Hepatitis C Clinical Trial
Official title:
Detection of Hepatitis C Infection by Oraquick Test Among Health Care Workers in Assiut Governorate and Treatment Outcome Among True Positive Cases
Viral hepatitis is a global health problem affecting hundred millions of people worldwide and considered the main cause of liver cirrhosis, hepatocellular carcinoma and liver transplantation in developing countries.
Hepatitis C is a chronic disease affecting approximately 130-170 million people worldwide.
According to the world health organization, annually, more than 399,000 people die from
hepatitis C-related liver diseases and 3-4 million people are infected with hepatitis C virus
. Approximately 3% of the world's population is estimated to be infected with hepatitis C
virus .
Hepatitis C is found worldwide. World health organization documented that Eastern
Mediterranean and European regions are the most affected regions, with the prevalence of 2.3%
and 1.5% respectively. Prevalence of hepatitis C virus infection in other world health
organization regions varies from 0.5% to 1.0%. There are multiple strains ( genotypes) of the
hepatitis C virus and their distribution varies by region.
Available data indicate that infection with hepatitis C virus infection varies considerably
by country and region and countries believed to have the highest rate of chronic hepatitis C
virus infection are Egypt (15 %), Pakistan (4.8 %), and China (3.2 %). However, the true
incidence of the disease is not well known in many countries, because acute infection is
generally asymptomatic.
The Egyptian Demographic Health Survey ( 2008), which was conducted on a large nationally
representative sample, estimated the prevalence of hepatitis C virus antibodies and hepatitis
C virus nucleic acid, among the 15-59 years age group, to be 14.7 and 9.8% respectively. On
the other hand, the prevalence of hepatitis C virus antibodies and hepatitis C virus nucleic
acid, among the 15-59 years age group, to be 10 and 7 % respectively according to the
Egyptian Health Issues Survey ( 2015).There was an overall significant reduction of 32 %and
29% in the prevalence of Hepatitis C virus antibody and Hepatitis C virus nucleic
acid-positive individuals, respectively, between the Egyptian Demographic Health Survey in
2008 and the the Egyptian Health Issues Survey in 2015.
Hepatitis C virus is a bloodborne virus. It is most commonly transmitted through injecting
drug use through the sharing of injection equipment; the reuse or inadequate sterilization of
medical equipment, especially syringes and needles in healthcare settings; and the
transfusion of unscreened blood and blood products.
hepatitis C virus can also be transmitted sexually and can be passed from an infected mother
to her baby; however these modes of transmission are much less common, while it is not spread
through breast milk, food, water or by casual contact such as hugging, kissing and sharing
food or drinks with an infected person.
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