HCV

I recently found out that Egypt has a very big problem when it comes to controlling the spread of HCV. It's mainly due to the improper implementation of sterilization techniques. I am reaching out to all health care professionals and all the well versed individuals on this forum to get together and make a humble effort towards containing this epidemic in Egypt. I urge serious and concerned individuals to volunteer.

I suggest that we work together on constructing an effective 5-10 minutes presentation showing proper sterilization techniques. We can then start visiting surgeons and dentists and deliver this presentation together with some simplified reading material to them and their supporting staff. We can ask each physician to refer us to 3 or 5 of his colleagues.

I'm ready to participate to this noble action. I have the background to work on sterilized conditions.

Hi,the biggest reason I noted that things aren't sterilized properly, is the lack of equipment/financial burden of proper sterilization techniques, not that the surgeons or physicians don't know. On the contrary, from 1st yr med school we breathe eat and sleep Hep A, B, C since its endemic. Every MD who graduates from egypt knows the Heps inside out.
The other thing is just carelessness, on the part mainly of the support staff, so it would be nice to target the support staff like nurses and techs, with this endevour, rather than the physicians.
The second biggest challenge, is education of the population, to understand the risk factors, signs and symptoms, and methods of transmission. It would be nice to make a pamphlet about that to give out to patients as well.
Do count me in! (I'm a pathologist by the way). :)

heres a link to a site within Egypt that contains some information related to the issue

heres another document with more related information.It speaks about the percentage of infections caused by injections based on information supplied by the who.

Here is one study which was submitted for review during late 2009 and made public during 2010.Egypt has disputed the study claiming the estimates are inflated.

you can try reaching out to these groups also. for any insight or suggestions or inputs the may have related to the issue.

www.saidr.org, contact mkamal@jhuhcp-eg.org. Regarding www.askconsult.org or sehetna.com, contact news@askconsult.org.

Good luck with you efforts on this issue.

so it would be nice to target the support staff like nurses and techs, with this endevour, rather than the physicians.
The second biggest challenge, is education of the population, to understand the risk factors, signs and symptoms, and methods of transmission. It would be nice to make a pamphlet about that to give out to patients as well.


The female population, could be a positive element if embraced and utilized in your foundation, they could be a formidable driving force for the message.

I subscribe to promed-mail for information related to flu and virus spread.

below is a posting about the one of the mayo hospital clinic facilities and how one iv drug user which worked there, may have exposed over five thousand people to the hep-c virus over a six year period.

