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Author Topic: Possible Hep A risk?  (Read 6499 times)

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Offline Jaydog

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Possible Hep A risk?
« on: January 21, 2018, 03:05:03 pm »
Hi Guys,

This sounds awful but i shook hands with a homeless man, lit him a cigarette then continued to smoke my cigarette and may have touched the cigarette with the shaking hand and may have mistakenly put my hands in or around my mouth without noticing. I think i was vaccinated twice as a baby but don't know how long that lasts for and I'm from the UK so i think the prevalence rate is low.

1) Am i at risk for hepatitis a from this encounter?

2) How exactly does hep a infect somebody through faeces etc without access to the blood stream?

Thank you guys in advance

« Last Edit: January 21, 2018, 03:09:06 pm by Jaydog »

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #1 on: January 22, 2018, 12:56:46 am »
https://www.cdc.gov/hepatitis/hav/afaq.htm


Transmission / Exposure

How is hepatitis A spread?

Hepatitis A usually spreads when a person unknowingly ingests the virus from objects, food, or drinks contaminated by small, undetected amounts of stool from an infected person. Hepatitis A can also spread from close personal contact with an infected person such as through sex or caring for someone who is ill.

Contamination of food (this can include frozen and undercooked food) by hepatitis A can happen at any point: growing, harvesting, processing, handling, and even after cooking. Contamination of food or water is more likely to occur in countries where hepatitis A is common and in areas where there are poor sanitary conditions or poor personal hygiene. In the United States, chlorination of water kills hepatitis A virus that enters the water supply. The Food and Drug Administration (FDA) routinely monitors natural bodies of water used for recreation for fecal contamination so there is no need for monitoring for hepatitis A virus specifically.

Who is at risk for hepatitis A?

Although anyone can get hepatitis A, in the United States, certain groups of people are at higher risk, such as:

People with direct contact with someone who has hepatitis A
Travelers to countries where hepatitis A is common
Men who have sexual contact with men
People who use drugs, both injection and non-injection drugs
Household members or caregivers of a recent adoptee from countries where hepatitis A is common
People with clotting factor disorders, such as hemophilia
People working with nonhuman primates

I think I have been exposed to hepatitis A. What should I do?

If you have any questions about potential exposure to hepatitis A, call your health professional or your local or state health department. If you were recently exposed to hepatitis A virus and have not been vaccinated against hepatitis A, you might benefit from an injection of either immune globulin or hepatitis A vaccine. However, the vaccine or immune globulin are only effective if given within the first 2 weeks after exposure. A health professional can decide what is best based on your age and overall health.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #2 on: January 22, 2018, 12:58:34 am »
2) How exactly does hep a infect somebody through faeces etc without access to the blood stream?

Infection is caused by ingesting small amount of fecal material most often through contaminated food or water.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #3 on: January 22, 2018, 01:25:38 am »
Cheers for the reply Lynn

Would you say from your own personal opinion that i was at risk from shaking this mans hand then maybe touching my lip with my hand  afterwards while smoking my own cigarette? even without physically swallowing any food etc?


Offline Lynn K

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Re: Possible Hep A risk?
« Reply #4 on: January 22, 2018, 02:00:41 am »
If he has hep a and has unclean hands contaminated with feces and if you ingested this fecal material then you may have a risk. You should discuss your risk and how to proceed from here with your medical professional.

I am not a medical professional and cannot access your risk.

If you were exposed there is treatment to avoid infection talk to your doctor if you think it possible you may have ingested fecal material through this contact.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Lynn K

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  • Member
  • Posts: 3,951
  • Get tested, get treated, get cured, fight Hep c!
Re: Possible Hep A risk?
« Reply #5 on: January 22, 2018, 02:04:55 am »
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #6 on: January 23, 2018, 10:43:18 am »
There is so little information out there regarding my risk and i feel uncomfortable making an appointment with my doctor to discuss casual contact with another human being. It would be good to know if this was a high or low risk situation but i can't find anything online.

Do you or anybody else have any idea how long i should wait before testing for hep a?

