PRESS RELEASE February 4, 2010

From the National Viral Hepatitis Round Table (NVHR):

Stop Liver Cancer ‘Dead in Its Tracks’ by Closing Funding Gap for Viral Hepatitis Education, Screening Programs

– Most Liver Cancers Caused by Undetected & Untreated Viral Hepatitis B & C

– Bipartisan Honda-Dent Legislation Would Help Reduce Incidence of Liver Cancer, Lessen Transplant Waiting Times

Washington, DC—With most liver cancer caused by undetected or untreated hepatitis B or C viral infection, the 22,000 new cases of liver cancer that are diagnosed each year could be dramatically reduced if Congress took decisive action to close the funding gap for federal viral hepatitis education, screening, and surveillance programs, the National Viral Hepatitis Roundtable (NVHR) said today.  NVHR made the comments in conjunction with World Cancer Day 2010, which is being observed today and led by the International Union Against Cancer.

NVHR is a coalition of more than 150 public, private, and voluntary organizations dedicated to reducing the incidence of infection, morbidity, and mortality from chronic viral hepatitis that afflicts more than 5 million Americans.  www.nvhr.org

“If policymakers are serious about reducing US cancer rates, including liver cancer, they should act immediately on the bipartisan Honda-Dent legislation to fully fund viral hepatitis education, screening, and surveillance programs for five million Americans,” said Ms. Lorren Sandt, Chair of the National Viral Hepatitis Roundtable (NVHR) and Executive Director of Caring Ambassadors Program, based in Portland, OR.  “Liver cancer is one of the three fastest growing cancer diagnoses in the US.  Early detection and treatment of chronic viral hepatitis will stop the spread of liver cancer dead in its tracks and reduce transplant waiting times.  This approach will dramatically reduce avoidable health care costs, improve quality, and allow millions of Americans to enjoy more productive lives.  It’s a no brainer.”

Liver cancer is the fifth most common cancer worldwide and is one of the top ten occurring cancers in the US, annually striking an estimated 22,000 Americans.  An overwhelming majority of liver cancers result from chronic viral hepatitis B or C infection.  Because chronic viral hepatitis infection can be asymptomatic for decades, most Americans do not get tested and, consequently, do not know they are infected until their condition deteriorates to liver cancer, cirrhosis or liver failure.  More than five million Americans – as many as 1 in 50 Americans – are afflicted with viral hepatitis and most are unaware they are infected.  While chronic viral hepatitis strikes individuals from all walks of life, African Americans and Asian Americans are most at risk.  In the US, liver cancer is the third-highest cause of cancer deaths among Asian Americans.

Bipartisan legislation pending on Capitol Hill, “The Viral Hepatitis and Liver Cancer Control and Prevention Act” sponsored by Representatives Mike Honda (D-Calif.) and Charles Dent (R-Pa.), would close the viral hepatitis funding gap by providing $90 million in funding in 2011 and more thereafter.  The Honda-Dent legislation would increase the ability of the Centers for Disease Control and Prevention (CDC) to support state health departments in their prevention, immunization and surveillance, and referral to care efforts.  Much of the Honda-Dent legislation tracks with recent recommendations made by the Institute of Medicine (IOM) in a landmark report addressing this public health crisis.

“As a practicing primary care physician of 28 years, I have seen first-hand how hepatitis infections can ravage patients and lead to liver cancer, cirrhosis, and even death.  That’s why education, screening, and detection programs are so critically important,” said Dr. Mark Li, President of the Chinese American Medical Society, Mid-Atlantic Chapter, based in Washington, D.C.  “As a silent disease, hepatitis is often ignored and it’s danger as a public health threat greatly underestimated.  If we want to get serious about reducing US cancer rates, we need to address chronic viral hepatitis.  The two go hand in hand.”

Earlier this week, the Administration released its 2011 budget proposal that continues to underfund the CDC’s Division of Viral Hepatitis by providing just $21 million in 2011, compared with $25 million allocated annually a decade ago.  In the absence of national leadership, the research firm Milliman estimates that public and private payers’ cost of treating chronic viral hepatitis C alone will more than triple by 2024 to $85 billion annually.  Medicare and Medicaid would absorb a disproportionate share of these added costs, thereby worsening an already bleak fiscal outlook for our nation and the 50 states.

Contact:  Phil Blando, pblando@abmpartnersllc.com, 202-534-1772

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How Is Hepatitis C Spread?

by Doc Misha on February 14, 2010

Hepatitis C is spread in various ways. Transmission is mainly through sharing contaminated blood. Blood transfusions used to account for the majority of cases, but that risk has been reduced dramatically. The chance of contracting the virus through blood transfusion in the United States is now less than 1 in 2 million transfused units of blood. That has decreased due to development of more sophisticated screening tests.

