Hepatitis C New Zealand

August 27, 2008

“My Hepatitis C is like chess, I will learn to play it one day”

Biographical disruption and chronic illness, Magdalena Harris ,   http://www.hcv.org.nz/disruption.html

This is a study of what it means to different people to be diagnosed with Hepatitis C, based on research carried out by Magdalena Harris in New Zealand and Australia.

Whats it about ?   Well for many people using intravenous drugs their lives  are chaotic and driven by their addictions, they can live in community’s where having hepatitis C is a normalised part or life.

“participants who described their reaction to diagnosis as of “no big deal” or to be “expected”.

 

Thus a community normalization of hepatitis C combined with the participant’s familiarity with bodily and/or social dys-appearance would often lead to a hepatitis C diagnosis being less of a biographical disruption than it was for those who did not belong to drug injecting networks and/or had minimal prior experience of hardship or illness.”

Magdalena Harris  is always worth reading, Her work  often helps me form a new understanding of my Hepatitis C and how I think about illness and life,  Thank you Magdalena.

With Hepatitis C of course not all people use intravenous drugs or have used intravenous drugs,  It is perhaps not surprising that they have a different experience of diagnosis and their narratives are very different.

A recent interview with a Las Vagas man paints a more disruptive view of diagnosis. He caught hepatitis C in a Las Vegas Endoscopy clinic where a large number of people were recently infected.

 “I do not want to give hepatitis to someone else,” he said, his eyes closing behind thick glasses. “I don’t want to make an innocent so sick.”

Health officials say Meana contracted hepatitis C at the Endoscopy Center of Southern Nevada on Sept. 21; his case was one of a cluster of six traced to that date.

As a result, Meana, who became a U.S. citizen three years ago, no longer kisses his three grandchildren, an 8-year-old boy and two 12-year-old girls.

And no longer will Meana, who has had to tighten his belt two notches because of the weight he’s lost since contracting the virus, even think of being sexually intimate with his wife of 43 years, Linda.

“They told me I could use a condom, but I don’t want to take a chance. I love her. I will only kiss her on the forehead.”

When you are diagnosed with hepatitis C, “your whole life changes.”

“You don’t want to hurt someone else,” said Meana, who uses a handkerchief when turning a doorknob.

Only lately has he felt comfortable shaking hands, which he washes dozens of times a day.

Source Las Vegas Review-Journal 2008

Hepatitis C effects the whole community sometimes it is often wrongly stigmatised as a disease of drug users and this is very unfortunate  for people who have  never used intravenous drugs or their intravenous drug use was in their younger wilder days.

With the unchecked growth of the epidemic in New Zealand the increasing pool of infected people, Hepatitis C  inevitably continue’s to spread in to the wider community.

It does not matter how you caught Hepatitis C, we all face the same challenges once we have it  My peers are anyone with Hepatitis C .

We all play the same  game of chess, and hopefully are still learning.

Best of health

 www.hcv.org.nz

 

 

 

 

August 23, 2008

Hepatitis C New Zealand The growing numbers

New Zealand Hepatitis C all about the numbers

How many people in NZ have hepatitis C ?

It is estimated that between 45,000 and 50,000 people in New Zealand have been infected with hepatitis C, with around 25 new infections every week.”

source Ed Gane, NZ Ministry of Health press release 19 May 2008

So 25 * 52 = 1200 new cases of Hepatitis C per year in New Zealand.

How many New Zealand patients treated per year with interferons approximately, 641 in 2007, source David Cunliffe Minister of Health 2008 source http://www.hcv.org.nz/treat2007v3.html

 

How many would have attained Sustained Virological response (cleared the virus) approximately % 60 or 384 people cleared the hepatitis C Virus.

So we are not even slowing the growth of the epidemic It’s growing by 816 people per year.

The reality is no one knows accurate figures.

The epidemiologic data of hepatitis C in New Zealand is poor”

 

However, even if such strategies significantly reduced the incidence of new infections, almost 20% of those currently infected (i.e. 8000) will progress to cirrhosis and complications thereof. This can only be prevented by successful antiviral therapy. Unfortunately, less than 5% have been treated, of whom more than half were not cured. There is therefore a great need to increase both the accessibility and the effectiveness of therapy. “

New Zealand Society of Gastroenterology 2008

When less than 5% are being treated some of us are looking at the big C…..

HCV infection is now the leading cause of referral for liver transplant and second leading cause of liver cancer in New Zealand. “

Ed Gane 2007

Where to next for Hepatitis C in New Zealand?

 Well since 2005 when treatment levels peaked, each year has seen a smaller  number of people  treated for Hepatitis C in New Zealand.

Best of health

www.hcv.org.nz

 

August 18, 2008

The impact of Hepatitis C on The whole body

Filed under: Hepatitis C New Zealand — Tags: , , , , , , — admin @ 4:33 pm

Unless you have or have had hepatitis C it is very difficult to describe the effect it has on living every day.

Which is why peer support is so helpful for Hepatitis C, Doctors and Nurses and health care workers can talk the talk but some one who has walked the same path knows.

Some day’s you will feel great e.g Hepatitis C not sure you even have it, feeling great “sun is shining weather is fine”

Some day’s something is just wrong my liver hurts i feel like i have hangover and a bad dose of the flu all rolled up. I can’t think I feel so tired.

Occasionally we all feel down and it’s hard to distinguish feeling down from hepatitis C and just feeling down from Life.

