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Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) co-infection is a multi-faceted, chronic condition that significantly impacts public health.According to the World Health Organization (WHO), 2 to 15% of those infected with HIV are also affected by HCV, increasing their risk of morbidity and mortality due to accelerated liver disease.
Worldwide the prevalence of hepatitis C virus infection in pregnant women and children has been estimated to be 1–8% and 0.05–5% respectively. [153] The vertical transmission rate has been estimated to be 3–5% and there is a high rate of spontaneous clearance (25–50%) in the children.
The hepatitis C virus (HCV) [3] is a small (55–65 nm in size), enveloped, positive-sense single-stranded RNA virus of the family Flaviviridae. The hepatitis C virus is the cause of hepatitis C and some cancers such as liver cancer ( hepatocellular carcinoma , abbreviated HCC) and lymphomas in humans.
[166] [167] In a recent study by the WHO, the likelihood of being infected with hepatitis C virus was six times greater in those who also had HIV. [167] The prevalence of HIV-HCV co-infection worldwide was estimated to be 6.2% representing more than 2.2 million people. [167] Intravenous drug use was an independent risk factor for HCV infection ...
The plaintiffs alleged that the companies manufactured and sold blood factor products as beneficial "medicines" that were, in fact, contaminated with HIV and/or HCV and resulted in the mass infection and/or deaths of thousands of hemophiliacs worldwide.
Certain risk factors are more highly associated with HCC than others. For example, while heavy alcohol consumption is estimated to cause 60–70% of cirrhosis, the vast majority of HCC occurs in cirrhosis attributed to viral hepatitis (although there may be overlap). [10] Recognized risk factors include:
Chronic hepatitis C infection when left untreated not only results in cirrhosis of the liver but can trigger other diseases not directly associated with the liver (cancers, hypertension, Heart arrhythmia) and auto-immune conditions (rheumatoid arthritis), which may not be easily attributed to the HCV infection. [citation needed]
The most common blood-borne diseases are hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). [7] Exposure is possible through blood of an infected patient splashing onto mucous membranes; however, the greatest exposure risk was shown to occur during percutaneous injections performed for vascular access.
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