Q: What is hepatitis C?
A: Hepatitis C is a liver disease caused by the hepatitis C virus
(HCV), which is found in an infected person's blood. Hepatitis C is a serious
disease. Many people may carry the virus for the rest of their lives. Infected
people can develop liver damage, but do not necessarily feel sick. Even those
who develop a persistent infection may not show symptoms until there is severe
liver damage. In some cases, hepatitis C can cause cirrhosis (scarring) of the
liver, liver failure and liver cancer over a period of 20 to 30 years.
Q: How can you tell if someone is infected
with Hepatitis C?
A: Only with a blood test. A person can be Hepatitis C -infected for
many years while looking and feeling healthy, with no signs at all of being
sick.
Q: Who is most likely to become infected with
the hepatitis C virus?
A: Anyone can be infected with the hepatitis C virus. However, people
most likely to be infected with the hepatitis C virus include individuals who:
(1.) had a blood transfusion and or received an organ transplant such as
kidney, lung, or heart, before effective screening began in July 1992; (2.)
have been or are on long term kidney dialysis (hemodialysis); (3.) received
treatment with a clotting factor concentrate manufactured before 1987; (4.)
have ever injected illegal drugs, even once; (5.) have had sexual contact with
multiple individuals over the course of their lifetime; (6) have been
healthcare workers with exposure to blood from a hepatitis C infected person,
especially through accidental needlesticks, or (7) have ever had a sexually
transmitted disease (STD).
Q: Are there other types of viral
hepatitis?
A: Yes, the other most common types are hepatitis A and B. Hepatitis
A is usually transmitted by personal contact with someone who is infected and
by drinking contaminated water or eating contaminated food. Most people recover
from hepatitis A within 6 months without serious health problems. Hepatitis B
is transmitted through infected blood and other bodily fluids. Most people
(90%) are able to recover from hepatitis B infection; however, those
individuals who become chronically infected may develop cirrhosis and liver
cancer, if left untreated. Both hepatitis A and hepatitis B are preventable by
vaccines. There is no vaccine for HCV.
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Q: What are the symptoms of hepatitis C?
A: The most common symptom of hepatitis C is fatigue; however, most
infected people have no recognizable signs or symptoms for a long time. Some
people do experience flu-like symptoms, such as loss of appetite, nausea and
vomiting, fever, weakness, tiredness and mild abdominal pain. Less common
symptoms are dark urine and jaundice of the skin and eyes. The only way to know
if you are infected is through blood tests.
Q: Is hepatitis C contagious?
A: Yes. Usually the hepatitis C virus is spread from one person to
another by direct exposure to infected blood or blood products, and
contaminated needles or other sharp objects. Occasionally, the hepatitis C
virus may be spread by: 1.) an infected mother to her newborn; 2.) sharing
household objects with an infected household member. Do not share items that
may be contaminated with blood such as razors and toothbrushes.; or 3.) sexual
contact. Sexual transmission typically occurs among people with multiple sexual
partners or a history of sexually transmitted disease. HCV transmission is rare
among long-term sexual partners who do not have other sexual contacts. Consider
using condoms, because sexual transmission, although rare, is possible.
If you are infected, we recommend taking extra steps to avoid blood to blood
contact with others to prevent any possibility of infecting other people close
to you.
Q: How can I be exposed to Hepatitis C?
A: Unprotected sex with someone who is infected or sharing a needle
or other drug equipment with someone who is infected.
Q: What is unprotected sex?
A: Sex without a latex condom or other barrier method.
Q: What about doing drugs?
A: Injecting drugs using a needle that has been used by someone else
is risky because it can contain infected blood from that person. Any drug use,
including alcohol, affects judgment and can contribute to exposure to Hepatitis
C infection. Any shared drug products or equipment (i.e. straw, dollar bill,
spoon) that could have blood on them are means to pass the virus.
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Q: What are the ways to prevent or reduce
exposure to Hepatitis C infection?
