VHA to providers: we have 165,000 chronically HCV-infected veterans in our care


hcv death by year

GRIM REAPER WILL BE CALLING

From Issue 8, Winter 2012 Public Health Matters Newsletter, Clinical Public Health, VHA Office of Public Health

“Dear Colleagues,

Data from the VA’s National Clinical Case Registry for hepatitis C virus (HCV) confirm the burden of disease in the VA Health Care System and prepare providers for the road ahead as deaths from chronic HCV are expected to rise sharply during the next 10 years.”

At ASKNOD, we know that–

“…Most Veterans with chronic HCV in VA care in recent years were likely infected during the Vietnam War era (1964–1975). Given the natural history of chronic HCV, one would expect to see increasing numbers of conditions related to progression of liver disease, including cirrhosis and HCC.”

Doing some easy subtraction–Veterans who die of diseases from chronic HCV in 2020, and were infected in 1964, will have had HCV for 56 years according to the natural history of the disease.  

The VA (RO and BVA) and Congress (both parties) know this but shamelessly play games with veterans.

Since most veterans are in private health care (about 75%) is it safe to crudely estimate over 600,000 veterans are being treated for  HCV in private care?

A highly-cited government study of the general population, The Prevalence of Hepatitis C Virus Infection in the United States, 1999 through 2002 , has promoted the myth that IDU was the main cause of HCV-infections in the 45-65 age birth cohort because 46.6% of those in the study reported IDU at some point in the past.  Although they did note that over 60% of HCV-study participants received transfusions before 1992, by the questions  asked, and more to the point, didn’t ask about medical interventions.  It sure looks and sounds pretty but it’s a lousy biased study!

Miriam J. Alter, PhD., is one of the influential authors.  Her name (and voice in online HCV lectures) surfaces again and again but unfortunately, she’s a researcher with blinders on.  (She is not related to Harvey Alter, a prominent HCV scientist.)  Both the Alters are mentioned in this 20-year-old article: http://www.nytimes.com/1993/01/19/science/mysterious-epidemic-of-furtive-liver-virus.html?pagewanted=all&src=pm

This article references studies that might help track down the origin of HCV in American troops in the ’40s or earlier.

Update:  I changed IVDU to IDU because according to one physician (Pepin, J.) IDU  is an abbreviation that can refer to an injection drug user or intravenous drug user.

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8 Responses to VHA to providers: we have 165,000 chronically HCV-infected veterans in our care

  1. SPrice says:

    Two years later the VA is saying they have 233,000 veterans with Hep C in their care and 180,000 of them have been diagnosed and the rest remain undiagnosed. So either the number increased tremendously in two years or they weren’t telling the truth 2 years ago.

    • Kiedove says:

      It’s possible HCV testing within the last two years has discovered thousands of new cases. Terrible situation.

  2. HCVet says:

    Kiedove This is excellent. May I post on HCVets.com?

  3. Randy says:

    More pressure for full disclosure will come but probably not before I visit the beautiful lawn which is well kept at Fort Logan in Denver but I can at least have hope for the disclosure.

  4. hepsick says:

    Ya so what else is new? They want us DEAD, THEY do not want to pay US, and the VA can KISS MY ASS, Now what to do about it? Everytime I go to the VA I tell them that the Air Jet Guns Got me, I love it when they just Roll there eyes at me like I am a stupid Moran. I have got in to yelling matches with some of THEM, But the Nurses, some of them Nod there heads in agreement. THEY KNOW WHAT HAPPENED, Now its time AMERICA KNEW.

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