The dragon has been slayed.
As Bill indicated, hepc does not go into remission. Either the immune system fights off the virus and the virus is no longer present or the infected person undergoes antiviral therapy and is cured. Either way that person is left with antibodies which will always be present in the blood but the virus is gone and there is nothing to transmit. Antibodies pose no threat in regard to infecting another person.
If the person has active hepc and blood to blood contact occurs it doesn't matter whether the viral load is very low or not, transmission is still possible.
In the case of your friend, you indicated she has open wounds caused from iron overload. This sounds like she may have Porpheria Cutanea Tarda (PCT) which is an extrahepatic disease caused from the HCV damaging the liver which in turn inhibits the liver's ability to process iron. Symptoms of PCT include blisters forming on the back of hands or arms and the skin easily tears from the slightest bump or knock, leaving open wounds. Once the blisters burst, the person is left with a deep reddish open wound which takes considerable time to heal. Phlebotomy is recommend to reduce the iron in the blood and the condition will usually resolve.
As stated above, transmission or hepc cannot occur through ingestion of body fluid or infected blood. Transmission can only occur when infected blood enters the bloodstream of another person.
I had PCT with lots of open wounds on my hands. I handled my grandchildren and did all the normal things people do in a family environment and no one else in my family has hepc.
Trinity
We crossed posts again,opps.
By remission,do you mean she had a SVR?.I think its still possible ,but the virus is such a loe quantlty that the odds are very ,very ,very slim if any.Even if she didnt have C,its still a good idea to use a bandids or some kind of wrap,shes exposing herself also to whatever is floating around out there
Hep C doesn’t really have a ‘remission’ phase; it’s either an active infection, or it’s been resolved.
In the situation you describe, it’s very unlikely the child is at risk for contacting HCV. This virus is transmitted from blood to blood; blood entering the child’s GI tract doesn’t really present a risk. However, it presents an unsanitary condition for other issues; she should probably bandage herself regardless.
Read through this page for further info:
http://janis7hepc.com/Modes%20of%20Transmission.htm
--Bill