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Regional experts step up fight against hepatitis C

A team which is on a mission to eliminate hepatitis C virus (HCV/Hep-C) from the East of England by 2025 is launching another awareness campaign.

The Eastern Region Hepatitis C Operational Delivery Network (HCV ODN), which functions from a ‘hub’ at Addenbrooke’s with bases in surrounding counties, is backing World Hepatitis Day on 28 July with events before and after.

Hepatitis mobile clinic 600 x 450
The mobile clinic

Its mobile clinic – which has become a familiar site out and about in the community - will be parked on The Green and The Gardens between Royal Papworth Hospital and Astra Zeneca from 10am to 5pm on Tuesday 23 July to offer testing and advice.

Visitors can get the results of a finger prick test or mouth swab in just 20 minutes and, as an NHS service, it is entirely free.

The team will also launch a new bus shelter advertising campaign across East Anglia, which organisers think will be just the ticket to highlight key messages and the kind of support available.

WATCH: Eastern Region HCV ODN clinical lead, Dr Will Gelson,

Link: https://www.youtube.com/watch?v=xp7trq-kaD8

Video transcript

00:00:04 - 00:00:07

Text: 'Eastern Region Hepatitis C Team Information Video'

00:00:08 - 00:00:12

Text: 'What is HCV and how is it caught?'

00:00:13 - 00:00:17

Dr Will Gelson (Consultant Hepatologist): Hepatitis C, HCV or Hep C is a blood-borne virus which causes

00:00:18 - 00:00:21

chronic liver disease for some people. This may lead to cirrhosis

00:00:22 - 00:00:26

and in some, liver failure or liver cancer. Hep C is caught through

00:00:26 - 00:00:30

exposure to contaminated blood, we have extremely effective tablet

00:00:30 - 00:00:34

treatments for Hepatitis C with very few side effects that clear

00:00:35 - 00:00:38

the virus in 95% of people who take them.

00:00:39 - 00:00:42

Text: 'About the medication'

00:00:43 - 00:00:46

Maddy Pollard (ODN Advanced Clinical Pharmacist): Treatment is generally well tolerated with very few side effects.

00:00:47 - 00:00:51

Some people experience headache, nausea and difficulty sleeping,

00:00:51 - 00:00:55

but they should settle down quite quickly. We treat the virus

00:00:55 - 00:01:00

using direct acting antiviral tablets. These act directly against the virus

00:01:01 - 00:01:04

and stop is replicating. Most treatment courses are one

00:01:05 - 00:01:09

tablet, once a day for 8 to 12 weeks. If treatment is not effective

00:01:10 - 00:01:13

there are other options and we can try different combinations

00:01:13 - 00:01:15

of drugs and different course lengths.

00:01:16 - 00:01:20

Text: 'The mobile testing unit'

00:01:20 - 00:01:24

Rachael Bates (Hepatology Clinical Nurse Specialist): The van goes to a wide range of venues. We like to be accessible

00:01:25 - 00:01:29

to everybody. Basically, anywhere there's large groups of people we

00:01:30 - 00:01:33

like to take the van. So we have a number of tests available on the van

00:01:33 - 00:01:38

that we can use and the first two are screening tests. We have Matrix,

00:01:38 - 00:01:42

which is a finger prick test with a result in ten minutes, and then we have

00:01:43 - 00:01:46

OraQuick test, which is an oral swab, just goes round the gum.

00:01:46 - 00:01:50

You get a result from that in 30 minutes. We have blood

00:01:50 - 00:01:52

taking equipment where we can get a really good view

00:01:53 - 00:01:57

of the liver health in general, and we also are really lucky on

00:01:57 - 00:02:01

our van, we have a Cepheid machine - this is again a finger print test and

00:02:02 - 00:02:05

the result comes back from that in an hour, so we're then able

00:02:06 - 00:02:08

to know, does that person actually need treatment.

