03.02.2021 Aufrufe

CHECK Berlin #4

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HEALTH<br />

HOW CAN YOU TREAT HEPATITIS C?<br />

Drug treatment is difficult and not always<br />

successful, even with the latest generation<br />

of drugs. Healing a hepatitis C disease is a<br />

difficult thing due to the high versatility of<br />

the virus. A vaccination is therefore hardly<br />

possible, similar to HIV.<br />

Nevertheless, going to the doctor is immensely<br />

important, because without treatment,<br />

hepatitis C disease can heal on its own in<br />

individual cases, but then flares up again and<br />

again. And long-term damage to the liver<br />

can be fatal. Not to mention, the virus can be<br />

passed on to other people around you. So the<br />

focus is on avoiding infection, although this is<br />

easier said than done.<br />

HYGIENE IS THE TOP PRIORITY<br />

The hepatitis C virus is highly infectious and<br />

can survive on surfaces for up to 72 hours.<br />

The infection can take place anytime and<br />

anywhere. Likewise, a successfully treated<br />

infection does not protect against reinfection<br />

and the infected person can still pass the<br />

virus on during drug therapy.<br />

Even after successfully treating Hepatitis C,<br />

you shouldn‘t feel a false sense of security.<br />

As we are just experiencing in our everyday<br />

life due to the COVID-19 recommendations,<br />

the magic word here is also: hygiene.<br />

Until about 30 years ago, almost all hepatitis<br />

C patients got infected by contaminated<br />

blood transfusions, because blood is the<br />

preferred medium for the virus. Today, there<br />

are reliable tests that must be carried out<br />

before any blood transfusion. As a result, the<br />

infection process has shifted. Today the risk<br />

of transmission through blood transfusion is<br />

less than 1:100,000.<br />

B<br />

HEPATITIS C AND DRUG USE<br />

Most new infections have occurred as a<br />

result of intravenous drug use. Multiple use<br />

or sharing of needles or syringes might save<br />

the user a small amount of money, but it also<br />

increases the risk of infection. In laboratory<br />

tests, both needles (outside and inside) and<br />

container chambers (inside) were still contaminated<br />

with the resistant virus after weeks,<br />

C<br />

depending on the outside temperature and<br />

the type of syringe. The danger does not only<br />

exist when using it directly in a group, but<br />

also when reusing supplies that have already<br />

been used.<br />

Drug consumption through the nose can also<br />

involve risks. Constant irritation of the nasal<br />

mucous membrane, such as sniffing cocaine<br />

or speed, can lead to micro-injuries, which<br />

serve as a gateway for the virus. When doing<br />

coke, the straw should not be shared.<br />

TATTOOS, PIERCING AND SEX WITH<br />

FREQUENTLY CHANGING PARTNERS<br />

As a customer in tattoo and piercing studios,<br />

you should pay close attention to whether<br />

the hygiene regulations are adhered to and<br />

all tools are adequately disinfected. The<br />

second most common mode of transmission<br />

is unprotected sex. Statistically, homosexual<br />

men with frequently changing partners make<br />

up the risk group. Due to the long survival<br />

time of the virus on surfaces, sufficient hygiene<br />

must also be ensured in clubs or when<br />

sharing sex toys.<br />

Pre-existing illnesses such as cancer or an<br />

HIV infection increase the likelihood of longterm<br />

effects such as the development of<br />

cirrhosis or carcinoma.<br />

DIAGNOSIS AND REPORTING TO THE<br />

HEALTH DEPARTMENT<br />

An infection with hepatitis C can be detected<br />

by a blood test, which you can do anonymously<br />

carried out by a doctor you trust or in most<br />

contact points (AIDS help centers, checkpoints,<br />

drug emergency service). However, the<br />

test is only reliable six weeks after a possible<br />

infection. Anyone who belongs to a risk group<br />

should therefore get tested regularly.<br />

If the test is positive, the result must be reported<br />

to the responsible health department<br />

in accordance with the Infection Protection<br />

Act. If the patient has examinations or treatments<br />

carried out during this time that have<br />

nothing to do with the hepatitis, but in which<br />

the practitioner comes into contact with<br />

the patient‘s body fluids, the patient should<br />

inform him about his illness.<br />

<strong>CHECK</strong> | AUSGABE 4<br />

39

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