Thanks again


Offline Lynn K

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Re: Possible Hep A risk?
« Reply #7 on: January 23, 2018, 08:06:08 pm »
You won’t be able to find any data as you are likely the best judge if you are at risk from this contact. If person had hep A they may not initially know they are infected. So the question for you is it possible they had fecal material that was transferred to you and could you have ingested the material. If this did not happen then you are not at risk. If there is a chance you could have ingested any fecal material there is a potential risk. However, there is no way to quantify this risk.

There is no reason to feel uncomfortable discussing this with a medical expert that is what they are there for. Otherwise you are just left guessing, worrying and trying to figure it out on your own without enough knowledge or information to do so.

Here is some more information about the diagnosis, symptoms and treatment from the link I sent earlier.

I think I have been exposed to hepatitis A. What should I do?

If you have any questions about potential exposure to hepatitis A, call your health professional or your local or state health department. If you were recently exposed to hepatitis A virus and have not been vaccinated against hepatitis A, you might benefit from an injection of either immune globulin or hepatitis A vaccine. However, the vaccine or immune globulin are only effective if given within the first 2 weeks after exposure. A health professional can decide what is best based on your age and overall health.

What is postexposure prophylaxis (PEP)?

Postexposure prophylaxis (PEP) refers to trying to prevent or treat a disease after an exposure. For hepatitis A, postexposure prophylaxis is an injection of either immune globulin or hepatitis A vaccine. However, the vaccine or immune globulin are only effective in preventing hepatitis A if given within the first 2 weeks after exposure.

What are the symptoms of hepatitis A?

Older children and adults typically have symptoms. If symptoms develop, they can appear abruptly and can include:

Fever
Fatigue
Loss of appetite
Nausea
Vomiting
Abdominal pain
Dark urine
Clay-colored stools
Joint pain
Jaundice (yellowing of the skin and eyes)

How soon after exposure to hepatitis A will symptoms appear?

If symptoms occur, they usually start appearing 4 weeks after exposure, but can occur as early as 2 and as late as 7 weeks after exposure. Symptoms usually develop over a period of several days.

How long do hepatitis A symptoms last?

Symptoms usually last less than 2 months, although some people (10%–15%) with hepatitis A can have symptoms for as long as 6 months.

Can a person spread hepatitis A without having symptoms?

Yes. Many people, especially children, have no symptoms. In addition, a person can transmit the virus to others up to 2 weeks before symptoms appear.

Diagnosis / Treatment

How will I know if I have hepatitis A? How is hepatitis A diagnosed?
A doctor can determine if you have hepatitis A by discussing your symptoms and taking a blood sample.

How is hepatitis A treated?

Unvaccinated people who have been exposed recently (within 2 weeks) to the hepatitis A virus should get the hepatitis A vaccine or a shot of immune globulin to prevent severe illness. To treat the symptoms of hepatitis A, doctors usually recommend rest, adequate nutrition, and fluids. Some people will need medical care in a hospital. It can take a few months before people with hepatitis A begin to feel better.

So anyway based on all that I urge you to speak with a health care professional if you believe you may have been exposed. It is so much better to feel a little silly than suffer a hep A infection.

Ask your doctor about testing and if your old hep A vaccination is still good. The only way you will know for sure is to ask your doctor.

Often in the situation where there is a food worker who is later discovered to be infected with hep A virus a general notice will go out to the public for anyone who ate at that restaurant during the potential timeframe the person could have spread hep A to go have the postexposure prophylaxis an injection of either immune globulin or hepatitis A vaccine. However, the vaccine or immune globulin are only effective in preventing hepatitis A if given within the first 2 weeks after exposure. So better sooner than waiting. If it has been more than two weeks your only other option is to wait for symptoms to develop and avoid the risk of infection others. It is by far better to speak with your doctor if you believe you could have been exposed.

Best of luck and if I didn’t say it enough times talk to your doctor.
« Last Edit: January 23, 2018, 08:28:12 pm by Lynn K »
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #8 on: January 24, 2018, 01:44:10 am »
Found this about hep A testing

https://www.webmd.com/hepatitis/hepa-guide/hepatitis-a-virus-test

Hepatitis A IgM antibodies can be found as early as 2 weeks after you are first infected. They disappear 3 to 12 months after the infection.