00:02:09 - 00:02:13

Text: 'About the treatment'

00:02:14 - 00:02:16

Katie Eiloart (Community Hepatology Clinical Nurse Specialist): Treatment is available at Cambridge University Hospital.

00:02:17 - 00:02:22

Also, in local drug and alcohol centres around the region. Patients will attend

00:02:23 - 00:02:25

clinic every four weeks to collect further medication and have a

00:02:25 - 00:02:29

blood test to check that the treatment is effective. Patients will be seen at

00:02:30 - 00:02:33

an initial consultation to have bloods taken and a FibroScan.

00:02:34 - 00:02:38

A FibroScan is a simple ultrasound that assesses for any liver scarring

00:02:39 - 00:02:42

resulting from Hepatitis C. A further blood test is done

00:02:43 - 00:02:45

at the end of treatment and then the patient is invited to come

00:02:45 - 00:02:49

back 12 weeks post-treatment for a final blood test to check that

00:02:50 - 00:02:51

the treatment has been successful.

00:02:52 - 00:02:55

Text: 'Patient support'

00:02:56 - 00:03:00

Charlotte Brown (Hep C Trust Peer Coordinator): We offer our patients ongoing support. This could be anything

00:03:01 - 00:03:04

from transport, you know, they may need help to their first clinic appointment

00:03:05 - 00:03:07

Anthony Meade (Hep C Trust Peer): People are offered telephone appointments, so I'll be calling

00:03:07 - 00:03:10

people and reminding them of their appointment. Then I'll talk about

00:03:11 - 00:03:14

the treatment and what that pathway would look like. I'll be discussing

00:03:14 - 00:03:18

reinfection routes, what to expect at their appointment.

00:03:18 - 00:03:22

Charlotte: And also, we may signpost them to other services to help them along their journey.

00:03:23 - 00:03:27

Anthony: A lot of our staff have got shared Hep C experience, so we can help

00:03:28 - 00:03:32

dispel fears through them knowing people are talking to you about Hep C.

00:03:32 - 00:03:35

Sometimes that can be the key that will open the door for someone accessing treatment.

00:03:39 - 00:03:42

Rachael: We're really proud to work collaboratively with other services

00:03:42 - 00:03:48

such as the Vaccination Outreach Team, Drug and Alcohol Services, the

00:03:49 - 00:03:54

TB Outreach Team, and sexual health. We've also worked in Mosques and we'll

00:03:54 - 00:03:57

be at some of the PRIDE events. We've got a really busy time

00:03:58 - 00:04:02

coming up with events and if you see us out and about, come and say hello.

00:04:03 - 00:04:06

Text: 'Testing for HCV is simple and treatment is FREE'

00:04:07 - 00:04:11

Text: 'For more information, visit the Eastern Liver website (opens in a new tab)'

Hepatitis C is a blood borne virus (passes via blood to blood contact). Risk factors for having the virus include old/ /homemade tattoos/piercings; current/past drug use (sniffed and injected); anal sex; certain countries of birth; blood transfusions and solid organ transplants before 1996; and healthcare abroad.

The virus damages liver cells, which over several years can cause serious liver scarring, liver failure and liver cancer. With a lack of clear symptoms, people can be infected with hepatitis C and go undiagnosed for many years.

Treatment is easy to take and accessible, involving 8-12 weeks of tablets with few or no side effects and a 96 per cent cure rate.

The NHS has an ambitious plan to eliminate hepatitis C from England before the global goal of 2030. It is estimated that tens of thousands of people are still infected country-wide and identifying these people is key to eliminating the virus.

Eastern Region HCV ODN clinical lead, Dr Will Gelson, said:

Our message to anyone who has the slightest concern that they may be infected is to drop into the van and get tested. It only takes a few minutes and if there is a problem there are rapid, highly effective, treatments available.

Dr Will Gelson

More information is available on the NHS website (opens in a new tab) or Hepatitis Trust (opens in a new tab), which is a national UK charity.