A: The best way to reduce risk is always using a latex condom
correctly for all sexual intercourse. Quitting is the best prevention if you
are using injectable drugs. But if that isn't an option, then people should
always use a sterile needle to inject drugs and never use somebody else's
equipment. Don't share toothbrushes, razors or other household objects that
could get blood on them. Use bleach to clean up spilled blood. Don't share drug
paraphernalia.
Q: What is the Hepatitis C test?
A: The human body makes antibodies to fight off all kinds of
infections. Your body creates antibodies to the hepatitis C virus if you are
infected with it. This service tests your blood for these antibodies.
Q: Is this test accurate?
A: Yes. In a multicenter clinical study this test service, using
blood from a finger stick obtained by non-medically trained participants, was
proven to be greater than 99% accurate compared to a blood sample drawn by a
medical professional and tested using current test methods. In this clinical
trial approximately 4% of study participants were unable to collect enough
sample to begin testing, and an additional 3% were unable to collect enough
sample to receive a conclusive result. To assure your sample is adequate for
testing, please follow all the instructions.
Your sample will be tested with the same tests used by your doctor's office.
Your sample is tested with an Enzyme-Linked Immunoassay (ELISA). In some cases,
a more specific test called Recombinant Immunoblot Assay (RIBA) may also be
used to determine your final result.
It can take up to six months for your blood to develop antibodies to the
hepatitis C virus. Hepatitis C CheckSM Test Service may not detect more recent
infections. We recommend you take the test six months or more AFTER you have
been exposed to hepatitis C virus.
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Q: What does my test result mean?
A: There are 4 possible test results: "negative", "positive",
"indeterminate", or "result not available."
A "negative" test result means antibodies to the hepatitis C
virus were not found in your test sample and it is extremely unlikely that you
have been infected with the hepatitis C virus. If you receive this test result,
it is important to remember this service may yield a negative result if you
were infected during the six months before this testing, because antibodies to
the hepatitis C virus do not develop immediately after infection occurs. You
should be evaluated by a physician of your choice if you become ill or if you
remain concerned that you could be infected with the hepatitis C virus.
A "positive" test result means antibodies to the hepatitis
C virus were found in your test sample and that you should consider yourself
infected with the hepatitis C virus. If you receive this test result, we
recommend you consult a physician of your choice for medical advice and
follow-up. For your convenience, Home Access can provide referrals to
physicians in your area who can treat hepatitis C.
An "indeterminate" result means that initial testing of
your blood detected antibodies but further testing did not conclusively show
that these were antibodies to the hepatitis C virus. This could mean that your
body was developing antibodies to the hepatitis C virus at the time the sample
was obtained, and you could be infected. Sometimes, other conditions can make
the test "indeterminate". If you receive this test result, we recommend you
consult a physician of your choice and/or be re-tested.
A "result not available" result means that the laboratory
was unable to provide a result from your sample. This happens when your test
card doesn't have enough blood on it or is wet, soiled, clotted, contaminated,
or shipped incorrectly.
When you call in for your test results and talk with a healthcare counselor,
you will be advised of your options for referral or re-testing.
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Q: What exactly does the Hepatitis C test
do?
A: Any Hepatitis C test checks your blood specimen for Hepatitis C
antibodies. The body creates antibodies to Hepatitis C when an individual
becomes infected by the virus. By testing blood for these antibodies, a
laboratory tell if Hepatitis C is present.
Q: How soon do these antibodies show
up?
A: In most infected people, the antibodies will show up in the blood
within six weeks to 3 months. But in some people, it might take up to six
months. This is important because the test cannot detect recent infections. For
example, if you became infected in January, you may not test positive until
July.
Q: So you can test negative and still be
infected?
A: Yes, because it takes some time for your body to produce Hepatitis
C antibodies, there is a period of time when recent infections may not be
detected.
Q: So what does a negative result
mean?
A: It means that Hepatitis C antibodies were not found on the date
the blood sample was taken by a laboratory in a particular blood sample.
Q: What does a positive result mean?
A: It means that Hepatitis C antibodies were found by the laboratory
in a particular blood sample and the individual providing that sample is
infected. That individual is capable of passing the virus to someone
else.