However, 2 weeks post possible exposure would be too late for treatment to prevent infection to be effective.

If you think you may have ingested any fecal material from this encounter you should see your doctor to be treated.


https://www.cdc.gov/vaccines/hcp/vis/vis-statements/hep-a.html

Hepatitis A Vaccine

What You Need to Know

Why get vaccinated?

Hepatitis A is a serious liver disease. It is caused by the hepatitis A virus (HAV). HAV is spread from person to person through contact with the feces (stool) of people who are infected, which can easily happen if someone does not wash his or her hands properly.  You can also get hepatitis A from food, water, or objects contaminated with HAV.

Symptoms of hepatitis A can include:

fever, fatigue, loss of appetite, nausea, vomiting, and/or joint pain
severe stomach pains and diarrhea (mainly in children), or
jaundice (yellow skin or eyes, dark urine, clay-colored bowel movements).
These symptoms usually appear 2 to 6 weeks after exposure and usually last less than 2 months, although some people can be ill for as long as 6 months. If you have hepatitis A you may be too ill to work.

Children often do not have symptoms, but most adults do. You can spread HAV without having symptoms.

Hepatitis A can cause liver failure and death, although this is rare and occurs more commonly in persons 50 years of age or older and persons with other liver diseases, such as hepatitis B or C.

Hepatitis A vaccine can prevent hepatitis A. Hepatitis A vaccines were recommended in the United States beginning in 1996. Since then, the number of cases reported each year in the U.S. has dropped from around 31,000 cases to fewer than 1,500 cases.

Hepatitis A vaccine
Hepatitis A vaccine is an inactivated (killed) vaccine. You will need 2 doses for long-lasting protection. These doses should be given at least 6 months apart.

Children are routinely vaccinated between their first and second birthdays (12 through 23 months of age).  Older children and adolescents can get the vaccine after 23 months. Adults who have not been vaccinated previously and want to be protected against hepatitis A can also get the vaccine.

You should get hepatitis A vaccine if you:

are traveling to countries where hepatitis A is common,
are a man who has sex with other men,
use illegal drugs,
have a chronic liver disease such as hepatitis B or hepatitis C,
are being treated with clotting-factor concentrates,
work with hepatitis A-infected animals or in a hepatitis A research laboratory, or
expect to have close personal contact with an international adoptee from a country where hepatitis A is common
Ask your healthcare provider if you want more information about any of these groups.

There are no known risks to getting hepatitis A vaccine at the same time as other vaccines.

https://www.cdc.gov/hepatitis/hav/havfaq.htm

How long does protection from hepatitis A vaccine last?
The exact duration of protection after vaccination is unknown. Anti-HAV has been shown to persist for at least 20 years in adults administered inactivated vaccine as children with the three-dose schedule (19), and anti-HAV persistence of at least 20 years also was demonstrated among persons vaccinated with a two-dose schedule as adults (20). Detectable antibodies are estimated to persist for 40 years or longer based on mathematical modeling and anti-HAV kinetic studies (20, 21).


Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #9 on: February 14, 2018, 02:37:40 pm »
Hey,

So i decided to get tested for everything and awaiting my results. However i noticed the phlebotomist did not use gloves and i can't say i noticed her washing her hands before sticking.

I understand i sound super ocd right now

Am i at risk here?


Offline Lynn K

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Re: Possible Hep A risk?
« Reply #10 on: February 14, 2018, 09:45:19 pm »
No you are not at risk.

I have never seen a phlebotomist not wear gloves. I have blood draws done every 6 months for many years. That is not in compliance with standard medical protocols.

You were not at risk your phlebotomist if they did not wear gloves was at risk from you.

From my understanding this lab could be at risk of their license. Was this a licensed laboratory in the US? You may want to report this incident to your doctor.

https://www.ncbi.nlm.nih.gov/books/NBK138655/

Infection control procedures that help to prevent health-care associated infections include:
hand hygiene;
glove use;
skin antisepsis;
sterile, single-use blood-sampling devices;
sharps containers;
disinfection of surfaces and chairs;
cleaning and disinfection of tourniquets;
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #11 on: February 15, 2018, 08:35:53 am »
Yes, i think I'm probably going to say something. My worry is that she may have had blood residue on her hand from a previous patient. She never touched my wound directly but there was a little leakage from the puncture site. If she touched my blood (leakage) which had dripped away from the puncture site could a potential hep c/b infection spread back up to the actual puncture wound and infect me (Wow i sound soooooo OCD lol)

Also this was a UK lab

Thanks again
« Last Edit: February 15, 2018, 09:28:46 am by Jaydog »

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #12 on: February 15, 2018, 01:09:50 pm »
Still really surprised in the UK I would think more likely in a third would country.

