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    The Week

    The silent rise of hepatitis C: By the numbers

    More than 3 million Americans are infected with the potentially fatal liver disease — and half of them don't even know it

    Hepatitis C is officially more deadly to U.S. adults than HIV is, according to a new study from the Centers for Disease Control. Health experts are quite pleased with the country's falling HIV rates, but warn that these new figures prove the need for expanded screening methods for hepatitis C, a liver disease commonly spread through shared needles. Here, a look at the rise of America's new "silent" killer, by the numbers:

    3.2 million
    Americans infected with hepatitis C

    SEE ALSO: The rise of child sex-change treatments

    50
    Percent of those Americans who don't know they have the disease

    2/3
    Ratio of infected Americans who are baby boomers. The spread "has a lot do do with casual needle injection-drug use back in the 1960s, 70s, and 80s," says Amy Norton at Reuters.

    SEE ALSO: Is that 'new car smell' toxic to your body? 

    1/33
    Ratio of Americans born between 1945 and 1964 who have hepatitis C

    18,000
    New hepatitis C infections per year

    SEE ALSO: The world's first 3D-printed prosthetic jaw

    75 to 85
    Percentage of hepatitis C infections that become chronic, potentially causing "serious diseases like cirrhosis (scarring of the liver) and liver cancer," says Norton.

    15,100
    Americans killed by hepatitis C in 2007, the most recent year for which data is available

    SEE ALSO: Do women feel more pain than men?

    12,700
    Americans killed by HIV in 2007

    82,000
    Estimated deaths that could be prevented if all Americans born between 1945 and 1965 agreed to a one-time hepatitis C screening, according to the CDC. "Most people don't know they're infected with hepatitis C until decades later," says Rita Rubin at Web MD, "when routine blood tests uncover liver damage caused by the virus over time." 

    SEE ALSO: Bacon: A 'surprising' cure for nosebleeds?

    $2,900
    Cost of screening an adult for hepatitis C

    45
    Percent of hepatitis C patients who are cured if treated with two generic medicines, interferon and ribavirin

    70 
    Percent of hepatitis C patients who are cured if two recently approved drugs, Incivek and Victrelis, are added to the regimen