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Q: What does an indeterminate result
mean?
A: It means a laboratory could not confirm the presence of Hepatitis
C antibodies in a particular blood sample. It could mean that an individual may
be in the process of converting from being negative to being positive. It could
also be due to other medical factors. In either case, it is recommended that
the individual be re-tested.
Q: What does an insufficient blood result
mean?
A: An insufficient blood result refers specifically to the Home
Access® Hepatitis C Check Test system. It means that the Hepatitis C test
could not be performed on the blood sample that was sent to the laboratory.
This happens most often because there was not enough blood to test, there were
white spots in the circle, or the blood did not soak through all the way to the
back. If you use the Home Access® Hepatitis C Check Test system, make sure
you follow all printed instructions regarding the collection of a blood
sample.
Q: How accurate is the Hepatitis C at-home
test?
A: Home Access® Hepatitis C Check Tests are designed to provide
you with a scientific test result that you can trust. Home Access' Hepatitis C
Check Tests use the same tests run by doctors and hospitals and is clinically
proven to be greater than 99% accurate.
Q. What does FDA approved mean?
A: Our entire service has been scientifically reviewed for safety and
effectiveness by the U.S. Food and Drug Administration (FDA). FDA granted Home
Access Health nationwide clearance to market its service on April 28, 1999. The
Home Access at-home telemedicine Hepatitis C counseling and testing service is
the ONLY such service available in the United States approved by the U.S. Food
and Drug Administration.
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Q: Why get tested for Hepatitis C?
A: Generally speaking, there are a number of reasons that prompt a
person to take a Hepatitis C test. Whether it is: ... --getting tested for
Hepatitis C can help foster peace of mind, regardless of your test result. And,
if you are concerned about testing positive for Hepatitis C, it is important to
recognize that today more than ever before, there is new medical treatment that
is helping thousands of people infected with Hepatitis C lead healthier, active
lives.
Q: Is the Home Access® test
confidential?
A: Yes. We guarantee that all Home Access test results are completely
confidential. Included in your test kit is a personal 14-digit code number that
is not accessible to anyone else. This is how you register to receive your test
result. You are the only person who can share your code number or result with
anyone else.
Q: How does it work?
A: It's easy. Just call in to register your Home Access PIN Number.
Then collect a blood spot sample by following the instructions included in your
kit. (If you have questions, you can call the toll-free number for assistance.)
Ship your sample back to our laboratory for processing and then call in to find
out your test result. You will be able to find out your test result in ten
business days.
Q: When can I get my results?
A: Hepatitis C Check results are available ten business days
(Monday-Friday) after the sample is mailed to the laboratory.
Q: How are results given?
A: Once your test is processed, you can call in to find out your test
result. You retrieve your results by calling the toll-free number included in
your test kit. If you are transferred to a counselor, there is no reason to
panic, this does not automatically mean that you have tested positive.
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Q: Can I get a copy of my results in
writing?
A: Yes, you must first obtain your results over the phone. Then send
a self-addressed stamped envelope along with a written request noting your code
number to:
Mail Back Results
Home Access Health
2401 W. Hassell Road
Suite 1510
Hoffman Estates, IL 60195
For results via email, send an email to HAHCHCV@homeaccess.com. Be sure to
provide your code number in the email.
When results are sent via email they are sent in a Portable Document Format
(PDF) attachment which includes your personal identification number (PIN) and
your result. The email is not sent in encrypted form and therefore your result,
PIN and email address could be read by someone on the internet. In addition,
your Internet Service Provider (ISP) can convert your email address to your
name and address and see your result. If you have concerns about these
limitations please request your results via U.S. mail.
Q: Who is Home Access Health
Corporation?
A: Home Access Health, the leader in telemedicine, provides fast and
convenient at-home medical testing and consultation. The Home Access goal is to
treat everyone who uses their service with respect and understanding. Home
Access guarantees you will be 100% satisfied with your Hepatitis C test
purchase or they will replace your kit or refund your money.
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