Ok so you blood was flowing out. Hep c doesn’t swim especially against the tide of blood flowing out of your body. Hep c basically has to be pushed inside your body.

No risk
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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Re: Possible Hep A risk?
« Reply #13 on: February 15, 2018, 01:31:25 pm »
Thank you for your patience and advice Lynn

Offline Jaydog

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Re: Possible Hep A risk?
« Reply #14 on: February 21, 2018, 12:44:54 pm »
Hello again,

Just looking for clarification on the last answer. I understand Hep c cannot swim but if the blood leakage was connected to my wound could it infect the leakage and spread through the blood back into my wound opening and into my body the same way it would spread inside the body (through blood) if that makes sense?

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #15 on: February 21, 2018, 07:01:16 pm »
The main issue is it is doubtful the phlebotomist was contaminated with hepatitis C blood but if hepatitis C blood should enter a wound there is a potential for infection.

To describe you potential risk in example if a health care worker should experience an accidental needle stick involving a patient with known hep C their risk of infection would be about 1.8% this is with know infected blood being pushed inside the blood stream of an uninfected person. So given that you can see you are at less risk than that.

You do not know if any blood was present or if this possible blood has hep c. You can’t be infected by what is not there. Even if there was hep c infected blood your risk would be less than the risk from an accidental needle stick scenario.

Wondering and worrying likely needlessly solves nothing. I am just a patient who was once infected with hep c and not a medical professional but I seriously doubt you are at any risk in this situation. My suggestion is either move one with your or if you continue to have concerns get tested then you will know instead of wondering and guessing. Or discuss your concerns with your doctor and consider discussing treatment for anxiety.

Good luck
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #16 on: February 24, 2018, 11:37:36 pm »
You know what I agree with your comments anxiety. I had an incident before where i snorted cocaine with my own key which hadn't been used by anybody else and went through a period of worrying about that, thinking i could get hep c from the cocaine powder itself because my nose bled after snorting. It seems to come and go these periods of OCD and anxiety. I mean would you even consider something like this a risk or just irrational thoughts that i should consult with a doc?


Offline Lynn K

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Re: Possible Hep A risk?
« Reply #17 on: February 25, 2018, 01:39:09 am »
Bearing in mind I am not a doctor as I said previously:

“I seriously doubt you are at any risk in this situation. My suggestion is either move one with your life or if you continue to have concerns get tested then you will know instead of wondering and guessing. Or discuss your concerns with your doctor and consider discussing treatment for anxiety.“

“I mean would you even consider something like this a risk?”

Personally no I would not. The thought would not have even crossed my mind. I am sure my  phlebotomist was wearing gloves on my last blood draw but in all honesty I didn’t even notice one way or the other.


“or just irrational thoughts that i should consult with a doc?”

I can’t speak to rationality of your thoughts we all have concerns from time to time. But I do personally believe your concerns are likely unfounded and speaking with a counselor may help you have a calmer more peaceful life.

Best of luck
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #18 on: February 25, 2018, 10:01:43 am »
I completely understand you can't speak for the rationality of my thoughts, i know your not a mental health professional, but would you consider the cocaine incident a legitimate concern? its like when something comes into contact with my blood (key, powder) i automatically think i've caught something even though i used my own equipment lol. Like i said, i tend to go through these phases, i think it wouldn't hurt to talk to somebody... just gotta find time to do it.
« Last Edit: February 25, 2018, 10:05:39 am by Jaydog »

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #19 on: February 25, 2018, 02:05:20 pm »
The cocaine and key no of you were sharing snorting equipment with someone who has hep c that you put inside your nose like straws or bills that is a specific risk listed by the CDC so if shared yes that is a known risk. Your own equipment no.