HEPATITIS C - USA (02): (FLORIDA) TRANSPLANT RELATED****************************************************A ProMED-mail postProMED-mail is a program of theInternational Society for Infectious Diseases Date: Thu 23 Sep 2010Source: Sun Sentinel [edited]  Mayo worker put patients at risk for hepatitis----------------------------------------------The [registered] letter in her mailbox on Wednesday [22 Sep 2010] surprised a Tavares woman, but not nearly as much as its contents. While she was a patient at the Mayo Clinic in Jacksonville, a rogue employee in the radiology department was injecting himself with a potent painkiller intended for patients and refilling the syringes with saline. He had hepatitis C, a potentially deadly virus that attacks the liver. "Apparently, he did this for many years before he was caught," said the former patient, who asked not to be named because it might stigmatize her. She is among 5000 former patients at the Florida branch of the renowned Mayo Clinic to receive the warning letter, which has been mailed out in 2 waves this month [September 2010]. "I have never felt more safe than I was at the Mayo Clinic," said the Tavares woman, who underwent heart and kidney operations at the Mayo Clinic in 2006 and 2007. "For this to happen, I think is horrible." On Thursday [23 Sep 2010], the Mayo Clinic sent a team to her home to draw blood for testing for hepatitis C, hepatitis B, and HIV infection. So far, 3 former patients have tested positive for hepatitis C [virus infection]. In August [2010], a 47-year-old former radiology technician, was fired after admitting he had used painkillers prescribed for patients. He was arrested last month [August 2010] on a minor felony related to stealing drugs. But law-enforcement officials say he could face more charges as the investigation continues. The radiology technician worked at the Mayo from 11 Oct 2004, up to 21 Aug 2010. He worked in Interventional Radiology at St Luke's Hospital from 2004 to 11 Apr 2008, when Mayo Clinic owned St Luke's Hospital. "We want to ensure that every patient who might be at risk is tested," said Dr William C Rupp, chief executive officer of Mayo Clinic in Florida. "We want to cast as wide a net as possible to make sure we've included any possible patient." That, Rupp said, has included tracking down every patient who had a procedure on the days the technician was working and in the section of the hospital where he was working. Most of the affected patients are from Florida, Rupp said, but letters also have been sent to several living in the Southeast and a few who live abroad. The former employee has tested negative for hepatitis B virus and HIV, Rupp said, but the US Centers for Disease Control and Prevention, as well as the Florida Department of Health, urged that former patients be tested for those viruses as well. So far, 3 patients have been diagnosed with cases of hepatitis C that are genetically similar to the type the technician has, Mayo officials said. One of those patients died from the virus [infection], another died from an unrelated illness, and the 3rd remains alive. Hepatitis C virus attacks the liver but often doesn't cause symptoms for years. Left untreated, it can cause severe problems, such as cirrhosis and liver cancer. The American Hospital Association described the Mayo technician's actions as "egregious and criminal," said spokesman Matt Fenwick. He called upon hospitals to work hard to "ensure it doesn't happen again." For their part, Mayo Clinic officials say they are taking steps to improve security related to narcotics. Among the new safeguards: Mayo nurses will now initial every syringe when it's drawn so that it can't be switched without notice. [Byline: Linda Shrieves] --Communicated by:ProMED-mail Rapporteur Brent Barrett [The initial report in ProMED-mail on 24 Aug 2010 of 3 cases of hepatitis C virus contracted from a radiology technician at the Mayo Clinic in Jacksonville, Florida, did not explain the circumstances surrounding this incident. It is now revealed that the affected individuals were surgical or transplant patients, one of whom died subsequently as a result of hepatitis C virus infection. These patients, and possibly others (up to 5000 are being contacted), were infected by the actions a single technician in the radiology department who was injecting himself with a potent narcotic intended for patients and refilling the syringes with saline. Subsequent analysis revealed that the employee was a hepatitis C virus carrier. It remains to be established whether any other patients at risk have been infected. At the time of the incident the errant technician tested negative for both hepatitis B virus and HIV infection. The HealthMap/ProMED-mail interactive map of Florida, showing the location of Jacksonville, can be accessed at . - Mod.CP] [see also:Hepatitis C - USA: (FL) transplant related, RFI 20100825.2995]...................................cp/mj/mpp

@ Quardi, Mariposa & Shorouk your participation is deeply appreciated.

@ Everyone: I asked around and I was told that HCV in Egypt is also being transmitted through the Barber shops. Can someone get it from a hair clipper or is it just through re-used razors?

@ shorouk, it's just sad how this virus can affect anyone.

I was also told that dentists use some sort of a microwave-assisted sterilization device to sterilize their equipment. If that's true isn't their a chance these devices might break down from time to time Or somehow become less efficient? Please educate me.