    $50,000
    Cost of the Incivek treatment

    $26,000 to $48,000
    Cost of the Victrelis treatment

    $100,000
    Low-end cost of a liver transplant

    Sources: Associated Press, Reuters, Web MD

    View this article on TheWeek.com Get 4 Free Issues of The Week

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    40 comments

    • Frank  •  3 mths ago
      The cost of screening for hepatitis C ($2900 stated above) is totally bogus. The lab test is about $100.
      • porpoiseboy 3 mths ago
        they may mean the test to determine genotype...that cost a lot more $$$...not sure exactlly how much...but a lot more
      • colorado 3 mths ago
        I think in the 2900 dollar figure they may be including a biopsy of the liver.
    • RgB  •  Houston, Texas  •  3 mths ago
      Diagnosed Hep C 2011 - In Dec 2011, I chose a clinical trial study where I get the 2 FDA drugs, PEG & Ribivarin, Plus either 2 study drugs or 1 study drug & 1 placebo. I have received excellent treatment. My Viral Load went from 19.9million on my 1st lab test to undetectable by week 4 & still undectable after 7 additional weeks, I am week 11 of treatment. Imay get to stop all meds next week, if not then certainly by week 24. The side effect has mainly been slight fatigue. I was terrified to start treatment from reading about all the possible side effects but the alternative (no treatment) wasn't good. I followed the study guidelines on taking the meds & made all adjustments needed in my diet, drank water (1/2 my weight in ounces) daily, stopped soda's, etc.I responded very well to the treatment. I never used IV drugs & do not fit the profile on most ways of transmission so my infection has to be from blood at surgery in 1972 (41 yrs ago) or a tattoo in the last 10 years. Good Luck and don't let your fears keep you from treatment.
      • Duck and Cover 3 mths ago
        Im glad it is working for you RgB..those are my initials also....RGB...
        I did the Peg-Riba for 47 weeks and mine was undetectable at that time but came back within 6 months.....What geno-type are you. I am a Geno 1. Had the chance to do the tx you are on but dont want the misery again so will do without...I REALLY hope it works for you....Keep Lookin Up
      • Duck and Cover 3 mths ago
        Oh, and my viral load was 55 million 500 thousand when I started....
      • Nick 3 mths ago
        Thanks for sharing that with us, RGB!! Best of luck with the rest of your life!
    • Hillbilly Bill  •  3 mths ago
      I have Hep C, don't know how I got it. I have been taking Ultra Milk Thistle and
      my viral count has gone down from 26 million to 18 million in 6 months.
      • Hillbilly Bill 3 mths ago
        a transplant, I wouldn't have one. I would rather go natures way.
      • porpoiseboy 3 mths ago
        18 mil is still pretty darn high....there is NO natural cure for hep C check out http://hcvsupport.org/forum/index.php good group of regular folks
    • SL  •  3 mths ago
      The cost of a CDC and FDA approved rapid hep C antibody test is about $20. If reactive, the follow-up viral load test is less than $100.
      • porpoiseboy 3 mths ago
        again....i think they are talking about a genotype test. it is just that the writer does not know wtf they are talking about....and i have had A LOT of those tests in the last year...they are a bit more than that.
      • SL 3 mths ago
        Genotype testing is more expensive and only typically used to determine course of treatment. Diagnosis can be made with the rapid antibody test followed by a viral load test if indicated. Antibody tests are often offered FREE with results in 20 minutes. Viral load tests are $87 at the our health department.
    • MyThought  •  St Louis, Missouri  •  3 mths ago
      More deaths from Hep C than from HIV and only a fraction of the research dollars.
    • RgB  •  Houston, Texas  •  3 mths ago
      Part of Hep C screening cost will come from having a Liver biopsy to see how much damaged has been done to the liver.
      • jenifer 3 mths ago
        Yes, but the medical insurance paid for that. It was the first blood test and I just learned you can donate blood and find out free. I remember when this guy wanted to know his blood type and told them he would donate blood if they told him his blood type. So he did and it was free.
    • BONGWADDA  •  3 mths ago
      I tested positive during a routine physical and waited about 8 yrs before intense treatment was recommended(initially the success rate was ESTIMATED to be around 40 pct.----it was around 70 when I finally started treatment) and it was HARSH!! I had to start over after the first 5 months because I became anemic-- the dosage had to be adjusted upward and more drugs added to combat the anemia; the peak of my misery came when I found myself lying on my deck in 95 degree weather(direct sunlight) clothed in sweatpants and sweatshirt wrapped in a sleeping bag and still shivering so hard I thought my spine would snap. Treatment was supposed to take 11 months--I had to do 18. I finished treatment Jan. 2011 and still have intense joint pain from the interferon --BUT, I'm definitely getting stronger and I'm glad I didn't give up----my follow ups have all tested negative. Treatment SUCKS, but it can have good results so hang in there!! Drug regimens are being developed that don't rely on interferon and should make treatment more tolerable.
    • MichaelC  •  Milwaukee, Wisconsin  •  3 mths ago
      Have you ever seen the large proportion of people with tatoos and piercings? Most of these are not drug users, but there are needles employed in these procedures and effective sterilization of the tools and ink employed in the procedures is spotty. Hep C virus can survive for long periods in multi-use tatoo ink vials and in the nooks and crannies of tatoo pens.
    • Jason  •  3 mths ago
      $2900 for the test? Come to Thailand the test costs a little over $100. Then you can spend the rest of your day at the beach and eating spicy food.
    • Harryo  •  3 mths ago
      Start drinking bottle water and not from the tap. Water that's been purified. Our water supply is not safe check it out yourself.
    • Mingo  •  3 mths ago
      I got hep-c from a blood transfusion after getting shot in Viet Nam. As it turns out, the hep-c is more deadly than the bullet wounds.
    • jenifer  •  Mannford, Oklahoma  •  3 mths ago
      My son has hepatitis C and is dieing so I went into the hospital to be tested it cost 200. for the test so where they get 2900? They went to the wrong hospital. My other son and his wife and everyone else who knew this girl who gave it to him and then died from the disease. They mentioned sharing needles, he said, "mother i never shot up but I had sex with Nina. Who he found out later she had hepatitis C when she died of the disease. They also say they turn yellow. He never did and he went in for a blood test which they charged him 182. blood test that told he had the disease. Then they did sonogram and found he had cirrorous of the liver and after doing a biopsy found he had early stage liver cancer. So before you say I can't afford the test ask around none of us paid that much for the test.
      If they catch it early it will save your life.
    • TheDevilzAdvocate  •  Detroit, Michigan  •  3 mths ago
      I work for the VA and I'm shocked by the high percentage or U.S. Veterans with Hepatitis C.
    • Rollover Mikey  •  Port Lavaca, Texas  •  3 mths ago
      "hepatitis C, a liver disease commonly spread through shared needles." Yes that can be true, BUT IT IS NOT JUST FROM SHARING NEEDLES as many people are led to believe. I have hepatitis c and never shared needles. There are MANY ways to spread the disease and neele sharing is just one of MANY ways. Did you know that if you have an open wound and accidently come in contact with a drop of blood on, let's just for example say, a kitchen counter where someone cut themself preparing food 72 hours before, you can contract hep c? The disease can remain viable for that long outside the human boday. It has been proven that you can contract it through contact with fecal matter from an infected person. That includes anal sex, but can also include someone cleaning a bathroom, working in sewer plants, and any other way you can contact human feces. Contact with saliva or tears from an infected person can also cause you to contract the disease. Albeit, you do have to either ingest the disease or directly expose it to your blood stream, there are many ways to contract it. Just because someone has this terrible disease, don't condem them by assuming they are intravenous drug users. It was found that I contracted it, along with many others, when a sewer line at my place of employment was accidently connected to the potable water supply. It was ingested at the water fountain. It was a horrible thing to find out, absolutely disgusting. Unfortunately I found out how and where I got it too late to file suit against because of the statute of limitations in the state where I live. I failed the interferon and ribovarin therapy which almost killed me in itself. I will eventually die from this disease, through no fault of my own. When I contracted it in the 90's there was hepatitis A and B and what they called "non-A-non-B" It wasn't even called C yet. Now there are many, many genomes, and they discover more about this disease everyday.
    • Topkick  •  3 mths ago
      Thanks to the many of you who have commented on HepC! Your personal knowledge and experiences have, in my opinion, been more informative and relevant than the above article.
    • Arlen  •  Tucson, Arizona  •  3 mths ago
      If I come down with Hep C...it's gonna be bad, real bad for all those jerks listed in my little black book!!!
    • That guy  •  3 mths ago
      Who says casual drug use doesn't have a cost ...
    • David K  •  3 mths ago
      Interferon causes long-term permanent and severe neurological damage.
    • David K  •  3 mths ago
      Terrible "article". Looks more like notes that are not well researched.
    • Kuick  •  3 mths ago
      The people I know who have this disease used meth intravenously and shared needles, the treatment is nearly as bad as the disease. If you think you may have been exposed you should really be tested - it's not a disease you should ignore!