Isn’t one of the effects of cocaine use paranoia? Maybe if you were to stop using drugs that could help your outlook on life and reduce your risks of many health problems including death by overdose. I would worry more about the risks associated with drug use to your health than touching your own keys or shaking a strangers hand.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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  • Posts: 14
Re: Possible Hep A risk?
« Reply #20 on: July 18, 2018, 02:08:10 am »
Well, here we go again....

I seem to have OCD episodes every 3 months or so but this time it seems like a legitimate concern.

So yesterday I was walking to work and noticed what seemed to be a large patch of dried blood on the floor which looked at least 8 hours old. I didn't step on this but later realised I had stepped on the small dried drips that followed. I was wearing shorts and later that day I used the bottom/side of my foot/shoe to scratch my leg when I was walking around not realising I had a small paper cut sized cut on my leg - this occurred about 7 hours after stepping on the dried blood. Do you think I'm at any risk here?. I know hep c positive people account for 0.4 percent of the population in my country.

I also noticed no visible blood on my shoe

Cheers again and sorry to be a pain


Offline Lynn K

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Re: Possible Hep A risk?
« Reply #21 on: July 18, 2018, 02:25:29 am »
Could have been soda which is a much more likely possibility vs a random blood spill

Hep c infected blood must enter the blood steam on an uninfected person through an open bleeding wound. Even in the situation where a health care worker should experience an accidental needle stick involving a patient with know hep c the risk of transmission is only about 1.8%

“Do you think I'm at any risk here?”
No

See your doctor for treatment of your OCD. Treat the condition you do have so you can stop worrying needlessly about illness you have no risk of contracting. Illnesses that for example if you should contract hep c, is now very treatable with high rates of cure.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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Re: Possible Hep A risk?
« Reply #22 on: July 18, 2018, 11:56:13 am »
I'm pretty sure it was blood as they were putting sand over it when I walked past it later in the day. Would hep c have survived on my shoe for the 7hours leading up to when my shoe came into contact with my leg cut?

Offline lporterrn

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Re: Possible Hep A risk?
« Reply #23 on: July 18, 2018, 01:49:31 pm »
This is all highly speculative and incredibly unlikely, if not pretty much impossible. Rather than continue with the speculation (and a continuation of anxiety), why don't you just have a test and get the facts.
Lucinda Porter, RN
1988 Contracted HCV
1997 Interferon nonresponder
2003 PEG + ribavirin responder-relapser
2013 Cured (Harvoni + ribavirin clinical trial)
http://blogs.hepmag.com/lucindakporter/

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #24 on: July 18, 2018, 03:28:21 pm »
Jay that is not the standard protocol for a blood spill. If there had been ablood spill they call hazmat. Maybe oil would be something they would use sand for clean up.

Highly doubtful to nearly impossible that there would be anyway blood would enter your blood stream from this situation.

If you are worried as Lucinda said wait 12 weeks and get tested. Or see your counselor about your medical anxiety and discuss your concerns.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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Re: Possible Hep A risk?
« Reply #25 on: July 27, 2018, 04:18:57 pm »
I agree with testing etc but reassurance is good during this 3 month period.

I thought it may be oil or transmission fluid but can't understand why it would be on the pavement (sidewalk)

Offline Lynn K

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Re: Possible Hep A risk?
« Reply #26 on: July 28, 2018, 01:17:39 am »
The possibility of it having been transmission fluid or brake fluid or a soda or almost anything else seems much more likely to me then it being blood.

In my entire life I have never encountered a random blood spill. I have see coworkers get badly cut in the job resulting in a blood spill that our work hazmat team responded to. But I have never seen blood out in the world without explanation for it being there.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Jaydog

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Re: Possible Hep A risk?
« Reply #27 on: July 28, 2018, 07:08:42 am »
Yeah I understand what you're saying but say it was dried blood would you say my risk was non existent?

Offline Lynn K

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  • Get tested, get treated, get cured, fight Hep c!
Re: Possible Hep A risk?
« Reply #28 on: July 28, 2018, 11:07:10 am »
I suggest you reread the previous posts. Your question has been answered several times.

Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

 


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