Most people know hepatitis C effects the Liver.

A lot of people don’t know just how much effect Hepatitis C has on the whole body.

A recent presentation in London by Simon Robinson – Taylor, Faculty of Medicine Imperial College London

on “The impact of Hepatitis C on The whole body” raised some interesting points

Depression is significantly more prevalent in chronic HCV patients than in the general population.

Symptoms People with hepatitis C People NO hepatitis C

Depression %23-%44 up to %12

Anxiety %15 -%37 %6

Fatigue %20 – %80 %11 – %45

source Coughlan B et al. Br J Health Psychol 2002:7 p105-116

Chronic HCV Hepatitis C leads to a high degree of psychological distress (stigmatization increases, anxiety increases and ultimately quality of life decreases)

What can we do to deal with it ?

My strategy is to recognize Hepatitis C does effect me my mental state my feelings my relationships with the world.

I acknowledge my Hepatitis C is making me feel bad. I will feel better, The virus will not win.

Strategies you can use

Choose your attitude Take some control over the thoughts that go through your mind. Talk yourself out of repeating negative or unhelpful self thoughts. You will be surprised at how much difference this can make after a short period of time.

STRESS

Controlling stress is a major factor in managing HCV Hepatitis C disease. Living with a chronic disease is stressful. Many people report “flare-ups” (periods of increased symptoms) following episodes of stress. Exercise, meditation, and time management can all help reduce stress. Try to maintain a realistic picture of your health and a positive attitude. Understanding the severity of your liver disease is an important part of having a realistic picture of your condition.

Managing fatigue
Fatigue and low energy levels are common in people with HCV Hepatitis C . Learn your limits and do not overextend yourself. When you plan activities, allow time in between for relaxation or naps. Remember that your health is important—learn to say “no” to friends and family who have unrealistic expectations of your energy level.

and my favorite, treat your self go on holiday relax enjoy life, more after a short holiday

Best of health

www.hcv.org.nz

August 17, 2008

How educated about Hepatitis C are New Zealand Gp’s ?

When you talk to other people with Hepatitis C there is always a wide discussion on how well informed GP’s are about the disease its’ effects and treatment.

Magdalena Harris, thesis, Narratives of Chaos and Quest, Living with Hepatitis C in New Zealand, has a great Chapter Six: The Medical Encounter which contains examples of this interaction. see http://www.hcv.org.nz/magchapt6.html

In my experience GP’s knowledge is variable and it is a good idea to seek out a knowledgeable Doctor, Like everyone GP’s are not all the same or equal, Which is why I found a recent english survey so interesting and wondered how much it reflected the New Zealand experience.

From the excellent English web site http://www.hepctrust.org.uk/

Over one-third of GPs “failing to diagnose Hep C”

A survey has revealed that more than one third of doctors in general practice are unable to read their patients’ hepatitis C results.

This figure is exacerbated by a failure to follow up with patients even when they have been correctly interpreted, according to a survey of 200 GPs by ICM Healthcare on behalf of The Hepatitis C Trust.

Some people who contract the disease suffer mild to more serious symptoms but one in five will clear the virus naturally. In about 20% of cases cirrhosis of the liver will develop over a period of 20 years or more.

Almost a third of GPs (32%) do not actively follow up with patients who test positive for hepatitis C and more than two-thirds (77%) said they did not consider infectious diseases to be a major threat to public health.

Charles Gore, chief executive of The Hepatitis C Trust, said: “GPs must take some responsibility to ensure patients with hepatitis C are not left undiagnosed.

“More must be done to equip GPs with the right information so they can correctly identify those who should be offered a hepatitis C test and interpret any result correctly.”

The poll was funded by pharmaceutical company Roche. ”

Best of Health

www.hcv.org.nz

Welcome to Hepatitis C New Zealand Peer Support Project Blog

Filed under: Hepatitis C New Zealand — admin @ 4:58 am

 

Welcome to Hepatitis C New Zealand Peer Support Project Blog

 

A community of people with hepatitis C trying to help other people who are affected by hepatitis C

 

Our first blog post, We intend to keep you up to date on news views and other interesting things happening at www.hcv.org.nz and in the world of Hepatitis C

 

The big Hepatitis C news story of the week is Researchers from University of Montreal in Canada published their results in the U.S. Journal of Virology. (august 08)

 

Early treatment can restore immune response against HCV and help eliminate the virus rapidly, the authors conclude. This new discovery of the mechanisms of viral eradication could contribute to the development of new treatments. HCV is transmitted through infected blood. Although a quarter of infected patients can eradicate the infection spontaneously, without treatment, the majority develop persistent infection, a major cause of cirrhosis and cancer of the liver. The only approved treatment for HCV is an anti-viral drug known as pegylated interferon alpha. This drug is successful in only half of cases when administered during chronic infection. Success rates among those treated early after infection are significantly higher or around 90 percent.

That is a very high success rate for hepatitis c treatment.

Someone from the site community will hopefully be attending the 6th Australasian Viral Hepatitis Conference in Brisbane at the Convention & Exhibition Centre, Southbank on Monday

Still waiting for a copy of the NZ hep c plan from the New Zealand ministry of health, This document is going to tell us how they intend to increase access to Hepatitis C treatment in New Zealand.Good news hopefully for those of us who have been waiting years to access for Hepatitis C treatment.

Best of Health to every one

www.hcv.org.nz

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