People who are now most at risk for contracting hepatitis C are people who share needles or other drug paraphernalia (“works”) that may be contaminated by blood. Injecting drugs accounts for 60-90 percent of all cases of spread of the hepatitis C virus.

Transmission is also possible through unsterilized tattoo or body piercing equipment and manicuring tools–such as used in manicures and pedicures to cut and remove cuticles and calluses. You should ask your parlor if they use one time use equipment – most tattoo places are quite careful with this, however prison tattoos where needles and ink  are shared from one person to another pose risk of infection with hepatitis C. Infection may also happen when inkpots used to store tattooing dyes are contaminated through reusing the ink from one person to another. Always make sure that your tattoo artist uses only your own personal inkpots when tattooing. This is a potential danger even when the tattoo needles are sterile. However, studies show that tattoos, manicures and pedicures account for less than 3 percent of all transmission.

The risk to healthcare workers from contaminated needle sticks is 1.8 percent. The CDC estimates that around 3 to 6 percent of the time transmission occurs between monogamous sexual partners. There is new evidence of higher risk of sexual transmission when there in sexual activities that involve possible blood to blood contact as well as in people co-infected with HIV. And, it is estimated that less than 5 percent of the time the virus is transmitted from an infected mother to her newborn (increases to 19%-27% when co-infected with HIV). Birth risk is 1 to 5 percent.

According to the CDC, the transmission of HCV infection through breast milk has not been documented and is considered likely only if there is bleeding. In the five studies that have evaluated infants born to HCV-infected women, the average rate of infection was 4 percent in both breast-fed and bottle-fed infants.

For more useful information in hepatitis, please order my Free Report:

“The First 3 Steps To Conquer Hepatitis C

Yours in health,

Doc Misha  at www.helphepatitisC.com

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Meet Doc Misha at Chicken Soup Chinese Medicine

by Doc Misha on February 13, 2010

I have been practicing Asian medicine for over 34 years and have a clinic in the Mission District of San Francisco called Chicken Soup Chinese Medicine, where my team and I provide comprehensive treatment programs to people seeking support for such complex medical challenges as viral hepatitis (HBV and HCV), HIV, cancer, metabolic issues such as diabetes or high cholesterol, and reproductive health. Chicken Soup practitioners offer treatment plans that incorporate all the pillars of Chinese traditional medicine—acupuncture, herbs, moxibustion, diet, exercise, acupressure/massage—within a framework of integrated medicine.  We do so in a caring environment that puts the person—not their illness—at the center of our work.  Through our consultations by phone and in person and ongoing case management, we develop relationships with our clients in San Francisco and across the country.

In addition to my clinical work, I am currently engaged in my second year as principal investigator in the clinical trial: Phase II Study for the Prevention of Anal Cancer through the use of a Chinese Herbal Topical Cream. This is a two-year clinical trial that includes translational research in Chinese herbal medicine for the prevention of HPV-related anal cancer in HIV-positive people. It is conducted at the UCSF Clinical and Translational Science Institute’s Clinical Research Center. The trial is funded by the Gateway for Cancer Research with generous in-kind support for the UCSF Helen Diller Family Comprehensive Cancer Center and the UCSF CTSI Clinical Research Center (CCRC). I am also designing follow-up trials and trials in other areas of HPV-related cancers such as cervical cancer, vulvar cancer, and oral cancers as well as Chinese herbal medicine and integrative medicine translational and clinical research in hepatitis C with Dr. Stewart Cooper at California Pacific Medical Center.

I also teach nationally and internationally in various post-graduate settings and am involved with several non-profit groups, including Quan Yin Healing Arts Center  and the MRCE Foundation.

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Chinese Medicine Approach to Treating Fatigue

February 10, 2010 E-Book

Excerpted from My Upcoming E-Book 
“Doc Misha’s Special Guide: 7 Key Facts You Must Know To Choose Your Correct Hepatitis C Treatment”
In Chinese medicine there is a long tradition of treating fatigue associated with various syndromes and disharmonies. Before starting a program to combat fatigue you may want to be diagnosed by your practitioner; determining the nature [...]

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California Adult Viral Hepatitis Prevention Strategic Plan, 2010-2014

January 22, 2010 HepatitisC

A Report of the California Adult Viral Hepatitis Prevention Coordinating Committee and State of California California Department of Public Health Center for Infectious Diseases December 2009
This is from the full report at www.cdph.ca.gov
Viral hepatitis is an important public health problem in California and nationwide. In the United States, there are more than 5 million people [...]

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