012
    July 2012
    June 2012
    May 2012
    April 2012
    March 2012
    February 2012
    January 2012
    December 2011
    November 2011
    October 2011
    September 2011
    August 2011
    July 2011
    June 2011
    May 2011

    Categories

    All

    RSS Feed

Privacy Policy