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Avatar universal

infectious post solvadi svr?

http://hepatitiscnewdrugs.blogspot.com/2014/07/hepatitis-c-transmission-of-virus.html?m=1

I've read this and after all this time thinking SVR meant you cannot pass this virus along and you no longer have to disclose it I've become disappointed again.  Now this article seems to be only based on interferon and rib I wonder if the knew drugs would be different?    What are your thoughts?  After SVR do I still need to tell people?
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446474 tn?1446347682
Hepatitis C is a virus transmitted from the blood of the infected person to the blood of an uninfected person. Although hepatitis C virus infection can be acquired sexually, transmission rates are so low that quantifying them precisely has been difficult. What is known is the people at highest risk for HCV infection are those who have already have a sexually transmitted disease or HIV or engage in rough sex or sex involving blood play.

All single people should already be educated about and practicing safer sex as evidence indicates that hepatitis C virus (HCV) can be transmitted by sexual contact, but much less efficiently than other sexually transmitted viruses, including hepatitis B virus and human immunodeficiency virus (HIV). Hepatitis B and HIV are both incurable infections unlike hepatitis C and can have serious long term consequences.

In monogamous couples...
"Sexual transmission of HCV among monogamous heterosexual couples is an extremely infrequent event, condom use was infrequent among the study participants and decreased over the duration of the sexual relationship, indicating that the very low rate of sexual transmission in our study population was not due to use of barrier methods during sexual activity."
"The maximum incidence rate of HCV sexual transmission was 0.07% per year, or about 1 new infection per 190,000 sexual contacts." "No specific sexual practices were related to HCV positivity among couples."
" transmission of infection by sex may require a specific genital tract environment such as disrupted mucosal integrity or the presence of viral or bacterial coinfections. These factors may explain the recent reports of HCV transmission by sex in HIV-infected men who have sex with men."
These results "support the current national recommendations that couples not change their sexual practices if they are in a monogamous heterosexual relationship"

There is no risk of transmission once you are SVR. How can you pass on an infection you don't have. Worrying about one trial where the blood of one person with a particular viral mutation of HCV was injected into 1 of 3 chimpanzee ..

Please get educated about the virus and learn the facts then you will realize the true situation be able to live life as all the rest of us do who are infected.

Good luck.
Hector
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Avatar universal
I think the others are right, I don't tell anyone I have this unless it's on a "need to know" basis. And I don't feel compelled to tell people how I caught it either, that's my own business. It's not the Ebola Virus. This isn't contagious if you're sitting next to someone, or even holding hands! And I don't get much farther than that with most people. Most people don't have the slightest understanding of this and all I would accomplish is freaking them out unnecessarily. I use my own toothbrush, as well.
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Avatar universal
"At present, it is not clear whether this RNA represents replication-competent HCV, whether it is associated with intact virions, and whether it can transmit infection. "
==========================

Without respect to how one cleared HCV and attained a SVR, there have always been such remaining particles.

Thus far the present of such has not seemed to provide proof that "SVR's" are not durable.

Thus far, the evidence has not shown transmission to be occuring, even pre- clearance of the virus (roughly 1%, plus or minus 1% in monogamous couples) and I have not seen any evidence of transmission in post SVR couples.

Indeed, the article also seems to call it into question.  In theory, it might make sense, but we do not seem to have statistics which support that it is occurring.

That is what I am reading into this.

To which I would add..... if one were to become infected with HCV, it is a far better time to acquire an infection. The so called cure rates near 100% and some cures being tested may in the near future hit 4 - 6 weeks.

=============
It is an interesting article and you are to be commended for considering this, but try not to lose too much sleep over this article. It is great theory, but it may bear little relevance into the practical end; your dating life.

Just my opinion, from what we seem to know today.....

best,
Willy
Helpful - 0
Avatar universal
I wouldn't reframe from dating if you want to date.  You don't need to tell people that you are just getting to know and just starting out on a relationship.  Without coming across like I'm being preachy, or moralistic (trust me I am not), it would be a good idea to go slow on taking it to the next level, i.e., intimacy.  Because if you were to cross that threshold, you'd need to use precautions and safe sex and if they did not agree to that, they would not be somebody you'd want to be with.  If you are of the belief to wait until marriage for the intimacy, then you'd definitely want to tell them.  I wish they wouldn't print these type of articles without specifying what the length of time the person had been SVR and what treatments they had done.   Anyhow, I hope that what I said helped some.  Actually, HepC is not really that easy to pass along in a monogamous relationship especially when the person who has it is undetected, it's like only a ridiculously low percentage of risk once there is SVR.  I know several married couples who one partner has HEPC and the other partner has never turned positive for HEP C.  Susan400
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Avatar universal
I'm a 29 year old single lady. So I feel like I can't date cuz I don't wanna tell anyone
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683231 tn?1467323017
Why did you need to tell people about being hep c positive?

I tell my doctor and dentist and, as I work in a machine shop where there is a danger of being cut and bleeding, I have told some of my close coworker friends. Who else would you need to inform?

good luck
Lynn
Helpful - 0
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