HEPATITIS C - EGYPT*******************A ProMED-mail postProMED-mail is a program of theInternational Society for Infectious Diseases Date: Mon 8 Nov 2010From Los Angeles Times [edited]  Egypt: Hepatitis C infection reaches alarming figures-----------------------------------------------------Egypt's spiralling threat of hepatitis C virus (HCV) -- already the highest incidence rate in the world -- is alarming researchers who fear that a potential epidemic of the bloodborne disease could spread across the most populous Arab country. The findings of a recent study published in the Proceedings of the National Academy of Sciences [Evidence of intense ongoing endemic transmission of hepatitis C virus in Egypt. By Miller FD, Abu-Raddad LJ. Proc Natl Acad Sci USA. 2010 Aug 17;107(33):14757-62. Epub 2010 Aug 9; ] showed that more than 500 000 new HCV infection cases occur in Egypt every year. Much of the problem behind the soaring infectious rates is poor health care oversight and erratic medical hygiene. "Nearly 7 out of every 1000 Egyptians acquire HCV infections every year. This is the highest level of HCV transmission ever recorded at a national level for a disease transmitted by use of non-sterile medical instruments," says Dr F DeWolfe Miller, lead author of the study. Prevalence of hepatitis C in Egypt dates back to the 1970s. It was then that health authorities in the Nile Delta and Upper Egypt were injecting patients with tartar emetic to stop the spread of the waterborne disease known as bilharzia. But many of the needles were unsterilized, causing HCV to spread to thousands of Egyptians. Nowadays, many blame the government for not halting the virus' proliferation throughout the country of about 80 million people. The Egyptian National Committee on Viral Hepatitis states that 9.8 per cent of Egyptians are HCV infected, whereas doctors and researchers claim that the real figure is between 15 and 20 per cent. "Most HCV patients come from Egypt's most rural and poorest areas and they rely on the medical insurance programs," said Dr Lotfi Wanees, an expert on hepatitis. "Medication cost for every hepatitis C patient stands at an average of 70 000 Pounds [USD 12 250] and the government has failed to provide this sum for most of the patients." He added: "There are also the deals signed between the Ministry of Health and medicine companies. Many virus C medicines produced by Egyptian pharmaceutical firms are not verified in the West and proved to be inefficient. But they are still being prescribed to patients and the government pays millions of pounds to purchase them." According to Wanees, the "community acquired" virus has also been accompanied by culture and literacy problems, as many of the poor, uninsured patients resort to superstitious and primitive medical substitutes, which worsen their cases. Complications of hepatitis C lead to liver cirrhosis or liver failure. Many people infected with the virus have no symptoms and are only diagnosed when liver damage appears many years later. [byline: Amro Hassan] -- communicated by:HealthMap Alerts via ProMED-mail [Hepatitis C is a contagious liver disease that results from infection with hepatitis C virus. It can range in severity from a mild illness lasting a few weeks to a serious, lifelong illness. Hepatitis C is usually spread when blood from a person infected with hepatitis C virus enters the body of someone who is not infected. Hepatitis C can be either "acute" or "chronic". Acute hepatitis C virus infection is a short-term illness that occurs within the 1st 6 months after someone is exposed to hepatitis C virus. For most people, acute infection leads to chronic infection. Chronic hepatitis C is a serious disease than can result in long-term health problems, or even death. There is no vaccine for hepatitis C. At least 11 different genotypes of hepatitis C virus have been differentiated which tend to be geographically restricted in their prevalence. Hepatitis C virus genotype 4 has predominated in Egypt. Unfortunately patients infected with hepatitis C virus genotype 4 tend to respond poorly to interferon alpha, one of the most effective treatment options available for control of HCV infection. The HealthMap/ProMED-mail interactive map of Egypt can be accessed at . - Mod.CP] [see also2007---Hepatitis C - Egypt 20070207.04872000---Hepatitis C, schistosomiasis treatment linked - Egypt 20000312.0330] ...................cp/ejp/sh   *##########################################################*************************************************************ProMED-mail makes every effort to verify the reports thatare posted, but the accuracy and completeness of theinformation, and of any statements or opinions basedthereon, are not guaranteed. The reader assumes all risks inusing information posted or archived by ProMED-mail. ISIDand its associated service providers shall not be heldresponsible for errors or omissions or held liable for anydamages incurred as a result of use or reliance upon postedor archived material.************************************************************Donate to ProMED-mail. 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