Consider Being Screened for Hepatitis C June 7, 2023 Hepatitis C is on the rise at a rate of 1 in 33 people beingexposed to the virus. Most people are unaware they areinfected until diagnosed with liver failure or liver cancer.Early symptoms such as fatigue are often difficult torecognize, making early diagnosis through proactivescreening essential. The virus spreads through infected blood and can takeyears to show symptoms. While some cases of the virusclear on their own, 80% of those infected develop chronichepatitis C. Nearly 20% of chronic cases will developcirrhosis, a condition that slowly shuts down the liverfrom the inside out through fibrosis. “When you get a scar, the skin heals itself by laying downcollagen,” said infectious disease expert Sugat Patel, MD,from Samaritan Health Services. “The virus damages theliver in a similar way. Your body will try to heal the liver,but it inadvertently causes fibrosis, a type of scarring thatpermanently damages your liver.” Baby boomers currently make up the majority of cases due tounscreened blood transfusions and other exposures beforethe virus was identified in 1989. However, according to theCenters for Disease Control and Prevention, cases are risingamong young people, with shared needles the main causeof new infections. Infected mothers can also pass the virusto their babies. “The good news is the treatment options for hepatitis C havegreatly increased over the past decade,” said Dr. Patel.“The only treatment option used to be two to four monthsof chemo. Now most cases are treated by taking direct‑actingantivirals — that target stages of the virus reproductivecycle — for two to three months with little to no side effectsand an astonishing 95% success rate.” People don’t often identify themselves as being at risk, butit’s safer to be screened and know you aren’t a transmitter. “Get tested,” urged Dr. Patel. Everyone should get tested at least once, especially thoseborn between 1945 and 1965. Those engaging in high‑riskbehavior such as drug use or having multiple sexual partnersshould get tested every six months. Talk to your primary careprovider about getting a hepatitis C antibody blood test.