Hepatitis C, known as "the silent epidemic" because many people have mild or no symptoms, can lead to cirrhosis and ultimately liver cancer. It’s the leading cause of liver transplant in the U.S.
Exciting advances have been made in the treatment of hepatitis C, and Sutter Health is in the vanguard in hepatitis C management, treatment and research. California Pacific’s Liver Disease Management and Transplant Center serves as a hub for viral hepatitis research, offering clinical trials of new antiviral agents.
A blood borne virus, hepatitis C risk factors include multiple blood transfusions prior to 1990 (the virus was identified in 1989), intravenous drug use, body tattoos and multiple sex partners. Persons who have served in the military, healthcare workers and women who had cesarean sections prior to 1990 have higher risks of infection.
Identifying carriers is a high priority for Medicare, which covers one hepatitis C screening for anyone:
- Born between 1945 and 1965 (the baby boom generation)
- Who had blood transfusions before 1992
- At high risk for infection due to current or past intravenous drug us
Medicare requires that your primary care physician order the hepatitis virus panel. If antibodies are detected, you may be referred to a liver specialist, who will order further tests.
If you have chronic hepatitis C, a liver specialist can monitor the progress of your disease using liver function tests and, if necessary, liver biopsy to assess the extent of fibrosis, a precursor to cirrhosis. A noninvasive imaging exam called Fibroscan measures the stiffness of the liver and is another way to assess the extent of fibrosis.
There are four stages of fibrosis. If you have stage 0 or 1 fibrosis, you have mild hepatitis C. If you have stage 3 or 4, you are at risk for developing cirrhosis. Specialists will work with you to discuss therapy with antiviral drugs to reduce the virus’s ability to reproduce.